Were here to help you navigate financial options if youre in need of assistance to cover all types of hospital services. A team approach delivers the skilled care you need, and the coordinated support you want. Joseph Roberto Putnam County Hospital in Greencastle, Indiana serves a population of 36,000 people, with a high incidence of COPD and emphysema. 1542 S Bloomington St. Greencastle, IN 46135, Copyright 2021 | Putnam County Hospital | All Rights Reserved. Putnam County Hospital Claim Aid Patiennt Resource Adovocate. Today, over 100 years later, Putnam County Hospital still serves the same mission and standards set by its founders: to provide exceptional healthcare to our friends and family in Putnam County, by continuing to provide a number of outpatient and inpatient services as a Critical Access Hospital in Greencastle, Indiana. From medications to physical therapy and more, learn what works best for you. Website Maintenance Checklist. Privacy Privacy. Neck pain, including work-related injuries, Back pain, including work-related injuries and sciatica, Persistent pain after back or neck surgery. Sabin has special interest in manual therapy which makes hands on therapy a major aspect of his practice. In 2001, the Medical Office Building was constructed to offer room for the expansion of Specialists, Physical Therapy and Oncology. Dr. Malament has been in practice for more than two decades now, treating conditions such as Achilles tendinitis, bunion, plantar fasciitis, and other foot and ankle disorders. INDEX data is trusted and relied upon by rural hospitals, health systems with rural footprints, hospital associations and state offices of rural health across the country to measure and monitor performance across several areas impacting hospital operations and finance. As Medical Director of the newly founded Indiana Hernia Center, Dr. Szotek is developing an innovative new web based multidisciplinary practice model with disruptive potential. To verify if Putnam County Hospital is a provider for your service, please call your insurance carrier and verify prior to services being rendered. Dr. McCready has received numerous awards and honors as a leader and innovator in vascular surgery. The Hospital provides services for residents of Putnam, and portions of Clay, Owen and Parke counties as well. Mr. Weatherford is very active in the Indiana Rural Health Association (IRHA) and has served two appointments on the Board of the Indiana Hospital Association (IHA). If you have any questions or concerns regarding the Putnam County Hospital Patient Portal you can contact our Medical Records Department at 765.301.7610 . By using our website, you agree to our use of cookies. West Hospital in Avon and are now expanding their specialty to serve Putnam County. PUTNAM COUNTY HOSPITAL A COMPONENT UNIT OF PUTNAM COUNTY STATEMENT OF REVENUES, EXPENSES, AND CHANGES IN NET POSITION Year Ended December 31, 2015 Primary Government Operating revenues: Net patient service revenue (net of provision for bad debt) 31,0$ 67,395 Net Nursing Home Operating Revenue 66,018,502 Other 235,556 Total operating revenues Terry is very passionate about the treatment of wounds and its possibilities for healing. Subspecializing in echocardiography, nuclear cardiology, cardiovascular research and congestive heart failure. He resides in Carmel, IN with his wife (Sarah) and 2 boys (Carson 10 & Cooper 8) and enjoys cycling. PUTNAM COUNTY HOSPITAL NOTES TO FINANCIAL STATEMENTS I. The program includes all of our medical departments and facilities, from our ER and inpatient care to our outpatient services. Putnam County Hospital is excited to offer these convenient services to our patients, and is here to help you through every step of the process. Throughout his career he has received numerous awards and honors as a leader and innovator in vascular surgery. We were engaged to audit the accompanying consolidated financial statements of Putnam County Hospital (the Hospital), a component unit of Putnam County, as of and for the year . Since its inception in 1963, the Auxiliary has raised over $8 million. Visit pchosp.org for more information. Kathy is experienced in neurological disorders, including stroke and traumatic brain injuries, and also has experience with all kinds of speech delays and disorders that can affect any ages, pediatric (2yrs) to the geriatric population. She graduated from Brownsburg High School before going to Purdue University where she studied communications. To ensure a vibrant future, these enhancements will modernize the campus and services to meet the needs of the community you call home. Let us celebrate the power of rural on National Rural Health Day and honor the facilities working tirelessly to provide access to high quality healthcare services to their communities. In 1908, 26 Putnam County female citizens started what would be the founding of a hospital to serve their family and friends. Dr. Vishwas is board certified in Neurology with special qualifications in Child Neurology. %%EOF He completed his dermatology residency program at the University of Texas Medical Branch. With a focus on pulmonary medicine, Dr. Bhuptani treats all ailments of the lungs and respiratory system, including asthma, pneumonia, tuberculosis, emphysema, and more. Health Quest Medical Practice, P.C. Complete and sign the Authorization for Release of Information form, then fax to (845) 278-5642 or e-mailNVHReleaseofInformation@nuvancehealth.org. Norwalk Hospital The team at Putnam Hospital is committed to providing safe, compassionate care to meet your unique healthcare needs. Carmel, NY 10512. Dr. Szotek graduated with a B.S. Where some see impossible, we choose to see possible. Visit pchosp.org for more information. The week of October 1, 1908, a fair was held in downtown Greencastle to raise money. Jeffrey Kellogg J. Johns Hopkins Health System Kennedy Krieger. Carmel, NY 10512. If you are uninsured, underinsured or need help paying your hospital bills, we may be able to help. You have access to exceptional care, including experienced digestive health specialists and innovative treatments. Putnam Hospital, a 99-bed, acute care facility, provides the latest technology and highly trained, caring professionals to the residents of Putnam County. Go to https://www.in.gov/fssa/hip If you have questions about your medical records, or feel that an error has been made, please contact Putnam County Hospitals Medical Records Department at 765.301.7610 . The money needed to build the hospital was raised through community fundraising events. We are a four-star rated hospital, based on data collected on Centers for Medicare & Medicaid Services (CMS)s Hospital Compare. Audited Financial Statements are submitted by hospitals annually 120 days after the fiscal year ends. He has forged an outstanding career in advanced vascular surgery and intervention. The Hospital Board of Trustees includes Board President David Bray, Vice President Janice Fry, Secretary Fred Mann, Dr. Keith Ernst, Dennis OHair, Dr. Robert Heavin and Matthew Headley. Putnam Hospital is undergoing a series of exciting changes to expand primary and specialty care. Dr. Anand Bhuptani is a board-certified pulmonologist and one of the medical specialists of Putnam County Hospital. (845) 279-5711 TTY (800) 421-1220. driving directions. Dr. McCready received his medical degree from the University of Vermont College of Medicine and completed his surgical residency and fellowship at Mayo Clinic in Rochester, MN. That staff at Putnam County Hospital strive to be your first choice in healthcare and to exceed the expectations of every patient, every time. Corrinne DiVestea Skin, nails, and hair can be early indicators of underlying health issues. Vassar Brothers Medical Center, Northern Dutchess, Putnam and Sharon Hospitals. The patient is simply asked for their personal email address, and instructions on how to create the account is sent via email. You have access to comprehensive care, including prevention, diagnosis, minimally invasive treatments, specialized surgery and rehabilitation. Please Contact the Business Office at 765-301-7330 for The Financial Assistance Program. Danbury Hospital 1542 S. Bloomington St. Greencastle, IN 46135 . . Part of being your indispensable healthcare partner means offering a patient-friendly Financial Assistance Program. Dr. Kiell has been named Americas Top Doctor by Castle Connolly and the Indianapolis Monthly and was first in western North Carolina to develop an endovascular repair program for abdominal and thoracic aortic aneurysms. This award in the area of Patient Perspective score validates this patient service vision Said Putnam County Hospital CEO, Dennis Weatherford. Non-invasive Cardiovascular Imaging Brigham and Womens Hospital. S. A. She spends her time outside of work at various sporting events, cheering on her kids that attend South Putnam Schools. Erins prior experience has been in Human Resource Development and Leadership. Norwalk Hospital: (203) 899-1579. In 2005 the Outpatient Surgery Center was expanded and updated to provide the latest in equipment and procedures. Volunteers are a valued and essential part of Putnam Hospital. The Oncology Center also expanded and was moved to the second floor to allow more treatment bays for patients undergoing chemotherapy treatments. We are a 164-bed, acute care hospital offering innovative technologies, including robot-assisted surgery. Dr. Jessica Myers has been a pulmonary and sleep medicine nurse practitioner with Dr. Anand Bhuptani at Springhill Medical Center since 2017. Cardiology - St. Francis/In Heart Physicians. In addition, he was first in Omaha to use aortic endografts during surgery and introduce the use of endoscopic vein harvesting. Junior volunteers must be at least 16 years of age. Dr. Ajay Desphande specializes in critical care medicine, internal medicine, and pulmonology. Copyright 2023 State of Indiana - All rights reserved. Brooke joined the Putnam County Hospital team in 2017. Kathy strives to help her patients improve in areas of comprehension, expression (verbal or written), cognition (attention/concentration, memory, organization, problem solving/decision-making, etc. MEDICAL SERVICES. Brewster MedicalEastern New York, Use MyNuvanceHealth/Green if you receive care in New York (or nearby We also work in partnership with other organizations to provide a wide range of community benefit programs and services. He earned his medical degree from Rajiv Gandhi University of Health Sciences, received his medical training as research fellow at Harvard Medical School and held his residency/internship at Wake Forest University of Medical Science. This information is then converted to an electronic Adobe PDF format, displayed on this site, and is updated annually. PATIENTS & VISITORS. Dr. McCready has authored several research papers, book chapters and served on the editorial board of the Journal of Vascular Surgery. Dr. Szotek is a Board Certified General Surgeon specializing in complex hernia repair. hbbd``b`~$@(MA;H;Ub&we, V:^b'L@#R/ rX The investigation started after auditors identified serious concerns with the hospital's financial condition during a regularly scheduled . 765-301-7300. The Hospital provides short-term inpatient and outpatient health care. Prior to the hospital opening, Putnam County residents depended on the house calls of local physicians to treat their ailments. We are part of Nuvance Health, a network of seven hospitals and numerous outpatient facilities in the Hudson Valley and western Connecticut. or The Heart Center Kathy graduated from Indiana State University in Terre Haute, IN in 1985 with her Bachelors Degree, and in 1986 with her Masters Degree in Communication Disorders. We are here to assistance you with any questions regarding your Insurance Claims, Payment Plans or Financial assistance, Attachment A Financial Assistance Policy. Putnam County Hospital offers a 24-hour Emergency Department, Intensive Care Unit, an Acute Care Medical/Surgical unit, and three surgical suites. Alan Nerone joined Putnam County Hospital as the organization's Chief Financial Officer in September 2021. 2021 Hospital Audited Financial Statements On an annual basis, the Indiana Department of Health requires acute care hospitals to provide a copy of their Audited Financial Statement. Opportunities for assistance are available to all qualifying patients regardless of whether you have insurance. Sabin graduated from University of Indianapolis with his Master in health sciences degree in 2016. Dr. Turnak and her staff will coordinate your treatment program to get you back to your life. New Milford Hospital Join us as we redefine the expected in healthcare. 1542 S Bloomington St. Greencastle, IN 46135, Copyright 2021 | Putnam County Hospital | All Rights Reserved. To improve the health of the diverse communities we serve - and as part of HCA Healthcare, Florida's largest healthcare provider - we continue to take a leading role in fundamentally transforming how healthcare is provided. Our responsibility is to express an opinion on . We trust To sign up for the Patient Portal, please visit the Medical Records Department, located at the Ground Level (basement) of Putnam County Hospital. Bariatric Surgery and Medical Weight Loss, Bariatric Surgery and Medical Weight Loss Online Seminar, Weight Loss Follow-up Care and Support Groups, Partial Hospitalization and Intensive Outpatient Programs, Lab Testing Frequently Asked Questions (FAQs), Leukemia, Lymphoma and Other Blood Cancers, Thyroid Cancer, Nodules and Other Diseases, Microvascular Head and Neck Reconstructive Surgery, Trachea Tumors and Advanced Airway Disease, Acid Reflux and Gastroesophageal Reflux Disease (GERD), Liver, Pancreas and Gallbladder Disorders (Hepatobiliary Disease), Colorectal Cancer Screening (Colonoscopy), Structural Heart Disease & Heart Valve Disease, Transcatheter Aortic Valve Replacement (TAVR), Transcatheter Mitral Valve Repair with MitraClip, Left Atrial Appendage Occlusion Device (Watchman), Cleveland Clinics Heart, Vascular & Thoracic Institute Affiliation, Types of Diagnostic Imaging and Screenings, Diagnostic Imaging Frequently Asked Questions (FAQs), Parkinsons Disease and Movement Disorders, Aneurysms and Other Cerebrovascular Diseases, Complex Hernia Repair (Abdominal Wall Reconstruction), Patient Blood Management (PBM) and Bloodless Medicine, Pediatric Alliance with Connecticut Childrens, Maternity at Vassar Brothers Medical Center, Price Transparency and Cost Estimator Tools, Patient-to-Patient and Family-to-Family Volunteer Emotional Support Program, Rudy L. Ruggles Biomedical Research Institute. Faxing the form is also available, please give us a call to confirm that it was received. Distinct with our Website because of their Unlimited Support, Jenny joined Tx:Team in 2012. If you have any questions regarding the Meaningful Use initiative contact the Centers for Medicare and Medicaid Services via the website: What if I have questions about my medical records? In 1924, the hospital opened its doors to begin offering services for the members of Putnam County. The hospital would offer solutions to their ever changing healthcare needs, and would bring technologies only previously offered in larger cities to their rural community. Dr. Irwin Malament, DPM is a podiatric surgery doctor affiliated with Putnam County Hospital and other medical facilities in Indiana. 1542 S Bloomington St. Greencastle, IN 46135, Copyright 2021 | Putnam County Hospital | All Rights Reserved. Hospital bonds were also sold for the facility and many monetary donations were made by local residents and organizations. Dennis Weatherford has been the Chief Executive Officer at Putnam County Hospital since 2000. Website Maintenance Checklist. John B. Stephens800.969.5708. During the 55 years at the original location, the Hospital served thousands of patients. The hospital employs nearly 300 individuals, including physicians. Distinct with our Website because of their Unlimited Support, From then on, general and cosmetic cosmetology have become Dr. Stephens areas of specialties. To ensure a successful volunteer experience, we make an effort to find or create volunteer opportunities that match your interests. Contact John Mahoney, Manager, Volunteer Services at John.Mahoney@NuvanceHealth.org or (845) 230-4752 to learn more. A copy of your most recent Federal Tax Form (s) with all schedules A copy of your most recent Three (3) paycheck stubs The Hospital expanded and was moved for the original location on Shadowlawn Avenue to the current site at 1542 South Bloomington Street, in 1979. She has privileges at Union Hospital and Regional Hospital in Terre Haute Indiana. Dave Thomas, MD, Olajide Odelowo, MD, Kashif Ahmed, MD, Mehul Patel, MD and Wen Boynton, MD, all board certified in gastroenterology, currently provide quality gastroenterology care at Methodist Hospital, I.U. 0938-0050 . We have reviewed the audit report of Putnam County Hospital, which was opined upon by Blue . Sharon Hospital and Sharon Primary Care With the increasing number of high-deductible plans, we understand that more people than ever before may need to take advantage of our zero-interest payment plans. Stay connected with us through the MyNuvanceHealth patient portals. Patients also count on us for stroke care, a blood management program, cardiac care, psychiatric care including a partial-hospitalization program, maternity care and outpatient physical rehabilitation. New Milford Hospital Srini has been certified as a Manual Physical Therapist from the University of St. Augustine in Florida. of Sharon, CT) and are a patient of: Mr. Nerone is also a member of the Medical Group Management Association. This page is updated as reports are received. We work to understand your needs to provide a personalized care experience. input, Infectious Disease Epidemiology & Prevention, Local Health Department Outreach Division, Chronic Disease, Primary Care and Rural Health, Consumer Services & Health Care Regulation, Indiana Health Care Quality Resource Center, Public Health Protection & Laboratory Services, Center for Deaf and Hard of Hearing Education, Community Foundation of Northwest Indiana, Health and Hospital Corporation of Marion County, Lafayette Regional Rehabilitation Hospital, Rehabilitation Hospital of Northern Indiana (Epoch Acquisition, Inc.), St. Joseph Hospital (Lutheran Downtown Hospital), Report She obtained her medical degree from Indiana University School of Medicine and then went on to finish her internal medicine residency at Case Western Reserve University. Let us lend a hand. 1542 S Bloomington St. Greencastle, IN 46135, Copyright 2021 | Putnam County Hospital | All Rights Reserved. :5u-(Em9K'0vmWbApJ(q2F e:!6oku: The hospital employs nearly 425 individuals, including physicians. Kathy has been a member of Tx:Team since 2015. kkd97'>(PPZvZzT}qJBW&V~/A!e1lR4*]~>fZ[>3W/;)BHA6L%"^c\5(B)/c5~[J9pYPVsve6Sn)eBR3BRS^jV9g`$~dB+T#O%qC\f^.f 'zXjm P_@Dpk=HD:2 p3rG.e8Z`h7 /Wpz]&ncTa7-l5x-WEOjQj( U myU*+87G '8. Western Connecticut Medical Group Recognized by U.S. News & World Report for high performance in COPD, Recognized by the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP), Designated by the Surgical Review Corporation (SRC) as a Robotic Center of Excellence. Terry has also been trained and completed education as Wound Care Certified, Certified Lymphedema Therapist, Certified Ergonomic Assessment Specialist, Certified Clinical Instructor, and a Certified Orthotic Fitter. Find out what makes us different and how you can join our team. The counselors can help you apply for financial assistance from government programs or establish payment arrangements that make life easier for you. We trust Cancer treatments, rehabilitation services, an outpatient clinic with over 10 varied specialties, digital radiology, laboratory and respiratory services are conveniently located in-house to provide more options for patients in one stop. Cardiology - St. Francis/In Heart Physicians, Learn more about our services here at Putnam County Hospital. We trust Although the last two years have placed unprecedented pressure on the rural health safety net, the dedication to serving the community that were so accustomed to seeing from rural hospitals across the country hasnt wavered, said Michael Topchik, National Leader, The Chartis Center for Rural Health. in Indianapolis, specializes in Type 1 and Type 2 diabetes, gestational diabetes, pre-diabetes and thyroid and endocrine disorders. (LINKS to each Board Members Photo/Page) The Board of Trustees holds the public monthly meeting at 1:00 pm on the third Wednesday of the month in the Hospital Board Room. Services A-Z; Urgent Care; The Oncology Center also expanded and was moved to the second floor to allow more treatment bays for patients undergoing chemotherapy treatments. ), and to improve swallowing or increase strength and movement of the oral musculature. You can also sign up for the Patient Portal by visiting Medical Records, located in the Ground Level (basement) of Putnam County Hospital. Distinct with our Website because of their Unlimited Support, She graduated from Purdue Global University Doctor of Nursing Practice and also completed her post masters certificate in Family Nurse Practitioner at Indiana State University. Billing; Medical Records; Lodging; 1542 S Bloomington St. Greencastle, IN 46135. The hospital would offer solutions to their ever changing healthcare needs, and would bring technologies only previously offered in larger cities to their rural community. You can also download your confidential medical record to your private computer for your personal records, as well as electronically share your record with another medical professional of your choice. Our experienced care teams are focused on listening to you caring for you like family. The hospital invested in Vapotherm as they saw it as a more comfortable alternative to NIPPV for treating undifferentiated respiratory distress that offered the following potential clinical and economic benefits: If you have questions or need to obtain an application for financial assistance, please contact: Danbury Hospital: (203) 739-7773. Putnam Hospital Foundation Board of Directors. Another great way to serve is to join the Putnam Hospital Auxiliary. The purpose of the statements is for public disclosure and reconciliation with submitted annual cost report data. Settings, Start voice Dr. Robin Mendelsohn has practiced in Putnam County for over 17 years. Joseph DeMarzo If you have any questions regarding the Meaningful Use initiative contact the Centers for Medicare and Medicaid Services via the website:https://www.cms.gov/and search Meaningful Use.. to learn about the program and who can apply. Meet our pool of experienced medical specialists below: Steven Kim, MD is now seeing adult and pediatric patients (ages 2 and up)Putnam County Hospitalin the newly renovated 3rdFloor Outpatient Specialty Clinic. A resident of Plainfield, he received his undergraduate degree in biology at the University of Southern Indiana (Evansville). Jenny has experience in the outpatient, acute, and inpatient rehabilitation settings. Health Quest Medical Practice, P.C. Dr. John B. Stephens is a graduate of Indiana University School of Medicine. He received his Pharmacy Degree from Butler University and a Masters in Health Administration from Indiana University. Financial Statements and Accompanying Notes: . He finished his fellowship program for infectious disease at Vanderbilt University and has been in practice for over 20 years. You receive written notice of the decision regarding your case. We trust Holy Cross Hospital Howard County General Hospital. Even ordinary tasks such as tying shoes, fastening buttons or reaching into a cupboard can be a great achievement following a hand or shoulder injury. To request further information, contact the Health Information Department at 765-301-7610 or by fax at 765-301-7621. For more information about the cost of care, please visit the mycareINsight website at the following link: . Voice disorders and stuttering of speech may also be addressed if needed. Brewster MedicalEastern New York, Use MyNuvanceHealth/Green if you receive care in New York (or nearby Dr. Webb has received numerous awards and honors as a leader and innovator in vascular surgery. Dr. Mendelson accepts walk-in patients every Monday morning from 8am-11am. He is passionate about reinventing himself as a PT to treat patients with techniques which are based on evidence. Patients will now log on to our Patient Portal for this service. 0 %PDF-1.6 % Dr. Mendelson accepts walk-in patients every Monday morning from 8am-11am. We deliver comprehensive care from diagnosis to treatment locations convenient to work and home. Website Maintenance Checklist. Dr. Webb has expertise in minimally invasive vascular and endovascular surgery for the management of aortic aneurysms, carotid artery disease, lower extremity peripheral arterial disease, venous disease (endovenous laser and radiofrequency ablation) and mechanical-pharmacologic treatment of deep vein thrombosis. Neurologist with UAP Clinic in Terre Haute, IN. We have reviewed the audit report of Putnam County Hospital, which was opined upon by Blue and Co., LLC, Independent Public Accountants, for the period January 1, 2016 to December 31, 2016. . Ask your primary care physician about a referral. Today, over 100 years later, Putnam County Hospital still serves the same mission and standards set by its founders: to provide exceptional healthcare to our friends and family in Putnam County, by continuing to provide a number of outpatient and inpatient services as a Critical Access Hospital in Greencastle, Indiana. and was first in Omaha to develop a protocol for complex dialysis access salvage to streamline care. He has been a member of Tx:Team since 2010. or The Heart Center Through our alliance with New York Childrens Medical Providers Services, P.C., an affiliate of the nationally ranked health system, Connecticut Childrens, your newborn will be cared for by a team of pediatric specialists in the wellborn nursery. Dr. Webb earned his medical degree from Medical College of Virginia. If you already have a Patient Portal account with Putnam County Hospital, please click the link below. View the list of insurances we accept and get your billing questions answered. Call Us: (845) 279-5046. This page is updated as reports are received. If you have questions or need to obtain an application for financial assistance, please contact: Cookies help us improve your website experience. The Business Office will assistance in filing your Insurance claims based on the information provider at the time of Service. Mr. Weatherford is married to Ann and they have raised their 3 children in Greencastle. For local assistance, Putnam County has navigators that can walk you through the process. County Commissioners Donald Walton 01-01-14 to 12-31-14 David Berry 01-01-15 to 12-31-16 . He is a leader in innovative treatment of complex vascular disease combining depth of experience in major surgical procedures with the full spectrum minimally invasive and percutaneous techniques. Client Testimonials, and The hospital's financial condition has steadily declined since we reported similar concerns in our 2 year-end December 31, 2011, audit report of Putnam County. Putnam Hospital, a 99-bed, acute care facility, provides the latest technology and highly trained, caring professionals to the residents of Putnam County. Putnam County Hospital . Meridian Medical Group performs procedures such as colonoscopy, upper endoscopy and dilations, as well as more specialized procedures including ERCP, endoscopic ultrasound, small bowel capsule endoscopy and internal hemorrhoid banding. The Release of Information form can be filled out prior to visiting us to help speed up the process. Count on the team when you need diagnosis or treatment for a broad range of brain and nervous system disorders. Cancer treatments, rehabilitation services, an outpatient clinic with over 10 varied specialties, digital radiology, laboratory and respiratory services are conveniently located in-house to provide more options for patients in one stop. Website Maintenance Checklist. These forms can also be faxed or mailed into the HIM department. Registering to access your medical records electronically will also give you the option to pay your Putnam County Hospital bill online. Client Testimonials, and Moreover, weve partnered with some of the best medical specialists and primary care doctors in Putnam County. Alan Nerone joined Putnam County Hospital as the organizations Chief Financial Officer in September 2021. This information is then converted to an electronic Adobe PDF format, displayed on this site, and is updated annually. Minor operations could be performed in the doctors office, but if major surgery was required, the patient had to be transported to Indianapolis.