2026-08-11T15:07:36-05:00 2025-09-30 550538163 SUTTLE & STALNAKER PLLC 501 5TH AVENUE SUITE 1 HUNTINGTON WV 25701 990 2024-10-01 550675666 CABELL HUNTINGTON HOSPITAL INC CABE 3045262000 1340 HAL GREER BOULEVARD HUNTINGTON WV 25701 THOMAS HEFNER VP FINANCE 3045262000 2026-08-11 1 0 WADE NEWELL CPA P01051041 3045250301 2026-08-03 2024 2025-03-06 01:10:19Z THOMAS HEFNER 1340 HAL GREER BOULEVARD HUNTINGTON WV 25701 1104722661 0 X WWW.CABELLHUNTINGTON.ORG X 1986 WV TO MEET LIFETIME HEALTHCARE NEEDS OF THOSE SERVED. TO PROVIDE THE HIGHEST LEVEL OF SERVICE, QUALITY, AND EFFICIENCY. TO ADVANCE HEALTHCARE THROUGH EDUCATION. OUR VISION IS TO BE THE HOSPITAL OF CHOICE FOR THE COMMUNITIES WE SERVE. 10 6 3412 156 242510 57760 2210463 2301921 855214369 971528852 16192660 12936170 3427726 14180534 877045218 1000947477 32430120 9375 0 0 252133414 264845695 0 0 0 540392821 630896427 824956355 895751497 52088863 105195980 1034535113 1190856234 451310970 497554954 583224143 693301280 X TO MEET LIFETIME HEALTHCARE NEEDS OF THOSE SERVED. TO PROVIDE THE HIGHEST LEVEL OF SERVICE, QUALITY, AND EFFICIENCY. TO ADVANCE HEALTHCARE THROUGH EDUCATION. OUR VISION IS TO BE THE HOSPITAL OF CHOICE FOR THE COMMUNITIES WE SERVE. 0 0 625838465 9375 973995786 IT IS THE MISSION OF CABELL HUNTINGTON HOSPITAL TO PROMOTE HEALTH IN THE REGION THROUGH DEVELOPMENT AND DELIVERY OF A FULL SPECTRUM OF SERVICES THAT IMPROVE THE PHYSICAL, MENTAL, AND SPIRITUAL DIMENSIONS OF LIVES OF THOSE SERVED. THEREFORE, THE PRIMARY PROGRAM SERVICE ACCOMPLISHMENT IS THE INPATIENT AND OUTPATIENT SERVICES PERFORMED. CABELL HUNTINGTON HOSPITAL IS LICENSED FOR 303 BEDS AND STAFFED FOR OVER 3,400 INDIVIDUALS. IN ADDITION TO ITS ADULT AND PEDIATRIC UNITS, IT OPERATES A COMPREHENSIVE CANCER CENTER, A PEDIATRIC INTENSIVE CARE UNIT, A NEONATAL INTENSIVE CARE UNIT, A BURN INTENSIVE CARE UNIT, A SURGICAL INTENSIVE CARE UNIT, A MEDICAL INTENSIVE CARE UNIT, AND A CORONARY CARE UNIT. THE ORGANIZATION ALSO OPERATES A CHILDREN'S HOSPITAL. THE HOOPS FAMILY CHILDREN'S HOSPITAL HAS 72 BEDS WITH 36 BEDS IN THE LEVEL III NEONATAL INTENSIVE CARE UNIT, 25 BEDS IN THE GENERAL PEDIATRICS UNIT, 10 BEDS IN THE PEDIATRIC INTENSIVE CARE UNIT AND A NEONATAL THERAPEUTIC UNIT. THE HOSPITAL IS GOVERNED BY A VOLUNTARY BOARD OF INDEPENDENT CITIZENS OF THE COMMUNITY. DURING THE FISCAL YEAR 2025, THE HOSPITAL PROVIDED SERVICES TO 16,667 INPATIENTS, WHICH RESULTED IN PROVIDING 92,456 DAYS OF CARE. THE ORGANIZATION ALSO PROVIDED CARE TO 600,150 OUTPATIENTS. THIS INCLUDED 46,719 PATIENT VISITS TO THE EMERGENCY ROOM, WHICH IS OPERATED 24 HOURS AND IS OPEN TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. IT ALSO INCLUDED 28,610 OUTPATIENT SURGICAL PROCEDURES. 57911097 118594 CABELL HUNTINGTON HOSPITAL IS VERY INVOLVED WITH THE COMMUNITY IT SERVES. DURING THE FISCAL YEAR 2025, IT HELD NUMEROUS EVENTS, INCLUDING FREE OR DISCOUNTED HEALTH SCREENINGS, THERAPY, & EVALUATIONS, EDUCATION OUTREACH, SUPPORT GROUPS, HEALTH FAIRS, AND COMMUNITY TRAINING. OVER 23,490 PEOPLE ATTENDED THESE EVENTS THAT TOOK PLACE BETWEEN OCTOBER 1, 2024 AND SEPTEMBER 30, 2025. THE COST ASSOCIATED WITH THESE ACTIVITIES IS $1,136,081. THE ORGANIZATION ALSO GIVES BACK TO THE COMMUNITY BY PARTICIPATING IN VARIOUS PROGRAMS THAT PROMOTE HEALTHY AND SAFE LIFESTYLES FOR THE PEOPLE THAT LIVE HERE. THE HOSPITAL GAVE $48,355 FOR THE SUPPORT OF HUNTINGTON'S KITCHEN PROGRAM THAT PROMOTES HEALTHY EATING LIFESTYLES. THE AMOUNT OF $9,375 WAS GIVEN TO WV MEDICAL FOUNDATION TO SUPPORT LOCAL PROFESSIONALS WELL BEING. ADDITIONALLY, THE HOSPITAL GAVE $130,289 TO MARSHALL HEALTH NETWORK TO HELP SUPPORT VARIOUS COMMUNITY BUILDING ACTIVITIES SUCH AS: SUPPORT WAS GIVEN TO THE HUNTINGTON MUSEUM OF ART FOR VARIOUS LOCAL PROGRAMS, TO THE HUNTINGTON CHILDREN'S MUSEUM ACTIVITIES, TO THE SHEPHERDS HOUSE A RECOVERY PROGRAM FOR FIGHTING ADDICTION, TO THE FACING HUNGER FOOD BANK FOR THEIR FIGHTING HUNGER PROGRAM, AND TO YMCA OF HUNTINGTON TO SUPPORT VARIOUS HEALTH COMMUNITY OUTREACHES. AMOUNTS GIVEN THE MARSHALL HEALTH NETWORK ALSO SUPPORTED VARIOUS OTHER COMMUNITY PROGRAMS SUCH AS COALITION FOR THE HOMELESS, CITY OF HUNTINGTON FOUNDATION, COALFIELD DEVELOPMENT, CONTACT HUNTINGTON, DRWV FOUNDATION, EDUCATION ALLIANCE, HERITAGE FARM FOUNDATION, RIVER CITIES MINISTRY, STEPPING STONES, TEAM FOR WV CHILDREN, HOSPICE OF HUNTINGTON, UNITED WAY, AND BIG BROTHERS BIG SISTERS. ADDITIONALLY, THE ORGANIZATION PROVIDES ACUTE INPATIENT AND OUTPATIENT CARE INCLUDING SERVICES THAT ARE REIMBURSED FOR AND NOTED AS CHARITY CARE. ANY PERSON IS PROVIDED SERVICES REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL'S CHARITY CARE SERVICES WAS $11,986,441 (WHICH IS NETTED AGAINST REVENUES) AND BAD DEBT EXPENSE WAS $56,644,604. THE HOSPITAL CONSIDERS ALL OF THIS A COMMUNITY SERVICE. 36521595 7920915 CABELL HUNTINGTON HOSPITAL IS A TEACHING HOSPITAL THAT IS ASSOCIATED WITH MARSHALL UNIVERSITY SCHOOLS OF MEDICINE, NURSING, AND PHARMACY. THE HOSPITAL IS LEADING THE WAY IN COMMUNITY HEALTH CARE AND WITH THAT COMES THE RESPONSIBILITY OF TRAINING OTHERS TO CONTINUE THE TRADITION OF EXCELLENCE. THE HOSPITAL RESIDENTS AND INTERNS GET THE OPPORTUNITY TO TRAIN WITH SOME OF THE MOST HIGHLY QUALIFIED MEDICAL SPECIALISTS IN THE AREA, SHARING INSIGHT INTO THE LATEST CONCEPTS IN MEDICAL EDUCATION AND PATIENT CARE. DURING THE FISCAL YEAR 2025, OVER 377 INTERNS, FELLOWS, AND RESIDENTS ROTATED THROUGH THE HOSPITAL. IN ADDITION, VARIOUS COMMUNITY EDUCATIONAL TRAINING PROGRAMS WERE DONE SERVING AT LEAST 495 PROFESSIONAL MEMBERS OF THE COMMUNITY. 720271157 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 1 0 1 130 0 1 3412 1 1 1 0 0 0 0 0 0 0 0 0 X 10 6 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X X THOMAS A HEFNER VP OF FINANCE 3045439138 1340 HAL GREER BOULEVARD HUNTINGTON WV 25701 RANDY MOORE DIRECTOR 2.00 X 0 0 0 GREGORY WOOTEN DIRECTOR 2.00 X 0 0 0 SANDRA CLEMENTS SECRETARY/DIRECTOR 2.00 X X 0 0 0 MATTHEW STRAUB VICE CHAIR/DIRECTOR 2.00 X X 0 288810 37256 JOSEPH TOUMA MD DIRECTOR 2.00 X 0 0 0 KRISTA DENNING DIRECTOR 2.00 X 0 453363 19800 JEFF ROWE CHAIR/DIRECTOR 2.00 X X 0 0 0 AMANDA PAULEY DIRECTOR 2.00 X 0 319931 15974 CATHERINE LANDERS TREASURER/DIRECTOR 2.00 X X 0 0 0 JOSEPH EVANS MD DIRECTOR 2.00 X 0 50908 2682 DAVID M WARD MHN SENIOR VP & CFO - ENDED AUGUST 2025 1.00 45.00 X 0 621140 38293 TIM MARTIN PRESIDENT 45.00 X 515581 0 64843 KEVIN YINGLING MHN PRESIDENT & CEO - ENDED MARCH 2025 1.00 45.00 X 0 865245 46043 BRADLEY BURCK MHN VP CORP FDN & DNR PHIL - ENDED JULY 202 1.00 45.00 X 0 245357 55582 KRISTI ARROWOOD MHN INTERIM VP CORP FDN - STARTED JULY 2025 1.00 45.00 X 0 127422 42923 SHAWN BASTIN RIVERS HEALTH PRESIDENT 1.00 45.00 X 0 211389 26825 KEVIN BARR MHN INTERIM CFO 1.00 45.00 X 0 0 0 PAUL E SMITH MHN CHIEF ADMIN OFFICER-ENDED 9/30/25 1.00 45.00 X 0 445711 52049 HOYT BURDICK MHN VP CMO 1.00 45.00 X 0 738135 49237 LISA C STUMP MHN CHIEF STRATEGY OFFICER - SYSTEM VP 1.00 45.00 X 0 395820 46093 MARIA SUMMERS VP PATIENT SERVICE & NURSING 45.00 X 217813 0 64632 KENNETH JACKSON MHN VP FACILITY & SUPPORT SERVICES-MOVED TO MHN PA 45.00 X 244734 0 40816 EDUARDO PINO MHN CMIO 1.00 45.00 X 0 327279 45414 FAREED AZIZ MHN VP OF REVENUE CYCLE MGMT 1.00 45.00 X 0 232924 59174 REGINA M CAMPBELL MHN CHIEF OPERATING OFFICER 1.00 45.00 X 0 484780 46043 MARK A MORGAN MHN VP PHYS SERVICES 1.00 45.00 X 0 375681 54399 SUSAN T ROBINSON MHN CHIEF HUMAN RESOURCES OFFICER - ENDED J 1.00 45.00 X 0 367978 28378 AARON BLEVINS MHN CHIEF PHARMACY OFFICER 1.00 45.00 X 0 261237 63136 MELISSA E LEASURE MHN CHIEF LEGAL OFFICER - SYSTEM VP 1.00 45.00 X 0 388635 65042 LARRY D DIAL MHN EX OFFICIO CPE & CHIEF CLINICAL OFFICER CT 1.00 45.00 X 0 850784 20700 CHADWICK SMITH MHN CHIEF POPULATION HEALTH OFFICER 1.00 45.00 X 0 390558 57984 DENNIS LEE MHN SYSTEM VP & CHIEF INFORMATION OFFICER 1.00 45.00 X 0 328458 50086 CHRISTOPHER HOFFMAN MHN VP OF ONCOLOGY SERVICES 1.00 45.00 X 0 261583 25247 BETH HAMMERS MHN CHIEF ENGAGEMENT OFFICER 1.00 45.00 X 0 370361 41400 CHAD S FISHER MHN VP OF ORTHOPEDICS 1.00 45.00 X 0 269395 31021 ANDY MULLINS MHN CHIEF NURSING OFFICER 1.00 45.00 X 0 271644 59582 MOLLY FRICK MHN CHIEF HUMAN RESOURCES OFFICER - MOVED TO MHN P 45.00 X 217813 0 64558 NEPAL CHOWDHURY PHYSICIAN 1.00 45.00 X 0 2839632 55817 DWIGHT SAULLE NEUROSURGEON PHYSICIAN 1.00 45.00 X 0 2441462 55817 MATTHEW WERTHAMMER NEUROSURGEON PHYSICIAN 1.00 45.00 X 0 2049811 55817 NICOLAS PHAN SURGEON 1.00 45.00 X 0 1935061 20700 AAMIR CHEEMA PHYSICIAN 1.00 45.00 X 0 1838015 51159 1195941 21048509 1554522 431 0 1 0 QUALIVIS DEPT 3847 PO BOX 123847 DALLAS TX 75312 CONTRACTED STAFF 18656750 NORTHSTAR ANESTHESIA OF WV PLLC 6225 N STATE HIGHWAY 161 SUITE 20 IRVING TX 75038 ANESTHESIA SERVICES 16810501 ORACLE AMERICA INC PO BOX 203448 DALLAS TX 75320 INFORMATION TECHNOLOGY SERVICES 5058290 LAB CORP PO BOX 12140 BURLINGTON NC 27216 LABORATORY SERVICES 1556416 COMTEX 575 HARMON AVE COLUMBUS OH 43223 LAUNDRY SERVICES 1450561 102 2301921 2301921 NET PATIENT SERVICE REVENUE 621990 941326458 941326458 LABORATORY REVENUE 621500 30336955 30094445 242510 AEROMED INCOME 623000 -134561 -134561 971528852 10495750 10495750 366450 43848 322602 322602 322602 106171756 103725565 5771 2446191 -5771 2440420 2440420 OTHER REVENUE 621990 10748953 10748953 CAFETERIA 624200 3108979 3108979 13857932 1000947477 982035295 242510 16367751 X 9375 9375 1432044 1217237 214807 200819319 175426720 25392599 5416796 4731869 684927 42848843 37430821 5418022 14328693 12516905 1811788 819260 819260 30428 30428 463730 463730 235816909 176551480 59265429 435570 302788 132782 6133454 2711822 3421632 1160686 789267 371419 26029680 17695216 8334464 285035 248994 36041 12033620 10523858 1509762 28551952 19413886 9138066 4661105 3169167 1491938 MEDICAL SUPPLIES 169416415 169416415 BAD DEBT 56454511 56454511 PROVIDER TAX 43837612 43837612 NONMEDICAL SUPPLIES 27291845 21825691 5466154 17474615 9835135 7639480 895751497 720271157 175480340 0 200 200 50900807 33657998 133609826 100106822 9110420 9440677 4659326 1211432 772727603 474867290 301384201 297860313 166631630 145690779 8315662 9182982 3605524 3005407 356317517 590699624 1034535113 1190856234 90876074 133054528 3312500 320072962 312184063 3826603 8638396 36535331 40365467 451310970 497554954 X 583224143 693301280 583224143 693301280 1034535113 1190856234 X 105195980 2803449 -256229 2333937 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 65410 65410 0 PART II-B, LINE 1: THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AMA), ASSOCIATION OF AMERICAN MEDICAL COLLEGES (AAMC), WEST VIRGINIA HOSPITAL ASSOCIATION (WVHA), AND THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS (NACH) WHICH ENGAGES IN LOBBYING EFFORTS ON BEHALF OF ITS MEMBERS. A PORTION OF THE DUES PAID TO EACH HAVE BEEN ALLOCATED TO LOBBYING ACTIVITIES, WHICH AMOUNTED TO $43,150. THE ASSOCIATIONS PROVIDE BOTH ADVOCACY AND REPRESENTATION FOR ITS MEMBERS. SPECIFIC INFORMATION REGARDING THE ADVOCACY AGENDAS OF THE ASSOCIATIONS CAN BE VIEWED AT THEIR RESPECTIVE WEBSITES, WWW.AAMC.ORG, WWW.WVHA.ORG, AND WWW.CHILDRENSHOSPITALS.ORG. THE ORGANIZATION ALSO ENGAGED PACK GOVERNMENT SOLUTIONS, LLC TO LOBBY THE WEST VIRGINIA LEGISLATURE, MONITOR LEGISLATION, FACILITATE MEETINGS WITH LAWMAKERS, AND FOR GENERAL ADVOCACY FOR THE HOSPITAL INDUSTRY. THESE LOBBYING ACTIVITIES AMOUNTED TO $22,260. 10222053 10222053 376487099 168833178 207653921 358504342 297372050 61132292 27514109 8662062 18852047 297860313 MISCELLANEOUS OTHER ASSETS 19847752 OTHER RECEIVABLES 11197487 ESTIMATED SETTLEMENT THIRD-PARTIES 83440678 INVESTMENT IN SMMC 174265192 RIGHT OF USE ASSETS 6857130 PENSION/OTHER PLAN ASSETS 18371317 INTERCOMPANY 276720068 590699624 ESTIMATED THIRD PARTY SETTLEMENTS 3234092 DERIVATIVE FINANCIAL INSTRUMENTS 1976925 ACCRUED POST RETIREMENT BENEFITS 11760107 ACCRUED PROFESSIONAL LIABILITIES 11730000 LEASE OBLIGATIONS 8054343 DEFERRED GAIN/OTHER LIABILITIES 3610000 40365467 X PART X, LINE 2: MANAGEMENT ANNUALLY REVIEWS ITS TAX PROVISIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS AT SEPTEMBER 30, 2025 AND 2024. 1 1 1 X 0 1 1 0 1 1 1379634 1379634 0.00150 214709846 89110769 125599077 0.14020 216089480 89110769 126978711 0.14170 966939 118594 848345 0.00090 36521595 7920915 28600680 0.03190 882013 1670 880343 0.00100 120910 120910 0.00010 38491457 8041179 30450278 0.03390 254580937 97151948 157428989 0.17560 77119 77119 0.00010 101525 101525 0.00010 178644 178644 0.00020 1 16146269 3229254 296374004 318248380 -21874376 X 1 1 1 HUNTINGTON SURGERY PROPERTIES REAL ESTATE/LEASES 0.57000 0.43000 1 1 CABELL HUNTINGTON HOSPITAL INC 1340 HAL GREER BOULEVARD HUNTINGTON WV 25701 CABELLHUNTINGTON.ORG X X X X X CABELL HUNTINGTON HOSPITAL INC 0 0 1 X X X X X X X X X 25 1 1 1 1 X WWW.CABELLHUNTINGTON.ORG X 1 25 1 WWW.CABELLHUNTINGTON.ORG 0 1 X 150.000000000000 X X X X X X 1 1 X X X 1 X WWW.CABELLHUNTINGTON.ORG X WWW.CABELLHUNTINGTON.ORG X WWW.CABELLHUNTINGTON.ORG X X X X X X 1 X 0 X X X X 1 X 0 0 CABELL HUNTINGTON HOSPITAL, INC. PART V, SECTION B, LINE 5: THE 2025 CHNA WAS LED BY A PLANNING COMMITTEE COMPOSED OF STAFF FROM CHH, SMMC, AND RH, WHO SERVED AS KEY CONNECTIONS BETWEEN THE ASSESSMENT PROCESS, THEIR ORGANIZATIONS, AND THE COMMUNITIES THEY SUPPORT.OUR RESEARCH PARTNERMARSHALL HEALTH NETWORK (MHN) CONTRACTED WITH BUILD COMMUNITY TO CONDUCT THE CHNA. BUILD COMMUNITY IS A WOMAN-OWNED BUSINESS THAT SPECIALIZES IN CONDUCTING STAKEHOLDER RESEARCH TO ILLUMINATE DISPARITIES AND UNDERLYING INEQUITIES AND TRANSFORM DATA INTO PRACTICAL AND IMPACTFUL STRATEGIES TO ADVANCE HEALTH AND SOCIAL WELL-BEING. BUILD COMMUNITY'S INTERDISCIPLINARY TEAM OF RESEARCHERS AND PLANNERS HAS WORKED WITH HUNDREDS OF HEALTH AND HUMAN SERVICE PROVIDERS AND THEIR PARTNERS TO REIMAGINE INITIATIVES AND ACHIEVE MEASURABLE IMPACT. LEARN MORE ABOUT THAT WORK AT BUILDCOMMUNITY.COM.COMMUNITY ENGAGEMENTCOMMUNITY ENGAGEMENT IS A KEY COMPONENT OF ASSESSING AND RESPONDING TO COMMUNITY HEALTH NEEDS. CHNA RESEARCH INCLUDED PARTICIPATION BY REPRESENTATIVES FROM THE CABELL-HUNTINGTON HEALTH DEPARTMENT, HEALTH AND SOCIAL SERVICE PROVIDERS, ADVOCACY AGENCIES, BUSINESS COMMUNITY REPRESENTATIVES, AND OTHER COMMUNITY PARTNERS. THESE INDIVIDUALS PROVIDED WIDE PERSPECTIVES ON HEALTH TRENDS, EXPERTISE ABOUT EXISTING COMMUNITY RESOURCES AVAILABLE TO MEET THOSE NEEDS, AND INSIGHTS INTO SERVICE DELIVERY GAPS THAT CONTRIBUTE TO HEALTH DISPARITIES.METHODOLOGYTHE 2025 PRIMARY AND SECONDARY RESEARCH WAS CONDUCTED FROM JANUARY TO MAY 2025 AND UTILIZED BOTH QUANTITATIVE DATA AND QUALITATIVE COMMUNITY INPUT TO IDENTIFY HEALTH TRENDS AND DISPARITIES IMPACTING RESIDENTS ACROSS THE 20-COUNTY SERVICE AREA OF WEST VIRGINIA AND SPANNING PARTS OF KENTUCKY AND OHIO.THIS RESEARCH PROVIDES A COMPREHENSIVE VIEW OF STATISTICAL HEALTH AND SOCIAL INDICATORS, COMBINED WITH COMMUNITY STAKEHOLDER FEEDBACK, TO DEVELOP A PROFILE OF REGIONAL HEALTH PRIORITIES. THESE FINDINGS WILL INFORM THE DELIVERY OF HEALTH CARE SERVICES, GUIDE HEALTH IMPROVEMENT INITIATIVES, SUPPORT ADVOCACY EFFORTS, AND SERVE AS A VALUABLE RESOURCE FOR GRANT MAKING AND PROGRAMMING BY HEALTH AND SOCIAL SERVICE PARTNERS.THE CHNA USED THE FOLLOWING RESEARCH METHODS TO IDENTIFY COMMUNITY HEALTH NEEDS:- ANALYSIS OF EXISTING SECONDARY DATA SOURCES, INCLUDING PUBLIC HEALTH STATISTICS, DEMOGRAPHIC AND SOCIOECONOMIC MEASURES, AND HEALTH CARE UTILIZATION DATA;- AN ONLINE KEY INFORMANT SURVEY WITH COMMUNITY REPRESENTATIVES TO GAIN INSIGHT INTO LOCAL HEALTH CHALLENGES AND OPPORTUNITIES FOR IMPROVEMENT;- FOCUS GROUPS WITH RESIDENTS AND HEALTH AND SOCIAL SERVICE AGENCIES TO EXPLORE THE IMPACT OF SOCIAL DETERMINANTS OF HEALTH AND IDENTIFY OPPORTUNITIES FOR COLLABORATIVE COMMUNITY HEALTH IMPROVEMENT;- PARTNER FORUMS WERE HELD IN HUNTINGTON AND POINT PLEASANT WITH HEALTH AND HUMAN SERVICE PROVIDERS TO SHARE CHNA DATA FINDINGS AND GATHER FEEDBACK TO COLLECTIVELY DEFINE CHALLENGES AND MEANINGFUL STRATEGIES FOR HEALTH IMPROVEMENT.A COMMUNITY-WIDE KEY INFORMANT SURVEY (KIS) WAS CONDUCTED ONLINE TO GATHER INSIGHTS FROM COMMUNITY REPRESENTATIVES ACROSS MHN'S SERVICE AREA REGARDING LOCAL HEALTH NEEDS AND OPPORTUNITIES FOR IMPROVEMENT. PARTICIPANTS INCLUDED HEALTH CARE AND SOCIAL SERVICE PUBLIC HEALTH PROFESSIONALS, CIVIC LEADERS, FAITH-BASED ORGANIZATIONS, POLICYMAKERS, ELECTED OFFICIALS, AND OTHERS REPRESENTING DIVERSE COMMUNITY GROUPS.A TOTAL OF 232 INDIVIDUALS COMPLETED THE SURVEY. WHILE THE NAMES OF RESPONDENTS ARE WITHHELD TO ENSURE CONFIDENTIALITY, A LIST OF PARTICIPATING ORGANIZATIONS AND TITLES IS PROVIDED.RESPONDENTS REPRESENTED COMMUNITIES THROUGHOUT MHN'S 20-COUNTY SERVICE AREA,WITH 60% SERVING CABELL COUNTY AND 28% SERVING MASON COUNTY-HOME TO CHH, SMMC, HFCH, AND RH RESPECTIVELY. CABELL HUNTINGTON HOSPITAL, INC. PART V, SECTION B, LINE 6A: THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED AS A COLLABORATIVE EFFORT AMONG MARSHALL HEALTH NETWORK'S HOSPITALS: CABELL HUNTINGTON HOSPITAL (CHH), ST. MARY'S MEDICAL CENTER (SMMC), HOOPS FAMILY CHILDREN'S HOPSITAL (HFCH), AND RIVERS HEALTH (RH) ALONG WITH WIDE REPRESENTATION OF LOCAL AND REGIONAL PARTNERS. CABELL HUNTINGTON HOSPITAL, INC. PART V, SECTION B, LINE 11: BACKGROUNDIN 2022, MHN CONDUCTED A SIMILAR CHNA AND DEVELOPED A SUPPORTING THREE-YEAR CHIP. BASED ON THE CHNA FINDINGS, MHN LEADERSHIP IDENTIFIED FIVE PRIORITY AREAS FOR THE REGION:- BEHAVIORAL HEALTH- SUBSTANCE USE DISORDER- CHRONIC DISEASE PREVENTION AND MANAGEMENT- AGING POPULATION- FOOD INSECURITYMHN INVESTED IN INTERNAL POPULATION HEALTH MANAGEMENT STRATEGIES AND PARTNERED WITH DIVERSE COMMUNITY ORGANIZATIONS ACROSS THE REGION TO FUND PROGRAMS AND INITIATIVES AIMED AT ADDRESSING THE IDENTIFIED PRIORITY AREAS. THE SYSTEM MEASURED CONTRIBUTIONS AND COMMUNITY IMPACT FROM THESE INVESTMENTS, AS OUTLINED IN THE FOLLOWING SECTIONS.BASED ON INSIGHTS GATHERED THROUGH THE KEY INFORMANT SURVEY, COMMUNITY SURVEY, PARTNER FORUM, AND TARGETED FOCUS GROUPS, MARSHALL HEALTH NETWORK (MHN) DEVELOPED A COMPREHENSIVE THREE-YEAR COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) TO GUIDE COMMUNITY BENEFIT AND POPULATION HEALTH EFFORTS ACROSS ITS SERVICE AREA. THIS COLLABORATIVE, DATA-DRIVEN PLAN REFLECTS BOTH LONGSTANDING CHALLENGES AND EMERGING PRIORITIES IDENTIFIED IN THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA).THE CHIP PRIORITIZES FIVE KEY AREAS: SUBSTANCE USE, MENTAL HEALTH, DIABETES AND OBESITY, GERONTOLOGY AND HEALTHY AGING, AND RURAL HEALTH AND PRIMARY CARE.THESE FOCUS AREAS REFLECT THE MOST PRESSING NEEDS ACROSS THE SERVICE REGION AND WILL GUIDE MHN'S WORK IN ADDRESSING HEALTH DISPARITIES, ENHANCING ACCESS TO CARE, AND IMPROVING OVERALL COMMUNITY HEALTH OUTCOMES. IN ADDITION, MHN RECOGNIZES THE SIGNIFICANT IMPACT OF RACIAL AND ETHNIC DISPARITIES ON HEALTH OUTCOMES. EACH PRIORITY AREA WITHIN THE CHIP INCORPORATES STRATEGIES AIMED AT ADVANCING EQUITY, REDUCING GAPS IN ACCESS TO CARE, AND ADDRESSING THE UNIQUE CHALLENGES FACED BY DIVERSE POPULATIONS ACROSS OUR SERVICE AREA.BUILDING ON THE FOUNDATION OF PRIOR INITIATIVES, THE CHIP ESTABLISHES SYSTEM-WIDE PRIORITY AREAS AND GOALS, SUPPORTED BY HOSPITAL-SPECIFIC STRATEGIES THAT LEVERAGE THE UNIQUE STRENGTHS, RESOURCES, AND PARTNERSHIPS OF EACH MHN FACILITY. THROUGH THIS COORDINATED APPROACH, MHN AIMS TO ACHIEVE MEASURABLE, SUSTAINABLE IMPROVEMENTS IN THE HEALTH AND WELL-BEING OF THE COMMUNITIES IT SERVES.PRIORITY AREA: BEHAVIORAL HEALTHGOAL: STRENGTHEN COMMUNITY EFFORTS THAT BUILD EMOTIONAL AND MENTAL RESILIENCE WHILE IMPROVING ACCESS TO BEHAVIORAL HEALTH PREVENTION, EARLY INTERVENTION, AND TREATMENT SERVICES.OBJECTIVE: INCREASE AWARENESS AND EDUCATION TO ENCOURAGE TREATMENT AND MANAGEMENT OF BEHAVIORAL HEALTH ISSUES.STRATEGIES: SUPPORT, PROMOTE AND PARTICIPATE IN COMMUNITY BEHAVIORAL HEALTH AWARENESS AND TRAINING EFFORTS.PROVIDE CULTURALLY SENSITIVE EDUCATION AND OUTREACH TO UNDERSERVED RACIAL AND ETHNIC GROUPS.CONDUCT SCREENINGS IN HEALTH CARE SETTINGS TO IDENTIFY INDIVIDUALS WITH BEHAVIORAL HEALTH CONDITIONS.PROVIDE FREE SUPPORT GROUPS, SUCH AS NAVIGATING GRIEF AND PERINATAL BEREAVEMENT.OBJECTIVE: PROMOTE WELLNESS AND RESILIENCE INITIATIVES THAT PROTECT FROM AND OFFSET RISK FACTORS FOR BEHAVIORAL HEALTH ISSUES.STRATEGIES: STRENGTHEN AND SUPPORT COMMUNITY ORGANIZATIONS PROVIDING YOUTH MENTORSHIP, SENIOR PROGRAMMING, RELATIONSHIP-BUILDING, AND SOCIAL EMOTIONAL LEARNING OPPORTUNITIES.CABELL HUNTINGTON HOSPITAL (CHH) -SPECIFIC STRATEGIES: CONTINUE TO PROVIDE THE HOOPS FAMILY CHILDREN'S HOSPITAL CHILD ADVOCACY CENTER, DEDICATED TO OFFERING CHILDREN AND FAMILIES WITH COMPASSIONATE CARE TO REDUCE THE TRAUMA OFTEN EXPERIENCED BY CHILDREN WHO ARE VICTIMS OF ABUSE.ST. MARY'S MEDICAL CENTER (SMMC) - SPECIFIC STRATEGIES: SUPPORT THE COMPASS PROGRAM AND CITY OF HUNTINGTON FIRST RESPONDERS WITH AN EMPLOYEE ASSISTANCE PROGRAM (EAP) TO STRENGTHEN THE ABILITY OF FIRST RESPONDERS TO DEAL WITH HIGH-STRESS SITUATIONS AND BUILD RESILIENCY TO PROCESS ANY EFFECTS OF THAT STRESS.RIVERS HEALTH (RH) - SPECIFIC STRATEGIES: PARTNER WITH AREA SCHOOLS AND CONTINUE LEADING THE MASON COUNTY COMPREHENSIVE HEALTHY KIDS PROGRAM TO PROVIDE YOUTH BEHAVIORAL HEALTH EDUCATION AND RESILIENCE ACTIVITIES AND SUPPORT SERVICE REFERRALS.OBJECTIVE: IMPROVE ACCESS TO BEHAVIORAL HEALTH SERVICES.STRATEGIES: EXPAND ACCESS TO BEHAVIORAL HEALTH SERVICES THROUGH TELEHEALTH APPLICATIONS. CABELL HUNTINGTON HOSPITAL (CHH)-SPECIFIC STRATEGIES: COORDINATE SERVICE DELIVERY WITH PRESTERA CENTER FOR MENTAL HEALTH SERVICE, SPECIALIZING IN HELPING INDIVIDUALS WHO HAVE A DUAL DIAGNOSIS OF BEHAVIORAL HEALTH AND SUD. CABELL HUNTINGTON HOSPITAL, INC. PART V, SECTION B, LINE 11: PRIORITY AREA: DIABETES AND OBESITYGOAL: IMPROVE HEALTH AND QUALITY OF LIFE BY EXPANDING ACCESS TO HEALTHCARE, NUTRITION, AND SUPPORT SERVICES THAT HELP PREVENT AND MANAGE DIABETES AND OBESITY.OBJECTIVE: IDENTIFY AND ADDRESS GAPS IN SERVICES AND EDUCATION THAT IMPACT HEALTH AND DAILY LIVING NEEDS.STRATEGIES: SUPPORT, PROMOTE, AND PARTICIPATE IN COMMUNITY HEALTH EVENTS, INCLUDING FREE OR DISCOUNTED SCREENINGS AND SUPPORT GROUPS.CONTINUE SUPPORT OF COMMUNITY AGENCIES SUCH AS HUNTINGTON AREA YMCA, THAT OFFER WELLNESS PROGRAMMING.EXPAND NUTRITION AND WELLNESS PROGRAMMING TAILORED TO THE NEEDS OF DIVERSE COMMUNITIES.CABELL HUNTINGTON HOSPITAL (CHH) -SPECIFIC STRATEGIES: COLLABORATE WITH MARSHAL HEALTH CHERTOW DIABETES CENTER TO PROVIDE PATIENT EDUCATION, A DIABETES SUPPORT GROUP, DIABETES EXERCISE CENTER, AND OTHER RESOURCES FOR PATIENTS WITH DIABETES.ST. MARY'S MEDICAL CENTER (SMMC) -SPECIFIC STRATEGIES: PROVIDE PATIENT DIABETES EDUCATION, NUTRITION COUNSELING AND DISEASE MANAGEMENT.RIVERS HEALTH (RH)-SPECIFIC STRATEGIES: PROVIDE DIABETIC AND WEIGHT LOSS EDUCATION, LED BY A REGISTERED DIETITIAN. CONTINUE OPERATION OF THE WELLNESS CENTER, OFFERING FITNESS AND WELLNESS CLASSES FOR THE COMMUNITY.PRIORITY AREA: GERONTOLOGY & HEALTHY AGINGGOAL: IMPROVE QUALITY OF LIFE FOR OLDER ADULTS BY INCREASING AGING IN PLACE SUPPORTS, COMMUNITY BUILDING INITIATIVES AND HEALTHCARE FOR AGING RESIDENTS.OBJECTIVE: PROMOTE WELLNESS AND RESILIENCE INITIATIVES THAT HELP SUPPORT RISK FACTORS FOR SENIORS (65+) FOR BEHAVIORAL HEALTH ISSUES, SUBSTANCE USE DISORDER AND CHRONIC HEALTH DISEASES.STRATEGIES: CONTINUE TO EXPAND REMOTE ACCESS TO SENIOR WELLNESS SERVICES THROUGH TELEHEALTH AND DIGITAL CONNECTIONS.EXPLORE PARTNERSHIPS WITH SENIOR CENTERS AND OTHER ELDER SERVICE PROVIDERS TO PROVIDER OLDER ADULT ENGAGEMENT AND SOCIAL CONNECTIVITY OPPORTUNITIES.OBJECTIVE: IMPROVE ACCESS TO HEALTH CARE SERVICES FOR THE SENIOR POPULATION, INCLUDING BEHAVIORAL HEALTH SERVICES, SUD SERVICES, WELLNESS VISITS, PRIMARY CARE VISITS AND OTHER CHRONIC DISEASE PREVENTION AND MANAGEMENT SERVICES.STRATEGIES: UTILIZE RESOURCES OF ORGANIZATIONS SUCH AS FAITHHEALTH APPALACHIA AND CATHOLIC CHARITIES, SERVING AS A CONNECTION BETWEEN SOCIAL SERVICES, FAITH-BASED ORGANIZATIONS, MEDICAL FACILITIES, AND OTHER KEY LEADERS TO MEET THE SOCIAL DETERMINANTS OF HEALTH NEEDS OF SENIORS (65+), SUCH AS FOOD INSECURITY, MALNUTRITION, HOUSING, AND TRANSPORTATION NEEDS AND SOCIAL ISOLATION.PRIORITY AREA: RURAL HEALTH AND PRIMARY CAREGOAL: IMPROVE ACCESS TO TIMELY, QUALITY HEALTHCARE AND ESSENTIAL RESOURCES THAT SUPPORT THE HEALTH AND WELLBEING OF RURAL RESIDENTS.OBJECTIVE: INCREASE ACCESS TO TRADITION AND ALTERNATIVE (COMMUNITY- AND TECHNOLOGY-BASED) PLACES PEOPLE CAN ACCESS HEALTH CARE.STRATEGIES: CONTINUE TO SUPPORT EBENEZER MEDICAL OUTREACH, A FULL-SERVICE MEDICAL CLINIC PROVIDING ACCESS TO FREE, COMPREHENSIVE HEALTH CARE TO FINANCIALLY ELIGIBLE CLIENTS.ADDRESS RACIAL DISPARITIES IN RURAL ACCESS BY SUPPORTING COMMUNITY-BASED CLINICS SERVING MINORITY POPULATIONS.CONTINUE TO SUPPORT FAITHHEALTH APPALACHIA.ENHANCE ACCESS TO HOME-BASED CARE SERVICES THROUGH HOME HEALTH, TRANSITIONAL CARE, AND OTHER IN-HOME SERVICE ARRANGEMENTS.EXPEND NEW PRIMARY CARE SITE LOCATIONS ACROSS THE REGION, AND PARTNERSHIP OPPORTUNITIES WITH LOCAL COMMUNITY-BASED ORGANIZATIONS TO CO-LOCATE SOCIAL SERVICES.EXPAND EQUITABLE ACCESS TO TELEHEALTH VISITS AND PROVIDE ALTERNATIVE MEANS OF CONNECTION FOR THOSE WITHOUT ACCESS TO BROADBAND OR SMARTPHONE SERVICES.CABELL HUNTINGTON HOSPITAL (CHH)-SPECIFIC STRATEGIES: PARTNER WITH MARSHALL HEALTH VIA CHH HOME CARE MEDICINE TO PROVIDE PRE-CAND POST-ACUTE HOME CARE FOR HOMEBOUND PATIENTS AGE 18 OR OVER THROUGHOUT THE TRI-STATE REGION. CABELL HUNTINGTON HOSPITAL, INC. PART V, SECTION B, LINE 13H: A PATIENT WHO DOES NOT QUALIFY FOR INCOME BASED FINANCIAL ASSISTANCE UNDER THIS POLICY, BUT IS UNABLE TO PAY FOR THE COST OF MEDICALLY NECESSARY CARE MAY SEEK ASSISTANCE IN THE FOLLOWING CIRCUMSTANCES: 1. EXCEPTIONAL CIRCUMSTANCES - PATIENTS WHO CERTIFY THAT THEY ARE UNDERGOING AN EXTREME PERSONAL OR FINANCIAL HARDSHIP (INCLUDING A TERMINAL ILLNESS OR OTHER CATASTROPHIC MEDICAL CONDITION). 2. SPECIAL MEDICAL CIRCUMSTANCES - PATIENTS WHO ARE SEEKING TREATMENT THAT CAN ONLY BE PROVIDED BY CABELL HUNTINGTON HOSPITAL MEDICAL STAFF OR WHO WOULD BENEFIT FROM CONTINUED MEDICAL SERVICES FROM CABELL HUNTINGTON HOSPITAL FOR CONTINUITY OF CARE. 3. MEDICAID SCREENING - PATIENTS SEEKING CARE MAY BE CONTACTED BY A REPRESENTATIVE TO DETERMINE WHETHER THEY MAY QUALIFY FOR MEDICAID. PATIENTS MUST COOPERATE WITH THE MEDICAID ELIGIBILITY PROCESS TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS POLICY. 4. MEDICAID ADJUSTMENTS - PATIENTS WILL BE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS POLICY FOR A 100% DISCOUNT, IF A PATIENT QUALIFIES FOR MEDICAID BUT FUNDING IS NOT AVAILABLE TO PAY FOR EMERGENCY SERVICES AND OTHER MEDICALLY NECESSARY SERVICES OR MEDICAID DENIES COVERAGE FOR PARTICULAR EMERGENCY SERVICES AND OTHER MEDICALLY NECESSARY SERVICES. UPON APPROVAL, DISCOUNTS WILL BE PROCESSED PROMPTLY IN ACCORDANCE WITH PROCEDURES, STATE STATUTES AND REGULATIONS. 43 1 - EDWARDS COMPREHENSIVE CANCER CENTER 1400 HAL GREER BLVD HUNTINGTON WV 25701 CANCER CLINIC 2 - CABELL HUNTINGTON SURGERY CENTER 1201 HAL GREER BLVD HUNTINGTON WV 25701 OUTPATIENT SURGERY CENTER 3 - MARSHALL HEALTH TEAYS VALLEY 300 CORPORATE CENTER DR SCOTT DEPOT WV 25560 OUTPATIENT CLINIC 4 - CHH PAIN MANAGEMENT 1623 13TH AVE HUNTINGTON WV 25701 PAIN MANAGEMENT CLINIC 5 - MARSHALL SENIOR PAIN AND WELLNESS CENTER 1115 20TH STREET HUNTINGTON WV 25703 SENIOR PAIN CLINIC 6 - BREAST HEALTH CENTER 1415 HAL GREER BLVD HUNTINGTON WV 25701 DIAGNOSTIC CENTER 7 - MARSHALL SPORTS MEDICINE INSTITUTE 1600 MEDICAL CENTER DRIVE HUNTINGTON WV 25701 SPORTS MEDICINE CLINIC 8 - MARSHALL ORTHOPAEDICS 1600 MEDICAL CENTER DRIVE HUNTINGTON WV 25701 ORTHOPAEDICS CLINIC 9 - CHH CENTER FOR WOUND HEALING 1600 MEDICAL CENTER DRIVE HUNTINGTON WV 25701 WOUND CENTER CLINIC 10 - CHH BREAST HEALTH CENTER 1340 HAL GREER BLVD HUNTINGTON WV 25701 DIAGNOSTIC CENTER 46 - MARSHALL CARDIOLOGY 1249 15TH STREET STE 4000 HUNTINGTON WV 25701 CARDIOLOGY CLINIC 47 - CABELL HUNTINGTON HOSPITAL OUTPATIENT IN 1300 3RD AVENUE HUNTINGTON WV 25701 INFUSION CENTER 48 - MARSHALL NEUROLOGY - HUNTINGTON 1340 HAL GREER BLVD HUNTINGTON WV 25701 NEUROLOGY CLINIC 49 - CABELL HUNTINGTON HOSPITAL CENTER FOR LU 1305 ELM ST HUNTINGTON WV 25701 LUNG HEALTH CLINIC 50 - MARSHALL FAMILY MEDICINE 1600 MEDICAL CENTER DRIVE HUNTINGTON WV 25701 FAMILY OUTPATIENT CLINIC 51 - CHH CENTER FOR SURGICAL WEIGHT CONTROL 1115 20TH STREET HUNTINGTON WV 25701 BARIATRIC CLINIC 52 - CHH HUNTINGTON WOMEN'S HEALTH 1660 12TH AVE HUNTINGTON WV 25701 OB-GYN CLINIC 53 - CHH WOMEN'S HEALTH MERRITTS CREEK 104 MEADOW POINTE BARBOURSVILLE WV 25504 OB-GYN CLINIC 54 - SLEEP DISORDERS CENTER MARSHALL HEALTH BUILDING 300 CORPORATE SCOTT DEPOT WV 25560 SLEEP LAB 55 - MARSHALL OBSTETRICS & GYNECOLOGY 1600 MEDICAL CENTER DRIVE HUNTINGTON WV 25701 OB-GYN CLINIC 56 - MARSHALL SURGERY 1600 MEDICAL CENTER DRIVE HUNTINGTON WV 25701 OUTPATIENT SURGERY CLINIC 57 - MARSHALL UROLOGY 1115 20TH STREET HUNTINGTON WV 25703 UROLOGY CLINIC 58 - MARSHALL DERMATOLOGY 1934 11TH AVE HUNTINGTON WV 25701 DERMATOLOGY CLINIC 59 - CHH FAMILY MEDICAL CENTER PROCTORVILLE 7718 COUNTY RD 107 PROCTORVILLE OH 45669 FAMILY OUTPATIENT CLINIC 60 - COUNSELING CENTER 517 NINTH ST HUNTINGTON WV 25701 COUNSELING SERVICES 61 - MARSHALL DERMATOLOGY - TEAYS VALLEY 100 CORPORATE CENTER DR SCOTT DEPOT WV 25560 DERMATOLOGY CLINIC 62 - MARSHALL PSYCHIATRY & BEHAVIORAL MEDICIN 1115 20TH STREET HUNTINGTON WV 25703 PSYCHOLOGY CLINIC 63 - MHN FAMILY PRACTICE BARBOURSVILLE 5727 US ROUTE 60 W BARBOURSVILLE WV 25504 FAMILY OUTPATIENT CLINIC 64 - CABELL HUNTINGTON HOSPITAL FAMILY URGENT 2 STONECREST DRIVE HUNTINGTON WV 25701 FAMILY OUTPATIENT CLINIC 65 - CHH FAMILY MEDICAL CENTER KENOVA 750 OAK STREET KENOVA WV 25530 FAMILY OUTPATIENT CLINIC 66 - MARSHALL INTERNAL MEDICINE 1249 15TH STREET STE 4000 HUNTINGTON WV 25701 INTERNAL MEDICINE CLINIC 67 - MARSHALL CENTER FOR HEALTHY AGING 659 CENTRAL AVE REAR BARBOURSVILLE WV 25504 SENIOR CLINIC 68 - THE CHH RECOVERY CENTER 1654 13TH AVE HUNTINGTON WV 25701 RX DRUG ABUSE/PAIN RECOVERY CENTER 69 - CHH WOODLANDS CLINIC 500 BRADLEY FOSTER DR STE 267 HUNTINGTON WV 25701 FAMILY OUTPATIENT CLINIC 70 - CHH WOMEN'S & FAMILY MEDICAL CENTER - CL 1115 20TH STREET HUNTINGTON WV 25701 FAMILY OUTPATIENT CLINIC 71 - CABELL HUNTINGTON HOSPITAL CANNONSBURG P 6572 MIDLAND TRAIL RD ASHLAND KY 41102 FAMILY OUTPATIENT CLINIC 72 - SMART CENTER 1340 HAL GREER BLVD HUNTINGTON WV 25701 THERAPIES-MOVEMENT & REHAB 73 - MARSHALL DENTISTRY & ORAL SURGERY 1616 13TH AVE HUNTINGTON WV 25701 OUTPATIENT ORAL SURGERY CLINIC 74 - MARSHALL HANSHAW GERIATRIC CENTER 1249 15TH STREET STE 2000 HUNTINGTON WV 25701 GERIATRIC CLINIC 75 - MARSHALL GASTROENTEROLOGY & HEPATOLOGY 1340 HAL GREER BLVD HUNTINGTON WV 25701 GASTRO & HEPATOLOGY CLINIC 76 - MARSHALL NEUROSCIENCE 1600 MEDICAL CENTER DRIVE HUNTINGTON WV 25701 NEUROSCIENCE CLINIC 77 - MARSHALL PEDIATRICS 1600 MEDICAL CENTER DRIVE HUNTINGTON WV 25701 PEDIATRIC CLINIC 78 - BRUCE CHERTOW DIABETES CENTER 1249 15TH STREET STE 3000 HUNTINGTON WV 25701 DIABETES CLINIC PART I, LINE 3C: AS PART OF CABELL HUNTINGTON HOSPITAL'S MISSION, WE ARE COMMITTED TO PROVIDING EMERGENCY SERVICES AS WELL AS OTHER MEDICALLY NECESSARY CARE TO ALL PATIENTS, REGARDLESS OF A PATIENT'S ABILITY TO PAY FOR SUCH SERVICES. CABELL HUNTINGTON HOSPITAL IS FURTHER COMMITTED TO PROVIDING FINANCIAL ASSISTANCE TO PATIENTS WHO HAVE HEALTH CARE NEEDS AND ARE UNITED STATES CITIZENS, UNINSURED, INELIGIBLE FOR A GOVERNMENT PROGRAM, FOR EMERGENCY SERVICES AND MEDICALLY NECESSARY CARE BASED ON THEIR INDIVIDUAL FINANCIAL SITUATION. THE FOLLOWING IS A SUMMARY OF FINANCIAL ASSISTANCE AVAILABLE FOR PATIENTS OF CABELL HUNTINGTON HOSPITAL. WE PROVIDE FINANCIAL ASSISTANCE FOR EMERGENCY SERVICES OR OTHER MEDICALLY NECESSARY CARE AT A DISCOUNT FROM OUR NORMAL CHARGES IF YOU ARE A UNITED STATES CITIZEN, YOUR HOUSEHOLD INCOME DOES NOT EXCEED 150% THE FEDERAL POVERTY GUIDELINES (FPG) AND YOU DO NOT HAVE ASSETS IN EXCESS OF $50,000. ALL APPLICANTS WILL BE SCREENED FOR MEDICAID COVERAGE AND MUST COOPERATE WITH MEDICAID REPRESENTATIVES TO BE CONSIDERED FOR FINANCIAL ASSISTANCE. IF YOU DO NOT MEET THE INCOME CRITERIA ABOVE YOU WILL BE CONSIDERED ON A CASE-BY-CASE BASIS FOR FINANCIAL ASSISTANCE IF YOU HAVE EXCEPTIONAL AND/OR SPECIAL MEDICAL CIRCUMSTANCES. PART I, LINE 7: A COST-TO-CHARGE RATIO WAS CALCULATED USING THE IRS WORKSHEET 2. THE TOTAL OPERATING EXPENSES WERE ADJUSTED FOR NON-PATIENT ACTIVITIES, MEDICAID TAXES, AND COMMUNITY BENEFIT AND BUILDING EXPENSES BEFORE CALCULATING THE RATIO. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN, IS $56,644,604. PART III, LINE 2: BAD DEBT EXPENSE AS REPORTED ON AUDITED FINANCIAL STATEMENTS MULTIPLIED BY THE RATIO OF PATIENT CARE COST OF CHARGES CALCULATED ON WORKSHEET 2. PART II THE HOSPITAL'S COMMUNITY-BUILDING ACTIVITIES, AS REPORTED IN PART II, PROMOTE THE HEALTH OF THE COMMUNITIES THE ORGANIZATION SERVES. DURING FY 2025, THE HOSPITAL COMMUNITY-BUILDING ACTIVITIES REACHED OUT TO NUMEROUS ORGANIZATIONS THAT SERVE INDIVIDUALS WITHIN THE DIRECT COMMUNITIES SERVED. FUTURE ACTIVITIES ARE DETERMINED BASED UPON THE COMMUNITY HEALTH NEEDS ASSESSMENT, REQUESTS FROM PUBLIC AGENCIES OR COMMUNITY GROUPS, AND OTHER FACTORS. THE HOSPITAL ALSO WELCOMES INPUT FROM THE COMMUNITIES AS TO WHICH EVENTS IT SHOULD PURSUE AND CONTINUE. THE HOSPITAL SEEKS TO PROVIDE OR FUND ACTIVITIES WITH THE FOLLOWING OBJECTIVES: IMPROVING ACCESS TO HEALTH SERVICES, ENHANCING PUBLIC HEALTH, RELIEVING GOVERNMENT BURDEN, MAKING HEALTHCARE AVAILABLE TO THE PUBLIC AND SERVICING LOW-INCOME CONSUMERS, ADDRESSING FEDERAL, STATE, OR LOCAL PUBLIC HEALTH PRIORITIES, AND LEVERAGING OR ENHANCING PUBLIC HEALTH DEPARTMENT ACTIVITIES. SOME OF THE SPECIFIC COMMUNITY BUILDING ACTIVITIES FUNDED BY THE ORGANIZATION INCLUDE: A) HUNTINGTON'S KITCHEN CONTINUED OPERATIONS TO PROMOTE HEALTHY EATING HABITS FOR KIDS AND ADULTS IN THE COMMUNITY,C) MARSHALL HEALTH NETWORK, INC. SUPPORT FOR VARIOUS COMMUNITY BUILDING ACTIVITIES SUCH AS: 1) FACING HUNGER FOOD BANK FOOD PROGRAM TO PROVIDE NUTRITIOUS CANNED, BOXED, FRESH, FROZEN, AND PREPARED FOOD TO INDIVIDUALS.2) HUNTINGTON MUSEUM OF ART PROGRAM FOR VARIOUS COMMUNITY ACTIVITIES.3) HUNTINGTON CITY MISSION FOOD PROGRAM TO HELP PROVIDE FOOD FOR INDIVIDUALS THAT HAVE NO PERMANENT HOME, 4) FAITHHEALTH APPALACHIA, A PROGRAM TO PROMOTE PASSION FOR A HOLISTIC APPROACH TO WELLNESS WHICH FOCUSES ON MIND, BODY, AND SPIRIT THROUGH BRIDGING TOGETHER OF HEALTHCARE, FAITH COMMUNITIES AND COMMUNITY, AND 5) NUMEROUS OTHER SUPPORT FOR THE SAME TYPES OF MISSIONS. PART III, LINE 4: FINANCIAL STATEMENT FOOTNOTE: SEE FOOTNOTE #5 ON PAGE 16 OF THE AUDITED FINANCIAL STATEMENTS. THE METHODOLOGY USED TO DETERMINE THE COST FOR LINE 2 IS THE METHOD SUGGESTED IN THE INSTRUCTIONS FOR WORKSHEET 2, FINANCIAL ASSISTANCE AT COST IN THE INTERNAL REVENUE INSTRUCTIONS FOR FORM 990 SCHEDULE H. THIS METHOD CALCULATES A COST RATIO BY USING TOTAL OPERATING EXPENSES LESS BAD DEBT AND OTHER EXPENSE ADJUSTMENTS DIVIDED BY GROSS PATIENT REVENUES. THE RATIO IS THEN APPLIED TO BAD DEBT EXPENSE TO GET THE ESTIMATED COST. LINE 3 IS A PERCENTAGE DERIVED BY LOOKING AT THE HISTORICAL PERCENTAGES OF UNINSURED AND SELF-INSURED PATIENTS IN THE COMMUNITY SERVED. THERE ARE A NUMBER OF PATIENTS THAT DO NOT APPLY FOR FINANCIAL ASSISTANCE AND ARE DEFINITELY UNABLE TO PAY FOR THEIR OUT-OF-POCKET MEDICAL EXPENSES. IF THESE PATIENTS WENT THROUGH THE FINANCIAL ASSISTANCE PROCESS, THEY WOULD MOST LIKELY QUALIFY. THESE PATIENTS STILL NEED TO BE TREATED AND THIS IS WHY THE ORGANIZATION BELIEVES THIS SHOULD BE TREATED AS A COMMUNITY BENEFIT. PART III, LINE 8: BECAUSE THE HOSPITAL IS A COMMUNITY-BASED TEACHING HOSPITAL AND SERVES THE COMMUNITY WITHOUT REGARD TO ABILITY TO PAY, THIS AMOUNT SHOULD BE CONSIDERED A COMMUNITY BENEFIT. THE EXPENSES ALLOCATED TO THE MEDICARE ARE DERIVED FROM THE MEDICARE COST REPORT AND ARE ALLOCATED TO CARRIER BY GROSS CHARGE RATIO AFTER THEY ARE ADJUSTED FOR COSTS THAT ARE INCLUDED IN PART I, LINE 7F. PART III, LINE 9B: THE HOSPITAL HAS INCLUDED IN ITS FINANCIAL ASSISTANCE POLICY, THE COLLECTION PROCEDURES THAT WILL BE FOLLOWED FOR PATIENTS THAT ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. . CABELL HUNTINGTON HOSPITAL SEEKS TO DETERMINE WHETHER A PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER THIS POLICY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. IF A PATIENT HAS NOT BEEN DETERMINED ELIGIBLE FOR FINANCIAL ASSISTANCE PRIOR TO DISCHARGE OR SERVICE, CABELL HUNTINGTON HOSPITAL WILL BILL FOR CARE. CABELL HUNTINGTON HOSPITAL WILL BILL UNINSURED PATIENTS DIRECTLY FOR THE CHARGES INCURRED. PATIENTS WILL RECEIVE A SERIES OF BILLING STATEMENTS OVER A 120 DAY PERIOD BEGINNING AFTER THE PATIENT HAS BEEN DISCHARGED DELIVERED TO THE ADDRESS ON RECORD FOR THE PATIENT. ONLY PATIENTS WITH AN UNPAID BALANCE WILL RECEIVE A BILLING STATEMENT. BILLING STATEMENTS INCLUDE A NOTICE OF THIS POLICY AND HOW TO APPLY FOR FINANCIAL ASSISTANCE. REASONABLE EFFORTS TO DETERMINE ELIGIBILITY INCLUDE: NOTIFICATION TO THE PATIENT BY CABELL HUNTINGTON HOSPITAL OF THE POLICY UPON ADMISSION AND IN WRITTEN AND ORAL COMMUNICATIONS WITH THE PATIENT REGARDING THE PATIENT'S BILL, AN EFFORT TO NOTIFY THE INDIVIDUAL ABOUT THE POLICY AND THE PROCESS FOR APPLYING FOR ASSISTANCE AT LEAST 30 DAYS BEFORE TAKING ACTION TO INITIATE ANY LAWSUIT, AND A WRITTEN RESPONSE TO ANY FINANCIAL ASSISTANCE APPLICATION FOR ASSISTANCE UNDER THIS POLICY SUBMITTED WITHIN 240 DAYS OF THE FIRST BILLING STATEMENT WITH RESPECT TO THE UNPAID BALANCE OR, IF LATER, THE DATE ON WHICH A COLLECTION AGENCY WORKING ON BEHALF OF THE CABELL HUNTINGTON HOSPITAL RETURNS THE UNPAID BALANCE TO CABELL HUNTINGTON HOSPITAL.AFTER 120 DAYS FROM THE FIRST POST-DISCHARGE BILLING STATEMENT TO THE PATIENT, IF A PATIENT HAS AN UNPAID BALANCE AND THERE IS NO PENDING FINANCIAL ASSISTANCE APPLICATION, THE PATIENT'S ACCOUNT MAY BE REFERRED TO A COLLECTION AGENCY OR LAW FIRM FOR COLLECTION OF THE UNPAID BALANCE. CABELL HUNTINGTON HOSPITAL AND ITS COLLECTION AGENCIES/LAW FIRMS MAY REPORT TO CREDIT BUREAUS, COMMENCE CIVIL LITIGATION, PURSUE WAGE GARNISHMENTS, PLACE A LIEN ON REAL OR PERSONAL PROPERTY, ATTACH OR SEIZE AN INDIVIDUAL'S BANK ACCOUNT OR ANY OTHER PERSONAL PROPERTY, AND OTHER SIMILAR COLLECTION ACTIONS. PART VI, LINE 2 THE HOSPITAL ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES BY CONDUCTING A NEEDS ASSESSMENT AND CONSULTING WITH HEALTHCARE PROVIDERS SUCH AS MARSHALL UNIVERSITY JOAN C. EDWARDS SCHOOL OF MEDICINE AND VARIOUS COMMUNITY AGENCIES. THE 2025 COMMUNITY NEEDS ASSESSMENT WAS CONDUCTED AS A COLLABORATIVE EFFORT AMONG MARSHALL HEALTH NETWORK'S (MHN) HOSPITALS: CABELL HUNTINGTON HOSPITAL (CHH), ST. MARY'S MEDICAL CENTER (SMMC), HOOPS FAMILY CHILDREN'S HOSPITAL (HFCH), AND RIVERS HEALTH (RH) ALONG WITH WIDE REPRESENTATION OF LOCAL AND REGIONAL PARTNERS. COMMUNITY INPUT TO IDENTIFY HEALTH TRENDS AND DISPARITIES IMPACTING RESIDENTS WAS COLLECTED FROM ACROSS A 20-COUNTY SERVICE AREA OF WEST VIRGINA AND SPANNING PARTS OF KENTUCKY AND OHIO. THE GOAL OF THIS COLLABORATION WAS TO IDENTIFY COMMON AND UNIQUE CHALLENGES ACROSS THE SERVICE AREA AND ALIGN HEALTH IMPROVEMENT STRATEGIES. THE MHN SYSTEM IS COMMITTED TO ADVANCING INITIATIVES AND COMMUNITY COLLABORATION TO SUPPORT THE ISSUES IDENTIFIED THROUGH THE CHNA. MHN SEEKS TO MOBILIZE ITS RESOURCES AND ACTIVITIES TO IMPROVE THE MOST PRESSING AND CROSS-CUTTING HEALTH NEEDS WITHIN OUR COMMUNITY. THE CURRENT NEEDS ASSESSMENT CAN BE FOUND ON THE HOSPITAL WEBSITE, HTTPS://CABELLHUNTINGTON.ORG. MHN WILL FOCUS EFFORTS ON THE FOLLOWING COMMUNITY HEALTH PRIORITIES OVER THE NEXT THREE-YEAR CYCLE: ADDICTION BEHAVIORAL HEALTH GERONTOLOGY AND HEALTHY AGING OBESITY AND DIABETES RURAL HEALTH AND PRIMARY CARE PART VI, LINE 3 THE HOSPITAL HAS INFORMATION ABOUT ITS CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES AND APPLICATIONS AVAILABLE IN ALL REGISTRATION AREAS OF THE HOSPITAL AS WELL AS ITS WEBSITE. THE HOSPITAL EMPLOYS FINANCIAL COUNSELORS WHO VISIT INPATIENTS IN ELIGIBLE FINANCIAL CLASSES TO PROVIDE INFORMATION ABOUT CHARITY CARE AND FINANCIAL ASSISTANCE AS WELL AS RESPONDING TO INQUIRIES FROM OUTPATIENTS REGARDING PROVIDING ASSISTANCE WITH THE APPLICATION PROCESS. PATIENTS CAN COMMUNICATE WITH FINANCIAL COUNSELORS IN PERSON OR BY TELEPHONE, MAIL, OR FAX IN ORDER TO LEARN MORE ABOUT THE HOSPITAL'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES AND OBTAIN INFORMATION REGARDING THEIR ELIGIBILITY FOR CHARITY CARE AND FINANCIAL ASSISTANCE. THE HOSPITAL ALSO CONTRACTS WITH MEDICAID ELIGIBILITY SPECIALISTS TO ASSIST THOSE PATIENTS WHO QUALIFY FOR MEDICAID. INFORMATION ABOUT THE HOSPITAL'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES AND PROCESS IS POSTED ON THE HOSPITAL'S WEBSITE, HTTPS://CABELLHUNTINGTON.ORG. PART VI, LINE 4 ACCORDING TO OUR MOST RECENT CHNA, MHN AND ITS HOSPITALS PRIMARILY SERVES 20 COUNTIES ACROSS WEST VIRGINIA, EASTERN KENTUCKY, AND SOUTHERN OHIO. FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), MHN FURTHER DEFINES ITS PRIMARY SERVICE AREA BASED ON INPATIENT VOLUMES FOR CHH, SMMC, AND RH. THE SERVICE AREA INCLUDES 56 ZIP CODES IN AND AROUND HUNTINGTON AND POINT PLEASANT, WEST VIRGINIA.FROM 2010 TO 2023, THE MHN SERVICE AREA SAW A POPULATION DECLINE OF 6.24% COMPARED TO THE POPULATION GROWTH OF NEARLY 10% IN THE US OVERALL. WEST VIRGINIA ALSO SAW A POPULATION DECLINE OF 3.06%,WHILE KENTUCKY AND OHIO SAW MODERATE POPULATION GROWTH OF APPROXIMATELY 2-5%.CONSISTENT WITH STATE AND NATIONAL BENCHMARKS, POPULATION GROWTH WITHIN THE MHN SERVICE AREA OCCURRED EXCLUSIVELY AMONG NON-WHITE INDIVIDUALS. OF NOTE, THE BLACK/AFRICAN AMERICAN POPULATION ALSO DECLINED (0.1%) IN THE MHN SERVICE AREA, CONTRARY TO STATE TRENDS.FROM 2010 TO 2023, THE WHITE POPULATION DECLINED 2.1%. THE LARGEST POPULATION GROWTH WAS SEEN AMONG MULTIRACIAL INDIVIDUALS (1.9%). DESPITE INCREASING DIVERSITY, THE MHN SERVICE AREA AND THE TRI-STATE REGION OVERALL CONTINUE TO REFLECT A MAJORITY WHITE POPULATION.HEALTH NEEDS CHANGE AS INDIVIDUALS AGE. THEREFORE, THE AGE DISTRIBUTION OF A COMMUNITY IMPACTS ITS SOCIAL AND HEALTH CARE NEEDS. THE AGE DISTRIBUTION OF THE MHN SERVICE AREA IS SIMILAR TO WEST VIRGINIA OVERALL WHICH IS OLDER THAN THE NATION. APPROXIMATELY 20.5% OF SERVICE AREA RESIDENTS ARE AGED 65 OR OLDER COMPARED TO 16.8% NATIONWIDE.THE PROPORTION OF OLDER ADULT RESIDENTS INCREASED ACROSS THE MHN SERVICE AREA, TRI-STATE REGION AND THE NATION SINCE THE 2022 CHNA. NATIONALLY, AMONG OLDER ADULTS AGED 65 OR OLDER, THE 65-74 AGE CATEGORY IS THE FASTEST GROWING DEMOGRAPHIC, LARGELY DUE TO THE AGING BABY BOOMER GENERATION (65+).CONSISTENT WITH THE NATION, THE BIRTH RATE DECLINED ACROSS THE TRI-STATE SINCE THE 2022 CHNA. THE TRI-STATE HAS A SIMILAR OR LOWER RATE OF BIRTH THAN THE NATION, WITH THE HIGHEST RATE OF BIRTH IN KENTUCKY.CONSISTENT MATERNAL AND INFANT HEALTH NEEDS ACROSS THE TRI-STATE INCLUDE TEEN BIRTHS AND SMOKING DURING PREGNANCY. THE TEEN BIRTH RATE IS HIGHER IN ALL THREE STATES COMPARED TO THE NATION, AND NEARLY 50% HIGHER IN KENTUCKY AND WEST VIRGINIA. ALL THREE STATES ALSO HAVE A HIGHER PROPORTION OF PEOPLE WHO SMOKE DURING PREGNANCY, WITH THE HIGHEST POPULATION IN WEST VIRGINIA (15.3%).WEST VIRGINIA ALSO EXPERIENCES DISPARATE OUTCOMES FOR LOW-BIRTH-WEIGHT BIRTHS RELATIVE TO OTHER STATES IN THE REGION AND THE NATION OVERALL, ESPECIALLY AMONG THE BLACK/AFRICAN AMERICAN RESIDENTS. WEST VIRGINIA OVERALL HAS A HIGH PROPORTION OF PREGNANT WOMEN RECEIVING FIRST TRIMESTER PRENATAL CARE (81.2%), WITH BLACKS/AFRICAN AMERICANS (77.0%) AND WHITES (82.8%) RECEIVING PRENATAL CARE. PRENATAL CARE PERCENTAGES HAVE LARGELY REMAINED CONSISTENT THROUGHOUT THE TRI-STATE AREA.THE TRI-STATE HAS A SIMILAR OVERALL INFANT DEATH RATE AS THE NATION, BUT CONSISTENT WITH THE NATION, THE INFANT DEATH RATE IS MORE THAN 50% HIGHER FOR BLACK/AFRICAN AMERICANS THAN WHITES IN OHIO, WHERE BLACK/AFRICAN AMERICAN HAVE AN INFANT DEATH RATE (13.1/1000 LIVE BIRTHS) THAT IS MORE THAN TWO TIMES HIGHER THAN THE DEATH RATE FOR WHITES (5.7/1000) LIVING IN THE SAME STATE, AND NEARLY 46% HIGHER THAN THE NATIONAL BLACK/AFRICAN AMERICAN DEATH RATE (10.4/1000). REPORTS BY THE OHIO DEPARTMENT OF HEALTH SHOW THAT WHILE THE WHITE INFANT DEATH RATE HAS IMPROVED, THE BLACK/AFRICAN AMERICAN DEATH RATE HAS NOT SIGNIFICANTLY CHANGED.WHILE THE OLDER ADULT POPULATION INCREASES IN THE MHN SERVICE AREA, YOUTH UNDER AGE 18 COMPRISE MORE THAN 1 IN 5 RESIDENTS. A HIGHER PORTION OF MHN SERVICE AREA RESIDENTS LIVE IN POVERTY WHEN COMPARED TO THE TRI-STATE REGION AND THE NATION. CHILDREN ARE DISPROPORTIONATELY AFFECTED BY POVERTY, AND 24.1% OF CHILDREN IN THE MHN SERVICE AREA LIVE IN POVERTY COMPARED TO 16.3% NATIONALLY. APPROXIMATELY 1 IN 10 OLDER ADULTS (65+) ALSO LIVE IN POVERTY IN THE MHN SERVICE AREA, A FINDING OF NOTE DUE TO THE LARGE AND GROWING PROPORTION OF RESIDENTS AGED 65 OR OLDER.WITHIN THE MHN SERVICE AREA, ALL COUNTIES EXCEPT GALLIA COUNTY, OHIO AND PUTNAM COUNTY, WEST VIRGINIA HAVE POVERTY LEVELS THAT EXCEED 15%. THE HIGHEST POVERTY LEVELS ARE SEEN IN MARTIN COUNTY (29.2%), KENTUCKY AND MINGO COUNTY (29.9%), WEST VIRGINIA. MARTIN AND MINGO COUNTIES ALSO HAVE THE HIGHEST POPULATION OF CHILDREN IN POVERTY, 41.2% AND 37.6% RESPECTIVELY. IN CABELL COUNTY 19.8% OF ALL RESIDENTS AND 23.6% OF CHILDREN LIVE IN POVERTY, WHILE IN MASON COUNTY 17.9% OF ALL RESIDENTS AND 29.1% OF CHILDREN LIVE IN POVERTY.HIGH SCHOOL GRADUATION IS ONE OF THE STRONGEST PREDICTORS OF LONGEVITY AND ECONOMIC STABILITY. THE PROPORTION OF ADULTS NOT COMPLETING HIGH SCHOOL CONTINUED TO DECLINE ACROSS THE MHN SERVICE AREA. ADULT RESIDENTS OF THE MHN SERVICE AREA ARE LESS LIKELY TO COMPLETE HIGH SCHOOL OR PURSUE HIGHER EDUCATION WHEN COMPARED TO THE TRI-STATE REGION AND THE NATION. MASON COUNTY HAS A LOWER RATE OF HIGH SCHOOL COMPLETION AND A HIGHER RATE OF ADULTS WITH ONLY A HIGH SCHOOL DEGREE COMPARED TO THE OVERALL SERVICE AREA, STATE LEVEL, AND NATIONAL LEVEL. APPROXIMATELY 21.5% OF MHN SERVICE AREA ADULTS HAVE A BACHELOR'S DEGREE OR HIGHER COMPARED TO 35.0% NATIONWIDE.NATIONWIDE, AND SINCE THE PANDEMIC, THERE IS A GROWING PROPORTION OF DISCONNECTED YOUTH, DEFINED AS YOUTH AGES 16-19 WHO ARE NEITHER WORKING NOR IN SCHOOL. IN 2022, APPROXIMATELY 7% OF YOUTH NATIONWIDEWERE DISCONNECTED; HIGHER PROPORTIONS WERE SEEN IN KENTUCKY (8.2%) AND WEST VIRGINIA (8.9%), ALTHOUGH PROPORTIONS DECREASED SINCE 2022 CHNA PART VI, LINE 5 THE HOSPITAL IS GOVERNED BY A COMMUNITY-BASED BOARD OF DIRECTORS THAT INCLUDES REPRESENTATIVES OF SMALL BUSINESSES, ORGANIZED LABOR, THE ELDERLY, AND LOWER-INCOME CONSUMERS. A MAJORITY OF THE HOSPITAL'S BOARD OF DIRECTORS IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA, WHO ARE NEITHER EMPLOYEES, FAMILY MEMBERS, ELECTED PUBLIC OFFICIALS, OR EMPLOYED BY THE LOCAL, STATE, OR FEDERAL GOVERNMENT. THE HOSPITAL PROVIDES SPECIALIZED SERVICES NOT OTHERWISE AVAILABLE TO THE COMMUNITY, SUCH AS ITS NEONATAL AND PEDIATRIC SERVICES. THE HOSPITAL OPERATES AN EMERGENCY DEPARTMENT AVAILABLE TO ALL REGARDLESS OF ABILITY TO PAY AS NOTED ABOVE. THE HOSPITAL IS AFFILIATED WITH THE MARSHALL UNIVERSITY JOAN C. EDWARDS SCHOOL OF MEDICINE AND ITS GRADUATE MEDICAL EDUCATION PROGRAMS, WHICH TRAIN PRIMARY CARE AND SPECIALTY PHYSICIANS FOR WV AND THE REGION. THE HOSPITAL'S AFFILIATION ALSO ENABLES IT TO PROVIDE SPECIALIZED HEALTHCARE SERVICES SUCH AS HIGH-RISK OBSTETRICS, NEONATAL INTENSIVE CARE, PEDIATRIC INTENSIVE CARE, COMPREHENSIVE ONCOLOGY CARE, AND BARIATRIC CARE. THE HOSPITAL ALSO SERVES AS A CLINICAL TRAINING SITE FOR A NUMBER OF HEALTH PROFESSION EDUCATION PROGRAMS, INCLUDING NURSING, PHARMACY, PHYSICAL & OCCUPATIONAL THERAPY, AND RADIOLOGICAL TECHNOLOGY. THE HOSPITAL PARTICIPATES IN THE EDUCATION AND TRAINING OF HEALTHCARE PROFESSIONALS AND PROVIDES SUPPORT FOR MEDICAL RESEARCH CARRIED OUT BY MEDICAL SCHOOL FACULTY AND PHYSICIANS IN TRAINING. THE HOSPITAL PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH PROGRAMS. THE HOSPITAL ALSO EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR ALL DEPARTMENTS. ANY SURPLUS OF FUNDS IS REINVESTED INTO REPLACEMENT OF EQUIPMENT OR NEW EQUIPMENT TO PROVIDE UPDATED SERVICES TO THE HOSPITAL'S PATIENTS OR TO PROVIDING NEW AND EXPANDED HEALTHCARE PROGRAMS. PART VI LINE 6 THE HOSPITAL IS CONTROLLED BY THE SOLE CORPORATE MEMBER, MARSHALL HEALTH NETWORK INC. (MHN). MARSHALL HEALTH NETWORK, INC IS ALSO THE SOLE CORPORATE MEMBER OF THE FOLLOWING: ST. MARY'S MEDICAL CENTER INC, PLEASANT VALLEY HOSPITAL INC DBA RIVERS HEALTH, AND UNIVERSITY PHYSICIANS & SURGEONS INC DBA MARSHALL HEALTH. THE MARSHALL HEALTH NETWORK AFFILIATED HEALTH CARE SYSTEM IS COMPRISED OF MULTIPLE RELATED HOSPITALS, PHYSICIAN PRACTICES, AMBULATORY FACILITIES, AND CLINICS THAT OPERATE AS SEPARATE LEGAL ENTITIES BUT ARE COORDINATED UNDER A UNIFIED MISSION. MARSHALL HEALTH NETWORK OPERATES EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES OF THE ORGANIZATIONS IT CONTROLS. THESE PURPOSES INCLUDE PROMOTING THE HEALTH OF THE COMMUNITIES SERVED THROUGH COMMUNITY BUILDING ACTIVITIES AND COMMUNITY HEALTH IMPROVEMENT ALONG WITH SUPPORTING OTHER ORGANIZATIONS IN THEIR MISSIONS AS WELL. THE MISSION OF MARSHALL HEALTH NETWORK AND ALL ITS AFFILIATED ENTITIES, INCLUDING CABELL HUNTINGTON HOSPITAL, IS TO "ADVANCE HEALTH, INSPIRE HOPE, AND SERVE YOU". THE ORGANIZATION IS COMMITTED TO IMPROVING THE HEALTH AND WELL-BEING OF OVER ONE MILLION CHILDREN AND ADULTS PRIMARILY IN 20 COUNTIES ACROSS WEST VIRGINIA, SOUTHERN OHIO, AND EASTERN KENTUCKY THROUGH HIGH QUALITY COMPASSIONATE CARE, EDUCATION, AND RESEARCH. PART I, LINE 6A: MARSHALL HEALTH NETWORK, INC. (MHN) SERVES AS THE SOLE CORPORATE MEMBER OF CABELL HUNTINGTON HOSPITAL, INC.; ST. MARY'S MEDICAL CENTER, INC.; PLEASANT VALLEY HOSPITAL, INC. D/B/A RIVERS HEALTH; AND UNIVERSITY PHYSICIANS & SURGEONS, INC. D/B/A MARSHALL HEALTH. MHN IS ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, AND ANY CORRESPONDING PROVISIONS OF FUTURE INTERNAL REVENUE LAWS. MHN IS CLASSIFIED AS A SUPPORTING ORGANIZATION DESCRIBED IN SECTION 509(A)(3) OF THE CODE AND EXISTS TO OPERATE EXCLUSIVELY FOR THE BENEFIT OF, PERFORM THE FUNCTIONS OF, AND FURTHER THE CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES OF ITS SUPPORTED ORGANIZATIONS, INCLUDING THEIR RELATED ORGANIZATIONS. AS THE SOLE CORPORATE MEMBER OF THESE ENTITIES, MHN PROVIDES GOVERNANCE, OVERSIGHT, AND SHARED SERVICES NECESSARY TO ADVANCE AND SUPPORT THE MISSIONS OF ITS SUPPORTED ORGANIZATIONS. THIS INCLUDES THE PUBLICATION OF THE COMMUNITY BENEFITS REPORT ON ITS WEBSITE. THIS PUBLICATION IS CALLED LEADING EDGE. IN ADDITION TO THE LEADING EDGE PUBLICATION, THE HOSPITAL'S FORM 990 INCLUDES COMMUNITY BENEFIT DETAILS ON SCHEDULE H AND IS MADE AVAILABLE TO THE PUBLIC VIA GUIDESTAR AND COPIES ARE AVAILABLE UPON REQUEST. 1 WV MEDICAL FOUNDATION 2018 KANAWHA BLVD E CHARLESTON WV 25311 020543681 501(C)(3) 9375 0 FMV CASH DONATION TO SUPPORT ORGANIZATION'S MISSION TO SUPPORT COMMUNITY 1 0 PART I, LINE 2: SCHEDULE I, PART I, LINE 2 THE ORGANIZATION HAS THE FOLLOWING PLAN ESTABLISHED TO MONITOR THE USE OF THE GRANT FUNDS. THE GRANTS AND FINANCIAL ASSISTANCE PROVIDED BY THE HOSPITAL ARE APPROVED BY THE HOSPITAL'S BOARD AND THE PRESIDENT/CEO OR WHOEVER PRESIDENT/CEO DESIGNATES. THEY ARE APPROVED BASED ON THE NEEDS OF THE ORGANIZATION APPLYING FOR THEM AND HOW THEY WILL USE THE FUNDS RELATED TO THE HOSPITAL'S MISSION. THE GRANTS AND ASSISTANCE GIVEN TO MARSHALL UNIVERSITY ARE TO AID IN THE EDUCATIONAL MISSION OF THE HOSPITAL THROUGH THE INTERN AND RESIDENT PROGRAMS. ASSISTANCE IS GIVEN TO A COMMUNITY MEDICAL OUTREACH PROGRAM FOR HEALTH SERVICES. VARIOUS STAFF MEMBERS OF THE HOSPITAL REVIEW THE FINANCIAL INFORMATION GIVEN TO THEM AND REPORT BACK TO THE BOARD AND PRESIDENT/CEO OR WHOEVER PRESIDENT/CEO DESIGNATES. THE FUNDS DISPERSED FOR THIS ASSISTANCE ARE REQUESTED WITH AN INVOICE AND CHECK REQUEST SIGNED BY THE APPROPRIATE HOSPITAL REPRESENTATIVE. THE ORGANIZATION RESPONDS TO REQUESTS FOR ASSISTANCE FROM LEGITIMATE ORGANIZATIONS IN THE COMMUNITY THAT ARE KNOWN TO THE FILING ORGANIZATION. ELIGIBILITY IS BASED ON THE ORGANIZATIONS' MISSIONS (EDUCATION, HEALTHCARE, OR RELATED COMMUNITY BENEFITS), AND SELECTION IS BASED ON WHETHER THE FILING ORGANIZATION BELIEVES THE NEED FOR THE ASSISTANCE IS RESPONSIVE TO ITS MISSION. X 1 1 0 1 0 0 0 0 0 0 0 NEPAL CHOWDHURY PHYSICIAN 0 1694275 0 1145357 0 0 0 10350 0 45467 0 2895449 0 0 DWIGHT SAULLE NEUROSURGEON PHYSICIAN 0 602757 0 1838705 0 0 0 10350 0 45467 0 2497279 0 0 MATTHEW WERTHAMMER NEUROSURGEON PHYSICIAN 0 603527 0 1446284 0 0 0 10350 0 45467 0 2105628 0 0 NICOLAS PHAN SURGEON 0 1532102 0 402959 0 0 0 20700 0 0 0 1955761 0 0 AAMIR CHEEMA PHYSICIAN 0 783333 0 1054682 0 0 0 10350 0 40809 0 1889174 0 0 KEVIN YINGLING MHN PRESIDENT & CEO - ENDED MARCH 20 0 858387 0 0 0 6858 0 10350 0 35693 0 911288 0 0 LARRY D DIAL MHN EX OFFICIO CPE & CHIEF CLINICAL 0 602269 0 248515 0 0 0 20700 0 0 0 871484 0 0 HOYT BURDICK MHN VP CMO 0 515652 0 0 0 222483 0 16061 0 33176 0 787372 0 0 DAVID M WARD MHN SENIOR VP & CFO - ENDED AUGUST 2 0 615416 0 0 0 5724 0 21080 0 17213 0 659433 0 0 TIM MARTIN PRESIDENT 513559 0 0 0 2022 0 10350 0 54493 0 580424 0 0 0 REGINA M CAMPBELL MHN CHIEF OPERATING OFFICER 0 344425 0 0 0 140355 0 10350 0 35693 0 530823 0 0 PAUL E SMITH MHN CHIEF ADMIN OFFICER-ENDED 9/30/2 0 438073 0 0 0 7638 0 17175 0 34874 0 497760 0 0 KRISTA DENNING DIRECTOR 0 330000 0 123363 0 0 0 19800 0 0 0 473163 0 0 MELISSA E LEASURE MHN CHIEF LEGAL OFFICER - SYSTEM VP 0 382833 0 0 0 5802 0 10350 0 54692 0 453677 0 0 CHADWICK SMITH MHN CHIEF POPULATION HEALTH OFFICER 0 389412 0 0 0 1146 0 10350 0 47634 0 448542 0 0 LISA C STUMP MHN CHIEF STRATEGY OFFICER - SYSTEM 0 393798 0 0 0 2022 0 10350 0 35743 0 441913 0 0 MARK A MORGAN MHN VP PHYS SERVICES 0 353745 0 0 0 21936 0 10350 0 44049 0 430080 0 0 BETH HAMMERS MHN CHIEF ENGAGEMENT OFFICER 0 369535 0 0 0 826 0 20700 0 20700 0 411761 0 0 SUSAN T ROBINSON MHN CHIEF HUMAN RESOURCES OFFICER - 0 364414 0 0 0 3564 0 10350 0 18028 0 396356 0 0 DENNIS LEE MHN SYSTEM VP & CHIEF INFORMATION OF 0 326072 0 0 0 2386 0 9883 0 40203 0 378544 0 0 EDUARDO PINO MHN CMIO 0 314300 0 0 0 12979 0 9721 0 35693 0 372693 0 0 AMANDA PAULEY DIRECTOR 0 266225 0 53706 0 0 0 15974 0 0 0 335905 0 0 ANDY MULLINS MHN CHIEF NURSING OFFICER 0 270054 0 0 0 1590 0 8277 0 51305 0 331226 0 0 MATTHEW STRAUB VICE CHAIR/DIRECTOR 0 288369 0 0 0 441 0 17654 0 19602 0 326066 0 0 AARON BLEVINS MHN CHIEF PHARMACY OFFICER 0 255408 0 0 0 5829 0 7971 0 55165 0 324373 0 0 BRADLEY BURCK MHN VP CORP FDN & DNR PHIL - ENDED J 0 234251 0 0 0 11106 0 7405 0 48177 0 300939 0 0 CHAD S FISHER MHN VP OF ORTHOPEDICS 0 158803 0 110400 0 192 0 9719 0 21302 0 300416 0 0 FAREED AZIZ MHN VP OF REVENUE CYCLE MGMT 0 207216 0 0 0 25708 0 7285 0 51889 0 292098 0 0 CHRISTOPHER HOFFMAN MHN VP OF ONCOLOGY SERVICES 0 259260 0 0 0 2323 0 7819 0 17428 0 286830 0 0 KENNETH JACKSON MHN VP FACILITY & SUPPORT SERVICES-M 242738 0 0 0 1996 0 7357 0 33459 0 285550 0 0 0 MARIA SUMMERS VP PATIENT SERVICE & NURSING 217675 0 0 0 138 0 6760 0 57872 0 282445 0 0 0 MOLLY FRICK MHN CHIEF HUMAN RESOURCES OFFICER - 215230 0 0 0 2583 0 6696 0 57862 0 282371 0 0 0 SHAWN BASTIN RIVERS HEALTH PRESIDENT 0 210350 0 0 0 1039 0 6441 0 20384 0 238214 0 0 KRISTI ARROWOOD MHN INTERIM VP CORP FDN - STARTED JU 0 127026 0 0 0 396 0 4016 0 38907 0 170345 0 0 PART I, LINE 3 THE EXECUTIVE COMPENSATION COMMITTEE SHALL BE COMPOSED OF AT LEAST THREE MEMBERS OF THE BOARD, AND SHALL MEET AT LEAST TWICE EACH YEAR. THE COMPOSITION OF THE EXECUTIVE COMPENSATION COMMITTEE SHALL COMPLY WITH THE REQUIREMENTS OF THE BOARD POLICY ON CONFLICTS OF INTEREST. THE COMMITTEE SHALL HAVE THE FOLLOWING SPECIFIC DUTIES AND RESPONSIBILITIES. A. ANNUAL EVALUATION OF THE PERFORMANCE OF THE PRESIDENT. THE EXECUTIVE COMPENSATION COMMITTEE SHALL MAKE A WRITTEN REPORT OF ITS FINDINGS, TOGETHER WITH RECOMMENDATIONS FOR COMPENSATION TO THE BOARD. B. ANNUAL EVALUATION OF THE PERFORMANCE OF THE CHIEF PHYSICIAN EXECUTIVE, THE CHIEF FINANCIAL OFFICER, AND SUCH OTHER VICE PRESIDENTS AS THE BOARD SHALL DETERMINE TO REQUIRE EVALUATION BY THE EXECUTIVE COMPENSATION COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE SHALL MAKE A WRITTEN REPORT OF ITS FINDINGS, TOGETHER WITH RECOMMENDATIONS FOR COMPENSATION, TO THE BOARD. C. ANNUAL SELF-EVALUATION OF THE BOARD AND ITS MEMBERS. D. ENSURE THAT NO PERSONAL LOANS ARE MADE TO THE PRESIDENT OR OTHER MEMBERS OF THE ADMINISTRATION OF THE CORPORATION. IN CARRYING OUT ITS DUTIES, THE EXECUTIVE COMPENSATION COMMITTEE SHALL HAVE THE AUTHORITY TO HIRE COMPENSATION CONSULTANTS AND SHALL OBTAIN DATA ON COMPENSATION RANGES FOR COMPARABLE EXECUTIVE POSITIONS AT LEAST EVERY OTHER YEAR. PART I, LINE 4B LINE 4B: THE FOLLOWING PAYMENTS WERE DISTRIBUTED FROM A 457(F) PLAN: REGINA CAMPBELL, CHIEF NURSING OFFICER $133,496 HOYT BURDICK, VP CMO $198,063 LARRY DIAL, EX OFFICIO CPE & CHIEF CLINICAL OFFICER $167,645 A WV HOSPITAL FINANCE AUTHORITY 621256910 956622YUZ 2008-10-16 48480000 REFUND SERIES 2004B BONDS 0 0 0 B WV HOSPITAL FINANCE AUTHORITY 621256910 956622YVO 2008-10-16 48475000 REFUND SERIES 2004C BONDS 0 0 0 C WV HOSPITAL FINANCE AUTHORITY 621256910 956625540 2018-09-12 256037162 HOSPITAL REFUNDING BONDS 0 0 0 A 24275000 48480000 806255 644009 1 0 1 1 B 24495000 48475000 1 0 1 1 C 16715000 20956296 256037162 2498656 83204024 149378186 1 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 A 0 0 1 0 1 1 CITIBANK 25.800000000000 0 0 0 0 1 B 0 0 1 0 1 1 CITIBANK 25.800000000000 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 PART 2, LINES 7 AND 8, COLUMN B, 1 OF 2 BONDS IN COLUMN A AND COLUMN B WERE ISSUED SIMULTANEOUSLY AND ISSUANCE COSTS WERE FOR BOTH ISSUES. PART 2, LINE 11, "OTHER SPENT PROCEEDS", COLUMN C, 1 OF 2 PROCEEDS USED TO REFUND OUTSTANDING TAXABLE DEBT. FAREED AZIZ MARSHALL HEALTH NETWORK KEY EMPLOYEE 778904 CABELL HUNTINGTON HOSPITAL USED FAREED AZIZ'S BUSINESS, STEWARD CONSULTING, FOR INDEPENDENT CONTRACTOR WORK 0 FORM 990, PART VI, SECTION A, LINE 3 MARSHALL HEALTH NETWORK, INC. (MHN) SERVES AS THE SOLE CORPORATE MEMBER OF CABELL HUNTINGTON HOSPITAL, INC.; ST. MARY'S MEDICAL CENTER, INC.; PLEASANT VALLEY HOSPITAL, INC. D/B/A RIVERS HEALTH; AND UNIVERSITY PHYSICIANS & SURGEONS, INC. D/B/A MARSHALL HEALTH. MHN IS ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, AND ANY CORRESPONDING PROVISIONS OF FUTURE INTERNAL REVENUE LAWS. MHN IS CLASSIFIED AS A SUPPORTING ORGANIZATION DESCRIBED IN SECTION 509(A)(3) OF THE CODE AND EXISTS TO OPERATE EXCLUSIVELY FOR THE BENEFIT OF, PERFORM THE FUNCTIONS OF, AND FURTHER THE CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES OF ITS SUPPORTED ORGANIZATIONS, INCLUDING THEIR RELATED ORGANIZATIONS. AS THE SOLE CORPORATE MEMBER OF THESE ENTITIES, MHN PROVIDES GOVERNANCE, OVERSIGHT, AND SHARED SERVICES NECESSARY TO ADVANCE AND SUPPORT THE MISSIONS OF ITS SUPPORTED ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 6 MARSHALL HEALTH NETWORK IS THE SOLE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A MARSHALL HEALTH NETWORK IS THE SOLE CORPORATE MEMBER THAT HAS RESERVED POWER TO APPOINT THE BOARD OF DIRECTORS FOLLOWING THE STIPULATIONS IN THE ARTICLES OF INCORPORATION. FORM 990, PART VI, SECTION A, LINE 7B MARSHALL HEALTH NETWORK, AS SOLE CORPORATE MEMBER, HAS RESERVED POWERS TO CHANGE THE PURPOSES OF THE CORPORATION, AMEND THE ARTICLES OF INCORPORATION AND/OR BYLAWS, DISSOLVE THE CORPORATION, CONSOLIDATE/AFFILIATE THIS CORPORATION WITH OTHER ORGANIZATIONS. IN ADDITION, MHN WILL MANAGE ACTIONS INITIATED BY THE CORPORATION'S BOARD OF DIRECTIONS FOR THE FOLLOWING ITEMS: ADOPTION OF STRATEGIC AND BUSINESS PLANS, ADOPTION OF ANNUAL OPERATING AND CAPITAL BUDGETS, APPROVAL OF ANY CHANGES TO THE CAPITAL DEBT, THE CREATION OR ACQUISITION OF ADDITIONAL AFFILIATED ORGANIZATIONS AND JOINT VENTURES, ADOPTION OR CHANGES TO MASTER CLINICAL COMPENSATION AND BENEFIT PLANS, MANAGE THE ASSETS, MANAGE CLINICAL FACULTY CHANGES, FINAL APPROVAL OVER THE VARIOUS PRACTICES OF MEDICINE, APPOINTMENT OF A PRESIDENT TO SERVE AS CEO, APPROVE UNBUDGETED EXPENDITURES INCLUDING DEBT, AND APPROVAL OF CERTAIN CONTRACTS. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF THE FORM 990 IS REVIEWED BY DREW HEFNER, VP OF FINANCE; BETH CUTLER, FINANCE MANAGER; LISA POSTELWAIT, INTERIM CONTROLLER; KEVIN BARR, INTERIM CFO; AND MELISSA LEASURE, CHIEF LEGAL OFFICER. AFTER REVIEW BY THESE INDIVIDUALS, THE FINAL COPY OF FORM 990 IS PROVIDED TO THE BOARD MEMBERS FOR THEIR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE SENT AN ANNUAL QUESTIONNAIRE ADDRESSING THE CONFLICT-OF-INTEREST POLICY. EACH COMPLETED QUESTIONNAIRE IS REVIEWED BY THE CORPORATE COMPLIANCE OFFICER, GENERAL COUNSEL, AND THE VICE PRESIDENT OVER THE RESPECTIVE INDIVIDUAL'S DEPARTMENT TO DETERMINE IF A CONFLICT EXISTS. IF A CONFLICT DOES EXIST, AN IN-DEPTH ANALYSIS IS PERFORMED TO DETERMINE ANY IMPACT TO THE ORGANIZATION. EACH BOARD MEMBER FILLS OUT A QUESTIONNAIRE AT THE END OF THE FISCAL YEAR. THE QUESTIONNAIRE HAS QUESTIONS ON IT THAT DETERMINE INDEPENDENCE STATUS AND OTHER RELATIONSHIPS BETWEEN BOARD MEMBERS AND BETWEEN THE BOARD MEMBER AND THE HOSPITAL. THIS HELPS IN DETERMINING POSSIBLE CONFLICTS THAT MAY ARISE. IN ADDITION, THE BOARD MEMBERS MUST SIGN A CONFLICT OF INTEREST POLICY THAT REQUIRES THEM WITH DUE DILIGENCE TO STATE THAT THEY HAVE A CONFLICT OF INTEREST WHEN THAT CONFLICT ARISES. THE BOARD MEMBER MUST LEAVE THE BOARD MEETING DURING DISCUSSIONS AND VOTING. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMPENSATION COMMITTEE SHALL BE COMPOSED OF AT LEAST THREE MEMBERS OF THE BOARD, AND SHALL MEET AT LEAST TWICE EACH YEAR. THE COMPOSITION OF THE EXECUTIVE COMPENSATION COMMITTEE SHALL COMPLY WITH THE REQUIREMENTS OF THE BOARD POLICY ON CONFLICTS OF INTEREST. THE COMMITTEE SHALL HAVE THE FOLLOWING SPECIFIC DUTIES AND RESPONSIBILITIES. A. ANNUAL EVALUATION OF THE PERFORMANCE OF THE PRESIDENT. THE EXECUTIVE COMPENSATION COMMITTEE SHALL MAKE A WRITTEN REPORT OF ITS FINDINGS, TOGETHER WITH RECOMMENDATIONS FOR COMPENSATION TO THE BOARD. B. ANNUAL EVALUATION OF THE PERFORMANCE OF THE CHIEF PHYSICIAN EXECUTIVE, THE CHIEF FINANCIAL OFFICER, AND SUCH OTHER VICE PRESIDENTS AS THE BOARD SHALL DETERMINE TO REQUIRE EVALUATION BY THE EXECUTIVE COMPENSATION COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE SHALL MAKE A WRITTEN REPORT OF ITS FINDINGS, TOGETHER WITH RECOMMENDATIONS FOR COMPENSATION, TO THE BOARD. C. ANNUAL SELF-EVALUATION OF THE BOARD AND ITS MEMBERS. D. ENSURE THAT NO PERSONAL LOANS ARE MADE TO THE PRESIDENT OR OTHER MEMBERS OF THE ADMINISTRATION OF THE CORPORATION. IN CARRYING OUT ITS DUTIES, THE EXECUTIVE COMPENSATION COMMITTEE SHALL HAVE THE AUTHORITY TO HIRE COMPENSATION CONSULTANTS AND SHALL OBTAIN DATA ON COMPENSATION RANGES FOR COMPARABLE EXECUTIVE POSITIONS AT LEAST EVERY OTHER YEAR. FORM 990, PART VI, SECTION C, LINE 18 THE FORM 990 WILL BE AVAILABLE ON GUIDESTAR. IT IS ALSO AVAILABLE BY REQUESTING IT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST THROUGH THE IN-HOUSE GENERAL COUNSEL'S OFFICE. FORM 990, PART IX, LINE 11G HEALTHCARE FEES: PROGRAM SERVICE EXPENSES 109,579,948. MANAGEMENT AND GENERAL EXPENSES 6,977,104. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 116,557,052. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 36,107,809. MANAGEMENT AND GENERAL EXPENSES 7,453,912. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 43,561,721. OUTSIDE LABOR: PROGRAM SERVICE EXPENSES 30,863,723. MANAGEMENT AND GENERAL EXPENSES 44,228,585. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 75,092,308. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 605,828. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 605,828. FORM 990, PART XI, LINE 9: CHANGE IN PENSION LIABILITY AND INTEREST RATE SWAP -14,309,004. INCREASE IN OPEB BENEFIT 5,898,176. INCREASE IN NET PENSION BENEFIT 12,444,765. TRANSFERS -1,700,000. 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