2016-11-14T15:50:13-06:00 2015-12-31 273858252 DEAN DORTON ALLEN FORD PLLC 106 W VINE STREET SUITE 600 LEXINGTON KY 40507 990 2015-01-01 610601267 MARSHALL COUNTY HOSPITAL DISTRICT MARS 2705274800 615 OLD SYMSONIA ROAD BENTON KY 42025 DAVID G FUQUA CEO 2705274800 2016-11-09 1 LEIGH MCKEE P00169845 8592552341 2015 2017-02-10 21:41:12Z DAVID G FUQUA 615 OLD SYMSONIA ROAD BENTON KY 42025 22745125 0 X WWW.MARSHALLCOUNTYHOSPITAL.ORG X 1978 KY TO PROVIDE MEDICAL CARE TO PEOPLE IN MARSHALL AND SURROUNDING COUNTIES 5 5 312 27 0 0 741028 241959 20886134 21309398 13467 11018 1210023 1182750 22850652 22745125 0 0 0 0 10301783 11045130 0 0 0 10996252 11526123 21298035 22571253 1552617 173872 43430541 42791248 27289201 26476036 16141340 16315212 TO PROVIDE MEDICAL CARE TO THE PEOPLE IN MARSHALL AND SURROUNDING COUNTIES. 0 0 20243084 22275111 MARSHALL COUNTY HOSPITAL DISTRICT PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO PATIENTS IN MARSHALL COUNTY AND SURROUNDING COUNTIES IN KENTUCKY. IN 2015, THE HOSPITAL HAD 1,792 ACUTE DAYS, 511 ICU DAYS, AND 587 SWING DAYS. 20243084 1 1 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 28 0 1 312 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 PAUL SCHAPER MD CHAIRMAN 1.00 X 0 0 0 WENDY GIBSON OD SECRETARY 1.00 X 0 0 0 GARY SHEMWELL DIRECTOR 1.00 X 0 0 0 KENNETH SHADOWEN TREASURER 1.00 X 0 0 0 TED S KINSEY DIRECTOR 1.00 X 0 0 0 JANICE J KELLEY CFO 38.00 2.00 X 114883 0 9238 PHYLLIS J BLACKWELL COO 38.00 2.00 X 109892 0 9128 DAVID G FUQUA CEO 38.00 2.00 X 211920 0 38527 BENNIE M FULBRIGHT PHYSICIAN 40.00 X 356698 0 17013 CHRISTINA M BROWN PHYSICIAN 40.00 X 201249 0 21922 JULIA T LYLES PHYSICIAN 32.00 X 172439 0 25190 DARLENE S HARVEY PHARMACIST 32.00 X 110198 0 24263 1277279 0 145281 8 0 1 0 MD PARTNERS PLLC 83 GERALDINE LANE GILBERTSVILLE KY 42044 ER PHYSICIANS 925000 PINNACLE INC PO BOX 352 BENTON KY 42025 CONSTRUCTION OF MRI SUITE 406816 EVIDENT PO BOX 850309 MOBILE AL 36685 IT SERVICES 368081 SYSTEMS SOLUTIONS OF PADUCAH 115 CARLISLE CT PADUCAH KY 42001 IT SERVICES 368031 BENTON ELECTRIC SYSTEM PO BOX 10 BENTON KY 42025 ELECTRICITY 329856 12 241959 241959 NET PATIENT SERVICE 621400 21106070 21106070 AMBULANCE SERVICE MGMT FEES 621910 203328 203328 21309398 8579 8579 95060 0 95060 95060 95060 2439 0 2439 2439 2439 AD VALOREM TAXES 900099 965713 965713 CAFETERIA 722210 92060 92060 MISCELLANEOUS 900099 14475 14475 15442 15442 1087690 22745125 22275111 0 228055 493590 493590 8595553 8251731 343822 69516 66735 2781 1264888 1214292 50596 621583 596720 24863 30085 30085 69996 69996 1691382 1128152 563230 61885 25620 36265 105116 83879 21237 495689 489971 5718 26638 23442 3196 1125030 1125030 2281640 2281640 357928 344686 13242 SUPPLIES 2357755 2287022 70733 BAD DEBT EXPENSE 1192328 1192328 REPAIRS AND MAINTENANCE 1018368 638112 380256 PROVIDER TAXES 215180 215180 497103 278544 218559 22571253 20243084 2328169 0 2241699 1353588 7632518 10181775 4310638 3187448 417009 448666 427597 307637 43828428 19677084 25378913 24151344 2197376 2316853 824791 843937 43430541 42791248 1747051 1834062 24625000 23710000 917150 931974 27289201 26476036 X 16141340 16315212 16141340 16315212 43430541 42791248 173872 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1675 1675 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 $9,669 TO THE KENTUCKY HOSPITAL ASSOCIATION OF WHICH 17.32% WAS FOR LOBBYING PURPOSES. 6547886 6547886 26796231 11830451 14965780 10484311 7846633 2637678 24151344 DEBT SINKING FUND 71851 C DEBT SERVICE RESERVE 211850 C DEPRECIATION RESERVE ACCOUNT 118650 C RESTRICTED CASH, SAVINGS & CO 1914502 C 2316853 1 1 1 X 0 0 1 0 0 86338 86338 0.00380 3745876 3084640 661236 0.02930 3832214 3084640 747574 0.03310 1240 1240 0.00010 1500 1500 0.00010 2740 2740 0.00020 3834954 3084640 750314 0.03330 1 1192328 7604757 7749102 -144345 X 1 1 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 12 1 0 1 1 X WWW.MARSHALLCOUNTYHOSPITAL.ORG 1 12 1 WWW.MARSHALLCOUNTYHOSPITAL.ORG 1 0 1 X 100.000000000000 X 1 1 X X X X 1 X WWW.MARSHALLCOUNTYHOSPITAL.ORG X X X 1 0 X X X X 1 X 0 0 MARSHALL COUNTY HOSPITAL DISTRICT PART V, SECTION B, LINE 5: IN SEPTEMBER AND NOVEMBER OF 2012, MARSHALL COUNTY HOSPITAL PARTNERED WITH THE MARSHALL COUNTY HEALTH DEPARTMENT TO HOST TWO CHNA FORUMS AT THE KY DAM CONVENTION CENTER. ANGIE CARMAN WITH THE UNIVERSITY OF KENTUCKY WAS CONTRACTED TO MEDIATE THE COMMUNITY MEETINGS. THE HOSPITAL INVITED A WIDE RANGE OF COMMUNITY MEMBERS TO VOICE THEIR OPINION ON THE STRENGTHS AND WEAKNESSES ON HEALTH ISSUES IN MARSHALL COUNTY. WE HAD 55 PARTICIPANTS IN 2012, RANGING FROM HEALTHCARE PROFESSIONALS, COMMUNITY LEADERS, EDUCATORS, VOLUNTEERS, CITY AND COUNTY EMPLOYEES, PUBLIC HEALTH, LIBRARIANS, INSURANCE AGENTS, RETIREES AND CONCERNED CITIZENS. THE FULL REPORT AND FINDINGS ARE POSTED ON THE HOSPITAL'S WEBSITE, 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. MARSHALL COUNTY HOSPITAL DISTRICT PART V, SECTION B, LINE 22D: INDIVIDUALS ELIGIBLE UNDER FINANCIAL ASSISTANCE POLICY ARE NOT CHARGED ANYTHING. 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 31,101 PEOPLE WITH A MEDIAN HOUSEHOLD INCOME OF APPROXIMATELY $44,539 AND A CURRENT UNEMPLOYMENT RATE OF 8%. THE HOSPITAL IS THE 8TH LARGEST EMPLOYER IN MARSHALL COUNTY. PER THE 2015 CENSUS, THE COUNTY IS COMPRISED OF 51% FEMALE AND 49% MALE AND IS APPROXIMATELY 97% CAUCASIAN. THE PERCENTAGE OF INDIVIDUALS LIVING IN POVERTY IS APPROXIMATELY 13.1%. APPROXIMATELY 2% OF THE EMPLOYED POPULATION RECEIVES PUBLIC ASSISTANCE INCOME. APPROXIMATELY 66% 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. MARCIA WHITE, THE PUBLIC RELATIONS AND FOUNDATION DIRECTOR 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. X X 0 0 0 0 0 0 0 0 0 DAVID G FUQUA CEO 211920 0 0 0 0 0 11806 0 26721 0 250447 0 0 0 BENNIE M FULBRIGHT PHYSICIAN 356698 0 0 0 0 0 0 0 17013 0 373711 0 0 0 CHRISTINA M BROWN PHYSICIAN 201249 0 0 0 0 0 0 0 21922 0 223171 0 0 0 JULIA T LYLES PHYSICIAN 172439 0 0 0 0 0 3268 0 21922 0 197629 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 11 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. PART VI, SECTION B, LINE 16B THE HOSPITAL DOES NOT HAVE A FORMAL, WRITTEN POLICY ON HOW TO EVALUATE PARTICIPATION IN A JOINT VENTURE, HOWEVER, THE ORGANIZATION DID ITS DUE DILIGENCE AND INVOLVED LEGAL COUNSEL TO REVIEW THE NEW PARTNERSHIP FOR MRI SERVICES TO ENSURE THAT THE JOINT VENTURE WOULD BE ORGANIZED AND OPERATED IN A MANNER CONSISTENT WITH THE HOSPITAL'S EXEMPT PURPOSE AND STATUS. 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 189779 695305 0 0 0.50000 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 MARSHALL COUNTY HOSPITAL & HEALTHCARE FOUNDATION INC O 493590 COST MARSHALL COUNTY HOSPITAL & HEALTHCARE FOUNDATION INC C 241959 COST MARSHALL COUNTY MRI LLC B 750000 COST