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METHODIST HEALTH INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
METHODIST HEALTH INC (EIN 61-0461753)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-06-23
IRS object ID
202011759349300241
Schema version
2018v3.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-06-23T12:21:11-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN351178661PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BLUE & CO LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12650 EASTPOINT PKWY SUITE 300AddressLine1Txt
CityLOUISVILLECityNm
State AbbreviationKYStateAbbreviationCd
ZIP40223ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN610461753EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1METHODIST HEALTH INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMETHBusinessNameControlTxt
Phone2708277700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 48AddressLine1Txt
CityHENDERSONCityNm
State AbbreviationKYStateAbbreviationCd
ZIP424190048ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLINDA WHITEPersonNm
Person TitleCEOPersonTitleTxt
Phone2708277700PhoneNum
Signature2020-06-22SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCARRIE A MERRILL CPAPreparerPersonNm
PTINP00832283PTIN
Phone5029923500PhoneNum
Preparation2020-06-22PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address96.28.64.110IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-06-22IPDt
IP Tm15:09:48IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdDFFF94E40E6042B53F95D34511187C45F8C68B42AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-11-19 02:30:22ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1METHODIST HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerLINDA WHITEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 48AddressLine1Txt
CityHENDERSONCityNm
State AbbreviationKYStateAbbreviationCd
ZIP424190048ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$124,346,943GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressMETHODISTHOSPITAL.NETWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1948FormationYr
Legal Domicile StateKYLegalDomicileStateCd
Activity Or MissionIN LINE WITH ITS CHRISTIAN HERITAGE, TO PROVIDE A BROAD BASED HEALTHCARE DELIVERY SYSTEM FOCUSING ON THE COMPASSIONATE, HIGH QUALITY AND COST EFFECTIVE SERVICES THAT ADDRESS MENTAL, SPIRITUAL AND PHYSICAL NEEDS AND WORK TO IMPROVE THE HEALTH STATUS OF THE PEOPLE IN THE COMMUNITIES SERVED.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee1371TotalEmployeeCnt
Total Volunteers45TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$13,657PYContributionsGrantsAmt
CY Contributions Grants$65,438CYContributionsGrantsAmt
PY Program Service Revenue$120,836,836PYProgramServiceRevenueAmt
CY Program Service Revenue$119,420,648CYProgramServiceRevenueAmt
PY Investment Income$1,169,245PYInvestmentIncomeAmt
CY Investment Income$824,802CYInvestmentIncomeAmt
PY Other Revenue$3,412,987PYOtherRevenueAmt
CY Other Revenue$3,938,673CYOtherRevenueAmt
PY Total Revenue$125,432,725PYTotalRevenueAmt
CY Total Revenue$124,249,561CYTotalRevenueAmt
PY Grants And Similar Paid$216,979PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$110,600CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$70,846,526PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$65,669,062CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$63,528,776PYOtherExpensesAmt
CY Other Expenses$64,196,505CYOtherExpensesAmt
PY Total Expenses$134,592,281PYTotalExpensesAmt
CY Total Expenses$129,976,167CYTotalExpensesAmt
PY Revenues Less Expenses-$9,159,556PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$5,726,606CYRevenuesLessExpensesAmt
Total Assets BOY$112,090,305TotalAssetsBOYAmt
Total Assets EOY$121,419,634TotalAssetsEOYAmt
Total Liabilities BOY$56,273,168TotalLiabilitiesBOYAmt
Total Liabilities EOY$67,704,340TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$55,817,137NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$53,715,294NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionIN LINE WITH ITS CHRISTIAN HERITAGE, TO PROVIDE A BROAD BASED HEALTHCARE DELIVERY SYSTEM FOCUSING ON THE COMPASSIONATE, HIGH QUALITY AND COST EFFECTIVE SERVICES THAT ADDRESS MENTAL, SPIRITUAL AND PHYSICAL NEEDS AND WORK TO IMPROVE THE HEALTH STATUS OF THE PEOPLE IN THE COMMUNITIES SERVED.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$101,738,279ExpenseAmt
Grant$110,600GrantAmt
Revenue$122,585,951RevenueAmt
DescCOMMUNITY UNITED METHODIST HOSPITAL, INC. OFFERS A BROAD RANGE OF INPATIENT AND OUTPATIENT MEDICAL SERVICES INCLUDING EMERGENCY CARE, SURGICAL SERVICES, AMBULATORY CARE, RADIOLOGY SERVICES, PHYSICAL THERAPY, SLEEP DISORDERS, ORTHOPEDIC SERVICES, NICU, SWING BED, DIAGNOSTIC AND THERAPEUTIC SERVICES, AND WOUND CARE. THE COMMUNITIES WE SERVE INCLUDE HENDERSON, UNION AND WEBSTER COUNTIES. METHODIST HOSPITAL IS AN ACUTE CARE HOSPITAL IN HENDERSON, KY WITH 192 LICENSED BEDS. IN FISCAL YEAR 2019, METHODIST HOSPITAL SERVED 3,365 INPATIENTS FOR A TOTAL OF 14,618 INPATIENT DAYS OF SERVICE. METHODIST HOSPITAL ALSO PROVIDED 235,521 OUTPATIENT VISITS WHICH INCLUDED 1,969 EMERGENCY ROOM VISITS. UNION COUNTY METHODIST HOSPITAL IS A CRITICAL CARE HOSPITAL IN UNION COUNTY, KY. IN FISCAL YEAR 2019, UNION COUNTY SERVED 564 INPATIENTS FOR A TOTAL OF 1,182 PATIENT DAYS AND 3,106 SWING BED DAYS. UNION COUNTY ALSO PROVIDED 25,414 OUTPATIENT VISITS WHICH INCLUDED 7,254 EMERGENCY ROOM VISITS.Desc
Total Program Service Expenses$101,738,279TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document225IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1371EmployeeCnt
Employment Tax Returns Filed0EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or Procedure0WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldKYStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BENNY NOLENBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2708277700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11305 NORTH ELM STREETAddressLine1Txt
CityHENDERSONCityNm
State AbbreviationKYStateAbbreviationCd
ZIP42419ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (43 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
DANE SHIELDS
CHAIRMAN2.00Yes (X)$0$0$0
LINDA E WHITE
VICE CHAIR10.00Yes (X)$0$0$0
CHARLES S AUSTIN
SECRETARY2.00Yes (X)$0$0$0
GARLAND CERTAIN
TREASURER2.00Yes (X)$0$0$0
KRIS WILLIAMS
DIRECTOR (TERM 08.01.18)2.00Yes (X)$0$0$0
SUSAN E PARSONS
DIRECTOR2.00Yes (X)$0$0$0
GREGORY ALAN RISCH
DIRECTOR2.00Yes (X)$0$0$0
CHRISTINA M RYAN
DIRECTOR2.00Yes (X)$0$0$0
CURTIS MICHAEL WEBB
DIRECTOR2.00Yes (X)$0$0$0
JAMES FRANK VINCENT SR
DIRECTOR2.00Yes (X)$0$0$0
DR VERNON HUMBERT
DIRECTOR (TERM ENDED 9/2018)10.00Yes (X)$62,426$0$0
DR JAMES FELLOWS
DIRECTOR (TERM ENDED 9/2018)10.00Yes (X)$174,228$0$0
MELISSA CLEMENTS
DIRECTOR (TERM ENDED 9/2018)2.00Yes (X)$0$0$0
JAMES CRAFTON JR
DIRECTOR (TERM ENDED 9/2018)2.00Yes (X)$0$0$0
WILLIAM DIBERT
DIRECTOR (TERM ENDED 9/2018)2.00Yes (X)$0$0$0
LEONARD FAIRLY
DIRECTOR (TERM ENDED 9/2018)2.00Yes (X)$0$0$0
SUSIE GIVENS
DIRECTOR (TERM ENDED 9/2018)2.00Yes (X)$0$0$0
MIKE HAZELWOOD
DIRECTOR (TERM ENDED 9/2018)2.00Yes (X)$0$0$0
DANIEL LEE HUCK
DIRECTOR (TERM ENDED 9/2018)2.00Yes (X)$0$0$0
JAMES A KEMP III
DIRECTOR (TERM ENDED 9/2018)2.00Yes (X)$0$0$0
DAVID E LATHAM
DIRECTOR (TERM ENDED 9/2018)2.00Yes (X)$0$0$0
SHANNA LEE
DIRECTOR (TERM ENDED 9/2018)2.00Yes (X)$0$0$0
RAY NIX
DIRECTOR (TERM ENDED 9/2018)2.00Yes (X)$0$0$0
LIBBY PAYNE
DIRECTOR (TERM ENDED 9/2018)2.00Yes (X)$0$0$0
JAMES E PHILLIPS
DIRECTOR (TERM ENDED 9/2018)2.00Yes (X)$0$0$0
WILLIAM R ROBERTS JR
DIRECTOR (TERM ENDED 9/2018)2.00Yes (X)$0$0$0
HERVEY SHANNON III
DIRECTOR (TERM ENDED 9/2018)2.00Yes (X)$0$0$0
PHILLIP SHIELDS
DIRECTOR (TERM ENDED 9/2018)2.00Yes (X)$0$0$0
COREY MICHAEL SWEENEY II
DIRECTOR (TERM ENDED 9/2018)2.00Yes (X)$0$0$0
FRANK TULIPANA
DIRECTOR (TERM ENDED 9/2018)2.00Yes (X)$0$0$0
JIM VINCENT
DIRECTOR (TERM ENDED 9/2018)2.00Yes (X)$0$0$0
ANN WHITE
DIRECTOR (TERM ENDED 9/2018)2.00Yes (X)$0$0$0
LAFFOON WILLIAMS
DIRECTOR (TERM ENDED 9/2018)2.00Yes (X)$0$0$0
JAMES WOFFORD
DIRECTOR (TERM ENDED 9/2018)2.00Yes (X)$0$0$0
BENNY NOLEN
CEO50.00$324,825$0$18,263Yes (X)
KRISTI MELTON
VP NURSING SERVICES50.00$131,906$0$21,916Yes (X)
DAVE MASSENGALE
CFO (TERM ENDED 3/2019)50.00$185,369$0$18,810Yes (X)
LYNN RENEE STEINWACHS
VP ADMIN UC50.00$181,927$0$11,352Yes (X)
SUMALATHA SATOOR
PHYSICIAN50.00$586,457$0$8,537Yes (X)
JAMES YELTON
PHYSICIAN50.00$463,425$0$29,507Yes (X)
RICARDO MADDELA
PHYSICIAN50.00$433,300$0$32,596Yes (X)
THOMAS NEELY
PHYSICIAN50.00$432,309$0$22,189Yes (X)
ARSHAD HUSAIN
PHYSICIAN50.00$701,806$0$16,631Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,677,978TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$179,801TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K65IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
KENTUCKY EMERGENCY
3015 AUTUMN LAKE COVEOWENSBOROKY42303EMERGENCY SERVICES$2,323,510
KELLER SCHROEDER AND ASSOCIATES INC
4920 CARRIAGE DRIVEEVANSVILLLEIN47715IT CONSULTANTS$1,959,740
ISLAND MEDICAL HENDERSON LLC
5700 DARROW ROAD SUITE 106HUDSONOH44236EMERGENCY SERVICES$1,068,142
JONES DAY
PO BOX 70294CLEVELANDOH441900294CONSULTING SERVICES$1,029,002
TIMOTHY E CRAIG
4641 BRIGHTON COURTNEWBURGHIN47630ANESTHESIA SERVICES$576,923
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K56CntrctRcvdGreaterThan100KCnt
All Other Contributions$65,438AllOtherContributionsAmt
Total Contributions$65,438TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT SERVICESDesc
Business621110BusinessCd
Total Revenue Column$119,420,648TotalRevenueColumnAmt
Related Or Exempt Func Income$119,420,648RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$119,420,648TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$479,760TotalRevenueColumnAmt
Exclusion$479,760ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$76,598RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$76,598RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$76,598TotalRevenueColumnAmt
Exclusion$76,598ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$153,492SecuritiesAmt
Other$225,535OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$33,985OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$153,492SecuritiesAmt
Other$191,550OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$345,042TotalRevenueColumnAmt
Exclusion$345,042ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$2,068FundraisingGrossIncomeAmt
Fundraising Direct Expenses$1,875FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$193TotalRevenueColumnAmt
Exclusion$193ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$70,863GrossSalesOfInventoryAmt
Cost Of Goods Sold$61,522CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,341TotalRevenueColumnAmt
Exclusion$9,341ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
MISCELLANEOUS900099$3,165,303$3,165,303
CAFETERIA900099$557,174$557,174
FOUNDATION900099$130,064$130,064
FieldValueIRS element (for citing)
Other Revenue Total$3,852,541OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$124,249,561TotalRevenueColumnAmt
Related Or Exempt Func Income$122,585,951RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,598,172ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$110,000TotalAmt
Program Services$110,000ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$600TotalAmt
Program Services$600ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,131,021TotalAmt
Program Services$927,437ProgramServicesAmt
Management And General$203,584ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$49,224,558TotalAmt
Program Services$40,471,620ProgramServicesAmt
Management And General$8,752,938ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,184,110TotalAmt
Program Services$1,795,632ProgramServicesAmt
Management And General$388,478ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,561,880TotalAmt
Program Services$7,861,151ProgramServicesAmt
Management And General$1,700,729ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,567,493TotalAmt
Program Services$2,932,959ProgramServicesAmt
Management And General$634,534ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$620,404TotalAmt
Program Services$485,682ProgramServicesAmt
Management And General$134,722ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$189,671TotalAmt
Management And General$189,671ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$18,254,995TotalAmt
Program Services$15,622,295ProgramServicesAmt
Management And General$2,632,700ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$243,002TotalAmt
Program Services$142,142ProgramServicesAmt
Management And General$100,860ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,822,908TotalAmt
Program Services$660,978ProgramServicesAmt
Management And General$1,161,930ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,006,176TotalAmt
Program Services$1,758,432ProgramServicesAmt
Management And General$1,247,744ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,092,775TotalAmt
Program Services$1,741,834ProgramServicesAmt
Management And General$350,941ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$115,528TotalAmt
Program Services$67,577ProgramServicesAmt
Management And General$47,951ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$19,512TotalAmt
Program Services$11,413ProgramServicesAmt
Management And General$8,099ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,373,606TotalAmt
Management And General$1,373,606ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,216,498TotalAmt
Program Services$256,259ProgramServicesAmt
Management And General$6,960,239ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,527,152TotalAmt
Program Services$677,827ProgramServicesAmt
Management And General$849,325ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DRUGS & GASES$10,501,268$10,501,268
MEDICAL SUPPLIES$7,807,146$7,807,146
REPAIRS & MAINT$2,929,135$2,837,499$91,636
MINOR EQUIPMENT & RENTA$2,799,050$1,637,276$1,161,774

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,677,679TotalAmt
Program Services$3,431,252ProgramServicesAmt
Management And General$246,427ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$129,976,167TotalAmt
Program Services$101,738,279ProgramServicesAmt
Management And General$28,237,888ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,277,736BOYAmt
EOY$7,437,333EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$13,757,861BOYAmt
EOY$12,014,851EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$15,549,772BOYAmt
EOY$12,719,370EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$250,000BOYAmt
EOY$240,000EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,524,008BOYAmt
EOY$2,607,920EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,634,785BOYAmt
EOY$1,520,190EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$196,762,544LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$119,882,483LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$66,805,790BOYAmt
EOY$76,880,061EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$6,076,504BOYAmt
EOY$6,970,455EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,213,849BOYAmt
EOY$1,029,454EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$112,090,305BOYAmt
EOY$121,419,634EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$13,839,036BOYAmt
EOY$14,956,268EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$1,907EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$22,899,638BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$30,365,208EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$19,534,494BOYAmt
EOY$22,380,957EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$56,273,168BOYAmt
EOY$67,704,340EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$54,411,769BOYAmt
EOY$52,179,862EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,405,368BOYAmt
EOY$1,535,432EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$55,817,137BOYAmt
EOY$53,715,294EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$112,090,305BOYAmt
EOY$121,419,634EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$5,726,606ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$478,647NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$3,146,116OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$8,577OtherActivitiesAmt
Total Lobbying Expenditures$8,577TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationMEMBERSHIP DUES TO HOSPITAL ASSOCIATIONS OF WHICH A PORTION OF THE DUES ARE USED FOR LOBBYING EXPENSES BY THE TRADE ORGANIZATION.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$800,816OtherCostOrOtherBasisAmt
Book Value$800,816BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$105,414,168OtherCostOrOtherBasisAmt
Depreciation$53,561,991DepreciationAmt
Book Value$51,852,177BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,631,729OtherCostOrOtherBasisAmt
Depreciation$2,049,228DepreciationAmt
Book Value$582,501BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$86,884,301OtherCostOrOtherBasisAmt
Depreciation$64,020,025DepreciationAmt
Book Value$22,864,276BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,031,530OtherCostOrOtherBasisAmt
Depreciation$251,239DepreciationAmt
Book Value$780,291BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$76,880,061TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (4 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INV IN JOINT VENTURE$101,263C
INV IN PREMIER$2,406,304C
INV IN NET ASSETS OF FOUNDATION$1,535,432C
SELF INSURED INSURANCE RETENTION$2,927,456C
FieldValueIRS element (for citing)
Total Book Value Securities$6,970,455TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
OTHER CURRENT LIABILITIES$25,000
PROFESSIONAL LIABILITY CLAIMS$3,828,627
PENSION LIABILITY$14,387,520
THIRD PARTY PAYOR$4,139,810
FieldValueIRS element (for citing)
Total Liability$22,380,957TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$127,935,846TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$478,647NetUnrealizedGainsInvstAmt
Other Revenue$3,207,638OtherRevenueAmt
Revenue Not Reported$3,686,285RevenueNotReportedAmt
Revenue Subtotal$124,249,561RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$124,249,561TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$130,037,689TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$61,522OtherExpensesIncludedAmt
Expenses Not Reported$61,522ExpensesNotReportedAmt
Expenses Subtotal$129,976,167ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$129,976,167TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE HOSPITAL AND RECOGNIZE A TAX LIABILITY IF THE HOSPITAL HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE HOSPITAL, AND HAS CONCLUDED THAT AS OF JUNE 30, 2019 AND 2018, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE HOSPITAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:PENSION VALUE CHANGE 646,116. COGS 61,522. DH INVESTMENT 2,500,000.
PART XII, LINE 2D - OTHER ADJUSTMENTS:COGS 61,522.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,236,841TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$253,103DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,983,738NetCommunityBenefitExpnsAmt
Total Expense0.01530TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$29,604,798TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,539,374DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,065,424NetCommunityBenefitExpnsAmt
Total Expense0.04670TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$31,841,639TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,792,477DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,049,162NetCommunityBenefitExpnsAmt
Total Expense0.06200TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$124,791TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$845DirectOffsettingRevenueAmt
Net Community Benefit Expns$123,946NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,001,937TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$473,505DirectOffsettingRevenueAmt
Net Community Benefit Expns$528,432NetCommunityBenefitExpnsAmt
Total Expense0.00410TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$228,971TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$228,971NetCommunityBenefitExpnsAmt
Total Expense0.00180TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,355,699TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$474,350DirectOffsettingRevenueAmt
Net Community Benefit Expns$881,349NetCommunityBenefitExpnsAmt
Total Expense0.00690TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$33,197,338TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$24,266,827DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,930,511NetCommunityBenefitExpnsAmt
Total Expense0.06890TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18,479TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$18,479NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,374TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,374NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,853TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$19,853NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$2,706,320BadDebtExpenseAmt
Bad Debt Expense Attributable$608,919BadDebtExpenseAttributableAmt
Reimbursed By Medicare$24,462,307ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$25,055,529CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$593,222MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndEmergency Room24 HrsEmergencyRoom24HrsIndCritical Access HospitalCriticalAccessHospitalInd
METHODIST HOSPITAL
11305 N ELM STREETHENDERSONKY42420100173Yes (X)Yes (X)Yes (X)
METHODIST HOSPITAL UNION COUNTY
24604 US HWY 60 WMORGANFIELDKY42437600057Yes (X)Yes (X)Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNumFirst Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndPrior CHNA ImpactPriorCHNAImpactIndOtherOtherIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndRpt Available Thru Other MethodRptAvailableThruOtherMethodIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctAsset Level CriteriaAssetLevelCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Summary On WebsiteFAPSummaryOnWebsiteIndFAP Summary On Website URLFAPSummaryOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgIndCommuntity Notified FAPCommuntityNotifiedFAPIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit No ActionsPermitNoActionsIndCollection ActivitiesCollectionActivitiesIndMade Effort Orally NotifyMadeEffortOrallyNotifyIndProcessed FAP ApplicationProcessedFAPApplicationIndMade Presumptive Elig DetermMadePresumptiveEligDetermIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndLook Back Medicare PrivateLookBackMedicarePrivateIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesInd
METHODIST HOSPITAL
100Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)18Yes (1)Yes (1)Yes (1)Yes (1)Yes (X)WWW2.METHODISTHOSPITAL.NET/DOCUMENTS/CHNA2017.PDFYes (X)Yes (X)Yes (1)18Yes (1)WWW2.METHODISTHOSPITAL.NET/DOCUMENTS/CHNA2017.PDF0Yes (1)Yes (X)200.000000000000400.000000000000Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)WWW2.METHODISTHOSPITAL.NET/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/Yes (X)WWW2.METHODISTHOSPITAL.NET/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/Yes (X)WWW2.METHODISTHOSPITAL.NET/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (1)
METHODIST HOSPITAL UNION COUNTY
200Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)18Yes (1)Yes (1)Yes (1)Yes (1)Yes (X)WWW2.METHODISTHOSPITAL.NET/DOCUMENTS/CHNA2017.PDFYes (X)Yes (X)Yes (1)18Yes (1)WWW2.METHODISTHOSPITAL.NET/DOCUMENTS/CHNA2017.PDF0Yes (1)Yes (X)200.000000000000400.000000000000Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)WWW2.METHODISTHOSPITAL.NET/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/Yes (X)WWW2.METHODISTHOSPITAL.NET/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/Yes (X)WWW2.METHODISTHOSPITAL.NET/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (1)

Supplemental Information SupplementalInformationGrp (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
METHODIST HOSPITALPART V, SECTION B, LINE 5: IN UPDATING OUR CHNA FOR COMMUNITY BENEFIT SERVICES AND GOALS, THE HOSPITAL SOUGHT INPUT FROM SEVERAL DIFFERENT ENTITIES. THE HOSPITAL'S ACTIVE INVOLVEMENT WITH SEVERAL LOCAL AGENCIES AND GROUPS PROVIDED VALUABLE INFORMATION TO THE PROCESS. THE HOSPITAL WORKED CLOSELY WITH LOCAL HEALTH DEPARTMENTS, SCHOOL SYSTEMS, THE UNITED WAY, HENDERSON DIABETES COALITION, KENTUCKY CANCER PROGRAM AND OTHERS TO NAME A FEW. THE HOSPITAL IS A MEMBER AND ACTIVELY ENGAGED WITH THE HEALTHY HENDERSON COALITION THAT MEETS REGULARLY AT THE HOSPITAL. THE COALITION IS MADE UP OF OVER 40 MEMBERS FROM SEVERAL DIFFERENT HEALTHCARE, SUPPORT AND COMMUNITY GROUPS. THE FOCUS OF THE COALITION IS TO PROMOTE HEALTH AND WELLNESS THROUGHOUT THE HOSPITAL SERVICE AREA.
METHODIST HOSPITAL UNION COUNTYPART V, SECTION B, LINE 5: IN UPDATING OUR CHNA FOR COMMUNITY BENEFIT SERVICES AND GOALS, THE HOSPITAL SOUGHT INPUT FROM SEVERAL DIFFERENT ENTITIES. THE HOSPITAL'S ACTIVE INVOLVEMENT WITH SEVERAL LOCAL AGENCIES AND GROUPS PROVIDED VALUABLE INFORMATION TO THE PROCESS. THE HOSPITAL WORKED CLOSELY WITH LOCAL HEALTH DEPARTMENTS, SCHOOL SYSTEMS, THE UNITED WAY, HENDERSON DIABETES COALITION, KENTUCKY CANCER PROGRAM AND OTHERS TO NAME A FEW. THE HOSPITAL IS A MEMBER AND ACTIVELY ENGAGED WITH THE HEALTHY HENDERSON COALITION THAT MEETS REGULARLY AT THE HOSPITAL. THE COALITION IS MADE UP OF OVER 40 MEMBERS FROM SEVERAL DIFFERENT HEALTHCARE, SUPPORT AND COMMUNITY GROUPS. THE FOCUS OF THE COALITION IS TO PROMOTE HEALTH AND WELLNESS THROUGHOUT THE HOSPITAL SERVICE AREA.
METHODIST HOSPITALPART V, SECTION B, LINE 6A: METHODIST HOSPITAL PARTNERED WITH THE GREEN RIVER AREA DEVELOPMENT DISTRICT WHICH INCLUDES THE OWENSBORO HEALTH SYSTEM AND OHIO COUNTY HOSPITAL TO DEVELOP A HEALTH NEEDS ASSESSMENT FOCUSED ON MENTAL HEALTH: TEEN ISSUES, OBESITY/DIABETES: PHYSICAL ACTIVITY, AND SUBSTANCE ABUSE: ALCOHOL, TOBACCO, AND OTHER DRUGS.
METHODIST HOSPITAL UNION COUNTYPART V, SECTION B, LINE 6A: METHODIST HOSPITAL UNION COUNTY PARTNERED WITH THE GREEN RIVER AREA DEVELOPMENT DISTRICT WHICH INCLUDES THE OWENSBORO HEALTH SYSTEM AND OHIO COUNTY HOSPITAL TO DEVELOP A HEALTH NEEDS ASSESSMENT FOCUSED ON ACCESS TO CARE, ACCESS TO HEALTHY FOODS AND LIFESTYLE AND SUBSTANCE ABUSE: ALCOHOL, TOBACCO, AND OTHER DRUGS.
METHODIST HOSPITALPART V, SECTION B, LINE 6B: METHODIST HOSPITAL PARTNERED WITH THE GREEN RIVER AREA DEVELOPMENT DISTRICT WHICH INCLUDES THE OWENSBORO HEALTH SYSTEM AND OHIO COUNTY HOSPITAL TO DEVELOP A HEALTH NEEDS ASSESSMENT FOCUSED ON MENTAL HEALTH: TEEN ISSUES, OBESITY/DIABETES: PHYSICAL ACTIVITY, AND SUBSTANCE ABUSE: ALCOHOL, TOBACCO, AND OTHER DRUGS.
METHODIST HOSPITAL UNION COUNTYPART V, SECTION B, LINE 6B: METHODIST HOSPITAL UNION COUNTY PARTNERED WITH THE GREEN RIVER AREA DEVELOPMENT DISTRICT WHICH INCLUDES THE OWENSBORO HEALTH SYSTEM AND OHIO COUNTY HOSPITAL TO DEVELOP A HEALTH NEEDS ASSESSMENT FOCUSED ON ACCESS TO CARE, ACCESS TO HEALTHY FOODS AND LIFESTYLE AND SUBSTANCE ABUSE: ALCOHOL, TOBACCO, AND OTHER DRUGS.
METHODIST HOSPITALPART V, SECTION B, LINE 7D: METHODIST HOSPITAL PRESENTED ITS CHNA TO THE HEALTHY HENDERSON COALITION AND THE GREEN RIVER AREA HEALTH DEPARTMENT (REPRESENTS SEVEN (7) WESTERN KENTUCKY COUNTY HEALTH DEPARTMENTS INCLUDING HENDERSON, UNION AND WEBSTER COUNTIES).
METHODIST HOSPITAL UNION COUNTYPART V, SECTION B, LINE 7D: METHODIST HOSPITAL UNION COUNTY PRESENTED ITS CHNA TO THE GREEN RIVER AREA HEALTH DEPARTMENT (REPRESENTS SEVEN (7) WESTERN KENTUCKY COUNTY HEALTH DEPARTMENTS INCLUDING HENDERSON, UNION AND WEBSTER COUNTIES).
METHODIST HOSPITALPART V, SECTION B, LINE 11: THE HEALTHY HENDERSON COALITION, WHICH THE HOSPITAL IS A MEMBER OF, SERVES AS THE ACCOUNTABILITY GROUP FOR THE COMMUNITY HEALTH IMPROVEMENT INITIATIVES. THE COALITION USES A STRONG NETWORK OF COMMUNITY PARTNERS WITHIN THE COMMUNITY TO AFFECT CHANGE. THE SELECTED NEEDS IDENTIFIED THROUGH OUR CHNA WERE TEEN ISSUES, REDUCING OBESITY AND DIABETES, TOBACCO CESSATION INCLUDING E-CIGARETTES, AND REDUCING DRUG ABUSE. THE HOSPITAL HAS PARTNERED WITH LOCAL ORGANIZATIONS TO OFFER DIABETES EDUCATION, AWARENESS, AND PREVENTION THROUGHOUT THE COMMUNITY (ABC'S OF DIABETES PRESENTATION). ANNUAL EVENTS THAT INCLUDE DIABETES ALERT DAY WITH FREE A1C SCREENINGS ARE ALSO PART OF THE HOSPITAL'S FOCUS. THESE EFFORTS ARE IN CONJUNCTION WITH THE HENDERSON COUNTY DIABETES COALITION. THE HOSPITAL ALSO PROVIDES FREE MONTHLY CHOLESTEROL SCREENINGS AT THE HOSPITAL THE HAS BENEFITED LOCAL PATIENTS. MH PROVIDED CPR CLASS FOR ALL STAFF AT THE LOCAL BOYS AND GIRLS CLUB AND IS ALSO OFFERING DIFFERENT QUARTERLY PROGRAMS ON EDUCATIONAL TOPICS OF FOCUS AND INTEREST. TOBACCO FREE CLASSES ARE OFFERED AT THE HOSPITAL, MARSHA'S PLACE AND THE WARM CENTER. METHODIST PARTICIPATED WITH ITS PHYSICIAN RESIDENCY PROGRAM TO PROVIDE TRAINING TO SIX (6) FAMILY PHYSICIANS IN THE HENDERSON, UNION COUNTIES AND SURROUNDING AREA. THE RESIDENTS PROVIDED CARE TO PATIENTS WITH LIMITED FINANCIAL MEANS AND CHRONIC CONDITIONS. MH PROVIDED FREE HEALTH SCREENINGS AT HEALTH FAIRS, SENIOR CITIZENS CENTERS, FESTIVALS AND OTHER MEETINGS PERTAINING TO TOBACCO, DIABETES, PROSTATE AND OTHER HEALTH ISSUES. THE HOSPITAL PROVIDED CHILDBIRTH CLASSES TO PREGNANT MOTHERS AS WELL AS LACTATION/BREASTFEEDING SERVICES. UNION COUNTY FOCUSED ON ACCESS TO CARE BY EDUCATING THE PUBLIC ABOUT SERVICES AVAILABLE IN THE COUNTY. SERVICES FOR REDUCTION IN SMOKING VIA EDUCATION AND SMOKE-FREE INITIATIVES ALONG WITH E-CIGARETTE EDUCATION. FOCUS IN UNION COUNTY HAS BEEN TO REDUCE OBESITY, INCREASE PHYSICAL ACTIVITY AND MAKING HEALTHIER FOOD CHOICES. THE HOSPITAL IN UNION COUNTY ALSO GAVE PHYSICIANS IN THE RESIDENCY PROGRAM MUCH NEEDED HOURS OF PATIENT CONTACT FOR COMPLETION OF THEIR TRAINING. THE HOSPITALS IN UNION AND HENDERSON COUNTIES BOTH PARTNERED WITH LOCAL COLLEGES AND UNIVERSITIES TO PROVIDE CLINICAL TRAINING, EDUCATION AND HANDS ON EXPERIENCE NEEDED TO SUPPORT VARIOUS HEALTHCARE PROFESSIONS INCLUDING NURSING AND MEDICAL STUDENTS. BOTH HOSPITALS ALSO PROVIDED SHADOWING OPPORTUNITIES FOR HIGH STUDENTS WHO WERE INTERESTED IN ENTERING INTO DIFFERENT ASPECTS OF THE HEALTHCARE FIELD.
METHODIST HOSPITAL UNION COUNTYPART V, SECTION B, LINE 11: THE HEALTHY HENDERSON COALITION, WHICH THE HOSPITAL IS A MEMBER OF, SERVES AS THE ACCOUNTABILITY GROUP FOR THE COMMUNITY HEALTH IMPROVEMENT INITIATIVES. THE COALITION USES A STRONG NETWORK OF COMMUNITY PARTNERS WITHIN THE COMMUNITY TO AFFECT CHANGE. THE SELECTED NEEDS IDENTIFIED THROUGH OUR CHNA WERE TEEN ISSUES, REDUCING OBESITY AND DIABETES, TOBACCO CESSATION INCLUDING E-CIGARETTES, AND REDUCING DRUG ABUSE. THE HOSPITAL HAS PARTNERED WITH LOCAL ORGANIZATIONS TO OFFER DIABETES EDUCATION, AWARENESS, AND PREVENTION THROUGHOUT THE COMMUNITY (ABC'S OF DIABETES PRESENTATION). ANNUAL EVENTS THAT INCLUDE DIABETES ALERT DAY WITH FREE A1C SCREENINGS ARE ALSO PART OF THE HOSPITAL'S FOCUS. THESE EFFORTS ARE IN CONJUNCTION WITH THE HENDERSON COUNTY DIABETES COALITION. THE HOSPITAL ALSO PROVIDES FREE MONTHLY CHOLESTEROL SCREENINGS AT THE HOSPITAL THE HAS BENEFITED LOCAL PATIENTS. MH PROVIDED CPR CLASS FOR ALL STAFF AT THE LOCAL BOYS AND GIRLS CLUB AND IS ALSO OFFERING DIFFERENT QUARTERLY PROGRAMS ON EDUCATIONAL TOPICS OF FOCUS AND INTEREST. TOBACCO FREE CLASSES ARE OFFERED AT THE HOSPITAL, MARSHA'S PLACE AND THE WARM CENTER. METHODIST PARTICIPATED WITH ITS PHYSICIAN RESIDENCY PROGRAM TO PROVIDE TRAINING TO SIX (6) FAMILY PHYSICIANS IN THE HENDERSON, UNION COUNTIES AND SURROUNDING AREA. THE RESIDENTS PROVIDED CARE TO PATIENTS WITH LIMITED FINANCIAL MEANS AND CHRONIC CONDITIONS. MH PROVIDED FREE HEALTH SCREENINGS AT HEALTH FAIRS, SENIOR CITIZENS CENTERS, FESTIVALS AND OTHER MEETINGS PERTAINING TO TOBACCO, DIABETES, PROSTATE AND OTHER HEALTH ISSUES. THE HOSPITAL PROVIDED CHILDBIRTH CLASSES TO PREGNANT MOTHERS AS WELL AS LACTATION/BREASTFEEDING SERVICES. UNION COUNTY FOCUSED ON ACCESS TO CARE BY EDUCATING THE PUBLIC ABOUT SERVICES AVAILABLE IN THE COUNTY. SERVICES FOR REDUCTION IN SMOKING VIA EDUCATION AND SMOKE-FREE INITIATIVES ALONG WITH E-CIGARETTE EDUCATION. FOCUS IN UNION COUNTY HAS BEEN TO REDUCE OBESITY, INCREASE PHYSICAL ACTIVITY AND MAKING HEALTHIER FOOD CHOICES. THE HOSPITAL IN UNION COUNTY ALSO GAVE PHYSICIANS IN THE RESIDENCY PROGRAM MUCH NEEDED HOURS OF PATIENT CONTACT FOR COMPLETION OF THEIR TRAINING. THE HOSPITALS IN UNION AND HENDERSON COUNTIES BOTH PARTNERED WITH LOCAL COLLEGES AND UNIVERSITIES TO PROVIDE CLINICAL TRAINING, EDUCATION AND HANDS ON EXPERIENCE NEEDED TO SUPPORT VARIOUS HEALTHCARE PROFESSIONS INCLUDING NURSING AND MEDICAL STUDENTS. BOTH HOSPITALS ALSO PROVIDED SHADOWING OPPORTUNITIES FOR HIGH STUDENTS WHO WERE INTERESTED IN ENTERING INTO DIFFERENT ASPECTS OF THE HEALTHCARE FIELD.
METHODIST HOSPITALPART V, SECTION B, LINE 24: ALL PAYERS, INCLUDING ENTITLEMENT PROGRAMS, INSURANCE COMPANIES AND PATIENTS WITHOUT INSURANCE ARE BILLED AT HOSPITAL'S STANDARD RATE. REIMBURSEMENT AND DISCOUNTS ARE BASED ON ENTITLEMENT ALLOWABLE CONTRACTUALLY, MUTUALLY AGREEABLE REDUCTIONS OF CHARGES WITH INSURANCE COMPANIES AND MUTUALLY AGREEABLE REDUCTIONS OF CHARGES WITH PATIENTS.
METHODIST HOSPITAL UNION COUNTYPART V, SECTION B, LINE 24: ALL PAYERS, INCLUDING ENTITLEMENT PROGRAMS, INSURANCE COMPANIES AND PATIENTS WITHOUT INSURANCE ARE BILLED AT HOSPITAL'S STANDARD RATE. REIMBURSEMENT AND DISCOUNTS ARE BASED ON ENTITLEMENT ALLOWABLE CONTRACTUALLY, MUTUALLY AGREEABLE REDUCTIONS OF CHARGES WITH INSURANCE COMPANIES AND MUTUALLY AGREEABLE REDUCTIONS OF CHARGES WITH PATIENTS.
SCH H PART V PART B LINE 16 A, B & CTHE FAP, THE FAP APPLICATION AND THE FAP PLAIN LANGUAGE SUMMARY ARE AVAIALABLE AT HTTPS://WWW.METHODISTHOSPITAL.NET/PATIENTS-VISITORS/FOR-PATIENTS/FINANCIAL-ASSISTANCE.ASPX.
FieldValueIRS element (for citing)
Facility14FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - METHODIST PEDIATRICS - IMPERIAL
2000 N ELM STREETHENDERSONKY42420PEDIATRIC PHYSICIAN SVCS
3 - METHODIST FAMILY PRACTICE
1284 US HWY 60 WESTMORGANFIELDKY42437FAMILY PRACTICE PHYSICIAN SVCS
4 - WOMEN'S HEALTH SERVICES-HENDERSON
736 ELM STREETHENDERSONKY42420WOMEN'S HEALTH PHYSICIAN SVCS
5 - METHODIST SURGICAL SERVICES
1413 N ELM STREET SUITE 201HENDERSONKY42420ORTHOPEDIC PHYSICIAN SVCS
7 - METHODIST PEDIATRICS - ELM
2000 N ELM STREET SUITE 1BHENDERSONKY42420PEDIATRIC PHYSICIAN SVCS
10 - METHODIST FAMILY MEDICINE - ATKINSON
1413 N ELM STREET SUITE 204HENDERSONKY42420FAMILY MEDICINE PHYSICIAN SVCS
14 - METHODIST FAMILY MEDICINE - SEBREE
47 W WEBSTER STREETSEBREEKY42455FAMILY MEDICINE PHYSICIAN SVCS
15 - CONTINUITY CARE CLINIC
411 LETCHER STHENDERSONKY42420RESIDENT/ FAMILY MEDICAL CLINIC
16 - METHODIST HEMATOLOGY ONCOLOGY
1305 N ELM STREETHENDERSONKY42420ONCOLOGY PHYSICIAN SVCS
17 - WEBSTER COUNTY FAMILY MEDICINE
1355 HWY 41-A SOUTHDIXONKY42409FAMILY MEDICINE PHYSICIAN SVCS
18 - METHODIST HOSPITAL AUXILLARY
1305 N ELM STREETHENDERSONKY42420HOSPITAL AUXILLARY PHYSICIAN SVCS
19 - METHODIST OCCUPATIONAL MEDICINE
110 2ND STREETHENDERSONKY42420OCCUPATIONAL PHYSICIAN SVCS
20 - MULTI-SPECIALTY CLINIC
1305 N ELM STREETHENDERSONKY42420HOMECARE PHYSICIAN SVCS
21 - METHODIST CONVENIENT CARE
110 2ND STREETHENDERSONKY42420CONVENIENT CARE CLINIC

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART II, COMMUNITY BUILDING ACTIVITIES:COMMUNITY BUILDING ACTIVITIES INCLUDE THE HOSPITAL'S PARTICIPATION WITH GREEN RIVER AREA DISTRICT DEVELOPMENT, A LOCAL GROUP DEDICATED TO ADDRESSING THE HEALTHCARE NEEDS OF COMMUNITIES SERVED. ALSO, A PART OF COMUNITY BUILDING ACTIVITIES, VARIOUS HOSPITAL ADMINISTRATION STAFF VOLUNTEER TIME AS BOARD MEMBERS OR MEMBERS OF COMMUNITY ORGANIZATION AND COALITIONS TO KEEP ABREAST OF HEALTHCARE NEEDS, CONCERNS AND ISSUES WITHIN THE AREA.
PART III, LINE 2:THE HOSPITAL HAS AGREEMENTS WITH THIRD PARTY PAYORS THAT PROVIDE FOR PAYMENTS TO THE HOSPITAL AT AMOUNTS DIFFERENT FROM ITS ESTABLISHED RATES. PAYMENT ARRANGEMENTS INCLUDE PROSPECTIVELY DETERMINED RATES PER DISCHARGE, REIMBURSED COSTS, DISCOUNTED CHARGES, AND PER DIEM PAYMENTS. NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD PARTY PAYORS, AND OTHER FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD PARTY PAYORS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS FINAL SETTLEMENTS ARE DETERMINED. THE HOSPITAL ESTIMATES AN ALLOWANCE FOR UNCOLLECTIBLE PATIENT ACCOUNTS RECEIVABLE BASED ON EVALUATION OF THE AGING OF THE ACCOUNTS, HISTORICAL LOSSES, CURRENT ECONOMIC CONDITIONS AND OTHER FACTORS UNIQUE TO THE SERVICE AREA AND THE HEALTHCARE INDUSTRY. THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNTS REPORTED ON LINE 2 IS USING THE COST-TO-CHARGE RATIO. THE RATIO WAS CALCULATED FROM WORKSHEET A, ESTIMATED BAD DEBT EXPENSE (AT COST).
PART III, LINE 3:THE AMOUNT OF BAD DEBT ESTIMATED TO HAVE BEEN ELIGIBLE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY WAS DETERMINED BY USING THE POVERTY RATE FOR HENDERSON COUNTY.
PART III, LINE 4:THE FOOTNOTE DESCRIBING THE HOSPITAL'S BAD DEBT EXPENSE CAN BE FOUND ON PAGES 10-11 OF THE MOST RECENT AUDITED FINANCIAL STATEMENTS WHICH ARE ATTACHED WITH THIS SCHEDULE H.
PART III, LINE 8:MEDICARE ALLOWABLE COSTS WERE TAKEN DIRECTLY OFF MEDICARE COST REPORT FILED WITH THE 6/30/19YEAREND. THE CALCULATION INCLUDED MEDICARE INPATIENT AND OUTPATIENT CHARGES LESS MEDICARE REIMBURSEMENT LESS GME RECEIVED. THE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT AS THE REIMBURSEMENT RECEIVED DID NOT COVER THE COST OF PROVIDING SERVICES.
PART III, LINE 9B:HOSPITAL POLICY ON CHARITY CARE PROVIDES GUIDANCE ON HOW TO PROVIDE FINANCIAL ASSISTANCE FOR PATIENTS IN NEED. HOSPITAL POLICY ON INDIGENT CARE OUTLINES THE DISPROPORTIONATE SHARE HOSPITAL (DSH) PROGRAM THROUGH THE STATE OF KENTUCKY TO SERVE THE INDIGENT CARE NEEDS OF ALL PATIENTS WITHOUT ANY TYPE OF HEALTH INSURANCE. PATIENTS MUST COMPLETE A DSH APPLICATION AND MEET THE KENTUCKY DEPARTMENT OF MEDICAID SERVICES DSH PROGRAM MANUAL GUIDELINES.
PART VI, LINE 2:HOSPITAL CONTINUES TO WORK WITH THE GREEN RIVER AREA DISTRICT DEVELOPMENT TO ASSESS THE HEALTHCARE NEEDS OF THE COMMUNITIES SERVED. THE MISSION IS TO IMPROVE THE HEALTH AND QUALITY OF LIFE WITHIN OUR REGION THROUGH EDUCATION, MOTIVATION, EVALUATION AND AVAILABILITY. THE HOSPITAL HAS A BOARD OF DIRECTORS WHICH CONSIST OF 11 INDIVIDUALS FROM THE HOSPITAL SERVICE AREA. ONE PURPOSE OF THIS LARGE BOARD IS TO REPRESENT THE COMMUNITY SAN STAY IN TOUCH WITH COMMUNITY NEEDS. THE BOARD HAS ESTABLISHED A COMMUNITY BENEFIT COMMITTEE WHICH SPECIFICALLY ADDRESSES COMMUNITY BENEFITS PROVIDED BY THE HOSPITALS. METHODIST HOSPITAL UNION COUNTY HAS AN 8 MEMBER ADVISORY BOARD WHICH IN PART SERVES IN THE ROLE TO DETERMINE COMMUNITY NEEDS AND REPORTS DIRECTLY TO THE BOARD OF METHODIST HOSPITAL. THE COMMUNITY BASED HEALTHY HENDERSON COALITION HAS MEMBERS ON THE COMMUNITY BENEFITS COMMITTEE OF THE METHODIST HOSPITAL BOARD OF DIRECTORS.
PART VI, LINE 3:HOSPITAL HAS FINANCIAL COUNSELORS TO INTERVIEW PATIENTS WHO MAY HAVE FINANCIAL NEED. THE PROCESS IS PART OF PATIENT REGISTRATION. AN INTERVIEW CAN TAKE PLACE AT ANY TIME THE PATIENT IS IN THE HOSPITAL. AFTER THE PATIENT LEAVES THE HOSPITAL, CONTACT IS MADE IN AN EFFORT TO ASSIST THE INDIVIDUAL WITH APPLYING FOR GOVERNMENT ENTITLEMENT PROGRAMS. EACH PATIENT REGISTERED AS A SELF-PAY AUTOMATICALLY RECEIVES PRINTED INFORMATION TITLED "ELIGIBILITY FOR FINANCIAL ASSISTANCE." THIS DOCUMENT EXPLAINS ABOUT THE KENTUCKY MEDICAID DISPROPORTIONATE SHARE HOSPITAL DSH PROGRAM. IT CONTAINS A LIST OF INFORMATION THE PATIENT IS REQUIRED TO PROVIDE WITH THE DSH APPLICATION, ELIGIBILITY FOR THE PROGRAM IS DETERMINED FROM THE SUBMITTED DOCUMENTS. IF THE PATIENT DOES NOT QUALIFY FOR THE DSH PROGRAM THEN THE DOCUMENTATION IS USED BY THE HOSPITAL FOR FINANCIAL ASSISTANCE DETERMINATION. IN ADDITION, DISCUSSION WITH PATIENTS CONCERNING VARIOUS PROGRAMS, HOSPITAL ASSISTANCE, ETC.
PART VI, LINE 4:HOSPITAL IS LOCATED IN THE GREEN RIVER AREA DEVELOPMENT DISTRICT (GRADD) IN THE NORTHWESTERN PORTION OF KENTUCKY ALONG THE OHIO RIVER AND DIVIDED BY THE GREEN RIVER. THE TOTAL POPULATION OF GRADD IS APPROXIMATELY 215,217 AND IS PROJECTED TO HAVE MINOR GROWTH OF 1-2% OVER THE NEXT FIVE YEARS. METHODIST HOSPITAL'S PRIMARY SERVICE AREA COVERS PATIENTS FROM THE COUNTIES OF HENDERSON, UNION AND WEBSTER AND INCLUDES A SECONDARY MARKET OF PATIENTS FROM EACH OF THE SURROUNDING COUNTIES AND SOUTHERN INDIANAN AND SOUTHERN ILLINOIS. THE TOTAL POPULATION IN THE PRIMARY AND SECONDARY SERVICE AREA IS APPROXIMATELY 75,000. THIS ORGANIZATION OWNS METHODIST HOSPITAL IN HENDERSON COUNTY AND METHODIST HOSPITAL UNION COUNTY, A CRITICAL ACCESS HOSPITAL IN UNION COUNTY, THE ONLY TWO HOSPITALS IN THE PRIMARY SERVICE AREA. THE PRIMARY SERVICE AREA INCLUDES DESIGNATED MEDICALLY UNDERSERVED COUNTIES AND METHODIST HOSPITAL HAS SUPPORTED THE MEDICAL CARE IN THOSE COMMUNITIES BY PROVIDING TWO PRIMARY CARE CLINICS IN WEBSTER COUNTY AND TWO IN UNION COUNTY AS WELL AS SIX OTHER PRIMARY CARE CLINICS IN HENDERSON COUNTY WITH PHYSICIANS AND NURSE PRACTITIONERS.
PART VI, LINE 5:METHODIST HOSPITAL, IN KEEPING WITH ITS CHRISTIAN HERITAGE, EXISTS TO PROVIDE A BROAD BASED HEALTHCARE DELIVERY SYSTEM IN PARTNERSHIP WITH OUR MEDICAL STAFF, THE FOCUS WILL BE ON THE C0MPASSIONATE, HIGH QUALITY, AND COST EFFECTIVE SERVICES THAT ADDRESS MENTAL, SPIRITUAL, AND PHYSICAL NEEDS, AND WORKS TO IMPROVE THE HEALTH STATUS OF THE PEOPLE IN THE COMMUNITIES. THE MAJORITY OF COMMUNITY UNITED METHODIST HOSPITAL'S BOARD OF DIRECTORS IS COMPRISED OF INDIVIDUALS WHO LIVE AND WORK IN THE HOSPITAL SERVICES AREA. THE HOSPITAL EXTENDS MEDCAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. DURING THE FISCAL YEAR ENDED JUNE 30, 2019, COMMUNITY UNITED METHODIST HOSPITAL, INC. AS PART OF ITS MISSION CONTINUES TO PROVIDE UNCOMPENSATED CARE TO THE RESIDENTS OF THE AREA. EXAMPLES OF SERVICES PROVIDED FOR THE BENEFIT OF THE COMMUNITY ARE AS FOLLOWS - ADULT AND PEDIATRIC CPR COURSES OFFERED FREE OR AT A NOMINALCOST -SMOKING CESSATION PROGRAM OFFERED AT NOMINAL COST TO PARTICIPANTS - CHILDBIRTH EDUCATION CLASSES (INCLUDING PREPARED CHILDBIRTH, BREAST FEEDING, ETC) OFFERED TO THE PUBLIC AT A NOMINAL COST - OUTREACH PROGRAMS AT LOCAL ELEMENTARY AND JUNIOR HIGH SCHOOLS TO EDUCATE YOUNG PEOPLE ON A VARIETY OF TOPICS, INCLUDING CHEMICAL DEPENDENCY AND CHILDBIRTH -PROVIDE EDUCATION TO WOMEN'S ADDICTION RECOVERY MANOR CENTER 3-4 TIMES PER YEAR FOR EDUCATIONAL SESSIONS UPON REQUEST - BROCHURES ON A WIDE VARIETY OF MEDICAL TOPICS ARE AVAILABLE TO THE PUBLIC AT NO CHARGE - MULTI-DISCIPLINARY CONTINUING EDUCATION PROGRAMS FOR OTHER MEDICAL PROFESSIONALS AND ANCILLARY PERSONNEL - COMMUNITY EDUCATION PROGRAMS PROVIDED FREE TO THE PUBLIC ON VARIOUS HEALTHCARE TOPICS CANCER, STROKE, HEART ATTACK, DIABETES, STRESS, LIFESTYLE, ETC. - PROMOTION OF HEALTHCARE PROFESSIONALS THROUGH ASSOCIATION WITH HENDERSON COMMUNITY COLLEGE, ITT BRECKENRIDGE, MADISONVILLE COMMUNITY COLLEGE, AND WITH INTERNSHIP SAND CLINICAL AFFILIATIONS WITH OTHER UNIVERSITIES FOR PHARMACY, PHYSICAL THERAPY, RADIOLOGY, HEALTHCARE ADMINISTRATION AND DIETETICS -FREE CHOLESTEROL SCREENINGS PROVIDED THE FIRST THURSDAY OF EVERY MONTH TO THE GENERAL PUBLIC - BLOOD PRESSURE SCREENINGS DONE MONTHLY AT PLEASANT POINT AND TWICE A YEAR AT SENIOR CITIZEN COMPLEXES -BLOOD SUGAR SCREENING PROVIDED MONTHLY AT PLEASANT POINT AND COLONIAL ASSISTED LIVING - HEALTH FAIRS ARE HELD FOR LOCAL INDUSTRY AS WELL AS THE GENERAL PUBLIC, PROVIDING A WIDE RANGE OF SCREENING TESTS AND EDUCATIONAL MATERIALS IN HENDERSON, UNION AND WEBSTER COUNTIES -SPEAKERS PROVIDED TO COMMUNITY ORGANIZATIONS FOR PRESENTATIONS ON SUCH HEALTHCARE TOPICS AS CANCER, ALZHEIMER'S DISEASE, BLOOD PRESSURE, CHOLESTEROL, ETC. - WELLNESS PROGRAM OFFERED TO LOCAL BUSINESSES INCLUDES ONSITE HEALTH FAIRS, RISK APPRAISAL, NURSE VISITS, DIABETES, WEIGHT LOSS, AND EDUCATIONAL PROGRAMS - FLU SHOTS PROVIDED TO INDUSTRY AND SCHOOLS - DISCOUNT OF 50% OFFERED ON FIRST MAMMOGRAPHY SCREENING DURING BREAST CANCER AWARENESS MONTH - A DISCOUNT AGREEMENT WITH THE HEALTH DEPARTMENT ON MAMMOGRAPHY REFERRALS - NEONATAL SERVICES PROVIDED A REDUCED RATE FOR LOW INCOME WOMEN - OUTPATIENT LACTATION CONSULTING FEES WAIVED FOR LOW INCOME MOTHERS - METHODIST HOSPITAL ALSO PROVIDES FOR ADULTS WHO HAVE CHRONIC HEALTH CARE NEEDS THROUGH THE CONTINUITY CARE CLINIC THIS CLINIC OPERATES 4 DAYS PER WEEK WITH MEDICAL RESIDENTS AND THEIR SUPERVISORS - METHODIST HOSPITAL SERVES AS A PRECEPTOR SITE FOR VARIOUS UNIVERSITIES AND COLLEGES FOR ADMINISTRATIVE, PHYSICAL AND OCCUPATIONAL THERAPIES, AND NURSING STUDENTS - HOSPITAL MANAGEMENT PARTICIPATES IN AND ROUTINELY DONATES USE OF THE HOSPITAL FACILITY TO VARIOUS NON-PROFIT COMMUNITY ORGANIZATIONS SUCH AS YMCA, SALVATION ARMY, UNITED WAY, JUNIOR PRO BALL, ETC. EMPLOYEES ARE MEMBERS OF VARIOUS COMMUNITY ORGANIZATIONS AND REGULARLY ATTEND MEETINGS TO KEEP MH ACTIVELY INVOLVED IN THE COMMUNITY - AMERICAN HEART ASSOCIATION, KENTUCKY CANCER PROGRAM, DIABETES COALITION, HEALTHY HENDERSON FOR EXAMPLE - ASSISTED IN PLANNING AND ORGANIZING OF VARIOUS ACTIVITIES FOR COMMUNITY ORGANIZATIONS RELAY FOR LIFE (AMERICAN CANCER SOCIETY), RACE FOR THE CURE (BREAST CANCER), REGIONAL SENIOR GAMES, HUNTING DOWN DIABETES - BUILDING, MAINTENANCE , COMPUTER EQUIPMENT, AND SOME MEDICAL EQUIPMENT PROVIDED TO THE HENDERSON CITY/COUNTY AMBULANCE SERVICE AT NO CHARGE - PROVIDE FOR TRANSPORTATION COSTS FOR PATIENTS NEEDING ASSISTANCE TO THEIR HOMES FROM THE HOSPITAL - CASH AND IN IN-KIND CONTRIBUTIONS TO SUPPORT VARIOUS OTHER NON-PROFITS LOCATED IN HENDERSON, WEBSTER AND UNION COUNTIES - CASH DONATION TO ECONOMIC DEVELOPMENT ENTITY TO FOSTER DEVELOPMENT IN THE AREA - PLEDGE SUPPORT OF NURSING PROGRAM AT LOCAL COLLEGE - SCHOLARSHIPS OFFERED TO NURSING, PHYSICAL THERAPY, RADIOLOGY AND PHARMACY STUDENTS - PARTICIPATION IN LOCAL CAREER DAYS TO PROVIDE INFORMATION ON HEALTH CAREERS TO HIGH SCHOOL, COLLEGE, AND TECHNICAL SCHOOL STUDENTS - HIGH SCHOOL AND COLLEGE STUDENTS GAIN VALUABLE EXPERIENCE THROUGH THE HEALTH CAREERS PROGRAM THAT PUTS THEM IN A HOSPITAL SETTING WHILE EXPLORING HEALTHCARE CAREERS - PRESENTATIONS MADE TO LOCAL HIGH SCHOOLS TO PROMOTE HEALTH CAREERS AND LECTURE ON HEALTHCARE TOPICS - HOSTED BI-ANNUAL BLOOD DRIVES FOR THE AMERICAN RED CROSS.
PART VI, LINE 7, REPORTS FILED WITH STATESKY

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
KYNDLE
PO BOX 764HENDERSONKY42419610463069501(C)3$40,000ECONOMIC DEVELOPMENT
COLLEGE FOUNDATION INC
2660 S GREEN STREETHENDERSONKY42419616035281501(C)3$70,000TO SUPPORT NURSING PROGRAM.
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DR JAMES FELLOWS
DIRECTOR (TERM ENDED 9/2018)$174,228$0$0$0$0$0$0$0$0$0$174,228$0$0$0
BENNY NOLEN
CEO$324,825$0$0$0$0$0$300$0$17,963$0$343,088$0$0$0
KRISTI MELTON
VP NURSING SERVICES$131,906$0$0$0$0$0$1,754$0$20,162$0$153,822$0$0$0
DAVE MASSENGALE
CFO (TERM ENDED 3/2019)$185,369$0$0$0$0$0$2,420$0$16,390$0$204,179$0$0$0
LYNN RENEE STEINWACHS
VP ADMIN UC$174,085$0$0$0$7,842$0$989$0$10,363$0$193,279$0$0$0
SUMALATHA SATOOR
PHYSICIAN$549,802$0$36,655$0$0$0$0$0$8,537$0$594,994$0$0$0
JAMES YELTON
PHYSICIAN$463,425$0$0$0$0$0$6,480$0$23,027$0$492,932$0$0$0
RICARDO MADDELA
PHYSICIAN$433,300$0$0$0$0$0$4,162$0$28,434$0$465,896$0$0$0
THOMAS NEELY
PHYSICIAN$323,358$0$108,951$0$0$0$5,608$0$16,581$0$454,498$0$0$0
ARSHAD HUSAIN
PHYSICIAN$478,038$0$205,268$0$18,500$0$6,480$0$10,151$0$718,437$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 7FormAndLineReferenceDesc
ExplanationPHYSICIANS ARE ELIGIBLE FOR INCENTIVE COMPENSATION. THE PHYSICIAN IS COMPENSATED FOR EACH WORK RVU PERFORMED BY A PHYSICIAN IN A CALENDAR YEAR IN EXCESS OF THE PHYSICIAN'S WORK RVU INCENTIVE THRESHOLD FOR THE CALENDAR YEAR MULTIPLIED BY THE INCENTIVE RVU PAYMENT.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (9 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
AMY DAVENPORT
RELATED BOARD MEMBER$14,005SALARY -AMY DAVENPORT IS AN EMPLOYEE OF THE HOSPITAL. SHE IS ALSO RELATED TO DR. VERNON HUMBERT, A BOARD MEMBER.0
MIKE HAZELWOOD
BOARD MEMBER/OWNER$294,114BOARD MEMBER MIKE HAZELWOOD IS THE OWNER OF EM FORD & COMPANY. EM FORD & COMPANY PROVIDES INSURANCE COVERAGE TO THE HOSPITAL AND THE EXPENSE IS 294.114.0
MELANIE HUMBERT
RELATED BOARD MEMBER$33,730SALARY - MELANIE HUMBERT IS AN EMPLOYEE OF THE HOSPITAL. SHE IS ALSO RELATED TO DR. VERNON HUMBERT, A BOARD MEMBER.0
SHARON SHIELDS
RELATED BOARD MEMBER$113,292SALARY - SHARON SHIELDS IS AN EMPLOYEE OF THE HOSPITAL. SHE IS RELATED TO DANE SHIELDS, A BOARD MEMBER.0
TONIA LILES
RELATED BOARD MEMBER$49,432SALARY - TONIA LILES IS AN EMPLOYEE OF THE HOSPITAL. SHE IS RELATED TO DR. VERNON HUMBERT, A BOARD MEMBER.0
ROBERTA PHILLIPS
RELATED BOARD MEMBER$38,255SALARY - ROBERTA PHILLIPS IS AN EMPLOYEE OF THE HOSPITAL. SHE IS ALSO RELATED TO JIMMY PHILLIPS, A BOARD MEMBER.0
TIMOTHY BARRON
RELATED BOARD MEMBER$25,088SALARY - TIMOTHY BARRON IS AN EMPLOYEE OF THE HOSPITAL. HE IS RELATED TO STEVE AUSTIN, A BOARD MEMBER.0
DREW CLEMENTS
RELATED BOARD MEMBER$68,830SALARY - DREW CLEMENTS IS AN EMPLOYEE OF THE HOSPITAL. HE IS RELATED TO MELISSA CLEMENTS, A BOARD MEMBER.0
JOHN LEE
RELATED BOARD MEMBER$208,897SALARY - JOHN LEE IS AN EMPLOYEE OF THE HOSPITAL. HE IS RELATED TO SHANNA LEE, A BOARD MEMBER.0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6COMMUNITY UNITED METHODIST HOSPITAL, INC. IS GOVERNED BY A BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7ATHE NOMINATING COMMITTEE OF THE BOARD OF DIRECTORS CONSIDER THE APPROPRIATE BOARD MEMBER CANDIDATES BASED ON CRITERIA. THE COMMITTEE MAKES BOARD MEMBER RECOMMENDATIONS TO THE BOARD WHICH VOTES AT A REGULARLY SCHEDULED MEETING.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 INFORMATION IS COMPILED BY HOSPITAL MANAGEMENT AND THE RETURN IS PREPARED BY AN INDPENDENT THIRD PARTY CERTIFIED PUBLIC ACCOUNTING FIRM FAMILIAR WITH HOSPITAL OPERATIONS, POLICIES, AND COMMITTEE/BOARD ACTIONS. THE FINAL RETURN IS REVIEWED BY THE DIRECTOR OF FINANCE, CFO, AND BY THE FINANCE COMMITTEE (OF THE BOARD OF DIRECTORS). ONCE THE RETURNS HAVE BEEN REVIEWED, THEY ARE SENT TO THE FULL BOARD OF DIRECTORS FOR APPROVAL. THE BOARD OF DIRECTORS ARE INFORMED THAT THE FORM 990 IS AVAILABLE IN ITS ENTIRETY.
FORM 990, PART VI, SECTION B, LINE 12CONGOING MONITORING BY THE COMPLIANCE OFFICER (MH CHIEF OPERATING OFFICER).
FORM 990, PART VI, SECTION B, LINE 15EVERY YEAR SURVEYS ARE SENT TO THE BOARD MEMBERS, MEDICAL STAFF, AND DIRECTORS. SURVEYS ARE RETURNED AND TABULATED CONFIDENTIALLY AND THE AGGREGATED RESPONSES ARE SHARED WITH THE COMPENSATION COMMITTEE AND THE BOARD. COMPENSATION IS REVIEWED BY USING THIRD PARTY EXECUTIVE COMPENSATION SURVEYS. CURRENTLY COMPENSATION AND THIRD PARTY EXECUTIVE COMPENSATION SURVEYS ARE THEN REVIEWED BY THE ADMINISTRATIVE PERSONNEL COMMITTEE WHO THEN RECOMMENDS APPROVAL TO THE INDEPENDENT BOARD. THE BOARD HAS FINAL APPROVAL ON COMPENSATION FOR THE CEO.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GMEDICAL FEES: PROGRAM SERVICE EXPENSES 12,150,672. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,150,672. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,669,428. MANAGEMENT AND GENERAL EXPENSES 2,033,260. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,702,688. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 729,059. MANAGEMENT AND GENERAL EXPENSES 544,788. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,273,847. TEMPORARY SERVICES: PROGRAM SERVICE EXPENSES 67,413. MANAGEMENT AND GENERAL EXPENSES 50,375. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 117,788. OTHER FEES: PROGRAM SERVICE EXPENSES 5,723. MANAGEMENT AND GENERAL EXPENSES 4,277. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,000.
FORM 990, PART XI, LINE 9:CHANGE IN PENSION LIABILITY 646,116. DH INVESTMENT 2,500,000.
FORM 990, PART XIITHE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT; AND NO PROCESSES HAVE CHANGED FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
HENDERSON REGIONAL HOSPITAL FOUNDATION
1305 NORTH ELM STHENDERSONKY42420610944432SUPPORT THE HOSPITALKY501(C)3LINE 11N/A0
UNION COUNTY METHODIST HOSPITAL FOUNDATION
4604 US HWY 60 WESTMORGANFIELDKY42437611230297SUPPORT THE HOSPITALKY501(C)3LINE 11N/A0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
KENTUCKY HOMECARE OF HENDERSON LLC
420 WEST PINHOOK ROADLAFAYETTELA70503264812417HOME HEALTHKYN/ARELATED$19,680$376,42900
HENDERSON SUPPORT SERVICES LLC
1305 N ELM STREETHENDERSONKY42420830966826HEALTHCARE MANAGEMENT SERVICESKYN/ARELATED$35,998,097000.66670
HEALTHCARE RESOURCE SOLUTIONS LLC
600 MARY STEVANSVILLEIN47747833275390HEALTHCARE - BILLING SERVICESINRELATED-$10,836$77,632000.05000DEACONESS HEALTH SYSTEM

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY CARE NETWORK INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1220 A SECOND STREETAddressLine1Txt
CityHENDERSONCityNm
State AbbreviationKYStateAbbreviationCd
ZIP42420ZIPCd
FieldValueIRS element (for citing)
EIN611254545EIN
Primary ActivitiesHOSPITAL NETWORKPrimaryActivitiesTxt
Legal Domicile StateKYLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Ownership1.00000OwnershipPct
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd