BAPTIST HEALTH DEACONESS MADISONVILLE INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- BAPTIST HEALTH DEACONESS MADISONVILLE INC (EIN 61-0654587)
- Tax period
- 2013-09-01 to 2014-08-31
- Filed
- 2015-07-14
- IRS object ID
- 201531959349301278
- Schema version
- 2013v4.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-07-14T15:40:05-05:00 | ReturnTs |
| Tax Period End | 2014-08-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1900 SCRIPPS CENTER 312 WALNUT ST | AddressLine1 |
| City | CINCINNATI | City |
| State | OH | State |
| ZIP Code | 45202 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-09-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 610654587 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Baptist Health Madisonville Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % BAPTIST HEALTH MADISONVILLE | InCareOfNm |
| Business Name Control | BAPT | BusinessNameControlTxt |
| Phone | 2708255201 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 HOSPITAL DRIVE | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | MADISONVILLE | City |
| State | KY | State |
| ZIP Code | 42431 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CARL HERDE | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 2708255201 | PhoneNum |
| Signature | 2015-07-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TRICIA M JOHNSON | PreparerPersonNm |
| PTIN | P00627205 | PTIN |
| Phone | 2708255201 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | carl herde | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 Hospital Drive | AddressLine1 |
| City | Madisonville | City |
| State | KY | State |
| ZIP Code | 42431 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $200,120,820 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BAPTISTHEALTHMADISONVILLE.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1956 | FormationYr |
| Legal Domicile State | KY | LegalDomicileStateCd |
| Activity Or Mission | TO OPERATE AN ACUTE CARE HOSPITAL AND MULTI-SPECIALTY PHYSICIAN GROUP PRACTICE SERVING RURAL COMMUNITIES IN KENTUCKY. OUR MISSION IS TO PROVIDE EXCELLENT CARE, EVERY TIME. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 2146 | TotalEmployeeCnt |
| Total Volunteers | 68 | TotalVolunteersCnt |
| Total Gross UBI | $78,833 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $28,424 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,239,714 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,858,859 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $92,529,474 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $137,878,944 | CYProgramServiceRevenueAmt |
| PY Investment Income | $801,203 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,292,945 | CYInvestmentIncomeAmt |
| PY Other Revenue | $17,256,534 | PYOtherRevenueAmt |
| CY Other Revenue | $41,542,131 | CYOtherRevenueAmt |
| PY Total Revenue | $111,826,925 | PYTotalRevenueAmt |
| CY Total Revenue | $182,572,879 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $36,120 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,057,428 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $66,043,011 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $101,411,461 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $49,528,576 | PYOtherExpensesAmt |
| CY Other Expenses | $83,906,916 | CYOtherExpensesAmt |
| PY Total Expenses | $115,607,707 | PYTotalExpensesAmt |
| CY Total Expenses | $186,375,805 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$3,780,782 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$3,802,926 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $197,112,914 | TotalAssetsBOYAmt |
| Total Assets EOY | $175,988,754 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $55,185,049 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $45,837,091 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $141,927,865 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $130,151,663 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO OPERATE AN ACUTE CARE HOSPITAL AND MULTI-SPECIALTY PHYSICIAN GROUP PRACTICE SERVING RURAL COMMUNITIES IN KENTUCKY. OUR MISSION IS TO PROVIDE EXCELLENT CARE, EVERY TIME. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $159,415,295 | ExpenseAmt |
| Grant | $1,057,428 | GrantAmt |
| Revenue | $176,260,269 | RevenueAmt |
| Desc | See Schedule O | Desc |
| Total Program Service Expenses | $159,415,295 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (true) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (true) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 174 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 2146 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | KY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BAPTIST HEALTH MADISONVILLE | PersonNm |
| Phone | 2708255201 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 HOSPITAL DRIVE | AddressLine1 |
| City | MADISONVILLE | City |
| State | KY | State |
| ZIP Code | 42431 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| JANET BERRY | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | ||||||
| STEVE COX | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | ||||||
| BARRY EVELAND | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| RON POOLE | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| LINDA THOMAS | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| TOMMY SMITH | |||||||||
| SYSTEM CEO (THRU 3/25/13) | 1.0 | 40.0 | Yes (X) | $0 | $1,047,581 | $35,339 | Yes (X) | ||
| STEPHEN C HANSON | |||||||||
| SYSTEM CEO (EFF 3/26/13) | 1.0 | 40.0 | Yes (X) | $0 | $959,051 | $21,077 | Yes (X) | ||
| MARK FITZMAURICE MD | |||||||||
| DIRECTOR/PHYSICIAN | 40.0 | 0.0 | Yes (X) | $300,399 | $0 | $51,578 | |||
| CHRIS HUTSON | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $3,000 | $0 | |||
| KENT MILLS | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| FRANK PURDY III | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | ||||||
| CHARLES ALLEN RUDD JR | |||||||||
| CHAIRMAN | 1.0 | 0.0 | Yes (X) | $0 | $3,000 | $0 | Yes (X) | ||
| ANDY SEARS | |||||||||
| VICE CHAIRMAN | 1.0 | 40.0 | Yes (X) | $0 | $342,853 | $102,543 | Yes (X) | ||
| TIMOTHY DUKES | |||||||||
| SENIOR VP AND COO | 40.0 | 0.0 | $209,252 | $0 | $51,308 | Yes (X) | |||
| CARL HERDE | |||||||||
| TREASURER | 1.0 | 40.0 | $0 | $584,383 | $214,226 | Yes (X) | |||
| JANET NORTON | |||||||||
| SECRETARY | 1.0 | 40.0 | $0 | $427,559 | $124,585 | Yes (X) | |||
| MICHAEL BAUMGARTNER | |||||||||
| PRESIDENT | 40.0 | 0.0 | $124,002 | $0 | $2,618 | Yes (X) | |||
| KIMBERLY ASHBY | |||||||||
| VP, FINANCE | 40.0 | 0.0 | $184,247 | $0 | $29,028 | Yes (X) | |||
| ALI KENBAR MD | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $637,873 | $0 | $12,437 | Yes (X) | |||
| THOMAS STANFIELD MD | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $569,048 | $0 | $48,493 | Yes (X) | |||
| WAYNE LIPSON MD | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $577,848 | $0 | $13,303 | Yes (X) | |||
| KEVIN WILLIAMS MD | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $494,095 | $0 | $25,983 | Yes (X) | |||
| JOHN DACOSTA MD | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $729,554 | $0 | $28,109 | Yes (X) | |||
| BERTON E WHITAKER | |||||||||
| FORMER PRESIDENT | 0.0 | 0.0 | $657,014 | $0 | $45,373 | Yes (X) | |||
| C THOMAS MOORE | |||||||||
| FORMER CFO | 0.0 | 0.0 | $394,970 | $0 | $35,278 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,878,302 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,367,427 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $841,278 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 105 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MCKESSON HBOC | |||||
| PO Box 98347 | CHICAGO | IL | 60693 | Computer Services | $7,965,712 |
| ARAMARK CTS INC | |||||
| 12483 Collections Center Drive | CHICAGO | IL | 60693 | Biomedical Services | $2,091,210 |
| ARTHUR J GALLAGHER RISK MGMT SVCS | |||||
| 6399 S FIDDLER GREEN CIRCLE Suite | GREENWOOD VILLAGE | CO | 80111 | RISK MGMT SERVICES | $1,106,824 |
| ARUP LABORATORIES | |||||
| PO Box 27694 | SALT LAKE CITY | UT | 84127 | Lab Services | $1,047,876 |
| MUTUAL CREDIT SERVICES | |||||
| PO Box 1149 | MADISONVILLE | KY | 42431 | Collection Services | $910,572 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 30 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $0 | FundraisingAmt |
| Government Grants | $1,572,712 | GovernmentGrantsAmt |
| All Other Contributions | $286,147 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $1,858,859 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| PATIENT SERVICE REVENUE | 621110 | $127,474,825 | $127,398,724 | $76,101 | $0 |
| HOME HEALTH AND HOSPICE | 621610 | $5,149,745 | $5,149,745 | $0 | $0 |
| FAMILY PRACTICE RESIDENCY | 611600 | $1,036,671 | $1,036,671 | $0 | $0 |
| ANESTHESIA PROGRAM | 611600 | $523,483 | $523,483 | $0 | $0 |
| OTHER | 611600 | $3,694,220 | $3,694,220 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $137,878,944 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,324,459 | TotalRevenueColumnAmt |
| Exclusion | $1,324,459 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $653,565 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $321,246 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $332,319 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $332,319 | TotalRevenueColumnAmt |
| Exclusion | $332,319 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,706,869 | SecuritiesAmt |
| Other | $243,321 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,700,204 | SecuritiesAmt |
| Other | $281,500 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,665 | SecuritiesAmt |
| Other | -$38,179 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$31,514 | TotalRevenueColumnAmt |
| Exclusion | -$31,514 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $50,626,316 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $12,244,991 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $38,381,325 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $38,381,325 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| CAFETERIA SALES | 722514 | $1,200,517 | $0 | $0 | $1,200,517 |
| FITNESS FORMULA | 900099 | $751,769 | $0 | $0 | $751,769 |
| GIFT SHOP | 453220 | $99,793 | $0 | $0 | $99,793 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $776,408 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,732 | UnrelatedBusinessRevenueAmt |
| Exclusion | $773,676 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,828,487 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $182,572,879 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $176,184,168 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $78,833 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,451,019 | 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 | $1,057,428 | TotalAmt |
| Program Services | $1,057,428 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,259,254 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $1,259,254 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $319,179 | TotalAmt |
| Program Services | $319,179 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,897,035 | TotalAmt |
| Program Services | $73,115,788 | ProgramServicesAmt |
| Management And General | $11,781,247 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,789,020 | TotalAmt |
| Program Services | $2,275,997 | ProgramServicesAmt |
| Management And General | $513,023 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,016,687 | TotalAmt |
| Program Services | $5,985,120 | ProgramServicesAmt |
| Management And General | $1,031,567 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,130,286 | TotalAmt |
| Program Services | $4,360,743 | ProgramServicesAmt |
| Management And General | $769,543 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,626 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $118,626 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,388 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $22,388 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,428,097 | TotalAmt |
| Program Services | $27,176,283 | ProgramServicesAmt |
| Management And General | $6,251,814 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $133,364 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $133,364 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,037,833 | TotalAmt |
| Program Services | $21,993,757 | ProgramServicesAmt |
| Management And General | $44,076 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,731,579 | TotalAmt |
| Program Services | $1,212,105 | ProgramServicesAmt |
| Management And General | $519,474 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,037,986 | TotalAmt |
| Program Services | $2,430,389 | ProgramServicesAmt |
| Management And General | $607,597 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $756,411 | TotalAmt |
| Program Services | $226,923 | ProgramServicesAmt |
| Management And General | $529,488 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $283,927 | TotalAmt |
| Program Services | $283,927 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $705,336 | TotalAmt |
| Program Services | $705,336 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,315,049 | TotalAmt |
| Program Services | $12,883,544 | ProgramServicesAmt |
| Management And General | $1,431,505 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,579,276 | TotalAmt |
| Program Services | $1,934,457 | ProgramServicesAmt |
| Management And General | $644,819 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| PROVIDER TAX EXPENSES | $2,549,035 | $2,549,035 | $0 | $0 |
| MISCELLANAEOUS | $2,208,009 | $905,284 | $1,302,725 | $0 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $186,375,805 | TotalAmt |
| Program Services | $159,415,295 | ProgramServicesAmt |
| Management And General | $26,960,510 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Joint Costs TotalJointCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,247 | BOYAmt |
| EOY | $12,847 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,729,673 | BOYAmt |
| EOY | $6,377,360 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,146,712 | BOYAmt |
| EOY | $30,849,422 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,717,131 | BOYAmt |
| EOY | $732,054 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,794,334 | BOYAmt |
| EOY | $2,780,399 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,762,121 | BOYAmt |
| EOY | $3,788,847 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $285,387,641 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $208,460,416 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,569,016 | BOYAmt |
| EOY | $76,927,225 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,484,769 | BOYAmt |
| EOY | $50,191,203 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $197,769 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,637,500 | BOYAmt |
| EOY | $3,926,500 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,061,642 | BOYAmt |
| EOY | $402,897 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $197,112,914 | BOYAmt |
| EOY | $175,988,754 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,124,507 | BOYAmt |
| EOY | $15,100,081 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,040,500 | BOYAmt |
| EOY | $21,147,500 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,338,273 | BOYAmt |
| EOY | $2,327,362 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,681,769 | BOYAmt |
| EOY | $7,262,148 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,185,049 | BOYAmt |
| EOY | $45,837,091 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $141,762,325 | BOYAmt |
| EOY | $129,986,194 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $165,540 | BOYAmt |
| EOY | $165,469 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $141,927,865 | BOYAmt |
| EOY | $130,151,663 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $197,112,914 | BOYAmt |
| EOY | $175,988,754 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$3,802,926 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $659,903 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$8,633,179 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | Yes (true) | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Media Advertisements | $0 | MediaAdvertisementsAmt |
| Mailings Members | false | MailingsMembersInd |
| Mailings Members | $0 | MailingsMembersAmt |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Publications Or Broadcast | $0 | PublicationsOrBroadcastAmt |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $0 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $1,050 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Rallies Demonstrations | $0 | RalliesDemonstrationsAmt |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $21,338 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $22,388 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1i | FormAndLineReferenceDesc |
| Explanation | OTHER ACTIVITIES THE ORGANIZATION AND CERTAIN EMPLOYEES ARE MEMBERS OF VARIOUS ASSOCIATIONS that ATTRIBUTE A PORTION OF DUES TO LOBBYING EXPENSE. THE ORGANIZATION HAS DISCLOSED A LOBBYING ALLOCATION OF $22,388 PER FORM 990. THESE ASSOCIATIONS INCLUDE THE AMERICAN MEDICAL ASSOCIATION, KENTUCKY HOSPITAL ASSOCIATION, KENTUCKY MEDICAL ASSOCIATION, AS WELL AS VARIOUS OTHERS. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $164,559 | BeginningYearBalanceAmt |
| Contributions | $4,023 | ContributionsAmt |
| Other Expenditures | $4,094 | OtherExpendituresAmt |
| End Year Balance | $164,488 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $159,404 | BeginningYearBalanceAmt |
| Contributions | $9,552 | ContributionsAmt |
| Other Expenditures | $4,397 | OtherExpendituresAmt |
| End Year Balance | $164,559 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $153,560 | BeginningYearBalanceAmt |
| Contributions | $197,043 | ContributionsAmt |
| Other Expenditures | $191,199 | OtherExpendituresAmt |
| End Year Balance | $159,404 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $153,226 | BeginningYearBalanceAmt |
| Contributions | $12,778 | ContributionsAmt |
| Other Expenditures | $12,444 | OtherExpendituresAmt |
| End Year Balance | $153,560 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $116,582 | BeginningYearBalanceAmt |
| Contributions | $47,270 | ContributionsAmt |
| Other Expenditures | $10,626 | OtherExpendituresAmt |
| End Year Balance | $153,226 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,902,460 | OtherCostOrOtherBasisAmt |
| Book Value | $9,902,460 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $87,387,289 | OtherCostOrOtherBasisAmt |
| Depreciation | $46,790,319 | DepreciationAmt |
| Book Value | $40,596,970 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $25,967 | OtherCostOrOtherBasisAmt |
| Depreciation | $25,967 | DepreciationAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $180,893,396 | OtherCostOrOtherBasisAmt |
| Depreciation | $157,539,269 | DepreciationAmt |
| Book Value | $23,354,127 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,178,529 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,104,861 | DepreciationAmt |
| Book Value | $3,073,668 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $76,927,225 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED INTEREST ON BONDS | $110,312 |
| AMTS. PAYABLE TO MEDICARE/MEDICAID | $5,054,900 |
| MCC BUILDING PLEDGE | $750,000 |
| WORKERS COMPENSATION ACCRUAL | $1,254,684 |
| OTHER LIABILITIES | $92,252 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $7,262,148 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part V, Line 4 | FormAndLineReferenceDesc |
| Explanation | Intended use of endowment funds PATIENT CARE, HOSPICE BEREAVEMENT CAMP, MAHR CANCER CENTER, AND OTHER PATIENT CARE INITIATIVES. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,267,923 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,117,538 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,150,385 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02780 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,614,286 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,519,633 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,094,653 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02750 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,882,209 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,637,171 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,245,038 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05530 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $644,352 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $644,352 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00350 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,626,978 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $735,659 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,891,319 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02640 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,227 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $25,227 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,226,428 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,226,428 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01200 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,522,985 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $735,659 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,787,326 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04200 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $35,405,194 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,372,830 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,032,364 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09730 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,203 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,203 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $35,210 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $35,210 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $36,412 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $36,412 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $72,825 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $72,825 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $8,542,456 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $55,719,051 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $61,862,526 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$6,143,475 | 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 (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | 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 | BAPTIST HEALTH MADISONVILLE | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 HOSPITAL DRIVE | AddressLine1 |
| City | MADISONVILLE | City |
| State | KY | State |
| ZIP Code | 42431 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.baptisthealthmadisonville.com | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | baptist health madisonville | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.BAPTISTHEALTHMADISONVILLE.COM | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | false | AllNeedsAddressedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (true) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (true) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 400. | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| State Regulation | Yes (X) | StateRegulationInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Medicare Rates | Yes (X) | MedicareRatesInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Line 3 | Input from community representatives INTERVIEWS WITH 25 KEY INFORMANTS WERE CONDUCTED OVER A THREE DAY PERIOD. INTERVIEWEES WERE DETERMINED BASED ON THEIR A) SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH B) THEIR AFFILIATION WITH LOCAL GOVERNMENT, SCHOOLS, OR INDUSTRY OR C) THEIR INVOLVEMENT WITH UNDERSERVED AND MINORITY POPULATIONS. ALL INTERVIEWS WERE CONDUCTED USING A STANDARD QUESTIONNAIRE. A SUMMARY OF THEIR OPINIONS IS REPORTED WITHOUT JUDGING THE TRUTHFULNESS OR ACCURACY OF THEIR REMARKS. COMMUNITY LEADERS PROVIDED COMMENTS ON THE FOLLOWING ISSUES: HEALTH AND QUALITY OF LIFE FOR RESIDENTS OF THE PRIMARY COMMUNITY, BARRIERS TO IMPROVING HEALTH AND QUALITY OF LIFE FOR RESIDENTS OF THE PRIMARY COMMUNITY, OPINIONS REGARDING THE IMPORTANT HEALTH ISSUES THAT AFFECT HOPKINS, WEBSTER AND MUHLENBERG COUNTY RESIDENTS AND THE TYPES OF SERVICES THAT ARE IMPORTANT FOR ADDRESSING THESE ISSUES, AND DELINEATION OF THE MOST IMPORTANT HEALTHCARE ISSUES DISCUSSED AND ACTIONS NECESSARY FOR ADDRESSING THESE ISSUES. NAME AND ORGANIZATIONAL AFFILIATIONS WERE NOT CONNNECTED TO THE INFORMATION PRESENTED IN THE REPORT. KEY INFORMANTS FROM THE COMMUNITY WORKED FOR THE FOLLOWING TYPES OF ORGANIZATIONS AND AGENCIES: SOCIAL SERVICE AGENCIES, LOCAL SCHOOL SYSTEM AND COMMUNITY COLLEGE, LOCAL CITY AND COUNTY GOVERNMENT, PUBLIC HEALTH AGENCIES, INDUSTRY, FAITH COMMUNITY, AND MEDICAL PROVIDERS. |
| Schedule H, Part V, section b, Line 5c | Availibility of CHNA report COPIES OF THE CHNA WERE ALSO DISTRIBUTED INTERNALLY AND EXTERNALLY TO THOSE WHO PARTICIPATED IN THE NEEDS ASSESSMENT (INDIVIDUALS AND ORGANIZATIONS). |
| Schedule H, Part V, section b, Line 7 | Needs not addressed THE HOSPITAL HAS ENTERED INTO A SERVICES AGREEMENT WITH HORIZON HEALTH TO ASSIST IN OPENING A 20 BED INPATIENT ADULT BEHAVIORAL HEALTH UNIT AT THE HOSPITAL. THE UNIT IS ANTICIPATED TO OPEN IN THE SUMMER OF 2015 PENDING EMPLOYMENT OF A PSYCHIATRIST. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 5 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| BAPTIST MEDICAL MANAGEMENT ASSOCIATES | ||||
| 200 CLINIC DRIVE | MADISONVILLE | KY | 42431 | PHYSICIAN OFFICES |
| BAPTIST HEALTH HOME CARE | ||||
| 107 EAST MAIN STREET | MADISONVILLE | KY | 42431 | HOME HEALTH AGENCY |
| BAPTIST HEALTH SPORTS MEDICINE AND REHAB | ||||
| 500 CLINIC DRIVE | MADISONVILLE | KY | 42431 | REHAB SERVICES |
| BAPTIST HEALTH HOSPICE | ||||
| 418 NORTH SCOTT STREET | MADISONVILLE | KY | 42431 | HOSPICE |
| BAPTIST HEALTH TRANSITIONAL CARE | ||||
| 900 HOSPITAL DRIVE | MADISONVILLE | KY | 42431 | SKILLED NURSING FACILITY |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 7 | COSTING METHODOLOGY A COST-TO-CHARGE RATIO BASED ON THE MOST RECENT AS FILED MEDICAID COST REPORT WAS USED TO CALCULATE THE AMOUNTS REPORTED IN EACH LINE OF THE TABLE. |
| SCHEDULE H, PART II, LINE 10 | COMMUNITY BUILDING ACTIVITIES THE ORGANIZATION PROMOTES THE HEALTH OF THE COMMUNITY THROUGH OPEN MEDICAL STAFF, SERVICE ON COMMUNITY BOARDS, 24 HOUR EMERGENCY DEPARTMENT, OCCUPATIONAL MEDICINE PROGRAM, FREE ATHLETIC PHYSICALS, HEALTH FAIRS AND SCREENINGS, COURTESY MEMBERSHIP TO FITNESS FOR ATHLETES, POLICE OFFICERS AND FIRE DEPARTMENT, EDUCATIONAL PROGRAMS, ATHLETIC TRAINERS AT SCHOOL EVENTS, AND A CENTERING PREGNANCY PROGRAM. |
| SCHEDULE H, PART III, LINE 4 | BAD DEBT EXPENSE FOOTNOTE PER THE FINANCIAL STATEMENTS OF BAPTIST HEALTHCARE SYSTEM (WHICH INCLUDE THE ACTIVITY OF BAPTIST HEALTH MADISONVILLE) THERE IS NO BAD DEBT FOOTNOTE FOR THE CURRENT YEAR. THE AMOUNT ON LINE 2 WAS CALCULATED USING A COST-TO-CHARGE RATIO. |
| SCHEDULE H, PART III, LINE 8 | TREATMENT OF MEDICARE SHORTFALL AS COMMUNITY BENEFIT DUE TO THE FACT THAT MEDICARE RATES ARE NON-NEGOTIABLE AND ARE ESTABLISHED BY THE GOVERNMENT, ALL OF THE SHORTFALL FOR MEDICARE SHOULD BE INCLUDED AS A COMMUNITY BENEFIT. |
| SCHEDULE H, PART III, LINE 8 | MEDICARE COSTING METHODOLOGY MEDICARE REVENUES AND ALLOWABLE COSTS WERE TAKEN FROM THE AS FILED MEDICARE COST REPORT. MUCH CARE IS TAKEN TO ENSURE THAT ALL ADJUSTMENTS TO REMOVE NON-ALLOWABLE COSTS ARE TAKEN. |
| SCHEDULE H, PART III, LINE 9B | COLLECTION PRACTICES ONCE A PATIENT HAS BEEN DETERMINED TO QUALIFY FOR CHARITY CARE, THE PATIENT IS CLASSIFIED AS SUCH FOR THREE MONTHS. IF THE PATIENT RETURNS FOR SERVICES WITHIN THREE MONTHS, THEY ARE AUTOMATICALLY QUALIFIED FOR CHARITY CARE, WHICH IMPROVES THEIR ACCESS TO HEALTHCARE SERVICES. |
| SCHEDULE H, PART VI | NEEDS ASSESSMENT THE COMMUNITY SERVED BY THE HOSPITAL WAS DEFINED BY UTILIZING INPATIENT AND OUTPATIENT DATA REGARDING PATIENT ORIGIN. POPULATION DEMOGRAPHICS AND SOCIOECONOMIC CHARACTERISTICS OF THE COMMUNITY WERE GATHERED AND REPORTED UTILIZING VARIOUS THIRD PARTIES. THE HEALTH STATUS OF THE COMMUNITY WAS THEN REVIEWED. INFORMATION ON THE LEADING CAUSES OF DEATH AND MORBIDITY INFORMATION WAS ANALYZED IN CONJUNCTION WITH HEALTH OUTCOMES AND FACTORS REPORTED FOR THE COMMUNITY BY COUNTYHEALTHRANKINGS.ORG. HEALTH FACTORS WITH SIGNIFICANT OPPORTUNITY FOR IMPROVEMENT WERE NOTED. AN INVENTORY OF HEALTH CARE FACILITIES AND RESOURCES WERE PREPARED AND THE ESTIMATED DEMAND FOR PHYSICIAN AND HOSPITAL SERVICES WERE EVALUATED. COMMUNITY INPUT WAS PROVIDED THROUGH KEY INFORMATION INTERVIEWS AND SURVEYS. INFORMATION GATHERED WAS ANALYZED AND REVIEWED TO IDENTIFY HEALTH ISSUES OF UNINSURED PERSONS, LOW-INCOME PERSONS, MINORITY GROUPS AND THE COMMUNITY AS A WHOLE. HEALTH NEEDS WERE RANKED UTILIZING A WEIGHTING METHOD AND THEN PRIORITIZED TAKING INTO ACCOUNT THE PERCEIVED DEGREE OF INFLUENCE THE HOSPITAL HAS TO IMPACT THE NEED. INFORMATION GAPS WERE IDENTIFIED DURING THE PRIORITIZATION PROCESS AND WERE REPORTED. |
| SCHEDULE H, PART VI | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE ORGANIZATION IDENTIFIES UNINSURED PATIENTS BY REQUESTING INSURANCE INFORMATION AT THE TIME OF THE APPOINTMENT REQUEST. IF THE PATIENT HAS NO INSURANCE BENEFITS, APPOINTMENT SCHEDULING STAFF WILL INFORM THE PATIENT OF THE SELF-PAY POLICY. EXCEPT FOR EMERGENCY ROOM VISITS, NEW PATIENTS WHO ARE UNABLE TO PAY AT THE TIME OF SERVICE ARE PROVIDED SERVICES BY FINANCIAL COUNSELORS FOR EDUCATION AND ASSISTANCE. EMERGENCY ROOM PATIENTS ARE NOT ASKED FOR PAYMENT OR INSURANCE UPON REGISTRATION OR ADMISSION. DURING FINANCIAL COUNSELING, PATIENTS WILL BE INFORMED OF THE KENTUCKY PHYSICIANS CARE PROGRAM (KPC) IN COORDINATION WITH THE DISPROPORTIONATE SHARE HOSPITAL (DSH) PROGRAM. THEY WILL ALSO BE COUNSELED ON POTENTIAL ELIGIBILITY FOR MEDICAID AND DISABILITY PROGRAMS. PATIENTS WILL ALSO BE ADVISED OF THE FINANCIAL ASSISTANCE POLICY AND APPLICATIONS WILL BE PROVIDED. |
| SCHEDULE H, PART VI | COMMUNITY INFORMATION THE ORGANIZATION IS BASED IN MADISONVILLE, KENTUCKY (HOPKINS COUNTY) NEAR INTERSTATE 69, APPROXIMATELY 50 MILES SOUTH OF EVANSVILLE, IN. THE BULK OF THE COMMUNITY'S POPULATION IS CONCENTRATED IN AND AROUND THE CITY OF MADISONVILLE, WITH PORTIONS OF THE NEARBY COUNTIES OF WEBSTER AND MUHLENBERG ALSO HAVING SIGNIFICANT DISCHARGE NUMBERS. APPROXIMATELY 37% OF THE COMMUNITY'S POPULATION FALLS IN THE 15-44 AGE RANGE AND 28% IN THE 45-64 AGE RANGE WITH THE REMAINDER OF THE SPLIT UNDER 15 YEARS AND OVER 65 YEARS BASED ON 2011 DATA. APPROXIMATELY 51% ARE FEMALE AND 49% ARE MALE BASED ON 2011 DATA. |
| SCHEDULE H, PART VI | PROMOTION OF COMMUNITY HEALTH THE ORGANIZATION PROMOTES THE HEALTH OF THE COMMUNITY THROUGH OPEN MEDICAL STAFF, SERVICE ON COMMUNITY BOARDS, 24 HOUR EMERGENCY DEPARTMENT, OCCUPATIONAL MEDICINE PROGRAM, FREE ATHLETIC PHYSICALS, HEALTH FAIRS AND SCREENINGS, COURTESY MEMBERSHIP TO FITNESS FOR ATHLETES, POLICE OFFICERS AND FIRE DEPARTMENT, EDUCATIONAL PROGRAMS, ATHLETIC TRAINERS AT SCHOOL EVENTS, AND A CENTERING PREGNANCY PROGRAM. |
| SCHEDULE H, PART VI | AFFILIATED HEALTH CARE SYSTEM ON NOVEMBER 1, 2012, TROVER HEALTH SYSTEM SIGNED A MEMBERSHIP SUBSTITUTION AGREEMENT WITH BAPTIST HEALTH SYSTEM BASED IN LOUISVILLE, KY AND EFFECTIVELY BECAME BAPTIST HEALTH MADISONVILLE. BAPTIST HEALTH SYSTEM, ALSO A NON-PROFIT ORGANIZATION, SHARES A SIMILAR MISSION AND SUPPORTS THE PROMOTION OF HEALTH IN THE LOCAL COMMUNITIES SERVICED BY THE ORGANIZATION AS A WHOLE. |
| SCHEDULE H, PART VI | STATE FILING OF COMMUNITY BENEFIT REPORT KENTUCKY |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (3 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| CITY OF MADISONVILLE | |||||||
| PO BOX 705 | MADISONVILLE | KY | 42431 | 131788491 | gov't | $10,000 | GENERAL SUPPORT |
| MADISONVILLE COMMUNITY COLLEGE | |||||||
| 2000 COLLEGE DRIVE | MADISONVILLE | KY | 42431 | 610561820 | gov't | $10,000 | GENERAL SUPPORT |
| HOPKINS COUNTY COMMUNITY CLINIC | |||||||
| PO BOX 1794 | MADISONVILLE | KY | 42431 | 611710391 | 501(c)(3) | $11,010 | GENERAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS THERE IS ONE STAFF MEMBER WHO IS RESPONSIBLE FOR APPROVING ALL DONATIONS. THEY SELECT THE ORGANIZATION BASED ON NONPROFIT CRITERIA. AN ANNUAL BUDGET IS ESTABLISHED TO DETERMINE THE TOTAL AMOUNT OF FUNDS TO BE DISTRIBUTED EACH YEAR. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TIMOTHY DUKES | ||||||||||||||
| SENIOR VP AND COO | $166,483 | $0 | $20,250 | $0 | $22,519 | $0 | $33,747 | $0 | $17,561 | $0 | $260,560 | $0 | $0 | $0 |
| BERTON E WHITAKER | ||||||||||||||
| FORMER PRESIDENT | $286,756 | $0 | $53,071 | $0 | $317,187 | $0 | $35,190 | $0 | $10,183 | $0 | $702,387 | $0 | $0 | $0 |
| CARL HERDE | ||||||||||||||
| TREASURER | $0 | $572,751 | $0 | $0 | $0 | $11,632 | $0 | $177,730 | $0 | $36,496 | $0 | $798,609 | $0 | $0 |
| JANET NORTON | ||||||||||||||
| SECRETARY | $0 | $407,994 | $0 | $0 | $0 | $19,565 | $0 | $90,790 | $0 | $33,795 | $0 | $552,144 | $0 | $0 |
| ALI KENBAR MD | ||||||||||||||
| PHYSICIAN | $637,853 | $0 | $0 | $0 | $20 | $0 | $0 | $0 | $12,437 | $0 | $650,310 | $0 | $0 | $0 |
| THOMAS STANFIELD MD | ||||||||||||||
| PHYSICIAN | $535,861 | $0 | $16,667 | $0 | $16,520 | $0 | $35,190 | $0 | $13,303 | $0 | $617,541 | $0 | $0 | $0 |
| WAYNE LIPSON MD | ||||||||||||||
| PHYSICIAN | $524,558 | $0 | $0 | $0 | $53,290 | $0 | $0 | $0 | $13,303 | $0 | $591,151 | $0 | $0 | $0 |
| KEVIN WILLIAMS MD | ||||||||||||||
| PHYSICIAN | $491,575 | $0 | $2,500 | $0 | $20 | $0 | $6,900 | $0 | $19,083 | $0 | $520,078 | $0 | $0 | $0 |
| JOHN DACOSTA MD | ||||||||||||||
| PHYSICIAN | $729,534 | $0 | $0 | $0 | $20 | $0 | $6,900 | $0 | $21,209 | $0 | $757,663 | $0 | $0 | $0 |
| TOMMY SMITH | ||||||||||||||
| SYSTEM CEO (THRU 3/25/13) | $0 | $859,287 | $0 | $0 | $0 | $188,294 | $0 | $5,560 | $0 | $29,779 | $0 | $1,082,920 | $0 | $103,049 |
| STEPHEN C HANSON | ||||||||||||||
| SYSTEM CEO (EFF 3/26/13) | $0 | $702,441 | $0 | $230,000 | $0 | $26,610 | $0 | $748 | $0 | $20,329 | $0 | $980,128 | $0 | $0 |
| MARK FITZMAURICE MD | ||||||||||||||
| DIRECTOR/PHYSICIAN | $282,879 | $0 | $0 | $0 | $17,520 | $0 | $35,190 | $0 | $16,388 | $0 | $351,977 | $0 | $0 | $0 |
| ANDY SEARS | ||||||||||||||
| VICE CHAIRMAN | $0 | $321,607 | $0 | $0 | $0 | $21,246 | $0 | $70,658 | $0 | $31,885 | $0 | $445,396 | $0 | $0 |
| KIMBERLY ASHBY | ||||||||||||||
| VP, FINANCE | $135,589 | $0 | $14,237 | $0 | $34,421 | $0 | $28,073 | $0 | $955 | $0 | $213,275 | $0 | $0 | $0 |
| C THOMAS MOORE | ||||||||||||||
| FORMER CFO | $44,220 | $0 | $0 | $0 | $350,750 | $0 | $23,448 | $0 | $11,830 | $0 | $430,248 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 1a | SUPPLEMENTAL COMPENSATION INFORMATION THE ORGANIZATION PAYS COUNTRY CLUB MEMBERSHIP DUES FOR THE CHIEF OPERATING OFFICER AND ROTARY CLUB DUES FOR THE PRESIDENT. USE OF THE COUNTRY CLUB MEMBERSHIP IS EXCLUSIVELY FOR BUSINESS PURPOSE. |
| Schedule J, Part I, Line 4a | DURING THE YEAR, THE FORMER PRESIDENT (BERTON WHITAKER) AND FORMER CFO (C. THOMAS MOORE) RECEIVED SEVERANCE PAYMENTS IN ACCORDANCE TO THEIR CONTRACT. |
| Schedule J, Part I, Line 4b | supplemental compensation information During calendar year 2013, FOUR officers of BHS (one OF WHICH is an OFFICER OF Baptist Health Madisonville) received a payout from a Supplemental Executive Retirement Plan, a nonqualified deferred compensation plan. The Plan is offered to a select group of management as determined by the BHS Executive Benefits Committee. The amounts paid during 2013 were previously reported as compensation on the 990 and were included in W-2 wages in 2013, reported in Schedule J, Part II, column (F) and is a portion of the amount reported in column B (iii). The following individuals received a payout from a Supplemental Executive Retirement Plan, a nonqualified deferred compensation plan: - TOMMY SMITH - 103,049 In addition, THREE officers (one OF WHICH is an OFFICER OF Baptist Health Madisonville) who participate in the Supplemental Executive Retirement Plan accrued amounts for 2014 which is a portion of the amount reported as deferred compensation in Schedule J, column C. Other retirement and deferred compensation reported in Schedule J, column C include amounts for the Retirement Accumulation Plan and Thrift Plan. The following individuals participated in and accrued amounts from the Supplemental Executive Retirement Plan: - Carl Herde - 45,666 |
| Schedule J, Part I, Line 7 | SEVERAL PHYSICIANS ARE COMPENSATED BASED UPON AN INCENTIVE COMPENSATION PLAN. THE INCENTIVE COMPENSATION PAYMENTS ARE NOT CONTINGENT UPON GROSS REVENUES OR NET EARNINGS OF THE ORGANIZATION, BUT ARE BASED UPON THE PHYSICIANS'S INDIVIDUAL PRODUCTIVITY AND QUALITY MEASURES. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CITY OF MADISONVILLE KENTUCKY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 616001864 | BondIssuerEIN |
| Bond Issued | 2010-12-21 | BondIssuedDt |
| Issue Price | $25,780,000 | IssuePriceAmt |
| Purpose | SEE PART VI | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $4,632,500 | RetiredAmt |
| Bond Defeased | $0 | BondDefeasedAmt |
| Total Proceeds | $25,780,000 | TotalProceedsAmt |
| In Reserve Fund | $0 | InReserveFundAmt |
| Capitalized Interest | $0 | CapitalizedInterestAmt |
| Refunding Escrow | $0 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $234,600 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $0 | CreditEnhancementAmt |
| Working Capital Expenditures | $0 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $0 | CapitalExpendituresAmt |
| Other Spent Proceeds | $25,545,000 | OtherSpentProceedsAmt |
| Unspent | $0 | UnspentAmt |
| Substantial Completion | 2011 | SubstantialCompletionYr |
| Current Refunding | Yes (true) | CurrentRefundingInd |
| Advance Refunding | false | AdvanceRefundingInd |
| Final Allocation Made | false | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | Yes (true) | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | Yes (true) | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.02190 | PrivateBusUseByOthersPct |
| Total Private Business Use | 0.02190 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Remedial Action Taken | false | RemedialActionTakenInd |
| Procs Nonqualified Bond Remdtd | false | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (true) | RebateNotDueYetInd |
| Exception To Rebate | false | ExceptionToRebateInd |
| No Rebate Due | false | NoRebateDueInd |
| Variable Rate Issue | Yes (true) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
Hedge Provider Name HedgeProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
GIC Provider Name GICProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | false | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | false | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| schedule k, part I, LINE A | DESCRIPTION OF PURPOSE THE PURPOSE OF THE BOND ISSUE WAS TO REFUND CERTAIN SERIES 2006 BONDS. A PORTION OF THE PROCEEDS WERE ALSO USED TO finance the construction, rehabilitation and equipping of certain Facilities. |
| schedule k, part vi | procedures to undertake corrective action The organization is in the process of establishing FORMAL WRITTEN PROCEDURES; HOWEVER, IN THE EVENT REMEDIATION ISSUES ARISE, THE ORGANIZATION SEEKS THE ADVICE OF LEGAL COUNSEL. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| CHRISTY MILLS | |||
| FAMILY MEMBER OF DIRECTOR | $172,384 | COMPENSATION | false |
| ELIZABETH EVELAND | |||
| FAMILY MEMBER OF DIRECTOR | $60,038 | COMPENSATION | false |
| GAIL EVELAND | |||
| FAMILY MEMBER OF DIRECTOR | $42,372 | COMPENSATION | false |
| TIMOTHY DUKES | |||
| BMMSI OFFICER | $1,304,411 | CONTRACT SERVICES | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule L, Part IV | FormAndLineReferenceDesc |
| Explanation | BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS TIMOTHY DUKES IS AN OFFICER OF BAPTIST MEDICAL MANAGEMENT SERVICES, INC., A SUBSIDIARY OF BAPTIST HEALTH MADISONVILLE, INC., AND A KEY EMPLOYEE OF BAPTIST HEALTH MADISONVILLE, INC. BAPTIST HEALTH MADISONVILLE PROVIDES CONTRACTED SERVICES FOR BAPTIST HEALTH MEDICAL MANAGEMENT SERVICES, INC. THUS, THE AMOUNT DISCLOSED FOR BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS FOR TIMOTHY DUKES REPRESENTS THE AMOUNT OF CONTRACTED SERVICES BETWEEN THESE TWO ENTITIES. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III | STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS a. Baptist Health Madisonville is an acute care hospital serving numerous rural communities and offering a broad range of inpatient and outpatient services. Baptist Health Madisonville provides a substantial amount of charity care as detailed below in the Community Service section. Baptist Health Madisonville provided care for 9,042 inpatient adult, pediatric, and nursery admissions from during fiscal year 2014. Patient days totaled 41,748. There were 949 live births, of which over 58% were Medicaid births. Surgery visits totaled 6,049 for fiscal year 2014. Baptist Health Madisonville's Mahr Cancer Center is approved by the American College of Surgeons' Commission on Cancer, receiving the No. 1 overall rating. The Mahr Center provided services to over 44,942 patient visits during fiscal year 2014 and is affiliated with the James Graham Brown Cancer Center at the University of Louisville. b. Baptist Health Medical Associates is a multi-specialty physician group practice with over 50 providers offering a broad range of medical services including specialty and subspecialty services. Baptist Health Medical Associates operated five clinics in rural communities bringing healthcare to medically underserved areas. Baptist Health Medical Associates provided a total of 253,314 patient encounters during fiscal year 2014. c. Trover Foundation Residency Program is an educational program in which Foundation physicians instruct and work with Residents. The Residency Program is affiliated with the University Of Louisville School Of Medicine. 24 residents were involved in the Residency Program during 2014. d. The Dr. Loman C. Trover Medical Education and Research Center (Trover Education and Research Center) provides numerous educational programs that benefit the communities of Western Kentucky. In addition to the Family Practice Residency Program, the Trover Education and Research Center collaborates with Murray State University to offer a graduate degree in nurse anesthesia. The program is dedicated to graduating nurse anesthetists of the highest professional competence who are committed to returning to rural areas to practice. Baptist Health Madisonville serves as the primary clinical site. The Trover Education and Research Center also coordinates the West Area Health Education Center (AHEC) program, connecting the academic health centers at the University of Kentucky and University of Louisville with medically underserved communities throughout the state, in an effort to address Kentucky health care access problems. The Foundation is a regional campus for the University Of Louisville School Of Medicine through the Foundation's Off-Campus Teaching Center. The Center provides individualized clinical training in a small-town environment, with a goal towards increasing the number of physicians in rural areas. The Trover Education and Research Center is a location for the University of Kentucky's Center for Rural Health, created to improve the health status of the rural population of the state. The Trover Education and Research Center sponsors the Delta Project for 20 counties in the state of Kentucky. The goal of the Delta Project is to improve the health status and health care system in each county served. During the fiscal year 2014, 29,126 students were contacted in approximately 67 different schools. e. Green River Hospice is a program assisting terminally ill patients and their families through the death and bereavement process. The Hospice provided service for 10,980 hospice days during the fiscal year. 2014 COMMUNITY SERVICE Service Detail Hours No. of Events Community Contacts -------------------------------------------------------------------------- Educational and Health Improvement Events 16,552 1,310 499,768 Community Events 2,032 43 134,423 Donations/Support 5,347 4,681 1,203,818 Total 23,931 6,034 1,838,009 Total Events 6,034 Total Employee Hours 23,931 Total Community Contacts 1,838,009 CHARITY AND COMMUNITY BENEFIT CARE Baptist Health Madisonville provides care to patients who meet guidelines established in the organization's charity care policy at no charge or at charges less than established rates. Other uncompensated care relates principally to contractual allowances for government payors, discounts taken by commercial payors and bad debts. The Foundation provided uncompensated care, based on established rates, for fiscal year 2014 in the amount of $365,365,000. This represents approximately 67% of total revenue determined from Foundation's established rates in 2014. The following summary quantifies additional community benefit expense in terms of uncompensated care, services to the indigent and benefits to the broader community during 2014: Uncompensated care: Bad debt expense (at cost) $ 2,495,000 Benefits for the poor: Traditional charity care $ 6,268,000 Unpaid costs of Medicaid $ 20,614,000 Total quantifiable benefits for the poor $ 26,882,000 Benefits for the broader community: Educational and Health Improvement Events $ 442,000 Community Events $ 134,000 Donations/Support $ 2,278,000 Research $ 78,000 Total quantifiable benefits for the broader community $ 2,932,000 Total quantifiable community benefits $ 32,309,000 Community benefits expense represents approximately 17% of the total organization's expense for the period ended August 31, 2014. In addition to the above, Baptist Health Madisonville provides a wide range of community benefits including coordination of charitable activities by organization's staff. EDUCATIONAL EVENTS Baptist Health Madisonville's mission is excellent care every time. In order to support this mission, the organization strives to be involved in numerous educational programs. The Family Practice Residency Program completed training for six Family Practice physicians. Total number of residents in training during 2014 was 24. The Certified Registered Nurse Anesthesia Program has trained 232 nurses to become CRNAs since the program's inception. The University of Louisville/ Trover Education and Research Center's Medical Campus provided training for 24 3rd and 4th year medical students. It provided educational activities for high school students interested in a medical career, including shadowing and enhancement classes. Centering Pregnancy Smiles is a partnership between UK, Trover Education and Research Center, the Hopkins County Health Department, the national Centering Pregnancy initiative and other federal, state, and local leaders. The alliance, established to end the cycle of preterm births, low birth weight, and poor oral health in Kentucky, has already saved Kentucky more than $2.0 million in medical procedures needed by those babies at birth. The program assisted over 218 local mothers during 2014. In over 1,200 different events, the Foundation offered everything from tours to seminars to participation in community educational events. Thousands of students in western Kentucky benefited in some way from the Foundation's efforts. Over 13,000 hours were dedicated to educational events involving over 83,500 individuals throughout the service area. Baptist Health Madisonville physicians also participated in a Women's Health Forum sponsored in part by the organization. Physicians gave presentations on women's health issues. There were also exhibits about women's health. This event attracted approximately 75 participants. Baptist Health Madisonville also participates in the World's Greatest Baby Showers throughout the service area, with over 500 participants. These events are held to help educate expectant mothers about their pregnancy and about taking care of their babies. An OB/GYN, a Family Practice physician, or a pediatrician typically participates. Baptist Health Madisonville sponsors an annual Asthma Camp, a week-long day camp for children ages 6 to 12 who have documented asthma. A variety of supervised activities are planned for children whose asthma might prevent them from attending summer camp. Asthma education is an important component of the camp, with breathing exercises, relaxation techniques, proper use of medications, and monitoring routines among the topics covered. The organization provides two to three respiratory therapists each day of the camp. Baptist Health Madisonville maintains a website for consumer health education topics in both English and Spanish. The website includes daily consumer health news and interactive consumer health tools such as quizzes and calculators. The fees for maintaining this website were $12,000 in 2014. Other educational events sponsored or supported by the organization include the first Step Nursing Program, Rural Health Scholar Program, shadowing opportunities for students, and Breast Cancer Awareness Bingo in Muhlenberg County. Baptist Health Madisonville served over 3,400 individuals through health fairs and screenings in 2014. The Foundation provided blood sugar and blood pressure screenings regu |
| FORM 990, PART VI, LINE 6 | MEMBERS OR STOCKHOLDERS BAPTIST HEALTHCARE SYSTEM IS THE SOLE CORPORATE MEMBER OF BAPTIST HEALTH MADISONVILLE. |
| FORM 990, PART VI, LINE 7A | POWER TO ELECT OR APPOINT MEMBERS THE BOARD OF DIRECTORS IS TO BE APPOINTED BY BAPTIST HEALTHCARE SYSTEM. POWER TO ELECT OR APPOINT MEMBERS To THE BOARD OF DIRECTORS IS TO BE APPOINTED BY BAPTIST HEALTHCARE SYSTEM. |
| FORM 990, PART VI, LINE 7B | DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS THE CONSENT & APPROVAL OF THE SOLE MEMBER SHALL BE REQUIRED FOR ALL MAJOR CORPORATE ACTIONS, AND ANY ACT THE RESULT OF WHICH WOULD BE TO: A. APPROVE THE MISSION, VISION, AND VALUE OF THE CORPORATION AND AMENDMENTS THERETO; B. APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION AND THE BYLAWS OF THE CORPORATION; C. APPROVE THE STRATEGIC PLAN OF THE CORPORATION; D. APPROVE THE TRANSFER OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS OR INVESTMENT OR INTEREST IN ANY BUSINESS ENTERPRISE; ANY MERGER, COMBINATION, OR REORGANIZATION OF THE CORPORATION; ANY LIQUIDATION, REORGANIZATION, OR RECAPITALIZATION OF THE CORPORATION; OR ANY AGREEMENT TO DO THE FOREGOING; E. APPROVE THE CAPITAL EXPENDITURE AND OPERATING BUDGETS OF THE CORPORATION, AND ANY UNBUDGETED EXPENDITURES OVER $500,000; F. SELECTION OF THE CORPORATION'S AUDITOR; G. APPROVE THE INCURRENCE OF DEBT OF THE CORPORATION ABOVE $500,000 OR OTHER AMOUNT ESTABLISHED BY BHS AND THE MAKING OF ANY CAPITAL EXPENDITURE ABOVE $500,000 OR OTHER AMOUNT ESTABLISHED BY BHS; H. APPROVE THE APPOINTMENT, REMOVAL, AND EVALUATION OF THE PRESIDENT OR CHIEF EXECUTIVE OFFICER OF THE CORPORATION ACTING THROUGH THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF BHS; I. APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, THE MEMBERS OF THE BOARD OF DIRECTORS OF THE CORPORATION. APPOINTMENT AND REMOVAL SHALL NOT REQUIRE A RECOMMENDATION OF THE CORPORATION'S BOARD; J. APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, THE CHAIR OF THE BOARD OF THE CORPORATION. APPOINTMENT AND REMOVAL SHALL NOT REQUIRE A RECOMMENDATION OF THE CORPORATION'S BOARD; K. AUTHORIZE EXECUTION OF ANY CONTRACT, AGREEMENT, OR SIMILAR INSTRUMENT BY WHICH THE CORPORATION MAY BE OBLIGATED TO PAY MORE THAN AN AMOUNT ESTABLISHED BY BHS; L. ACQUIRE ANY STOCK OF ANY CORPORATION OR ANY EQUITY IN ANOTHER CORPORATE FORM, OR INVEST IN OR ACQUIRE ANY INTEREST IN ANY BUSINESS ENTERPRISE. |
| FORM 990, PART VI, LINE 11B | PROCESS USED TO REVIEW THE FORM 990 THE INTERNALLY PREPARED FORM 990 IS REVIEWED AND APPROVED BY TAX CONSULTANTS. COPIES ARE GIVEN TO EACH VOTING MEMBER OF THE BOARD PRIOR TO FILING FOR THEIR REVIEW. THE FORM 990 IS THEN PRESENTED AT A MONTHLY MEETING OF THE HOSPITAL'S BOARD OF DIRECTORS BEFORE IT IS FILED. |
| FORM 990, PART VI, LINE 12C | MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY CONFLICT OF INTEREST STATEMENTS ARE COMPLETED FOR EACH BOARD MEMBER, PRINCIPAL OFFICER, AND COMMITTEE MEMBER WITH BOARD DELEGATED POWERS. THE CHAIRMAN OF THE BOARD OF DIRECTORS IS RESPONSIBLE FOR BEING FAMILIAR WITH THE STATEMENTS AND IDENTIFYING EXISTING OR CONTEMPLATED TRANSACTIONS OR RELATIONSHIPS WHICH MAY GIVE RISE TO A CONFLICT OF INTEREST. AFFECTED BOARD MEMBERS, OFFICERS, AND COMMITTEE MEMBERS ARE ALSO RESPONSIBLE FOR BRINGING CONFLICTS WHICH THEY MAY BE A PART OF TO THE ATTENTION OF THE BOARD. SUCH AFFECTED PARTIES ARE REQUIRED TO WITHDRAW FROM THE MEETINGS FOR THE TIME IN WHICH THE MATTER CONTINUES UNDER DISCUSSION. IF THE MATTER IS BROUGHT TO A VOTE, THE AFFECTED PARTY WILL NOT VOTE ON IT. IF THE MATTER REQUIRES A SPECIAL CALLED MEETING, THE AFFECTED PARTY WILL NOT BE COUNTED IN ESTABLISHING A QUORUM. THE BOARD WILL ALSO APPOINT A NON-INTERESTED PERSON TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION. |
| FORM 990, PART VI, SECTion B, LINE 15A & 15B | COMPENSATION DETERMINATION PROCESS EXECUTIVE COMPENSATION FOR BHM IS REVIEWED ANNUALLY IN SEPTEMBER. THE LAST REVIEW WAS PERFORMED IN 2012. THIS REVIEW WAS ALSO INCLUDED IN THE REVIEW PERFORMED AT THE SYSTEM LEVEL. COMPENSATION PACKAGES FOR ORGANIZATION EXECUTIVES AND OTHER OFFICERS ARE COMPARED WITH INDEPENDENT SURVEYS AND RECOMMENDATIONS OF CONSULTANTS. COMPENSATION IS ULTIMATELY APPROVED BY THE COMPENSATION COMMITTEE AND DOCUMENTED IN A WRITTEN EMPLOYMENT CONTRACT. |
| FORM 990, PART VI, LINE 19 | PROCESS FOR MAKING DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST IN THE ORGANIZATION'S ADMINISTRATIVE OFFICE. |
| FORM 990, PART IX, LINE 11g | OTHER FEES EXCEEDING 10% Purchased Services $23,207,290 Purchased Maintenance $ 412,393 Consultant Services $ 452,131 Outside Professional $ 2,596,351 Contract Personnel $ 648,631 Maintenance Agreements $ 1,448,018 Recruiting $ 256,847 Locums & Physician Services $ 3,888,099 Collection Expense $ 518,337 total $33,428,097 |
| FORM 990, PART XI, LINE 9 | OTHER CHANGES IN NET ASSETS INTERCOMPANY PAYABLE AND RECEIVABLES RECLASSIFIED AS EQUITY $(12,820,769) NET ASSET TRANSFERS TO Baptist Healthcare System $ 4,187,590 ------------- TOTAL $ (8,633,179) |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (17 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MEDICAL CENTER AMBULANCE SERVICES INC | ||||||||||
| 629 LAFOON STREET | MADISONVILLE | KY | 42431 | 610946210 | ambulance svc | KY | 501(c)(3) | line 9 | na | Yes (true) |
| BAPTIST HEALTHCARE AFFILIATES INC | ||||||||||
| 2701 EASTPOINT PARKWAY | LOUISVILLE | KY | 40223 | 611226399 | HOSPITAL | KY | 501(c)(3) | line 3 | bhsi | Yes (true) |
| BAPTIST COMMUNITY HEALTH SERVICES INC | ||||||||||
| 2701 EASTPOINT PARKWAY | LOUISVILLE | KY | 40223 | 611141242 | MEDICAL svcs | KY | 501(c)(3) | line 11a | bhsi | Yes (true) |
| Baptist Medical Associates Inc | ||||||||||
| 2701 EASTPOINT PARKWAY | LOUISVILLE | KY | 40223 | 205497203 | PHYSICIAN svc | KY | 501(c)(3) | line 3 | bhsi | Yes (true) |
| BAPTIST PHYSICIANS LEXINGTON INC | ||||||||||
| 2701 EASTPOINT PARKWAY | LOUISVILLE | KY | 40223 | 205494939 | PHYSICIAN Svc | KY | 501(c)(3) | line 3 | bhsi | Yes (true) |
| BAPTIST PHYSICIANS SOUTHEAST INC | ||||||||||
| 2701 EASTPOINT PARKWAY | LOUISVILLE | KY | 40223 | 260766344 | PHYSICIAN Svc | KY | 501(c)(3) | line 3 | bhsi | Yes (true) |
| WESTERN BAPTIST MEDICAL VENTURES INC | ||||||||||
| 2701 EASTPOINT PARKWAY | LOUISVILLE | KY | 40223 | 611194899 | PHYSICIAN Svc | KY | 501(c)(3) | line 3 | bhsi | Yes (true) |
| BAPTIST HEALTHCARE FOUNDATION INC | ||||||||||
| 2701 EASTPOINT PARKWAY | LOUISVILLE | KY | 40223 | 311122867 | FUNDRAISING | KY | 501(c)(3) | line 11a | bhsi | Yes (true) |
| BAPTIST HOSP Fnd OF GRt LOUisville inc | ||||||||||
| 4000 KRESEGE WAY | LOUISVILLE | KY | 40207 | 200292291 | FUNDRAISING | KY | 501(c)(3) | line 11a | bhsi | Yes (true) |
| BAPTIST HEALTH FOUNDATION LEXINGTON INC | ||||||||||
| 1740 NICHOLASVILLE ROAD | LEXINGTON | KY | 40503 | 611480774 | FUNDRAISING | KY | 501(c)(3) | line 11a | bhsi | Yes (true) |
| LEXINGTON CARDIAC RESEARCH Fnd Inc | ||||||||||
| 1740 NICHOLASVILLE ROAD | LEXINGTON | KY | 40503 | 204242792 | MEDICAL RSrch | KY | 501(c)(3) | line 11a | bhsi | Yes (true) |
| BAPTIST HEALTH FOUNDATION PADUCAH INC | ||||||||||
| 2501 KENTUCKY AVENUE | PADUCAH | KY | 42003 | 264057759 | FUNDRAISING | KY | 501(c)(3) | line 11a | bhsi | Yes (true) |
| MERCY REGIONAL EMERGENCY MEDICAL SYSTEMS | ||||||||||
| 126 LONE OAK ROAD | PADUCAH | KY | 42001 | 611310466 | AMBULANCE Svc | KY | 501(c)(3) | line 11a | bhsi | Yes (true) |
| BAPTIST HEALTHCARE SYSTEM INC | ||||||||||
| 2701 EASTPOINT PARKWAY | LOUISVILLE | KY | 40223 | 610444707 | HOSPITAL | KY | 501(c)(3) | line 3 | NA | false |
| BAPTIST HEALTH RICHMOND INC | ||||||||||
| PO Box 1600 | RICHMOND | KY | 40476 | 610461940 | HOSPITAL | KY | 501(c)(3) | line 3 | bhsi | Yes (true) |
| BAPTIST HEALTH FOUNDATION RICHMOND INC | ||||||||||
| PO Box 1600 | RICHMOND | KY | 40476 | 311506378 | FUNDRAISING | KY | 501(c)(3) | line 11a | bhsi | Yes (true) |
| PATTIE A CLAY HOSPITAL AUXILIARY | ||||||||||
| PO BOX 1600 | RICHMOND | KY | 40476 | 510172717 | SUPPORT HOSP | KY | 501(c)(3) | line 11a | bhsi | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MUHLENBERG MEDICAL CENTER | |||||||||||
| 200 CLINIC DR | MADISONVILLE | KY | 42431 | 200108053 | RENTAL | KY | bmmsi | UNRELATED | false | false | 0.19350 |
| BAPTIST EASTMILESTONE LLC | |||||||||||
| 750 CYPRESS STATION DR | LOUISVILLE | KY | 40207 | 611355065 | FITNESS CENTER | KY | bapt vntrs inc | EXCLUDED | false | false | |
| BAPTIST PHYSICIANS' SRGRY CNTR LLC | |||||||||||
| 1720 NICHOLASVILLE Rd 101 | LEXINGTON | KY | 405031490 | 043665929 | AMBULATORY SRGRY | KY | bchs | RELATED | false | false | |
| BAPTIST EASTPOINT SRGRY CNTR LLC | |||||||||||
| 2400 EASTPOINT PARKWAY | LOUISVILLE | KY | 40223 | 260834852 | AMBULATORY SRGRY | KY | bchs | RELATED | false | false | |
| MEDICAL ASSOCS OF MIDDLETOWN LLC | |||||||||||
| 4000 KRESEGE WAY | LOUISVILLE | KY | 40207 | 200399400 | MDCL OFFiCe BLDG | KY | bhsi | RELATED | false | false | |
| PETCT MANAGEMENT LLC | |||||||||||
| 7807 SHELBYVILLE RD STE 201 | LOUISVILLE | KY | 40222 | 200154982 | MGMT AND EQPMNT | KY | bhsi | RELATED | false | false | |
| ST MATtHEWS SURGERY CENTER LLC | |||||||||||
| 4130 DUTCHMANS LN STE 300 | LOUISVILLE | KY | 40207 | 453714318 | AMBULATORY SRGRY | KY | bchs | RELATED | false | false | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Entity TypeEntityTypeTxt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BAPTIST VENTURES INC | ||||||||||||
| 2701 EASTPOINT PARKWAY | LOUISVILLE | KY | 40223 | 611217018 | MANAGEMENT | KY | bhsi | C Corp | 1.00000 | Yes (true) | ||
| BLUEGRASS FAMILY HEALTH INC | ||||||||||||
| 651 PERIMETER PARK STE 300 | LEXINGTON | KY | 40223 | 611241101 | INSURANCE | KY | bhsi | C Corp | 1.00000 | Yes (true) | ||
| baptist health network inc | ||||||||||||
| 4000 KRESGE WAY | LOUISVILLE | KY | 402074604 | 272939694 | ACO | KY | bhsi | C Corp | 1.00000 | Yes (true) | ||
| MUTUAL CREDIT SERVICES INC | ||||||||||||
| PO BOX 149 | MADISONVILLE | KY | 42431 | 610660705 | COLLECTION AGNCY | KY | BHSI | C CORP | 1.00000 | Yes (true) | $4,414 | $801,497 |
| baptist medical management svcs | ||||||||||||
| 900 hospital drive | madisonville | KY | 42431 | 371519513 | hc mso | KY | bhsi | c corp | 1.00000 | Yes (true) | $122,698 | $611,867 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (8 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MEDICAL CENTER AMBULANCE SERVICES INC | ||
| a | $4,916 | COST/FMV |
| BAPTIST MEDICAL MANAGEMENT SERVICES INC | ||
| p | $1,304,411 | COST/FMV |
| MEDICAL CENTER AMBULANCE SERVICES | ||
| q | $7,748 | COST/FMV |
| MUTUAL CREDIT SERVICES INC | ||
| q | $503,851 | COST/FMV |
| MUTUAL CREDIT SERVICES INC | ||
| p | $503,851 | COST/FMV |
| MS COMMUNITY HEALTH LLC | ||
| r | $400,000 | COST/FMV |
| MS COMMUNITY HEALTH LLC | ||
| q | $36,501 | COST/FMV |
| BAPTIST MEDICAL MANAGEMENT SERVICES INC | ||
| q | $4,108 | cost/fmv |