2014-06-03T08:27:44-05:00 2013-09-30 KERBER ECK & BRAECKEL LLP 1116 W MAIN ST CARBONDALE IL 629012335 990 2012-10-01 610445841 MUHLENBERG COMMUNITY HOSPITAL INC MUHL 2703388000 440 HOPKINSVILLE ST GREENVILLE KY 423451124 C RENEE' ORANGE 2703388000 2014-05-30 false MARK DALLAS 6185291040 2014-06-03 2012 2015-11-30 17:44:51Z ED HEATH 440 HOPKINSVILLE ST GREENVILLE KY 42345 31234415 false X WWW.MCHKY.ORG X 1938 KY THE MISSION OF MUHLENBERG COMMUNITY HOSPITAL IS TO PROVIDE LOCAL ACCESS TO A FULL SERVICE HEALTH SYSTEM THROUGH THE EFFICIENT DELIVERY OF QUALITY SERVICES. 12 10 531 30 0 462399 607533 32843901 30312783 422338 90296 190573 164819 33919211 31175431 0 0 20148971 18786573 0 0 15332177 14851327 35481148 33637900 -1561937 -2462469 20734954 18451181 3835595 4015713 16899359 14435468 THE MISSION OF MUHLENBERG COMMUNITY HOSPITAL IS TO PROVIDE LOCAL ACCESS TO A FULL SERVICE HEALTH SYSTEM THROUGH THE EFFICIENT DELIVERY OF QUALITY SERVICES. false false 33637900 30339520 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. 33637900 true true false false false false false false false false true false false false true true false true false false false false false false false false true true false false true false false false false false true false true false false false false true true false false false true 60 0 531 true false false false false false false false false false false X 12 10 true true false false false false false true true false false true true true true true true true true false X JOE SWAB 2703388277 440 HOPKINSVILLE ST GREENVILLE KY 42345 CHARLES R LEWIS 2.00 X 0 0 0 DAVID JERNIGAN 2.00 X 0 0 0 W LEE FAUNTLEROY 2.00 X 0 0 0 TAMMY S BREWER 2.00 X 0 0 0 DR MARY WEBB BROWN 2.00 X 0 0 0 LANIE WEBB GARDNER 2.00 X 0 0 0 TODD STILES 2.00 X 0 0 0 DR WILLARD KEITH 2.00 X 0 0 0 DR FREDDIE MAYES 2.00 X 0 0 0 DR JAMES K KOPER 2.00 X 0 0 0 MARK POGUE 2.00 X 0 0 0 DR AD POLLOCK JR 2.00 X 0 0 0 KATHLEEN MITCHELL 40.00 X 119670 0 0 JOHN COUNTZLER 40.00 X 0 0 0 JOSEPH SWAB 40.00 X 0 0 0 DR VINCENT GENOVESE 40.00 X 400005 0 0 DR TERRY HOLT 40.00 X 224994 0 0 DR SHANE NAPIER 40.00 X 200462 0 0 LAURA STILES 40.00 X 113547 0 0 ANN C MURPHY 40.00 X 111936 0 0 1170614 6 false true true ALLIANT MANAGEMENT SERVICES 2650 EASTPOINTE PKWY SUITE 310 LOUISVILLE KY 40223 MANAGEMENT SERV 537100 KY EMERGENCY ROOM PHYSICIAN 320 DAWN DRIVE GREENVILLE KY 42345 ER PHYS/HOSPITA 491049 SODEXHO 9801 WASHINGTON BLVD GAITHERSBERG MD 20878 DIETERYSRVCMGMT 141128 LOGANS HEALTHCARE 1240 HARRY LONG ROAD SHELBYVILLE KY 40065 LINEN SERVICES 127997 QUEST DIAGNOSTICS PO BOX 101071 ATLANTA GA 30374 LABORATORY SERV 121217 6 542533 65000 607533 NET PATIENT SERVICE REVENUE 30312783 30312783 30312783 63559 63559 29175 29175 29175 29175 85721 58984 26737 26737 26737 DIETARY / CAFETERIA 112115 112115 MISCELLANEOUS 23529 23529 135644 31175431 30339520 228378 X 119670 119670 14456467 14456467 3054755 3054755 1155681 1155681 539923 539923 82153 82153 41568 41568 3478787 3478787 249352 249352 581129 581129 160052 160052 1847317 1847317 129679 129679 58413 58413 49113 49113 1428552 1428552 523603 523603 MEDICAL SUPPLIES & DRUGS 4632553 4632553 PROVIDER & OTHER TAXES 866511 866511 MEMBERSHIPS & SUBSCRIPTIO 126273 126273 MISCELLANEOUS 56349 56349 33637900 33637900 0 0 717399 124101 430037 437883 6840313 6306109 1179243 1142745 558592 157888 40970924 32896569 8341564 8074355 1187132 536455 1122721 1122721 357953 548924 20734954 18451181 2749204 2936710 874244 781773 212147 297230 3835595 4015713 X 16899359 14435468 16899359 14435468 20734954 18451181 -2462469 -1422 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 208485 208485 11557505 8951591 2605914 27640358 23514359 4125999 1564576 430619 1133957 8074355 DUE TO THIRD-PARTY PAYORS 245230 MCH FOUNDATION - NOTE PAYABLE 52000 297230 X LIABILITY UNDER FIN 48 FOOTNOTE SCHEDULE D, PAGE 3, PART X MUHLENBERG COMMUNITY HOSPITAL IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. MANAGEMENT IS NOT AWARE OF ANY ACTIVITY WITHIN THE HOSPITAL DURING THE CURRENT OR PRIOR REPORTING PERIODS THAT WOULD JEOPARDIZE OR OTHERWISE CALL INTO QUESTION THE HOSPITAL'S COMPLIANCE WITH THE ABOVE INTERNAL REVENUE CODE SECTION. true true true X false true true true false true true 1165778 1165778 0.03470 6727077 4360851 2366226 0.07030 7892855 4360851 3532004 0.10500 97031 97031 0.00290 97031 97031 0.00290 7989886 4360851 3629035 0.10790 true 1553462 776731 11853927 14163769 -2309842 X true true 1 1 MUHLENBERG COMMUNITY HOSPITAL INC

440 HOPKINSVILLE ST GREENVILLE KY 423450387

X X X HOME HEALTH-EMS-SKILLED NURSIN MUHLENBERG COMMUNITY HOSPITAL INC 1 true X X X X X X 13 true false true X X X X X false false true true 200.0 false true X true true X true X X true X X X X X true X false false 3 HOME HEALTH SERVICES

440 HOPKINSVILLE STREET GREENVILLE KY 42345

HOME HEALTH MUHLENBERG SURGICAL CENTER

1008 MEDICAL CENTER DRIVE POWDERLY KY 42367

SURGERY CENTER CENTRAL CITY FAMILY CLINIC

101 LEGION DR CENTRAL CITY KY 42330

PHYSICAN CLINIC COSTING METHODOLOGY EXPLANATION PART I LINE 7 A RATIO OF PATIENT CARE COSTTOCHARGES AS CALCULATED FROM WORKSHEET 2 OF THE 2012 990 SCHEDULE H INSTRUCTIONS WAS USED TO DETERMINE THE AMOUNTS ON LINES 7A AND 7B OF PART I COMMUNITY BUILDING ACTIVITIES PART II MUHLENBERG COMMUNITY HOSPITAL HAS AN ONGOING COMMITMENT TO ITS COMMUNITY DUE TO MUHLENBERG COUNTYS HIGH RATE OF JOBLESSNESS THE HOSPITAL DECIDED IT WAS IN THE COMMUNITYS 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 BAD DEBT EXPENSE EXPLANATION PART III LINE 4 THE TOTAL BAD DEBT EXPENSE AT COST REPRESENTS THE TOTAL AMOUNT EXPECTED TO BE COLLECTED BUT DEEMED UNCOLLECTIBLE BASED ON THE COMMUNITYS DEMOGRAPHICS INCOME LEVEL INDIVIDUAL ASSETS AND HEALTH COVERAGE 50 WAS DETERMINED TO BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITALS PATIENT FINANCIAL ASSISTANCE PROGRAM PATIENTS ARE SCREENED FOR DSH AND CHARITY BASED ON APPLICATIONS THE ONES WHO DO NOT QUALIFY BECOME BAD DEBT ACCOUNTS 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 BEN APPROVED IF THE HOSPITAL RECEIVES NO PAYMENT OR COMMUNICATION TO ARRANGE PAYMENT THE ACCOUNT IS SENT TO COLLECTIONS AND RECOGNIZED AS BAD DEBT AT THAT TIME MEDICARE EXPLANATION PART III LINE 8 THE TOTAL MEDICARE ALLOWABLE COSTS OF CARE REPRESENTS THE AMOUNT REPORTED IN THE HOSPITALS MEDICARE COST REPORT MUHLENBERG COMMUNITY HOSPITALS MEDICARE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT DUE TO THE COMMUNITY IT SERVES MEDICARE REPRESENTS 43 OF THE HOSPITALS 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 COLLECTION PRACTICES EXPLANATION PART III LINE 9B 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 NEEDS ASSESSMENT PART VI MUHLENBERG COMMUNITY HOSPITAL ASSESSES THE COMMUNITYS 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 HOSPITALGENERATED REPORTS ON UTILIZATION OF SERVICES G BOARD OF DIRECTORS MADE UP OF LOCAL COUNTY RESIDENTS IN 2013 A COMMUNITY HEALTH NEEDS ASSESSMENT CHNA IMPLEMENTATION STRATEGY WAS PREPARED FOR MUHLENBERG COMMUNITY HOSPITAL BY THE COMMUNITY AND ECONOMIC DEVELOPMENT INITIATIVE OF KENTUCKY CEDIK AT THE UNIVERSITY OF KENTUCKY THE ASSESSMENT PROCESS INCLUDED COLLECTING SECONDARY DATA RELATED TO THE HEALTH OF THE COMMUNITY SOCIAL AND ECONOMIC DATA AS WELL AS HEALTH OUTCOMES DATA WERE COLLECTED FROM SECONDARY SOURCES TO HELP PROVIDE CONTEXT FOR THE COMMUNITYCEDIK COMPILED HOSPITAL UTILIZATION DATA TO BETTER UNDERSTAND WHO WAS USING THE FACILITY AND FOR WHAT SERVICES INPUT FROM THE COMMUNITY WAS COLLECTED THROUGH FOCUS GROUP DISCUSSIONS AND SURVEYS THREE FOCUS GROUPS WERE CONDUCTED THROUGHOUT THE COMMUNITY AND IN CONJUNCTION WITH OTHER MEETINGS THE SENIOR POPULATION AND THE UNDERSERVED WERE TARGETED AND PARTICIPATED IN A FOCUS GROUP WHILE TWO OTHER FOCUS GROUPS TOOK PLACE WITH THE STEERING COMMITTEE AND THE ECONOMIC DEVELOPMENT COMMUNITY TO FACILITATE PRIORITIZATION OF IDENTIFIED HEALTH NEEDS A RANKING PROCESS WAS USED HEALTH NEEDS WERE RANKED BASED ON FIVE FACTORS 1 THE ABILITY OF MUHLENBERG COMMUNITY HOSPITAL TO EVALUATE AND MEASURE OUTCOMES 2 THE NUMBER OF PEOPLE AFF ECTED BY THE ISSUE OR SIZE OF THE ISSUE 3 THE CONSEQUENCES OF NOT ADDRESSING THIS PROBLEM 4 PREVALENCE OF COMMON THEMES 5 THE EXISTENCE OF HOSPITAL PROGRAMS WHICH RESPOND TO THE IDENTIFIED NEED HEALTH NEEDS WERE THEN PRIORITIZED TAKING INTO ACCOUNT THEIR OVERALL RANKING THE DEGREE TO WHICH MUHLENBERG COMMUNITY HOSPITAL CAN INFLUENCE LONGTERM CHANGE AND THE IMPACT OF THE IDENTIFIED HEALTH NEEDS ON OVERALL HEALTH MUHLENBERG COMMUNITY HOSPITAL WILL CONTINUE TO WORK WITH THE COMMUNITY TO EXECUTE THE IMPLEMENTATION PLAN AND REALIZE THE GOALS THAT HAVE BEEN POSITIONED TO BUILD A HEALTHIER COMMUNITY PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI 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 SELFPAY PATIENTS ARE INFORMED OF FEDERAL STATE AND LOCAL GOVERNMENTAL ASSISTANCE PROGRAMS WITHIN 24 HOURS OF ADMISSION SELFPAY PATIENTS ARE VISITED BY A FINANCIAL COUNSELOR AND INFORMED OF THE AVAILABLE PROGRAMS COMMUNITY INFORMATION PART VI THE PRIMARY SERVICE AREA FOR MUHLENBERG COMMUNITY HOSPITAL IS MUHLENBERG COUNTY KENTUCKY POPULATION OF 31181 IN 2012 LOCATED 115 MILES NORTH OF NASHVILLE TN 125 MILES WOUTHWEST OF LOUISVILLE KY AND 70 MILES SOUTH OF EVANSVILLE IN THE HOSPITALS 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 US CENSUS BUREAU 20082012 IS 193 FOR MUHLENBERG COUNTY AND AN AVERAGE OF 201 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 THE THE CALENDAR YEAR 2012 WAS 78 COMPARED TO THE STATE AVERAGE OF 95 HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE PART VI MUHLENBERG COMMUNITY HOSPITAL AND ITS EMPLOYEES HAVE A RICH HISTORY OF PLANNING ANDOR SPONSORING EVENTS DESIGNED TO EDUCATE THE COMMUNITY ON HEALTHY LIVINGAND WELLNESS FACTORS EVENTS DURING THE FISCAL YEAR ENDING 9302013 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 THE FACILITY D OPERATE UNDER COMMUNITY BOARDS 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 MUHLENBERG COMMUNITY HOSPITAL INC LINE NUMBER 1 PART V LINE 1J PART V LINE 1J THE CHNA ALSO OUTLINES HOSPITAL UTILIZATION DATA INCLUDING TABLES OUTLINING DISCHARGES TOTAL CHARGES AND AVERAGE CHARGES BY THE FOLLOWING CATEGORIES HOSPITAL INPATIENT AND OUTPATIENT DISCHARGES HOSPITAL INPATIENT AND OUTPATIENT PAYER MIX AND HOSPITAL INPATIENT DIAGNOSIS RELATED GROUP MUHLENBERG COMMUNITY HOSPITAL INC LINE NUMBER 1 PART V LINE 3 PART V LINE 3 IN CONDUCTING THE CHNAINPUT WAS GATHERED FROM FOCUS GROUPS THREE FOCUS GROUPS WERE CONDUCTED THROUGHOUT THE COMMUNITY AND IN CONJUNCTION WITH OTHER MEETINGS THE SENIOR POPULATION AND THE UNDERSERVED WERE TARGETED AND PARTICIPATED IN A FOCUS GROUP WHILE TWO OTHER FOCUS GROUPS TOOK PLACE WITH THE STEERING COMMITTEE AND THE ECONOMIC DEVELOPMENT COMMUNITY THE STEERING COMMITTEE INCLUDED VARIOUS MEMEBERS OF THE COMMUNITY EACH MEMBER WAS FROM AREAS IN OR AROUND THE IMMEDIATE SERVICE AREA INCLUDED WERE A CEO OF A NEARBY HEALTH CENTER A MINISTER A SENIOR CITIZEN CENTER REPRESENTATIVE A HEALTH DEPARTMENT REPRESENTATIVE A COOPERATIVE EXTENSION SERVICE REPRESENTATIVE A SHERIFF A DENTIST A JUDGE EXECUTIVE A REPRESENTATIVE FROM THE CONVENTION CENTER A REPRESENTATIVE FROM THE FAMILY RESOURCE CENTER AN EXECUTIVE DIRECTOR OF A MENTAL HEALTH FACILITY A CHAMBER OF COMMERCE REPRESENTATIVE A FAMILY PRACTICE REPRESENTATIVE A FOUNDATION REPRESENTATIVE AND VARIOUS OTHER COMMUNITY MEMEBERS MUHLENBERG COMMUNITY HOSPITAL INC LINE NUMBER 1 PART V LINE 6I PART V LINE 6I MUHLENBERG COMMUNITY HOSPITAL WILL KICK OFF THE IMPLEMENTATION STRATEGY BY INITIATING COLLABORATIVE EFF ORTS WITH COMMUNITY LEADERS TO ADDRESS EACH HEALTH PRIORITY IDENTIFIED THROUGH THE ASSESSMENT PROCESS PERIODIC EVALUATION OF GOALSOBJECTIVES FOR EACH IDENTIFIED PRIORITY WILL BE CONDUCTED TO ASSURE THAT WE ARE ON TRACK TO COMPLETE OUR PLAN AS DESCRIBED AT THE END OF FISCAL YEAR 2016 MUHLENBERG COMMUNITY HOSPITAL WILL REVIEW THE IMPLEMENTATION STRATEGY AND REPORT ON THE SUCCESS EXPERIENCED THROUGH THE COLLABORATIVE EFFORTS OF IMPROVING THE HEALTH OF THE COMMUNITY MUHLENBERG COMMUNITY HOSPITAL INC LINE NUMBER 1 PART V LINE 7 PART V LINE 7 HOSPITAL BOARD TERM LIMITS DIVERSITY TERM LIMITS HAVE BEEN DISCUSSED AND ADDITIONAL BOARD MEMBERS ARE CURRENTLY BEING ADDED THE BOARD WILL CONTINUE TO WORK WITH THE ADMINISTRATION TO PROVIDE TRANSPARENCY IN MATTERS THAT BENEFI T THE COMMUNITY ASSISTED LIVING FACILITY THIS IS OUT OF THE SCOPE OF THE HOSPITALS SERVICES HOWEVER THE HOSPITAL OFFERS HOME HEALTH SERVICES AND THERE ARE LOCAL NURSING HOMES AND AN ASSISTED LIVING FACILITY IN THE COMMUNITY ADULT DAY CARE PROGRAM THIS IS OUT OF THE SCOPE OF THE HOSPITALS SERVICES CANCER TREATMENT THE HOSPITAL CURRENTLY HAS TWO PHYSICIANS WHO HAVE AN ESTABLISHED RELATIONSHIP WITH THE HOSPITAL AND SEE PATIENTS ON A WEEKLY BASIS PATIENTS ARE ABLE TO ACCESS FOLLOW UP APPOINTMENTS AND CHEMOTHERAPY AS ORDERED BY THE PHYSICIANS IN THE HOSPITAL IN ADDITION CANCER TREATMENT IS AVAILABLE WITHIN A 45 MINUTE DRIVE FROM THE HOSPITAL LOCAL PHYSICIANS WHY DONT THEY REFER TO HOSPITAL THE MAJORITY OF THE LOCAL PRIMARY CARE PHYSICIANS ARE EMPLOYED BY BAPTIST HEALTH SYSTEM AND REFER TO THEIR FACILITIES MUHLENBERG COMMUNITY HOSPITAL CONTINUES TO MARKET THE HOSPITALS SERVICES TO ALL PHYSICIANS AND HEALTH CARE PROVIDERS IN THE COMMUNITY DENTIST ON STAFF ACCESS FOR AFTER HOURS AND EMERGENCY CARE THE HOSPITAL HAS A DENTIST ON STAFF BUT THEY DO NOT PRACTICE IN THE HOSPITAL AND PRIMARILY MAKE VISITS FOR THE LONG TERM CARE UNIT A LIST OF PROVIDERS IS AVAILABLE TO PATIENTS UPON REQUEST OUTPATIENT LABS AND DIAGNOSTICS PRICES ARE TOO HIGH MUHLENBERG COMMUNITY HOSPITAL WILL CONTINUE TO OFFER COMPETITIVE PRICES TO THE COMMUNITY WOMENS SHELTER AND HOMELESS SHELTER THIS IS OUT OF THE SCOPE OF THE HOSPITALS SERVICES AND THERE ARE FACILITIES WITHIN 45 MINUTES OF THE HOSPITAL SANCTUARY HOUSE PITINO CENTER BOULWARE CENTER AND OASIS ACCESS TO FRONT DOORS IN ORDER TO MAINTAIN PATIENT AND STAFF SAFETY ALL DOORS EXCEPT ER ARE LOCKED AT 8 PM VISITING HOURS TO PATIENT ROOMS END AT 8PM AND THE DOORS ARE LOCKED IN ACCORDANCE TO VISITING HOURS OBSTETRIC CARE THE OB UNIT OF THE HOSPITAL WAS CLOSED IN AUGUST OF 2012 DUE TO LACK OF OBGYN SERVICES ARE AVAILABLE WITHIN 45 MINUTES OF THE HOSPITAL MEDICAID PATIENTS ACCESS TO SERVICES THE HOSPITAL DOES NOT LIMIT ANY SERVICES TO MEDICAID PATIENTS DRUG TREATMENT FACILITY THIS IS CURRENTLY OUT OF THE SCOPE OF THE HOSPITALS SERVICES MENTAL HEALTH TREATMENT THE COUNTY HAS LOCAL ACCESS TO MENTAL HEALTH TREATMENT THROUGH PENNYROYAL AREA COMMUNITY SERVICES MUHLENBERG COMMUNITY HOSPITAL INC LINE NUMBER 1 PART V LINE 14G PART V LINE 14G THE HOSPITAL SCREENS ALL PATIENTS FOR MEDICAID DSH AND CHARITY MUHLENBERG COMMUNITY HOSPITAL INC LINE NUMBER 1 PART V LINE 20D PART V LINE 20D THIS HOSPITAL FOLLOWS THE ESTABLISHED POLICY FOR FINANCIAL ASSISTANCE X X false false false false false false false false false JOHN COUNTZLER JOSEPH SWAB DR VINCENT GENOVESE 400005 400005 DR TERRY HOLT 224994 224994 DR SHANE NAPIER 200462 200462 OTHER ADDITIONAL INFORMATION SCHEDULE J, PART III MUHLENBERG COMMUNITY HOSPITAL HIRED ALLIANT MANAGEMENT SERVICES (ALLIANT) TO PROVIDE MANAGEMENT SERVICES FOR THE HOSPITAL. ALLIANT IS RESPONSIBLE FOR PROVIDING THE HOSPITAL WITH A CEO AND CFO AS WELL AS PAYING THEIR ANNUAL SALARIES. KENTUCKY EMERGENCY ROOM PHYSICIANS DR. KEITH-OWNER 491049 ER PHYSICIAN SERVICE false ADDITIONAL INFORMATION SCHEDULE L PART V REGARDING TRANSACTIONS DISCLOSED IN PART IV ABOVE THE TRANSACTIONS WITH KENTUCKY EMERGENCY ROOM PHYSICIANS KERP ARE FOR EMERGENCY DEPARTMENT AND HOSPITALIST COVERAGE THESE PAYMENTS REPRESENT TRANSACTIONS BASED ON FAIR MARKET VALUE OF SERVICES PROVIDED THE KERP TRANSACTIONS ARE REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES 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. RELATED PARTY INFORMATION AMONG OFFICERS FORM 990, PAGE 6, PART VI, LINE 2 DR MARY K BROWN LANIE WEBB GARDNER BOARD MEMBER BOARD MEMBER FAMILY RELATIONSHIP CHARLES R LEWIS DR WILLARD KEITH BOARD MEMBER BOARD MEMBER BUSINESS RELATIONSHIP 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 11B THE CEO REVIEWS 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 AND CFO. THEY PERFORM COMPARABILITY STUDIES AND RECOMMEND SALARY PACKAGES TO THE HOSPITAL'S PERSONNEL COMMITTEE. THE SALARY PACKAGES ARE 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 CEO AND CFO'S SALARY PACKAGES. THE SALARY PACKAGES ARE 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. OTHER FEES FOR SERVICES FORM 990, PART IX, LINE 11G OTHER FEES FOR SERVICES 3,478,787 0 0 MUHLENBERG SURGERY CENTER LLC 1008 MEDICAL CENTER DRIVE POWDERLY KY 42367 611398071 SURGERY KY -62492 1049996 MCH COMMUNITY HOSPITAL THE MUHLENBERG COMMUNITY HOSPITAL F OUNDATION 440 HOPKINSVILLE ST GREENVILLE KY 423450387 261600611 FUNDRAISIN KY 501C3 9 MCH false MUHLENBERG MEDICAL PROPERTIES IV LL 1010 MEDICAL CENTER DRIVE POWDERLY KY 42367 010571762 LESSOR KY N/A RELATED 51757 356485 false true 0.49000 GENESIS HEALTH ALLIANCE LLC 3700 WASHINGTON AVENUE EVANSVILLE IN 47714 208223181 PURCHASING IN N/A RELATED 980 11437 false true 0.04350 false false false false false false false false false false false false false false false false true false false