2023-08-08T16:27:45-04:00 2022-09-30 580914992 DRAFFIN & TUCKER LLP PO BOX 71309 ALBANY GA 317081309 990 2021-10-01 592319288 MADISON COUNTY HOSPITAL HEALTH SYSTEMS INC MADI 8509732271 224 NW CRANE AVENUE MADISON FL 323401400 PATRICK MCGEE CFO 8509732271 2023-08-08 true PATRICK MCGEE 999009999 WILLIAM EDWARD PHILLIPS P00451499 2298837878 2023-08-08 2021 2023-04-26 12:10:37Z MADISON COUNTY MEMORIAL HOSPITAL TAMMY STEVENS 224 NW CRANE AVENUE MADISON FL 323401400 15259785 false X WWW.MCMH.US X 1938 FL TO PROVIDE QUALITY HEALTHCARE SERVICES TO THE COMMUNITY WHICH IT SERVES. THESE SERVICES INCLUDE ACUTE GENERAL INPATIENT AND OUTPATIENT CARE, SWING BED, ENDOSCOPY, PHYSICAL THERAPY AND OTHER RELATED SERVICES. 6 6 213 9 0 5949359 3523534 10131797 11358498 55147 -43452 131798 128584 16268101 14967164 0 0 7376769 6448595 0 0 6515511 7486724 13892280 13935319 2375821 1031845 21232395 21963320 22790038 22491840 -1557643 -528520 TO PROVIDE QUALITY HEALTHCARE SERVICES TO THE COMMUNITY WHICH IT SERVES. THESE SERVICES INCLUDE ACUTE GENERAL INPATIENT AND OUTPATIENT CARE, SWING BED, ENDOSCOPY, PHYSICAL THERAPY AND OTHER RELATED SERVICES. false false 11769505 11358498 THE HOSPITAL IS A 25-BED CRITICAL ACCESS FACILITY LICENSED BY THE STATE OF FLORIDA THROUGH THE AGENCY FOR HEALTHCARE ADMINISTRATION. THE HOSPITAL OFFERS SERVICES SUCH AS ROUTINE RADIOLOGY, ENDOSCOPY, MAMMOGRAPHY, ULTRASOUND, LABORATORY, RESPIRATORY THERAPY, 24 HOUR EMERGENCY ROOM, SWING BED SERVICES, OUTPATIENT REHABILITATION, AND AN ACUTE CARE SETTING FOR PATIENTS. 11769505 true true false true false false false false false true true false false false true true true false false false false false false false false false true true false false true true false false false false false false false false false false false false false false false true false false false true 24 0 213 true false false false false false false false false false false false false X 6 6 false false false false false true true true true false false false true true true true true true false false X PATRICK MCGEE 8509732271 224 NW CRANE AVENUE MADISON FL 323401400 DANIEL PERKINS MD PHYSICIAN 40.00 X 211530 0 32906 LUCILLA STRICKLAND NURSE PRACTI 40.00 X 214475 0 1618 TAMMY STEVENS CEO 40.00 1.00 X 182224 0 1369 SARAH ALLEN MANAGER 40.00 X 102282 0 18804 PATRICK MCGEE CFO 40.00 1.00 X 105582 0 9784 CYNTHIA BURNETT HRO 40.00 X 81833 0 16159 BRITTANY SELPH CNO 40.00 X 79522 0 7795 JUANITA WEBB FICO DIRECTOR 1.00 X 0 0 0 BEN HARRIS CHAIR 1.00 X 0 0 0 KAREN ANNETTE JOHNSON DIRECTOR 1.00 X 0 0 0 SHIRLEY JOSEPH VICE CHAIR 1.00 X X 0 0 0 ROSA RICHARDSON SECRETARY 1.00 X X 0 0 0 JIM SALE DIRECTOR 1.00 X X 0 0 0 977448 88435 5 false true false CMS IMAGING INC 4050 AZALEA DRIVE NORTH CHARLESTON SC 294057528 RADIOLOGY 429911 MCKESSON PO BOX 936279 ATLANTA GA 31193 MEDICAL EQUIP 429246 SOUTHLAND EMERGENCY MED SVCS PO BOX 5218 NICEVILLE FL 325785218 ER PHYSICIANS 276000 FUKUDA DENSHI USA INC 17725-C NW 65TH ST REDMOND WA 98052 MEDICAL EQUIP 227613 MADISON RADIOLOGY SERVICES PA 3034 NW 66TH BLVD JENNINGS FL 320534246 RADIOLOGIST 227128 10 3473534 50000 3523534 NET PATIENT SERVICES 623000 11358498 11358498 11358498 22219 22219 226950 292621 -65671 -65671 -65671 EMPLOYEE LEASE INCOME 621990 66872 66872 MISCELLANEOUS REVENUE 621990 55813 55813 DISCOUNTS 621990 3480 3480 2419 2419 128584 14967164 11484663 -41033 X 484268 484268 5189062 4790483 398579 15300 14125 1175 343093 316743 26350 416872 384856 32016 37970 37970 83576 83576 2087133 1911515 175618 8939 1149 7790 789531 698134 91397 22507 22507 1278205 1000195 278010 30212 28867 1345 14643 10132 4511 9160 9160 1444898 1130633 314265 53415 9931 43484 MEDICAL SUPPLIES 858679 858679 REPAIRS & MAINTENANCE 513955 513955 FINES & ASSESSMENTS 134426 134426 LICENSE & FEES 68884 56146 12738 50591 21455 29136 13935319 11769505 2165814 0 9633 450 4813980 6320610 1234224 860269 442743 406126 26995123 12619419 14054687 14375704 677128 161 21232395 21963320 1446420 1119029 63179 21074477 20756477 50555 185978 218586 170586 196591 22790038 22491840 X -2512562 -1619206 954919 1090686 -1557643 -528520 21232395 21963320 1031845 -2722 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false false false true 582 582 false SCHEDULE C, PART II-B, LINE 1 THE ORGANIZATION PAYS MEMBERSHIP DUES TO STATE ORGANIZATIONS. A PORTION OF THOSE DUES IS ALLOCATED TO LOBBYING ACTIVITIES IN WHICH THAT ORGANIZATION PARTICIPATES. 954919 1285034 11712 1160979 1090686 826471 1290128 1620 1163300 954919 695625 1282700 10253 1162107 826471 570570 1266087 20379 1161411 695625 445198 985898 29690 890216 570570 1.00000 true false 470000 470000 19808889 8973449 10835440 284197 140328 143869 6248422 3505642 2742780 183615 183615 14375704 THIRD PARTY SETTLEMENTS 196591 196591 X 13065025 -852139 -852139 13917164 1050000 1050000 14967164 13083180 13083180 852139 852139 13935319 SCHEDULE D, PAGE 2, PART V, LINE 4 THESE FUNDS ARE HELD BY MADISON COUNTY AND REPRESENT THE SURTAX COLLECTED FOR THE PURPOSE OF PAYMENT OF HOSPITAL REVENUE BOND PRINCIPAL AND INTEREST. SCHEDULE D, PAGE 3, PART X THE DISTRICT IS A GOVERNMENTAL ENTITY AND IS EXEMPT FROM INCOME TAXES. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN CONSIDERED IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE HOSPITAL IS A NOT-FOR-PROFIT ORGANIZATION EXEMPT FROM INCOME TAXES, EXCEPT ON UNRELATED BUSINESS INCOME, UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). THE HOSPITAL APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE HOSPITAL ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENT'S EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING BALANCE SHEET FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF SEPTEMBER 30, 2022 AND 2021 OR FOR THE YEARS THEN ENDED. THE HOSPITAL'S TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS. SCHEDULE D, PAGE 4, PART XI, LINE 2D INTEREST EXPENSE -852,139 SCHEDULE D, PAGE 4, PART XI, LINE 4B CAPITAL CONTRIBUTIONS 1,050,000 SCHEDULE D, PAGE 4, PART XII, LINE 4B INTEREST EXPENSE 852,139 true true X true X true X 1.250000000000 true false true true 223788 223788 0.01610 1645573 1777409 1869361 1777409 223788 0.01610 5157 5157 0.00040 5157 5157 0.00040 1874518 1777409 228945 0.01640 true 2666902 5909318 5890450 18868 X true false 1 1 MADISON COUNTY MEMORIAL HOSPITAL 224 NW CRANE AVENUE MADISON FL 323401400 WWW.MCMH.US 4346 X X X X SWING BED SNF MADISON COUNTY MEMORIAL HOSPITAL 1 false false true X X X X X X X X X X 20 true false true true X WWW.MCMH.US X true 21 true WWW.MCMH.US false false true X 100.000000000000 125.000000000000 X X true true X X X true X WWW.MCMH.US X WWW.MCMH.US X WWW.MCMH.US X X X X X X true X false X X X true X false false FACILITY 1, MADISON COUNTY MEMORIAL HOSPITAL - PART V, LINE 3E THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IS IDENTIFIED AND THE METHODOLOGY FOR PRIORITIZING EACH NEED IS DESCRIBED ON PAGES 11-13 OF THE 2020 CHNA. FACILITY 1, MADISON COUNTY MEMORIAL HOSPITAL - PART V, LINE 5 MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) PROCESS AN OVERVIEW OF THE MAPP PROCESS HAS BEEN SHARED AND SERVES AS A RESOURCE TO CLASSIFY THE PRIORITIES OF THE COMMUNITY AND TO IDENTIFY RESOURCES TO DEVELOP COMMUNITY ACTION. THIS STRATEGIC PLANNING TOOL, DRIVEN BY THE COMMUNITY, IS CONDUCTED TO ASSESS THE HEALTH WITHIN THE COMMUNITY. THE PURPOSE IS TO IDENTIFY ISSUES AND TO IMPROVE PUBLIC WELLBEING. THE MAPP PROCESS ALTERS HOW WE SEE PUBLIC HEALTH PLANNING AND CREATES A HEALTH MODEL FOCUSED ON THE COMMUNITY AT LARGE. DUE TO COVID-19, THE MAPP PROCESS WAS CONDUCTED VIRTUALLY WITH PARTICIPATION FROM AGENCIES THROUGHOUT THE AREA TO VIEW PRESENTATIONS, PROVIDE FEEDBACK, AND SIGN UP TO PARTICIPATE IN CHIP COMMITTEES OVER THE NEXT THREE YEARS. AS TRADITIONALLY IMPLEMENTED, THE MADISON COUNTY DEPARTMENT OF HEALTH AND MCMH CONDUCTED THE COMMUNITY ASSESSMENT SURVEY (CAS) DURING THE FIRST QUARTER OF 2020. A RANDOM LIST OF ADDRESSES WAS PULLED BY THE CITY CLERK TO IDENTIFY A DIVERSE MIX OF AGE, ETHNICITY, AND GENDER. POSTCARDS WERE SENT OUT TO ADVISE COMMUNITY MEMBERS ABOUT THE UPCOMING SURVEY. A MAILER WAS DISTRIBUTED WITH THE SURVEY AND INCLUDED A RETURN STAMPED ENVELOPE. LAST, A REMINDER WAS MAILED TO FURTHER ENCOURAGE PARTICIPATION. AN ANALYSIS OF THIS ASSESSMENT IS CURRENTLY UNDER REVIEW BY DOH-M. DUE TO THEIR EXPANDED ROLE IN COVID TESTING AND TRACKING THE CAS IS GOING TO BE DISTRIBUTED DURING THE PLANNING MEETING IN JANUARY 2021. THE MAPP PROCESS WAS ENRICHED TO INCLUDE EXPANDED PARTICIPATION WITH THE MADISON COUNTY DEVELOPMENT COUNCIL (MCDC) IN A STUDY WITH UNIVERSITY OF FLORIDA (UF) TO UNITE A DIVERSE GROUP OF STAKEHOLDERS IN A COLLABORATIVE EFFORT TO REVIEW THE STRENGTHS, WEAKNESSES, CHALLENGES, AND OPPORTUNITIES. THIS TOO INCLUDED A COMMUNITY ASSESSMENT SURVEY THAT ASKED SIMILAR BUT DIFFERENT QUESTIONS. AN EXCERPT IS PROVIDED IN THE ATTACHMENTS. THIS PROCESS BEGAN IN 2019 AND IS ACTIVE TODAY. FEEDBACK WAS OBTAINED FROM 171 SURVEY PARTICIPANTS. A COMMUNITY FORUM WAS HELD ON MARCH 28, 2019 AT THE CHURCH OF GOD IN MADISON COUNTY, WHERE APPROXIMATELY 90 PEOPLE ATTENDED TO PARTICIPATE IN DISCUSSIONS, BREAKOUT SESSIONS, AND PRIORITY VOTING. CONSEQUENTLY, MANY OF THE THEMES BUILT INTO THE EFFORTS OF THIS STAKEHOLDER GROUP ARE DESIGNED TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH. THE SURVEY WAS DISTRIBUTED AND PUBLISHED ON-LINE UTILIZING THE MADISON COUNTY CHAMBER OF COMMERCE SURVEY MONKEY ACCOUNT. THE LINK WAS SHARABLE THROUGH WEBSITES, E-MAIL, AND SOCIAL NETWORKING. HARD COPIES WERE AVAILABLE FOR THOSE WITHOUT ACCESS TO INTERNET. RUNNING TIME FOR THE SURVEY WAS JANUARY 2019 TO MARCH 10, 2019. THE PURPOSE OF THE SURVEY WAS TO DETERMINE MADISONS GREATEST CHALLENGES. THESE CHALLENGES WERE USED AS A FOUNDATION FOR DISCUSSION AT THE COMMUNITY FORUM. FACILITY 1, MADISON COUNTY MEMORIAL HOSPITAL - PART V, LINE 6B THE DEPARTMENT OF HEALTH IN MADISON COUNTY AND THE MADISON COUNTY MEMORIAL HOSPITAL HAVE COLLABORATED TO PRODUCE THE 2020 COMMUNITY HEALTH NEEDS ASSESSMENT FOR MADISON COUNTY. THIS MEETS THE REQUIREMENTS FOR BOTH ENTITIES TO INVOLVE THE COMMUNITY IN A PARTICIPATORY PROCESS TO PLAN HEALTH PRIORITIES FOR THE NEXT THREE YEARS. FACILITY 1, MADISON COUNTY MEMORIAL HOSPITAL - PART V, LINE 11 WHILE ALL OF THE HEALTH INDICATORS ARE IMPORTANT, THE COMMUNITY PARTICIPANTS WERE ASKED TO CHOOSE THREE AREAS THAT WOULD BE ADDRESSED BY THE DEVELOPMENT OF THE 2021-2023 COMMUNITY HEALTH IMPROVEMENT PLAN. PARTICIPANTS VOTED DURING THE COMMUNITY HEALTH ASSESSMENT AND THE AREAS CHOSEN TO ADDRESS WERE CHRONIC DISEASES, SOCIAL DETERMINANTS OF HEALTH, AND BEHAVIORAL & MENTAL HEALTH. MCMH HAS LIMITED RESOURCES AND DEFERS OTHER IDENTIFIED NEEDS TO ORGANIZATIONS BETTER EQUIPPED TO DEAL WITH THE ISSUES. THE INDIVIDUAL COMMUNITY ORGANIZATIONS WILL CONTINUE TO ADDRESS OTHER ISSUES, SUCH AS INFRASTRUCTURE AND PUBLIC SAFETY, TOURISM, RECREATION AND NATURAL RESOURCES BOTH SEPARATELY AND AS AN INTEGRATED ENTITY WHEN APPLICABLE. SCHEDULE H, PART I, LINE 7 COSTS FOR PART I, LINE 7A AND 7B WERE DETERMINED USING THE RCC CALCULATED IN WORKSHEET 2. OTHER COSTS WERE OBTAINED FROM THE ORGANIZATION'S ACCOUNTING RECORDS. SCHEDULE H, PART III, LINE 2 AMOUNTS INCLUDED ON PART III LINE 2 REPRESENT THE AMOUNT OF CHARGES CONSIDERED UNCOLLECTIBLE AFTER REASONABLE ATTEMPTS TO COLLECT HAVE BEEN MADE. SEE FOONTNOTE 2 IN THE ATTACHED AUDITED FINANCIAL STATMENTS. SCHEDULE H, PART III, LINE 4 THE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON AN EVALUATION OF THE OVERALL COLLECTABILITY OF THE ACCOUNTS RECEIVABLE. AS ACCOUNTS ARE KNOWN TO BE UNCOLLECTIBLE, THE ACCOUNTS ARE CHARGED AGAINST THE ALLOWANCE. SCHEDULE H, PART III, LINE 8 MEDICARE ALLOWABLE COSTS ARE COMPUTED IN ACCORDANCE WITH COST REPORTING METHODOLOGIES UTILIZED ON THE MEDICARE COST REPORT AND IN ACCORDANCE WITH RELATED REGULATIONS. INDIRECT COSTS ARE ALLOCATED TO DIRECT SERVICE AREAS USING THE MOST APPROPRIATE STATISTICAL BASIS. SCHEDULE H, PART III, LINE 9B FOR PATIENTS WHO QUALIFY FOR CHARITY CARE AND FULL FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S POLICY, THERE IS NO FINANCIAL OBLIGATION AND THE ACCOUNT IS WRITTEN OFF. FOR THOSE WHO QUALIFY FOR PARTIAL FINANCIAL ASSISTANCE, COLLECTION PROCEDURES FOLLOW THE SAME PROCESS AS ALL OTHER PATIENTS WHO ARE RESPONSIBLE FOR UNPAID BALANCES. SCHEDULE H, PART VI, LINE 2 THE HOSPITAL COLLABORATES WITH NUMEROUS NOT-FOR-PROFIT AGENCIES AND PROGRAMS TO EXTEND AND STRENGTHEN OUR MISSION. THE ORGANIZATION CONTINUALLY CONDUCTS VARIOUS TYPES OF ASSESSMENTS TO DETERMINE THE COMMUNITY'S NEEDS FOR HEALTH AND PERSONAL SUPPORT SERVICES. BOTH THE CHNA AND IMPLEMENTATION PLAN CAN BE FOUND AT THE FOLLOWING WEBSITE ADDRESS: HTTPS://WWW.MCMH.US/MORE/HEALTH-IMPROVE/ SCHEDULE H, PART VI, LINE 3 THE HOSPITAL HAS CLEARLY WRITTEN FINANCIAL ASSISTANCE POLICIES POSTED IN THE BUSINESS OFFICE, ER REGISTRATION AREA, AND OUTPATIENT REGISTRATION AREA. SIGNS ARE PROMINENTLY POSTED ON THE AVAILABILITY OF FREE AND FINANCIAL AID. PATIENT EDUCATION ON THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAMS ARE CONDUCTED DURING REGISTRATION AND/OR THROUGH FLOOR VISITS BY CASE MANAGERS AND COLLECTIONS REPRESENTATIVES FOR PATIENTS THAT HAVE CONCERNS IN MEETING THE FINANCIAL OBLIGATIONS FOR SERVICES PROVIDED. SCHEDULE H, PART VI, LINE 4 THE ORGANIZATION SERVES POPULATIONS WITHIN MADISON COUNTY, INCLUDING THE CITIES OF MADISON, GREENVILLE, PINETTA, AND LEE, FLORIDA. MADISON COUNTY'S POPULATION OF APPROXIMATELY 19,420, HAS A MEDIAN AGE OF 45, A MEDIAN HOUSEHOLD INCOME OF 37,037, PERSONS LIVING IN POVERTY 22.7%, AND IS 54% CAUCASIAN, 40% AFRICAN AMERICAN, 6% HISPANIC AND THE REMAINING PERCENTAGE OTHER. SCHEDULE H, PART VI, LINE 5 THE ORGANIZATION'S VOLUNTEER BOARD IS COMPOSED OF COMMUNITY MEMBERS WITH DIVERSE PROFESSIONAL AND COMMUNITY SERVICE BACKGROUNDS. THE HOSPITAL OPERATES A FULL-TIME EMERGENCY ROOM WHICH ACCEPTS ALL IN NEED OF EMERGENCY MEDICAL TREATMENT, REGARDLESS OF ABILITY TO PAY. MEDICAL STAFF PRIVILEGES ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. EXCESS FUNDS FROM OPERATIONS ARE REINVESTED INTO THE HOSPITAL'S SERVICES AND EXPANSION OR REPLACEMENT OF FACILITIES AND EQUIPMENT. X X false false false false false false false false false DANIEL PERKINS MD PHYSICIAN 200330 11200 32906 244436 LUCILLA STRICKLAND NURSE PRACTITIONER 204275 10200 1618 216093 TAMMY STEVENS CEO 172024 10200 1369 183593 A MADISON COUNTY HEALTH AND HOSPITAL SERIES 2014 BONDS 592319288 NONENONEN 2014-10-30 22543400 PAYOFF SERIES 2012 NOTES PAYABLE THAT WERE USED FOR NEW HOSPITAL CONSTRUCTION. false false false A 1741000 22543400 22543400 2015 true false true true A false false false false false false false A false false true false false false false false false A false PURPOSE OF ISSUE DESCRIPTION MADISON COUNTY HEALTH AND HOSPITAL PAYOFF SERIES 2012 NOTES PAYABLE THAT WERE USED FOR NEW HOSPITAL CONSTRUCTION. FORM 990, PAGE 6, PART VI, LINE 7A MEMBERS OF THE MADISON COUNTY HEALTH AND HOSPITAL BOARD (DISTRICT), A STATUTORY SPECIAL DISTRICT ORGANIZED UNDER SECTION 2003-333 OF THE LAWS OF FLORIDA FOR THE PURPOSE OF PROVIDING PUBLIC HEALTH CARE SERVICES, SERVE AS DIRECTORS OF THE FILING ORGANIZATION. THE DISTRICT HAS A SEVEN-MEMBER GOVERNING BOARD THAT IS APPOINTED BY THE GOVERNOR OF THE STATE OF FLORIDA. FORM 990, PAGE 6, PART VI, LINE 7B AS THE MADISON COUNTY HEALTH AND HOSPITAL BOARD (DISTRICT), THE TAXING AUTHORITY, SHARE THE SAME BOARD MEMBERS AS THE FILING ORGANIZATION, ALL ACTIONS AND DECISIONS ARE SUBJECT TO THE APPROVAL OF THE DISTRICT BOARD. FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 IS REVIEWED BY THE HOSPITAL'S CFO BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. A COPY OF THE FORM 990 WILL BE AVAILABLE TO BE REVIEWED BY THE BOARD MEMBERS. FORM 990, PAGE 6, PART VI, LINE 12C THE PERFORMANCE IMPROVEMENT DIRECTOR OF MCMH, DEBBIE THOMAS, SERVES AS THE CORPORATE COMPLIANCE OFFICER. THE CONFLICT OF INTEREST POLICY IS PART OF THE MADISON COUNTY HOSPITAL HEALTH SYSTEMS, INC.S CODE OF CONDUCT. THE CONFLICT POLICY INCLUDES ALL EMPLOYEES, HOSPITAL BOARD MEMBERS, AND VOLUNTEERS. ALL EMPLOYEES, BOARD MEMBERS, AND VOLUNTEERS MUST INFORM ADMINISTRATION ABOUT ALL POSSIBLE CONFLICTS OF INTEREST. IF ANY CONFLICT OF INTEREST POSSIBLY EXISTS IN THE ORGANIZATION, THE CORPORATE COMPLIANCE OFFICER WILL MAKE SENIOR MANAGEMENT AND THE CORPORATE COMPLIANCE BOARD AWARE IMMEDIATELY. THE DETERMINATION OF A CONFLICT IS REVIEWED BY HOSPITAL SENIOR MANAGEMENT (AND FURTHER DISCUSSED AT THE QUARTERLY CORPORATE COMPLIANCE MEETING IF NEEDED FOR FURTHER DETERMINATION). AFTER A DETERMINATION IS MADE OF A CONFLICTS EXISTENCE, SENIOR MANAGEMENT TAKES WHATEVER ACTION NECESSARY TO SOLVE THE PROBLEM INCLUDING DISCIPLINARY ACTION AND/OR TERMINATION. THE ADMINISTRATION/SENIOR MANAGEMENT DETERMINATION PROCESS WILL NOT INCLUDE ANY HOSPITAL MEMBER WHO IS PART OF THE CONFLICT. ALL CONFLICT INFORMATION WILL BE DELIVERED TO AND SHARED WITH THE CORPORATE COMPLIANCE TEAM AT THE QUARTERLY CORPORATE COMPLIANCE MEETING. BOARD DIRECTORS ABIDE BY A CONFLICT OF INTEREST POLICY, THE TERMS OF WHICH ARE SET FORTH IN THE BYLAWS. BOARD MEMBERS ARE PROHIBITED FROM VOTING IN AN OFFICIAL CAPACITY ON ANY MEASURES WHICH WOULD INURE TO PRIVATE GAIN OR LOSS, WHETHER DIRECT OR INDIRECT. FORM 990, PAGE 6, PART VI, LINE 15A COMPENSATION IS DETERMINED BY THE BOARD OF DIRECTORS WHO USE AN INDUSTRY AVERAGE GUIDE AS A REFERENCE TO DETERMINE EQUITABLE COMPENSATION. MINUTES OF THE BOARD MEETINGS, INCLUDING THOSE IN WHICH COMPENSATION IS DISCUSSED ARE KEPT ON A REGULAR BASIS. THIS COMPENSATION DETERMINATION WAS LAST PERFORMED IN JULY 2021. FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACT LABOR 748,165 96,022 0 PROFESSIONAL FEES 1,163,350 0 0 PURCHASED SERVICES 0 79,596 0 TOTAL 1,911,515 175,618 0 MADISON CO HLTH & HOSPITAL DISTRICT 224 NW CRANE AVENUE MADISON FL 323401400 592319288 TAX AUTHOR FL 501C3 3 NA false FRIENDS OF THE HOSPITAL INC 224 NW CRANE AVENUE MADISON FL 323401400 272007199 FOUNDATION FL 501C3 7 NA false false false false false true false false false false false true true true true true false false false false