Strategic Options Workgroup


On March 21, 2013, Marion County Hospital District chairman Jon Kurtz submitted a series of supplemental questions to both Duke/Lifepoint Hospitals and Health Management Associates.  Below are their responses.

Health Management Associates - Supplemental Questions Response - April 4, 2013
Duke/Lifepoint - Supplemental Questions Response - April 4, 2013 and Lease Term Sheet.

On April 12, 2013, Duke/Lifepoint updated their submission in response to the supplemental questions. The revised submission can be reviewed here.

On April 15, 2013, Health Management Associates submitted the following documents to the Marion County Hospital District's Strategic Options Workgroup.
     HMA Cover Letter for Letter of Intent     |     HMA Letter of Intent
     HMA Supplemental Questions and Clarifications     |     HMA / Shands Letter

On April 17, 2013, Health Management Associates sent this email to the Marion County Hospital District and the Strategic Options Workgroup updating their bid.

On April 17, 2013, Duke/LifePoint sent this letter with a Letter of Intent to the Marion County Hospital District Trustees.



In December 2012, the Marion County Hospital District Trustees sent a final instruction letter to the four (4) interested parties. Please click the respective links below to view copies of these Instruction Letters.


The Marion County Hospital District Trustees met on February 11, 2013 to review the responses to Instruction Letter #3 from Health Management Associates and Duke / Lifepoint Hospitals, Inc. This information can be found below in
Proposals Submitted - January 2013.

Meetings were held for the Strategic Options Workgroup on Tuesday, October 2 and Wednesday, October 3, 2012. The three finalists presented separately on these days beginning at 4:00 p.m. in the MRMC Auxiliary Conference Center. Below you can view their presentations to the MCHD Board of Trustees and the public in attendance:

Tuesday, October 2 Wednesday, October 3
Duke LifePoint 4:00-6:00 pm (EST): Presentation

Community Health Systems 4:00-6:00 pm (EST): Presentation

Health Management Associates | Shands Healthcare 6:00-8:00 pm (EST): Presentation


To view in full screen mode, double-click on the video.

On October 17, 2011, the Marion County Hospital District Trustees announced the formation of a Strategic Options Workgroup. The workgroup is comprised of members of the Marion County Hospital District Trustees, members of the Munroe Regional Health System Board of Directors and medical staff representatives.

This workgroup is responsible to oversee the process to identify possible Strategic Partners for MRMC, act as initiators and responders in the development of all components of the process, confirm objectives, review and select business structure, approve contents of RFP, approve contents of the Information Memorandum, review and select potential Strategic Partners, review responses obtained from potential Strategic Partners and make recommendations to the MCHD Trustees.

The District engaged Ponder & Co. as its financial advisor and to solicit and evaluate joint venture, long-term lease of assets, asset sale, and merger proposals.

  • Meeting dates are listed on the Calendar.
  • For changes to meeting dates see Special Notices.
  • For reports and presentations provided during the meetings of the Strategic Options Group, see the Board Documents.

Call for Proposals

Interested persons were encouraged to submit a written proposal in accordance with the Instruction Letter before February 10, 2012. Proposals from qualified persons were considered. Interested persons were encouraged to review the Ponder & Co. Instruction Letter and Information Memorandum. Questions regarding procedures should be directed to David Atchison, Managing Director, Ponder & Co., at 312.377.2171. All requests for supplementary information should be made via e-mail and addressed to Duane Waugh with copies to Eb LeMaster and David Atchison.

Instruction Letters
Instruction Letter - 1
Instruction Letter - 2
Information Memorandum
Instruction Letter 3
Health Management Associates
Duke LifePoint

Baycare Health System
USF Health Systems

Proposals Submitted - January 2013


Instruction Letters | December 12, 2012
Lifepoint Hospitals/Duke University  

Response to Instruction Letter 3

Health Management Associates   Response to Instruction Letter 3

Proposals Submitted - July 2012

Proposal Submitted | July 2012
Ardent Health Services    Response | Cover Letter | Schedule B: Part 1, 2, 2A, 3, 4
Community Health Systems    Response | Cover Letter
Health Management Associates    Response 
Lifepoint Hospitals/Duke University    Response | Exhibit E | Exhibit F

Proposals Submitted - February 2012

Proposal Submitted | February 2012
Ardent Health Services    Proposal | Financial
Community Health Systems    Proposal 
Health Management Associates    Proposal 
LHP Hospital Group    Proposal 
Lifepoint Hospitals/Duke University    Proposal | Revised Proposal (3/ 7/12)
RegionalCare Hospital Partners    Proposal
Universal Health Services    Proposal | Annual Report | Capabilities




STRATEGIC OPTIONS ASSESSMENT WORKGROUP MEMBERS

Marion County Hospital District Trustees (MCHD)
Larry Strack
Jon Kurtz

Munroe Regional Board of Directors (MRHS)
Ron Ewers

Brian O'Connor
Joan Stearns

Medical Staff
Harvey Taub, MD
Dr. Mel Seek

Community Members
Randy Klein

Munroe Regional Corporate Officers Administrative Team
Steve Purves
Rich Mutarelli
Lon McPherson, MD
Paul Clark

Financial Advisors/Ponder & Co.
Dave Atchison
Eb LeMaster

Legal Advisor
Jon Dean, Legal Counsel for the Marion County Hospital District Trustees