2011-08-10T15:10:38-05:00 2010-09-30 Grant Thornton LLP 201 S COLLEGE ST STE 2500 CHARLOTTE NC 28244 990 2009-10-01 571126478 Marion County Healthcare Foundation MARI 8434640533 230 S Main St Mullins SC 29574 Harold E Tucker 8434640533 2011-08-10 true 7046323500 2009 2016-02-24 21:20:13Z X Harold E Tucker 230 S Main St Mullins SC 29574 97727650 false X N/A X 2001 SC TO IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE FOR THE DIVERSE POPULATION OF MARION COUNTRY. X 11 10 763 4 56633 -69642 306287 213839 53633672 39596027 -69057 -11368731 165882 166144 54036784 28607279 23155 16896 0 0 33227874 24417110 0 0 0 23021863 21264794 56272892 45698800 -2236108 -17091521 71650830 51190603 7733108 5387114 63917722 45803489 MARION COUNTY HEALTHCARE FOUNDATION (MCHF), FORMERLY MARION REGIONAL HEALTHCARE SYSTEM (MRHS), EXISTS TO IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE FOR THE DIVERSE POPULATION OF MARION COUNTY. false true 40277627 16896 39596027 Until July 7, 2010, Marion Regional Healthcare System operated a 124-bed hospital facility, the Marion County Medical Center, the Mullins Nursing Center and physicians' practices in Marion County, South Carolina. The organization provided comprehensive health services to the residents of Marion County. On July 7, 2010 the organization sold a significant portion of their assets to Community Health Systems in Nashville, Tenn. The organization retained all cash and investments and certain other assets and liabilities. The organization's continuing activities include collection and settlement of these hospital related receivables and liabilities including its obligation to resolve all issues occurring prior to the sale related to employee benefit plans, and other legal matters. 40277627 true true false true false false false false false true false true false false false false false false false false true false true true false false false false false true true false false false false true false true true false false true 33 0 true 763 true true true false false false false false false false false 11 10 false false false false false false true true true false false true true true true true true true true false SC X HAROLD E TUCKER 8434640533 230 S MAIN ST MULLINS SC 29574 GANGATHARAN MATHISUTHAN 40.0 X 315464 0 11680 EDWIN P ROGERS 4.0 X 1500 0 0 BRUCE SIEGAL 10.0 X 3300 0 0 EDWARD WHITTINGTON 4.0 X 1650 0 0 JOHNNY FLOYD 4.0 X 1500 0 0 CLEM P HAM 4.0 X 1650 0 0 SYLVIA HOLMES 4.0 X 1500 0 0 MARY EADDY 4.0 X 1500 0 0 JANIE M JOHNSON 4.0 X 1500 0 0 DIANNE HERRINGTON 4.0 X 900 0 0 CHARLES R JOHNSON 4.0 X 1650 0 0 HAROLD E TUCKER 40.0 X 170639 0 7459 DONALD H LLOYD 40.0 X 148532 0 7409 ALTA DUBOSE 40.0 X 117348 0 5131 VEGE R RAO 40.0 X 412522 0 14558 ALVIN C ABINSAY 40.0 X 251404 0 12617 KENNETH C MINCEY 40.0 X 340069 0 13442 STEPHEN P REGEC 40.0 X 327382 0 11836 ERIC S YOUNG 40.0 X 320017 0 12840 2420027 0 96972 28 false true false CARDINAL DISTRIBUTION PO BOX 402603 ATLANTA GA 303842603 DRUGS 1149692 PROGRESS ENERGY ELECTRICITY 916956 SEABURY SMITH PO BOX 533206 CHARLOTTE NC 289203206 GROUP INS. 801393 US FOOD SERVICE PO BOX 668347 CHARLOTTE NC 28266 FOOD & SUPP. 747848 ARAMARK 24863 NETWORK PLACE CHICAGO IL 60673 H/K & DIETARY 676425 54 213839 213839 NET PATIENT REVENUE 900099 38692299 38692299 WELLNESS CENTER 900099 55918 55918 CAFETERIA AND CATERING 900099 205426 152744 52682 OTHER PROGRAM REVENUE 900099 642384 638433 3951 39596027 550077 550077 0 0 198808 32664 166144 166144 166144 31994668 25174231 31740776 37346931 253892 -12172700 -11918808 -11918808 0 0 0 0 28607279 39539394 56633 -11202587 0 16896 16896 0 0 966363 562790 403573 0 18213448 18186910 26538 540573 540573 3413166 3413166 1283560 1283560 0 808003 808003 116650 116650 4916 4916 0 0 5706233 5335440 370793 158989 158989 7178839 5934964 1243875 211015 211015 0 973786 967955 5831 7132 6623 509 0 59446 56564 2882 53048 53048 0 2375553 2375553 1104574 665116 439458 CONTINGENCY 1500000 1500000 OTHER 719157 380001 339156 INDIGENT LIC. FEE 229593 229593 MEDICAID SETTLEMENT 57860 57860 45698800 40277627 5421173 0 687145 0 1241643 16565224 128033 0 10746720 0 1271391 0 1408533 2505482 139318 3077 31061161 136241 21835550 31983656 1300000 0 1970654 0 71650830 51190603 4078455 1039191 3570538 0 84115 4347923 7733108 5387114 X 63917722 45803489 63917722 45803489 71650830 51190603 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true 4916 4916 false Other Activities Schedule C, Part II-B, Line 1i The organization paid $19,111 for South Carolina Hospital Association (SCHA) dues and SCHA spent 6% on lobbying. The organization also paid $15,865 for American Hospital Association (AHA) dues and AHA spent 23.76% on lobbying. 0 0 0 0 0 36128 0 3077 33051 103190 0 0 103190 136241 0 THIRD PARTY PAYOR LIABILITIES 1642923 LOSS CONTINGENCY PAYABLE 1500000 WORKING CAPITAL ADJUSTMENT PAYABLE 1205000 4347923 FIN 48 FOOTNOTE PART X, LINE 2 The organization adopted FIN48 (now known as ASC740) in an earlier year, however as the organization did not have any Uncertain Tax positions that required disclosure, no footnote is included in the current year financial statements. true true true X true X 100 true true true false false 1486695 1486695 0.03000 3305675 4729441 -1423766 0.03000 4792370 4729441 62929 2436348 2203394 232954 0.01000 2436348 2203394 232954 0.01000 7228718 6932835 295883 0.01000 true 4822758 11886035 14150846 -2264811 X true true MARION COUNTY MEDICAL CENTER

2845 East HWY 76 Mullins SC 29574

X X X MULLINS NURSING CENTER

518 S MAIN STREET MULLINS SC 29574

NURSING HOME MARION PEDIATRICS

2845 HWY 76 SUITE 4 MULLINS SC 29574

PHYSICIAN OFFICES TOTAL FAMILY CARE

2839 E HWY 76 SUITE 5B MULLINS SC 29574

PHYSICIAN OFFICES PEE DEE PEDIATRICS

2835 EAST HWY 76 SUITE 7 MULLINS SC 29574

PHYSICIAN OFFICES MARION MEDICAL CENTER OB-GYN

2845 EAST HWY 76 SUITE 2 MULLINS SC 29574

PHYSICIAN OFFICES MARION COUNTY SURGICAL CENTER

2835 HIGHWAY 76 EAST SUITE 5 MULLINS SC 29574

PHYSICIAN OFFICES MULLINS SURGICAL ASSOCIATES

119 W LOWMAN STREET MULLINS SC 29574

PHYSICIAN OFFICES ADVANCED MEDICAL ASSOCIATES

511 SOUTH MAIN STREET MULLINS SC 29574

PHYSICIAN OFFICES AYNOR MEDICAL CENTER

51ST 11TH AVE AYNOR SC 29574

PHYSICIAN OFFICES Community Benefit Report: Due to the sale of the hospital on 7/6/10, no community benefit report was prepared for this year. In previous years the hospital participated with the South Carolina hospital association in preparing a community benefit report. Line 7, Table: The table on line 7 was prepared from a combination of the applicable IRS worksheets and the organization's Medicare and Medicaid cost report where that data was more accurate. Subsidized health services: The entire amount on line 7g is related to physician clinics. The system operated three rural health centers. Bad Debt: No bad debt is included in the expenses of form 990, part IX, therefore, no adjustment needed. Bad Debt methodology: The audited financial statements do not include a specific footnote with regard to bad debts. Bad debts are written off based upon charges for services provided. The cost of bad debts is determined by the ratio of total costs divided by total charges times the written off charges to arrive at bad debt cost. The organization is not able to determine if any additional amount of bad-debt is attributable to charity care. Medicare shortfall: The organization believes that the shortfall on Part III, line 7 should be considered a community benefit. Marion Regional Health System operated to promote the health of the community and Medicare was a significant percentage of the payor mix and provided access to healthcare for many citizens. The hospital's primary and secondary service areas are located in a rural area with unemployment rates ranging from 16 - 20 %. There have been multiple business closures over the past ten years causing the unemployment and uninsured rates to remain higher than the state and national average. The organization used the Cost to Charge ratio and the Medicare cost report for the period 10/1/09 - 7/6/2010 for all inpatient, outpatient and skilled nursing patient services. Qualifying charity care patients - collection of fees: All patients that presented to the hospital for services and had delinquent accounts or who did not have third-party coverage were referred to financial counseling. The counselor determined from the financial information given whether there was or expected to be adequate resources to settle any existing delinquent accounts. The counselor also estimated amounts not covered for the current admission which were discussed with the patient or responsible party. All patient balances were consolidated and the patient was requested to acknowledge these balances by executing an installment promissory note with a copy given to the patient and the original filed with the patient's records. Patients received a minimum of four statements over a four month period. On or after the 134th day with no further action the account was referred to an outside collection agency. The hospital developed a strategic plan in 2008 and updated the plan in 2010. Based upon internal statistical data, the South Carolina Hospital Association, and the South Carolina Division of Statistics, primary and secondary markets were identified. Other data sources included Medical Group Management Association and various national and federal data bases. From this data, a review was made of the physician specialties needed and the number of physicians by specialty. A five year physician recruitment plan was adopted. The services for sleep disorders, pulmonary care, and wound care were identified and placed into service during 2009 and 2010. Patients were notified of their financial assistance options at several points during their encounter with the hospital as soon as it was made known to the hospital that he patient had no insurance or was underinsured. During pre-registration and upon their admittance to the hospital, patients with no or insufficient insurance were referred to a financial counselor who helped them to apply for financial assistance. In addition, information about financial assistance was provided in writing to patients in their admittance package. All patients qualifying for financial assistance were required to sign an acknowledgement of services and a payment plan. All patients requiring medical care were admitted regardless of their ability to pay and no-one was refused due to financial difficulties. The hospital admissions policy requires that services be rendered to all patients without regard to financial ability to pay. Due to unemployment rates ranging from 16-18%, many patients were uninsured and medically indigent. Marion County is a rural, low income and overall poverty stricken County. The unemployment rate currently is above 20% and has remained above 12% for the past 10 years. In 2008 and 2009, seven major industries either closed or had significant layoffs or both. Currently there are fewer than seven non- healthcare / governmental employers with more than 200 employees. The primary service area has a population of less than 30,000 and the secondary service area of less than 24,000. The median household income is less than $33,000. The hospital maintained an open medical staff. The system used focus groups to determine the community's thoughts regarding the hospital. The hospital contracted with an outside firm to survey patients who had been discharged from the hospital which assisted in determining their level of satisfaction. State and national quality satisfaction scores were reviewed by administration, medical staff and the board of directors. Marion Regional Healthcare System adopted several different forms of communications with the community in order to make them aware of the various outreach and community benefits available. The system contracted with a marketing firm to assist and coordinate advertising in local newspapers, business magazines, targeted mailing campaigns for new and existing services, developed and maintained a web site for the entire system, public service announcements with staff discussing matters of healthcare interest with local radio station, billboard advertising, development of departmental and services brochures, TV advertising, invitations to the public for instructions by staff of breast feeding, prostate screenings, CPR, new born care, etc. SC true PROVISION OF BOOKS AND TUITION 6 16896 GRANT MONITORING SCHEDULE I, PART 1, LINE 2 The organization paid scholarships for individuals to go to school - mostly RNs, and occasionally paid for clerical employees that were managers or that had management potential to get a degree in their field. A scholarship committee was responsible for administering the program. The organization paid for books and tuition only, and students were required to submit their grades as proof they remain in good standing in the program. X X X false false false false false true false false false HAROLD E TUCKER 170639 0 0 0 0 0 5084 0 2375 0 178098 0 0 0 DONALD H LLOYD 148532 0 0 0 0 0 4427 0 2982 0 155941 0 0 0 GANGATHARAN MATHISUTHAN 315464 0 0 0 0 0 9449 0 2231 0 327144 0 0 0 VEGE R RAO 274988 0 137534 0 0 0 12375 0 2183 0 427080 0 0 0 ALVIN C ABINSAY 240191 0 11213 0 0 0 10601 0 2016 0 264021 0 0 0 KENNETH C MINCEY 340033 0 36 0 0 0 10200 0 3242 0 353511 0 0 0 STEPHEN P REGEC 235017 0 92365 0 0 0 9820 0 2016 0 339218 0 0 0 ERIC S YOUNG 319981 0 36 0 0 0 9598 0 3242 0 332857 0 0 0 COMPENSATION CONTINGENT ON NET EARNINGS PART I, LINE 6A: Dr. Rao was paid a profitability bonus based on the following calculation: 95%*Physician Practice Collections less Practice Overhead and Expenses, but not exceeding 50% of his salary. CHARLES P HODGES III FORMER BOARD MEMBER 157994 LAUNDRY SERVICES false MONTI LLOYD SPOUSE OF EXECUTIVE VP 15789 EMPLOYMENT AS PRN RPTA false SALE OF HOSPITAL ASSETS 2010-07-06 23640893 Valuation 621587267 Community Health Systems Inc 4000 Meridian Blvd Franklin TN 37067 CORPORATION false true false false Sale of Assets of More Than 25% PART II, LINE 1 Out of the $23,640,893 paid for the sale of hospital assets , $385,856 represented transaction costs for legal and valuation services. EMPLOYEES OF SUCCESSOR ORGANIZATION PART II, LINE 2e Donald H. Lloyd and Alta Dubose were officers of MRHS. Gangatharan Mathisuthan was a board member and employee of MRHS. These individuals became employees of the successor company, Community Health Systems (CHS), at the date of sale. In addition, salaries paid to Harold E. Tucker (officer of MRHS) from 1/1/10 - 6/30/2010 were transferred to CHS and the W-2 issued from CHS. Mr. Tucker did not become an employee of CHS, but is Executive Director of Marion County Healthcare Foundation. Significant Changes to Program Services Form 990, Part III, Line 3 Until July 7, 2010, Marion Regional Healthcare System operated a 124-bed hospital facility, the Marion County Medical Center, the Mullins Nursing Center and physicians' practices in Marion County, South Carolina. On July 7, 2010, the organization sold all hospital-related assets and operations to an unrelated third-party. The organization retained certain assets and liabilities, including cash, various investments and certain receivables and payables related to pre-sale hospital activities (primarily Medicare and Medicaid). The organization's continuing activities include collection and settlement of these hospital related receivables and liabilities including its obligation to resolve all issues occurring prior to the sale related to employee benefit plans, and other legal matters. Subsequent to the completion of the transaction, the organization changed its name to Marion County Healthcare Foundation (MCHF). The organization's future activities are expected to include providing funding, in the form of grants or otherwise, that promote healthcare in Marion County. Decisions Subject to Approval Form 990, Part VI, Line 7b The Governor of South Carolina approves all appointments to the Board of Directors. Form 990 Review Process Form 990, Part VI, Line 11b The Form 990 was prepared and reviewed in detail by the CEO with assistance from the Organization's independent tax advisors. A copy of the final form 990 was sent to all board members prior to filing with the IRS. In addition, the form 990 was presented and discussed at a board meeting. Conflict of Interest Policy Monitoring & Enforcement Form 990, Part VI, Line 12c Each Covered Person shall disclose to the Chief Executive Officer, Corporate Compliance Officer, or Chairman of the Board of Directors, as appropriate, all conflicts of interest (i) existing when he or she is offered or elected to a Covered Position with MRHS, (ii) occurring after the acceptance of the Covered Position, and (iii) annually through a conflict-of-interest survey that is distributed by the Corporate Compliance Officer along with this policy. Members of the Board of Directors, Chief Executive Officer, and Management Staff shall disclose conflicts of interest to the Corporate Compliance Officer. The Corporate Compliance Officer shall report all potential conflicts of interest to the Board of Directors and the Chief Executive Officer. Covered Persons who are in doubt as to the existence of a conflict of interest are encouraged to notify the Chairman of the Board of Directors, Corporate Compliance Officer, or Chief Executive Officer, as appropriate, of all facts pertaining to the transaction or event before the Covered Person undertakes the transaction or makes any decision in the matter. The disinterested members of the Board of Directors, Corporate Compliance Officer, or Chief Executive Officer, as appropriate, will review the facts and circumstances of all transactions or events disclosed as actual, potential, or possible conflicts of interest. The disinterested members of the Board of Directors, Corporate Compliance Officer, or Chief Executive Officer will also consider any alternatives to proposed transactions or events, the possibility of competitive bidding, the benefit, if any, to the Covered Person or employee, and the fairness to and the need of MRHS in regard to the transaction. The disinterested members of the Board of Directors, Corporate Compliance Officer, or Chief Executive Officer, as appropriate, will determine whether the situation involves a conflict of interest and may attempt to develop alternatives such that any conflict is removed from the situation. The Corporate Compliance Officer shall report to the Board all disclosures made by Management Staff under this Policy and the actions taken with respect to them, and the disclosures shall be recorded in the minutes of the Board. If a situation involves a conflict of interest involving a member of the Board or the Chief Executive Officer, the disinterested members of the Board, being informed of the facts, shall determine whether the transaction or event is fair to MRHS. No interested person may participate in the Board's decision or be present at the Board meeting when the Board's evaluation and decision are made, but interested persons may respond to questions about the matter. If the Board determines that the transaction or event is unfair to MRHS or jeopardizes the Covered Person's observance of the duty of loyalty, the Board shall disapprove the transaction or event (if pending), may declare any existing pertinent contract or transaction void, or take such other action as the Board deems. Process for Determining Compensation Form 990, Part VI, Line 15a Market rate salary studies are performed periodically, and applicable employees are given appropriate market increases based on study results and years of service. The CEO salary as well as physician salaries are reviewed and approved by the board of directors annually. During the annual review process, the CEO reviews and makes the initial determination of compensation for other officers and key employees using data provided by independent sources. Proposed compensation is presented to the board during the budgeting process for their review and approval. The board retains oversight responsibility for this process. How Documents are Made Available to the Public Form 990, Part VI, Line 19 All documents are available upon request. MARION MEDICAL GROUP INC 1115 N MAIN ST MARION SC 29571 570520390 PHYS. OFFICE SC NA C Corp -1930384 1.00000 false false false false false false false false false false true false false false false false false true MARION MEDICAL GROUP AT FMV k 49798 MARION MEDICAL GROUP AT FMV r 1302898