2014-11-06T09:58:05-06:00 2013-12-31 251408703 SCHNEIDER DOWNS & CO INC ONE PPG PLACE SUITE 1700 PITTSBURGH PA 15222 990 2013-01-01 311657206 MADISON COUNTY COMMUNITY HOSPITAL MADI 7408457015 210 NORTH MAIN STREET LONDON OH 43140 DANA E ENGLE CEO 7408457015 2014-11-03 1 SUSAN M KIRSCH P00341397 4122613644 2013 2015-11-30 17:44:51Z MADISON COUNTY HOSPITAL DANA E ENGLE 210 NORTH MAIN STREET LONDON OH 43140 36916051 0 X WWW.MADISONCOUNTYHOSPITAL.ORG X 1974 OH TO PROVIDE EXCEPTIONAL HEALTH CARE IN A RESPECTFUL, COMPASSIONATE, AND HEALING ENVIRONMENT. 15 11 476 75 0 0 914562 560003 31826210 35633811 90834 -176771 152499 154410 32984105 36171453 0 0 0 0 15324133 15367852 0 0 0 17968724 19881331 33292857 35249183 -308752 922270 20361818 20528435 5785007 5038017 14576811 15490418 X MADISON COUNTY COMMUNITY HOSPITAL'S VISION IS TO PROVIDE EXCEPTIONAL HEALTHCARE IN A RESPECTFUL, COMPASSIONATE, AND HEALING ENVIRONMENT. 1 0 29687630 0 35584832 SEE SCHEDULE O 29687630 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 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 82 0 1 476 1 0 0 0 0 0 0 0 0 0 0 X 15 11 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 X MICHAEL S BROWNING 7408457015 210 NORTH MAIN STREET LONDON OH 43140 MARVIN BERNHARDT BOARD MEMBER 2.00 4.00 X 0 0 0 ROBERT CASILLAS BOARD MEMBER (EXITED 09/13) 2.00 2.00 X 0 0 0 MARK COWAN BOARD MEMBER 2.00 2.00 X 0 0 0 CHAD EISLER BOARD MEMBER (ENTERED 09/13) 2.00 2.00 X 0 0 0 JIM SLAGLE BOARD MEMBER (ENTERED 09/13) 2.00 2.00 X 0 0 0 KENT HESS BOARD MEMBER 2.00 2.00 X 0 0 0 ERIC KUNZ BOARD MEMBER 2.00 2.00 X 0 0 0 ROD KRONK BOARD MEMBER 2.00 2.00 X 0 0 0 MARCI LADUE BOARD MEMBER 2.00 2.00 X 0 0 0 ROBERT MUELLER MD CHIEF OF MED STAFF 2.00 0.00 X 2500 0 0 MITCHELL SPAHN MD CHAIRMAN 2.00 4.00 X X 16100 0 0 RON WHITESIDE VICE CHAIR 2.00 2.00 X X 0 0 0 ED GOODYEAR TREASURER 2.00 2.00 X X 0 0 0 RICHARD FLAX SECRETARY (ENTERED 09/13) 2.00 2.00 X X 0 0 0 DAVE JOSLIN SECRETARY (EXITED 09/13) 2.00 2.00 X X 0 0 0 DANA E ENGLE MCCH CEO (ENTERED 11/13) 40.00 5.00 X X 34867 0 3958 MICHAEL S BROWNING - MCCH CFO (INTERIM MCCH CEO UNTIL 11/13) 40.00 2.00 X X 239480 0 15093 JENNIFER A PICCIONE CHIEF CLINICAL SVCS OFFICE 40.00 0.00 X 121910 0 27534 BECKY ROZELL CHIEF HUMAN RESOURCES 40.00 0.00 X 107291 0 42064 KELLY SNYDER CHIEF DEVELOPMENT OFFICER 40.00 2.00 X 79762 0 38117 BETH FORDYCE PHARMACY DIRECTOR 40.00 0.00 X 121433 0 40911 DONALD HURA MD SURGEON 40.00 0.00 X 288054 0 1350 SHIRLEY J KRAMER PHARMACIST 40.00 0.00 X 109685 0 8386 DENNIS VOGT IT DIRECTOR 40.00 0.00 X 103786 0 29404 FRED L KOLB FORMER MCCH CEO 0.00 0.00 X 299326 0 40325 1524194 0 247142 8 1 1 0 THE OUTSOURCE GROUP PO BOX 504542 STLOUIS MO 63150 BILLING OFFICE OUTSOURCING 973505 ASSOCIATED ANESTHESIOLOGISTS PO BOX 3000 SPRINGFIELD OH 45502 MEDICAL PROFESSIONAL FEES 442591 SHIFTWISE 1800 SW 1ST AVENUE SUITE 510 PORTLAND OR 97201 TEMPORARY STAFFING 379807 INSIGHT HEALTH PARTNERS 695 CENTRAL AVE SUITE 15010 ST PETERSBURG FL 33701 HEALTH CARE CONSULTANTS 314982 PREMIER HEALTH CARE PO BOX 631606 CINCINNATI OH 45263 MEDICAL PROFESSIONAL FEES 157147 15 515742 44261 560003 NET PATIENT SERVICE 621990 32889007 32889007 EMR INCENTIVE PAYMENT 624100 1921762 1921762 340B RETAIL PHARMACY 900099 470734 470734 PHYSICIAN PRACTICE 900099 170931 170931 CAFETERIA SALES/VENDING 722210 120919 120919 60458 60458 35633811 126164 126164 82470 0 82470 82470 82470 433163 8500 423696 320902 9467 -312402 -302935 -302935 PURCHASE REBATES 900099 71940 71940 71940 36171453 35584832 0 26618 X 728676 663665 65011 339651 308554 31097 10529932 9564162 965770 404372 367350 37022 2528039 2296584 231455 837182 760534 76648 97693 97693 4421 4421 28302 28302 6038815 4214168 1824647 94433 40 94393 591503 520414 71089 628413 156455 471958 1399828 1271006 128822 8735 5937 2798 53384 27752 25632 24669 24669 2087699 1748564 339135 351303 33395 317908 MEDICAL SUPPLIES 4408484 4408090 394 BAD DEBT EXPENSE 3115205 3115205 OH HOSP.FRANCHISE TAX 548462 548462 FOOD/DIETARY 200512 164107 36405 199470 36979 162491 35249183 29687630 5561553 0 2223475 2293321 2250000 1250000 400 482 3588131 3866200 386162 152795 830786 748468 439255 336819 18503008 11783466 7195052 6719542 3341501 5053906 107056 106902 20361818 20528435 4196514 2697045 409901 1178592 2340972 5785007 5038017 X 14576811 15490418 14576811 15490418 20361818 20528435 X 922270 442318 -450981 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 4421 4421 0 PART II-B, LINE 1: A PORTION OF THE ANNUAL DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION AND TO THE OHIO HOSPITAL ASSOCIATION HAS BEEN DEEMED TO BE LOBBYING-RELATED. THE TOTAL AMOUNT PAID IN 2013 THAT WAS ALLOCATED TO LOBBYING EXPENSES WAS $4,421. 3819930 2461390 1358540 14334170 9189249 5144921 348908 132827 216081 6719542 X 33470264 442318 -3115205 -2672887 36143151 28302 28302 36171453 32105676 0 32105676 28302 3115205 3143507 35249183 PART X, LINE 2: THE HOSPITAL IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE HOSPITAL HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS REQUIRING AN ACCRUAL OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THERE WERE NO INTEREST OR PENALTIES RECOGNIZED IN THE STATEMENTS OF ACTIVITIES FOR THE YEARS ENDED DECEMBER 31, 2012 AND 2011 RELATED TO UNCERTAIN TAX POSITIONS. THE STATUTORY TAX YEARS REMAIN OPEN TO EXAMINATION. PART XI, LINE 2D - OTHER ADJUSTMENTS: PROVISION FOR UNCOLLECTABLE ACCOUNTS REPORTED IN REVENUE -3,115,205. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR UNCOLLECTABLE ACCOUNTS REPORTED IN REVENUE 3,115,205. FORM 990, PART XI AND PART XII: THE REPORT ON AUDITS OF CONSOLIDATED FINANCIAL STATEMENTS IS PREPARED ON BEHALF OF THE MADISON COUNTY HOSPITAL, INC. AND AFFILIATES (MADISON COUNTY COMMUNITY HOSPITAL AND MADISON COUNTY HOSPITAL FOUNDATION). THE DISCLOSURE IN PARTS XI AND XII REPRESENTS THE SEPARATE COMPANY ACTIVITY OF THE MADISON COUNTY COMMUNITY HOSPITAL AS PRESENTED IN THE STATEMENTS AND SUPPLEMENTAL SCHEDULES. 1 1 1 X 1 X 1 1 1 0 1 1 2 2592 1252537 586633 665904 0.01890 1 4094 5338900 2385162 2953738 0.08380 3 6686 6591437 2971795 3619642 0.10270 12 4328 270902 72960 197942 0.00560 11717 11717 0.00030 12 4328 282619 72960 209659 0.00590 15 11014 6874056 3044755 3829301 0.10860 2 11204 11204 0.00030 2 11204 11204 0.00030 1 3115205 0 4219168 5492655 -1273487 X 1 1 1 NA 1 1 MADISON COUNTY COMMUNITY HOSPITAL 210 N MAIN STREET LONDON OH 43140 WWW.MADISONCOUNTYHOSPITAL.ORG 1011 X X X MADISON COUNTY COMMUNITY HOSPITAL 1 1 X X X X X X X X X 13 1 0 1 X HTTP://WWW.MADISONCOUNTYHOSPITAL.ORG X X X X X X X X 0 0 1 1 100.000000000000 1 400.000000000000 1 X X X X X X 1 1 X X X X X 1 0 X X X X 1 X 0 0 MADISON COUNTY COMMUNITY HOSPITAL PART V, SECTION B, LINE 3: MCCH CONSIDERED INPUT FROM THE PERSONS WHO REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY. THE RESEARCH EFFORT HAS INCLUDED: INTERVIEWS WITH 55 COMMUNITY LEADERS; A DEMOGRAPHIC ANALYSIS; A SURVEY OF 400 ADULT RESIDENTS SELECTED AT RANDOM; FOCUS GROUP SESSIONS WITH CHRONIC DISEASE PATIENTS AT THE FREE CLINIC AND WITH LOW INCOME WOMEN CONVENED BY THE MADISON COUNTY DEPARTMENT OF JOB AND FAMILY SERVICES; AS WELL AS ANALYSIS OF DATA FROM THE MADISON COUNTY HOSPITAL, THE OHIO DEPARTMENT OF HEALTH, OHIO DEPARTMENT OF JOB AND FAMILY SERVICES, MENTAL HEALTH & RECOVERY BOARD, ROBERT WOOD JOHNSON FOUNDATION AND CENTERS FOR DISEASE CONTROL AND PREVENTION, THE NATIONAL SURVEY ON DRUG USE AND HEALTH, AND THE BUREAU OF THE CENSUS' AMERICAN COMMUNITY SURVEY. THE STUDY ADDRESSES SECONDARY DATA FOR MATERNAL AND INFANT HEALTH DATA, BEHAVIORAL RISK FACTORS, CLINICAL AND PREVENTIVE SERVICES, DISEASES (SUCH AS CANCER), HOSPITAL AND EMERGENCY DEPARTMENT DISCHARGE DATA, AND LEADING CAUSES OF DEATH. MADISON COUNTY COMMUNITY HOSPITAL PART V, SECTION B, LINE 7: EACH OF THE PRIORITY HEALTH NEEDS LISTED IN THIS PLAN IS IMPORTANT AND IS BEING ADDRESSED BY COMMUNITY INITIATIVES WHETHER OR NOT IT IS INCLUDED IN THE MADISON COUNTY HOSPITAL IMPLEMENTATION PLAN FOR NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. HOWEVER, DUE TO LIMITED RESOURCES AND THE NEED TO ALLOCATE SIGNIFICANT RESOURCES TO ADDRESS THE ACCESS TO HEALTH CARE ISSUE, MADISON COUNTY HOSPITAL WILL NOT ADDRESS THE FOLLOWING HEALTH NEEDS IDENTIFIED IN THE CHNA AS PART OF THIS IMPLEMENTATION PLAN. MADISON COUNTY HOSPITAL WILL CONTINUE TO WORK AS A PARTNER WITH THE MADISON COUNTY-LONDON CITY HEALTH DISTRICT AND OTHER AGENCIES IN THE COMPLETION OF THE COMMUNITY HEALTH IMPROVEMENT PLAN AND PARTICIPATE IN ITS RESULTING STRATEGIES. AS WAS THE INTENT WITH THE AFFORDABLE CARE ACT, WE HAVE ENGAGED WITH COMMUNITY PARTNERS IN IDENTIFYING COMMUNITY HEALTH NEEDS AND RESPONDING TO THE IDENTIFIED NEEDS AND WILL CONTINUE TO COLLABORATE IN ADDRESSING THE BELOW-LISTED PRIORITIES.DRUG ABUSE PREVENTION SPECIFIC NEEDS IDENTIFIED IN CHNA:MADISON COUNTY ADULTS IDENTIFIED DRUG USE AS THE TOP NEIGHBORHOOD PROBLEM. LOWER INCOME ADULTS IDENTIFIED DRUG ABUSE AS THE TOP NEIGHBORHOOD PROBLEM. MADISON COUNTY LEADERS IDENTIFIED DRUG AND ALCOHOL ABUSE AS ONE OF THE TOP FIVE ISSUES. THE NUMBER OF INDIVIDUALS SEEKING TREATMENT FOR MARIJUANA DEPENDENCE HAS INCREASED 47% FROM 2009-2012. ADEQUATE AFFORDABLE HOUSING SPECIFIC NEEDS IIDENTIFIED IN CHNA: IN NEARLY ONE IN FIVE OWNER-OCCUPIED HOUSEHOLDS IN THE CITY OF LONDON, OWNERS ARE SPENDING MORE THAN 35% OF THEIR INCOME ON HOUSING COSTS (THE RECOMMENDED PERCENTAGE IS 28%). MORE THAN ONE-THIRD OF RENTERS SPENDS MORE THAN 35% OF THEIR INCOME ON HOUSING COSTS. LOW INCOME ADULTS CITE HOUSING, AFFORDABLE HOUSING, HOUSING REPAIR, SUBSTANDARD HOUSING AND LOW INCOME HOUSING AS THE NUMBER 4, 5, 6, 7 AND 8 ISSUES AFFECTING THEM. MADISON COUNTY LEADERS CITE HOUSING AS ONE OF THE TOP FIVE ISSUES AND THE NEED FOR ADDITIONAL AFFORDABLE HOUSING. SCHOOL LEADERS CITE HOUSING/SHELTER AS ONE OF THE TOP THREE NEEDS AMONG STUDENTS. JOB PLACEMENT & TRAINING / CHILD CARE SPECIFIC NEEDS IDENTIFIED IN CHNA: FOCUS GROUPS WITH LOW INCOME ADULTS IDENTIFIED DIFFICULTIES IN THE LOCAL JOB MARKET, WHERE JOBS DO NOT PAY SUSTAINABLE WAGES AND EVEN THE EARNINGS FROM TWO JOBS STILL IS NOT ENOUGH TO LIVE ON. LOWER INCOME MADISON COUNTY ADULTS IDENTIFIED JOB PLACEMENT AS THEIR #2 ISSUE, WHILE AMONG THE TOTAL ADULT POPULATION IT WAS #7 AMONG NEIGHBORHOOD ISSUES. IN TERMS OF INDIVIDUAL HOUSEHOLDS, LOW INCOME HOUSEHOLDS IDENTIFIED JOB PLACEMENT AND JOB AND/OR TECHNICAL TRAINING AS THEIR #1 AND #2 ISSUES. AMONG ALL ADULT HOUSEHOLDS THOSE ISSUES WERE CITED AS THE #1 AND #3 ISSUES.MENTAL HEALTH PROMOTION SPECIFIC NEEDS IDENTIFIED IN CHNA: THE MADISON COUNTY HOSPITAL EMERGENCY DEPARTMENT TRENDS SHOW AN OVERALL 61.0% INCREASE IN DISCHARGE RATES FOR ADULT NEUROTIC DISORDERS FROM 2010 TO 2012. MADISON COUNTY LEADERS IDENTIFIED MENTAL ILLNESS AS ONE OF THE TOP 5 MAJOR PROBLEMS FACING THE COUNTY. LOW INCOME ADULTS IN MADISON COUNTY CITE ADULT MENTAL ILLNESS AS THE #3 NEIGHBORHOOD PROBLEM. CHILD EMOTIONAL AND BEHAVIORAL PROBLEMS WERE CITED AS THE #6 ISSUE AMONG NEIGHBORHOOD PROBLEMS. MADISON COUNTY COMMUNITY HOSPITAL PART V, SECTION B, LINE 20D: 20% DISCOUNT PART I, LINE 6A: COMMUNITY BENEFIT INFORMATION IS PROVIDED TO THE OHIO HOSPITAL ASSOCIATION (OHA). OHA COMPILES THE INFORMATION AND ISSUES PRESS RELEASES AND PUBLISHES INFORMATION ON THEIR WEBSITE RELATING TO COMMUNITY BENEFITS PROVIDED BY OHIO HOSPITALS. THIS REPORT IS ALSO POSTED ONTO OHA'S WEBSITE. PART I, LN 7 COL(F): BAD DEBT EXPENSE OF $3,115,205 WAS EXCLUDED FROM TOTAL EXPENSES FOR CALCULATING COLUMN 7(F).PART I, LINE 7: THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. PART II, COMMUNITY BUILDING ACTIVITIES: OUR INVOLVEMENT IN COMMUNITY SUPPORT AND WORKFORCE DEVELOPMENT KEEPS US IN TUNE WITH THE NEEDS OF THE COMMUNITY, INCLUDING THE HEALTHCARE NEEDS OF OUR POPULATION. OUR INVOLVEMENT ALLOWS US TO EDUCATE THE COMMUNITY ON LEADING HEALTH ISSUES AND ALLOWS THE COMMUNITY TO EDUCATE US ON THEIR PERSPECTIVES OF WHAT RESOURCES AND SERVICES ARE NEEDED TO MAKE THIS A HEALTHY AND VIBRANT COMMUNITY. IN 2013, MCCH COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT IN COLLABORATION WITH OTHER COUNTY HEALTH ORGANIZATIONS AND AGENCIES. THIS COMMUNITY NEEDS ASSESSMENT WAS DEVELOPED BY MADISON COUNTY FAMILY COUNCIL, THE MADISON COUNTY LONDON CITY HEALTH DISTRICT, THE MADISON COUNTY HOSPITAL, AND OTHER AGENCIES THAT FORMED THE STEERING COMMITTEE. THIS REPORT COMPILES A YEAR-LONG EFFORT TO GATHER AND ANALYZE DATA THAT ADDRESSES ISSUES OF COMMUNITY HEALTH AND WELLBEING FOR MADISON COUNTY AS WELL AS FOR THE MADISON COUNTY HOSPITAL'S SPECIFIC SERVICE AREA. PART III, LINE 2: FOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE, THE HOSPITAL RECOGNIZES NET REVENUE ON THE BASIS OF ITS DISCOUNTED RATE FOR SERVICES PROVIDED. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE HOSPITAL'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. PART III, LINE 3: DISCOUNTED RATE FOR PATIENTS WHO APPLY AND QUALIFY UNDER THE FINANCIAL ASSISTANCE POLICY ARE NOT INCLUDED IN BAD DEBT EXPENSES. PART III, LINE 4: PATIENT ACCOUNTS RECEIVABLE - THE HOSPITAL REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS AND OTHERS. THE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS USING HISTORICAL COLLECTION INFORMATION AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE. DELINQUENT RECEIVABLES ARE WRITTEN-OFF BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE PATIENT OR THIRD-PARTY PAYOR. PART III, LINE 8: MEDICARE SHORTFALLS PRIMARILY BENEFIT THE ELDER MEMBERS OF OUR COMMUNITY, WHICH IS A GROWING DEMOGRAPHIC IN MADISON COUNTY. IF WE CHOOSE NOT TO PARTICIPATE IN THE MEDICARE PROGRAM, HEALTHCARE SERVICES WOULD HAVE TO BE OBTAINED FROM PROVIDERS LOCATED OUTSIDE OUR COMMUNITY, PLACING INCREASED COSTS AND STRESS ON THIS POPULATION. MEDICARE ALLOWABLE COSTS WERE TAKEN FROM INFORMATION OFF OF THE 2013 MEDICARE COST REPORT. PART III, LINE 9B: MCCH INFORMS OHIO RESIDENTS, WHO ARE NOT RECIPIENTS OF THE MEDICAID PROGRAM, WHOSE GROSS INCOME IS AT OR BELOW THE FEDERAL POVERTY LEVEL OR WHOSE GROSS INCOME FALLS WITHIN THE MADISON COUNTY FINANCIAL ASSISTANCE SLIDING SCALE, OF THEIR RIGHT TO RECEIVE BASIC MEDICALLY NECESSARY HOSPITAL SERVICES AT NO COST OR AT A DISCOUNTED COST. ADDITIONALLY, THE HOSPITAL HAS MADE THE HCAP CHARITY CARE AND THE COUNTY FINANCIAL ASSISTANCE APPLICATION PROCESS SYNONYMOUS, EASY TO UNDERSTAND, AND AVAILABLE TO ALL PATIENTS. NOTICES ARE POSTED IN REGISTRATION AREAS, THE EMERGENCY ROOM, THE CASHIER'S OFFICE, AND THE CUSTOMER SERVICE AREA SPECIFYING THE RIGHTS OF INDIVIDUALS WITH INCOMES AT OR BELOW THE FEDERAL POVERTY LEVEL TO RECEIVE, AT NO COST OR REDUCED COST, BASIC MEDICALLY NECESSARY HOSPITAL SERVICES. THE INCOME GUIDELINES AND A TELEPHONE NUMBER TO CALL FOR AN APPLICATION WILL BE PRINTED ON THE FRONT OF EACH MONTHLY STATEMENT.IF THE HOSPITAL RECEIVES NO RESPONSE AFTER A PATIENT HAS RECEIVED FOUR STATEMENTS REGARDING BALANCES OWED, OR IF A PATIENT ON A PAYMENT PLAN HAS MISSED TWO CONSECUTIVE PAYMENTS, THE HOSPITAL MAY TURN OVER THE ACCOUNT BALANCE TO A THIRD-PARTY COLLECTION SERVICE.MCCH MAY DIRECT PATIENTS TO APPLY FOR MEDICAID, BUT WILL ACCEPT HCAP AND COUNTY FINANCIAL ASSISTANCE APPLICATIONS. APPLICANTS SHALL COOPERATE IN SUPPLYING INFORMATION ABOUT HEALTH INSURANCE OR MEDICAL BENEFITS AVAILABLE SO THE HOSPITAL MAY DETERMINE ANY POTENTIAL THIRD-PARTY RESOURCES THAT MAY BE AVAILABLE. A PATIENT WITH INSURANCE WILL NOT BE CONSIDERED FOR FINANCIAL ASSISTANCE UNTIL ALL INSURANCE PAYMENTS HAVE BEEN MADE.THE FEDERAL INCOME POVERTY LEVEL GUIDELINES (FIPLG) ARE USED AS THE THRESHOLD TO DETERMINE INCOME ELIGIBILITY FOR HCAP CHARITY CARE AND THROUGH 400% OF THE FIPLG SHALL BE USED AS THE THRESHOLD TO DETERMINE INCOME ELIGIBILITY FOR THE MADISON COUNTY FINANCIAL ASSISTANCE PROGRAM. THE SCALE SHALL BE UPDATED ANNUALLY BASED ON CHANGES TO THE ANNUALLY UPDATED FIPLG. PART VI, LINE 2: THE HOSPITAL WORKS WITH COMMUNITY LEADERS AND OTHER HEALTH ORGANIZATIONS IN OUR COMMUNITY TO DEVISE THE BEST WAYS TO PROVIDE FOR THE HEALTH NEEDS OF OUR SERVICE AREA. HOSPITAL LEADERS PARTICIPATE IN LOCAL ORGANIZATIONS TO KEEP IN TOUCH WITH COMMUNITY NEEDS.THE HOSPITAL HAS WORKED WITH OTHER COUNTY ORGANIZATIONS TO PROVIDE A COORDINATED EFFORT IN BUILDING A COMMUNITY NEEDS ASSESSMENT. WRIGHT STATE UNIVERSITY WAS SELECTED TO HELP LEAD THIS EFFORT. FOCUS GROUP INTERVIEWS AND TELEPHONE SURVEYS WERE COMPLETED. IN COLLABORATION WITH WRIGHT STATE UNIVERSITY, MCCH COMPLETED THE CHNA IN 2013. MADISON COUNTY COMMUNITY HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT WAS FORMALLY ADOPTED ON DECEMBER 16, 2013. PART VI, LINE 3: MCCH INFORMS OHIO RESIDENTS, WHO ARE NOT PARTICIPANTS OF THE MEDICAID PROGRAM, WHOSE GROSS INCOME IS AT OR BELOW THE FEDERAL POVERTY LEVEL OR WHOSE GROSS INCOME FALLS WITHIN THE MADISON COUNTY FINANCIAL ASSISTANCE SLIDING SCALE, OF THEIR RIGHT TO RECEIVE BASIC, MEDICALLY NECESSARY HOSPITAL SERVICES AT NO COST OR AT A DISCOUNTED COST. ADDITIONALLY, THE HOSPITAL WILL MAKE THE HCAP CHARITY CARE AND THE COUNTY FINANCIAL ASSISTANCE APPLICATION PROCESS SYNONYMOUS, EASY TO UNDERSTAND, AND AVAILABLE TO ALL PATIENTS.NOTICES ARE POSTED IN REGISTRATION AREAS, THE EMERGENCY ROOM, THE CASHIER'S OFFICE AND THE CUSTOMER SERVICE AREA SPECIFYING THE RIGHTS OF INDIVIDUALS WITH INCOMES AT OR BELOW THE FEDERAL POVERTY LEVEL TO RECEIVE, AT NO COST OR REDUCED COST, BASIC MEDICALLY NECESSARY HOSPITAL SERVICES. THE INCOME GUIDELINES AND A TELEPHONE NUMBER TO CALL FOR AN APPLICATION WILL BE PRONTED ON THE FRONT OF EACH MONTHLY STATEMENT.IF THE HOSPITAL RECEIVES NO RESPONSE AFTER A PATIENT HAS RECEIVED FOUR STATEMENTS REGARDING BALANCES OWED, OR IF A PATIENT ON A PAYMENT PLAN HAS MISSED TWO CONSECUTIVE PAYMENTS, THE HOSPITAL MAY TURN OVER THE ACCOUNT BALANCE TO A THIRD-PARTY COLLECTION SERVICE.MCCH MAY DIRECT PATIENTS TO APPLY FOR MEDICAID, BUT WILL ACCEPT HCAP AND COUNTY ASSISTANCE APPLICATIONS. APPLICANTS SHALL COOPERATE IN SUPPLYING INFORMATION ABOUT HEALTH INSURANCE OR MEDICAL BENEFITS AVAILABLE SO THE HOSPITAL MAY DETERMINE ANY POTENTIAL THIRD-PARTY RESOURCES THAT MAY BE AVAILABLE. A PATIENT WITH INSURANCE CANNOT BE CONSIDERED UNTIL ALL INSURANCE PAYMENTS HAVE BEEN MADE.THE FEDERAL INCOME POVERTY LEVEL GUIDELINES (FIPLG) ARE USED AS THE THRESHOLD TO DETERMINE INCOME ELIGIBILITY FOR HCAP CHARITY CARE AND THROUGH 400% OF THE FIPLG SHALL BE USED AS THE THRESHOLD TO DETERMINE INCOME ELIGIBILITY FOR THE MADISON COUNTY FINANCIAL ASSISTANCE PROGRAM. THE SCALE IS UPDATED ANNUALLY BASED ON CHANGES TO ANNUALLY UPDATED FIPLG. PART VI, LINE 4: MADISON COUNTY LIES BETWEEN SPRINGFIELD AND COLUMBUS, AND MORE THAN ONE-THIRD OF ITS WORKING POPULATION DRIVES 30+ MINUTES TO WORK. BOTH I-70 AND I-71 GO THROUGH MADISON COUNTY. MADISON COUNTY IS PRIMARILY A RURAL COUNTY, WITH OVER 93% OF ITS LAND AREA BEING CROPLAND, PASTURE, AND FOREST. ABOUT 6% OF ITS LAND COVER IS CONSIDERED TO BE URBAN (THAT IS, RESIDENTIAL, COMMERCIAL, INDUSTRIAL). MADISON COUNTY'S TOTAL POPULATION IS 43,151. ITS LARGEST COMMUNITY AND SINGULAR CITY IS LONDON WITH 9,796 RESIDENTS. WEST JEFFERSON VILLAGE HAS A POPULATION OF ABOUT 4,200. OUTSIDE OF THOSE TWO JURISDICTIONS, MOST OF THE POPULATION IS DISTRIBUTED IN TOWNSHIPS. POPULATION PROJECTIONS FORECAST MADISON COUNTY'S POPULATION TO INCREASE BY 10% TO THE YEAR 2030. THE CITY OF LONDON GREW BY 13% FROM 2000 TO 2010 AND THEREFORE COUNTY-LEVEL PROJECTIONS APPEAR TO BE REASONABLE ESTIMATES FOR LONDON AS WELL. LONDON CORRECTIONAL INSTITUTION AND MADISON CORRECTIONAL INSTITUTION ARE LOCATED IN MADISON COUNTY; PRISON INMATES ARE INCLUDED IN POPULATION COUNTS. MADISON COUNTY IS ALSO HOME TO THE OHIO PEACE OFFICER TRAINING ACADEMY (OPOTA) AND THE OHIO BUREAU OF CRIMINAL IDENTIFICATION & INVESTIGATION (BCI). PART VI, LINE 5: MADISON COUNTY COMMUNITY HOSPITAL (MCCH) HAS AN OPEN MEDICAL STAFF. ALL PHYSICIANS IN THE COMMUNITY WHO MEET MEMBERSHIP AND CLINICAL PRIVILEGE REQUIREMENTS MAY PRACTICE AT MCCH. WE CURRENTLY HAVE PHYSICIANS ON STAFF FROM VARIOUS LOCATIONS IN OUR COMMUNITY INCLUDING LONDON, WEST JEFFERSON, SPRINGFIELD, AND COLUMBUS.OUR BOARD OF TRUSTEES IS PRIMARILY COMPRISED OF COMMUNITY MEMBERS.MCCH IS THE ONLY HOSPITAL IN MADISON COUNTY. THE MCCH EMERGENCY DEPARTMENT IS STAFFED 24 HOURS A DAY, SEVEN DAYS A WEEK AND IS OPEN TO ALL PEOPLE REGARDLESS OF ABILITY TO PAY. THE NEAREST HOSPITAL TO MCCH IS ABOUT 20 MILES IN ALL DIRECTIONS. AS THE COMMUNITY'S SOLE PROVIDER, MCCH IS DEDICATED TO MAINTAINING SERVICES INCLUDING EMERGENCY CARE, MATERNITY CARE, AND BREAST CARE SERVICES. PART VI, LINE 6: MCCH IS A PART OF THE OSU/MOUNT CARMEL HEALTH ALLIANCE. SINCE 1999 THE ALLIANCE WITH THESE TWO SYSTEMS IS ALL ABOUT BUILDING BETTER HEALTH CARE IN MADISON COUNTY AND THE SURROUNDING COMMUNITIES. THROUGH THE ALLIANCE, WE CAN PROVIDE ADDITIONAL HEALTHCARE RESOURCES AND IMPROVED ACCESS TO SPECIALIZED MEDICAL SERVICES. PART VI, LINE 7, REPORTS FILED WITH STATES OH X X X X 1 0 0 0 0 0 0 0 0 MICHAEL S BROWNING - MCCH CFO (INTERIM MCCH CEO UNTIL 11/13) 238725 0 0 0 755 0 12034 0 3059 0 254573 0 0 0 BETH FORDYCE PHARMACY DIRECTOR 120380 0 0 0 1053 0 6277 0 34634 0 162344 0 0 0 DONALD HURA MD SURGEON 288054 0 0 0 0 0 0 0 1350 0 289404 0 0 0 FRED L KOLB FORMER MCCH CEO 0 0 0 0 299326 0 14965 0 25360 0 339651 0 0 0 PART I, LINE 4A FRED L. KOLB RECEIVED A SEVERANCE PAYMENT FORM 990, PART III, LINE 2 AT NOON, ON APRIL 1, 2013, MADISON COUNTY HOSPITAL, IN PARTNERSHIP WITH THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER, CHANGED TO A NEW ELECTRONIC MEDICAL RECORD SYSTEM. THE INTEGRATED HEALTH INFORMATION SYSTEM (IHIS) MAINTAINS ONE HEALTH RECORD FOR ALL OF A PATIENT'S INTERACTIONS WITH MCH. THE CHANGE ELIMINATES THE USE OF MULTIPLE PAPER CHARTS. INSTEAD, QUALIFIED STAFF MEMBERS USE A COMPUTER TO DOCUMENT A PATIENT'S HEALTH INFORMATION AND STORE IT IN A SINGLE LOCATION. THE SYSTEM ALSO ALLOWS THE PATIENT'S HEALTH INFORMATION TO EASILY TRANSFER TO THEIR PHYSICIAN'S OFFICE OR OTHER HEALTHCARE INSTITUTION. FORM 990, PART III, LINE 4A OUR VISION: OUR VISION IS TO BE THE HEALTH CARE PROVIDER OF CHOICE FOR THE PEOPLE WHO LIVE AND WORK IN MADISON COUNTY AND THE SURROUNDING AREA. OUR VALUES: RESPECT FOR PEOPLE. WE TREAT EVERYONE WITH KINDNESS AND RESPECT. STEWARDSHIP OF RESOURCES: WE MANAGE THE RESOURCES ENTRUSTED TO US IN A RESPONSIBLE AND EFFECTIVE MANNER. COMMITMENT TO EXCELLENCE WE CONTINUOUSLY STRIVE TO: - IMPROVE OUR PERFORMANCE IN ALL AREAS. - PROMOTE A CULTURE OF INTEGRITY AND HIGH ETHICAL STANDARDS. - MAINTAIN THE HIGHEST STANDARDS OF PATIENT CARE. - UNDERSTAND AND MEET THE HEALTH CARE NEEDS OF THE COMMUNITIES WE SERVE. MADISON COUNTY HOSPITAL PROVIDES SERVICE TO ALL PERSONS WITHOUT REGARD TO RACE, COLOR, NATIONAL ORIGIN, DISABILITY, DIAGNOSIS, AGE OR ABILITY TO PAY. SINCE OPENING IN 1962, OUR FAMILY-FRIENDLY SYSTEM HAS ENSURED THAT QUALITY HEALTH CARE IS AVAILABLE TO ALL WHO ENTER OUR DOORS. WHILE WE CONSTANTLY STRIVE TO IMPROVE OUR FACILITIES AND SERVICES, ONE GOAL REMAINS THE SAME: MADISON COUNTY HOSPITAL IS A COMMUNITY HOSPITAL WITH A COMMUNITY SPIRIT; A PLACE WHERE PATIENTS AND THEIR FAMILIES CAN COUNT ON PERSONAL CARE, CLOSE TO HOME. ABOUT MADISON COUNTY HOSPITAL: QUALITY CARE IS ABOUT MORE THAN THE SIZE OF A HOSPITAL. IT'S ABOUT CARING FOR PATIENTS WITH COMPETENCE, COMMITMENT, AND COMPASSION. AT MADISON COUNTY HOSPITAL, YOU WILL RECEIVE THE BEST POSSIBLE CARE FROM WELL-TRAINED PHYSICIANS AND EXPERIENCED, DEDICATED CAREGIVERS. OUR FACILITIES ALLOW FOR A COMFORTABLE STAY, WHETHER YOU ARE HERE FOR A FEW HOURS, A FEW DAYS, OR AN EXTENDED TIME. OUR STATE-OF-THE-ART EQUIPMENT, DIAGNOSTIC SERVICES, AND TREATMENT PROGRAMS HELP RESTORE YOU TO GOOD HEALTH IN THE SHORTEST TIME POSSIBLE. ON NOVEMBER 1, 1999, MADISON COUNTY HOSPITAL FORMED A UNIQUE AFFILIATION WITH THE OSU/MOUNT CARMEL HEALTH ALLIANCE, EXPANDING OUR RANGE OF SERVICES. THESE MEDICAL FAMILY TIES ALLOW US TO PROVIDE YOU EVEN MORE OF THE BEST QUALITY CARE, CLOSE TO HOME. OUR TEAM OF CAREGIVERS MANAGES MORE THAN 50,000 PATIENT VISITS EACH YEAR, PROVIDING A BROAD RANGE OF HEALTH SERVICES. THESE SERVICES INCLUDE EXTENSIVE INPATIENT AND OUTPATIENT PROGRAMS, COMPREHENSIVE WOMEN'S HEALTHCARE RESOURCES, UP-TO-DATE IMAGING TECHNOLOGIES, AND EMERGENCY CARE. AND IF THE SERVICES YOU NEED AREN'T AVAILABLE IN LONDON, YOU CAN STILL COUNT ON US TO MANAGE YOUR CARE THROUGH OUR QUALITY CONNECTIONS. BEYOND THE MEDICAL EXPERTISE WE PROVIDE, WE'RE ALSO PROUD TO BE PART OF THE COMMUNITY. YOU'LL SEE OUR PHYSICIANS SITTING NEXT TO YOU IN CHURCH, OUR NURSES SHOPPING AT THE GROCERY STORE, AND OUR STAFF MEMBERS PLAYING INTRAMURAL SOFTBALL. CARING FOR THE COMMUNITY IS OUR BUSINESS, AND THE ONLY WAY TO DO IT WELL IS TO DO IT RIGHT. CARDIOPULMONARY CARDIOLOGISTS AT MADISON COUNTY HOSPITAL OFFER AN ARRAY OF TESTS AND PROCEDURES TO MAKE SURE YOUR HEART IS HEALTHY AND TO FIND ANY POTENTIAL PROBLEMS BEFORE THEY BECOME LIFE THREATENING. OUR CARDIOLOGISTS PROVIDE CONSULTATIONS TO DETERMINE THE BEST CARE FOR YOU. CARDIOLOGY SERVICES INCLUDE: - ELECTROCARDIOGRAPHY (EKGS) - RHYTHM MONITORING - CARDIAC EVENT RECORDING - 24-HOUR HOLTER MONITORING - 24-HOUR AMBULATORY BLOOD PRESSURE MONITORING - CARDIAC STRESS TESTING - HEAD-UP TILT TABLE TESTING - SIGNAL AVERAGED EKGS - ECHOCARDIOGRAPHY WITH 2-D COLOR FLOW DOPPLER RESPIRATORY THERAPY RESPIRATORY THERAPY PROVIDES HELP FOR PATIENTS SUFFERING FROM MANY KINDS OF ILLNESSES AND INJURIES RELATED TO THE LUNGS INCLUDING PATIENTS SUFFERING FROM ASTHMA, BRONCHITIS, EMPHYSEMA, HEART FAILURE, PNEUMONIA, STROKE, SMOKE INHALATION, DROWNING, AND OTHER CONDITIONS. RESPIRATORY CARE INCLUDES DIAGNOSTIC EVALUATIONS TO FIND THE CAUSES OF BREATHING DISORDERS AND HOW TO CARE FOR THEM. OUR THERAPISTS ALSO PROVIDE EDUCATION TO INFORM PATIENTS HOW TO USE BREATHING APPARATUS AND OTHER TOOLS TO HELP IMPROVE THEIR QUALITY OF LIFE. SLEEP LAB A GOOD NIGHT'S REST CAN BE HARD TO ACHIEVE, ESPECIALLY FOR THE APPROXIMATELY 20 MILLION AMERICANS WHO SUFFER FROM SLEEP APNEA. SLEEP APNEA IS CHARACTERIZED BY BRIEF INTERRUPTION OF BREATHING DURING SLEEP. THE DISORDER IS A SERIOUS, POTENTIALLY LIFE-THREATENING CONDITION. FOR INDIVIDUALS WHO THINK THEY MIGHT HAVE SLEEP APNEA, THE MADISON COUNTY HOSPITAL SLEEP LAB IS HERE TO HELP. THE HOSPITAL SLEEP LAB TESTS FOR TWO TYPES OF SLEEP APNEA: CENTRAL APNEA, WHICH OCCURS IN ROUGHLY 20 PERCENT OF APNEA PATIENTS, AND OBSTRUCTIVE SLEEP APNEA, THE MORE COMMON OF THE TWO CONDITIONS. THE ONLY WAY TO DIAGNOSE SLEEP APNEA IS THROUGH A SPECIALIZED TEST KNOWN AS A POLYSOMNOGRAPHY OR SLEEP STUDY. THE TESTING PROCESS IS SIMPLE. ANYONE WHO SUSPECTS THEY HAVE SLEEP APNEA, OR HAS A BED PARTNER WHO HAS NOTICED SNORING AND BREATHING IRREGULARITIES, IS ASKED TO CONSULT THEIR PHYSICIAN. THE DOCTOR THEN REFERS THE PATIENT TO THE HOSPITAL FOR A SLEEP STUDY. ONCE THE REFERRAL IS MADE, A MEMBER OF THE SLEEP CENTER STAFF CONTACTS THE PATIENT BY PHONE TO CONDUCT A PRE-SLEEP STUDY QUESTIONNAIRE. THE STAFF MEMBER EXPLAINS WHAT TO EXPECT OF THE TEST, WHAT TO WEAR, AND ASKS IF THE PATIENT HAS SPECIAL REQUESTS. FOR INSTANCE, SOME INDIVIDUALS MAY WANT TO BRING THEIR PILLOW FROM HOME OR HAVE A RADIO OR FAN RUNNING WHILE THEY SLEEP. THE CENTER DOES ITS BEST TO SIMULATE THE PATIENT'S NORMAL SLEEPING ENVIRONMENT. THE TEST REQUIRES JUST ONE NIGHT OF SLEEP FROM THE PATIENT, COMPRISED OF SIX TO EIGHT HOURS. A TECHNICIAN MONITORS THE INDIVIDUAL FROM THE ROOM NEXT DOOR. IN THE MORNING, THE PATIENT IS RELEASED AND THE DATA COLLECTED THE NIGHT BEFORE IS INTERPRETED BY A PULMONOLOGIST OR NEUROLOGIST. THE RESULTS ARE SENT TO THE PATIENT'S PHYSICIAN, WHO THEN EXPLAINS TREATMENT OPTIONS SHOULD THE DIAGNOSIS BE CONFIRMED. FOR PATIENTS WITH CENTRAL APNEA, MEDICATION IS THE MOST OFTEN PRESCRIBED TREATMENT. FOR THOSE WITH OBSTRUCTIVE APNEA, MORE OPTIONS ARE AVAILABLE. WEIGHT LOSS COULD REDUCE THE FREQUENCY AND/OR INTENSITY OF THE EPISODES. ALSO, SURGERY CAN REMOVE SOFT TISSUE AT THE BACK OF THE THROAT THAT RESTRICTS NIGHT-TIME BREATHING. THE MOST COMMON METHOD OF TREATMENT IS A CONTINUOUS POSITIVE AIRWAY PRESSURE (CPAP) DEVICE. THE DEVICE IS THE SIZE OF A SMALL RADIO AND SITS ON THE BEDSIDE TABLE. THE PATIENT WEARS A MASK OVER THE NOSE CONNECTED TO THE CPAP BY A HOSE. THE MACHINE FORCES AIR INTO THE PATIENT TO KEEP THE THROAT'S SOFT TISSUE OPEN. THOUGH IT SOUNDS UNCOMFORTABLE, MOST PATIENTS ADAPT QUICKLY AND PREFER THE GOOD NIGHT'S SLEEP OVER ANY INCONVENIENCE THE CPAP MIGHT CAUSE. WELLNESS CENTER LIVING AND ENJOYING LIFE TO THE FULLEST ARE KEY COMPONENTS OF A HEALTHY LIFESTYLE. FITNESS IS A WAY OF LIFE THAT ALLOWS YOU TO FUNCTION AND PERFORM AT YOUR BEST. IT'S A HARMONIC BALANCE OF PRESCRIBED EXERCISE, EATING HABITS AND PREVENTATIVE HEALTH CARE. THE WELLNESS CENTER IS DESIGNED TO IMPROVE AEROBIC EFFICIENCY, MUSCULAR ENDURANCE AND BODY COMPOSITION THROUGH THE USE OF TREADMILLS, STATIONARY BIKES, A STAIR CLIMBER AND STRENGTH-TRAINING EQUIPMENT. ONCOLOGY/CHEMOTHERAPY MADISON COUNTY HOSPITAL HAS TEAMED UP WITH ONE OF THE NATION'S LEADING CANCER CARE PROVIDERS, THE OHIO STATE UNIVERSITY COMPREHENSIVE CANCER CENTER - ARTHUR G. JAMES CANCER HOSPITAL AND RICHARD J. SOLOVE RESEARCH INSTITUTE (OSUCCC - JAMES), TO PROVIDE MEDICAL ONCOLOGY SERVICES. BECAUSE OF THIS RELATIONSHIP, PATIENTS AT MADISON COUNTY HOSPITAL WILL HAVE ACCESS TO THE LATEST IN MEDICAL ONCOLOGY CARE, DELIVERED BY A CANCER EXPERT FROM THE JAMES, RIGHT HERE IN MADISON COUNTY. DR. SHABANA DEWANI, A BOARD CERTIFIED MEDICAL ONCOLOGIST FROM THE JAMES IN COLUMBUS IS CURRENTLY CARING FOR PATIENTS AT MADISON COUNTY HOSPITAL. DR. DEWANI IS AN EXPERT IN THE DIAGNOSIS, EVALUATION AND TREATMENT OF CANCERS AND HAS BEEN WITH THE JAMES SINCE 2013. SHE IS A CARING AND COMPASSIONATE PHYSICIAN DEDICATED TO SERVING HER PATIENTS AND HELPING CREATE A CANCER-FREE WORLD. PEDIATRIC REHABILITATION SERVICES YOUR CHILD IS IMPORTANT TO US. OUR PEDIATRIC REHABILITATION PROGRAM WANTS TO HELP YOUR CHILD ACHIEVE MAXIMUM INDEPENDENCE. OUR SPECIALIZED TEAM OF PHYSICAL, OCCUPATIONAL AND SPEECH THERAPISTS CAN HELP WITH A VARIETY OF NEUROLOGICAL, DEVELOPMENTAL AND REHABILITATIVE ISSUES SUCH AS: - ORTHOPEDIC INJURIES AND DISORDERS - DEVELOPMENTAL DELAYS - TORTICOLLIS (A CONDITION IN WHICH THE NECK IS IN A BENT POSITION) - AUTISM - SENSORY PROCESSING DISORDERS - LEARNING DISABILITIES (EXECUTIVE FUNCTION AND ADHD) - FEEDING ISSUES (PICKY EATERS OR THOSEWITH G-TUBES) - ABNORMAL GAIT - CEREBRAL PALSY FOR SOME CHILDREN, THERAPY IS NEEDED TO IMPROVE JOINT RANGE OF MOTION OR STRENGTHENING. FOR MANY PATIENTS, THERAPY INVOLVES WORKING ON DEVELOPMENTAL SKILLS, I.E. ROLLING, SITTING, CRAWLING, WALKING AND JUMPING. WE USE CREATIVE PLAY TO ENHANCE AN ATMOSPHERE OF FUN, MOTIVATING THE CHILD TO ACQUIRE THE SKILLS NEEDED TO IMPROVE OR ADAPT TO HIS OR HER ENVIRONMENT. OTHER THERAPEUTIC INTERVENTIONS INCLUDE SENSORY INTEGRATION THERAPY, AUGMENTATIVE COMMUNICATION AND ASSISTIVE TECHNOLOGY. ADULT OUTPATIENT REHABILITATION SERVICES OUTPATIENT REHABILITATION AT MADISON COUNTY HOSPITAL PROVIDES A WIDE RANGE OF SERVICES TO HELP YOU REGAIN YOUR HIGHEST LEVEL OF FUNCTION. WHETHER YOU ARE RECOVERING FROM AN INJURY OR ILLNESS, OR JUST NEED ASSISTANCE WITH THE CHALLENGES OF DAILY LIFE, OUR REHAB SERVICES TEAM WORKS WITH YOU TO MAXIMIZE YOUR ABILITIES. OCCUPATIONAL THERAPY THE GOAL OF OCCUPATIONAL THERAPY IS TO RESTORE FUNCTION TO THE BEST OF EACH PATIENT'S ABILITY. OCCUPATIONAL THERAPY ENABLES OUR PATIENTS TO GAIN SATISFACTION AND INDEPENDENCE BY PERFORMING ACTIVITIES OF DAILY LIVING - WORK, PLAY, OR SELF-CARE - FOR THEMSELVES. OUR DEDICATED TEAM OF PROFESSIONALS STRIVES TO HELP PATIENTS IMPROVE CIRCULATION, RESTORE MOTION, STRENGTHEN THEIR UPPER BODY, RELIEVE PAIN, AND CORRECT AND PREVENT DEFORMITY. OUR OCCUPATIONAL THERAPY STAFF CAN DESIGN CUSTOM SPLINTING, RECOMMEND ADAPTIVE EQUIPMENT, AND WORK TO RESTORE PSYCHOLOGICAL, PHYSICAL, AND COGNITIVE INDEPENDENCE. OUR OCCUPATIONAL THERAPY STAFF CAN HELP PATIENTS WITH VARIOUS CHALLENGES, GUIDING THEM THROUGH ACTIVITIES SUCH AS EXERCISE, SPLINTING, BATHING, DRESSING, AND COOKING. COMMON PROBLEMS TREATED WITH OCCUPATIONAL THERAPY: - CARPAL TUNNEL SYNDROME - STROKE - HAND INJURIES - BRAIN INJURIES - DEVELOPMENTAL DELAYS - SPLINT & ADAPTIVE EQUIPMENT NEEDS - ENERGY CONSERVATION/JOINT PROTECTION - NEUROLOGICAL IMPAIRMENTS - URINARY INCONTINENCE PHYSICAL THERAPY AND SPORTS MEDICINE PHYSICAL THERAPY PROMOTES HEALING AND ASSISTS PATIENTS TO REGAIN MOVEMENT, AND RESTORE FUNCTION TO AN INJURED BODY PART. OUR THERAPISTS ALSO AID IN REBUILDING A PATIENT'S CONFIDENCE AND RELIEVING PAIN AND DISCOMFORT WHILE WORKING TOWARD RECOVERY. COMMON PROBLEMS TREATED WITH PHYSICAL THERAPY: - ORTHOPEDIC INJURIES - SPORTS INJURIES - BACK INJURIES/PAIN - NECK PAIN/INJURIES - STROKE - NEUROLOGICAL IMPAIRMENTS - BALANCE DEFICITS - DEVELOPMENTAL DELAYS - PAIN DURING OR AFTER PREGNANCY TREATMENT MAY INCLUDE TECHNIQUES TO DECREASE PAIN AND SWELLING, AS WELL AS EXERCISES TO INCREASE STRENGTH AND MOBILITY. OTHER TREATMENTS INCLUDE THERAPEUTIC EXERCISE, PELVIC OR CERVICAL TRACTION, ELECTRICAL STIMULATION ULTRASOUND, WOUND CARE, GAIT TRAINING, MANUAL THERAPY, AND MASSAGE. OUR TREATMENT IS NOT ALL PHYSICAL. EDUCATION ON TOPICS LIKE JOINT PROTECTION, BACK SAFETY, BODY MECHANICS, POSTURE EDUCATION, AND HOME EXERCISE INSTRUCTION ALSO PLAY A ROLE IN THE RECOVERY PROCESS. OUR STAFF PLANS FOR THE NEEDS OF PATIENTS UPON DISCHARGE AND PROVIDES A CONTINUUM OF CARE. MADISON COUNTY HOSPITAL'S SPORTS MEDICINE PROGRAM PROVIDES CARE FOR ALL SPORTS RELATED INJURIES AND HELPS TO IMPROVE ATHLETIC PERFORMANCE. WHATEVER YOUR SPORT, HAVING THE MCH SPORTS MEDICINE STAFF ROOTING FOR YOU CAN HELP YOU MAKE THE MOST OF YOUR ATHLETIC ABILITIES. SPEECH THERAPY SPEECH THERAPY PROVIDES A WIDE RANGE OF SERVICES TO PATIENTS WHO EXHIBIT DIFFICULTY WITH COMMUNICATION OR SWALLOWING DUE TO A STROKE, BRAIN INJURY, PROGRESSIVE DISEASE, CANCER, VOCAL ABUSE OR MISUSE, DEVELOPMENTAL DELAYS OR MENTAL RETARDATION. WE PROVIDE SPEECH THERAPY SERVICES INCLUDING: - LANGUAGE - SWALLOWING EVALUATIONS - MODIFIED BARIUM SWALLOW STUDIES - COGNITION AND MEMORY WOMEN'S HEALTH WOMEN'S HEALTH ISSUES CAN BE WIDE-RANGING, CONFUSING AND SOMETIMES FRIGHTENING, WHICH IS WHY WE OFFER A LITTLE EXTRA TLC DURING YOUR VISIT. WHETHER YOU HAVE QUESTIONS ABOUT PREGNANCY, MAMMOGRAMS, OR MENOPAUSE, OUR STAFF OF WOMEN'S HEALTH EXPERTS WILL HELP YOU FIND THE ANSWERS. YOU ARE MORE THAN A PATIENT. YOU ARE OUR PARTNER IN CARING FOR YOUR BODY AND YOUR HEALTH. THROUGH COMMUNICATION BETWEEN YOU AND YOUR CAREGIVERS, OUR COMPASSIONATE MEDICAL TEAM FOSTERS A PARTNERSHIP DESIGNED TO HELP YOU TAKE CONTROL OF YOUR HEALTH. OBSTETRICS AND GYNECOLOGY AT OBSTETRICS & GYNECOLOGY OF LONDON, INC., CONVENIENTLY LOCATED AT 54 WEST HIGH STREET, WE RECOGNIZE THAT WOMEN'S HEALTH CARE NEEDS ARE SPECIAL AND COMPLEX. YOUR WELL-BEING IS THE MAIN FOCUS OF OUR MEDICAL PRACTICE. WOMEN EXPERIENCE MANY UNIQUE CHANGES THROUGHOUT LIFE WHICH AFFECT REPRODUCTIVE, SEXUAL, AND OVERALL GENERAL HEALTH. OUR STAFF WILL PROVIDE YOU WITH THE BEST HEALTH CARE AVAILABLE TO MANAGE THE CHANGING NEEDS OF YOUR BODY. WOMEN OF ALL AGES CAN EXPERIENCE THE FOLLOWING SERVICES IN THE MOST EASILY ACCESSIBLE, TECHNOLOGICALLY-ADVANCED MADISON COUNTY LOCATION FOR WOMEN'S HEALTH CARE: - ANNUAL EXAMS - OBSTETRICAL CARE - FAMILY PLANNING - INFERTILITY - ULTRASOUND - GYNECOLOGICAL SURGERY - PMS DISORDERS - MENOPAUSE - LASER SURGERY - URINARY INCONTINENCE - ADVANCED ENDOSCOPY - BONE DENSITOMETRY (SEE BELOW) - DIGITAL MAMMOGRAPHY (SEE BELOW) SERVICE CONDUCTED AT THE BATTELLE BREAST CARE CENTER LOCATED IN THE PARK AVENUE MEDICAL BUILDING. BONE DENSITOMETRY AND OSTEOPOROSIS OSTEOPOROSIS IS A POTENTIALLY CRIPPLING DISEASE CHARACTERIZED BY THE LOSS OF BONE TISSUE AND A SUSCEPTIBILITY TO FRACTURE. IT AFFLICTS AN ESTIMATED 25 MILLION AMERICANS, 80 PERCENT OF WHOM ARE WOMEN. OSTEOPOROSIS IS OFTEN CALLED THE "SILENT DISEASE" BECAUSE IT DOES NOT PRODUCE ANY SYMPTOMS UNTIL A FRACTURE OCCURS. APPROXIMATELY 50 PERCENT OF WOMEN OVER THE AGE OF 50 ARE AT RISK OF SUSTAINING AN OSTEOPOROTIC FRACTURE. TODAY, DOCTORS ARE BETTER EQUIPPED TO DETECT AND TREAT BONE LOSS IN ITS EARLIEST STAGES, SO AS TO PREVENT THE DISEASE OR LESSEN ITS IMPACT. ALSO, SEVERAL DRUG THERAPIES NOW ON THE MARKET HAVE BEEN SHOWN TO BE CLINICALLY EFFECTIVE IN SLOWING DOWN OR REVERSING THE BONE-LOSS PROCESS. JUST AS NO PHYSICIAN WOULD PRESCRIBE A MEDICATION FOR HYPERTENSION WITHOUT FIRST TAKING THE PATIENT'S BLOOD PRESSURE, THE DIAGNOSIS AND TREATMENT OF OSTEOPOROSIS SHOULD BEGIN WITH A MEASUREMENT OF THE PATIENT'S BONE MASS OR BONE DENSITY. BONE DENSITOMETRY USES AN ADVANCED TECHNOLOGY CALLED DUAL-ENERGY X-RAY ABSORPTIOMETRY (DXA) TO SAFELY, ACCURATELY, AND PAINLESSLY MEASURE BONE DENSITY AND THE MINERAL CONTENT OF BONE. DURING A COMPREHENSIVE BONE EVALUATION WITH DXA, THE PATIENT LIES COMFORTABLY STILL ON A PADDED TABLE WHILE THE DXA UNIT SCANS ONE OR MORE AREAS, USUALLY FRACTURE-PRONE AREAS SUCH AS THE SPINE OR HIP. RADIATION EXPOSURE DURING BONE DENSITOMETRY IS LESS THAN THE RADIATION EXPOSURE DURING A COAST-TO-COAST AIRLINE FLIGHT. THE ENTIRE PROCESS TAKES ONLY A FEW MINUTES TO COMPLETE, DEPENDING ON THE NUMBER OF SITES SCANNED. IT INVOLVES NO INJECTIONS OR INVASIVE PROCEDURES, AND PATIENTS REMAIN FULLY CLOTHED. A REPORT WILL BE SENT TO YOUR DOCTOR THAT CONSISTS OF YOUR DENSITY MEASUREMENTS AND RECOMMENDATIONS FOR TREATMENT OR PREVENTION OF OSTEOPOROSIS AND BONE LOSS. DIGITAL MAMMOGRAPHY AT THE BATTELLE BREAST CARE CENTER STATISTICS SHOW THAT ONE OUT OF EVERY EIGHT WOMEN WILL GET BREAST CANCER SOMETIME IN HER LIFETIME. THAT IS WHY DOING EVERYTHING YOU CAN TO DETECT PROBLEMS EARLY IS SO IMPORTANT. WIDESPREAD USE OF REGULAR SCREENING MAMMOGRAPHY HAS CONTRIBUTED TO RECENT IMPROVEMENTS IN THE BREAST CANCER SURVIVAL RATE. THE SUCCESS RATE FOR TREATING BREAST CANCER IS 98 PERCENT IF THE DISEASE IS CAUGHT IN ITS EARLIEST STAGE. THE GE HEALTHCARE SENOGRAPHE DIGITAL MAMMOGRAPHY SYSTEM PROVIDES PHYSICIANS WITH CLEAR AND PRECISE ALL-DIGITAL IMAGES, RATHER THAN IMAGES ON X-RAY FILM. THERE ARE MANY ADVANTAGES TO A DIGITAL SYSTEM. AS OPPOSED TO X-RAYS, THE IMAGES ARE CLEAR AND EASY TO READ. DIGITAL MAMMOGRAPHY OFFERS A BETTER VIEW OF THE BREAST, ESPECIALLY NEAR THE SKIN LINE, CHEST WALL AND IN WOMEN WITH DIVERSE BREAST TISSUE TYPES. THE DIGITAL IMAGE IS READY TO READ WITHIN 10 SECONDS THERE IS NO LONGER A WAIT FOR FILMS TO BE DEVELOPED TO BE SURE THE IMAGES ARE USABLE. DIGITAL MAMMOGRAMS TAKE AS LITTLE AS HALF THE TIME OF TRADITIONAL FILM MAMMOGRAMS. IF A SECOND OPINION IS NEEDED, THE IMAGE CAN BE SENT ELECTRONICALLY TO A CONSULTING PHYSICIAN VIRTUALLY INSTANTANEOUSLY. MAMMOGRAMS ARE RECOMMENDED ANNUALLY FOR WOMEN ABOVE THE AGE OF 40 AND SOMETIMES FOR WOMEN YOUNGER THAN 40 WHO HAVE HIGH RISK FACTORS, SUCH AS A FAMILY HISTORY OF BREAST CANCER. THE HIGHEST INSTANCES OF BREAST CANCER OCCUR IN WOMEN OVER 50, BUT THE TYPES OF CANCERS THAT OCCUR IN THE OLDER AGE GROUPS ARE USUALLY SLOWER GROWING, SO THE SURVIVAL RATE AMONG THESE WOMEN IS GREATER, ESPECIALLY WHEN CAUGHT EARLY. EMERGENCY DEPARTMENT SERVICES THE MADISON COUNTY HOSPITAL EMERGENCY DEPARTMENT, STAFFED BY A QUALIFIED, CARING TEAM OF PHYSICIANS AND NURSES, IS AVAILABLE 24 HOURS A DAY, SEVEN DAYS A WEEK, TO PROVIDE YOU URGENT MEDICAL ATTENTION. OUR MEDICAL TEAM IS LINKED WITH THE PRIMARY LEVEL I TRAUMA CENTER IN CENTRAL OHIO THROUGH OUR AFFILIATION WITH THE OSU/MOUNT CARMEL HEALTH ALLIANCE. IF YOUR HEALTH SITUATION REQUIRES ADVANCED SPECIALIZED CARE, OUR MEDICAL TEAM CAN STABILIZE YOUR CONDITION FOR A SAFE AIR OR GROUND TRANSPORT BY MED FLIGHT OF OHIO. VISITING OUR EMERGENCY DEPARTMENT PRIOR TO SUCH A TRANSFER ENSURES YOUR SAFEST AND QUICKEST RECOVERY. NEW TECHNOLOGY IN THE EMERGENCY DEPARTMENT IS MAKING OUR STROKE RESPONSE FASTER AND MORE ACCURATE. IN JULY 2012, MADISON COUNTY HOSPITAL LAUNCHED A TELESTROKE PROGRAM THAT ALLOWED EMERGENCY DEPARTMENT STAFF TO CONSULT BY INTERACTIVE VIDEO WITH NEUROSURGEONS AT THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER. WE ARE ONE OF APPROXIMATELY 14 OHIO HOSPITALS TAKING PART IN THE PROGRAM. ALSO, ON DECEMBER 11, 2013, MADISON COUNTY HOSPITAL BECAME THE FIRST REMOTE TELEBURN CONSULT FOR THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER. TELEBURN IS ADVANCED TECHNOLOGY THAT ALLOWS PHYSICIANS TO EXAMINE PATIENTS OFF-SITE. IF A PATIENT COMES IN TO THE EMERGENCY ROOM WITH A BURN OF ANY KIND, A MOBILE DEVICE ALLOWS BURN SPECIALISTS TO SEE THE INJURY. AT THAT POINT, THE SPECIALIST CAN DECIDE IF TREATMENT CAN TAKE PLACE AT MCH OR IF THEY REQUIRE SPECIALTY CARE AT A BURN CLINIC. OUR EMERGENCY DEPARTMENT OFFERS 11 BEDS IN OUR STATE-OF-THE-ART FACILITY. MEDICAL DIRECTOR JORNEL RIVERA, D.O., WAS NAMED PREMIER MEDICAL CARE'S 2000 EMERGENCY PHYSICIAN OF THE YEAR. PREMIER IS A PRIVATE COMPANY THAT MANAGES AND STAFFS EMERGENCY DEPARTMENTS ACROSS THE UNITED STATES. OTHER PATIENT SERVICES: DIABETIC SERVICES DIABETES IS A CHRONIC DISORDER THAT AFFECTS MILLIONS OF AMERICANS WITH VARYING DEGREES OF SEVERITY. THE POTENTIAL FOR SERIOUS COMPLICATIONS EXISTS IF GOOD BLOOD SUGAR CONTROL IS NOT MAINTAINED. THE DIABETIC RESOURCE STAFF AT MCH WORKS WITH PATIENTS TO INFORM THEM OF WAYS TO MAINTAIN THEIR HEALTH AND AVOID THE COMPLICATIONS ASSOCIATED WITH DIABETES. DIETITIAN WHETHER RECOVERING FROM AN INJURY OR ILLNESS OR LOOKING TO IMPROVE YOUR QUALITY OF LIFE, MADISON COUNTY HOSPITAL WOULD LIKE TO HELP YOU GET BACK ON THE ROAD TO A HEALTHY LIFESTYLE. GOOD NUTRITION IS AN IMPORTANT PART OF THAT JOURNEY. WITH THE HELP OF OUR REGISTERED DIETITIAN, WE'LL HELP YOU DEVELOP A DIETARY PROGRAM THAT ACCOMPLISHES YOUR GOALS - FROM WEIGHT LOSS, WEIGHT GAIN, OR THE NUTRITIONAL MANAGEMENT OF MEDICAL CONDITIONS LIKE DIABETES OR HEART DISEASE. HOME DELIVERED MEALS (MEALS ON WHEELS) MADISON COUNTY HOSPITAL AND LIFE CARE ALLIANCE HAVE PARTNERED TO PROVIDE MEALS ON WHEELS SERVICES THROUGHOUT MADISON COUNTY. THE MEALS-ON-WHEELS PROGRAM PROVIDES HOME-DELIVERED MEALS FOR PEOPLE OVER THE AGE OF 60 WHO ARE UNABLE TO PREPARE HOT NUTRITIOUS MEALS FOR THEMSELVES. VOLUNTEERS DELIVER MEALS MONDAY THROUGH FRIDAY. THOSE WHO QUALIFY FOR THE PROGRAM MAY CHOOSE TO ENROLL IN THE HOME-DELIVERED MEAL PROGRAM, OR DINE AT CONGREGATE SITES IN SOUTH SOLON, WEST JEFFERSON, OR MOUNT STERLING. IF YOU OR SOMEONE YOU KNOW COULD BENEFIT FROM THE MEALS ON WHEELS PROGRAM OR IF YOU WOULD LIKE MORE INFORMATION ON BECOMING A VOLUNTEER, PLEASE CALL (740) 845-7325. LABORATORY MANY OF MADISON COUNTY HOSPITAL'S LABORATORY TESTS ARE COMPLETED HERE IN OUR OWN HOSPITAL LABORATORY. THE MAIN HOSPITAL LABORATORY IS STAFFED 24 HOURS A DAY/7 DAYS A WEEK WITH NO APPOINTMENT NECESSARY FOR OUTPATIENT LABORATORY WORK. INSURANCE IS ACCEPTED. THE OUTPATIENT LAB IS LOCATED IN THE PARK AVENUE MEDICAL BUILDING AND IS OPEN FROM 7 AM UNTIL 5 PM ON WEEKDAYS. THE MCH LAB CAN PERFORM LABORATORY WORK ORDERED BY ANY PHYSICIAN, NOT JUST THOSE ON MCH STAFF. IN COLLABORATION WITH OCCUPATIONAL HEALTH, THE LABORATORY PROVIDES A VARIETY OF OCCUPATIONAL DRUG SCREENING CHOICES INCLUDING TESTING, ACTING AS A COLLECTION SITE, BREATH ALCOHOL TESTING AND PROVIDING MRO SERVICES, IF NECESSARY. OCCUPATIONAL HEALTH MADISON COUNTY HOSPITAL OCCUPATIONAL HEALTH SERVICES WORKS WITH MANY LOCAL EMPLOYERS AND PROVIDES SERVICES SUCH AS DRUG SCREENS, EMPLOYEE PHYSICALS, HEALTH EDUCATION AND TREATMENT OF WORK-RELATED INJURIES. WE ALSO COORDINATE SERVICES FOR INJURED EMPLOYEES AND MANAGE THE FOLLOW-UP REQUIRED ON WORKERS' COMPENSATION CASES. WE WORK CLOSELY WITH THE MCH STAFF IN OUR LABORATORY, AND PHYSICAL AND OCCUPATIONAL THERAPY DEPARTMENT TO PROVIDE THE NECESSARY TREATMENT. OTHER SERVICES THAT WE CAN PROVIDE INCLUDE: - REFERRALS FOR SPECIALTY EVALUATIONS - RETURN TO WORK INSTRUCTIONS - ON-SITE CONSULTATIONS AND SERVICES - IMMUNIZATIONS - COMPLETE LABORATORY SERVICES - PULMONARY FUNCTION TESTING - RESPIRATORY CLEARANCE EXAMINATIONS - DOT EXAMINATIONS - BREATH ALCOHOL TESTING PATIENT CARE UNITS MADISON COUNTY HOSPITAL PROVIDES PATIENT UNITS DEDICATED TO SPECIFIC CARE NEEDS. OUR INPATIENT CARE UNIT SERVES PATIENTS WHO ARE BEING TREATED FOR ILLNESSES AND INJURIES THAT REQUIRE CONSTANT CARE. OUR MATERNITY UNIT PROVIDES CARE FOR NEW FAMILIES IN A NON-INVASIVE, FAMILY FRIENDLY ATMOSPHERE. OUR INTENSIVE CARE UNIT PROVIDES CARE TO PATIENTS WHO REQUIRE ACUTE SERVICES. OUR TEAM OF DOCTORS AND NURSES PROVIDE CONSTANT CARE TO STABILIZE AND IMPROVE THE PATIENT'S CONDITION. RADIOLOGY MADISON COUNTY HOSPITAL'S RADIOLOGY DEPARTMENT OFFERS A WIDE RANGE OF SERVICES, INCLUDING SPECIALTY SERVICES. WE PROVIDE DIAGNOSTIC OUTPATIENT, INPATIENT, AND EMERGENCY ROOM X-RAYS, INCLUDING FLUOROSCOPIC PROCEDURES SUCH AS UPPER GI'S AND BARIUM ENEMAS. UROLOGICAL PROCEDURES SUCH AS AN IVP OR KIDNEY X-RAYS CAN ALSO BE PERFORMED. OUR SPECIALTY SERVICES INCLUDE: CT SCAN, ULTRASOUND, NUCLEAR MEDICINE, DIGITAL MAMMOGRAPHY, BONE DENSITOMETRY, MRI, AND BREAST MRI. SOCIAL SERVICES MEDICAL SOCIAL WORKERS ARE ASSIGNED TO EACH PATIENT CARE AREA AND ARE TRAINED TO HELP PATIENTS AND FAMILY MEMBERS DEAL WITH FINANCIAL, SOCIAL AND EMOTIONAL PROBLEMS THAT RELATE TO A PATIENT'S ILLNESS OR HOSPITALIZATION. MEMBERS OF THE DEPARTMENT WORK WITH PATIENTS AND FAMILIES TO HELP DEAL WITH LONG-TERM ILLNESSES AND REHABILITATION. THEY ARE ALSO INVOLVED IN THE DISCHARGE PLANNING PROCESS. ULTRASOUND ULTRASOUND IS A TECHNIQUE BY WHICH SOUND WAVES ARE BOUNCED INTO YOUR BODY, AND THEIR REFLECTIONS CAPTURED BY A MACHINE, TRANSFORMING THEM INTO AN IMAGE. ULTRASOUND DOES NOT INVOLVE RADIATION AND DOES NOT USE DYES THAT NEED TO BE INJECTED OR SWALLOWED. ULTRASOUND TESTS ARE USED IN DIAGNOSING AND TREATING A VARIETY OF HEALTH ISSUES, INCLUDING HEART CONDITIONS, MUSCLE PAIN, ABDOMINAL CONDITIONS, THYROID CONDITIONS, PREGNANCY, AND MANY OTHERS. VASCULAR LABORATORY THE VASCULAR LABORATORY CONDUCTS TESTS RELATED TO ARTERY AND VEIN CONDITIONS. TESTS CAN BE CONDUCTED TO DETERMINE IF OBSTRUCTIONS OF THE VEINS OR ARTERIES EXIST. THESE TESTS ARE USED TO DIAGNOSE ANEURYSMS AND DISEASES OF THE ARTERIES. THE VASCULAR LAB ALSO HAS COLOR FLOW DUPLEX IMAGING (CDI) TECHNOLOGY. CDI IS USED TO EVALUATE VEINS FOR USE AS A GRAFT, OR TO DIAGNOSE VARICOSE VEINS AND VALVULAR INCOMPETENCY. SURGERY WE ALL GET A LITTLE NERVOUS WHEN FACED WITH SURGERY. BUT YOU CAN HAVE CONFIDENCE THAT THE SURGICAL TEAMS AT MADISON COUNTY HOSPITAL MEET THE HIGHEST STANDARDS AND ARE COMMITTED TO EXCELLENCE. THE HOSPITAL'S HUX SURGERY CENTER FEATURES THREE STATE-OF-THE-ART SURGICAL SUITES THAT CAN ACCOMMODATE ALL TYPES OF SURGERIES, INCLUDING TOTAL JOINT REPLACEMENT. OUR SURGEONS USE THE LATEST LASER AND MICROSURGICAL INSTRUMENTS, AND PATIENTS RECOVER IN OUR COMFORTABLE RECOVERY ROOM. WITH NEW TECHNOLOGICAL ADVANCES IN SURGICAL PROCEDURES, MANY OPERATIONS THAT USED TO REQUIRE A STAY IN THE HOSPITAL CAN NOW BE DONE ON AN OUTPATIENT BASIS. WHEN SURGERY IS A CHOICE YOU HAVE TO MAKE, YOU CAN BE ASSURED THAT THE SURGERY CENTER AT MADISON COUNTY HOSPITAL PROVIDES THE MOST ADVANCED TREATMENTS AND TECHNOLOGY AVAILABLE ANYWHERE AND THE BEST CARE FOR YOU, CLOSE TO HOME. SURGICAL SPECIALTIES MADISON COUNTY HOSPITAL HAS AN OUTSTANDING GROUP OF SURGEONS WHO SPECIALIZE IN THE FIELDS OF: - BREAST SURGERY - COSMETIC & RECONSTRUCTIVE - EAR, NOSE & THROAT - EGD/COLONOSCOPY - GENERAL SURGERY - OBSTETRICS & GYNECOLOGY - ORTHOPEDICS - OPHTHALMOLOGY - PAIN MANAGEMENT - PODIATRY - UROLOGY UROLOGY UROLOGY IS A SURGICAL SPECIALTY THAT DEALS WITH DISEASES OF THE MALE AND FEMALE URINARY TRACT AND THE MALE REPRODUCTIVE ORGANS. ALTHOUGH UROLOGY IS CLASSIFIED AS A SURGICAL SPECIALTY, THE UROLOGIST, BECAUSE OF THE WIDE VARIETY OF CLINICAL PROBLEMS ENCOUNTERED, REQUIRES KNOWLEDGE OF INTERNAL MEDICINE, PEDIATRICS, GYNECOLOGY, AND OTHER SPECIALTIES. ONE OF THE LATEST INNOVATIONS IN THE TREATMENT OF KIDNEY STONES IS AVAILABLE AT MADISON COUNTY HOSPITAL. HOLMIUM LASER LITHOTRIPSY IS THE MOST COST AND TIME EFFICIENT METHOD OF DEFINITIVE TREATMENT FOR PATIENTS WITH STONES IN THEIR KIDNEYS OR GREETERS. THE PROCEDURE USES A LASER TO BREAK THE STONE INTO DUST-LIKE GRANULES OF SAND. THE OUTPATIENT PROCEDURE LASTS FROM ABOUT 30 MINUTES TO TWO HOURS, DEPENDING ON THE SIZE AND LOCATION OF THE STONE AND RECOVERY TIME IS MINIMAL. THE HOLMIUM LASER PROCEDURE AND THE RANGE OF UROLOGY SERVICES AT MADISON COUNTY HOSPITAL MEANS PATIENTS RECEIVE THE MOST ADVANCED TREATMENT AND TECHNOLOGY AVAILABLE ANYWHERE. OTHER UROLOGY TREATMENTS AVAILABLE AT MADISON COUNTY HOSPITAL INCLUDE: - PEDIATRIC UROLOGY - UROLOGIC ONCOLOGY (CANCER) - PROSTATE CONDITIONS - MALE INFERTILITY - CALCULI (URINARY TRACT STONES) - FEMALE UROLOGY (URINARY INCONTINENCE AND PELVIC OUTLET RELAXATION DISORDERS) - NEUROUROLOGY (VOIDING DISORDERS, URODYNAMIC EVALUATION OF PATIENTS, AND ERECTILE DYSFUNCTION OR IMPOTENCE). THE SPECIALTY OF UROLOGY IS CONSTANTLY CHANGING. AS ADVANCES ARE MADE IN THE TREATMENT OF UROLOGIC CONDITIONS, MADISON COUNTY HOSPITAL WILL BE AMONG THE FIRST TO MAKE THESE NEW TREATMENTS AVAILABLE TO ITS PATIENTS. OPHTHALMOLOGY MADISON COUNTY HOSPITAL'S TEAM OF EYE CARE SURGEONS PROVIDES SURGICAL CARE TO CORRECT AN ARRAY OF VISION PROBLEMS. MOST CATARACT AND OTHER EYE SURGERIES CAN BE DONE ON AN OUTPATIENT BASIS. SURGERIES OF THE EYE INCLUDE: - CATARACT/IMPLANT SURGERY - GLAUCOMA SURGERY - REFRACTIVE/LASER SURGERY ORTHOPEDICS AND TOTAL JOINT REPLACEMENTS MADISON COUNTY HOSPITAL'S TEAM OF ORTHOPEDIC SURGEONS PROVIDES JOINT REPLACEMENT AND OTHER ORTHOPEDIC RELATED SURGERY CARE. THESE SURGERIES INCLUDE A FULL RANGE OF HIP REPLACEMENTS, KNEE REPLACEMENTS, AND SURGERIES RELATED TO MINOR OR MODERATE TRAUMA AND REPETITIVE WORK INJURIES. OUR NEW SURGICAL SUITES PROVIDE A FACILITY SPECIFIC FOR ORTHOPEDIC AND JOINT REPLACEMENT PROCEDURES. AFTER SURGERY, PATIENTS CAN STAY RIGHT HERE AT MCH TO TAKE ADVANTAGE OF OUR OUTSTANDING PHYSICAL THERAPY SERVICES. THERE IS NO NEED TO TRAVEL TO RECEIVE FOLLOW UP CARE. OUR COMPLETE OUTPATIENT REHAB SERVICES WILL GET YOU MOVING AGAIN AS QUICKLY AS POSSIBLE. ENDOSCOPY PROCEDURES ENDOSCOPY PROCEDURES CAN BE COMPLETED ON AN INPATIENT OR OUTPATIENT BASIS, DEPENDING ON THE DIAGNOSIS OR TREATMENT NEEDED. PROCEDURES PERFORMED IN OUR TWO NEWLY-REMODELED ENDOSCOPY ROOMS INCLUDE: - CYSTOSCOPY TO DIAGNOSE DISEASES OF THE BLADDER AND URETHRA - SYGMOIDOSCOPY AND COLONOSCOPY TO DIAGNOSE AND TREAT DISEASES OF THE COLON - ESOPHOGOGASTRODUODENOSCOPY (EGD) TO DIAGNOSE DISEASES OF THE STOMACH, ESOPHAGUS AND SMALL INTESTINE - BRONCHOSCOPY TO DIAGNOSE DISEASES OF THE TRACHEA AND LUNGS OTHER MINOR SURGICAL PROCEDURES ARE COMPLETED USING ENDOSCOPY, INCLUDING THE EXCISION OF LESIONS AND SKIN BIOPSIES. MATERNITY: THE MATERNITY CENTER BEING A MOTHER STARTS LONG BEFORE YOUR BABY IS BORN. YOU'VE GOT LOTS OF DECISIONS TO MAKE, LIKE YOUR BABY'S NAME OR WHAT COLOR TO PAINT THE NURSERY. THE MATERNITY CENTER AT MADISON COUNTY HOSPITAL CAN HELP YOU WITH THE ONE CHOICE YOU CAN'T AFFORD NOT TO MAKE: HAVING THE BEST CARE POSSIBLE. YOUR BABY DESERVES THE BEST OF EVERYTHING, AND THE RIGHT PRENATAL CARE CAN MAKE ALL THE DIFFERENCE IN THE WORLD. AT THE MATERNITY CENTER, YOU CAN CONCENTRATE ON THE EXCITEMENT OF YOUR PREGNANCY, KNOWING YOU AND YOUR NEW BABY ARE IN THE BEST OF HANDS. EXPERIENCE THE JOY OF CHILDBIRTH, FROM LABOR AND DELIVERY TO RECOVERY AND POST-PARTUM, IN ONE OF OUR THREE BEAUTIFULLY DECORATED BIRTHING SUITES. THESE LARGE, ATTRACTIVE ROOMS OFFER PRIVATE BATHS, SHOWERS, AND OVERNIGHT ACCOMMODATIONS FOR A LOVED ONE. THE MATERNITY CENTER AT MADISON COUNTY HOSPITAL OFFERS: - PERSONAL TOURS - CHILDBIRTH EDUCATION - INFANT CARE EDUCATION - KANGAROO CARE - UNIVERSAL HEARING TESTS - PRENATAL NUTRITIONAL COUNSELING IN 2014, MADISON COUNTY HOSPITAL'S COMMITMENT TO ENHANCE OBSTETRIC SERVICES LED TO MEMBERSHIP IN THE NEONATAL AMBASSADOR PROGRAM, PART OF A LARGER OUTREACH PROGRAM AT NATIONWIDE CHILDREN'S HOSPITAL. THE NEONATAL AMBASSADOR PROGRAM WILL EXPAND EDUCATION, CASE REVIEWS AND PROGRAM DEVELOPMENT FOR ALL STAFF WHO ARE RESPONSIBLE FOR NEWBORN CARE, INCLUDING ANCILLARY NEONATAL SERVICES SUCH AS LABORATORY AND RESPIRATORY SERVICES. LET US HELP YOU WELCOME YOUR LITTLE MIRACLE TO OUR LITTLE CORNER OF THE WORLD, RIGHT HERE IN MADISON COUNTY. PRENATAL CLINIC THE PRENATAL CLINIC IS PART OF OBSTETRICS & GYNECOLOGY OF LONDON, INC. AND HELPS PROVIDE CARE TO WOMEN WHO WOULD OTHERWISE BE UNABLE TO PAY FOR PRENATAL CARE. DR. MITCHELL SPAHN AND DR. JENNIFER POWELL, BOARD CERTIFIED OB/GYNS, ALONG WITH THEIR CARING STAFF OF PROFESSIONALS, PROVIDE OBSTETRICAL CARE FOR PATIENTS. THE CLINIC PROVIDES PRENATAL CARE AND COUNSELING SERVICES CHARGED ON A SLIDING FEE SCALE. SOME SERVICES, INCLUDING FREE PREGNANCY TESTS, ARE PROVIDED AT MADISON COUNTY HOSPITAL. A CLINIC EDUCATOR ANSWERS QUESTIONS AND EDUCATES FUTURE MOTHERS ABOUT WHAT TO EXPECT DURING PREGNANCY, BODY CHANGES, AND OTHER ISSUES RELATED TO PRENATAL CARE. PATIENTS HAVE UNLIMITED ACCESS DURING PREGNANCY TO A DIETICIAN AND LICENSED SOCIAL WORKER SPECIALIZING IN PRENATAL CARE. CLINIC STAFF CAN ALSO MAKE REFERRALS IF NECESSARY. COMMUNITY OUTREACH: AUXILIARY THE MADISON COUNTY HOSPITAL AUXILIARY IS MADE UP OF DEDICATED VOLUNTEERS WHO ORGANIZE SPECIAL FUND-RAISING ACTIVITIES TO BENEFIT THE HOSPITAL. SINCE THE HOSPITAL OPENED IN 1962, AUXILIANS HAVE PROVIDED THE HOSPITAL WITH ALMOST ONE MILLION DOLLARS IN CHARITABLE GIFTS AND PLEDGES TO USE FOR CAPITAL PROJECTS. AUXILIARY MEMBERS MEET THE SECOND MONDAY OF EVERY MONTH TO PLAN EVENTS AND PARTICIPATE IN EDUCATIONAL PROGRAMS. IF YOU ENJOY SPECIAL EVENTS AND FUND RAISING ACTIVITIES, THE MCH AUXILIARY MIGHT BE RIGHT PLACE FOR YOU! MEMBERS VOLUNTEER THEIR SKILLS TO HELP WITH ANY ONE OF THE AUXILIARY'S ANNUAL PROJECTS: - COUNTY WIDE BAKE SALE - FLOWER SALES - STYLE SHOW - GIFT SHOP AT MADISON COUNTY HOSPITAL, EVERY VOLUNTEER IS AN IMPORTANT PART OF OUR HOSPITAL FAMILY. WE ENCOURAGE YOU TO JOIN US! BREAST CANCER ENDOWMENT MADISON COUNTY HOSPITAL IS COMMITTED TO PROVIDING ALL WOMEN IN MADISON COUNTY RESOURCES FOR BREAST CARE SERVICES. AN ENDOWMENT FUND HAS BEEN ESTABLISHED THROUGH THE MCH FOUNDATION TO ASSIST WOMEN IN OUR COMMUNITY WHO CANNOT AFFORD BREAST CANCER DIAGNOSTICS OR TREATMENT SERVICES. FOR MORE INFORMATION, PLEASE CONTACT OUR BREAST CARE SPECIALIST AT THE BATTELLE BREAST CARE CENTER AT 740.845.7884. CURE YOUR FEARS THE LEADING CAUSE OF DEATH FOR WOMEN BETWEEN THE AGES OF 35 AND 55 IS BREAST CANCER. MADISON COUNTY HAS THE SECOND HIGHEST BREAST CANCER DEATH RATE IN OHIO AND THE HIGHEST PERCENTAGE OF LATE STAGE DIAGNOSIS. IN AN EFFORT TO GET MORE RESIDENTS SCREENED AND TREATED, THE MADISON COUNTY HOSPITAL FOUNDATION WORKS WITH THE COLUMBUS AFFILIATE OF THE SUSAN G. KOMEN FOR THE CURE. TOGETHER WE PROVIDE BREAST CANCER SCREENING, TREATMENT, AND EDUCATIONAL SERVICES FOR RESIDENTS IN MADISON COUNTY. SERVICES ARE AVAILABLE, OF LITTLE TO NO EXPENSE FOR PATIENTS, TO ASSIST WITH SCREENING AND TREATMENT COSTS, EVEN IF YOU HAVE INSURANCE. BREAST CARE CLINICS PROVIDE MAMMOGRAMS AND CLINICAL BREAST EXAMS AT NO OUT-OF-POCKET COST. CLINIC APPOINTMENTS ARE AVAILABLE TO ANY WOMAN, WHETHER SHE IS UNINSURED OR HAS INSURANCE BUT CANNOT AFFORD HER CO-PAY OR DEDUCTIBLE. TO MAKE AN APPOINTMENT CALL 740.845.7100 AND REFER TO THE "BREAST CARE CLINIC." FREE CLINIC THE FREE CLINIC IS CREATED FROM COLLABORATION WITH MINISTRY FOR COMMUNITY, MADISON COUNTY HEALTH PARTNERS, AND MADISON COUNTY HOSPITAL TO PROVIDE HEALTH CARE TO LOW INCOME, UNINSURED RESIDENTS OF MADISON COUNTY. VOLUNTEER PHYSICIANS, NURSES, AND CLERGY SEE PATIENTS ON MONDAY NIGHTS AT THE FREE CLINIC BUILDING, TO THE NORTH OF THE HOSPITAL. PLEASE CALL 740.845.7286 FOR MORE INFORMATION ON: - WHO QUALIFIES AND THE SERVICES PROVIDED - SCHEDULING APPOINTMENTS - VOLUNTEERING WITH THE FREE CLINIC VOLUNTEER OPPORTUNITIES MADISON COUNTY HOSPITAL BENEFITS TREMENDOUSLY FROM HAVING VOLUNTEERS THROUGHOUT THE HOSPITAL, DOING EVERYTHING FROM GREETING PATIENTS TO MANAGING EDIE'S PLACE, THE MADISON COUNTY HOSPITAL GIFT SHOP. VOLUNTEERS SUPPORT ALMOST EVERY DEPARTMENT IN THE HOSPITAL. OPPORTUNITIES INCLUDE: - GREETING PATIENTS AND ANSWERING QUESTIONS AT THE FRONT DESK - DELIVERING MAIL AND FLOWERS TO PATIENTS - GREETING AND ASSISTING PATIENTS IN THE EMERGENCY ROOM - STAFFING EDIE'S PLACE, THE HOSPITAL GIFT SHOP FOR MORE INFORMATION ON VOLUNTEER OPPORTUNITIES, PLEASE CALL 740.845.7012 EMERGENCY PREPAREDNESS MADISON COUNTY HOSPITAL IS AN INTEGRAL PARTNER IN COMMUNITY AND REGIONAL EMERGENCY PLANNING. THE HOSPITAL PARTICIPATES IN THE CENTRAL OHIO TRAUMA SYSTEM'S REGIONAL HOSPITAL EMERGENCY PLANNING COMMITTEE AS WELL AS THE LOCAL EMERGENCY PLANNING COMMITTEE. EXERCISES ARE PERFORMED IN COOPERATION WITH LOCAL FIRE, EMS AND LAW ENFORCEMENT AGENCIES. THE HOSPITAL ALSO PARTICIPATES IN REGIONAL EMERGENCY PREPAREDNESS DRILLS. MADISON COUNTY HOSPITAL STOCKPILES DISASTER SUPPLIES AND EQUIPMENT INCLUDING A THREE LANE DECONTAMINATION SHELTER. CPR CLASSES CPR CLASSES AVAILABLE THROUGH MADISON COUNTY HOSPITAL INCLUDE: - BASIC LIFE SUPPORT FOR HEALTH CARE PROVIDERS - CPR PROGRAM FOR HEALTH CARE PROFESSIONALS - HEART SAVER CPR PROGRAM FOR COMMUNITY GROUPS FIRST AID CLASSES MADISON COUNTY HOSPITAL IS OFFERS FIRST AID CLASSES AVAILABLE TO THE COMMUNITY. THE THREE-HOUR CLASS USES THE AMERICAN HEART ASSOCIATION GUIDELINES. FIRST AID IS THE IMMEDIATE CARE THAT IS GIVEN TO SOMEONE WITH AN ILLNESS OR INJURY BEFORE TRAINED HELP ARRIVES OR TAKES OVER. TRAINED HELP INCLUDES SOMEONE WHOSE JOB IT TAKING CARE OF PEOPLE WHO ARE ILL OR INJURED SUCH AS AN EMS RESPONDER, NURSE OR DOCTOR. FORM 990, PART VI, SECTION A, LINE 6 MADISON COUNTY COMMUNITY HOSPITAL HAS TWO MEMBERS: MADISON COUNTY HOSPITAL, INC. AND HEALTH ALLIANCE OSU/MOUNT CARMEL. FORM 990, PART VI, SECTION A, LINE 7A BOTH MEMBERS OF MADISON COUNTY COMMUNITY HOSPITAL, (MADISON COUNTY HOSPITAL, INC. AND HEALTH ALLIANCE OSU/MOUNT CARMEL) HAVE THE ABILITY TO APPOINT BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B BOTH MEMBERS OF MADISON COUNTY COMMUNITY HOSPITAL, (MADISON COUNTY HOSPITAL, INC. AND HEALTH ALLIANCE OSU/MOUNT CARMEL) HAVE THE ABILITY TO APPROVE MAJOR POLICY DECISIONS. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 WAS REVIEWED AT THE OCTOBER 22, 2014 FINANCE COMMITTEE MEETING. THE FORM 990 WAS MADE AVAILABLE FOR A TWO WEEK PERIOD BY WAY OF SECURED WEB PORTAL TO FINANCE COMMITTEE MEMBERS ONLY. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, THE CEO, MEMBERS OF THE BOARD OF TRUSTEES, ADMINISTRATIVE STAFF, DEPARTMENT MANAGEMENT STAFF, AND MEDICAL STAFF MEMBERS WITH ADMINISTRATIVE RESPONSIBILITIES, RECEIVE A COPY OF THE CONFLICT OF INTEREST POLICY. THEY ARE ASKED TO COMPLETE AND RETURN THE CONFLICT OF INTEREST AGREEMENT AND ANNUAL DISCLOSURE STATEMENT TO THE ADMINISTRATIVE OFFICE. THE CONFLICT OF INTEREST STATEMENTS ARE REVIEWED AND RETAINED ON FILE. ANY INTERESTS DISCLOSED ARE DEALT WITH APPROPRIATELY AS POTENTIAL CONFLICTS ARISE. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION REVIEWS FOR THE CEO AND TOP MANAGEMENT OFFICIALS WERE CONDUCTED BY AN INDEPENDENT CONSULTING FIRM. COMPENSATION REVIEWS WERE PERFORMED IN 2010, 2012 AND 2014. IN ADDITION, REGIONAL AND STATE SALARY SURVEYS WERE UTILIZED IN THE REVIEW PROCESS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G BUSINESS OFFICE PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 624,864. MANAGEMENT AND GENERAL EXPENSES 270,553. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 895,417. MEDICAL EQUIPMENT RENT AND MAINTENANCE: PROGRAM SERVICE EXPENSES 524,553. MANAGEMENT AND GENERAL EXPENSES 227,120. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 751,673. MEDICAL RECORDS SOFTWARE ASSISTANCE AND TRAINING: PROGRAM SERVICE EXPENSES 430,298. MANAGEMENT AND GENERAL EXPENSES 186,310. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 616,608. ANESTHESIA PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 287,765. MANAGEMENT AND GENERAL EXPENSES 124,596. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 412,361. OTHER SERVICES: PROGRAM SERVICE EXPENSES 2,346,688. MANAGEMENT AND GENERAL EXPENSES 1,016,068. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,362,756. FORM 990, PART IX, STATEMENT OF FUNCTIONAL EXPENSES, COLUMN (D): NO FUNDRAISING EXPENSES ARE INCURRED IN CONNECTION WITH MONIES RECEIVED BY MADISON COUNTY COMMUNITY HOSPITAL. A RELATED 501(C)(3) ENTITY, MADISON COUNTY HOSPITAL FOUNDATION, CONDUCTS FUNDRAISING ACTIVITIES AND REPORTS EXPENSES ASSOCIATED WITH FUNDRAISING EFFORTS ON BEHALF OF MADISON COUNTY COMMUNITY HOSPITAL. FORM 990, PART XI, LINE 9: CAPITAL CONTRIBUTION TO MADISON FAMILY HEALTH CORPORATION -450,981. FORM 990, PART XII, QUESTION 2C, OVERSIGHT OF FINANCIAL STATEMENT AUDIT: THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AUDITED ON A CONSOLIDATED BASIS WITH ITS AFFILIATES (MADISON COUNTY HOSPITAL, INC., MADISON FAMILY HEALTH CORPORATION AND MADISON COUNTY HOSPITAL FOUNDATION, INC.) BY AN INDEPENDENT ACCOUNTING FIRM. IN ADDITION, THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND ITS SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. MADISON COUNTY HOSPITAL INC 210 NORTH MAIN STREET LONDON OH 43140 310876202 MANAGE INVESTMENT OH 501(C)(3) 509(A)(3) TYPE I N/A 0 MADISON COUNTY HOSPITAL FOUNDATION INC 210 NORTH MAIN STREET LONDON OH 43140 237423524 FOUNDATION OH 501(C)(3) 509(A)(3) TYPE I N/A 0 MADISON FAMILY HEALTH CORPORATION 210 NORTH MAIN STREET LONDON OH 43140 311514418 INACTIVE OH 501(C)(3) 509(A)(3) TYPE I MCHI 0 0 1 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 PART V, LINE 1(D): MADISON COUNTY COMMUNITY HOSPITAL IS A MEMBER OF THE OBLIGATED GROUP WITH RESPECT TO MADISON COUNTY HOSPITAL, INC.'S REVENUE BONDS - VILLAGE OF MOUNT STERLING, OHIO, HOSPITAL FACILITIES MULTI-MODE VARIABLE RATE REVENUE REFUNDING BONDS, SERIES 2011.