BRECKINRIDGE HEALTH INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- BRECKINRIDGE HEALTH INC (EIN 61-0525158)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-13
- IRS object ID
- 202033189349300423
- Schema version
- 2019v5.1
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-11-13T07:24:58-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 271235638 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCM CPAS & ADVISORS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 462 S FOURTH ST SUITE 2600 | AddressLine1Txt |
| City | LOUISVILLE | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 402023445 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 610525158 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRECKINRIDGE HEALTH INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BREC | BusinessNameControlTxt |
| Phone | 2707567000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1011 OLD HIGHWAY 60 EAST | AddressLine1Txt |
| City | HARDINSBURG | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 40143 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANGELA PORTMAN | PersonNm |
| Person Title | CHIEF EXECUTIVE OFFICER | PersonTitleTxt |
| Phone | 2707567000 | PhoneNum |
| Signature | 2020-11-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ELEANOR A LIVINGSTON CPA MST | PreparerPersonNm |
| PTIN | P00226461 | PTIN |
| Phone | 5027491900 | PhoneNum |
| Preparation | 2020-10-27 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 69.135.99.226 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-11-05 | IPDt |
| IP Tm | 18:12:36 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | A9E73B062129935174CB771FC93B1B2751F22327 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | BE8E94C025C46DAA2232A80A473E80B0CC3532C5 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ANGELA PORTMAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1011 OLD HIGHWAY 60 EAST | AddressLine1Txt |
| City | HARDINSBURG | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 40143 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $23,195,737 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BRECKHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1947 | FormationYr |
| Legal Domicile State | KY | LegalDomicileStateCd |
| Activity Or Mission | THE ORGANIZATION'S EXPLICIT PURPOSE IS TO CONTINUALLY REDUCE THE BURDEN OF ILLNESS, INJURY AND DISABILITY AND TO IMPROVE THE HEALTH AND FUNCTIONING OF THE PEOPLE OF ITS COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 372 | TotalEmployeeCnt |
| Total Volunteers | 11 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $62,133 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,970 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $20,062,770 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $20,202,328 | CYProgramServiceRevenueAmt |
| PY Investment Income | $7,616 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,108 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,087,192 | PYOtherRevenueAmt |
| CY Other Revenue | $2,988,331 | CYOtherRevenueAmt |
| PY Total Revenue | $22,219,711 | PYTotalRevenueAmt |
| CY Total Revenue | $23,195,737 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $11,877,055 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $11,875,687 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $10,829,172 | PYOtherExpensesAmt |
| CY Other Expenses | $10,617,151 | CYOtherExpensesAmt |
| PY Total Expenses | $22,706,227 | PYTotalExpensesAmt |
| CY Total Expenses | $22,492,838 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$486,516 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $702,899 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $11,615,787 | TotalAssetsBOYAmt |
| Total Assets EOY | $11,450,538 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $11,905,717 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $11,037,569 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$289,930 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $412,969 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE ORGANIZATION'S EXPLICIT PURPOSE IS TO CONTINUALLY REDUCE THE BURDEN OF ILLNESS, INJURY AND DISABILITY AND TO IMPROVE THE HEALTH AND FUNCTIONING OF THE PEOPLE OF ITS COMMUNITIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $19,110,539 | ExpenseAmt |
| Revenue | $23,140,513 | RevenueAmt |
| Desc | BRECKENRIDGE HEALTH IS A 25 BED CRITICAL ACCESS HOSPITAL, PLUS 18 BED NURSING FACILITY, AND ALSO HAS 3 RURAL HEALTH CLINICS.IN 2002 BRECKINRIDGE MEMORIAL HOSPITAL, INC. BECAME BRECKINRIDGE HEALTH, INC. IN ORDER TO DESCRIBE ALL OF ITS DIVISIONS. BRECKINRIGE HEALTH, INC. INCLUDES BRECKINRIDGE MEMORIAL HOSPITAL, BRECKINRIDGE MEMORIAL NURSING FACILITY, THE CLOVERPORT HEALTH CLINIC, MCDANIELS HEALTH CLINIC, AND BRECKINRIDGE PRIMARY CARE.BRECKINRIDGE HEALTH, INC. IS ACCREDITED BY JOINT COMMISSION FOR HEALTHCARE ORGANIZATIONS, CERTIFIED FOR MEDICARE AND MEDICAID, LICENSED BY THE KENTUCKY DIVISION OF LICENSING AND REGULATION.BRECKINRIDGE HEALTH IS ALSO A MEMBER OF THE FOLLOWING ORGANIZATIONS: AMERICAN HOSPITAL ASSOCIATION, KENTUCKY HOSPITAL ASSOCIATION, KENTUCKY ASSOCIATION OF NOT-FOR-PROFIT HOMES AND SERVICES FOR THE AGING | Desc |
| Total Program Service Expenses | $19,110,539 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 30 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 372 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| 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 | ANGELA PORTMAN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2707567000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1011 OLD HIGHWAY 60 EAST | AddressLine1Txt |
| City | HARDINSBURG | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 40143 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| DR BENJAMIN SMITH | |||||||
| PHYSICIAN | 50.00 | Yes (X) | $402,893 | $0 | $5,312 | ||
| DAVID FABER | |||||||
| SURGEON | 50.00 | Yes (X) | $365,000 | $0 | $2,808 | ||
| BRIAN T O'DONOGHUE | |||||||
| PHYSICIAN | 50.00 | Yes (X) | $282,345 | $0 | $4,811 | ||
| ANGELA PORTMAN | |||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | $180,200 | $0 | $19,398 | Yes (X) | Yes (X) | |
| JOHN ROE | |||||||
| CRNA | 40.00 | Yes (X) | $178,530 | $0 | $0 | ||
| HARRY MATTINGLY | |||||||
| PHARMACY DIRECTOR | 45.00 | Yes (X) | $142,836 | $0 | $2,694 | ||
| TIMOTHY D CROCKETT | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | $99,234 | $0 | $13,184 | Yes (X) | ||
| FAYE DOWELL | |||||||
| TREASURER | 2.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| LAYMAN LUCAS | |||||||
| CHAIR | 2.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| DOTTIE WATSON | |||||||
| SECRETARY | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| KIM FLOOD | |||||||
| VICE CHAIR | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| MITCH JACKSON | |||||||
| TRUSTEE | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| HOLLY GREGORY | |||||||
| TRUSTEE | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| TOM LOUGHRAN | |||||||
| TRUSTEE | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| GRAYANNE JACKSON | |||||||
| TRUSTEE | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| JEFF ROBBINS | |||||||
| TRUSTEE | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| JANICE ELDER | |||||||
| TRUSTEE | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| MANDY BUTLER | |||||||
| MEDICAL STAFF ADVOCATE | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| KERRY KASEY | |||||||
| TRUSTEE | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,651,038 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $48,207 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CONCORD MEDICAL GROUP OF KENTUCKY | |||||
| 1602 AVENUE Q | LUBBOCK | TX | 79401 | EMERGENCY ROOM SERVICES | $904,791 |
| ALLIANT MANAGEMENT SERVICES | |||||
| 12800 N MERIDIAN ST | CARMEL | IN | 46032 | HOSPITAL MGT SERVICES | $748,898 |
| ATHENAHEALTH INC | |||||
| PO BOX 415615 | BOSTON | MA | 02241 | EMERGENCY ROOM SERVICES | $671,178 |
| DIAGNOSTIC SHARED SERVICES | |||||
| 2650 EASTPOINT PKWY STE 300 | LOUISVILLE | KY | 40223 | MOBILE MRI | $242,028 |
| NUMED INC | |||||
| PO BOX 1098 | DENTON | TX | 76202 | MED. IMAGING SERVICES | $133,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 8 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,970 | GovernmentGrantsAmt |
| Total Contributions | $1,970 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICES | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $20,202,328 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $20,202,328 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $20,202,328 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,054 | TotalRevenueColumnAmt |
| Exclusion | $3,054 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $54 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $54 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $54 | TotalRevenueColumnAmt |
| Exclusion | $54 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| 340B REVENUE | 900099 | $2,332,543 | $2,332,543 |
| DISPROPORTIONATE SHARE REBATE PRO | 900099 | $539,590 | $539,590 |
| MISCELLANEOUS REVENUE | 900099 | $66,052 | $66,052 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $50,146 | TotalRevenueColumnAmt |
| Exclusion | $50,146 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,988,331 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,195,737 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $23,140,513 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $53,254 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $300,946 | TotalAmt |
| Management And General | $300,946 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,053,958 | TotalAmt |
| Program Services | $7,480,900 | ProgramServicesAmt |
| Management And General | $1,573,058 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,938 | TotalAmt |
| Program Services | $65,522 | ProgramServicesAmt |
| Management And General | $17,416 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,772,299 | TotalAmt |
| Program Services | $1,400,116 | ProgramServicesAmt |
| Management And General | $372,183 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $665,546 | TotalAmt |
| Program Services | $525,781 | ProgramServicesAmt |
| Management And General | $139,765 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $178,636 | TotalAmt |
| Management And General | $178,636 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $382 | TotalAmt |
| Management And General | $382 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,782 | TotalAmt |
| Management And General | $58,782 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,585,577 | TotalAmt |
| Program Services | $3,585,577 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,688 | TotalAmt |
| Program Services | $63,620 | ProgramServicesAmt |
| Management And General | $7,068 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $611,843 | TotalAmt |
| Program Services | $565,656 | ProgramServicesAmt |
| Management And General | $46,187 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,189,717 | TotalAmt |
| Program Services | $951,774 | ProgramServicesAmt |
| Management And General | $237,943 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,339 | TotalAmt |
| Program Services | $56,345 | ProgramServicesAmt |
| Management And General | $22,994 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $312,697 | TotalAmt |
| Program Services | $212,634 | ProgramServicesAmt |
| Management And General | $100,063 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $568,082 | TotalAmt |
| Program Services | $386,296 | ProgramServicesAmt |
| Management And General | $181,786 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $337,756 | TotalAmt |
| Program Services | $307,358 | ProgramServicesAmt |
| Management And General | $30,398 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL AND OTHER SUPPL | $1,995,558 | $1,938,206 | $57,352 |
| BAD DEBT EXPENSE | $1,258,661 | $1,258,661 | |
| TAXES AND LICENSES | $299,752 | $294,670 | $5,082 |
| DUES AND SUBSCRIPTIONS | $69,681 | $17,423 | $52,258 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,492,838 | TotalAmt |
| Program Services | $19,110,539 | ProgramServicesAmt |
| Management And General | $3,382,299 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $102,060 | BOYAmt |
| EOY | $391,755 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $527,054 | BOYAmt |
| EOY | $886,982 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,117,861 | BOYAmt |
| EOY | $2,582,274 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $411,394 | BOYAmt |
| EOY | $467,682 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $114,794 | BOYAmt |
| EOY | $153,394 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $23,985,649 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $17,056,489 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,284,333 | BOYAmt |
| EOY | $6,929,160 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,291 | BOYAmt |
| EOY | $26,291 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,000 | BOYAmt |
| EOY | $13,000 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,615,787 | BOYAmt |
| EOY | $11,450,538 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,687,847 | BOYAmt |
| EOY | $2,856,145 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $303,750 | BOYAmt |
| EOY | $209,604 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,560,000 | BOYAmt |
| EOY | $6,344,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,107,971 | BOYAmt |
| EOY | $656,738 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $246,149 | BOYAmt |
| EOY | $971,082 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,905,717 | BOYAmt |
| EOY | $11,037,569 | 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 | -$289,930 | BOYAmt |
| EOY | $412,969 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$289,930 | BOYAmt |
| EOY | $412,969 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,615,787 | BOYAmt |
| EOY | $11,450,538 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $702,899 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $1,738 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1,738 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION BELONGS TO THE KENTUCKY HOSPITAL ASSOCIATION. TOTAL DUES PAID TO THE ORGANIZATION ATTRIBUTABLE TO LOBBYING EXPENSES FOR 2019 AMOUNT TO $1,738. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Incl Escrow Custodial Acct Liab | 0 | InclEscrowCustodialAcctLiabInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $66,140 | OtherCostOrOtherBasisAmt |
| Book Value | $66,140 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,334,655 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,435,139 | DepreciationAmt |
| Book Value | $5,899,516 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,083,472 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,204,407 | DepreciationAmt |
| Book Value | $879,065 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $501,382 | OtherCostOrOtherBasisAmt |
| Depreciation | $416,943 | DepreciationAmt |
| Book Value | $84,439 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $6,929,160 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | THIRD PARTY PAYOR SETTLEMENTS | Desc |
| Amt | $971,082 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $971,082 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $21,937,076 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $21,937,076 | RevenueSubtotalAmt |
| Other Revenues Not Included | $1,258,661 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $1,258,661 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $23,195,737 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $21,234,177 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $21,234,177 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $1,258,661 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $1,258,661 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $22,492,838 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE INTERNAL REVENUE SERVICE HAS RULED THAT THE HOSPITAL IS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE HOSPITAL RECOGNIZES UNCERTAIN INCOME TAX POSITIONS USING A "MORE-LIKELY-THAN-NOT" APPROACH AS DEFINED IN THE ASC. NO LIABILITY FOR UNCERTAIN TAX POSITIONS HAS BEEN RECORDED IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE HOSPITAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIOD IN PROGRESS. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 1,258,661. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 1,258,661. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $55,602 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $55,602 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00250 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,748,003 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,434,953 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $313,050 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01390 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,803,605 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,434,953 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $368,652 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01640 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,900 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $19,900 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,900 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $19,900 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,823,505 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,434,953 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $388,552 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01730 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,258,661 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $63,119 | BadDebtExpenseAttributableAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| 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 | BRECKINRIDGE MEMORIAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1011 OLD HIGHWAY 60 | AddressLine1Txt |
| City | HARDINSBURG | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 40143 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.BRECKINRIDGEHEALTH.ORG | WebsiteAddressTxt |
| State License | 600070 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRECKINRIDGE MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | 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 |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.BRECKINRIDGEHEALTH.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.BRECKINRIDGEHEALTH.ORG | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.BRECKINRIDGEHEALTH.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.BRECKINRIDGEHEALTH.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.BRECKINRIDGEHEALTH.ORG | 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 |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Permit Legal Judicial Process | Yes (X) | PermitLegalJudicialProcessInd |
| Collection Activities | Yes (1) | CollectionActivitiesInd |
| Reporting To Credit Agency | Yes (X) | ReportingToCreditAgencyInd |
| Engaged Legal Judicial Process | Yes (X) | EngagedLegalJudicialProcessInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| BRECKINRIDGE MEMORIAL HOSPITAL | PART V, SECTION B, LINE 5: THE HOSPITAL MET WITH HEALTH DEPARTMENT, OTHER LOCAL HEALTH PROVIDERS, LOCAL MINISTERS HOSPITAL BOARD, FOUNDATION BOARD AND COMMUNITY LEADERS. |
| BRECKINRIDGE MEMORIAL HOSPITAL | PART V, SECTION B, LINE 6A: RURAL HEALTH CLINICS, ALL LOCAL PHYSICIANS AND OTHER COMMUNITY MEMBERS |
| BRECKINRIDGE MEMORIAL HOSPITAL | PART V, SECTION B, LINE 6B: RURAL HEALTH CLINICS, ALL LOCAL PHYSICIANS AND OTHER COMMUNITY MEMBERS |
| BRECKINRIDGE MEMORIAL HOSPITAL | PART V, SECTION B, LINE 11: FOR EACH OF THE PRIORITY AREAS IN THE MOST RECENT CHNA THE HOSPITAL WILL WORK WITH THE PHYSICIANS AND COMMUNITY TO: IDENTIFY ANY RELATED ACTIVITIES BEING CONDUCTED BY OTHERS IN THE COMMUNITY THAT COULD BE BUILT UPON; DEVELOP MEASUREABLE GOALS AND OBJECTIVES TO BE EFFECTIVE IN MEASURING THEIR EFFORTS; BUILD SUPPORT FOR THE INITIATIVES WITHIN THE COMMUNITY AND AMONG OTHER HEALTH CARE PROVIDERS. DEVELOP DETAILED WORK PLANS. THOSE ITEMS NOT ADDRESSED MAY BE ACTIVELY ADDRESSED BY ANOTHER COMMUNITY ORGANIZATION OR NOT BUDGETARY FEASIBLE AT THIS TIME. |
| BRECKINRIDGE MEMORIAL HOSPITAL | PART V, SECTION B, LINE 20E: THE FINANCIAL COUNSELOR FOLLOWS UP WITH EACH AND EVERY UNINSURED INDIVIDUAL AND DOCUMENTS EACH DATE OF SERVICE INCURRED. INDIVIDUALS ARE NOTIFIED OF OUR FINANCIAL AID POLICY. DETERMINATION OF FINANCIAL ASSISTANCE ELIGIBILITY IS DOCUMENTED. WE HAVE AN EARLY OUT VENDOR THAT CALLS ON ALL BALANCES (UNINSURED AND AFTER INSURANCE SELF-PAY). WE ALSO MEET ALL REQUIREMENTS SET FORTH BY 501(R). ALL STATEMENTS INCLUDE A PLAIN LANGUAGE SUMMARY OF THE FAP. THE THIRD STATEMENT HAS THE "ECA NOTICE THAT EXPLAINS THE BALANCE WILL BE PLACED WITH A COLLECTOR. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 4 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - CLOVERPORT CLINIC | ||||
| 209 ELM ST | CLOVERPORT | KY | 40111 | CLINIC |
| 2 - MCDANIELS' CLINIC | ||||
| 9798 KY-259 | MCDANIELS | KY | 40152 | CLINIC |
| 3 - BRECKENRIDGE PRIMARY CARE | ||||
| 107 OLD HWY 60 | HARDENSBURG | KY | 40143 | CLINIC |
| 4 - BRECKENRIDGE NURSING FACILITY | ||||
| 1011 OLD HWY 60 | HARDENSBURG | KY | 40143 | ELDER CARE |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | BRECKINRIDGE HEALTH UTILIZES A COST ACCOUNTING SYSTEM THAT IDENTIFIES THE COST OF DELIVERING CARE AT THE INDIVIDUAL PROCEDURE AND SUPPLY LEVEL FOR DIRECT COSTS AND THEN ALLOCATES OVERHEAD COSTS. COSTS ARE DETERMINED FOR EACH PATIENT BASED UPON THE SPECIFIC PROCEDURES PERFORMED AND SUPPLIES USED FOR EACH PATIENT. |
| PART I, LN 7 COL(F): | A SEPARATE FOOTNOTE FOR BAD DEBT EXPENSE IS NOT INCLUDED IN THE AUDITEDFINANCIAL STATEMENTS. BAD DEBT IS DETERMINED BY REVIEWING ACCOUNTS OWED AND REVIEWING WHICH PROGRAMS ARE AVAILABLE TO THOSE PATIENTS WHO CANNOT PAY THEIR BILL. ONCE A REVIEW IS COMPLETED AND PATIENTS WHO ARE NOT ELIGIBLE FOR OTHER PROGRAMS ARE IDENTIFIED THE FACILITY ATTEMPTS TO COLLECT THE UNPAID BALANCE. ONCE ALL COLLECTION EFFORTS HAVE BEEN EXHAUSTED THE FACILITY DETERMINES THE AMOUNTS THAT ARE UNCOLLECTIBLE AND WRITES THOSE BALANCES OFF. |
| PART III, LINE 2: | BAD DEBT IS DETERMINED TO BE 90% OF THE SELF-PAY ACCOUNTS RECEIVABLE. THIS IS BASED UPON HISTORIC TRENDS. |
| PART III, LINE 3: | THE FINANCIAL COUNSELOR FOLLOWS UP WITH EACH AND EVERY UNINSURED INDIVIDUAL TO ASSIST WITH DETERMINING MEDICAID AND FINANCIAL ASSISTANCE ELIGIBILITY. IN SOME INSTANCES, THE PATIENT IS NONCOMPLIANT WITH PROVIDING THE NEEDED DOCUMENTATION. ALSO, WHEN PATIENTS GO THROUGH THE ER AFTER HOURS, THE FINANCIAL COUNSELOR IS NOT ABLE TO MEET WITH THE PATIENT AT THAT TIME. SHE DOES FOLLOW UP AFTER THE ER VISIT TO DETERMINE FINANCIAL ASSISTANCE ELIGIBILITY, BUT SINCE IT IS AFTER THE FACT SOME COULD SLIP THROUGH THE CRACKS. WE ARE CONSTANTLY TRYING TO IMPROVE OUR PROCESS WITH THE GOAL OF CAPTURING 100% ELIGIBILITY. BASED ON DEMOGRAPHICS AND INCOME LEVELS, $62,000 IS THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY. |
| PART III, LINE 8: | THE MEDICARE SHORTFALL REPRESENTS AN UNDERPAYMENT OF OUR COST FOR PROVIDING SERVICES TO TRADITIONAL MEDICARE PATIENTS. WE USE THE MEDICARE COST REPORT FOR COSTING METHODOLOGY FOR CALCULATING THE MEDICARE SHORTFALL. |
| PART III, LINE 9B: | COLLECTION PRACTICES ARE THE SAME FOR THOSE WHO QUALIFY FOR ASSISTANCE AS FOR THOSE WHO DO NOT. THE FINANCIAL COUNSELOR FOLLOWS UP WITH EACH AND EVERY UNINSURED INDIVIDUAL TO ASSIST WITH DETERMINING MEDICAID AND FINANCIAL ASSISTANCE ELIGIBILITY. BEFORE ANY ACCOUNT IS SENT TO COLLECTIONS, IT IS REVIEWED FOR DSH FUNDS AND CHARITY CARE. |
| PART VI, LINE 2: | EVERY THREE YEARS THE HOSPITAL DOES A COMMUNITY SURVEY. WE CONTACT RESIDENTS OF OUR SERVICE AREA TO GET THEIR FEELING ABOUT THE HOSPITAL AND WHAT IS NEEDED IN OUR COMMUNITY. OUR BOARD AND EMPLOYEES ALSO RELAY TO THE FACILITY WHAT IS NEEDED. THE ORGANIZATION'S EXPLICIT PURPOSE IS TO CONTINUALLY REDUCE THE BURDEN OF ILLNESS, INJURY DISABILITY AND TO IMPROVE THE HEALTH AND FUNCTIONING OF THE PEOPLE OF THIS COMMMUNITY. |
| PART VI, LINE 3: | AT TIME OF REGISTRATION THE FACILITY ADMISSIONS PERSONNEL DISCUSS WITH THE PATIENTS COVERAGE THEY MAY HAVE. FOR THOSE PATIENTS WHO DO NOT HAVE 3RD PARTY COVERAGE, THE POTENTIAL PROGRAMS ARE DISCUSSED. FACILITY COLLECTS INFORMATION AND THEN ASSISTS PATIENTS IN APPLYING FOR ASSISTANCE. ALL PRIVATE PATIENTS ARE ALSO SCREENED FOR STATE PROGRAMS. |
| PART VI, LINE 4: | BRECKINRIDGE HEALTH IS A CRITICAL ACCESS HOSPITAL LOCATED IN HARDINSBURG, KENTUCKY. THE FACILITY HAS 25 MEDICAL/SURGICAL BEDS AND 18 EXTENDED CARE/SKILLED NURSING BEDS. THE HOSPITAL SERVES BRECKINRIDGE COUNTY AND PORTIONS OF OHIO, MEADE, GRAYSON AND HANCOCK COUNTIES. THE HOSPITAL WAS FOUNDED IN 1947. |
| PART VI, LINE 5: | THE ORGANIZATION'S EXPLICIT PURPOSE IS TO CONTINUALLY REDUCE THE BURDEN OF ILLNESS, INJURY DISABILITY AND TO IMPROVE THE HEALTH AND FUNCTIONING OF THE PEOPLE OF THIS COMMUNITY. THE BOARD OF DIRECTORS IS COMPRISED OFCOMMUNITY MEMBERS WHO REPRESENT THE WHOLE COMMUNITY. THIS GROUP ALONG WITH HOSPITAL MANAGEMENT, EMPLOYEES, AND PHYSICIANS UNDERSTANDS THE COMMUNITY EXPECTS THE ORGANIZATION TO PROVIDE HIGH QUALITY HEALTHCARE. ALL OF THE PARTIES UNDERSTAND THAT A DELICATE BALANCE IS REQUIRED TO MEET FISCAL NEEDS OF THE COMMUNITY AND TO PROVIDE HEALTHCARE TO ALL MEMBERS OF THE COMMUNITY. THE GROUP STRIVES CONSTANTLY TO MEET BOTH RESPONSIBILITIES. BRECKINRIDGE HEALTH OFFERS MANY EDUCATIONAL PROGRAMS ON DIABETES AWARENESS AND MANAGEMENT, HEALTHY HABITS, NUTRITION, CPR, SPORTS INJURY PREVENTION, FLU PREVENTION, ETC. OUR TRANQUILITY DEPARTMENT ALSO HOSTED SEVERAL LUNCH AND LEARNS WHERE WE EDUCATED THE COMMUNITY ABOUT SEVERAL TOPICS SUCH AS SOCIAL MEDIA AND YOUR WELL-BEING, NUTRITION, AND WEIGHT LOSS. WE ACTIVELY SUPPORT POCKETFUL OF HOPE (LOCAL CANCER CHARITY) AND COWBOYS FOR KIDS (CHILDREN'S CANCER CHARITY). ANNUALLY, WE HOLD A BACK 2 SCHOOL SUPPLY DRIVE TO ASSIST LOW INCOME CHILDREN AND THE SCHOOL SYSTEM WITH MUCH NEEDED SCHOOL SUPPLIES. WE DONATE FIRST AID KITS FOR ALL OF THE LOCAL SCHOOL FESTIVALS. WE PARTICIPATED IN THE ENGAGE AT EVERY AGE WITH THE LOCAL LIBRARY TO ENCOURAGE ACTIVE PARTICIPATION IN THE LIVES OF YOUNG CHILDREN. WE ALSO PARTICIPATED IN THE BRECKINRIDGE COUNTY COMMUNITY-WIDE BABY SHOWER TO PROVIDE BABY SUPPLIES TO EXPECTING MOMS. WE ALSO PARTNERED WITH A LOCAL GYM TO START A WALKING GROUP TO ENCOURAGE EXERCISE AND HEALTHY HABITS. WE ASSIST OUR LOCAL SCHOOL TEAMS BY MAKING OUR DIRECTOR OF PHYSICAL THERAPY AVAILABLE TO THEM AS WELL AS PROVIDING FREE SPORTS PHYSICALS. WE REGULARLY PUBLISH ARTICLES ON FACEBOOK TO EDUCATE THE COMMUNITY ON HEALTH AND WELLNESS. WE PARTICIPATE IN THE COMMUNITY CARE COORDINATION TASK FORCE, MONTHLY DIABETES SUPPORT GROUP, BRECKINRIDGE COUNTY COALITION, CHAMBER OF COMMERCE, CAREER FAIRS AT THE LOCAL SCHOOLS, AND THE PHANTOM PROJECT, WHICH REACHED OVER 100,000 PEOPLE ACROSS THE COUNTRY. THE PHANTOM PROJECT EDUCATED THE COMMUNITY ON THE DANGERS OF DISTRACTED DRIVING. BRECKINRIDGE HEALTH ALSO STARTED A YOUTUBE CHANNEL TO SPOTLIGHT SEVERAL SERVICES WE OFFER AND TO EDUCATE THE COMMUNITY. WE PROVIDE HEALTH INFORMATION AND BLOOD PRESSURE CHECKS AT LOCAL 5KS, COMMUNITY APPRECIATION EVENTS, THE COUNTY FAIR, AND THE LOCAL HOE DOWN DAY. WE PROVIDE GUEST SPEAKERS TO LOCAL EVENTS AS WELL. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DR BENJAMIN SMITH | ||||||||||||||
| PHYSICIAN | $402,893 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $402,893 | $0 | $0 | $0 |
| DAVID FABER | ||||||||||||||
| SURGEON | $365,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $365,000 | $0 | $0 | $0 |
| BRIAN T O'DONOGHUE | ||||||||||||||
| PHYSICIAN | $282,345 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $282,345 | $0 | $0 | $0 |
| ANGELA PORTMAN | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $155,000 | $0 | $0 | $0 | $25,200 | $0 | $5,420 | $0 | $13,978 | $0 | $199,598 | $0 | $0 | $0 |
| JOHN ROE | ||||||||||||||
| CRNA | $178,530 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $178,530 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | PROVIDERS HAVE A WORK RELATIVE VALUE UNIT (WRVU) INCENTIVE GOAL AND BONUS PLAN ENCOURAGES CLINICAL PRODUCTIVITY. PHYSICIANS, NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS ARE ELIGIBLE TO RECEIVE A BONUS FOR ABOVE MEDICAL GROUP MANAGMENT ASSOCIATION MEDIAN PRODUCTIVITY (SPECIALTY SPECIFIC). | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|
| BRECKINRIDGE COUNTY BUILDINGS COMMISSION | |||||||
| A | 300306470 | 2009-10-16 | $6,100,000 | HOSPITAL EXPANSION FINANCING SERIES A BOND ISSUE | 0 | 0 | 0 |
| BRECKINRIDGE COUNTY BUILDINGS COMMISSION | |||||||
| B | 300306470 | 2009-10-16 | $1,900,000 | HOSPITAL EXPANSION FINANCING SERIES A BOND ISSUE | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|
| A | $1,276,000 | $6,100,000 | $18,000 | $6,082,000 | 2010 | 0 | 0 | Yes (1) | Yes (1) |
| B | $380,000 | $1,900,000 | $11,000 | $1,889,000 | 2010 | 0 | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
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 | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | BRECKINRIDGE HEALTH INC. (BHI) CONTRACTS WITH ALLIANT MANAGEMENT SERVICES (ALLIANT) TO PROVIDE MANAGEMENT SERVICES FOR BHI. ALLIANT PREPARES COST REPORTS FOR THIRD-PARTY PAYORS; PROVIDES TECHNICAL AND CONSULTING ASSISTANCE; AND PROVIDES THE CEO AND CFO POSITIONS. |
| FORM 990, PART VI, SECTION B, LINE 11B | FORM 990 IS PREPARED BY THE ORGANIZATION'S AUDITORS AND REVIEWED BY THE CHIEF EXECUTIVE AND CHIEF FINANCIAL OFFICERS. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON THE PART OF ANY GOVERNING BOARD MEMBER IS REQUIRED TO BE DISCLOSED TO THE OTHER MEMBERS OF THE BOARD AND MADE A MATTER OF RECORDS, EITHER THROUGH AN ANNUAL PROCEDURE OR WHEN THE INTEREST BECOMES A MATTER OF BOARD ACTION; ANY GOVERNING BOARD MEMBER HAVING DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON ANY MATTER IS PROHIBITED TO VOTE OR USE HIS PERSONAL INFLUENCE ON THE MATTER,EVEN WHERE PERMITTED BY LAW. THE MINUTES OF THE MEETING SHOULD REFLECT THAT A DISCLOSURE WAS MADE, THE ABSENTATION FROM VOTING AND THE QUORUM SITUATION. THIS POLICY IS REVIEWED ANNUALLY FOR THE INFORMATION AND GUIDANCE OF GOVERNING BOARD MEMBERS AND ANY NEW MEMBERS ADVISED OF THE POLICY UPON ENTERING ON THE DUTIES OF THE OFFICE. |
| FORM 990, PART VI, SECTION B, LINE 15 | AS PART OF THE AGREEMENT WITH ALLIANT MANAGEMENT SERVICES, INC., THE BOARD IS PROVIDED WITH COMPENSATION SURVEYS FOR SENIOR LEADERSHIP. |
| FORM 990, PART VI, SECTION C, LINE 19 | ORGANIZATION'S MEETINGS ARE OPEN TO THE PUBLIC AND SIGNIFICANT ACTIONS ARE AVAILABLE TO LOCAL MEDIA. ANY REQUEST FOR DOCUMENTS WOULD BE PRESENTED TO THE BOARD AND WOULD BE PROVIDED TO THE REQUESTING PARTY UNLESS THERE WAS A REASON NOT TO HONOR THEIR REQUEST. |
| FORM 990, PART VI, SECTION B, LINE 15: | THE ORGANIZATION USES ALLIANT MANAGEMENT TO PROVIDE ITS CEO AND CFO; THEREFORE, THE ORGANIZATION DOES NOT PAY COMPENSATION DIRECTLY TO THESE INDIVIDUALS. |
| FORM 990, PART IX, LINE 11G | OTHER FEES: PROGRAM SERVICE EXPENSES 3,585,577. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,585,577. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. THE ORGANIZATION HAS A FINANCE COMMITTEE THAT OVERSEES THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT AUDITOR. THE INDEPENDENT AUDITOR MEETS WITH THE FINANCE COMMITTEE AT THE CONCLUSION OF THE AUDIT. |