MARGARET MARY COMMUNITY HOSPITAL INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
MARGARET MARY COMMUNITY HOSPITAL INC (EIN 35-6067049)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-08-12
IRS object ID
201512249349300821
Schema version
2014v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-08-12T06:33:06-05:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN351178661PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BLUE & CO LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1ONE AMERICAN SQUARE 2200AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46282ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN356067049EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARGARET MARY COMMUNITY HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMARGBusinessNameControlTxt
Phone8129346624PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1321 MITCHELL AVENUEAddressLine1Txt
CityBATESVILLECityNm
State AbbreviationINStateAbbreviationCd
ZIP470060226ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBRIAN DAEGERPersonNm
Person TitleVP OF FINANCEPersonTitleTxt
Phone8129346624PhoneNum
Signature2015-08-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMBER KOCHER CPAPreparerPersonNm
PTINP01286298PTIN
Phone3176334705PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1MARGARET MARY HEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerBRIAN DAEGERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1321 MITCHELL AVENUEAddressLine1Txt
CityBATESVILLECityNm
State AbbreviationINStateAbbreviationCd
ZIP470060226ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$82,147,247GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MMHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1967FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionIMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee651TotalEmployeeCnt
Total Volunteers49TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$803,032PYContributionsGrantsAmt
CY Contributions Grants$258,917CYContributionsGrantsAmt
PY Program Service Revenue$77,589,008PYProgramServiceRevenueAmt
CY Program Service Revenue$77,523,639CYProgramServiceRevenueAmt
PY Investment Income$2,546,930PYInvestmentIncomeAmt
CY Investment Income$3,627,718CYInvestmentIncomeAmt
PY Other Revenue$603,790PYOtherRevenueAmt
CY Other Revenue$662,622CYOtherRevenueAmt
PY Total Revenue$81,542,760PYTotalRevenueAmt
CY Total Revenue$82,072,896CYTotalRevenueAmt
PY Grants And Similar Paid$252,999PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$229,097CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$41,472,462PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$40,911,155CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$32,485,918PYOtherExpensesAmt
CY Other Expenses$32,782,744CYOtherExpensesAmt
PY Total Expenses$74,211,379PYTotalExpensesAmt
CY Total Expenses$73,922,996CYTotalExpensesAmt
PY Revenues Less Expenses$7,331,381PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$8,149,900CYRevenuesLessExpensesAmt
Total Assets BOY$137,546,305TotalAssetsBOYAmt
Total Assets EOY$143,356,543TotalAssetsEOYAmt
Total Liabilities BOY$42,872,516TotalLiabilitiesBOYAmt
Total Liabilities EOY$42,987,514TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$94,673,789NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$100,369,029NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionIMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$59,980,617ExpenseAmt
Grant$229,097GrantAmt
Revenue$77,678,507RevenueAmt
DescHEALTH CARE SERVICES RELATED TO IMPROVING THE HEALTH OF THE COMMUNITY FOR BOTH INPATIENT AND OUTPATIENT PROGRAMS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$2,691,486ExpenseAmt
DescSUBSIDIZED HEALTH SERVICES - 38,624 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.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,360,240ExpenseAmt
Revenue$83,471RevenueAmt
DescCOMMUNITY HEALTH SERVICES- 69,822 INDIVIDUALS TOOK PART 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.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$946,356ExpenseAmt
Revenue$9,835RevenueAmt
DescFINANCIAL AND IN-KIND CONTRIBUTIONS - 2,640 INDIVIDUALS HAVE RECEIVED BENEFITS FROM OUR EMS AND PARAMEDIC TRAINING AND SUBSIDY PROGRAMS. MMCH SUBSIDIZES A PORTION OF THE RIPLEY COUNTY PARAMEDIC/EMS DIRECTOR'S SALARY. MMCH ALSO COORDINATES AND SUBSIDIZES TRAINING FOR THE 4 RIPLEY COUNTY SQUADS LOCATED IN VERSAILLES, SUNMAN, MILAN, AND BATESVILLE. IN ADDITION, VARIOUS MMCH TEAM MEMBERS SERVE ON NUMEROUS COMMUNITY BOARDS INCLUDING MARCH OF DIMES, RELAY FOR LIFE, AND THE BATESVILLE COORDINATED SCHOOL HEALTH BOARD.9,982 INDIVIDUALS HAVE TAKEN PART IN ADDITIONAL PROGRAMS AND SERVICES PROVIDED BY MMCH, INCLUDING CAREER AND WORKFORCE DEVELOPMENT FOR PHYSICIAN, NURSING, AND OTHER MEDICAL STUDENTS THROUGH OUR MENTORING PROGRAMS AND CAREER FAIRS. IN ADDITION, MMCH IS INVOLVED IN CLINICAL RESEARCH AT THE HANSEN CENTER, A CANCER TREATMENT CENTER OWNED AND OPERATED BY MMCH IN BATESVILLE. VARIOUS COMMUNITY NEEDS/HEALTH ASSESSMENTS ALSO TAKE PLACE ON A CONTINUOUS BASIS.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$946,356TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$9,835TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$64,978,699TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document97IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee651EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ERIC BUSCH ACCOUNTING MANAGERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8129346624PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1321 MITCHELL AVENUEAddressLine1Txt
CityBATESVILLECityNm
State AbbreviationINStateAbbreviationCd
ZIP470060226ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
TIMOTHY PUTNAM
PRESIDENT40.002.00Yes (X)Yes (X)$454,131$0$33,076
GEORGE JUNKER
BOARD CHAIR2.002.00Yes (X)Yes (X)$0$0$0
DONALD KARBOWSKI
BOARD VICE CHAIR2.000.00Yes (X)Yes (X)$0$0$0
RONALD KNUEVEN
BOARD TREASURER2.000.00Yes (X)Yes (X)$0$0$0
JOHN DICKEY
BOARD SECRETARY2.002.00Yes (X)Yes (X)$0$0$0
CLAY KELLERMAN
MEMBER2.000.00Yes (X)$0$0$0
CINDY LAUBER
MEMBER2.000.00Yes (X)$0$0$0
ANDREW POLTRACK
MEMBER/PHYSICIAN8.000.00Yes (X)$12,000$0$0
JIM ROBERTS
MEMBER2.000.00Yes (X)$0$0$0
SAM ROW
MEMBER2.000.00Yes (X)$0$0$0
JAN SANTERRE
MEMBER2.000.00Yes (X)$0$0$0
TOM TEPE
MEMBER2.000.00Yes (X)$0$0$0
CHRIS TRAINOR
MEMBER2.000.00Yes (X)$0$0$0
MARY ANN WISE-CASTNER
MEMBER2.000.00Yes (X)$0$0$0
BRIAN DAEGER
VP FINANCE40.000.00Yes (X)$235,744$0$25,827
JULIE KEENE
VP OF PHYSICIAN SERVICES40.000.00Yes (X)$165,231$0$28,064
BONNIE PLOEGER
VP INPATIENT SERVICES40.000.00Yes (X)$157,062$0$21,249
NANCY MARTICKE
VP OUTPATIENT SERVICES40.000.00Yes (X)$229,888$0$30,444
KIM INSCHO
VP HUMAN RESOURCES40.002.00Yes (X)$190,516$0$25,272
PAUL JARVIS MD
PHYSICIAN40.000.00$526,183$0$33,449Yes (X)
HOWARD COOPER OD
PHYSICIAN40.000.00$510,093$0$32,591Yes (X)
JEFFREY HATCHER MD
PHYSICIAN40.000.00$485,752$0$46,785Yes (X)
THOMAS BROWN MD
PHYSICIAN40.000.00$417,652$0$44,525Yes (X)
JON GEERS MD
PHYSICIAN40.002.00$404,339$0$41,012Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,788,591TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$362,294TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K42IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
KPM-EDLLC
10676 CREEKNOLL COURTCINCINNATIOH45242ER PHYSICIAN STAFFING SERVICE$1,778,874
BLUE & CO
ONE AMERICAN SQUARE 2200INDIANAPOLISIN46282CPA SERVICES$226,945
SOUTH BEND MEDICAL FOUNDATION
530 N LAFAYETTE BLVDSOUTH BENDIN46601LAB SERVICES$224,050
IATRICS
27 GREAT POND DRIVEBOXFORDMA01921INFORMATION TECHNOLOGY SERVICES$152,772
DR ROBERTSON
102 CROSSTIE LANEBATESVILLEIN47006PATIENT MEDICAL SERVICES$152,571
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt
Related Organizations$20,263RelatedOrganizationsAmt
Government Grants$238,058GovernmentGrantsAmt
All Other Contributions$596AllOtherContributionsAmt
Total Contributions$258,917TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT SERVICE REVENUEDesc
Business621110BusinessCd
Total Revenue Column$77,523,639TotalRevenueColumnAmt
Related Or Exempt Func Income$77,523,639RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$77,523,639TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,627,678TotalRevenueColumnAmt
Exclusion$3,627,678ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$248,174RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$248,174RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$248,174TotalRevenueColumnAmt
Related Or Exempt Func Income$248,174RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$74,391SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$74,351SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$40SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$40TotalRevenueColumnAmt
Exclusion$40ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CAFETERIA900099$271,679$271,679
VENDING900099$2,646$2,646

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$140,123TotalRevenueColumnAmt
Exclusion$140,123ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$414,448OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$82,072,896TotalRevenueColumnAmt
Related Or Exempt Func Income$77,771,813RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$4,042,166ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$204,097TotalAmt
Program Services$204,097ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$25,000TotalAmt
Program Services$25,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,608,506TotalAmt
Program Services$1,413,793ProgramServicesAmt
Management And General$194,713ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$29,980,478TotalAmt
Program Services$26,351,029ProgramServicesAmt
Management And General$3,629,449ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$711,290TotalAmt
Program Services$625,181ProgramServicesAmt
Management And General$86,109ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,538,964TotalAmt
Program Services$5,747,357ProgramServicesAmt
Management And General$791,607ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,071,917TotalAmt
Program Services$1,821,091ProgramServicesAmt
Management And General$250,826ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$8,817,593TotalAmt
Program Services$7,750,135ProgramServicesAmt
Management And General$1,067,458ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$365,088TotalAmt
Program Services$320,890ProgramServicesAmt
Management And General$44,198ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$354,477TotalAmt
Program Services$311,564ProgramServicesAmt
Management And General$42,913ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,492,401TotalAmt
Program Services$1,311,731ProgramServicesAmt
Management And General$180,670ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$355,660TotalAmt
Program Services$312,604ProgramServicesAmt
Management And General$43,056ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$241,861TotalAmt
Program Services$212,581ProgramServicesAmt
Management And General$29,280ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,222,334TotalAmt
Program Services$1,074,358ProgramServicesAmt
Management And General$147,976ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$6,323,834TotalAmt
Program Services$5,558,271ProgramServicesAmt
Management And General$765,563ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$720,445TotalAmt
Program Services$633,228ProgramServicesAmt
Management And General$87,217ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$10,455,480$9,189,740$1,265,740
FOOD$431,126$378,934$52,192
DUES & SUB.$235,741$207,202$28,539

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,766,704TotalAmt
Program Services$1,529,913ProgramServicesAmt
Management And General$236,791ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$73,922,996TotalAmt
Program Services$64,978,699ProgramServicesAmt
Management And General$8,944,297ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,161,627BOYAmt
EOY$7,245,380EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$9,087,834BOYAmt
EOY$9,518,196EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$958,868BOYAmt
EOY$1,004,495EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$903,773BOYAmt
EOY$947,417EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$119,806,735LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$65,396,015LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$54,966,720BOYAmt
EOY$54,410,720EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$65,977,434BOYAmt
EOY$69,460,871EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,490,049BOYAmt
EOY$769,464EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$137,546,305BOYAmt
EOY$143,356,543EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,873,241BOYAmt
EOY$7,954,742EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$31,413,472BOYAmt
EOY$29,818,405EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,585,803BOYAmt
EOY$5,214,367EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$42,872,516BOYAmt
EOY$42,987,514EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$94,610,520BOYAmt
EOY$100,322,794EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$63,269BOYAmt
EOY$46,235EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$94,673,789BOYAmt
EOY$100,369,029EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$137,546,305BOYAmt
EOY$143,356,543EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$8,149,900ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,898,152NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$556,508OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$4,582OtherActivitiesAmt
Total Lobbying Expenditures$4,582TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationPORTION OF ANNUAL MEMBERSHIP DUES PAID TO TRADE ASSOCIATIONS ALLOCATED TO LOBBYING.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$67,888,025BeginningYearBalanceAmt
Contributions$20,859ContributionsAmt
Investment Earnings Or Losses$3,913,276InvestmentEarningsOrLossesAmt
Other Expenditures$37,893OtherExpendituresAmt
End Year Balance$71,784,267EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$54,402,051BeginningYearBalanceAmt
Contributions$76,357ContributionsAmt
Investment Earnings Or Losses$13,482,236InvestmentEarningsOrLossesAmt
Other Expenditures$72,619OtherExpendituresAmt
End Year Balance$67,888,025EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$42,898,171BeginningYearBalanceAmt
Contributions$77,247ContributionsAmt
Investment Earnings Or Losses$11,539,076InvestmentEarningsOrLossesAmt
Other Expenditures$112,443OtherExpendituresAmt
End Year Balance$54,402,051EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$44,740,699BeginningYearBalanceAmt
Contributions$3,183,091ContributionsAmt
Investment Earnings Or Losses-$1,255,562InvestmentEarningsOrLossesAmt
Other Expenditures$3,770,057OtherExpendituresAmt
End Year Balance$42,898,171EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$28,745,024BeginningYearBalanceAmt
Contributions$12,087,147ContributionsAmt
Investment Earnings Or Losses$3,997,487InvestmentEarningsOrLossesAmt
Other Expenditures$35,690OtherExpendituresAmt
Administrative Expenses$53,269AdministrativeExpensesAmt
End Year Balance$44,740,699EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.99940BoardDesignatedBalanceEOYPct
Term Endowment Balance EOY0.00060TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,371,158OtherCostOrOtherBasisAmt
Book Value$2,371,158BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$69,367,126OtherCostOrOtherBasisAmt
Depreciation$34,363,447DepreciationAmt
Book Value$35,003,679BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$44,587,615OtherCostOrOtherBasisAmt
Depreciation$30,378,752DepreciationAmt
Book Value$14,208,863BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,480,836OtherCostOrOtherBasisAmt
Depreciation$653,816DepreciationAmt
Book Value$2,827,020BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$54,410,720TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DERIVATIVE LIABILITY$2,439,561
ESTIMATED THIRD-PARTY SETTLEMENT$2,774,806
FieldValueIRS element (for citing)
Total Liability$5,214,367TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$79,618,236TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$1,898,152NetUnrealizedGainsInvstAmt
Other Revenue-$556,508OtherRevenueAmt
Revenue Not Reported-$2,454,660RevenueNotReportedAmt
Revenue Subtotal$82,072,896RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$82,072,896TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$73,922,996TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$73,922,996ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$73,922,996TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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:FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 SUPERSEDED BY FASB ACCOUNTING STANDARD CODIFICATION 740-10: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE HOSPITAL AND RECOGNIZE A TAX LIABILITY IF THE HOSPITAL 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 HOSPITAL, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2014 AND 2013, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE HOSPITAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:UNREALIZED CHANGE IN DERIVATIVES -556,508.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other275.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other275.000000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served2325PersonsServedCnt
Total Community Benefit Expns$829,165TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$25,213DirectOffsettingRevenueAmt
Net Community Benefit Expns$803,952NetCommunityBenefitExpnsAmt
Total Expense0.01090TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,325,000TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,272,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,053,000NetCommunityBenefitExpnsAmt
Total Expense0.02780TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served2325PersonsServedCnt
Total Community Benefit Expns$7,154,165TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,297,213DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,856,952NetCommunityBenefitExpnsAmt
Total Expense0.03870TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs52ActivitiesOrProgramsCnt
Persons Served70314PersonsServedCnt
Total Community Benefit Expns$1,596,839TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$93,307DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,503,532NetCommunityBenefitExpnsAmt
Total Expense0.02030TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served8272PersonsServedCnt
Total Community Benefit Expns$147,888TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$147,888NetCommunityBenefitExpnsAmt
Total Expense0.00200TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served38624PersonsServedCnt
Total Community Benefit Expns$2,691,912TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,691,912NetCommunityBenefitExpnsAmt
Total Expense0.03640TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served209PersonsServedCnt
Total Community Benefit Expns$153,396TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$153,396NetCommunityBenefitExpnsAmt
Total Expense0.00210TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs7ActivitiesOrProgramsCnt
Persons Served2640PersonsServedCnt
Total Community Benefit Expns$207,741TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$207,741NetCommunityBenefitExpnsAmt
Total Expense0.00280TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs67ActivitiesOrProgramsCnt
Persons Served120059PersonsServedCnt
Total Community Benefit Expns$4,797,776TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$93,307DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,704,469NetCommunityBenefitExpnsAmt
Total Expense0.06360TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs67ActivitiesOrProgramsCnt
Persons Served122384PersonsServedCnt
Total Community Benefit Expns$11,951,941TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,390,520DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,561,421NetCommunityBenefitExpnsAmt
Total Expense0.10230TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served630PersonsServedCnt
Total Community Benefit Expns$4,121TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,121NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served52PersonsServedCnt
Total Community Benefit Expns$59,135TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$59,135NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served327PersonsServedCnt
Total Community Benefit Expns$137,050TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$137,050NetCommunityBenefitExpnsAmt
Total Expense0.00190TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served1009PersonsServedCnt
Total Community Benefit Expns$200,306TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$200,306NetCommunityBenefitExpnsAmt
Total Expense0.00280TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$6,689,424BadDebtExpenseAmt
Reimbursed By Medicare$5,982,082ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$7,497,206CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$1,515,124MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn0FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARGARET MARY COMMUNITY HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1321 MITCHELL AVENUEAddressLine1Txt
CityBATESVILLECityNm
State AbbreviationINStateAbbreviationCd
ZIP47006ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.MMHEALTH.ORGWebsiteAddressTxt
State License14-004718-1StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MARGARET MARY COMMUNITY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
OtherYes (X)OtherInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.MMHEALTH.ORGOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTP://WWW.MMHEALTH.ORG/SERVICES/COMMUNITY-OUTREACH/StrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care275.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care275.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
MARGARET MARY COMMUNITY HOSPITALPART V, SECTION B, LINE 3J: HEALTHY PEOPLE PROVIDES SCIENCE-BASED, 10-YEAR NATIONAL OBJECTIVES FOR IMPROVING THE HEALTH OF ALL AMERICANS. THE HEALTHY PEOPLE INITIATIVE IS GROUNDED IN THE PRINCIPLE THAT SETTING NATIONAL OBJECTIVES AND MONITORING PROGRESS CAN MOTIVATE ACTION. FOR THREE DECADES, HEALTHY PEOPLE HAS ESTABLISHED BENCHMARKS AND MONITORED PROGRESS OVER TIME IN ORDER TO:-ENCOURAGE COLLABORATIONS ACROSS SECTORS.-GUIDE INDIVIDUALS TOWARD MAKING INFORMED HEALTH DECISIONS.-MEASURE THE IMPACT OF PREVENTION ACTIVITIES.HEALTHY PEOPLE 2020 IS THE PRODUCT OF AN EXTENSIVE STAKEHOLDER FEEDBACK PROCESS THAT IS UNPARALLELED IN GOVERNMENT AND HEALTH. IT INTEGRATES INPUT FROM PUBLIC HEALTH AND PREVENTION EXPERTS, A WIDE RANGE OF FEDERAL, STATE AND LOCAL GOVERNMENT OFFICIALS, A CONSORTIUM OF MORE THAN 2,000 ORGANIZATIONS, AND PERHAPS MOST IMPORTANTLY, THE PUBLIC. MORE THAN 8,000 COMMENTS WERE CONSIDERED IN DRAFTING A COMPREHENSIVE SET OF HEALTHY PEOPLE 2020 OBJECTIVES.
MARGARET MARY COMMUNITY HOSPITALPART V, SECTION B, LINE 5: COMMUNITY INPUT WAS GATHERED THROUGH FOCUS GROUPS AND PHONE SURVEYS.
MARGARET MARY COMMUNITY HOSPITALPART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND ON THE HOSPITAL'S WEBPAGE UNDER COMMUNITY OUTREACH AT HTTP://WWW.MMHEALTH.ORG/SERVICES/COMMUNITY-OUTREACH/
MARGARET MARY COMMUNITY HOSPITALPART V, SECTION B, LINE 11: THE HOSPITAL COULD NOT ADDRESS THE NEEDS FOR ALZHEIMERS AND ORAL HEALTH DUE TO BEING UNABLE TO FINANCIALLY PROVIDE RESOURCES TO ADDRESS THESE ISSUES AT THIS TIME. IT IS ALSO NOT WITHIN THE ORGANIZATION'S STRATEGIC PRIORITIES.
MARGARET MARY COMMUNITY HOSPITALPART V, SECTION B, LINE 22D: CHARGES ARE APPLIED TO ALL ACCOUNTS AT THE TIME OF SERVICES, REGARDLESS OF WHETHER THE PATIENT IS COVERED BY INSURANCE OR NOT. ONCE INDIVIDUALS ARE DETERMINED TO MEET THE FINANCIAL ASSISTANCE POLICY REQUIREMENTS DISCOUNTS ARE APPLIED.
FieldValueIRS element (for citing)
Facility8FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
OUTPATIENT & CANCER TREATMENT CENTER
24 SIX PINE RANCH RDBATESVILLEIN47006OUTPATIENT & CANCER TREATMENT
REHABILITATION CENTER
206 ST RD 129 SBATESVILLEIN47006THERAPY
OCCUPATIONAL HEALTH SERVICES & WELLNESS
1051 ST RD 229 NBATESVILLEIN47006CLINIC
PHYSICIAN CENTER
26 SIX PINE RANCH RDBATESVILLEIN47006OBGYN/SURGERY/PRIMARY CARE
ORTHOPAEDIC & SPECIALTY CENTER
256 ST RD 129 SBATESVILLEIN47006ORTHOPAEDIC & SPECIALTY
HOME HEALTH & HOSPICE
108 N ELM STBATESVILLEIN47006HOME HEALTH AND HOSPICE
HMR CLINIC
121 S DEPOT ST STE 1BATESVILLEIN47009CLINIC
PHYSICIAN PARTNERS OF OSGOOD
112 N BUCKEYE STOSGOODIN47037PRIMARY CARE

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:FOR ELIGIBILITY GUIDELINES A SLIDING SCALE IS USED FOR DISCOUNTED CARE IF THE PATIENT IS OVER OUR 275% FEDERAL POVERTY GUIDELINES.
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:N/A - 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 4:SECTION A, LINE 2 EXPLANATION: AUDITED FINANCIAL STATEMENT FOOTNOTE CAN BE FOUND ON PAGE 8 AND 9 UNDER THE HEADING ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS.PART III, LINE 4, SECTION A, LINE 3 EXPLANATION: 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 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, 2013 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:MMH SERVES A PRIMARY AND SECONDARY MARKET THAT INCLUDED RIPLEY, FRANKLIN, AND DECATUR COUNTIES. THIS IS PRIMARILY A RURAL COMMUNITY.
PART VI, LINE 5:MMH IS GOVERNED BY A COMMUNITY BOARD. MMH OPERATES A 24 HOUR EMERGENCY ROOM. MMH COMPLETES A COMMUNITY ASSESSMENT AND A PLAN TO ADDRESS OUR COMMUNITY NEEDS.
PART VI, LINE 6:N/A - THE ORGANIZATION IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.PART VI, LINE 8: LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: INDIANA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1MARGARET MARY HEALTH FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1321 MITCHELL AVEAddressLine1Txt
CityBATESVILLECityNm
State AbbreviationINStateAbbreviationCd
ZIP47006ZIPCd
FieldValueIRS element (for citing)
Recipient EIN455039355RecipientEIN
IRC Section501C3IRCSectionDesc
Cash Grant$204,097CashGrantAmt
Purpose Of GrantIN-KIND EXPENSES PAID TO ASSIST THE FOUNDATION.PurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSCHOLARSHIPS, TEN RECIPIENTS RECEIVED $1,000 AND FIVE RECIPIENTS RECEIVED $3GrantTypeTxt
Recipient13RecipientCnt
Cash Grant$25,000CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationASSISTANCE 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 IN SETTING UP 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 MMCH. TO RECEIVE FUTURE INSTALLMENTS STUDENT MUST MAINTAIN MINIMUM 3.0 GPA AND PROVIDE A COPY OF TRANSCRIPTS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
TIMOTHY PUTNAM
PRESIDENT$454,131$0$0$0$0$0$7,650$0$25,426$0$487,207$0$0$0
BRIAN DAEGER
VP FINANCE$235,744$0$0$0$0$0$7,328$0$18,499$0$261,571$0$0$0
JULIE KEENE
VP OF PHYSICIAN SERVICES$165,231$0$0$0$0$0$4,863$0$23,201$0$193,295$0$0$0
BONNIE PLOEGER
VP INPATIENT SERVICES$157,062$0$0$0$0$0$4,817$0$16,432$0$178,311$0$0$0
NANCY MARTICKE
VP OUTPATIENT SERVICES$229,888$0$0$0$0$0$7,242$0$23,202$0$260,332$0$0$0
KIM INSCHO
VP HUMAN RESOURCES$190,516$0$0$0$0$0$5,862$0$19,410$0$215,788$0$0$0
PAUL JARVIS MD
PHYSICIAN$526,183$0$0$0$0$0$0$0$33,449$0$559,632$0$0$0
HOWARD COOPER OD
PHYSICIAN$510,093$0$0$0$0$0$0$0$32,591$0$542,684$0$0$0
JEFFREY HATCHER MD
PHYSICIAN$485,752$0$0$0$0$0$7,650$0$39,135$0$532,537$0$0$0
THOMAS BROWN MD
PHYSICIAN$417,652$0$0$0$0$0$7,650$0$36,875$0$462,177$0$0$0
JON GEERS MD
PHYSICIAN$404,339$0$0$0$0$0$7,650$0$33,362$0$445,351$0$0$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
INDIANA HEALTH FACILITY FINANCING AUTHORITY
A351611409454798PAL2004-04-01$22,000,000FINANCE ONCOLOGY AND OUTPATIENT CENTERS000
INDIANA FINANCE AUTHORITY
B3516023162010-12-16$16,625,235REFINANCE 2008 BONDS AND FINANCE 28,000 SQUARE FEET MEDICAL OFFICE BUILDING.000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmt
A$22,000,000$264,000$21,736,000200400Yes (1)Yes (1)
B$16,625,235$16,625$3,162,004201200Yes (1)Yes (1)$8,625,235$4,821,371

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A000000Yes (1)
B000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndBusiness Name Line2HedgeProviderName/BusinessNameLine2TxtTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
PIPER JAFFRAY
A00Yes (1)0Yes (1)Yes (1)FINANCIAL PRODUCTS25.0000000000000000Yes (1)
(no name)
B00Yes (1)0Yes (1)000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, ITEM C, DOING BUSINESS AS:MARGARET MARY HEALTH MARGARET MARY HEALTH PARTNERS OSGOOD PRIMARY CARE
FORM 990, PART VI, SECTION A, LINE 6THE 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 7AEACH 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 11THE 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 B, LINE 12CTHE WRITTEN CONFLICT OF INTEREST POLICY IS REGULARLY AND CONSISTENTLY MONITORED AND COMPLIANCE ENFORCED BY BRIAN DAEGER, 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 BRIAN DAEGER, 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. BRIAN DAEGER, MMH CORPORATE COMPLIANCE OFFICER, IS RESPONSIBLE FOR REVIEWING AND RESEARCHING THE CONFLICTS DISCLOSED.
FORM 990, PART VI, SECTION B, LINE 15THE 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 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GPROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 7,750,135. MANAGEMENT AND GENERAL EXPENSES 1,067,458. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,817,593.
FORM 990, PART XI, LINE 9:NET UNREALIZED GAINS/(LOSSES) DERIVATIVE -556,508.
OVERSIGHT OF AUDITTHE 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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1MARGARET MARY HEALTH FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1321 MITCHELL AVEAddressLine1Txt
CityBATESVILLECityNm
State AbbreviationINStateAbbreviationCd
ZIP47006ZIPCd
FieldValueIRS element (for citing)
EIN455039355EIN
Primary ActivitiesPHILANTHROPYPrimaryActivitiesTxt
Legal Domicile StateINLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 11A, IPublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MARGARET MARY COMMUNITY HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MARGARET MARY HEALTH FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeBTransactionTypeTxt
Involved$204,097InvolvedAmt
Method Of Amount DeterminationFAIRMARKET VALUE OF SERVICESMethodOfAmountDeterminationTxt

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