2018-10-05T15:51:09-05:00 2017-12-31 273858252 DEAN DORTON ALLEN FORD PLLC 106 W VINE STREET SUITE 600 LEXINGTON KY 40507 990 2017-01-01 610601267 MARSHALL COUNTY HOSPITAL DISTRICT MARS 2705274800 615 OLD SYMSONIA ROAD BENTON KY 42025 DAVID G FUQUA CEO 2705274800 2018-09-27 1 ALLISON C CARTER P01242412 8592552341 192.243.74.12 2018-09-27 14:20:05 ED P 7A3078556A43B8E022EE4530DB49B4075CEC69B2 ADC9B1694AC72FE8E193C6AD768976F16E73BCEF 2017 2018-06-14 16:35:46Z DAVID G FUQUA 615 OLD SYMSONIA ROAD BENTON KY 42025 24366740 0 X WWW.MARSHALLCOUNTYHOSPITAL.ORG X 1978 KY TO PROVIDE MEDICAL CARE TO PEOPLE IN MARSHALL AND SURROUNDING COUNTIES 5 5 280 32 0 0 142228 0 22416197 22930262 28607 229109 1222195 1188852 23809227 24348223 0 5622 0 0 11579040 12346368 0 0 0 12346513 11845152 23925553 24197142 -116326 151081 41735330 41075821 25536444 24725854 16198886 16349967 TO PROVIDE MEDICAL CARE TO THE PEOPLE IN MARSHALL AND SURROUNDING COUNTIES. 0 0 21877840 5622 23920433 MARSHALL COUNTY HOSPITAL DISTRICT PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO PATIENTS IN MARSHALL COUNTY AND SURROUNDING COUNTIES IN KENTUCKY. IN 2017, THE HOSPITAL HAD 1,493 ACUTE DAYS, 438 ICU DAYS, AND 432 SWING DAYS. 21877840 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 29 0 1 280 1 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 1 0 KY X THE ORGANIZATION 2705274800 615 OLD SYMSONIA ROAD BENTON KY 42025 BLAKE WISEMAN DIRECTOR 1.00 X 0 0 0 GARY SHEMWELL TREASURER 1.00 X 0 0 0 KENNETH SHADOWEN CHAIRMAN 1.00 X 0 0 0 JEFF SMITH SECRETARY 1.00 X 0 0 0 PAM SIRLS DIRECTOR 1.00 X 0 0 0 JANICE J KELLEY CFO 38.00 2.00 X 119685 0 9684 PHYLLIS J BLACKWELL COO 38.00 2.00 X 120179 0 9586 DAVID G FUQUA CEO 38.00 2.00 X 224758 0 40734 BENNIE M FULBRIGHT PHYSICIAN 40.00 X 500817 0 34476 CHRISTINA M BROWN PHYSICIAN 40.00 X 239369 0 4700 JULIA T LYLES PHYSICIAN 32.00 X 134346 0 25666 DARLENE S HARVEY PHARMACIST 32.00 X 115638 0 25240 WILLIAM T POWELL PHYSICIAN 40.00 X 217205 0 28732 1671997 0 178818 11 0 1 0 PINNACLE INC PO BOX 352 BENTON KY 42025 CONSTRUCTION SERVICES 1582395 MD PARTNERS PLLC 83 GERALDINE LANE GILBERTSVILLE KY 42044 ER PHYSICIANS 1143819 SYSTEMS SOLUTIONS OF PADUCAH 115 CARLISLE CT PADUCAH KY 42001 IT SERVICES 256891 EVIDENT PO BOX 850309 MOBILE AL 36685 IT SERVICES 246490 TIPTON LINEN 1415 INDEPENDENCE CAPE GIRARDEAU MO 63701 LINEN SERVICE 100880 5 NET PATIENT SERVICE 621400 22726934 22726934 AMBULANCE SERVICE MGMT FEES 621910 203328 203328 22930262 106738 106738 69937 0 69937 69937 69937 140888 18517 122371 122371 122371 AD VALOREM TAXES 900099 990171 990171 CAFETERIA 722210 98594 98594 MISCELLANEOUS 900099 15282 15282 14868 14868 1118915 24348223 23920433 0 427790 5622 5622 524628 262314 262314 9437297 9059805 377492 76754 73684 3070 1637122 1571637 65485 670567 643744 26823 13445 13445 74790 74790 2156994 1438715 718279 67524 21439 46085 111178 50955 60223 507569 502453 5116 31919 28089 3830 1040828 1040828 1976242 1976242 347202 333711 13491 SUPPLIES 2549635 2473146 76489 REPAIRS AND MAINTENANCE 1164653 751559 413094 BAD DEBT EXPENSE 1131918 1131918 PROVIDER TAXES 215180 215180 456075 296799 159276 24197142 21877840 2319302 0 1625357 1317241 13142999 11202210 2652053 3787575 438911 414944 321032 506377 46563165 23206305 22954978 23356860 600000 490614 41735330 41075821 1826444 1970854 22755000 21755000 955000 1000000 25536444 24725854 X 16198886 16349967 16198886 16349967 41735330 41075821 151081 0 X X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 1935 1935 0 PART II-B, LINE 1: THE HOSPITAL IS A MEMBER OF THE KENTUCKY HOSPITAL ASSOCIATION. A PERCENTAGE OF THE MEMBERSHIP DUES PAID TO THIS ORGANIZATION IS USED FOR LOBBYING PURPOSES. THE HOSPITAL PAID DUES OF $12,328 TO THE KENTUCKY HOSPITAL ASSOCIATION OF WHICH 15.7% WAS FOR LOBBYING PURPOSES. 3234612 3234612 28793775 11001763 17792012 11100045 8977812 2122233 3434733 3226730 208003 23356860 1 1 1 X 0 1 1 0 1 1 95206 95206 0.00390 4379909 3236340 1143569 0.04730 4475115 3236340 1238775 0.05120 2950 590 2360 0.00010 1000 1000 0.00000 3950 590 3360 0.00010 4479065 3236930 1242135 0.05130 1 1505539 7951989 8104987 -152998 X 1 0 1 1 MARSHALL COUNTY HOSPITAL 615 OLD SYMSONIA ROAD BENTON KY 42025 X X X X MARSHALL COUNTY HOSPITAL DISTRICT 1 0 0 1 X X X X X X X X X 16 1 0 1 1 X WWW.MARSHALLCOUNTYHOSPITAL.ORG 1 16 1 WWW.MARSHALLCOUNTYHOSPITAL.ORG 0 1 X 100.000000000000 X 1 1 X X X X 1 X WWW.MARSHALLCOUNTYHOSPITAL.ORG X WWW.MARSHALLCOUNTYHOSPITAL.ORG X WWW.MARSHALLCOUNTYHOSPITAL.ORG X X X X X 1 0 X X X X 1 X 0 0 MARSHALL COUNTY HOSPITAL DISTRICT PART V, SECTION B, LINE 5: MARSHALL COUNTY HOSPITAL PARTNERED WITH THE MARSHALL COUNTY HEALTH DEPARTMENT IN POLLING THE COMMUNITY TO FIND OUT THE COUNTY'S STRENGTHS AND WEAKNESSES AND HEALTH NEEDS THAT MIGHT BE GOING UNMET. THE ORGANIZATIONS HOSTED A COMMUNITY FORUM AT THE KENTUCKY DAM CONVENTION CENTER IN SEPTEMBER 2015 AND INVITED AREA BUSINESS LEADERS, COUNTY AND CITY OFFICIALS, LAW ENFORCEMENT, INTERESTED CITIZENS, FAITH-BASED ORGANIZATIONS, HEALTHCARE PROVIDERS AND THE GENERAL PUBLIC TO PARTICIPATE. THE UNIVERSITY OF KENTUCKY'S DR. ANGIE CARMON LEAD THE GROUP IN DISCUSSING HEALTH CONCERNS FOR MARSHALL COUNTY CITIZENS. SURVEYS WERE DISTRIBUTED AFTER THE FORUM TO ASSESS THE COMMUNITY. OVER 700 COMPLETED SURVEYS WERE RECEIVED. THE FULL REPORT AND FINDINGS ARE POSTED ON THE HOSPITAL'S WEBSITE AT WWW.MARSHALLCOUNTYHOSPITAL.ORG. MARSHALL COUNTY HOSPITAL DISTRICT PART V, SECTION B, LINE 6B: THE HOSPITAL PARTNERED WITH MARSHALL COUNTY HEALTH DEPARTMENT TO CONDUCT THE CHNA. SEE ADDITIONAL INFORMATION UNDER LINE 5 ABOVE. MARSHALL COUNTY HOSPITAL DISTRICT PART V, SECTION B, LINE 11: THE HOSPITAL IS ADDRESSING NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA BY ADOPTION OF AN IMPLEMENTATION STRATEGY THAT ADDRESSES EACH OF THE COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA, EXECUTION OF THE IMPLEMENTATION STRATEGY, PARTICIPATION IN THE EXECUTION OF A COMMUNITY-WIDE PLAN, ADOPTION OF A BUDGET FOR PROVISION OF SERVICES THAT ADDRESS THE NEEDS IDENTIFIED IN THE CHNA, PRIORITIZATION OF HEALTH NEEDS IN THE COMMUNITY, AND PRIORITIZATION OF SERVICES THAT THE HOSPITAL FACILITY WILL UNDERTAKE TO MEET HEALTH NEEDS IN THE COMMUNITY. PART V, SECTION B INDIVIDUALS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY ARE NOT CHARGED ANYTHING. 1 1 - MARSHALL COUNTY SURGICAL & MEDICAL GROUP 617 OLD SYMSONIA ROAD BENTON KY 42025 RURAL HEALTH CLINIC-PROVIDER BASED PART II, COMMUNITY BUILDING ACTIVITIES: THE ORGANIZATION DOES NOT HAVE ANY COMMUNITY BUILDING ACTIVITIES TO REPORT. PART III, LINE 2: THE HOSPITAL HAS AN ESTABLISHED PROCESS TO DETERMINE THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS THAT RELIES ON A NUMBER OF ANALYTICAL TOOLS AND BENCHMARKS TO ARRIVE AT A REASONABLE ALLOWANCE. NO SINGLE STATISTIC OR MEASUREMENT DETERMINES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. SOME OF THE ANALYTICAL TOOLS THAT THE HOSPITAL UTILIZES INCLUDE, BUT ARE NOT LIMITED TO, HISTORICAL CASH COLLECTION EXPERIENCE BY PAYOR, REVENUE TRENDS BY PAYOR CLASSIFICATION AND AGED ACCOUNTS FROM DATE OF SERVICE BY PAYOR. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE HOSPITAL'S POLICIES. PART III, LINE 3: THE HOSPITAL DOES NOT HAVE BAD DEBT EXPENSES RELATED TO THE PATIENTS ELIGIBLE UNDER THE HOSPITAL'S CHARITY CARE POLICY. PART III, LINE 4: THE AMOUNTS REPRESENT UNPAID MEDICARE DEDUCTIBLES AND COINSURANCE AND ALL SELF-PAY ACCOUNTS THAT WERE UNPAID. THE HOSPITAL HAS BOTH INTERNAL AND EXTERNAL COLLECTION EFFORTS. PART III, LINE 8: THE HOSPITAL IS A CRITICAL ACCESS HOSPITAL. LINE 6 COSTS REPRESENT MEDICARE CHARGES MULTIPLIED BY A CALCULATED COST-TO-CHARGE RATIO FOR ANCILLARY SERVICES AND MEDICARE DAYS MULTIPLIED BY A CALCULATED PER DIEM AMOUNT FOR ROUTINE SERVICES. LINE 5 REVENUES REPRESENT 101% OF MEDICARE COSTS, LESS 2% SEQUESTRATION, WHICH IS MEDICARE'S REIMBURSEMENT METHODOLOGY FOR CRITICAL ACCESS HOSPITALS. PART III, LINE 9B: AT ADMISSION, ALL PATIENTS WHO DO NOT HAVE INSURANCE COVERAGE FILL OUT A DISPROPORTIONATE SHARE HOSPITAL (DSH) FORM, WHICH IS MAILED BI-WEEKLY TO THE DISABILITY MEDICAL CONSULTANTS (DMC). A PATIENT WHO APPLIES FOR FREE CARE COVERAGE (DSH) OF HIS/HER HOSPITAL SERVICES WILL, UPON REQUEST, RECEIVE A WRITTEN NOTICE OF THE HOSPITAL'S DECISION ON THE REQUEST WITHIN TWO MONTHS OF SUBMISSION OF A COMPLETED APPLICATION AND OTHER REQUIRED INFORMATION. DETERMINATION FOR FREE CARE IS MADE ON AN ACCOUNT BY ACCOUNT BASIS. WITHIN 180 DAYS OF THE DETERMINATION OF THE PATIENT'S INABILITY TO PAY FOR SERVICES, THE HOSPITAL WILL SEND THE PATIENT, HIS/HER GUARANTOR OR OTHER FINANCIALLY RESPONSIBLE PARTY AN INITIAL STATEMENT OF CHARGES CLEARLY STATING THE AMOUNT FOR WHICH THE PATIENT, GUARANTOR OR OTHER FIANCIALLY RESPONSIBLE PARTY IS RESPONSIBLE. AN ITEMIZED BILL WILL BE SENT UPON REQUEST OF THE PATIENT, AND IF NO RESPONSE, A SECOND AND THIRD STATEMENT WILL BE SENT TO THE RESPONSIBLE PARTY. FINALLY, A LETTER IS SENT STATING THAT COLLECTION AGENCY ACTION WILL BE TAKEN. THEREAFTER, IF THE ACCOUNT IS EQUAL TO OR EXCEEDS $1,000, THE HOSPITAL WILL AGAIN INVESTIGATE ALL POTENTIAL PAYMENT SOURCES BEFORE TURNING THE ACCOUNT OVER TO COLLECTIONS. THIS INCLUDES SENDING ANOTHER LETTER THROUGH THE DSH PROGRAM. IF THE AMOUNT IS LESS THAN $1,000 THE HOSPITAL WILL WRITE THE ACCOUNT OFF TO BAD DEBT AND SEND TO A COLLECTION AGENCY. PART VI, LINE 2: IN MARCH 2009, MARCIA WHITE, PUBLIC RELATIONS AND FOUNDATION DIRECTOR, BEGAN SERVING ON A COMMITTEE OF BUSINESS OWNERS, OFFICIALS AND OTHER HEALTHCARE PROVIDERS. THIS COMMITTEE WAS FORMED TO ASSESS THE NEEDS OF MARSHALL COUNTY RESIDENTS REGARDING HEALTH CARE, SECURITY, AND ENVIRONMENTAL AND EDUCATIONAL CONCERNS THROUGH A GRANT RECEIVED BY THE MARSHALL COUNTY HEALTH DEPARTMENT. THIS ASSESSMENT IS BASED ON INFORMATION OBTAINED THROUGH THREE SURVEYS SENT OUT JUNE 2009, JULY 2009 AND SEPTEMBER 2010.VALUABLE INFORMATION HAS BEEN OBTAINED THROUGH THESE SURVEYS ON HOW THE RESIDENTS OF MARSHALL COUNTY PERCEIVE THE PLACE IN WHICH THEY LIVE AND THE HEALTH CARE THEY RECEIVE. PART VI, LINE 3: DURING THE ADMISSIONS PROCESS, THE ADMISSIONS CLERK INFORMS ANY PATIENTS WITHOUT INSURANCE COVERAGE ABOUT THE AVAILABLITY OF FREE CARE COVERAGE UNDER THE DISPROPORTIONATE SHARE HOSPITAL PROGRAM (DSH) AND PROVIDES THEM WITH THE FORM TO DETERMINE ELIGIBILTY FOR BOTH THE DSH PROGRAM AND MEDICAID. THE HOSPITAL WILL PROVIDE REASONABLE ASSISTANCE IN COMPLETING THIS FORM. THE HOSPITAL WILL ALSO ADVISE PATIENTS ABOUT ELIGIBILITY FOR AND OBTAINING PUBLIC ASSISTANCE. THE COMPLETED FORM IS MAILED OUT BI-WEEKLY TO DISABILITY MEDICAL CONSULTANTS (DMC), WHO DETERMINE THOSE ELIGIBLE FOR THE DSH PROGRAM. IN ADDITION, THE FINANCIAL COUNSELOR WILL PERSONALLY SPEAK WITH ALL UNINSURED INPATIENTS WHEN FEASIBLE. UPON REQUEST, THE PATIENT WILL RECEIVE WRITTEN NOTICE OF HIS ELIGIBILITY FOR THE DSH PROGRAM WITHIN TWO MONTHS OF SUBMITTING THE COMPLETED APPLICATION AND ANY OTHER REQUIRED INFORMATION.IF THE PATIENT IS A RESIDENT OF KENTUCKY, DOES NOT HAVE HEALTH INSURANCE, MEETS THE INCOME GUIDELINES AND HAS BEEN DENIED MEDICAL CARE BY MEDICAID, THE PATIENT'S BILL WILL BE COVERED UNDER THIS PROGRAM. PART VI, LINE 4: MARSHALL COUNTY, NESTLED ON THE SHORES OF ONE OF THE LARGEST MANMADE LAKES IN THE EASTERN UNITED STATES, HAS AN UNSURPASSED QUALITY OF LIFE. THE SMALL TOWN ATMOSPHERE, COMBINED WITH THE ACCESS TO LARGER METROPOLITAN AREAS, THE LAND BETWEEN THE LAKES NATIONAL RECREATION AREA, THE HIGHLY RATED SCHOOL SYSTEM, AND ABUNDANCE OF JOB OPPORTUNITIES, MAKES THIS AN IDEAL PLACE TO LIVE, WORK AND SUCCEED. MARSHALL COUNTY HAS A POPULATION OF APPROXIMATELY 31,382 PEOPLE WITH A MEDIAN HOUSEHOLD INCOME OF APPROXIMATELY $45,670. THE HOSPITAL WAS THE 8TH LARGEST EMPLOYER IN MARSHALL COUNTY IN 2016. PER THE 2016 CENSUS, THE COUNTY IS COMPRISED OF 51% FEMALE AND 49% MALE AND IS APPROXIMATELY 98% CAUCASIAN. THE PERCENTAGE OF INDIVIDUALS LIVING IN POVERTY IS APPROXIMATELY 12.1%. APPROXIMATELY 2% OF THE EMPLOYED POPULATION RECEIVES PUBLIC ASSISTANCE INCOME. APPROXIMATELY 56% OF THE HOSPITAL'S NET PATIENT SERVICE REVENUE IS COMPRISED OF PARTICIPANTS IN MEDICARE AND MEDICAID PROGRAMS. PART VI, LINE 5: MARSHALL COUNTY HOSPITAL IS ACTIVE IN EDUCATING THE COMMUNITY. THE HOSPITAL HAS VISITED SENIOR CITIZENS, RESIDENTS OF THE LOCAL ASSISTED LIVING FACILITY, HOSTED NUMEROUS "LUNCH AND LEARNS" WITH VARIOUS SPEAKERS, AND REPRESENTED THE HOSPITAL AT ALL AREA FAIRS WITH EDUCATIONAL INFORMATION, AS WELL AS FREE SCREENINGS TO THE PUBLIC. THE HOSPITAL ALSO PUBLISHES EDUCATIONAL MATERIAL IN THE LOCAL NEWSPAPERS, RADIO, ON-LINE PRODUCTIONS AND THE EMPLOYEE NEWSLETTER. PART VI, LINE 6: THE HOSPITAL IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. 1 MARSHALL COUNTY HOSPITAL & HEALTHCARE FOUNDATION INC 615 OLD SYMSONIA ROAD BENTON KY 42025 611157518 501(C)(3) 5622 SUPPORT FOR FOUNDATION 1 PART I, LINE 2: THE BOARD OF DIRECTORS IS THE SAME FOR BOTH THE HOSPITAL AND FOUNDATION, ALLOWING THE ORGANIZATION TO MONITOR HOW THE DISTRIBUTIONS ARE BEING USED. X X 0 0 0 0 0 0 0 0 0 DAVID G FUQUA CEO 224758 0 0 0 0 0 12491 0 28243 0 265492 0 0 0 BENNIE M FULBRIGHT PHYSICIAN 500817 0 0 0 0 0 10200 0 24276 0 535293 0 0 0 CHRISTINA M BROWN PHYSICIAN 239369 0 0 0 0 0 4700 0 0 0 244069 0 0 0 JULIA T LYLES PHYSICIAN 134346 0 0 0 0 0 2880 0 22786 0 160012 0 0 0 WILLIAM T POWELL PHYSICIAN 217205 0 0 0 0 0 4456 0 24276 0 245937 0 0 0 A CHRISTIAN COUNTY KENTUCKY 616000824 2008-04-24 30000000 ACQUISITION, CONSTRUCTION, & EQUIPPING OF NEW ACUTE CARE HOSPITAL 0 0 0 A 30000000 655119 30042765 2008 0 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 1 1 US BANK NATIONAL ASSOCIATION 25.000000000000 0 0 0 0 0 A 0 SCHEDULE K ADDENDUM: THE HOSPITAL HAS A LEASE WITH KACO LEASING TRUST AND FILES SCHEDULE K TO PROVIDE COMPLETE REPORTING RELATING TO THIS LEASE. AS A RESULT, SOME QUESTIONS APPLICABLE TO BOND COMPLIANCE DO NOT APPLY. FORM 990, PART VI, SECTION B, LINE 11B AN OFFICER OF THE BOARD REVIEWS THE 990 ON BEHALF OF THE BOARD OF DIRECTORS BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE HOSPITAL PROVIDES THE CONFLICT OF INTEREST POLICY TO THE BOARD AND EMPLOYEES. BOARD MEMBERS FILL OUT THE CONFLICT OF INTEREST POLICY ANNUALLY. THE HOSPITAL'S COMPLIANCE MANUAL HAS A SECTION ON CONFLICTS OF INTEREST AND DEPARTMENT DIRECTORS ARE REQUIRED TO SIGN THAT THEY HAVE READ AND WILL ABIDE BY IT. FORM 990, PART VI, SECTION B, LINE 15 THE HOSPITAL PARTICIPATES IN THE KENTUCKY HOSPITAL ASSOCIATION'S SALARY SURVEY IN ORDER TO HAVE ACCESS TO STATE WIDE COMPARABLE SALARY DATA. FORM 990, PART VI, SECTION C, LINE 19 THE HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST, AT THE DISCRETION OF THE BOARD OF DIRECTORS AND MANAGEMENT. FORM 990, PART XII, LINE 2C THE HOSPITAL'S BOARD AND SENIOR MANAGEMENT ASSUME RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND THE SELECTION OF THE INDEPENDENT AUDITOR. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. MARSHALL COUNTY HOSPITAL & HEALTHCARE FOUNDATION INC 615 OLD SYMSONIA ROAD BENTON KY 42025 611157518 SOLICIT CHARITABLE CONTRIBUTIONS FOR THE BENEFIT OF MARSHALL COUNTY HOSPITAL KY 501(C)(3) 509(A)(3) TYPE I MARSHALL COUNTY HOSPITAL DISTRICT 1 MARSHALL COUNTY MRI LLC 615 OLD SYMSONIA ROAD BENTON KY 42025 465453921 MRI FACILITY KY MARSHALL COUNTY HOSPITAL DISTRICT RELATED 538952 0 0 0.50000 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0