2012-06-28T14:47:33-05:00 2011-09-30 BKD LLP 400 E MAIN ST STE 200 PO BOX 1196 BOWLING GREEN KY 421021196 990 2010-10-01 610391376 CRITTENDEN COUNTY HOSPITAL INC CRIT 2709651042 PO BOX 386 MARION KY 42064 CARL J CHRISTENSEN 2012-06-28 true KIM SCIFRES 2707810111 2010 2016-02-24 21:20:13Z CRITTENDEN HEALTH SYSTEMS CARL J CHRISTENSEN 520 W Gum Street MARION KY 42064 14734052 false X WWW.CRITTENDEN-HEALTH.ORG X 1942 KY THE MISSION OF CRITTENDEN HEALTH SYSTEMS IS TO PROVIDE HIGH-QUALITY, COST-EFFECTIVE HEALTH CARE TO THE RESIDENTS OF CRITTENDEN COUNTY AND SURROUNDING COUNTIES. 8 8 275 48 0 0 10716 23285 13630304 13556906 88717 56033 933862 1097828 14663599 14734052 0 0 0 0 9587736 9955990 0 0 0 5385027 5334523 14972763 15290513 -309164 -556461 9909533 10756416 2373926 3777270 7535607 6979146 The mission of Crittenden Health Systems is to provide high-quality, cost-effective health care to the residents of Crittenden County and surrounding counties. false false 12976631 0 14110553 PROVIDED ACUTE, OUTPATIENT, EMERGENCY, AMBULANCE AND OTHER HEALTH SERVICES TO THE RESIDENTS OF CRITTENDEN COUNTY AND SURROUNDING COUNTIES, INCLUDING $1,277,000 OF CHARITY CARE 12976631 true true false true false false false false false true false false false true false true false false false false false false false false false true true false false true true false false false false false false false false false false false false false false false true false false false false true 57 0 true 275 true false false false false false false false false false false X 8 8 false false false false false false false true true false false true true true true true true true false false KY X WILL JONES CPA 2709655281 520 W GUM STREET MARION KY 42064 CHARLIE HUNT 1.0 X 0 0 0 ROGER SIMPSON 1.0 X 0 0 0 DR GREG MADDUX 1.0 X 0 0 0 VALERIE NEWCOM 1.0 X 0 0 0 HUGH HIGHFIL 1.0 X 0 0 0 WADE BERRY 1.0 X X 0 0 0 BART FRAZER 1.0 X X 0 0 0 JEAN CLAUDE KIEFFER 1.0 X 0 0 0 CARL J CHRISTENSEN 40.0 X 133205 0 20469 THOMAS MORIN HALES 40.0 X 0 0 0 ANN NEWCOM 40.0 X 51024 0 15011 JOSEPH ALLEN SWAB 40.0 X 114322 0 15011 TERRY DURHAM 40.0 X 175613 0 22157 STUART COLLINS 40.0 X 145667 0 21086 DR STEVEN MAYFIELD 40.0 X 149536 0 15011 769367 0 108745 5 false true false SYSTEMS SOLUTIONS 115 CARLISLE COURT PADUCAH KY 42001 HARDWARE SUPPORT 144000 AMY RATLEY MD 1876 BETHEL CHURCH ROAD MORGANFIELD KY 42437 ER PHYSICIAN 134760 THOMAS ROUSSEAU MD 914 TURNBURY DRIVE PRINCETON KY 42445 ER PHYSICIAN 174150 CPSI PO BOX 850309 MOBILE AL 36685 SOFTWARE SUPPORT 144000 GE MEDICAL SYSTEMS PO BOX 96483 CHICAGO IL 60693 MAINTENANCE 206923 7 23285 23285 PATIENT SERVICE REVENUE 621110 13556906 13556906 13556906 52258 52258 0 0 15420 15420 15420 15420 3775 3775 3775 3775 0 0 0 CONTRACTED THERAPY SERVICES 621110 553647 553647 EHR INCENTIVES 900099 198753 198753 MEALS 722210 64971 64971 265037 265037 1082408 14734052 14110553 600214 0 0 0 0 391899 391899 0 7672593 7481527 191066 198302 183967 14335 1131102 1049337 81765 562094 521461 40633 0 25480 25480 68135 68135 0 0 0 1174567 1102696 71871 24602 8758 15844 261698 210027 51671 238507 238507 0 214474 214474 106182 103635 2547 0 0 3083 3083 0 666035 11507 654528 282375 24836 257539 MEDICAL SUPPLIES 1276145 1255004 21141 REPAIRS & MAINTENANCE 445632 445011 621 LICENSES & TAXES 332633 140 332493 COLLECTION 60712 60712 DUES & SUBSCRIPTIONS 70164 36975 33189 84099 28057 56042 0 15290513 12976631 2313882 0 2350178 1216771 1679320 1396144 1390691 2171323 338781 349282 299005 278887 20133147 15013095 3614797 5120052 236761 223957 9909533 10756416 1341622 1393615 0 1323686 17131 12711 1015173 1047258 2373926 3777270 X 3937941 3195491 3597666 3783655 7535607 6979146 9909533 10756416 -556461 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 3481 3481 false LOBBYING EXPENSES SCHEDULE C, PART II-B, LINE 1I THE HOSPITAL PAYS DUES TO THE KENTUCKY HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING. 44408 44408 4994246 3841964 1152281 892272 614033 278239 12625555 10140150 2485405 1576667 416948 1159719 5120052 0 DUE TO THIRD PARTY PAYERS 1047258 1047258 14734052 15290513 -556461 -556461 14730277 14730277 3775 3775 14734052 15286738 -3775 -3775 15290513 15290513 RECONCILIATION TO AUDIT REPORT SCH D, PART XII LINE 4B & PART XIII LINE 2D GAIN ON DISPOSAL NETTED AGAINST EXPENSE PER AUDIT $3,775 true true true X true X true true true false false 643145 199140 444005 0.02900 1638358 1043335 595023 0.03890 2281503 1242475 1039028 0.06790 8000 8000 0.00050 6650 6650 0.00040 14650 14650 0.00090 2296153 1242475 1053678 0.06880 true 474000 237000 7169168 6810778 358390 X true true 1 1 CRITTENDEN HEALTH SYSTEMS

520 WEST GUM ST MARION KY 42064

X X X CRITTENDEN HEALTH SYSTEMS 1 1 Burkhart Rural Health Clinic

117 East Main Street Salem KY 42078

Rural Health Clinic CHARITY CARE SCH H, PART I, LINE 3C THE HOSPITAL USED A COST TO CHARGE RATIO AS CALCULATED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, INCLUDED IN THE SCHEDULE H INSTRUCTIONS TO DETERMINE THE AMOUNTS ON LINES 7A AND 7B OF PART I OF SCHEDULE H. THE HOSPITAL USED ACTUAL COSTS AS REPORTED IN THE GENERAL LEDGER SYSTEM TO DETERMINE THE AMOUNTS ON LINES 7E OF PART I OF SCHEDULE H. BAD DEBTS SCHEDULE H, PART III, LINE 4 THE HOSPITAL CALCULATED BAD DEBT EXPENSE AT COST USING THE COST TO CHARGE RATIO AS CALCULATED USING WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS. PATIENT ACCOUNTS ARE WRITTEN OFF TO BAD DEBT ONLY AFTER ALL COLLECTION PROCEDURES HAVE BEEN EXHAUSTED. THE HOSPITAL'S AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE THAT SPECIFICALLY ADDRESSES BAD DEBTS. HOWEVER, THE PROVISION FOR BAD DEBTS IS INCLUDED IN THE NET PATIENT SERVICE REVENUE NOTE. THE PROVISION FOR BAD DEBTS REPRESENTS UNCOMPENSATED CARE FOR PATIENTS OF WHICH A MAJORITY ARE UNINSURED OR UNDERINSURED, BUT DID NOT APPLY FOR OR QUALIFY FOR CHARITY CARE. THE HOSPITAL ESTIMATED THAT APPROXIMATELY 50% OF BAD DEBT EXPENSE MAY ACTUALLY QUALIFY FOR CHARITY CARE BASED ON THE FINANCIAL COLLECTOR'S KNOWLEDGE AND EXPERIENCE. APPROXIMATELY 25% OF THE CHARITY APPLICATIONS SENT OUT DO NOT RESPOND AND APPROXIMATELY 25% THAT DO RESPOND ARE UNCOOPERATIVE AND OFTEN DO NOT BRING IN ALL DOCUMENTATION REQUIRED TO SUPPORT QUALIFICATION BASED ON THE CHARITY CARE POLICY. MEDICARE SCHEDULE H, PART III, LINE 8 FISCAL YEAR 2011 MEDICARE COST REPORT WAS USED TO DETERMINE THE UNPAID COST OF MEDICARE. UNPAID COST OF MEDICARE REPRESENTS THE COST OF PROVIDING SERVICES TO PRIMARILY ELDERLY BENEFICIARIES OF THE MEDICARE PROGRAM, IN EXCESS OF PAYMENTS FOR THOSE SERVICES. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THIS IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. COLLECTION PRACTICES SCHEDULE H, PART III, LINE 9B CRITTENDEN COUNTY HOSPITAL APPLIES ITS COLLECTION PRACTICES EQUALLY TO ALL PATIENTS, BOTH CHARITY CARE ELIGIBLE AND NON-CHARITY CARE PATIENTS. THE PROCEDURES FOR COLLECTION ON PATIENT ACCOUNTS ARE AS FOLLOWS: POLICY: CHS WILL REQUEST DEPOSITS AND/OR PAYMENT ARRANGEMENTS FOR PATIENT SERVICES NOT COVERED BY INSURANCE OR OTHER PAYMENT SOURCES. IMPLEMENTATION: PATIENTS CONTACTED FOR CENTRALIZED SCHEDULING. THE SCHEDULER IS NOTIFIED OF PATIENTS WITHOUT INSURANCE UNLESS CLINICALLY NECESSARY TO DO SO. OTHERWISE, SELF-PAY PATIENTS SHOULD BE SCHEDULED A FEW EXTRA DAYS OUT TO PROVIDE EXTRA TIME TO CONTACT THEM FOR PRE-SERVICE COLLECTION. PROCESS: THOSE PATIENTS WILL BE CONTACTED, AND THEN BE INFORMED OF THE NECESSARY INFORMATION FOR FINANCIAL SCREENING (PROOF OF INCOME, EMPLOYMENT INFORMATION, ETC), REQUESTED TO COME IN EARLY ON THE DAY OF SERVICES, AND REQUESTED TO BRING SOME METHOD OF PAYMENT (CASH,CHECK,CREDIT CARD,ETC.) ON THAT DAY. ER PATIENTS: PATIENTS SHOULD RECEIVE THE REQUIRED MEDICAL SCREENING AFTER THE BASIC PATIENT INFORMATION IS OBTAINED (NAME, DATE OF BIRTH AND SOCIAL SECURITY NUMBER SHOULD BE OBTAINED IF THE PATIENT'S MEDICAL CONDITION PERMITS). IF A PATIENT IS WAITING TO RECEIVE MEDICAL CARE, THE PATIENT MAY BE REGISTERED, HOWEVER THE PATIENT'S MEDICAL SCREENING SHOULD NEVER BE DELAYED FOR THE REGISTRATION PROCESS. SEE BELOW FOR NEXT STEPS. ER PATIENTS DEEMED URGENT AFTER MEDICAL SCREENING - PATIENTS DEEMED URGENT FOR ADDITIONAL CARE AFTER THE MEDICAL SCREENING WILL BE DETERMINED BY THE PROFESSIONAL JUDGEMENT OF THE PHYSICIAN OR PA COVERING THE ER. HOSPITAL STAFF WILL PROVIDE NECESSARY CARE TO MEDICALLY STABILIZE THE PATIENT AND THE PATIENT WILL BE REGISTERED WHENEVER POSSIBLE. AFTER THE PATIENT IS MEDICALLY STABILIZED THE PATIENT WILL BE ASKED FOR A DEPOSIT AND/OR PAYMENTS ON OLD ACCOUNTS, ASKED TO SET UP PAYMENT ARRANGEMENTS FOR ANY BALANCES, AND SELF-PAY PATIENTS WILL BE SCREENED FOR CHARITY AND POSSIBLE MEDICAID ELIGIBILITY AS SOON AS PRACTICAL. PHYSICIAN REFERRALS (INCLUDING THOSE VIA CENTRALIZED SCHEDULING) OR PATIENTS WITHOUT EMERGENCY MEDICAL CONDITIONS AFTER MEDICAL SCREENING - THE PATIENT WILL BE REGISTERED. AFTER REGISTRATION THE FOLLOWING SHOULD OCCUR: CHECK FOR PRIOR ACCOUNT BALANCES. PATIENTS WITH UNPAID BALANCES MORE THAN 90 DAYS OLD WILL BE REQUIRED TO MAKE A DEPOSIT AND SET UP PAYMENT ARRANGEMENTS ON THOSE OLD ACCOUNTS PRIOR TO RECEIVING ANY ADDITIONAL SERVICE FOR NON-EMERGENCY MEDICAL CONDITIONS. CHARITY SCREENING PAPERWORK: ALL SELF-PAY PATIENTS SHOULD BE SCREENED FOR CHARITY AND MEDICAID CRITERIA BASED ON THE RESPONSIBLE PARTY'S INCOME COMPARED TO THE GUIDELINES IN THE CHARITY POLICY. ALL OR PART OF THE PATIENT'S CHARGES MAY BE WRITTEN OFF. PATIENTS REFUSING TO COMPLETE CHARITY SCREENING PAPERWORK WILL BE CONSIDERED TO NOT QUALIFY. PATIENTS NOT MEETING CHARITY CRITERIA WILL BE REQUIRED TO MAKE A DEPOSIT FOR SERVICES (ACCORDING TO THE ESTABLISHED SCHEDULE) AND AGREE TO PAYMENT ARRANGEMENTS FOR THE BALANCE. CHS EMPLOYEES: EMPLOYEES OF CHS SHOULD SIGN A PAYROLL DEDUCTION AUTHORIZATION TO PAY FOR ANY COSTS NOT COVERED BY INSURANCE. PATIENTS WITHOUT NECESSARY FUNDS FOR REQUIRED DEPOSIT, NOT REQUIRING EMERGENCY SERVICES, WILL BE ASKED TO CONTACT POSSIBLE PAYMENT SOURCES (FRIENDS, RELATIVES, ETC) ON AN EXCEPTION BASIS APPROVED BY THE CEO OR CFO. IF ADEQUATE FUNDS WILL NOT BE AVAILABLE FOR THE REQUIRED DEPOSIT, THE PATIENT WILL BE ASKED TO SIGN AN AGREEMENT TO MAKE MONTHLY PAYMENTS, WHICH WILL INCLUDE AN AGREEMENT WHICH CAN BE SUBMITTED TO THEIR EMPLOYER (OR THE EMPLOYER OF THE SPOUSE OR GUARANTOR) WHERE THEY WILL AGREE TO MAKE MINIMUM MONTHLY PAYMENTS TO CHS, WHICH WILL BE SUBMITTED TO THE EMPLOYER IF THE MONTHLY PAYMENTS ARE NOT DIRECTLY SUBMITTED TO CHS. NOTE, PATIENTS WITHOUT SOME FORM OF EMPLOYMENT (FOR THEM OR GUARANTOR) WOULD GENERALLY QUALIFY FOR CHARITY. INDIVIDUALS WHO WILL NOT MAKE THE DEPOSIT OR AGREE TO PAYMENTS FROM THEIR EMPLOYER WILL BE ASKED TO RETURN FOR NON-EMERGENCY SERVICES WHEN THEY ARE WILLING TO PROVIDE ONE OF THESE PAYMENTS SOURCES. PATIENTS WHO ARE REFUSED SERVICES: THESE ARE PATIENTS WHO DO NOT QUALIFY CHARITY CARE AND WHO DO NOT PROVIDE A DEPOSIT AND/OR AGREE TO THE ABOVE. NOTED PAYMENT ARRANGEMENTS: PHYSICIAN'S OFFICE WILL BE NOTIFIED AS SOON AS POSSIBLE IF A PATIENT REFERRAL IS TURNED AWAY DUE TO LACK OF PAYMENT. IF PHYSICIAN REQUESTS THE SERVICES BE PROVIDED DESPITE LACK OF PAYMENT THE ADMINISTRATOR ON CALL WILL BE NOTIFIED AND SERVICES WILL BE PROVIDED. THE DEPOSIT SCHEDULE WILL BE UPDATED AT LEAST ANNUALLY AS APPROVED BY THE CEO AND CFO, WITHIN THE TERMS OF THE POLICY. GENERALLY FOR SERVICES PROVIDED SOLELY BY CHS THE REQUIRED DEPOSIT WILL BE BETWEEN 20% AND 50% OF EXPECTED NORMAL CHARGES FOR SERVICES PROVIDED BY EXTERNAL SOURCES, WHICH CHS HAS TO PAY A FEE PER SERVICE,THE DEPOSIT WILL BE AT LEAST THE AMOUNT CHARGED TO CHS BY THE OUTSIDE VENDOR (THIS INCLUDES SLEEP LAB AND NUCLEAR MEDICINE). PAYMENT BASED ON POVERTY LEVEL GUIDELINES: AS NOTED IN THE CHARITY POLICY, EXCEPTIONS TO THE DEPOSIT REQUIREMENTS ARE AS FOLLOWS BASED ON INCOME COMPARED TO THE MOST RECENT FEDERAL POVERTY LEVELS 0-100% ALL CHARGES TO BE FORGIVEN, NO DEPOSIT REQUIRED 101-200% NO DEPOSIT REQUIRED AT THE TIME OF SERVICES 201-300% THE DEPOSIT AT THE TIME OF SERVICE TO NOT EXCEED $25 NEEDS ASSESSMENT SCHEDULE H, PART VI, LINE 2 CRITTENDEN COUNTY HOSPITAL ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY THROUGH SEVERAL AVENUES, INVOLVING HOSPITAL EMPLOYEES FROM VARIOUS DEPARTMENTS OF THE HOSPITAL. THE MISSION IS TO PROVIDE ONGOING ASSESSMENTS OF THE HEALTHCARE NEEDS OF CRITTENDEN COUNTY AND THE SURROUNDING COMMUNITIES AND STRIVE TO MEET THE NEEDS IDENTIFIED. THE HOSPITAL ALSO UNDERWENT A STRATEGIC PLAN AND MARKET ANALYSIS IN 2009 WITH QHR WHICH PROVIDED VALUABLE INFORMATION LINKING THE HOSPITAL STRATEGIC PLAN WITH SPECIAL ATTENTION GIVEN TO THOSE MOST IN NEED IN THE COMMUNITY. ALSO IN 2009, THE HOSPITAL WENT THROUGH A COMMUNITY HEALTH ASSESSMENT THROUGH THE DELTA RURAL HEALTH PROJECT. THE VP OF HUMAN RESOURCES SERVES ON THE DRUG COALITION BOARD. THE PHARMACY DIRECTOR AND INFECTION CONTROL DIRECTOR SERVE ON THE BOARD OF DIRECTORS FOR THE CRITTENDEN COUNTY HEALTH DEPARTMENT. THE HOSPITAL IS ACTIVE IN THE SPEAKER'S BUREAU AND OFFERS COMMUNITY EDUCATION CLASSES. PARTICIPATION IN EACH OF THESE GROUPS ASSISTS THE HOSPITAL IN CONTINUALLY ASSESSING THE NEEDS OF THE COMMUNITY. IN ADDITION, NEEDS ASSESSMENTS ARE ON-GOING THROUGH THE VARIOUS PROGRAMS AND SERVICES PROVIDED TO THE COMMUNITY BY THE HOSPITAL AS FOLLOWS: -SPEAK TO SENIOR CITIZENS GROUPS ON A VARIETY OF HEALTHCARE TOPICS -SPEAK TO SCHOOL CLASSES ABOUT HEALTHY LIVING AND HEALTHCARE TOPICS THROUGH CAREER WEEK AND THE SCHOOL REALITY STORE -OFFER CPR CLASSES TO THE PUBLIC AND TO AREA BUSINESSES FOR THEIR EMPLOYEES -PROVIDE TOURS OF THE HOSPITAL TO STUDENT AND CIVIC GROUPS -COOPERATIVE AGREEMENT WITH THE HEALTH OCCUPATIONS CLASS -CLINICAL SITE FOR PHYSICAL THERAPY, RESPIRATORY, ANESTHESIA, AND RADIOLOGY STUDENTS -SPONSOR SIX CHAMPIONS FOR LIFE BLOOD DRIVES EACH YEAR -OFFER BLOOD PRESSURE CHECKS AT VARIOUS EVENTS THROUGHOUT THE YEAR -HOST A FREE WOMEN'S CONFERENCE ANNUALLY -PROVIDE A $650 SCHOLARSHIP ANNUALLY -PARTICIPATE ANNUALLY IN THE AMERICAN CANCER SOCIETY'S RELAY FOR LIFE -PROVIDE AMBULANCE COVERAGE FOR VARIOUS SPORTING EVENTS (FOOTBALL GAMES) -PROVIDE AMBULANCE COVERAGE FOR CRITTENDEN COUNTY FAIRS (RODEOS, DEMOLITION DERBY, MOTORCYCLE RACES, ETC) -PARTICIPATE IN THE SCHOOL MENTORING PROGRAM -STAFF REPRESENTATION ON NUMEROUS COMMUNITY COMMITTEES -SPONSOR VARIOUS CHAMBER AND COMMUNITY ACTIVITIES PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION REGARDING ELIGIBILITY FOR ASSISTANCE PROVIDED IN THE FOLLOWING MEDIUMS: DHS APPS ARE SIGNED IN ADMITTING AND FORWARDED TO DMC TO QUALIFY - POSTED IN ADMITTING - PATIENTS ARE CONTACTED BY A PATIENT ACCOUNTS REPRESENTATIVE DURING THEIR HOSPITAL STAY REGARDING ELIGIBILITY FOR ASSISTANCE. COMMUNITY INFORMATION SCHEDULE H, PART VI, LINE 4 CRITTENDEN COUNTY IS A RURAL AREA WITH A REPORTED POPULATION OF 9,384. THE MEDIAN INCOME FOR A HOUSEHOLD INCOME (IN 2000 CENSUS) WAS $29,060 AND THE MEDIAN INCOME FOR A FAMILY WAS $36,462. AGE DISTRIBUTION OF POPULATION IN THE PRIMARY SERVICE AREA IN YEAR 2000 CENSUS INCLUDED: UNDER 5(5.4%), 5-9(6.4%), 10-14(7.2%), 15-19(7%), 20-24(5.2%), 25-34(11.4%), 35-44(14.7%), 45-54(13.9%), 55-59 (7.1%), 60-64(5.4%), 65-74(8.3%), 75-84(5.9%) AND OVER 85(2.1%) ADJACENT COUNTIES INCLUDE UNION, WEBSTER, CALDWELL, LYON, LIVINGSTON AND HARDIN COUNTY, ILLINOIS. OF THESE COUNTIES, UNION, CALDWELL AND LIVINGSTON ALL HAVE ONLY A CRITICAL ACCESS HOSPITAL. THE OTHER THREE, WEBSTER, LYON AND HARDIN COUNTY, ILLINOIS DO NOT HAVE A HOSPITAL WITHIN THE COUNTY (SOURCES: US CENSUS BUREAU). COMMUNITY BUILDING ACTIVITIES SCHEDULE H, PART VI, LINE 5 CRITTENDEN COUNTY HOSPITAL PROVIDES ACTIVITIES AND SERVICES FOR WHICH NO PATIENT BILL EXISTS. THESE SERVICES ARE NOT EXPECTED TO BE FINANCIALLY SELF-SUPPORTING, ALTHOUGH SOME MAY BE SUPPORTED BY OUTSIDE GRANTS OR FUNDING. THE HOSPITAL EMPLOYEES ALSO COLLECT MONEY OR FOOD ON AN ANNUAL BASIS FOR THE LOCAL COMMUNITY CHRISTMAS WHERE THEY ALSO PROVIDE PRESENTS FOR FAMILIES PARTICIPATING IN THE CHRISTMAS ANGEL PROGRAM. THE HOSPITAL OFFERS A HEALTH FAIR FOR THE COMMUNITY, PROVIDING FREE OR REDUCED PRICING SCREENINGS (BLOOD PRESSURE, CHILD ID, LIPID PROFILE, BLOOD GLUCOSE) AND HEALTH INFORMATION. THE HOSPITAL PROVIDES A HEALTH FAIR FOR PAR 4 (MANUFACTURING COMPANY) EMPLOYEES, CRITTENDEN COUNTY HOSPITAL AMERICAN CANCER SOCIETY, SPECIAL OLYMPICS, AND CYSTIC FIBROSIS. THE HOSPITAL OFFERS DISCOUNTED MAMMOGRAMS DURING THE MONTH OF OCTOBER IN HONOR OF BREAST CANCER AWARENESS MONTH. THE HOSPITAL SUPPLIES A REGISTERED NURSE FOR 4-H CAMP FOR AREA SCHOOL CHILDREN. THE REGISTERED NURSE MAINTAINS A FIRST AID STATION THROUGHOUT THE CAMP. THE HOSPITAL PROVIDED BLOOD PRESSURE CHECKS AT SEVERAL COMMUNITY EVENTS. THE HOSPITAL HOSTS SEVERAL BLOOD DRIVES AT THER FACILITY EACH YEAR. CRITTENDEN COUNTY HAS A CHARITY CARE PROGRAM FOR HOSPITAL CLIENTELE. THE HOSPITAL HAS WRITTEN OFF $962,639 IN UNCOLLECTABLE ACCOUNTS IN FISCAL YEAR 2011 FOR PATIENTS IT DEEMS UNABLE TO PAY FOR HEALTHCARE SERVICES UNDER ITS CHARITY CARE POLICY. CRITTENDEN COUNTY HOSPITAL ACCEPTS PATIENTS WITHOUT REGARD FOR THEIR ABILITY TO PAY FOR CARE. X false false false false false false false false false CARL J CHRISTENSEN 133205 0 0 0 0 0 5458 0 15011 0 153674 0 0 0 TERRY DURHAM 175613 0 0 0 0 0 7146 0 15011 0 197770 0 0 0 STUART COLLINS 145667 0 0 0 0 0 6075 0 15011 0 166753 0 0 0 DR STEVEN MAYFIELD 149536 0 0 0 0 0 0 0 15011 0 164547 0 0 0 County of Crittenden Series 2011A 616000867 000000000 2011-06-01 2104000 Construct,renovate and equip a sur false false false County of Crittenden Series 2011B 616000867 000000000 2011-06-01 1020982 Construct,renovate and equip a sur false false false 2104000 835992 1268008 false false false true 1020982 487694 533288 false false false true false false false false true 0.00000 0.00000 0.00000 true false false false false true 0.00000 0.00000 0.00000 true false false false false false true false false false false false true PROCESS TO REVIEW FORM 990 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS. A COPY OF THE FORM 990 IS THEN EMAILED TO ALL MEMBERS OF THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING. MONITORING THE CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST FORMS ARE COMPLETED ANNUALLY BY THE GOVERNING BODY AND REVIEWED BY ADMINISTRATION. ANY POTENTIAL CONFLICTS ARE ADDRESSED. PROCESS FOR DETERMINING COMPENSATION FORM 990, PART VI, SECTION B, LINE 15A THE CEO'S COMPENSATION IS EVALUATED AND DETERMINED BY THE BOARD OF DIRECTORS MAKING DOCUMENTS AVAILABLE TO THE PUBLIC FORM 990, PART VI, SECTION C, LINE 19 SELECTED FINANCIAL INFORMATION IS MADE AVAILABLE ANNUALLY AT A PUBLIC MEETING. OTHER DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. CRITTENDEN HEALTH SYSTEMS FOUNDATION PO BOX 386 MARION KY 42064 262053982 PHILANTHROPY KY 501(C)(3) 11 NA false false false false false false false false false false false false false false false false false false