SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
LIVINGSTON HOSPITAL & HEALTHCARE
SERVICES INC
Employer identification number

61-0518022
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
 
No
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
 
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . .
    35,195   35,195 0.210 %
b Medicaid (from Worksheet 3, column a) . . . . .     3,558,322 3,220,268 338,054 2.040 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     3,593,517 3,220,268 373,249 2.250 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     11,395   11,395 0.070 %
f Health professions education (from Worksheet 5) . . .            
g Subsidized health services (from Worksheet 6) . . . .            
h Research (from Worksheet 7) .            
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     4,260   4,260 0.030 %
j Total. Other Benefits . .     15,655   15,655 0.100 %
k Total. Add lines 7d and 7j .     3,609,172 3,220,268 388,904 2.350 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and
training for community members
           
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
2,177,878
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
 
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
5,752,197
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
5,872,280
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-120,083
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

 

No
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?1
Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 LIVINGSTON HOSPITAL & HEALTHCARE
131 HOSPITAL DRIVE
SALEM,KY42078
X X     X   X      
Schedule H (Form 990) 2015
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Schedule H (Form 990) 2015
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Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
LIVINGSTON HOSPITAL & HEALTHCARE SERVICE
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): WWW.LHHS.ORG
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
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Schedule H (Form 990) 2015
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Part VFacility Information (continued)

Financial Assistance Policy (FAP)
LIVINGSTON HOSPITAL & HEALTHCARE SERVICE
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
 
b
 
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
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Schedule H (Form 990) 2015
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Part VFacility Information (continued)

LIVINGSTON HOSPITAL & HEALTHCARE SERVICE
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
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Schedule H (Form 990) 2015
Page 7
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
LIVINGSTON HOSPITAL & HEALTHCARE SERVICE PART V, SECTION B, LINE 5: THE COMMUNITY STEERING COMMITTEE PROVIDED A VITAL PART OF THE CHNA PROCESS. THESE INDIVIDUALS REPRESENT ORGANIZATIONS AND AGENCIES FROM THE SERVICE AREA AND IN PARTICULAR, THE INDIVIDUALS WHO WERE WILLING TO VOLUNTEER ENABLED THE HOSPITAL TO GET INPUT FROM POPULATIONS THAT WERE OFTEN NOT ENGAGED IN CONVERSATIONS ABOUT THEIR HEALTH NEEDS. COMMUNITY AND ECONOMIC DEVELOPMENT INITIATIVE OF KY (CEDIK) PROVIDED A LIST OF POTENTIAL AGENCIES AND ORGANIZATIONS THAT WOULD FACILITATE BROAD INPUT. THE ASSESSMENT PROCESS INCLUDED COLLECTING SECONDARY DATA RELATED TO THE HEALTH OF THE COMMUNITY. SOCIAL AND ECONOMIC DATA, AS WELL AS HEALTH OUTCOMES DATA, WAS COLLECTED FROM SECONDARY SOURCES TO HELP PROVIDE CONTEXT FOR THE COMMUNITY. ADDITIONALLY, CEDIK COMPILED HOSPITAL UTILIZATION DATA TO BETTER UNDERSTAND WHO WAS USING THE FACILITY AND FOR WHAT SERVICES. FINALLY, WITH THE ASSISTANCE OF THE COMMUNITY STEERING COMMITTEE, INPUT FROM THE COMMUNITY WAS COLLECTED THROUGH FOCUS GROUP DISCUSSIONS AND SURVEYS.
LIVINGSTON HOSPITAL & HEALTHCARE SERVICE PART V, SECTION B, LINE 11: THE HOSPITAL ADDRESSED NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA THROUGH ADOPTION OF AN IMPLEMENTATION STRATEGY THAT ADDRESSES EACH OF THE COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA, EXECUTION OF THE IMPLEMENTATION STRATEGY, ADOPTION OF A BUDGET FOR PROVISION OF SERVICES THAT ADDRESS THE NEEDS IDENTIFIED IN THE CHNA, PRIORITIZATION OF HEALTH NEEDS IN ITS COMMUNITY AND PRIORITIZATION OF SERVICES THAT THE HOSPITAL FACILITY WILL UNDERTAKE TO MEET HEALTH NEEDS IN ITS COMMUNITY.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2015
Page 8
Schedule H (Form 990) 2015
Page 8
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?2
Name and address Type of Facility (describe)
1 1 - GRAND LAKES CLINIC
1860 JH OBRYAN AVE
GRAND RIVERS,KY42045
RURAL HEALTH CLINIC
2 2 - EDDYVILLE FAMILY MEDICAL
209 W MAIN STREET
EDDYVILLE,KY42038
RURAL HEALTH CLINIC
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2015
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Schedule H (Form 990) 2015
Page 9
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
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: SEE PAGE 6 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
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: OUTSTANDING ACCOUNTS WILL BE COLLECTED IN-HOUSE, IF AT ALL POSSIBLE, BEFORE BEING REFERRED TO AN OUTSIDE COLLECTION AGENCY. IF A BALANCE REMAINS UNPAID AND NO PAYMENT EFFORTS ARE MADE, ACCOUNTS WILL BE REFERRED TO CONTRACTED COLLECTION AGENCIES AFTER APPROXIMATELY 60 DAYS OF THE BALANCE BECOMING THE PATIENT'S RESPONSIBILITY. PRIVATE PAY ACCOUNTS WILL BE ADDRESSED PRIOR TO SERVICE BEING RENDERED. THE PATIENT WILL APPLY FOR THE DISPROPORTIONATE SHARE HOSPITAL PROGRAM (DSH). IN THE EVENT THE PATIENT IS ELIGIBLE FOR DSH, THE DSH COORDINATOR WILL FOLLOW UP WITH THE PATIENT. IN THE EVENT THE PATIENT IS NOT ELIGIBLE FOR THE DSH PROGRAM, THE ACCOUNT WILL BECOME PRIVATE PAY. THE DOCTOR WILL DETERMINE WHETHER THE PROCEDURE IS MEDICALLY NECESSARY OR ELECTIVE. IN THE EVENT THE PROCEDURE IS DEEMED MEDICALLY NECESSARY, THE PATIENT WILL BE ASKED TO MAKE A DEPOSIT AND SIGN A FINANCIAL AGREEMENT. IF A PROCEDURE IS DETERMINED TO BE ELECTIVE, THE PATIENT WILL BE ASKED TO PAY FOR SERVICE PRIOR TO SERVICES BEING RENDERED. IF A PATIENT IS UNABLE TO PAY THE FULL AMOUNT, THEY WILL BE REQUIRED TO SIGN A FINANCIAL AGREEMENT. IN THE EVENT A PRIVATE PAY PATIENT IS PRESENT FOR SERVICE WHILE THE REGISTRATION OFFICE IS CLOSED, A DSH COORDINATOR WILL CONTACT THE PATIENT THE FOLLOWING BUSINESS DAY. IN THE EVENT THE DSH COORDINATOR IS UNABLE TO REACH THE PATIENT BY PHONE, A DSH APPLICATION WILL BE MAILED TO THE PATIENT. AFTER 10 DAYS AND THE APPLICATION HAS NOT BEEN RETURNED, THE DSH COORDINATOR WILL CONTACT THE PATIENT BY PHONE. IN THE EVENT THE PATIENT IS UNABLE TO BE REACHED BY PHONE, A NO INSURANCE COVERAGE LETTER WILL BE MAILED TO THE PATIENT. DUE TO NO RESPONSE AFTER 10 DAYS, THE PATIENT WILL BE CONTACTED BY PHONE ONCE AGAIN. IF THE PATIENT IS NOT REACHED BY PHONE, A PAYMENT OVERSIGHT LETTER WILL BE MAILED TO THE PATIENT. AFTER ANOTHER 10 DAYS AND NO RESPONSE FROM THE PATIENT, THE DSH COORDINATOR WILL CONTACT THE PATIENT BY PHONE. IF UNABLE TO REACH THE PATIENT, A FINAL NOTICE LETTER WILL BE MAILED TO THE PATIENT. AFTER 10 MORE DAYS AND NO RESPONSE FROM THE PATIENT, THE ACCOUNT WILL BE REFERRED TO THE CONTRACTED COLLECTION AGENCIES. IN THE EVENT A PATIENT IS COVERED BY INSURANCE AND A PORTION OF THE BILL IS NOT COVERED, LEAVING A BALANCE DUE FROM THE PATIENT, ADDITIONAL LETTERS WILL BE SENT WITH A PHONE CALL BEFORE FOR EACH LETTER REQUESTING PAYMENT.
PART VI, LINE 2: THE HOSPITAL ASSESSES THE NEEDS OF THE COMMUNITIES IT SERVES BY PROVIDING FREE HEALTH SCREENINGS AT LOCAL FESTIVALS, SENIOR CITIZEN CENTERS, CHURCH FUNCTIONS AND SCHOOL FUNCTIONS. AT HEALTH FAIRS, SCREENINGS ARE OFFERED FOR CHOLESTEROL, BLOOD GLUCOSE, BLOOD PRESSURE, PULSE OXYGEN, HEART RATE AND BODY CHEMISTRY ANALYSIS (BODY MASS INDEX AND % BODY FAT). THE HOSPITAL WORKS CLOSELY WITH OTHER AGENCIES IN THE COUNTIES IT SERVES AS TO BETTER SERVE THE COMMUNITY.
PART VI, LINE 3: THE HOSPITAL IS COMMITTED TO PROVIDING HEALTH CARE TO EVERYONE IN NEED, REGARDLESS OF THEIR ABILITY TO PAY. BILLING STATEMENTS INCLUDE INFORMATION ABOUT HOW TO CONTACT FINANCIAL COUNSELORS AND ARRANGE PAYMENT PLANS. THE HOSPITAL OFFERS CHARITY CARE TO UNINSURED PATIENTS WHO QUALIFY FOR THE PROGRAM. FINANCIAL COUNSELORS CONTACT PATIENTS ON THE FRONT END TO RECOGNIZE WHO NEEDS ASSISTANCE AND TO EDUCATE AND HELP THEM APPLY FOR THE DISPROPORTIONATE SHARE HOSPITAL (DSH) PROGRAM, ALONG WITH OTHER FEDERAL PROGRAMS IN WHICH THEY MAY BE ELIGIBLE.
PART VI, LINE 4: LIVINGSTON COUNTY, LOCATED IN WESTERN KENTUCKY, HAS A POPULATION OF APPROXIMATELY 9,316 PEOPLE ACCORDING TO THE 2015 CENSUS. THE POPULATION IS COMPRISED OF 51% FEMALE AND 49% MALE AND IS 98% CAUCASIAN. THE MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $40,580. ACCORDING TO THE 2015 CENSUS, APPROXIMATELY 14.1% OF INDIVIDUALS ARE LIVING IN POVERTY. 6.2% OF PATIENTS ARE UNINSURED. THE HOSPITAL PROVIDES CARE TO INPATIENTS, OUTPATIENTS, OBSERVATION PATIENTS AND SWING BED PATIENTS FROM THE SURROUNDING COUNTIES. SEVERAL OF THE SURROUNDING COUNTIES HAVE HOSPITALS, HOWEVER, LIVINGSTON HOSPITAL IS THE CLOSEST CRITICAL ACCESS HOSPITAL FOR THE COMMUNITY.
PART VI, LINE 5: LHHS SPONSORS HEALTH FAIRS THROUGHOUT THE YEAR IN LIVINGSTON, LYON AND CRITTENDEN COUNTIES. AT THE HEALTH FAIRS, LHHS OFFERED SCREENINGS FOR CHOLESTEROL, BLOOD GLUCOSE, BLOOD PRESSURE, PULSE OXYGEN, HEART RATE, AND BLOOD CHEMISTRY ANALYSIS. LHHS PARTICIPATES IN MANY ACTIVITIES WITH THE AREA SCHOOL SYSTEMS SUCH AS REALITY STORES, WELLNESS DAY, CAREER FAIR, FARM FIELD DAY, FITNESS AND NUTRITION CLUB, FREE SPORTS PHYSICALS AND CARDIAC SCREENINGS.
PART VI, LINE 6: THE HOSPITAL IS NOT A PART OF AN AFFILIATED HEALTH CARE SYSTEM.
Schedule H (Form 990) 2015
Additional Data


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