HIGHLANDS HOSPITAL CORP: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- HIGHLANDS HOSPITAL CORP (EIN 61-0658773)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-05-15
- IRS object ID
- 201831359349306388
- Schema version
- 2016v3.0
- 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 | 2018-05-15T12:39:35-05:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 273858252 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEAN DORTON ALLEN FORD PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 106 W VINE STREET SUITE 600 | AddressLine1Txt |
| City | LEXINGTON | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 40507 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 610658773 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HIGHLANDS HOSPITAL CORPORATION DBA | BusinessNameLine1Txt |
| Business Name Line2 | HIGHLANDS REGIONAL MEDICAL CENTER | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HIGH | BusinessNameControlTxt |
| Phone | 6068868511 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | BOX 668 5032 KY ROUTE 321 | AddressLine1Txt |
| City | PRESTONSBURG | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 41653 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL ROBERTS | PersonNm |
| Person Title | CIO | PersonTitleTxt |
| Phone | 6068868511 | PhoneNum |
| Signature | 2018-05-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LEIGH MCKEE | PreparerPersonNm |
| PTIN | P00169845 | PTIN |
| Phone | 8592552341 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HIGHLANDS REGIONAL MEDICAL CTR | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | HAROLD C WARMAN JR | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | BOX 668 5032 KY ROUTE 321 | AddressLine1Txt |
| City | PRESTONSBURG | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 41653 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $82,940,342 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HRMC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1966 | FormationYr |
| Legal Domicile State | KY | LegalDomicileStateCd |
| Activity Or Mission | COMMUNITY HEALTHCARE PROVIDING INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 557 | TotalEmployeeCnt |
| Total Volunteers | 14 | TotalVolunteersCnt |
| Total Gross UBI | $1,093,560 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$14,267 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $83,830,129 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $77,479,166 | CYProgramServiceRevenueAmt |
| PY Investment Income | $21,444 | PYInvestmentIncomeAmt |
| CY Investment Income | $47,954 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,930,030 | PYOtherRevenueAmt |
| CY Other Revenue | $5,159,329 | CYOtherRevenueAmt |
| PY Total Revenue | $87,781,603 | PYTotalRevenueAmt |
| CY Total Revenue | $82,686,449 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $3,227 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,247 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $30,841,395 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $32,756,228 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $53,938,468 | PYOtherExpensesAmt |
| CY Other Expenses | $55,889,880 | CYOtherExpensesAmt |
| PY Total Expenses | $84,783,090 | PYTotalExpensesAmt |
| CY Total Expenses | $88,648,355 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,998,513 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$5,961,906 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $51,881,845 | TotalAssetsBOYAmt |
| Total Assets EOY | $51,819,468 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $26,828,131 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $31,767,128 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $25,053,714 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $20,052,340 | NetAssetsOrFundBalancesEOYAmt |
| Mission | COMMUNITY HEALTHCARE PROVIDING INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR RESIDENTS OF SOUTHEASTERN KENTUCKY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $85,019,551 | ExpenseAmt |
| Grant | $2,247 | GrantAmt |
| Revenue | $81,169,431 | RevenueAmt |
| Desc | THE HOSPITAL PROVIDES CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. CHARGES EXCLUDED FROM REVENUE UNDER THE HOSPITAL'S CHARITY CARE POLICY WERE APPROXIMATELY $41,000 FOR THE YEAR ENDED JUNE 30, 2017 AND $187,000 FOR THE YEAR ENDED JUNE 30, 2016. THE DECREASE IS DUE TO THE MEDICAID EXPANSION IN KENTUCKY. | Desc |
| Total Program Service Expenses | $85,019,551 | 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 |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | 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 | 0 | TaxExemptBondsInd |
| 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | Yes (1) | 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 | 87 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 557 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | 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 | Yes (1) | 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 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6068868511 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | BOX 668 5032 KY ROUTE 321 | AddressLine1Txt |
| City | PRESTONSBURG | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 41653 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|
| EDWARD R NAIRN | ||||||||
| VICE CHAIRMAN | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT M DUNCAN | ||||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| PAUL D NUNN | ||||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| HAROLD C WARMAN JR | ||||||||
| PRESIDENT & CEO | 16.00 | Yes (X) | $0 | $364,935 | $31,652 | 24.00 | Yes (X) | |
| DEWEY L BOCOOK JR | ||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DENNIS T DORTON | ||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| GREGORY A WILSON | ||||||||
| CHAIRMAN | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| CHARLES ARNETT MD | ||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BERTIE KAYE SALYER | ||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOANNA SANTIESTEBANMD | ||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JAMES H BOOTH | ||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARK E MCKENZIE | ||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARK J VERONNEAU DO | ||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SABRINA ARNETT | ||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CHRIS TACKETT | ||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| TAMARA CLARK | ||||||||
| VPHR | 40.00 | $112,496 | $0 | $13,221 | Yes (X) | |||
| CHRIS HOFFMAN | ||||||||
| COO | 40.00 | $222,613 | $0 | $27,327 | Yes (X) | |||
| SUSAN ELLIS | ||||||||
| VPNO | 40.00 | $180,670 | $0 | $12,304 | Yes (X) | |||
| JACK BLACKWELL | ||||||||
| FORMER CFO | 40.00 | $0 | $257,845 | $19,631 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $515,779 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $622,780 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $104,135 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | 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 |
|---|---|---|---|---|---|
| PHARMACY SYSTEMS INC | |||||
| 65 E STATE ST STE 2100 | COLUMBUS | OH | 43215 | PHARMACISTS | $1,697,255 |
| ASSOCIATES IN REHAB | |||||
| 123 WEDDINGTON RD | PIKEVILLE | KY | 41501 | PHYSICAL THERAPY | $1,323,560 |
| KENTUCKY ANESTHESIA GROUP | |||||
| 3320 TATES CREEK RD STE 204 | LEXINGTON | KY | 40502 | ANESTHESIA | $1,094,862 |
| AYA HEALTHCARE INC | |||||
| 5930 CORNERSTONE CT W 300 | SAN DIEGO | CA | 92121 | CONTRACT NURSING | $1,017,161 |
| OHIO VALLEY PHYSICIANS | |||||
| 401 CAMDEN ROAD | HUNTINGTON | WV | 25704 | ED PHYSICIANS | $735,809 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 26 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $77,479,166 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $77,479,166 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $77,479,166 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $47,735 | TotalRevenueColumnAmt |
| Exclusion | $47,735 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $144,434 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $251,752 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$107,318 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$107,318 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $1,069 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$108,387 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,360 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,141 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $219 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $219 | TotalRevenueColumnAmt |
| Exclusion | $219 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| MISCELLANEOUS INCOME | 900099 | $3,572,079 | $3,572,079 | ||
| LAB PROCESSING REVENUE | 621500 | $1,092,491 | $1,092,491 | ||
| CAFETERIA | 624200 | $430,486 | $430,486 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $171,591 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $118,186 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $53,405 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $5,266,647 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $82,686,449 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $81,169,431 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,093,560 | UnrelatedBusinessRevenueAmt |
| Exclusion | $423,458 | 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 | $2,247 | TotalAmt |
| Program Services | $2,247 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $568,632 | TotalAmt |
| Management And General | $568,632 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,229,993 | TotalAmt |
| Program Services | $24,229,993 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $839,768 | TotalAmt |
| Program Services | $839,768 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,499,725 | TotalAmt |
| Program Services | $5,499,725 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,618,110 | TotalAmt |
| Program Services | $1,618,110 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $569,904 | TotalAmt |
| Management And General | $569,904 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,516,207 | TotalAmt |
| Program Services | $23,516,207 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,036 | TotalAmt |
| Program Services | $46,036 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $671,270 | TotalAmt |
| Management And General | $671,270 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,270,174 | TotalAmt |
| Management And General | $1,270,174 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,445 | TotalAmt |
| Program Services | $55,445 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,769 | TotalAmt |
| Program Services | $59,769 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,082,900 | TotalAmt |
| Program Services | $1,082,900 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,169,567 | TotalAmt |
| Program Services | $2,169,567 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,895,466 | TotalAmt |
| Program Services | $1,895,466 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| SUPPLIES | $13,139,506 | $13,139,506 |
| BAD DEBTS | $5,911,691 | $5,911,691 |
| REPAIRS/MAINTENANCE | $3,051,972 | $3,051,972 |
| PROVIDER TAX | $1,341,258 | $1,341,258 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,108,715 | TotalAmt |
| Program Services | $559,891 | ProgramServicesAmt |
| Management And General | $548,824 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,648,355 | TotalAmt |
| Program Services | $85,019,551 | ProgramServicesAmt |
| Management And General | $3,628,804 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,023,074 | BOYAmt |
| EOY | $1,670,445 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,991,405 | BOYAmt |
| EOY | $10,543,495 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,800 | BOYAmt |
| EOY | $42,000 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,470,894 | BOYAmt |
| EOY | $1,484,146 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,073,361 | BOYAmt |
| EOY | $767,727 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $76,460,292 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $64,841,094 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,008,030 | BOYAmt |
| EOY | $11,619,198 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,286,281 | BOYAmt |
| EOY | $25,692,457 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,881,845 | BOYAmt |
| EOY | $51,819,468 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,189,973 | BOYAmt |
| EOY | $14,695,983 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,647,135 | BOYAmt |
| EOY | $14,293,492 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,374 | BOYAmt |
| EOY | $54,948 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,881,649 | BOYAmt |
| EOY | $2,722,705 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,828,131 | BOYAmt |
| EOY | $31,767,128 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,053,714 | BOYAmt |
| EOY | $20,052,340 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,053,714 | BOYAmt |
| EOY | $20,052,340 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,881,845 | BOYAmt |
| EOY | $51,819,468 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$5,961,906 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $960,532 | 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| 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 | $10,315 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $10,315 | 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 HOSPITAL IS A MEMBER OF THE KENTUCKY HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. A PERCENTAGE OF THE MEMBERSHIP DUES THAT ARE PAID TO THESE ORGANIZATIONS ARE USED FOR LOBBYING PURPOSES. THE HOSPITAL PAID DUES OF $33,120 TO KHA, OF WHICH 14.90% WAS USED FOR LOBBYING PURPOSES, AND PAID DUES OF $24,322 TO AHA, OF WHICH 22.12% WAS USED FOR LOBBYING PURPOSES. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $742 | BeginningYearBalanceAmt |
| Other Expenditures | $742 | OtherExpendituresAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $802 | BeginningYearBalanceAmt |
| Other Expenditures | $60 | OtherExpendituresAmt |
| End Year Balance | $742 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $910 | BeginningYearBalanceAmt |
| Other Expenditures | $108 | OtherExpendituresAmt |
| End Year Balance | $802 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,558,977 | BeginningYearBalanceAmt |
| Other Expenditures | $1,558,977 | OtherExpendituresAmt |
| End Year Balance | $910 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,702,626 | BeginningYearBalanceAmt |
| Other Expenditures | $143,649 | OtherExpendituresAmt |
| End Year Balance | $1,558,977 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $84,741 | OtherCostOrOtherBasisAmt |
| Book Value | $84,741 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $34,925,023 | OtherCostOrOtherBasisAmt |
| Depreciation | $26,548,207 | DepreciationAmt |
| Book Value | $8,376,816 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $218,748 | OtherCostOrOtherBasisAmt |
| Depreciation | $208,429 | DepreciationAmt |
| Book Value | $10,319 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $39,197,668 | OtherCostOrOtherBasisAmt |
| Depreciation | $36,630,539 | DepreciationAmt |
| Book Value | $2,567,129 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,034,112 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,453,919 | DepreciationAmt |
| Book Value | $580,193 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $11,619,198 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INTERCOMPANY RECEIVABLES | $25,340,551 |
| UNAMORTIZED DEBT ISSUANCE COSTS | $351,906 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $25,692,457 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| INTERCOMPANY LIABILITIES | $464,571 |
| EST COST REPORT SETTLEMENTS | $735,777 |
| INTEREST RATE SWAP | $1,482,357 |
| PEER REVIEW & MEDICAL LIABILITY RESERVES | $40,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,722,705 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| 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 | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,418,968 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,418,968 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01600 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,891,854 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,461,873 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,429,981 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10640 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $28,310,822 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,461,873 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,848,949 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12240 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $285,982 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $285,982 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00320 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,658,463 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $835,306 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,823,157 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03180 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,944,445 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $835,306 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,109,139 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03500 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $32,255,267 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,297,179 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,958,088 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.15740 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $5,911,691 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $25,104,668 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $27,157,703 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$2,053,035 | MedicareSurplusOrShortfallAmt |
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 |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 CONSOLIDATED HEALTH SYSTEMS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | PARENT CORPORATION | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 1.00000 | OrgProfitOrOwnershipPct |
| Ofcr Etc Profit Or Ownership | 0.00000 | OfcrEtcProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.00000 | 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 | HIGHLANDS REGIONAL MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5032 KY ROUTE 321 | AddressLine1Txt |
| City | PRESTONSBURG | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 41653 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | HIGHLANDS REGIONAL MEDICAL CENTER | 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 |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 16 | 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.HRMC.ORG | OwnWebsiteURLTxt |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.HRMC.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 |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| 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 |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.HRMC.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| HIGHLANDS REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 5: FOR THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), INPUT FROM THE COMMUNITY WAS COLLECTED THROUGH FOCUS GROUPS, SURVEYS, AND FROM A STEERING COMMITTEE, WHICH CONSISTED OF COMMUNITY STAKEHOLDERS WITH VARIOUS PUBLIC HEALTH EXPERTISE. STEERING COMMITTEE MEMBERS INCLUDED REPRESENTATIVES FROM LOCAL HEALTH DEPARTMENTS, EXTENSION OFFICES, CITY REPRESENTATIVES, OTHER HEALTHCARE PROVIDERS, AND THE SCHOOL SYSTEMS. THE COMPLETE LIST OF STEERING COMMITTEE MEMBERS CAN BE FOUND ON PAGE 15 OF THE MOST RECENT CHNA. SIX FOCUS GROUPS WERE CONDUCTED, INCLUDING SOME WITH VOCATIONAL SCHOOL TEACHERS AND STUDENTS, HEAD START TEACHERS AND PARENTS, AND IN COUNTY HEALTH RELATED COUNCILS. |
| HIGHLANDS REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 7D: THE PROVIDER ALSO MADE THE CHNA AVAILABLE THROUGH THE ORGANIZATION'S FACEBOOK PAGE AND SENT TO HUNDREDS OF PEOPLE VIA EBLAST. |
| HIGHLANDS REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 11: THROUGH SURVEYS, FOCUS GROUPS, CENSUS DATA, COUNTY HEALTH DATA, HOSPITAL UTILIZATION DATA, AND STEERING COMMITTEE MEETINGS, IT WAS DETERMINED THAT OUR THREE GREATEST HEALTH PROBLEMS IN THE COMMUNITY ARE OBESITY, DIABETES, AND ADDICTION. ACCORDING TO OUR RESULTS, COMMUNITY NEEDS INCLUDED EDUCATIONAL PROGRAMS (INCLUDING NUTRITIONAL PROGRAMS, SMOKING CESSATION, AND SUBSTANCE ABUSE PREVENTION), INCREASED HEALTH EDUCATION FOR IN-SCHOOL YOUTH, MORE EDUCATION ON HEALTHCARE OPTIONS, INCREASED DIABETES CARE, IMPROVED ER WAIT TIMES, AND HEALTH LITERACY, AMONG OTHERS. IN RESPONSE TO THESE NEEDS, HHS OUTLINED THREE MAJOR GOALS FOR THE NEXT THREE YEARS.1. IMPROVED ACCESS TO SERVICES, EDUCATION, OUTREACH, AND SUPPORT2. INCREASED HEALTH EDUCATION FOR IN-SCHOOL YOUTH3. INCREASED PARTICIPATION IN COMMUNITY HEALTH INITIATIVESWHILE EACH OF THESE GOALS HAS EXTENSIVE PLANS AND KEY OBJECTIVES (FOUND ON PAGES 20-23 OF THE CHNA), WE ARE WELL ON OUR WAY TO ACHIEVING ALL OF THEM. IN THE YEAR 2017, THE HEALTH SYSTEM PROVIDED 685 FREE HEALTH SCREENINGS AT 26 HEALTH FAIRS AND/OR SCREENING EVENTS, PROVIDED EDUCATION ON NUMEROUS HEALTH TOPICS AT 57 EDUCATIONAL CLASSES OR EVENTS, HOSTED OR ATTENDED 7 DISEASE AWARENESS EVENTS, AND HOSTED 16 SUPPORT GROUPS (INCLUDING THOSE FOR DIABETES AND AUTISM). WE ARE PROVIDING HEALTH EDUCATION TO IN-SCHOOL YOUTH IN VARIOUS WAYS, INCLUDING SPONSORSHIP OF GONOODLE (WHICH LOGGED OVER 1.7 MILLION CHILD PHYSICAL ACTIVITY MINUTES FOR THE YEAR), SPONSORSHIP OF ALL AMERICAN HEART ASSOCIATION YOUTH PLATFORM PROGRAMS IN OUR SERVICE AREA (IN WHICH OVER 7,800 STUDENTS PARTICIPATED, TEACHING NUTRITION CLASSES AT AREA HEAD STARTS, AND PROVIDING CANCER EDUCATION/SMOKING CESSATION TO HIGH SCHOOLS IN OUR AREA. OUR DOCTORS AND STAFF HAVE PRESENTED AT EVENTS HIGHLIGHTING LADIES HEART HEALTH, AUTISM SPECTRUM DISORDER, COLON CANCER, NEONATAL ABSTINENCE SYNDROME, BREAST CANCER, AND MORE. THE HEALTH SYSTEM HAS INCREASED PARTICIPATION IN COMMUNITY HEALTH INITIATIVES; JOINING COUNTY HEALTH COALITIONS, SUBSTANCE ABUSE PREVENTION COUNCILS, EARLY CHILDHOOD COALITIONS, AND OTHERS THAT WORK TO BETTER THE HEALTH AND WELLNESS OF OUR REGION. OTHER BENEFITS TO COMMUNITY INCLUDE 431 FREE FLU IMMUNIZATIONS, 203 FREE PHYSICALS, AND OVER 150 FREE SPORTS INJURY EVALUATIONS.SOME OF THE NEEDS FOUND IN THE CHNA WILL NOT BE ADDRESSED AT THIS TIME AND/OR ARE ALREADY BEING ADDRESSED BY THE HEALTH SYSTEM OR OUR COMMUNITY PARTNERS. THESE INCLUDE INCREASED CARDIAC AND ORTHOPEDIC CARE, PHARMACEUTICAL LITERACY, DENTAL SERVICES FOR THE LOW INCOME POPULATION, AND DISPOSAL OF MEDICINES. THESE PRIORITIES CAN BE FOUND ON PAGE 23 OF OUR MOST RECENT CHNA, ALONG WITH EXPLANATION OF WHY THEY ARE UNADDRESSED THIS CYCLE. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - HIGHLANDS PSYCH UNIT | ||||
| 5000 KY ROUTE 321 | PRESTONSBURG | KY | 41653 | PROVIDER-BASED UNIT |
| 2 - HAROLD PRIMARY CARE CENTER | ||||
| 273 OLD HAROLD ROAD | HAROLD | KY | 41653 | PROVIDER-BASED RHC |
| 3 - HIGHLANDS PRIMARY CARE | ||||
| 100 BRIANNA BLVD | SALYERSVILLE | KY | 41465 | PROVIDER-BASED RHC |
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART III, LINE 2: | PATIENT ACCOUNTS RECEIVABLE ARE STATED AT UNPAID BALANCES, NET OF ESTIMATED CONTRACTUAL ALLOWANCES AND UNCOLLECTIBLE ACCOUNTS. HRMC PROVIDES FOR LOSSES ON ACCOUNTS RECEIVABLE USING THE ALLOWANCE METHOD WHICH IS BASED ON EXPERIENCE, THIRD-PARTY CONTRACTS AND OTHER CIRCUMSTANCES THAT MAY AFFECT THE ABILITY OF PATIENTS TO MEET THEIR OBLIGATIONS. HRMC'S COLLECTION POLICY IS TO RESERVE BALANCES AFTER 120 DAYS OF COLLECTION ACTIVITY AND BALANCES ARE SENT TO COLLECTION AGENCIES AFTER 370 DAYS WITH NO PAYMENT ACTIVITY. ACCOUNTS ARE WRITTEN OFF TO BAD DEBT WHEN THEY ARE RETURNED FROM THE COLLECTION AGENCIES. |
| PART III, LINE 4: | PATIENT ACCOUNTS RECEIVABLE ARE STATED AT UNPAID BALANCES, NET OF ESTIMATED CONTRACTUAL ALLOWANCES FROM THIRD-PARTY PAYERS, LESS AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE COMPANY PROVIDES FOR LOSSES ON ACCOUNTS RECEIVABLE USING THE ALLOWANCE METHOD. THE ALLOWANCE IS BASED ON EXPERIENCE, THIRD-PARTY CONTRACTS AND OTHER CIRCUMSTANCES THAT MAY AFFECT THE ABILITY OF PATIENTS TO MEET THEIR OBLIGATIONS. IT IS THE COMPANY'S POLICY TO CHARGE OFF UNCOLLECTIBLE ACCOUNTS RECEIVABLE TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS WHEN MANAGEMENT DETERMINES THE RECEIVABLE WILL NOT BE COLLECTED. THE COMPANY'S POLICY REGARDING COLLECTIONS IS AS FOLLOWS: AFTER 120 DAYS OF COLLECTION ACTIVITY, UNCOLLECTED BALANCES ARE RESERVED AND SENT TO COLLECTION AGENCIES; AFTER 370 DAYS WITH NO PAYMENT ACTIVITY, THESE ACCOUNTS ARE RETURNED TO THE COMPANY FROM THE COLLECTION AGENCIES AND SUBSEQUENTLY WRITTEN OFF. SEE NOTE 2 ON PAGE 10 OF THE FINANCIAL STATEMENTS ATTACHED.PART III, LINE 4:BAD DEBT EXPENSE AGREES TO THE TRIAL BALANCE. IT REPRESENTS UNPAID BALANCES OF PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE. SEE NOTE 2 ON PAGE 10 OF THE FINANCIAL STATEMENTS ATTACHED. |
| PART III, LINE 8: | MEDICARE COSTS WERE CALCULATED ON THE MEDICARE COST REPORT USING CALCULATED PER DIEM AMOUNTS FOR ROUTINE SERVICES AND COST TO CHARGE RATIOS FOR ANCILLARY SERVICES. THIS HOSPITAL IS A PPS HOSPITAL AND, THEREFORE, MEDICARE REVENUES ARE CALCULATED USING CALCULATED PPS AMOUNTS FOR EACH PROCEDURE. |
| PART III, LINE 9B: | PATIENTS WHO QUALIFY FOR CHARITY CARE ARE NOT BILLED AND, THEREFORE, NO COLLECTION PROCEDURES ARE UNDERTAKEN. |
| PART VI, LINE 2: | THE HOSPITAL ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES BY PERIODICALLY CONSOLIDATING DATA AND PERSPECTIVES ABOUT THE HEALTH AND SOCIAL NEEDS OF THE COMMUNITY. THESE DATA SOURCES INCLUDE INFORMATION PROVIDED BY THE KENTUCKY EDUCATION AND WORKFORCE DEVELOPMENT CABINET AND THE FOUNDATION FOR A HEALTHY KENTUCKY AT KENTUCKYHEALTHFACTS.ORG. THE ASSESSMENT DATA ASSISTS IN THE DEVELOPMENT OF A PLAN FOR THE ENTIRE COMMUNITY, WITH A LINKAGE BETWEEN THE ORGANIZATION'S MISSION AND STRATEGIC PLAN, WITH SPECIAL ATTENTION GIVEN TO THOSE MOST IN NEED. |
| PART VI, LINE 3: | HIGHLANDS REGIONAL HOSPITAL PROVIDES FINANCIAL ASSISTANCE PROGRAMS TO ASSIST OUR PATIENTS WITH THE CHARGES FOR SERVICES RECEIVED HERE AT THE HOSPITAL. OUR PROGRAMS ASSIST UNINSURED PATIENTS AS WELL AS THOSE PATIENTS LEFT WITH SELF PAY BALANCES AFTER INSURANCE. OUR OUTPATIENT SCHEDULERS REFER UNINSURED PATIENTS TO THE FINANCIAL COUNSELOR WHEN SCHEDULED TESTS ARE REQUESTED. REGISTRATION STAFF IS TRAINED TO ASSIST UNINSURED PATIENTS WITH THE COMPLETION OF THE DSH (DISPROPORTIONATE SHARE HOSPITAL) APPLICATION AT THE TIME OF SERVICE. PATIENTS REQUESTING ASSISTANCE ON BALANCES AFTER INSURANCE WILL BE REFERRED TO THE FINANCIAL COUNSELOR OR OTHER BUSINESS OFFICE STAFF. THE HIGHLANDS PATIENT INFORMATION GUIDE IS GIVEN TO EACH INPATIENT AND OBSERVATION PATIENT AT THE TIME OF ADMISSION TO THE HOSPITAL. THE BOOKLET PROVIDES THE PHONE NUMBER FOR THE BUSINESS OFFICE AND THE FINANCIAL ASSISTANCE OFFICE FOR PATIENTS WHO WANT TO DISCUSS THEIR BILL OR INQUIRE ABOUT OUR FINANCIAL ASSISTANCE PROGRAMS. EACH PATIENT STATEMENT PROVIDES INFORMATION RELATING TO THE QUALIFICATIONS FOR THE DISPROPORTIONATE SHARE HOSPITAL PROGRAM. PATIENTS NOT APPROVED FOR THE DSH PROGRAM ARE AUTOMATICALLY REVIEWED FOR ELIGIBILITY IN THE HOSPITALS CHARITY ASSISTANCE PROGRAM. THE HOSPITAL WORKS WITH THE HEALTH DEPARTMENTS OF FLOYD, JOHNSON, MAGOFFIN, AND MARTIN COUNTIES TO PROVIDE SCREENING AND DIAGNOSTIC SERVICES TO UNINSURED PATIENTS AT REDUCED RATES. DURING FISCAL YEAR 2016, HRMC SERVICED 29 PATIENT CASES FROM THE FOUR COUNTIES. CHARGES FOR THESE 29 CASES TOTALED $21,564 AND PAYMENTS TOTALED $2,588. HEALTH DEPARTMENT STAFF OFTEN REFERS THESE PATIENTS TO THE HOSPITAL'S FINANCIAL COUNSELOR FOR FINANCIAL ASSISTANCE FOR OTHER SERVICES NOT COVERED THROUGH THE HEALTH DEPARTMENTS. KENTUCKY HOMEPLACE, A DIVISION OF THE COMMUNITY ACTION PROGRAM, ALSO REFERS PATIENTS TO THE FINANCIAL COUNSELOR FOR HELP IN OBTAINING MEDICAL SERVICES FOR WHICH THE PATIENTS HAVE NO INSURANCE COVERAGE. MANY OF OUR CLINICS AND OUR ON-STAFF PHYSICIANS ADVISE OUR UNINSURED PATIENTS OF OUR FINANCIAL ASSISTANCE PROGRAMS WHEN ORDERING TESTS NEEDED FOR THE DIAGNOSIS OF THE PATIENTS CONDITIONS. |
| PART VI, LINE 4: | PRESTONSBURG IS LOCATED IN FLOYD COUNTY, KENTUCKY IN THE FOOTHILLS OF THE APPALACHIAN MOUNTAINS AND ALONG THE BANKS OF THE LEVISA FORK OF THE BIG SANDY RIVER. THE PRIMARY SERVICE AREA CONSISTS OF FLOYD, MAGOFFIN, JOHNSON AND MARTIN COUNTIES OF KENTUCKY. ACCORDING TO THE 2016 CENSUS BUREAU, FLOYD COUNTY HAS A POPULATION OF APPROXIMATELY 37,110 AND IS COMPOSED OF APPROXIMATELY 51% FEMALE AND 49% MALE. 98% OF THE POPULATION IS CAUCASIAN. THE MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $30,540 FROM 2012-2016, WHILE 30.4% OF THE POPULATION IS BELOW THE POVERTY LEVEL.THE POPULATION OF THE SERVICE AREA CONTINUES TO AGE AND OVERALL POPULATION NUMBERS DECLINE. THE GENERAL HEALTH STATUS OF THE PEOPLE OF THIS REGION IS MUCH POORER THAN THE STATE AND METROPOLITAN AREAS. HEART DISEASE, CANCER, STROKE, PULMONARY DISORDERS, OBESITY AND OCCUPATIONAL RELATED ILLNESSES (LARGERLY RELATED TO THE COAL INDUSTRY) ARE PREVALENT WITHIN THE POPULATION. ADOLESCENT AND ADULT SUBSTANCE ABUSE IS VERY PREVALENT, AS WELL. OTHER SOCIO-ECONOMIC ATTRIBUTES, SUCH AS A HIGH POVERTY LEVEL AND HIGH UNEMPLOYMENT, CREATE FURTHER HEALTH RELATED CHALLENGES FOR THE POPULATION OF THE SERVICE AREA.THE HOSPITAL PROVIDES SERVICE TO ALL PEOPLE REGARDLESS OF THEIR ABILITY TO PAY, RACE, RELIGION, AGE OR SEX. |
| PART VI, LINE 6: | THE HOSPITAL IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. |
| PART VI, LINE 7: | THE COMMUNITY BENEFIT REPORT IS FILED WITH THE STATE OF KENTUCKY AND THE KENTUCKY HOSPITAL ASSOCIATION. IT IS ALSO MADE AVAILABLE TO THE PUBLIC. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| 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 | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HAROLD C WARMAN JR | ||||||||||||||
| PRESIDENT & CEO | $0 | $364,935 | $0 | $0 | $0 | $0 | $0 | $13,232 | $0 | $18,420 | $0 | $396,587 | $0 | $0 |
| CHRIS HOFFMAN | ||||||||||||||
| COO | $222,613 | $0 | $0 | $0 | $0 | $0 | $8,907 | $0 | $18,420 | $0 | $249,940 | $0 | $0 | $0 |
| SUSAN ELLIS | ||||||||||||||
| VPNO | $180,670 | $0 | $0 | $0 | $0 | $0 | $9,162 | $0 | $3,142 | $0 | $192,974 | $0 | $0 | $0 |
| JACK BLACKWELL | ||||||||||||||
| FORMER CFO | $0 | $257,845 | $0 | $0 | $0 | $0 | $0 | $12,383 | $0 | $7,248 | $0 | $277,476 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE DIRECTOR OF ACCOUNTING AND BOARD OF DIRECTORS WILL REVIEW FORM 990 PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY IS DISTRIBUTED TO EACH BOARD MEMBER ANNUALLY. THE POLICY IS DISTRIBUTED BY THE BOARD SECRETARY ALONG WITH A DISCLOSURE FORM. RESPONSES ARE REVIEWED BY THE CEO. IF THERE IS A PARTICULAR ISSUE THAT NEEDS TO BE BROUGHT TO THE ATTENTION OF THE BOARD, THE CEO WILL CONTACT THE BOARD CHAIR TO DISCUSS, AND IF NECESSARY, IT WILL BE PLACED ON THE BOARD AGENDA FOR REVIEW. ADDITIONALLY, IF A BOARD MEMBER OR THE CEO BECOME AWARE OF POTENTIAL CONFLICTS THEY CAN REPORT THIS TO THE BOARD CHAIR DURING THE YEAR. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPENSATION OF THE CEO AND OFFICERS IS DETERMINED BY A COMMITTEE OF THE BOARD OF DIRECTORS THAT REVIEWS PERFORMANCE ANNUALLY. THE BOARD CONSULTS WITH VARIOUS SOURCES TO DETERMINE MARKET RATES OF COMPENSATION AGAINST COMPARABLE ORGANIZATIONS. THE BOARD USES ACHE COMPENSATION SURVEYS, MODERN HEALTHCARE COMPENSATION SURVEYS, AND VERBALLY CONSULTS WITH THE KY HOSPITAL ASSOCIATION TO DETERMINE KY COMPENSATION. FROM TIME TO TIME, THE BOARD MAY USE OTHER SOURCES THAT ARE AVAILABLE. COMPENSATION IS BASED ON MARKET RATES AND PERFORMANCE AGAINST GOALS, WHICH ARE ESTABLISHED ANNUALLY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 23,516,207. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,516,207. |
| FORM 990, PART XI, LINE 9: | CHANGE IN INTEREST RATE SWAP 960,532. |
| FORM 990, PART XII, LINE 2C: | THERE IS A COMMITTEE OF THE BOARD OF DIRECTORS THAT ASSUMES RESPONSIBILITY FOR THE AUDIT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|
| CONSOLIDATED HEALTH SYSTEMS INC | ||||||||||
| PO BOX 0787 | PRESTONSBURG | KY | 41653 | 311139276 | FOSTER AND DEVELOP HEALTH CARE ACTIVITIES | KY | 501(C)(3) | 11A | 0 | |
| HIGHLANDS HOME CARE INC | ||||||||||
| 5032 KENTUCKY ROUTE 321 | PRESTONSBURG | KY | 41653 | 611349726 | HOME HEALTH CARE SERVICES | KY | 501(C)(3) | 9 | 0 | CONSOLIDATED HEALTH SYSTEMS INC |
| HIGHLANDS FOUNDATION INC | ||||||||||
| 5000 KY HIGHWAY 321 | PRESTONSBURG | KY | 41653 | 208036784 | PROMOTE HEALTH AND COMMUNITY EDUCATION AND INVOLVEMENT | KY | 501(C)(3) | 7 | 0 | CONSOLIDATED HEALTH SYSTEMS INC |
| HIGHLANDS CENTER FOR AUTISM INC | ||||||||||
| 5000 KENTUCKY ROUTE 321 | PRESTONSBURG | KY | 41653 | 264541964 | SCHOOL FOR AUTISM SPECTRUM DISORDER | KY | 501(C)(3) | 9 | 0 | CONSOLIDATED HEALTH SYSTEMS INC |
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 | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HIGHLANDS MEDICAL PARTNERS II LLC | |||||||||||||
| 5000 KY ROUTE 321 | PRESTONSBURG | KY | 41653 | 263714306 | SLEEP LAB | KY | CONSOLIDATED HEALTH SYSTEMS INC | N/A | 0 | 0 | |||
| HIGHLANDS HEART & VASCULAR LLC | |||||||||||||
| 5000 KY ROUTE 321 | PRESTONSBURG | KY | 41653 | 463963059 | HEART LAB | KY | CONSOLIDATED HEALTH SYSTEMS INC | N/A | 0 | 0 | -$490,276 | $179,075 | 0.55000 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| CONSOLIDATED HEALTH ENTERPRISES INC | |||||||||
| BOX 668 US 23N | PRESTONSBURG | KY | 41653 | 611261592 | PHARMACY | KY | CONSOLIDATED HEALTH SYSTEMS INC | C | 0 |
| HIGHLANDS STAFFING INC | |||||||||
| 5000 KY RT 321 | PRESTONSBURG | KY | 41653 | 270835324 | STAFFING | KY | CONSOLIDATED HEALTH SYSTEMS INC | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |