THE COMMUNITY HOSPITAL INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: THE COMMUNITY HOSPITAL INC (EIN 61-0445841)
Tax period: 2009-10-01 to 2010-09-30
Filed: 2011-08-11
IRS object ID: 201102239349300420
Schema version: 2009v1.7
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-08-11T08:30:44-05:00	Timestamp
Tax Period End Date	2010-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BUCKLES TRAVIS VANMETER & HART PLLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 4069	AddressLine1
City	LEITCHFIELD	City
State	KY	State
ZIP Code	427554069	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	610445841	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MUHLENBERG COMMUNITY HOSPITAL INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MUHL	NameControl
Phone	2703388000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	440 HOPKINSVILLE ST	AddressLine1
City	GREENVILLE	City
State	KY	State
ZIP Code	423451124	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JOHN COUNTZLER	Name
Title	CHIEF EXECUTIVE OFFICER	Title
Phone	2703388000	Phone
Date Signed	2011-07-13	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	BRADLEY K TRAVIS	Name
Phone	2702595604	Phone
Date Prepared	2011-08-10	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	JOHN COUNTZLER	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	440 HOPKINSVILLE ST	AddressLine1
City	GREENVILLE	City
State	KY	State
ZIP Code	423450387	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	84560857	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	WWW.MCHKY.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1938	YearFormation
State Legal Domicile	KY	StateLegalDomicile
Activity Or Mission Description	PATIENT CARE - HEALTHCARE SERVICES	ActivityOrMissionDescription
Nbr Voting Members Governing Body	9	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	7	NbrIndependentVotingMembers
Total Nbr Employees	585	TotalNbrEmployees
Total Nbr Volunteers	35	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	365759	ContributionsGrantsPriorYear
Contributions Grants Current Year	625896	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	83799353	ProgramServiceRevenuePriorYear
Program Service Revenue CY	83199938	ProgramServiceRevenueCY
Investment Income Prior Year	-78382	InvestmentIncomePriorYear
Investment Income Current Year	107080	InvestmentIncomeCurrentYear
Other Revenue Prior Year	646828	OtherRevenuePriorYear
Other Revenue Current Year	627943	OtherRevenueCurrentYear
Total Revenue Prior Year	84733558	TotalRevenuePriorYear
Total Revenue Current Year	84560857	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	18794370	SalariesEtcPriorYear
Salaries Etc Current Year	19904503	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	65420643	OtherExpensePriorYear
Other Expenses Current Year	64720337	OtherExpensesCurrentYear
Total Expenses Prior Year	84215013	TotalExpensesPriorYear
Total Expenses Current Year	84624840	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	518545	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-63983	RevenuesLessExpensesCY
Total Assets BOY	25166097	TotalAssetsBOY
Total Assets EOY	23170098	TotalAssetsEOY
Total Liabilities BOY	6434626	TotalLiabilitiesBOY
Total Liabilities EOY	4502610	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	18731471	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	18667488	NetAssetsOrFundBalancesEOY
Mission Description	PATIENT CARE - HEALTHCARE SERVICES	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	76307570	Expense
Description	HEALTH CARE DELIVERY & MANAGEMENT: THE HOSPITAL OPERATES A 90 BED ACUTE CARE AND A 45 BED SKILLED NURSING FACILITY WITH RELATED OUTPATIENT AND ANCILLARY SERVICES, INCLUDING A 24 HOUR EMERGENCY DEPARTMENT. MUHLENBERG COMMUNITY HOSPITAL (MCH) PARTICIPATES WITH MEDICARE, MEDICAID AND INDIGENT CARE PROGRAMS IN THE STATE OF KENTUCKY. THE HOSPITAL PROMOTES AND FURTHERS THE HEALTH AND GENERAL STANDARDS OF LIVING IN OUR COMMUNITY. THE ACTIVITY OF RENDERING HEALTH SERVICES TO ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY, ACCOMPLISHES THE HOSPITAL'S EXEMPT PURPOSE.	Description
Total Program Service Expense	76307570	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Balance Sheet Amounts Reported	true	BalanceSheetAmountsReported
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	true	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	41	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	585	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Nbr Voting Governing Body Members	9	NbrVotingGoverningBodyMembers
Number Independent Voting Members	7	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	true	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	false	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	JOHN COUNTZLER	NamePerson
Telephone Number	2703388275	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	440 HOPKINSVILLE ST	AddressLine1
City	GREENVILLE	City
State	KY	State
ZIP Code	423450387	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
CHARLES R LEWIS
TREASURER	2.00	X	0	0	0
DR MARY W BROWN
SECRETARY	2.00	X	0	0	0
DR WILLARD KEITH
BOARD MEMBER	2.00	X	0	0	0
DR FREDDIE MAYES
BOARD MEMBER	2.00	X	0	0	0
DAVID JERNIGAN
BOARD MEMBER	2.00	X	0	0	0
JAMES E TARDIO
VICE CHAIRMA	2.00	X	0	0	0
TAMMY S BREWER
CHAIRMAN	2.00	X	0	0	0
W LEE FAUNTLEROY
BOARD MEMBER	2.00	X	0	0	0
DR BRIAN CHANEY
MEDICAL STAF	2.00	X	0	0	0
JOHN CLEMENTS
CFO	40.00		132838	0	3381	X
TRACY BYERS
CEO	40.00		0	0	0	X
VINCENT GENOVESE
MD	40.00		393102	0	6204		X
DENNIS KNOEPFLER
MD	40.00		232484	0	0		X
ANN MURPHY
RPH	40.00		106738	0	1117		X
MARGARET ROBINSON
CNO	40.00		102811	0	0	X		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	967973	TotalReportableCompFromOrg
Total Other Compensation	10702	TotalOtherCompensation
Number Individuals GT100 K	5	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
ALLIANT MANAGEMENT SERVICES
2650 EASTPOINT PKWY SUITE 310	LOUISVILLE	KY	40223	MANAGEMENT SVCS	427827
QUEST DIAGNOSTICS
PO BOX 740736	ATLANTA	GA	303740736	LABORATORY SVCS	123208
GOULD TURNER GROUP P C
4400 HARDING ROAD STE 1000	NASHVILLE	TN	37205	ARCHITECT SVCS	113474

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	3	NumberOfContractorsGT100K
Government Grants	423896	GovernmentGrants
All Other Contributions	202000	AllOtherContributions
Noncash Contributions	54000	NoncashContributions
Total Contributions	625896	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	PROGRAM SERVICE REVENUE	Description
Total Revenue Column	83199938	TotalRevenueColumn
Related Or Exempt Function Income	83199938	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	83199938	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	107080	TotalRevenueColumn
Related Or Exempt Function Income	107080	RelatedOrExemptFunctionIncome

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	25025	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	25025	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	25025	TotalRevenueColumn
Exclusion	$25,025	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
UNREALIZED GAIN ON INVESTMENT	226185	226185
MUHLENBERG SURGERY CENTER	211449		$211,449
DIETARY/CAFETERIA	127792		$127,792

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	37492	TotalRevenueColumn
Exclusion	$37,492	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	602918	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	84560857	TotalRevenueColumn
Related Or Exempt Function Income	83533203	RelatedOrExemptFunctionIncome
Exclusion	$401,758	ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	14534215	Total
Program Services	11065019	ProgramServices
Management And General	3469196	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	197899	Total
Program Services	148424	ProgramServices
Management And General	49475	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	4059150	Total
Program Services	3044362	ProgramServices
Management And General	1014788	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	1113239	Total
Program Services	835383	ProgramServices
Management And General	277856	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	428958	Total
Management And General	428958	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	65897	Total
Management And General	65897	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	20830	Total
Management And General	20830	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	1485038	Total
Program Services	572486	ProgramServices
Management And General	912552	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	101247	Total
Program Services	8280	ProgramServices
Management And General	92967	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	41786	Total
Program Services	8032	ProgramServices
Management And General	33754	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	88580	Total
Management And General	88580	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	665996	Total
Program Services	432897	ProgramServices
Management And General	233099	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	136263	Total
Program Services	127880	ProgramServices
Management And General	8383	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	88835	Total
Program Services	37117	ProgramServices
Management And General	51718	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	49901	Total
Program Services	49901	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	1573150	Total
Program Services	1022547	ProgramServices
Management And General	550603	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	245634	Total
Program Services	245634	ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
CONTRACTUALS/ BAD DEBTS	50898815	50898815
SUPPLIES	5447689	4936519	511170
EQUIPMENT RENTAL AND MAIN	1263059	795681	467378
PHYSICIAN FEES	1199241	1199241
PROVIDER & OTHER TAXES	853289	853289

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	66129	Total
Program Services	26063	ProgramServices
Management And General	40066	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	84624840	Total
Program Services	76307570	ProgramServices
Management And General	8317270	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1500	BOY
EOY	1500	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	1550371	BOY
EOY	885726	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	6919633	BOY
EOY	5930735	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1078622	BOY
EOY	1138310	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	271658	BOY
EOY	248111	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	36110026	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	27723572	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	8868365	BOY
EOY	8386454	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	6278306	BOY
EOY	6566194	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	197642	BOY
EOY	13068	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	25166097	BOY
EOY	23170098	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	3032928	BOY
EOY	2757471	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	3401698	BOY
EOY	1745139	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	6434626	BOY
EOY	4502610	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	18731471	BOY
EOY	18667488	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	18731471	BOY
EOY	18667488	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	25166097	BOY
EOY	23170098	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Disclosed Orgs Legal Control	false	DisclosedOrgsLegalControl
Disclosed For Charitable Purposes	false	DisclosedForCharitablePurposes
Written Policy Monitoring	false	WrittenPolicyMonitoring
Sect170h Requirements Satisfied	false	Sect170hRequirementsSatisfied
Solicited Assets For Sale	false	SolicitedAssetsForSale
Agent Trustee Etc	false	AgentTrusteeEtc
Included On FS	false	IncludedOnFS
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	false	AreRelatedOrgsListedScheduleR

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	11466574	OtherCostOrOtherBasis
Depreciation	7308677	Depreciation
Book Value	4157897	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	23419952	OtherCostOrOtherBasis
Depreciation	20015690	Depreciation
Book Value	3404262	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1223500	OtherCostOrOtherBasis
Depreciation	399205	Depreciation
Book Value	824295	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	8386454	TotalOfBookValueLandBuildings

Closely Held Equity Interests CloselyHeldEquityInterests

Field	Value	IRS element (for citing)
Book Value	828665	BookValue
Method Of Valuation	C	MethodOfValuation

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	ASSETS LIMITED AS TO USE (CASH & EQU	Description
Book Value	5737529	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	6566194	TotalOfBookValueSecurities
Total Revenue	84560857	TotalRevenue
Total Expenses	84624840	TotalExpenses
Excess Or Deficit For Year	-63983	ExcessOrDeficitForYear
Excess Or Deficit Per FS	-63983	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	84560857	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	84560857	RevenueSubtotal
Total Revenue Per Form990	84560857	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	84624840	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	84624840	ExpensesSubtotal
Total Expenses Per Form990	84624840	TotalExpensesPerForm990

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	false	FPGReferenceDiscountedCare
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	791355	TotalCommunityBenefitExpense
Direct Offsetting Revenue	224670	DirectOffsettingRevenue
Net Community Benefit Expense	566685	NetCommunityBenefitExpense
Percent Of Total Expense	0.00670	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7218924	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4308404	DirectOffsettingRevenue
Net Community Benefit Expense	2910520	NetCommunityBenefitExpense
Percent Of Total Expense	0.03440	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	8010279	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4533074	DirectOffsettingRevenue
Net Community Benefit Expense	3477205	NetCommunityBenefitExpense
Percent Of Total Expense	0.04110	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	152563	TotalCommunityBenefitExpense
Net Community Benefit Expense	152563	NetCommunityBenefitExpense
Percent Of Total Expense	0.00180	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	152563	TotalCommunityBenefitExpense
Net Community Benefit Expense	152563	NetCommunityBenefitExpense
Percent Of Total Expense	0.00180	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	8162842	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4533074	DirectOffsettingRevenue
Net Community Benefit Expense	3629768	NetCommunityBenefitExpense
Percent Of Total Expense	0.04290	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$1,692,859	BadDebtExpenseAmount
Amount Attributable To	846429	AmountAttributableTo
Amount Reimbursed By Medicare	12048115	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	13464699	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-1416584	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	ALLIANT MANAGEMENT S	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	PROVIDES CEO, PURCHASING AGREEMENT, EDUC	DescriptionEntPrimaryActivity

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MUHLENBERG COMMUNITY HOSPITAL INC	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	440 HOPKINSVILLE ST	AddressLine1
City	GREENVILLE	City
State	KY	State
ZIP Code	423450387	ZIPCode

Field	Value	IRS element (for citing)
Critical Access Hospital	X	CriticalAccessHospital

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Bad Debt Footnote	THE TOTAL BAD DEBT EXPENSE AT COST REPRESENTS THE TOTAL AMOUNT EXPECTED TO BE COLLECTED, BUT DEEMED UNCOLLECTIBLE. BASED ON THE COMMUNITY'S DEMOGRAPHICS, INCOME LEVEL, INDIVIDUAL ASSETS, AND HEALTH COVERAGE, 50% WAS DETERMINED TO BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S PATIENT FINANCIAL ASSISTANCE PRGRAM. FINANCIAL STATEMENT FOOTNOTE: PATIENT ACCOUNTS RECEIVABLE ARE ORDINARILY DUE THIRTY DAYS AFTER THE ISSUANCE OF THE INVOICE. AT THE EXPIRATION OF THE THIRTY DAYS, IF NO RESPONSE IS RECEIVED FROM THE PATIENT, A STATEMENT IS GENERATED AND FORWARDED TO AN OUTSOURCE AGENCY, HEALTH CLAIMS MANAGEMENT (HCM). HCM WILL GENERATE AND PROCESS A TOTAL OF THREE STATEMENTS TO COLLECT THE AMOUNT DUE. ADDITIONAL STATEMENTS COULD BE GENERATED IF A PAYMENT ARRANGEMENT HAS BEEN APPROVED. IF THE HOSPITAL RECEIVES NO PAYMENT OR COMMUNICATION TO ARRANGE PAYMENT, THE ACCOUNT IS SENT TO COLLECTION AND RECOGNIZED AS BAD DEBT AT THAT TIME.	BadDebtFootnote
Shortfall As Community Benefit	THE TOTAL MEDICARE ALLOWABLE COSTS OF CARE REPRESENTS THE AMOUNT REPORTED IN THE HOSPITAL'S MEDICARE COST REPORT. MUHLENBERG COMMUNITY HOSPITAL'S MEDICARE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT DUE TO THE COMMUNITY IT SERVES. MEDICARE REPRESENTS 43% OF THE HOSPITAL'S PAYOR MIX. WITH MEDICARE REPRESENTING SUCH A LARGE PORTION OF THE PAYOR MIX, THE HOSPITAL DEPENDS ON MEDICARE PAYMENTS. IF MEDICARE PAYS LESS THAN COST, IT IS DETRIMENTAL TO THE HOSPITAL AND THEREFORE SHOULD BE CONSIDERED AS COMMUNITY BENEFIT.	ShortfallAsCommunityBenefit
Debt Collection Policy	PATIENT ACCOUNTS THAT ARE APPROVED FOR CHARITY ARE WRITTEN OFF TO OUR HOSPITAL CHARITY ADJUSTMENT. THE PATIENT IS NOTIFIED OF CHARITY APPROVAL BY MAIL. NO FURTHER STATEMENTS OF ACCOUNT OR OTHER CORRESPONDENCE ARE ISSUED.	DebtCollectionPolicy
Needs Assessment	MUHLENBERG COMMUNITY HOSPITAL ASSESSES THE COMMUNITY'S HEALTH CARE NEEDS BY OBTAINING INFORMATION FROM A VARIETY OF SOURCES INCLUDING: A. DEMOGRAPHIC DATABASES B. LOCAL AND REGIONAL HEALTH DEPARTMENTS AND RELATED DATABASES C. KENTUCKY HOSPITAL ASSOCIATION REPORTS AND DATABASES D. MARKET ANALYSIS E. FEEDBACK FROM PHYSICIANS AND OTHER INTERESTED COMMUNITY GROUPS F. HOSPITAL-GENERATED REPORTS ON UTILIZATION OF SERVICES G. BOARD OF DIRECTORS MADE UP OF LOCAL, COUNTY RESIDENTS	NeedsAssessment
Patient Education Assistance	MUHLENBERG COMMUNITY HOSPITAL REACHES OUT TO EDUCATE PATIENTS ABOUT THE PATIENT FINANCIAL ASSISTANCE PROGRAM. THE PATIENT FINANCIAL ASSISTANCE PROGRAM INFORMATION IS INCLUDED IN THE PATIENT INFORMATION HANDBOOK THAT IS GIVEN TO EVERY PATIENT AT THE TIME OF REGISTRATION. THE ADMISSION CONSENT FORM ALSO INCLUDES AN ACKNOWLEDGEMENT BY THE PATIENT THAT THEY WERE GIVEN THE HANDBOOK. IN ADDITION, SELF-PAY PATIENTS ARE INFORMED OF FEDERAL, STATE AND LOCAL GOVERNMENTAL ASSISTANCE PROGRAMS. WITHIN 24 HOURS OF ADMISSION, SELF-PAY PATIENTS ARE VISITED BY A FINANCIAL COUNSELOR AND INFORMED OF THE AVAILABLE PROGRAMS.	PatientEducationAssistance
Community Information	THE PRIMARY SERVICE AREA FOR MUHLENBERG COMMUNITY HOSPITAL IS MUHLENBERG COUNTY, KENTUCKY (POPULATION OF 31,499 IN 2010) LOCATED 115 MILES NORTH OF NASHVILLE, TN; 125 MILES SOUTHWEST OF LOUISVILLE, KY AND 70 MILES SOUTH OF EVANSVILLE, IN. THE HOSPITAL'S SECONDARY SERVICE AREA INCLUDES PARTS OF HOPKINS, TODD, OHIO, MCLEAN, BUTLER, LOGAN AND CHRISTIAN COUNTIES, WHICH ARE THE SURROUNDING COUNTIES. THE ESTIMATED PERCENTAGE OF PEOPLE LIVING BELOW THE POVERTY LEVEL AS DETERMINED BY THE U.S. CENSUS BUREAU (2007) IS 20% FROM MUHLENBERG COUNTY AND AN AVERAGE OF 16.9% OF THE SECONDARY SERVICE AREA. THE AREA IS MOSTLY RURAL WITH A HIGHER PERCENTAGE OF PERSONS OVER THE AGE OF 65 AND A SIGNIFICANTLY LOWER MEDIAN HOUSEHOLD INCOME THAN FOR ALL OF KENTUCKY. THE AVERAGE UNEMPLOYMENT RATE IN MUHLENBERG COUNTY FOR CALENDAR YEAR 2010 WAS 11%, COMPARED TO THE STATE AVERAGE OF 10.5%.	CommunityInformation
Community Building Activities	MUHLENBERG COMMUNITY HOSPITAL HAS AN ONGOING COMMITMENT TO ITS COMMUNITY. DUE TO MUHLENBERG COUNTY'S HIGH RATE OF JOBLESSNESS, THE HOSPITAL DECIDED IT WAS IN THE COMMUNITY'S BEST INTEREST TO SUPPORT LOCAL VENDORS WHEN POSSIBLE AND TO SUPPORT COMMUNITY EFFORTS TO BRING NEW INDUSTRY TO THE REGION. THE HOSPITAL ALSO SUPPORTS LOCAL DISASTER PREPAREDNESS ACTIVITIES.	CommunityBuildingActivities
Other Information	MUHLENBERG COMMUNITY HOSPITAL AND ITS EMPLOYEES HAVE A RICH HISTORY OF PLANNING AND/OR SPONSORING EVENTS DESIGNED TO EDUCATE THE COMMUNITY ON HEALTHY LIVING AND WELLNESS FACTORS. EVENTS DURING FISCAL YEAR ENDING 9/30/10 INCLUDED HEALTH FAIRS AND SCREENINGS FOR THE COMMUNITY AND PRIVATE ORGANIZATIONS. MUHLENBERG COMMUNITY HOSPITAL ADHERES TO THE FOLLOWING IRS EXEMPTION REQUIREMENTS: A. ACCEPT AND TREAT MEDICARE AND MEDICAID PATIENTS B. EMERGENCY DEPARTMENT OPEN TO ALL EMERGENT CASES, REGARDLESS OF ABILITY TO PAY C. OPEN MEDICAL STAFF THAT ALLOWS CREDENTIALED PHYSICIANS TO PRACTICE AT FACILITY D. OPERATE UNDER COMMUNITY BOARD'S CONTROL IT IS THE MISSION AND ONGOING GOAL OF THE LEADERSHIP AND EMPLOYEES OF MUHLENBERG COMMUNITY HOSPITAL TO DO THE BEST JOB POSSIBLE TREATING THE SICK AND INJURED, ADDRESSING COMMUNITY WELLNESS NEEDS AND PROMOTING HEALTHY LIVING AT EVERY OPPORTUNITY. THROUGH OUR MANY COMMUNITY BENEFIT ACTIVITIES, OUR CHARITY CARE PROGRAM AND OUR ACCEPTANCE OF PATIENTS COVERED BY FEDERAL AND STATE PROGRAMS, MUHLENBERG COMMUNITY HOSPITAL MAKES A POSITIVE DIFFERENCE IN THE QUALITY OF LIFE IN THE COMMUNITY WE SERVE.	OtherInformation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg
VINCENT GENOVESE
393102	6204	399306
DENNIS KNOEPFLER
232484		232484
MARGARET ROBINSON
102811		102811

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	COUNTY OF MUHLENBERG KENTUCKY	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	616000791	IssuerEIN
Date Issued	2006-08-16	DateIssued
Issue Price	7563025	IssuePrice
Description Of Purpose	REFUND 1988 & 1996 B	DescriptionOfPurpose
Defeased	false	Defeased
On Behalf Of Issuer	false	OnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Total Proceeds	1745139	TotalProceeds
Amount Defeased	4130236	AmountDefeased
Issuance Costs From Proceeds	78250	IssuanceCostsFromProceeds
Year Of Subst Completion	2006	YearOfSubstCompletion
Current Refunding	true	CurrentRefunding
Advance Refunding	true	AdvanceRefunding
Final Allocation Made	true	FinalAllocationMade
Adequate Books And Recds Maintaind	true	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	false	OwningBondFinancedProperty
Any Lease Arrangements	false	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	false	MngmentCntrctBondFinancdPrprty
Any Research Agreements	false	AnyResearchAgreements
Bond Counsel Routinely Engaged	false	BondCounselRoutinelyEngaged
Post Issuance Compliance Procdrs	false	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	true	Form8038TFiled
Variable Rate Issue	true	VariableRateIssue
Hedge Identified In Books And Recds	true	HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

Field	Value	IRS element (for citing)
Business Name Line1	OLD NAT'L BANK	BusinessNameLine1

Field	Value	IRS element (for citing)
Term Of Hedge	5.0	TermOfHedge
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGIC
Gross Proceeds Invested	false	GrossProceedsInvested
Exception To Rebate	false	ExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
KENTUCKY EMERGENCY ROOM PHYSICIANS
W KEITH - OWNER	138445	ER PHYSICIAN SERVICE	false
CLARENCE BREWERFIRST SECURITY BANK
FAMILY MEMBER O	250000	CERTIFICATE OF DEPOS	false

Schedule M IRS990ScheduleM

Real Estate Residential RealEstateResidential

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	54000	NoncashContribsRptdF990

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGifts
Third Parties Used	false	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITS	FORM 990, PAGE 1, PART I, LINE 6	VOLUNTEERS PROVIDE NON-CLINICAL SERVICES, INCLUDING OFFICE ASSISTANCE, STAFFING THE INFORMATION DESK, AND OPERATING THE GIFT SHOP.
MANAGEMENT DELEGATED	FORM 990, PAGE 6, PART VI, LINE 3	THE CHIEF EXECUTIVE OFFICER OF THE HOSPITAL IS EMPLOYED BY ALLIANT MANAGEMENT SERVICES AND IS RESPONSIBLE FOR CONTROLLING MANAGEMENT DUTIES.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11	THE CEO WILL REVIEW THE 990 WITH THE BOARD OF DIRECTORS BEFORE IT IS SUBMITTED TO THE INTERNAL REVENUE SERVICE.
ENFORCEMENT OF CONFLICTS POLICY	FORM 990, PAGE 6, PART VI, LINE 12C	ALL MANAGEMENT EMPLOYEES AND BOARD MEMBERS ARE REQUIRED TO UPDATE AND SIGN OFF ON A CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	ALLIANT MANAGEMENT SERVICES EMPLOYS THE HOSPITAL'S CEO. THEY PERFORM COMPARABILITY STUDIES AND RECOMMEND A SALARY PACKAGE TO THE HOSPITAL'S PERSONNEL COMMITTEE. THE SALARY PACKAGE IS REVIEWED AND APPROVED BY THE HOSPITAL'S PERSONNEL COMMITTEE.
COMPENSATION PROCESS FOR OFFICERS	FORM 990, PAGE 6, PART VI, LINE 15B	COMPARABILITY DATA IS REVIEWED REGARDING THE CFO'S SALARY PACKAGE. THE SALARY PACKAGE IS REVIEWED AND APPROVED BY THE HOSPITAL'S FINANCE COMMITTEE ON AN ANNUAL BASIS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	THE MUHLENBERG COMMUNITY HOSPITAL F	BusinessNameLine1
Business Name Line2	FOUNDATION INC	BusinessNameLine2

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	440 HOPKINSVILLE ST	AddressLine1
City	GREENVILLE	City
State	KY	State
ZIP Code	423450387	ZIPCode

Field	Value	IRS element (for citing)
EIN	261600611	EIN
Primary Activities	FUNDRAISIN	PrimaryActivities
Legal Domicile State	KY	LegalDomicileState
Exempt Code Section	501	ExemptCodeSection
Public Charity Status	9	PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	MCH	BusinessNameLine1

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner
MUHLENBERG SURGERY CENTER LLC
1008 MEDICAL CENTER DRIVE	POWDERLY	KY	42367	611398071	SURGERY CE	KY	N/A	false	false
MUHLENBERG MEDICAL PROPERTIES IV LL
1010 MEDICAL CENTER DRIVE	POWDERLY	KY	42367	010571762	LESSOR OF	KY	N/A	false	false
GENESIS HEALTH ALLIANCE LLC
3700 WASHINGTON AVENUE	EVANSVILLE	IN	47714	208223181	PURCHASING	IN	N/A	false	false

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg