JENNIE STUART MEDICAL CENTER INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- JENNIE STUART MEDICAL CENTER INC (EIN 61-0482973)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-15
- IRS object ID
- 202413209349312816
- Schema version
- 2023v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-15T12:04:19+00:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 440160260 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Forvis Mazars LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1222 Demonbreun St Suite 950 | AddressLine1Txt |
| City | Nashville | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 372033357 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 610482973 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Jennie Stuart Medical Center Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | JENN | BusinessNameControlTxt |
| Phone | 2708870100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 320 W 18TH STREET | AddressLine1Txt |
| City | HOPKINSVILLE | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 42240 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARK LARAMEE | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 2708870251 | PhoneNum |
| Signature | 2024-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Jeff Smith | PreparerPersonNm |
| PTIN | P00289876 | PTIN |
| Phone | 6154549800 | PhoneNum |
| Preparation | 2024-11-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERIC LEE | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 320 W 18TH STREET | AddressLine1Txt |
| City | HOPKINSVILLE | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 42240 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $231,038,219 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.JENNIESTUARTHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1914 | FormationYr |
| Legal Domicile State | KY | LegalDomicileStateCd |
| Activity Or Mission | JSMC IS COMMITTED TO EXCELLENCE IN SERVICE, AND WE EXIST TO PROMOTE, PRESERVE AND ACCOMMODATE THE GROWING HEALTHCARE NEEDS OF OUR COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 1429 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,634,853 | PYContributionsGrantsAmt |
| CY Contributions Grants | $50,000 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $165,277,771 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $191,636,415 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,150,950 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,131,849 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,236,033 | PYOtherRevenueAmt |
| CY Other Revenue | $1,262,312 | CYOtherRevenueAmt |
| PY Total Revenue | $175,299,607 | PYTotalRevenueAmt |
| CY Total Revenue | $199,080,576 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $158,788 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $369,936 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $84,799,252 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $93,448,394 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $90,110,239 | PYOtherExpensesAmt |
| CY Other Expenses | $103,096,260 | CYOtherExpensesAmt |
| PY Total Expenses | $175,068,279 | PYTotalExpensesAmt |
| CY Total Expenses | $196,914,590 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $231,328 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,165,986 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $257,029,546 | TotalAssetsBOYAmt |
| Total Assets EOY | $274,365,569 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $121,359,863 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $129,512,510 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $135,669,683 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $144,853,059 | NetAssetsOrFundBalancesEOYAmt |
| Mission | JSMC IS COMMITTED TO EXCELLENCE IN SERVICE, AND WE EXIST TO PROMOTE, PRESERVE AND ACCOMMODATE THE GROWING HEALTHCARE NEEDS OF OUR COMMUNITY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $156,055,042 | ExpenseAmt |
| Grant | $369,936 | GrantAmt |
| Revenue | $191,636,415 | RevenueAmt |
| Desc | PROVIDE HOSPITAL INPATIENT, OUTPATIENT, AND EMERGENCY ROOM SERVICES TO AREA RESIDENTS. IN RECOGNITION OF ITS MISSION, JSMC WILL STRIVE TO PASSIONATELY PURSUE A CULTURE OF EXCEPTIONAL SERVICE AND A COMMITMENT TO CONTINUOUS QUALITY IMPROVEMENT. THE AMOUNT OF CHARITY CARE AT COST WAS APPROXIMATELY $45,000 FOR THE YEAR ENDED DECEMBER 31, 2023. | Desc |
| Total Program Service Expenses | $156,055,042 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 99 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1429 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | KY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARK LARAMEE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2708870251 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 320 W 18TH STREET | AddressLine1Txt |
| City | HOPKINSVILLE | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 42240 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| CASEY COVINGTON MD | ||||||||
| PRESIDENT | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CHARLES TURNER | ||||||||
| SECRETARY/TREASURER | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JANET DIXON | ||||||||
| BOARD VICE CHAIR | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| LESLIE CARROLL | ||||||||
| BOARD CHAIR | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MATTHEW ROBINSON MD | ||||||||
| PRESIDENT ELECT MEDICAL STAFF | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ALISSA YOUNG | ||||||||
| BOARD MEMBER | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| BETSY SHELTON | ||||||||
| BOARD MEMBER | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| CARTER HENDRICKS | ||||||||
| BOARD MEMBER | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| HOLLIS WHITE | ||||||||
| BOARD MEMBER | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| MARTY BOZARTH | ||||||||
| BOARD MEMBER | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| STEVE TRIBBLE | ||||||||
| BOARD MEMBER | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| ERIC LEE | ||||||||
| CEO | 40.0 | Yes (X) | $0 | $0 | $0 | |||
| MARK LARAMEE | ||||||||
| CFO | 40.0 | Yes (X) | $0 | $0 | $0 | |||
| BETH MCCRAW | ||||||||
| CHIEF NURSING OFFICER | 40.0 | $190,140 | $0 | $12,568 | Yes (X) | |||
| JASMINE EMERSON | ||||||||
| AVP OF HUMAN RESOURCES | 40.0 | $107,994 | $0 | $11,222 | Yes (X) | |||
| KEITH TOMS | ||||||||
| VP OF INTEGRATED SERVICES | 40.0 | $229,317 | $0 | $15,932 | Yes (X) | |||
| DAVID BEALLE | ||||||||
| PHYSICIAN | 40.0 | $922,233 | $0 | $19,253 | Yes (X) | |||
| FREDERICK ROBBE III | ||||||||
| PHYSICIAN | 40.0 | $963,456 | $0 | $9,484 | Yes (X) | |||
| GERAME WELLS | ||||||||
| PHYSICIAN | 40.0 | $728,841 | $0 | $18,419 | Yes (X) | |||
| TANNER PARRENT | ||||||||
| PHYSICIAN | 40.0 | $989,205 | $0 | $16,904 | Yes (X) | |||
| TIMOTHY CHANG | ||||||||
| PHYSICIAN | 40.0 | $804,727 | $0 | $15,690 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,935,913 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $119,472 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 130 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (true) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| THERAPY STAFFING SPECIALISTS INC | |||||
| 755 EVERETT LANE | HOPKINSVILLE | KY | 42240 | STAFFING | $3,167,004 |
| FORVIS LLP | |||||
| 600 N HURSTBORNE PKWY 350 | LOUISVILLE | KY | 40222 | TAX AND AUDIT | $1,896,999 |
| FEP OF KENTUCKY LLC | |||||
| 320 W 18TH ST | HOPKINSVILLE | KY | 42240 | STAFFING | $703,941 |
| AMERICAN PHYSICIAN PARTNERS LLC | |||||
| 5121 MARYLAND WAY STE 300 | BRENTWOOD | TN | 37027 | STAFFING | $473,225 |
| RAO VELEGA MD | |||||
| 320 W 18TH ST | HOPKINSVILLE | KY | 42240 | MEDICAL SERVICES | $409,235 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 22 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $50,000 | AllOtherContributionsAmt |
| Total Contributions | $50,000 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REVENUE | 621110 | $191,621,170 | $191,621,170 |
| BIO MED INCOME | 621110 | $15,245 | $15,245 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $191,636,415 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,979,037 | TotalRevenueColumnAmt |
| Exclusion | $2,979,037 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $192,297 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $195,082 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$2,785 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$2,785 | TotalRevenueColumnAmt |
| Exclusion | -$2,785 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $34,915,373 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $31,762,561 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,152,812 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,152,812 | TotalRevenueColumnAmt |
| Exclusion | $3,152,812 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| MISC REVENUE | 900099 | $866,790 | $866,790 |
| CAFETERIA SALES | 722514 | $398,307 | $398,307 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,265,097 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $199,080,576 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $191,636,415 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $7,394,161 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $369,936 | TotalAmt |
| Program Services | $369,936 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $542,570 | TotalAmt |
| Management And General | $542,570 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,808,746 | TotalAmt |
| Program Services | $69,420,043 | ProgramServicesAmt |
| Management And General | $10,388,703 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $999,864 | TotalAmt |
| Program Services | $856,633 | ProgramServicesAmt |
| Management And General | $143,231 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,919,844 | TotalAmt |
| Program Services | $5,928,572 | ProgramServicesAmt |
| Management And General | $991,272 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,177,370 | TotalAmt |
| Program Services | $4,435,709 | ProgramServicesAmt |
| Management And General | $741,661 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,484,433 | TotalAmt |
| Management And General | $1,484,433 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $202,395 | TotalAmt |
| Program Services | $26,000 | ProgramServicesAmt |
| Management And General | $176,395 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $181,447 | TotalAmt |
| Management And General | $181,447 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,925,001 | TotalAmt |
| Program Services | $13,757,094 | ProgramServicesAmt |
| Management And General | $6,167,907 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $424,275 | TotalAmt |
| Management And General | $424,275 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,315,236 | TotalAmt |
| Program Services | $1,689,406 | ProgramServicesAmt |
| Management And General | $1,625,830 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,209,284 | TotalAmt |
| Program Services | $1,238,043 | ProgramServicesAmt |
| Management And General | $2,971,241 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,687,941 | TotalAmt |
| Program Services | $2,613,533 | ProgramServicesAmt |
| Management And General | $74,408 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $211,677 | TotalAmt |
| Program Services | $136,631 | ProgramServicesAmt |
| Management And General | $75,046 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,657 | TotalAmt |
| Program Services | $48,657 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,745,305 | TotalAmt |
| Program Services | $3,745,305 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,150,196 | TotalAmt |
| Program Services | $8,152,795 | ProgramServicesAmt |
| Management And General | $997,401 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,760,408 | TotalAmt |
| Program Services | $128,628 | ProgramServicesAmt |
| Management And General | $1,631,780 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $40,340,516 | $40,340,516 | |
| PROVIDER TAX | $7,923,463 | $7,923,463 | |
| REPAIRS & MAINTENANCE | $3,920,690 | $2,852,741 | $1,067,949 |
| EMPLOYEE & PHYSICIAN RECRUITEMENT | $781,623 | $90,622 | $691,001 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,783,713 | TotalAmt |
| Program Services | $224,178 | ProgramServicesAmt |
| Management And General | $2,559,535 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $196,914,590 | TotalAmt |
| Program Services | $156,055,042 | ProgramServicesAmt |
| Management And General | $40,859,548 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,036,920 | BOYAmt |
| EOY | $18,621,489 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $128,286,611 | BOYAmt |
| EOY | $110,243,339 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,549,925 | BOYAmt |
| EOY | $22,777,846 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,793,297 | BOYAmt |
| EOY | $2,506,397 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,296,550 | BOYAmt |
| EOY | $2,825,032 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $218,371,524 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $128,669,487 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,213,445 | BOYAmt |
| EOY | $89,702,037 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,125,441 | BOYAmt |
| EOY | $1,125,441 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,727,357 | BOYAmt |
| EOY | $26,563,988 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $257,029,546 | BOYAmt |
| EOY | $274,365,569 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,933,381 | BOYAmt |
| EOY | $18,656,302 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,234,732 | BOYAmt |
| EOY | $78,245,482 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,013,683 | BOYAmt |
| EOY | $3,884,409 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,178,067 | BOYAmt |
| EOY | $28,726,317 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $121,359,863 | BOYAmt |
| EOY | $129,512,510 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $132,445,268 | BOYAmt |
| EOY | $140,581,150 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,224,415 | BOYAmt |
| EOY | $4,271,909 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $135,669,683 | BOYAmt |
| EOY | $144,853,059 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $257,029,546 | BOYAmt |
| EOY | $274,365,569 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $2,165,986 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $7,230,670 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$213,280 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $5,713 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $5,713 | TotalLobbyingExpendituresAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | FormAndLineReferenceDesc |
| Explanation | JENNIE STUART PAYS DUES TO THE KENTUCKY HOSPITAL ASSOCIATION. A PORTION OF THESE DUES ARE FOR LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,392,198 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $162,761 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $30,015 | OtherExpendituresAmt |
| End Year Balance | $1,524,944 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,592,509 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | -$190,897 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $9,414 | AdministrativeExpensesAmt |
| End Year Balance | $1,392,198 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,422,853 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $205,136 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $35,480 | AdministrativeExpensesAmt |
| End Year Balance | $1,592,509 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,304,660 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $155,745 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $37,552 | AdministrativeExpensesAmt |
| End Year Balance | $1,422,853 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,181,161 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $197,048 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $73,549 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $1,304,660 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.0 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,935,760 | OtherCostOrOtherBasisAmt |
| Book Value | $9,935,760 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $108,267,183 | OtherCostOrOtherBasisAmt |
| Depreciation | $69,991,782 | DepreciationAmt |
| Book Value | $38,275,401 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $239,365 | OtherCostOrOtherBasisAmt |
| Depreciation | $129,588 | DepreciationAmt |
| Book Value | $109,777 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $76,576,657 | OtherCostOrOtherBasisAmt |
| Depreciation | $58,548,117 | DepreciationAmt |
| Book Value | $18,028,540 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $23,352,559 | OtherCostOrOtherBasisAmt |
| Book Value | $23,352,559 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $89,702,037 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| RIGHT OF USE ASSETS | $16,118,226 |
| THIRD PARTY SETTLEMENTS | $6,739,790 |
| INSURANCE RECOVERIES | $2,995,580 |
| OTHER ASSETS | $710,392 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $26,563,988 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| THIRD PARTY SETTLEMENTS | $1,829,827 |
| MEDICAL MALPRACTICE LIABILITY | $9,626,267 |
| LEASE LIABILITIES | $17,270,223 |
| MEDICARE ADVANCE PAYMENTS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $28,726,317 | TotalLiabilityAmt |
| Other Revenue | $0 | OtherRevenueAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $0 | RevenueSubtotalAmt |
| Other Revenues Not Included | $0 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $0 | TotalRevenuePerForm990Amt |
| Other Expenses Included | $0 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $0 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $0 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $0 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS | THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS DID NOT INCLUDE A FOOTNOTE THAT ADDRESSED THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN48 (ASC 740). MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
| Schedule D, Part V, Line 4 Intended uses of endowment funds | INVESTMENTS TO BE HELD IN PERPETUITY, THE INCOME OF WHICH IS RESTRICTED FOR OPERATIONS OF THE MEDICAL CENTER. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 400 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,267,648 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $29,822,857 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $31,372,323 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $59,226,896 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $33,639,971 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $89,049,753 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Direct Offsetting Revenue | $98,079 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $98,079 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $33,639,971 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $89,147,832 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $40,550 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $40,550 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0002 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 46 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $132,755 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $132,755 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0007 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 49 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $173,305 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $173,305 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0009 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $11,034,000 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $5,517,000 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $22,524,782 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $29,418,330 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$6,893,548 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PHYSICIANS HOLDINGS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | RENTAL ACTIVITY | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.0057 | OrgProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.0043 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JENNIE STUART MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 320 WEST 18TH STREET | AddressLine1Txt |
| City | HOPKINSVILLE | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 42240 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.JENNIESTUARTHEALTH.ORG | WebsiteAddressTxt |
| State License | 100068 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JENNIE STUART MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTP://WWW.JENNIESTUARTHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTP://WWW.JENNIESTUARTHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 139.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.0 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://WWW.JENNIESTUARTHEALTH.ORG/PATIENT-VISITORS/FINANCIAL-ASSISTANCE-GUIDELINES | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://WWW.JENNIESTUARTHEALTH.ORG/PATIENT-VISITORS/FINANCIAL-ASSISTANCE-GUIDELINES | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://WWW.JENNIESTUARTHEALTH.ORG/PATIENT-VISITORS/FINANCIAL-ASSISTANCE-GUIDELINES | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - JENNIE STUART MEDICAL CENTER. INPUT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT WAS ASKED FROM INDIVIDUALS WITH KNOWLEDGE OF THE COMMUNITY AND EXPERTISE. INPUT WAS PROVIDED THROUGH A COUPLE OF NTERNET-BASED SURVEYS WITH LOCAL EXPERT ADVISORS WHO REPRESENT THE HOSPITAL'S COMMUNITY AS WELL AS THOSE WHO WORK WITH VULNERABLE POPULATIONS AND WHO HAVE HEALTH KNOWLEDGE. |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - JENNIE STUART MEDICAL CENTER. THE HOSPITAL DID NOT ADDRESS EVERY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT BECAUSE SOME OF THE NEEDS FELL OUT OF THE SCOPE OF EXPERTISE AND RESOURCES OF THE HOSPITAL, WHILE OTHER NEEDS WERE ALREADY BEING ADDRESSED IN THE COMMUNITY. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 18 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (19 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| JENNIE STUART AMBULATORY SURGERY DEPT | ||||
| 8250 EAGLE WAY | HOPKINSVILLE | KY | 42240 | OUTPATIENT SURGERY DEPARTMENT |
| JENNIE STUART MEDICAL IMAGING CENTER | ||||
| 110 NICK TERHUNE BLVD | HOPKINSVILLE | KY | 42240 | DIAGNOSTIC IMAGING |
| DEPT OF GASTROENTEROLOGY | ||||
| 231 BURLEY AVE | HOPKINSVILLE | KY | 42245 | PHYSICIAN OFFICE |
| DEPT OF GENERAL SURGERY | ||||
| 1724 KENTON ST | SUITE B | KY | 42249 | PHYSICIAN OFFICE |
| DEPT OF DERMATOLOGY | ||||
| 10755 EAGLE WAY | HOPKINSVILLE | KY | 42243 | PHYSICIAN OFFICE |
| DEPT OF FAMILY HEALTH | ||||
| 223 BURLEY AVE | HOPKINSVILLE | KY | 42242 | PHYSICIAN OFFICE |
| DEPT OF UROLOGY | ||||
| 219 W 17TH ST | HOPKINSVILLE | KY | 42247 | PHYSICIAN OFFICE |
| DEPT OF GENERAL SURGERY | ||||
| 1722 HIGH ST | HOPKINSVILLE | KY | 42248 | PHYSICIAN OFFICE |
| WKY ORTHOPEDIC AND SPORTS MEDICINE | ||||
| 10755 EAGLE WAY | HOPKINSVILLE | KY | 42246 | PHYSICIAN OFFICE |
| DEPT OF FAMILY HEALTH | ||||
| 120 N MAIN ST | TRENTON | KY | 42286 | PHYSICIAN OFFICE |
| DEPT OF FAMILY HEALTH | ||||
| 222 W 18TH ST | HOPKINSVILLE | NY | 42241 | PHYSICIAN OFFICE |
| DEPT OF OBSTETRICS AND GYNECOLOGY | ||||
| 1717 HIGH STREET SUITE 4B | HOPKINSVILLE | KY | 42244 | PHYSICIAN OFFICE |
| JENNIE STUART EXPRESS LAB | ||||
| 110 NICK TERHUNE BOULEVARD | HOPKINSVILLE | KY | 42240 | EXPRESS LAB |
| JENNIE STUART PHYSICAL THERAPY | ||||
| 10755 EAGLE WAY | HOPKINSVILLE | KY | 42240 | PHYSICAL THERAPY |
| JENNIE STUART HOME HEALTH | ||||
| 320 WEST 18TH STREET | HOPKINSVILLE | KY | 42240 | HOME HEALTH |
| JENNIE CARE | ||||
| 10755 EAGLE WAY | HOPKINSVILLE | KY | 42240 | PHYSICIAN OFFICE |
| DEPT OF ENT | ||||
| 10755 EAGLE WAY | HOPKINSVILLE | KY | 42240 | PHYSICIAN OFFICE |
| DEPT OF OBSTETRICS AND GYNECOLOGY | ||||
| 1621 NASHVILLE STREET SUITE 102 | RUSSELLVILLE | KY | 42276 | PHYSICIAN OFFICE |
| DEPT OF NEUROLOGY | ||||
| 1724 KENTON ST SUITE 1A | HOPKINSVILLE | KY | 42240 | PHYSICIAN OFFICE |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part III, Line 8 CALCULATION OF MEDICARE ALLOWABLE COSTS | COSTS REPORTED ON LINE 6 ARE OBTAINED USING THE MEDICARE COST REPORT COST TO CHARGE RATIO. |
| Schedule H, Part I, Line 7a PERCENT OF TOTAL EXPENSE: | TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25, OF THE FORM 990. |
| Schedule H, Part I, Line 7 COSTING METHODOLOGY | THE MEDICARE COST TO CHARGE RATIO WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED DECEMBER 31, 2023. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. APPROXIMATELY 50% OF ACCOUNTS WRITTEN OFF AS BAD DEBT WOULD QUALIFY FOR CHARITY CARE IF THE NECESSARY DOCUMENTATION WERE RECEIVED BY JENNIE STUART MEDICAL CENTER. |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED DECEMBER 31, 2023. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. APPROXIMATELY 50% OF ACCOUNTS WRITTEN OFF AS BAD DEBT WOULD QUALIFY FOR CHARITY CARE IF THE NECESSARY DOCUMENTATION WERE RECEIVED BY JENNIE STUART MEDICAL CENTER. |
| Schedule H, Part V, Section B, Line 16a FAP website | - JENNIE STUART MEDICAL CENTER: Line 16a URL: HTTPS://WWW.JENNIESTUARTHEALTH.ORG/PATIENT-VISITORS/FINANCIAL-ASSISTANCE-GUIDELINES; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - JENNIE STUART MEDICAL CENTER: Line 16b URL: HTTPS://WWW.JENNIESTUARTHEALTH.ORG/PATIENT-VISITORS/FINANCIAL-ASSISTANCE-GUIDELINES; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | - JENNIE STUART MEDICAL CENTER: Line 16c URL: HTTPS://WWW.JENNIESTUARTHEALTH.ORG/PATIENT-VISITORS/FINANCIAL-ASSISTANCE-GUIDELINES; |
| Schedule H, Part VI, Line 2 Needs assessment | DURING THE STRATEGIC BUSINESS PLANNING SESSION, THE ADMINISTRATIVE GROUP ANALYZES NEW SERVICES THAT MAY BE NEEDED. THIS PLAN IS BASED ON 5 PILLARS, ONE OF WHICH IS GROWTH. JSMC RECRUITS AND ENGAGES KEY STAKEHOLDERS AND WORKS TO HELP ASSESS RESULTS IN ADDRESSING COMMUNITY WIDE NEEDS. FEEDBACK FROM SURVEYS AND CITIZENS IN OUR COMMUNITY PROVIDE US WITH INPUT AND FEEDBACK. SEE THE FULL REPORT ON THE HOSPITAL'S WEBSITE AT: HTTP://WWW.JENNIESTUARTHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | SIGNS AND MONITORS ARE DISPLAYED IN REGISTRATION AREAS TO NOTIFY PATIENTS REGARDING THE PROGRAMS AVAILABLE. COPIES OF THE FAP AND BILLING AND COLLECTION POLICIES ARE AVAILABLE ON THE HOSPITAL WEBSITE AS WELL AS IN PAPER FORM BY REQUEST. ALSO, COUNSELORS ARE AVAILABLE TO PROVIDE INFORMATION AND WORK WITH PATIENTS. ALL REGISTRARS AND BILLING CLERKS RECEIVE EDUCATION REGARDING POLICIES AND PRACTICES. |
| Schedule H, Part VI, Line 4 Community information | JSMC IS THE ONLY NON-MILITARY ACUTE CARE FACILITY IN CHRISTIAN COUNTY, KENTUCKY. CHRISTIAN, TODD, AND TRIGG COUNTIES MAKE UP JSMC'S PRIMARY SERVICE AREA. JSMC'S SECONDARY SERVICE AREA IS COMPRISED OF CALDWELL, HOPKINS, AND MUHLENBERG COUNTIES IN KENTUCKY. HOPKINSVILLE IS THE 7TH LARGEST CITY IN KY AND IS APPROXIMATELY 75 MILES FROM NASHVILLE, TN. |
| Schedule H, Part VI, Line 5 Promotion of community health | JENNIE STUART IS ONE OF THE MOST WIDELY ENGAGED OPERATING ENTITIES IN OUR REGION, WORKING WITH A MULTITUDE OF KEY COMMUNITY IMPACT ORGANIZATIONS TO MEET THE NEEDS OF THE PEOPLE OF OUR COMMUNITY AND WESTERN KENTUCKY. OUR PRIMARY COLLABORATITIVE ENTITY IN MEETING THE NEEDS OF OUR PATIENTS AND THE COMMUNITY IS THE MEDICAL STAFF OF JENNIE STUART MEDICAL CENTER. JSMC WAS THE SPONSOR OF THE LOCAL AMERICAN CANCER SOCIETY'S RELAY FOR LIFE AND THE WALK TO END ALZHEIMERS. JSMC ALSO WORKS WITH THE CHRISTIAN COUNTY COALITION FOR BETTER LUNG HEALTH TO SPREAD AWARENESS ABOUT LUNG CANCER SCREENINGS THROUGH OUR LOW DOSE CT TEST. JSMC ALSO SPONSORS LOCAL EVENTS THAT PROMOTE PHYSICAL ACTIVITY INCLUDING 5KS, RUN/WALKS AND SENIOR OLYMPICS. JSMC PARTICIPATES IN MULTIPLE COMMUNITY HEALTH FAIRS TO PROVIDE FREE SCREENINGS FOR BLOOD SUGAR, BLOOD PRESSURE, AND BMI. JSMC HOSTED A YEARLY BACK TO SCHOOL CLINIC AND PROVIDES EDUCATION IN SCHOOLS ON ALCHOHOL AND SUBSTANCE ABUSE THROUGH THE HEALTH EDUCATION TEAM. JSMC ALSO HOSTS ANNUAL FREE SPORTS PHYSICALS AND HOSTS A FLU VACCINATION DRIVE THRU. |
| Schedule H, Part VI, Line 7 State filing of community benefit report | KY |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JENNIE STUART HEALTH FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 608 | AddressLine1Txt |
| City | HOPKINSVILLE | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 42241 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 822980765 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $369,936 | CashGrantAmt |
| Purpose Of Grant | ADMIN SUPPORT | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. | FormAndLineReferenceDesc |
| Explanation | ADMINISTRATIVE EXPENSES FOR THE JENNIE STUART HEALTH FOUNDATION, A PHILANTHROPIC SUBSIDIARY OF JENNIE STUART HEALTH, ARE PROVIDED BY JENNIE STUART HEALTH TO ALLOW THE FOUNDATION TO DIRECTLY SUPPORT COMMUNITY CARE AND SERVICE EXPANSION. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (true) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KEITH TOMS | ||||||||||||||
| VP OF INTEGRATED SERVICES | $228,270 | $0 | $55 | $0 | $992 | $0 | $5,288 | $0 | $10,644 | $0 | $245,249 | $0 | $0 | $0 |
| BETH MCCRAW | ||||||||||||||
| CHIEF NURSING OFFICER | $187,720 | $0 | $55 | $0 | $2,365 | $0 | $6,249 | $0 | $6,319 | $0 | $202,708 | $0 | $0 | $0 |
| FREDERICK ROBBE III | ||||||||||||||
| PHYSICIAN | $628,265 | $0 | $332,259 | $0 | $2,932 | $0 | $9,100 | $0 | $384 | $0 | $972,940 | $0 | $0 | $0 |
| TANNER PARRENT | ||||||||||||||
| PHYSICIAN | $447,060 | $0 | $542,145 | $0 | $0 | $0 | $9,900 | $0 | $7,004 | $0 | $1,006,109 | $0 | $0 | $0 |
| TIMOTHY CHANG | ||||||||||||||
| PHYSICIAN | $559,763 | $0 | $244,964 | $0 | $0 | $0 | $9,900 | $0 | $5,790 | $0 | $820,417 | $0 | $0 | $0 |
| DAVID BEALLE | ||||||||||||||
| PHYSICIAN | $607,118 | $0 | $311,586 | $0 | $3,529 | $0 | $9,900 | $0 | $9,353 | $0 | $941,486 | $0 | $0 | $0 |
| GERAME WELLS | ||||||||||||||
| PHYSICIAN | $378,823 | $0 | $350,018 | $0 | $0 | $0 | $9,900 | $0 | $8,519 | $0 | $747,260 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 1a Health or social club dues or initiation fees | COUNTRY CLUB MEMBERSHIP DUES WERE PAID FOR THE CEO AND WERE EXCLUDED FROM TAXABLE COMPENSATION. |
| Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization | JSMC'S ANNUAL INCENTIVE PLAN IS BASED ON THE FOLLOWING GUIDING PRINCIPLES: - SUPPORT THE MISSION OF JSMC - RETAIN AND MOTIVATE A HIGH PERFORMANCE EXECUTIVE TEAM - REWARD SUCCESS IN ACHIEVING MEASURABLE FINANCIAL, QUALITY AND STRATEGIC GOALS - ALIGN INCENTIVE COMPENSATION AWARDS WITH THE STRATEGIC PLAN OF JSMC - ENCOURAGE HIGH LEVELS OF TEAM AND INDIVIDUAL PERFORMANCE PLAN PARTICIPANTS INCLUDE SELECT LEADERS AND MANAGERS AT JSMC. THE ANNUAL INCENTIVE AWARD LEVELS ARE: - THRESHOLD = 5% OF BASE SALARY - TARGET = 10% OF BASE SALARY - MAXIMUM = 15% OF BASE SALARY PERFORMANCE MEASURES ARE BASED ON THE PARTICIPANT'S PROGRESS AGAINST THE FOLLOWING METRICS: 1. PATIENT EXPERIENCE - HCAHPS SCORES MEETING AND/OR EXCEEDING TARGET 2. QUALITY - READMISSION RATES MEETING AND/OR EXCEEDING TARGET 3. FINANCIAL - OPERATING MARGIN MEETING AND/OR EXCEEDING VARIOUS TIERS |
| Schedule J, Part II COMPENSATION FROM UNRELATED ORGANIZATIONS | THE HOSPITAL CONTRACTS THE SERVICES OF ERIC LEE (CEO) AND MARK LARAMEE (CFO) WITH QHR (FORMERLY QUORUM HEALTH RESOURCES, INC.), AN UNRELATED ORGANIZATION. QHR WAS PAID $902,279 FOR SERVICES PROVIDED BY THESE INDIVIDUALS DURING 2023. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| COUNTY OF CHRISTIAN KENTUCKY | ||||||||
| A | 616000824 | 170692CPO | 2016-12-21 | $62,052,293 | REFUND OUTSTANDING BONDS/CAPITAL | false | false | false |
| COUNTY OF CHRISTIAN KENTUCKY | ||||||||
| B | 616000824 | 000000000 | 2022-11-29 | $32,000,000 | REMODEL OF ER AND CANCER CENTER | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $1,615,000 | $0 | $62,052,293 | $4,994,713 | $0 | $45,910,620 | $1,146,961 | $0 | $0 | $10,000,000 | $0 | $0 | 2019 | false | Yes (true) | Yes (true) | Yes (true) |
| B | $0 | $0 | $32,000,000 | $0 | $0 | $0 | $0 | $0 | $0 | $6,908,518 | $0 | $25,091,482 | false | false | false | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | false | false | Yes (true) | Yes (true) | false | 0.0 | 0.0 | false | false | Yes (true) |
| B | false | false | Yes (true) | Yes (true) | false | 0.0 | 0.0 | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Term Of GICTermOfGICPct | Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| NAXIS FUNDING GROUP | |||||||||||
| A | false | false | false | Yes (true) | false | false | Yes (true) | 10.1 | Yes (true) | false | Yes (true) |
| (no name) | |||||||||||
| B | false | false | false | Yes (true) | false | false | Yes (true) | Yes (true) | false | Yes (true) | |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule K, Part I, Column (f) PURPOSE OF THE BOND | 1. ADVANCE REFUNDING ON BONDS ISSUED 09/18/2008 2. CONSTRUCTION AND EQUIPPING OF THE CAPITAL ADDITIONS AND IMPROVEMENTS TO THE ORGANIZATION'S MAIN HOSPITAL CAMPUS AND AMBULATORY CARE CAMPUS |
| Schedule K, Part IV, Line 2c REBATE COMPUTATION | THE ARBITRAGE REBATE CALCULATION WAS PERFORMED IN FEBRUARY 2022, COVERING THE PERIOD OF DECEMBER 21, 2016 TO JANUARY 31, 2022. NO ARBITRAGE REBATE LIABILITY HAS BEEN RECORDED AS A RESULT OF THE EVALUATION. |
| Schedule K, Part IV, Line 2c COLUMN B | Issuer name: COUNTY OF CHRISTIAN, KENTUCKY The calculation for computing no rebate due was performed on 01/31/2022 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 19 MAKING DOCUMENTS AVAILABLE TO THE PUBLIC | THE HOSPITAL DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. |
| Form 990, Part VI, Line 3 Delegation of management duties | THE MEDICAL CENTER CONTRACTS WITH QUORUM HEALTH RESOURCES, LLC DBA OVATION HEALTHCARE TO PROVIDE MANAGEMENT SERVICES UNDER AN AGREEMENT WHICH EXPIRES AUGUST 31, 2026. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE ITS FORM 990. ONCE THE FORM 990 IS PREPARED BY THE ACCOUNTING FIRM AND REVIEWED BY MANAGEMENT, THE FINAL FORM IS PROVIDED TO THE FINANCE COMMITTEE FOR REVIEW PRIOR TO FILING. QUESTIONS AND COMMENTS RAISED BY THE FINANCE COMMITTEE ARE ADDRESSED PRIOR TO FILING. THE FINAL FORM 990 IS PROVIDED TO THE ENTIRE BOARD PRIOR TO FILING. |
| Form 990, Part VI, Line 12c Conflict of interest policy | EACH OFFICER FROM DEPARTMENT MANAGER TO THE PRESIDENT, MEMBER OF MEDICAL STAFF, QUALIFIED PROFESSIONAL OR LICENSED INDEPENDENT PRACTITIONER, EACH MEMBER OF THE BOARD, AND EACH MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS MUST SIGN ANNUALLY A STATEMENT AND MAKE DISCLOSURES WHICH ARE PRESENTED TO THE BOARD FOR REVIEW, BEFORE THE FIRST BOARD MEETING OF EACH NEW YEAR. DOCUMENTATION OF THE ANNUAL BOARD REVIEW WILL BE RECORDED IN THE MINUTES. PERIODIC REVIEW SHALL BE CONDUCTED TO ENSURE THE MEDICAL CENTER OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES AND THAT IT DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | AN ANNUAL COMPENSATION REVIEW WAS CONDUCTED IN 2023 FOR THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS AND OTHER OFFICERS AND KEY EMPLOYEES. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | AN ANNUAL COMPENSATION REVIEW WAS CONDUCTED IN 2023 FOR THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS AND OTHER OFFICERS AND KEY EMPLOYEES. |
| Form 990, Part VI, Line 19 Required documents available to the public | THE HOSPITAL DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. |
| Form 990, Part IX, Line 11g Other Fees | PHYSICIANS/PROFESSIONAL FEES - Total Expense: 19925001, Program Service Expense: 13757094, Management and General Expenses: 6167907, Fundraising Expenses: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | DISTRIBUTIONS TO NONCONTROLLING INTEREST - -213280; |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|
| FAIRVIEW PHYSICIANS NETWORK LLC | |||||||
| 320 W 18TH STREET | HOPKINSVILLE | KY | 42240 | 452032126 | PHYSCIAN SRVS | KY | JSMC |
| WESTERN KENTUCKY MEDICAL DEVELOPMENTLLC | |||||||
| PO BOX 2400 | HOPKINSVILLE | KY | 42241 | RENTAL | KY | JSMC | |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JENNIE STUART HEALTH FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 608 | AddressLine1Txt |
| City | HOPKINSVILLE | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 42241 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 822980765 | EIN |
| Primary Activities | SUPPORT | PrimaryActivitiesTxt |
| Legal Domicile State | KY | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | Type II | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JSMC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PHYSICIANS' HOLDINGS LLC | |||||||||||||
| 320 W18 | HOPKINSVILLE | KY | 42240 | 261608818 | BUILDING RENT | KY | JSMC | Excluded | $198,755 | $1,394,641 | false | false | 0.57 |
| KENTUCKY HEALTHCARE HOLDINGS I LLC | |||||||||||||
| 109 WESTPARK DRIVE | BRENTWOOD | TN | 37027 | 842468059 | REAL ESTATE | TN | NA | Related | $117,084 | $465,195 | false | false | 0.5 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| PHYSICIANS' HOLDINGS LLC | ||
| J | $27,272 | FMV |
| PHYSICIANS' HOLDINGS LLC | ||
| K | $559,076 | FMV |