2020-06-23T12:21:11-05:00 2019-06-30 351178661 BLUE & CO LLC 2650 EASTPOINT PKWY SUITE 300 LOUISVILLE KY 40223 990 2018-07-01 610461753 METHODIST HEALTH INC METH 2708277700 PO BOX 48 HENDERSON KY 424190048 LINDA WHITE CEO 2708277700 2020-06-22 1 CARRIE A MERRILL CPA P00832283 5029923500 2020-06-22 96.28.64.110 2020-06-22 15:09:48 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 DFFF94E40E6042B53F95D34511187C45F8C68B42 2018 2020-11-19 02:30:22Z METHODIST HOSPITAL LINDA WHITE PO BOX 48 HENDERSON KY 424190048 124346943 0 X METHODISTHOSPITAL.NET X 1948 KY IN 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. 9 9 1371 45 0 0 13657 65438 120836836 119420648 1169245 824802 3412987 3938673 125432725 124249561 216979 110600 0 0 70846526 65669062 0 0 0 63528776 64196505 134592281 129976167 -9159556 -5726606 112090305 121419634 56273168 67704340 55817137 53715294 X IN 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. 0 0 101738279 110600 122585951 COMMUNITY 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. 101738279 1 0 0 1 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 1 1 1 0 0 0 0 0 1 0 0 0 1 225 0 1 1371 0 1 1 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 KY X X BENNY NOLEN 2708277700 1305 NORTH ELM STREET HENDERSON KY 42419 DANE SHIELDS CHAIRMAN 2.00 X 0 0 0 LINDA E WHITE VICE CHAIR 10.00 X 0 0 0 CHARLES S AUSTIN SECRETARY 2.00 X 0 0 0 GARLAND CERTAIN TREASURER 2.00 X 0 0 0 KRIS WILLIAMS DIRECTOR (TERM 08.01.18) 2.00 X 0 0 0 SUSAN E PARSONS DIRECTOR 2.00 X 0 0 0 GREGORY ALAN RISCH DIRECTOR 2.00 X 0 0 0 CHRISTINA M RYAN DIRECTOR 2.00 X 0 0 0 CURTIS MICHAEL WEBB DIRECTOR 2.00 X 0 0 0 JAMES FRANK VINCENT SR DIRECTOR 2.00 X 0 0 0 DR VERNON HUMBERT DIRECTOR (TERM ENDED 9/2018) 10.00 X 62426 0 0 DR JAMES FELLOWS DIRECTOR (TERM ENDED 9/2018) 10.00 X 174228 0 0 MELISSA CLEMENTS DIRECTOR (TERM ENDED 9/2018) 2.00 X 0 0 0 JAMES CRAFTON JR DIRECTOR (TERM ENDED 9/2018) 2.00 X 0 0 0 WILLIAM DIBERT DIRECTOR (TERM ENDED 9/2018) 2.00 X 0 0 0 LEONARD FAIRLY DIRECTOR (TERM ENDED 9/2018) 2.00 X 0 0 0 SUSIE GIVENS DIRECTOR (TERM ENDED 9/2018) 2.00 X 0 0 0 MIKE HAZELWOOD DIRECTOR (TERM ENDED 9/2018) 2.00 X 0 0 0 DANIEL LEE HUCK DIRECTOR (TERM ENDED 9/2018) 2.00 X 0 0 0 JAMES A KEMP III DIRECTOR (TERM ENDED 9/2018) 2.00 X 0 0 0 DAVID E LATHAM DIRECTOR (TERM ENDED 9/2018) 2.00 X 0 0 0 SHANNA LEE DIRECTOR (TERM ENDED 9/2018) 2.00 X 0 0 0 RAY NIX DIRECTOR (TERM ENDED 9/2018) 2.00 X 0 0 0 LIBBY PAYNE DIRECTOR (TERM ENDED 9/2018) 2.00 X 0 0 0 JAMES E PHILLIPS DIRECTOR (TERM ENDED 9/2018) 2.00 X 0 0 0 WILLIAM R ROBERTS JR DIRECTOR (TERM ENDED 9/2018) 2.00 X 0 0 0 HERVEY SHANNON III DIRECTOR (TERM ENDED 9/2018) 2.00 X 0 0 0 PHILLIP SHIELDS DIRECTOR (TERM ENDED 9/2018) 2.00 X 0 0 0 COREY MICHAEL SWEENEY II DIRECTOR (TERM ENDED 9/2018) 2.00 X 0 0 0 FRANK TULIPANA DIRECTOR (TERM ENDED 9/2018) 2.00 X 0 0 0 JIM VINCENT DIRECTOR (TERM ENDED 9/2018) 2.00 X 0 0 0 ANN WHITE DIRECTOR (TERM ENDED 9/2018) 2.00 X 0 0 0 LAFFOON WILLIAMS DIRECTOR (TERM ENDED 9/2018) 2.00 X 0 0 0 JAMES WOFFORD DIRECTOR (TERM ENDED 9/2018) 2.00 X 0 0 0 BENNY NOLEN CEO 50.00 X 324825 0 18263 KRISTI MELTON VP NURSING SERVICES 50.00 X 131906 0 21916 DAVE MASSENGALE CFO (TERM ENDED 3/2019) 50.00 X 185369 0 18810 LYNN RENEE STEINWACHS VP ADMIN UC 50.00 X 181927 0 11352 SUMALATHA SATOOR PHYSICIAN 50.00 X 586457 0 8537 JAMES YELTON PHYSICIAN 50.00 X 463425 0 29507 RICARDO MADDELA PHYSICIAN 50.00 X 433300 0 32596 THOMAS NEELY PHYSICIAN 50.00 X 432309 0 22189 ARSHAD HUSAIN PHYSICIAN 50.00 X 701806 0 16631 3677978 0 179801 65 0 1 0 KENTUCKY EMERGENCY 3015 AUTUMN LAKE COVE OWENSBORO KY 42303 EMERGENCY SERVICES 2323510 KELLER SCHROEDER AND ASSOCIATES INC 4920 CARRIAGE DRIVE EVANSVILLLE IN 47715 IT CONSULTANTS 1959740 ISLAND MEDICAL HENDERSON LLC 5700 DARROW ROAD SUITE 106 HUDSON OH 44236 EMERGENCY SERVICES 1068142 JONES DAY PO BOX 70294 CLEVELAND OH 441900294 CONSULTING SERVICES 1029002 TIMOTHY E CRAIG 4641 BRIGHTON COURT NEWBURGH IN 47630 ANESTHESIA SERVICES 576923 56 65438 65438 NET PATIENT SERVICES 621110 119420648 119420648 119420648 479760 479760 76598 0 76598 76598 76598 153492 225535 0 33985 153492 191550 345042 345042 2068 1875 193 193 70863 61522 9341 9341 MISCELLANEOUS 900099 3165303 3165303 CAFETERIA 900099 557174 557174 FOUNDATION 900099 130064 130064 3852541 124249561 122585951 0 1598172 X 110000 110000 600 600 1131021 927437 203584 49224558 40471620 8752938 2184110 1795632 388478 9561880 7861151 1700729 3567493 2932959 634534 620404 485682 134722 189671 189671 18254995 15622295 2632700 243002 142142 100860 1822908 660978 1161930 3006176 1758432 1247744 2092775 1741834 350941 115528 67577 47951 19512 11413 8099 1373606 1373606 7216498 256259 6960239 1527152 677827 849325 DRUGS & GASES 10501268 10501268 MEDICAL SUPPLIES 7807146 7807146 REPAIRS & MAINT 2929135 2837499 91636 MINOR EQUIPMENT & RENTA 2799050 1637276 1161774 3677679 3431252 246427 129976167 101738279 28237888 0 4277736 7437333 13757861 12014851 15549772 12719370 250000 240000 2524008 2607920 1634785 1520190 196762544 119882483 66805790 76880061 6076504 6970455 1213849 1029454 112090305 121419634 13839036 14956268 0 1907 22899638 0 0 30365208 19534494 22380957 56273168 67704340 X 54411769 52179862 1405368 1535432 55817137 53715294 112090305 121419634 X -5726606 478647 3146116 X X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 8577 8577 0 PART II-B, LINE 1: MEMBERSHIP DUES TO HOSPITAL ASSOCIATIONS OF WHICH A PORTION OF THE DUES ARE USED FOR LOBBYING EXPENSES BY THE TRADE ORGANIZATION. 800816 800816 105414168 53561991 51852177 2631729 2049228 582501 86884301 64020025 22864276 1031530 251239 780291 76880061 INV IN JOINT VENTURE 101263 C INV IN PREMIER 2406304 C INV IN NET ASSETS OF FOUNDATION 1535432 C SELF INSURED INSURANCE RETENTION 2927456 C 6970455 OTHER CURRENT LIABILITIES 25000 PROFESSIONAL LIABILITY CLAIMS 3828627 PENSION LIABILITY 14387520 THIRD PARTY PAYOR 4139810 22380957 X 127935846 478647 3207638 3686285 124249561 0 124249561 130037689 61522 61522 129976167 0 129976167 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. 1 1 X 1 X 1 X 1 1 1 0 1 1 2236841 253103 1983738 0.01530 29604798 23539374 6065424 0.04670 31841639 23792477 8049162 0.06200 124791 845 123946 0.00100 1001937 473505 528432 0.00410 228971 228971 0.00180 1355699 474350 881349 0.00690 33197338 24266827 8930511 0.06890 18479 18479 0.00010 1374 1374 0.00000 19853 19853 0.00010 1 2706320 608919 24462307 25055529 -593222 X 1 1 2 1 METHODIST HOSPITAL 1305 N ELM STREET HENDERSON KY 42420 100173 X X X 2 METHODIST HOSPITAL UNION COUNTY 4604 US HWY 60 W MORGANFIELD KY 42437 600057 X X X METHODIST HOSPITAL 1 0 0 1 X X X X X X X X X X 18 1 1 1 1 X WWW2.METHODISTHOSPITAL.NET/DOCUMENTS/CHNA2017.PDF X X 1 18 1 WWW2.METHODISTHOSPITAL.NET/DOCUMENTS/CHNA2017.PDF 0 1 X 200.000000000000 400.000000000000 X 1 1 X X X 1 X WWW2.METHODISTHOSPITAL.NET/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/ X WWW2.METHODISTHOSPITAL.NET/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/ X WWW2.METHODISTHOSPITAL.NET/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/ X X X X 1 X 0 X X X 1 X 0 1 METHODIST HOSPITAL UNION COUNTY 2 0 0 1 X X X X X X X X X 18 1 1 1 1 X WWW2.METHODISTHOSPITAL.NET/DOCUMENTS/CHNA2017.PDF X X 1 18 1 WWW2.METHODISTHOSPITAL.NET/DOCUMENTS/CHNA2017.PDF 0 1 X 200.000000000000 400.000000000000 X 1 1 X X X 1 X WWW2.METHODISTHOSPITAL.NET/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/ X WWW2.METHODISTHOSPITAL.NET/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/ X WWW2.METHODISTHOSPITAL.NET/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/ X X X X 1 X 0 X X X 1 X 0 1 METHODIST HOSPITAL PART 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 COUNTY PART 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 PART 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 COUNTY PART 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 HOSPITAL PART 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 COUNTY PART 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 HOSPITAL PART 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 COUNTY PART 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 HOSPITAL PART 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 COUNTY PART 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 PART 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 COUNTY PART 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 & C THE FAP, THE FAP APPLICATION AND THE FAP PLAIN LANGUAGE SUMMARY ARE AVAIALABLE AT HTTPS://WWW.METHODISTHOSPITAL.NET/PATIENTS-VISITORS/FOR-PATIENTS/FINANCIAL-ASSISTANCE.ASPX. 14 1 - METHODIST PEDIATRICS - IMPERIAL 2000 N ELM STREET HENDERSON KY 42420 PEDIATRIC PHYSICIAN SVCS 3 - METHODIST FAMILY PRACTICE 1284 US HWY 60 WEST MORGANFIELD KY 42437 FAMILY PRACTICE PHYSICIAN SVCS 4 - WOMEN'S HEALTH SERVICES-HENDERSON 736 ELM STREET HENDERSON KY 42420 WOMEN'S HEALTH PHYSICIAN SVCS 5 - METHODIST SURGICAL SERVICES 1413 N ELM STREET SUITE 201 HENDERSON KY 42420 ORTHOPEDIC PHYSICIAN SVCS 7 - METHODIST PEDIATRICS - ELM 2000 N ELM STREET SUITE 1B HENDERSON KY 42420 PEDIATRIC PHYSICIAN SVCS 10 - METHODIST FAMILY MEDICINE - ATKINSON 1413 N ELM STREET SUITE 204 HENDERSON KY 42420 FAMILY MEDICINE PHYSICIAN SVCS 14 - METHODIST FAMILY MEDICINE - SEBREE 47 W WEBSTER STREET SEBREE KY 42455 FAMILY MEDICINE PHYSICIAN SVCS 15 - CONTINUITY CARE CLINIC 411 LETCHER ST HENDERSON KY 42420 RESIDENT/ FAMILY MEDICAL CLINIC 16 - METHODIST HEMATOLOGY ONCOLOGY 1305 N ELM STREET HENDERSON KY 42420 ONCOLOGY PHYSICIAN SVCS 17 - WEBSTER COUNTY FAMILY MEDICINE 1355 HWY 41-A SOUTH DIXON KY 42409 FAMILY MEDICINE PHYSICIAN SVCS 18 - METHODIST HOSPITAL AUXILLARY 1305 N ELM STREET HENDERSON KY 42420 HOSPITAL AUXILLARY PHYSICIAN SVCS 19 - METHODIST OCCUPATIONAL MEDICINE 110 2ND STREET HENDERSON KY 42420 OCCUPATIONAL PHYSICIAN SVCS 20 - MULTI-SPECIALTY CLINIC 1305 N ELM STREET HENDERSON KY 42420 HOMECARE PHYSICIAN SVCS 21 - METHODIST CONVENIENT CARE 110 2ND STREET HENDERSON KY 42420 CONVENIENT CARE CLINIC 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 STATES KY 0 KYNDLE PO BOX 764 HENDERSON KY 42419 610463069 501(C)3 40000 ECONOMIC DEVELOPMENT COLLEGE FOUNDATION INC 2660 S GREEN STREET HENDERSON KY 42419 616035281 501(C)3 70000 TO SUPPORT NURSING PROGRAM. 2 0 1 X X X X 1 0 0 0 0 0 0 1 0 DR JAMES FELLOWS DIRECTOR (TERM ENDED 9/2018) 174228 0 0 0 0 0 0 0 0 0 174228 0 0 0 BENNY NOLEN CEO 324825 0 0 0 0 0 300 0 17963 0 343088 0 0 0 KRISTI MELTON VP NURSING SERVICES 131906 0 0 0 0 0 1754 0 20162 0 153822 0 0 0 DAVE MASSENGALE CFO (TERM ENDED 3/2019) 185369 0 0 0 0 0 2420 0 16390 0 204179 0 0 0 LYNN RENEE STEINWACHS VP ADMIN UC 174085 0 0 0 7842 0 989 0 10363 0 193279 0 0 0 SUMALATHA SATOOR PHYSICIAN 549802 0 36655 0 0 0 0 0 8537 0 594994 0 0 0 JAMES YELTON PHYSICIAN 463425 0 0 0 0 0 6480 0 23027 0 492932 0 0 0 RICARDO MADDELA PHYSICIAN 433300 0 0 0 0 0 4162 0 28434 0 465896 0 0 0 THOMAS NEELY PHYSICIAN 323358 0 108951 0 0 0 5608 0 16581 0 454498 0 0 0 ARSHAD HUSAIN PHYSICIAN 478038 0 205268 0 18500 0 6480 0 10151 0 718437 0 0 0 PART I, LINE 7 PHYSICIANS 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. AMY DAVENPORT RELATED BOARD MEMBER 14005 SALARY -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 294114 BOARD 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 33730 SALARY - 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 113292 SALARY - SHARON SHIELDS IS AN EMPLOYEE OF THE HOSPITAL. SHE IS RELATED TO DANE SHIELDS, A BOARD MEMBER. 0 TONIA LILES RELATED BOARD MEMBER 49432 SALARY - TONIA LILES IS AN EMPLOYEE OF THE HOSPITAL. SHE IS RELATED TO DR. VERNON HUMBERT, A BOARD MEMBER. 0 ROBERTA PHILLIPS RELATED BOARD MEMBER 38255 SALARY - ROBERTA PHILLIPS IS AN EMPLOYEE OF THE HOSPITAL. SHE IS ALSO RELATED TO JIMMY PHILLIPS, A BOARD MEMBER. 0 TIMOTHY BARRON RELATED BOARD MEMBER 25088 SALARY - TIMOTHY BARRON IS AN EMPLOYEE OF THE HOSPITAL. HE IS RELATED TO STEVE AUSTIN, A BOARD MEMBER. 0 DREW CLEMENTS RELATED BOARD MEMBER 68830 SALARY - DREW CLEMENTS IS AN EMPLOYEE OF THE HOSPITAL. HE IS RELATED TO MELISSA CLEMENTS, A BOARD MEMBER. 0 JOHN LEE RELATED BOARD MEMBER 208897 SALARY - JOHN LEE IS AN EMPLOYEE OF THE HOSPITAL. HE IS RELATED TO SHANNA LEE, A BOARD MEMBER. 0 FORM 990, PART VI, SECTION A, LINE 6 COMMUNITY UNITED METHODIST HOSPITAL, INC. IS GOVERNED BY A BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7A THE 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 11B THE 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 12C ONGOING MONITORING BY THE COMPLIANCE OFFICER (MH CHIEF OPERATING OFFICER). FORM 990, PART VI, SECTION B, LINE 15 EVERY 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 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G MEDICAL 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 XII THE 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. HENDERSON REGIONAL HOSPITAL FOUNDATION 1305 NORTH ELM ST HENDERSON KY 42420 610944432 SUPPORT THE HOSPITAL KY 501(C)3 LINE 11 N/A 0 UNION COUNTY METHODIST HOSPITAL FOUNDATION 4604 US HWY 60 WEST MORGANFIELD KY 42437 611230297 SUPPORT THE HOSPITAL KY 501(C)3 LINE 11 N/A 0 KENTUCKY HOMECARE OF HENDERSON LLC 420 WEST PINHOOK ROAD LAFAYETTE LA 70503 264812417 HOME HEALTH KY N/A RELATED 19680 376429 0 0 HENDERSON SUPPORT SERVICES LLC 1305 N ELM STREET HENDERSON KY 42420 830966826 HEALTHCARE MANAGEMENT SERVICES KY N/A RELATED 35998097 0 0 0.66670 HEALTHCARE RESOURCE SOLUTIONS LLC 600 MARY ST EVANSVILLE IN 47747 833275390 HEALTHCARE - BILLING SERVICES IN DEACONESS HEALTH SYSTEM RELATED -10836 77632 0 0 0.05000 COMMUNITY CARE NETWORK INC 220 A SECOND STREET HENDERSON KY 42420 611254545 HOSPITAL NETWORK KY N/A C 1.00000 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 1