2023-08-15T13:39:53-05:00 2022-09-30 271235638 MCM CPAS & ADVISORS LLP 101 S FIFTH STREET SUITE 2100 LOUISVILLE KY 40202 990 2021-10-01 852862205 MARIETTA MEMORIAL HOSPITAL OF TYLER COUNTY INC MARI 3046522611 314 SOUTH WELLS STREET SISTERSVILLE WV 26175 SCOTT SILVESTRI CFO 3046522611 2023-08-15 1 SCOTT SILVESTRI 999009999 THERESA BATLINER CPA P00543162 5027491900 2023-08-14 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z X SISTERSVILLE GENERAL HOSPITAL J SCOTT CANTLEY 401 MATTHEW ST MARIETTA OH 45750 18992592 0 X WWW.MHSYSTEM.ORG X 2020 WV SISTERSVILLE GENERAL HOSPITAL IS A NOT-FOR-PROFIT CRITICAL ACCESS HOSPITAL WHERE SERVICE EXCELLENCE AND CLINICAL QUALITY CREATE THE REGION'S BEST EXPERIENCE FOR PATIENTS AND THEIR FAMILIES, PHYSICIANS, THE COMMUNITY AND OUR EMPLOYEES. 15 12 178 20 0 0 3641711 598935 12361878 18015205 810 3741 450922 374711 16455321 18992592 0 0 0 0 9407968 11358836 0 0 0 3975906 6247966 13383874 17606802 3071447 1385790 7506958 6432709 4856308 2396269 2650650 4036440 X WE ARE 200 STRONG. WE ENHANCE THE QUALITY OF LIFE IN THE AREA. WE NURTURE AND CARE FOR OUR COMMUNITY BY CARING FOR YOU, YOUR FRIENDS, NEIGHBORS AND RELATIVES 24 HOURS A DAY, SEVEN DAYS A WEEK, 365 DAYS A YEAR. WE ARE QUALITY - WITH ACCREDITATIONS, CERTIFICATIONS AND DESIGNATIONS TO EXPRESS, UTILIZE AND DEMONSTRATE OUR EXPERTISE. WE ARE PART OF A SYSTEM THAT EXTENDS ACCESS TO SPECIALISTS AND NATIONALLY RECOGNIZED CARE. WE ARE A PILLAR IN THIS COMMUNITY WITH ROOTS FIRMLY PLANTED IN THE REGIONS WE SERVE. WE ARE AT YOUR DOORSTEP, WITH PROGRAMS AND EDUCATIONAL INFORMATION THAT PROMOTE GOOD HEALTH AND DISEASE PREVENTION. WE ARE VOLUNTEERS AT LOCAL COMMUNITY EVENTS. WE ARE ADVOCATES FOR SUPERIOR HEALTH CARE SYSTEMS. WE ARE TEACHERS, TRAINING FUTURE HEALTH CARE PROFESSIONALS. WE ARE COMPASSIONATE, CARING AND DEDICATED TO CREATING A HEALTH CARE SETTING IN WHICH QUALITY OF LIFE AND SERVICE EXCELLENCE ARE EXPERIENCED BY OUR PATIENTS, THEIR FAMILIES, THE MEDICAL STAFF AND THE COMMUNITY. 0 0 10446360 18015205 DURING THE TWELVE MONTHS ENDING SEPTEMBER 30, 2022 THE HOSPITAL PROVIDED 1545 INPATIENT CARE DAYS, 82 DAYS OF OBSERVATION CARE, 8,697 DAYS OF HOSPICE CARE, 8,535 PHYSICAL THERAPY PROCEDURES, 5,472 EMERGENCY VISITS AND 6,818 IMAGING PROCEDURES. SISTERSVILLE BELIEVES IN MORE THAN PROVIDING THE BEST LOCAL HEALTHCARE. WE BELIEVE IN INVESTING IN OUR COMMUNITY, SUPPORTING OUR NEIGHBORS, OUR FAMILIES AND FRIENDS. OUR COMMITMENT IS TRULY TO OUR COMMUNITY - AS AN EMPLOYER, AS A CORPORATE CITIZEN AND AS A COMMUNITY RESOURCE AND AS A HEALTHCARE PROVIDER. TO THAT END, THE HOSPITAL, ITS PHYSICIANS, STAFF AND VOLUNTEERS EXTEND THEMSELVES WELL BEYOND PATIENT CARE. WE PROVIDE COMMUNITY CLINICAL SUPPORT SERVICES, WELLNESS EDUCATION, PROGRAMS, SUPPORT GROUPS, FINANCIAL SUPPORT TO LOCAL ORGANIZATIONS, AND OUR OWN PERSONAL TIME TO ENSURE THE HIGHEST QUALITY OF LIFE FOR EVERYONE WITHIN OUR COMMUNITY. WE CALL IT GIVING BACK. PART OF OUR MISSION EXTENDS TO WELLNESS EDUCATION AND HEALTH PREVENTION. WE SPEAK OUT IN OUR COMMUNITY, WE SPONSOR SUPPORT GROUPS, WE PROVIDE DOZENS OF WELLNESS PROGRAMS AND WE PROVIDE MONTHLY OPPORTUNITIES FOR FREE AND/OR LOW COST HEALTH SCREENINGS. THE HOSPITAL SUPPORTS PARTNERSHIPS, COMMUNITY HEALTH COALITIONS, AREA CHAMBERS OF COMMERCE, LOCAL NOT-FOR-PROFIT ORGANIZATIONS, LOCAL SCHOOLS AND GOVERNMENTS. ADDITIONALLY, MANY OF OUR STAFF MEMBERS, PHYSICIANS AND VOLUNTEERS DONATE THEIR TIME TO SERVE ON LOCAL BOARDS, COMMITTEES, AND ASSOCIATIONS. WE PROVIDE OPPORTUNITIES FOR LOCAL STUDENTS TO TRAIN WITHIN OUR HOSPITAL UNDER VARIOUS EDUCATIONAL PROGRAMS AND AGREEMENTS WITH AREA SCHOOL SYSTEMS. THIS SERVES BOTH THE STUDENTS AND THE COMMUNITY AS IT OFTEN INCREASES OUR SUPPLY OF LOCAL HEALTH CARE WORKERS. 10446360 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 178 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X DOUG FULL 3046522611 314 SOUTH WELLS STREET SISTERSVILLE WV 26175 JOSEPH COOPER MD SECRETARY 1.00 42.00 X X 0 450163 43839 CHRISTOPHER COCKERHAM MD MEDICAL STAFF PRESIDENT 1.00 42.00 X 0 552625 61148 MICHAEL IADEROSA BOARD MEMBER 1.00 4.00 X 0 0 0 COLLEEN COOK BOARD MEMBER 1.00 5.00 X 0 0 0 GREGG EMRICK BOARD MEMBER 1.00 4.00 X 0 0 0 CAROL SCHNEEBERGER BOARD MEMBER 1.00 4.00 X 0 0 0 THOMAS DANFORD DDS BOARD MEMBER 1.00 4.00 X 0 0 0 TERRY RATAICZAK BOARD MEMBER 1.00 4.00 X 0 0 0 ANN HELMICK BOARD MEMBER 1.00 4.00 X 0 0 0 LARRY UNROE BOARD MEMBER 1.00 4.00 X 0 0 0 SHERYL HOLDREN BOARD MEMBER 1.00 4.00 X 0 0 0 MICHAEL ARCHER CHAIRPERSON 1.00 4.00 X X 0 0 0 STEPHEN KEISER VICE-CHAIRPERSON 1.00 4.00 X X 0 0 0 JAMES BARENGO TREASURER 1.00 4.00 X X 0 0 0 RICHARD HOYT MD BOARD MEMBER 1.00 42.00 X 0 459108 58265 J SCOTT CANTLEY CEO - MARIETTA AREA HEALTH 1.00 43.00 X 0 1281437 63803 SCOTT SILVESTRI CFO - MARIETTA AREA HEALTH 1.00 45.00 X 0 596177 70850 DAN BREECE MD VP PHYSICIAN SERVICES 1.00 41.00 X 0 1061445 64314 BRANDON CHADOCK CHIEF ADMINISTRATIVE OFFIC 40.00 X 151267 0 38818 KIMBERLY DOTY-ARRICK HOSPICE RN 40.00 X 120561 0 749 WILLIAM REHL PHYSICIAN ASSISTANT 40.00 X 109299 0 42297 JESSICA OWENS NURSE PRACTITIONER 40.00 X 113168 0 38189 ALISHA PLACER NURSE PRACTITIONER 40.00 X 114268 0 1279 608563 4400955 483551 10 0 1 0 LUCID SOLUTIONS INC 100 E CAMPUS VIEW BLVD STE 100 COLUMBUS OH 43235 RADIOLOGY 267812 PROLINK STAFFING 4600 MONTGOMERY RD STE 300 CINCINNATI OH 45212 NURSING STAFF 225343 HEALOGICS WOUND CARE 5220 BELFORT ROAD 130 JACKSONVILLE FL 32256 WOUND CARE 165977 3 598935 598935 PATIENT SERVICE REVENUE 623000 18015205 18015205 18015205 3741 3741 PHARMACY 340B 900099 346408 346408 OTHER REVENUE 900099 28303 28303 374711 18992592 18015205 0 378452 9860764 6389929 3470835 98 98 816076 48495 767581 681898 421168 260730 50320 50320 8481 8481 591 591 75011 8720 66291 117534 3428 114106 39238 25093 14145 7901 7901 159488 159488 456072 456072 PURCHASED SERVICES 2109505 1045649 1063856 SUPPLIES MEDICAL AND DR 1396641 1194356 202285 BAD DEBT EXPENSE 1081353 1081353 OTHER EXPENSES 517573 91340 426233 228258 136829 91429 17606802 10446360 7160442 0 193154 45328 4888787 3240345 123789 232652 437928 329303 9637608 7532767 1863300 2104841 0 480240 7506958 6432709 600881 648847 0 129188 4255427 1618234 4856308 2396269 X 2650650 4036440 2650650 4036440 7506958 6432709 1385790 0 X X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 3349 3349 0 PART II-B, LINE 1: THE HOSPITAL PAYS DUES TO THE WEST VIRGINIA HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. THE AMOUNT REPORTED REPRESENTS THE PORTION OF THOSE DUES USED BY THE NAMED ORGANIZATIONS FOR LOBBYING. 149674 149674 1932746 1504516 428230 6716082 5927864 788218 839106 100387 738719 2104841 ESTIMATED THIRD PARTY SETTLEMENTS 480240 480240 DUE TO RELATED ORGANIZATIONS 1618234 1618234 X PART X, LINE 2: THE SYSTEM, EXCLUDING MSC, MOHP AND THE INNOVATION CENTER, IS ORGANIZED AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE UNITED STATES INTERNAL REVENUE CODE. MSC, MOHP AND THE INNOVATION CENTER ARE ORGANIZED AS LIMITED LIABILITY COMPANIES, WHEREBY, NET TAXABLE INCOME IS TAXED DIRECTLY TO THE MEMBERS AND NOT MSC, MOHP OR THE INNOVATION CENTER. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE SYSTEM AND RECOGNIZE A TAX LIABILITY IF THE SYSTEM HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE SYSTEM, AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2022 AND 2021, 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, AND MOHP HAVE FILED THEIR TAX RETURNS FOR PERIODS THROUGH 2019. THE RETURNS FOR MSC AND MOHP 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 AND MOHP 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 1 282 145837 145837 0.00830 7418 4695110 5626053 0 0.00000 7700 4840947 5626053 145837 0.00830 219 2094 3750 0 0.00000 219 2094 3750 0 0.00000 7919 4843041 5629803 145837 0.00830 1 1081353 0 3490704 3809080 -318376 X 1 1 1 1 SISTERSVILLE GENERAL HOSPITAL 314 SOUTH WELLS STREET SISTERSVILLE WV 26175 WWW.MHSYSTEM.ORG X X X SISTERSVILLE GENERAL HOSPITAL 1 0 0 1 X X X X X X X X X 20 1 0 0 1 X WWW.MHSYSTEM.ORG/HEALTHASSESSMENT/ 1 20 1 WWW.MHSYSTEM.ORG 0 1 X 100.000000000000 400.000000000000 X X 1 1 X X X 1 X HTTPS://MHSYSTEM.ORG/FINANCIALASSISTANCE/ X HTTPS://MHSYSTEM.ORG/FINANCIALASSISTANCE/ X HTTPS://MHSYSTEM.ORG/FINANCIALASSISTANCE/ X X X X X 1 X 0 X 1 X 0 0 SISTERSVILLE GENERAL HOSPITAL PART V, SECTION B, LINE 5: THIS ASSESSMENT INCORPORATES DATA FROM MULTIPLE SOURCES, INCLUDING PRIMARY RESEARCH (THROUGH THE PRC COMMUNITY HEALTH SURVEY AND PRC ONLINE KEY INFORMANT SURVEY), AS WELL AS SECONDARY RESEARCH (VITAL STATISTICS AND OTHER EXISTING HEALTH-RELATED DATA). IT ALSO ALLOWS FOR COMPARISON TO BENCHMARK DATA AT THE STATE AND NATIONAL LEVELS. THE SURVEY INSTRUMENT USED FOR THIS STUDY IS BASED LARGELY ON THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), AS WELL AS VARIOUS OTHER PUBLIC HEALTH SURVEYS AND CUSTOMIZED QUESTIONS ADDRESSING GAPS IN INDICATOR DATA RELATIVE TO HEALTH PROMOTION AND DISEASE PREVENTION OBJECTIVES AND OTHER RECOGNIZED HEALTH ISSUES. THE FINAL SURVEY INSTRUMENT WAS DEVELOPED BY SISTERSVILLE GENERAL HOSPITAL AND PRC. THE STUDY AREA FOR THE SURVEY EFFORT (REFERRED TO AS THE "TOTAL SERVICE AREA" IN THIS REPORT) IS DEFINED AS EACH OF THE RESIDENTIAL ZIP CODES COMPRISING WETZEL, TYLER, AND PLEASANTS COUNTIES IN WEST VIRGINIA. THE SURVEY WAS ADMINISTERED AS AN ONLINE SURVEY. PRC HOSTED THE ONLINE SURVEY INSTRUMENT, AND SISTERSVILLE GENERAL HOSPITAL AND LOCAL PARTNERS USED A VARIETY OF COMMUNICATION TOOLS TO DRIVE RESIDENTS TO TAKE THE SURVEY ONLINE. EXAMPLES INCLUDE PRESS RELEASES, SOCIAL MEDIA ADVERTISING, POSTING ON ORGANIZATIONAL WEBSITES, AND EMAIL CAMPAIGNS TO COMMUNITY MEMBERS AND COMMUNITY PARTNERS. IN ALL, A TOTAL OF 201 SURVEYS IN THE TOTAL SERVICE AREA WERE ACHIEVED.TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY ALSO WAS IMPLEMENTED AS PART OF THIS PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY SISTERSVILLE GENERAL HOSPITAL; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 10 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY.FINAL PARTICIPATION INCLUDED REPRESENTATIVES OF THE ORGANIZATIONS OUTLINED BELOW. MID-OHIO VALLEY HEALTH DEPARTMENT MOMENTIVE PERFORMANCE MATERIALS NEW MARTINSVILLE SCHOOL SISTERSVILLE ELEMENTARY SCHOOL SISTERSVILLE GENERAL HOSPITAL SISTERSVILLE POLICE DEPARTMENT TYLER COUNTY EMERGENCY MANAGEMENT WETZEL TYLER HEALTH DEPARTMENT WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES SISTERSVILLE GENERAL HOSPITAL PART V, SECTION B, LINE 11: THE FOLLOWING "AREAS OF OPPORTUNITY" REPRESENT THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY, BASED ON THE INFORMATION GATHERED THROUGH THIS COMMUNITY HEALTH NEEDS ASSESSMENT. FROM THESE DATA, OPPORTUNITIES FOR HEALTH IMPROVEMENT EXIST IN THE AREA WITH REGARD TO THE FOLLOWING HEALTH ISSUES.THE AREAS OF OPPORTUNITY WERE DETERMINED AFTER CONSIDERATION OF VARIOUS CRITERIA, INCLUDING: STANDING IN COMPARISON WITH BENCHMARK DATA (PARTICULARLY NATIONAL DATA); IDENTIFIED TRENDS; THE PREPONDERANCE OF SIGNIFICANT FINDINGS WITHIN TOPIC AREAS; THE MAGNITUDE OF THE ISSUE IN TERMS OF THE NUMBER OF PERSONS AFFECTED; AND THE POTENTIAL HEALTH IMPACT OF A GIVEN ISSUE. THESE ALSO TAKE INTO ACCOUNT THOSE ISSUES OF GREATEST CONCERN TO THE COMMUNITY STAKEHOLDERS (KEY INFORMANTS) GIVING INPUT TO THIS PROCESS.AREAS OF OPPORTUNITY IDENTIFIED THROUGH THIS ASSESSMENT: 1. TOBACCO USE 2. MENTAL HEALTH 3. NUTRITION, PHYSICAL ACTIVITY & WEIGHT 4. SUBSTANCE ABUSE 5. DIABETES 6. HEART DISEASE & STROKE 7. ACCESS TO HEALTHCARE SERVICES 8. CANCER 9. POTENTIALLY DISABLING CONDITIONS 10. ORAL HEALTH 11. RESPIRATORY DISEASE 12. INFANT HEALTH & FAMILY PLANNING 13. INJURY & VIOLENCE SISTERSVILLE GENERAL HOSPITAL WILL USE THE INFORMATION FROM THIS COMMUNITY HEALTH NEEDS ASSESSMENT TO DEVELOP AN IMPLEMENTATION STRATEGY TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY. WHILE THE HOSPITAL WILL LIKELY NOT IMPLEMENT STRATEGIES FOR ALL OF THE HEALTH ISSUES LISTED ABOVE, THE RESULTS OF THIS PRIORITIZATION EXERCISE WILL BE USED TO INFORM THE DEVELOPMENT OF THE HOSPITAL'S ACTION PLAN TO GUIDE COMMUNITY HEALTH IMPROVEMENT EFFORTS IN THE COMING YEARS. SISTERSVILLE GENERAL HOSPITAL PART V, SECTION B, LINE 16J: APPLICATION IS ON THE BACK OF THE ACCOUNT STATEMENT MAILER. PART III, LINE 2: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON THE SYSTEM'S EVALUATION OF ITS MAJOR PAYOR SOURCES OF REVENUE, THE AGING OF THE ACCOUNTS, HISTORICAL LOSSES, CURRENT ECONOMIC CONDITIONS, AND OTHER FACTORS UNIQUE TO THEIR SERVICE AREA AND THE HEALTHCARE INDUSTRY. PART III, LINE 3: THE HOSPITAL HAS A DETAILED FINANCIAL ASSISTANCE POLICY WHICH STATES THAT TO PARTICIPATE IN CHARITY CARE CANDIDATES MUST COOPERATE FULLY. IN ADDITION THE HOSPITAL EDUCATES PATIENTS WITH LIMITED ABILITY TO PAY REGARDING FINANCIAL ASSISTANCE. FOR THIS REASON THE ORGANIZATION BELIEVES THAT IT ACCURATELY CAPTURES ALL CHARITY CARE DEDUCTIONS PROVIDED ACCORDING TO THE FINANCIAL ASSISTANCE POLICY AND THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS NEGLIGIBLE. PART III, LINE 4: THE PROVISION FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE MODIFICATIONS TO THE PROVISION FOR DOUBTFUL ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS. PART III, LINE 8: THE SOURCE USED TO DETERMINE THE AMOUNT OF MEDICARE ALLOWABLE COSTS REPORTED FOR PART III, SECTION B, MEDICARE HAS BEEN PROVIDED FROM THE YEAR ENDED 9/30/22 REPORT: HOSPITAL STATEMENT OF REIMBURSABLE COST. PART III, LINE 9B: PATIENTS ARE ENCOURAGED BY THE FINANCIAL ADVOCATES TO COMPLETE A CHARITY APPLICATION AND THUS AVOID THE COLLECTION PROCEDURE. THIS IS WRITTEN ON THE PATIENT BILLING STATEMENT. PART VI, LINE 2: SEE THE COMMUNITY NEEDS ASSESSMENT.THIS ASSESSMENT INCORPORATES DATA FROM MULTIPLE SOURCES, INCLUDING PRIMARY RESEARCH (THROUGH THE PRC COMMUNITY HEALTH SURVEY AND PRC ONLINE KEY INFORMANT SURVEY), AS WELL AS SECONDARY RESEARCH (VITAL STATISTICS AND OTHER EXISTING HEALTH-RELATED DATA). IT ALSO ALLOWS FOR COMPARISON TO BENCHMARK DATA AT THE STATE AND NATIONAL LEVELS. THE SURVEY INSTRUMENT USED FOR THIS STUDY IS BASED LARGELY ON THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), AS WELL AS VARIOUS OTHER PUBLIC HEALTH SURVEYS AND CUSTOMIZED QUESTIONS ADDRESSING GAPS IN INDICATOR DATA RELATIVE TO HEALTH PROMOTION AND DISEASE PREVENTION OBJECTIVES AND OTHER RECOGNIZED HEALTH ISSUES. THE FINAL SURVEY INSTRUMENT WAS DEVELOPED BY SISTERSVILLE GENERAL HOSPITAL AND PRC. THE STUDY AREA FOR THE SURVEY EFFORT (REFERRED TO AS THE "TOTAL SERVICE AREA" IN THIS REPORT) IS DEFINED AS EACH OF THE RESIDENTIAL ZIP CODES COMPRISING WETZEL, TYLER, AND PLEASANTS COUNTIES IN WEST VIRGINIA. THE SURVEY WAS ADMINISTERED AS AN ONLINE SURVEY. PRC HOSTED THE ONLINE SURVEY INSTRUMENT, AND SISTERSVILLE GENERAL HOSPITAL AND LOCAL PARTNERS USED A VARIETY OF COMMUNICATION TOOLS TO DRIVE RESIDENTS TO TAKE THE SURVEY ONLINE. EXAMPLES INCLUDE PRESS RELEASES, SOCIAL MEDIA ADVERTISING, POSTING ON ORGANIZATIONAL WEBSITES, AND EMAIL CAMPAIGNS TO COMMUNITY MEMBERS AND COMMUNITY PARTNERS. IN ALL, A TOTAL OF 201 SURVEYS IN THE TOTAL SERVICE AREA WERE ACHIEVED.TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY ALSO WAS IMPLEMENTED AS PART OF THIS PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY SISTERSVILLE GENERAL HOSPITAL; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 10 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY. PART VI, LINE 3: HTTPS://MHSYSTEM.ORG/FINANCIALASSISTANCE/ PART VI, LINE 4: TYLER COUNTY HAS A SIGNIFICANT SENIOR POPULATION AND HIGH POVERTY LEVEL. PART VI, LINE 5: WE ENHANCE THE QUALITY OF LIFE IN THE AREA. WE NURTURE AND CARE FOR OUR COMMUNITY BY CARING FOR YOU, YOUR FRIENDS, NEIGHBORS AND RELATIVES 24 HOURS A DAY, SEVEN DAYS A WEEK, 365 DAYS A YEAR. WE ARE QUALITY - WITH ACCREDITATIONS, CERTIFICATIONS AND DESIGNATIONS TO EXPRESS, UTILIZE AND DEMONSTRATE OUR EXPERTISE. WE ARE PART OF A SYSTEM THAT EXTENDS ACCESS TO SPECIALISTS AND NATIONALLY RECOGNIZED CARE. WE ARE A PILLAR IN THIS COMMUNITY WITH ROOTS FIRMLY PLANTED IN THE REGIONS WE SERVE. WE ARE AT YOUR DOORSTEP, WITH PROGRAMS AND EDUCATIONAL INFORMATION THAT PROMOTE GOOD HEALTH AND DISEASE PREVENTION. WE ARE VOLUNTEERS AT LOCAL COMMUNITY EVENTS. WE ARE ADVOCATES FOR SUPERIOR HEALTH CARE SYSTEMS. WE ARE TEACHERS, TRAINING FUTURE HEALTH CARE PROFESSIONALS. WE ARE COMPASSIONATE, CARING AND DEDICATED TO CREATING A HEALTH CARE SETTING IN WHICH QUALITY OF LIFE AND SERVICE EXCELLENCE ARE EXPERIENCED BY OUR PATIENTS THEIR FAMILIES, THE MEDICAL STAFF AND THE COMMUNITY. WE ARE SISTERSVILLE GENERAL HOSPITAL. PART VI, LINE 6: SEE THE COMMUNITY NEEDS ASSESSMENT. PART VI, LINE 7, REPORTS FILED WITH STATES OH,WV X X X X X X 0 0 0 0 0 0 0 0 0 J SCOTT CANTLEY CEO - MARIETTA AREA HEALTH 0 938822 0 342615 0 0 0 19500 0 44303 0 1345240 0 0 DAN BREECE MD VP PHYSICIAN SERVICES 0 824726 0 236719 0 0 0 19500 0 44814 0 1125759 0 0 SCOTT SILVESTRI CFO - MARIETTA AREA HEALTH 0 468677 0 127500 0 0 0 19500 0 51350 0 667027 0 0 CHRISTOPHER COCKERHAM MD MEDICAL STAFF PRESIDENT 0 552625 0 0 0 0 0 19000 0 42148 0 613773 0 0 RICHARD HOYT MD BOARD MEMBER 0 380661 0 78447 0 0 0 19000 0 39265 0 517373 0 0 JOSEPH COOPER MD SECRETARY 0 450163 0 0 0 0 0 19500 0 24339 0 494002 0 0 BRANDON CHADOCK CHIEF ADMINISTRATIVE OFFIC 144091 0 7176 0 0 0 0 0 38818 0 190085 0 0 0 WILLIAM REHL PHYSICIAN ASSISTANT 109299 0 0 0 0 0 0 0 42297 0 151596 0 0 0 JESSICA OWENS NURSE PRACTITIONER 113168 0 0 0 0 0 0 0 38189 0 151357 0 0 0 FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE SHALL HAVE ALL THE POWERS AND DUTIES OF THE BOARD OF DIRECTORS IN THE INTERIM BETWEEN MEETINGS OF THE LATTER, EXCEPT AS LIMITED BY THIS CODE OF REGULATIONS OR BY SPECIFIC INSTRUCTION OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL NOT HAVE POWER TO ELECT DIRECTORS. A SUMMARY OF THE PROCEEDINGS OF THE EXECUTIVE COMMITTEE SHALL BE REPORTED TO THE BOARD AT ITS NEXT MEETING. THE EXECUTIVE COMMITTEE SHALL MAINTAIN THE COMPENSATION COMMITTEE AND NOMINATING COMMITTEE. FORM 990, PART VI, SECTION B, LINE 11B THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW BY THE ORGANIZATION'S ACCOUNTING DEPARTMENT. THE GOVERNING BODY RECEIVES AN ELECTRONIC COPY OF THE FORM 990 INCLUDING REQUESTED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, FOR REVIEW AND APPROVAL PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE WRITTEN CONFLICT OF INTEREST POLICY IS REGULARLY AND CONSISTENTLY MONITORED AND COMPLIANCE ENFORCED BY THE CORPORATE INTEGRITY COMMITTEE. THE SCOPE OF THIS POLICY INCLUDES THE DIRECTORS, OFFICERS AND SENIOR EXECUTIVES. THE PURPOSE OF THE POLICY IS TO PROTECT THE HOSPITAL'S INTEREST WHEN IT IS CONNTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF AN INTERESTED OFFICER, DIRECTOR OR PERSON. ANY CONFLICT RESULTING IN INELIGIBILITY FOR OR REMOVAL FROM THE BOARD OR SPECIFIC COMMITTEES INCLUDE THE THE FOLLOWING: A. REPEATED, INTENTIONAL FAILURE TO DISCLOSE A CONFLICT OF INTEREST. B.HAVING A FAMILY MEMBER WHO IS A SENIOR EXECUTIVE FOR THE HOSPITAL. C. A MATERIAL INVESTMENT OR EMPLOYMENT RELATIONSHIP INVOLVING AN INTERESTED PERSON IN AN ASC, A PROPRIETARY HOSPITAL, OR NURSING FACILTIY WITHIN THE HOSPITAL'S SERVICE AREA THAT IS NOT OWNED BY THE HOSPITAL. ANNUAL DISCLOSURES ARE REQUIRED SETTING FORTH ALL BUSINESS AND OTHER AFFILIATIONS, WHICH RELATE IN ANY WAY TO THE HOSPITAL. THE COMMITTEE RECOMMENDS THE DISQUALIFICATION OR REMOVAL OF INTERESTED PERSONS WHEN NECESSARY AND REPORTS TO THE BOARD THOSE DIRECTORS WHICH THE COMMITTEE HAS DETERMINED MEET THE DEFINITION OF INDEPENDENT DIRECTOR. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE REVIEWS FAIR MARKET WAGE DATA. SPECIFIC APPROVAL OF BOARD MUST BE SOUGHT IF PHYSICIAN COMPENSATION IS 75% OR GREATER OF MEDIAN IN THE ANNUAL MGMA STUDY. EXECUTIVE AND ALL OTHER HOSPITAL STAFF COMPENSATION IS SET AT MEDIAN. AN EXECUTIVE COMPENSATION FIRM IS UTILIZED (YAFFE & COMPANY). A SEPERATE INDEPENDENT CONSULTANT (VMG) IS RETAINED FOR PHYSICIAN COMPENSATION STUDIES AS NEEDED. FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS CAN BE VIEWED IN THE ADMINISTRATION OFFICE. FORM 990, PART XII, LINE 2C THE PROCESS IS THE SAME AS MARIETTA MEMORIAL HOSPITAL. MARIETTA AREA HEALTH CARE INC 401 MATTHEW STREET MARIETTA OH 45750 311126451 MANAGEMENT OH 501(C)(3) LINE 10 0 MARIETTA HEALTHCARE PHYSICIANS INC 401 MATTHEW STREET MARIETTA OH 45750 311375125 PHYSICIAN GROUP OH 501(C)(3) LINE 10 MARIETTA AREA HEALTH CARE INC 0 MEMORIAL HEALTH FOUNDATION 401 MATTHEW STREET MARIETTA OH 45750 311011321 SUPPORTING ORG OH 501(C)(3) LINE 12B, II MARIETTA AREA HEALTH CARE INC 0 MARIETTA MEMORIAL HOSPITAL 401 MATTHEW STREET MARIETTA OH 45750 314379509 HOSPITAL OH 501(C)(3) LINE 3 MARIETTA AREA HEALTH CARE INC 0 SELBY GENERAL HOSPITAL 1106 COLEGATE DR MARIETTA OH 45750 314413259 HOSPITAL OH 501(C)(3) LINE 3 MARIETTA AREA HEALTH CARE INC 0 MARIETTA OCCUPTIONAL HEALTH PARTNERS LLC 401 MATTHEW ST MARIETTA OH 45750 043587132 OCCUPATIONAL HEALTH OH N/A 0 0 MARIETTA SURGERY CENTER LLC 611 2ND ST MARIETTA OH 45750 311684367 SURGERY OH N/A 0 0 MARIETTA HOME HEALTH AND HOSPICE 5959 S SHERWOOD BATON ROUGE LA 70816 261480799 HOME HEALTH LA N/A 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 1 0 0 1 1