CONSOLIDATED HEALTH SYSTEMS INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- CONSOLIDATED HEALTH SYSTEMS INC (EIN 31-1139276)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-14
- IRS object ID
- 201411349349304391
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-14T14:08:08-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 273858252 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEAN DORTON ALLEN FORD PLLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 106 W VINE STREET SUITE 600 | AddressLine1 |
| City | LEXINGTON | City |
| State | KY | State |
| ZIP Code | 40507 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311139276 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CONSOLIDATED HEALTH SYSTEMS INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CONS | NameControl |
| Phone | 6068869558 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 0787 | AddressLine1 |
| City | PRESTONSBURG | City |
| State | KY | State |
| ZIP Code | 41653 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JACK BLACKWELL | Name |
| Title | CFO | Title |
| Phone | 6068869558 | Phone |
| Date Signed | 2014-05-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LEIGH MCKEE | Name |
| PTIN | P00169845 | PTIN |
| Phone | 8592552341 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HIGHLANDS HEALTH SYSTEM | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JACK BLACKWELL | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 0787 | AddressLine1 |
| City | PRESTONSBURG | City |
| State | KY | State |
| ZIP Code | 41653 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 18662486 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.HIGHLANDSHEALTHSYSTEM.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1984 | YearFormation |
| State Legal Domicile | KY | StateLegalDomicile |
| Activity Or Mission Description | THE ORGANIZATION SERVES TO FOSTER AND DEVELOP HEALTH CARE ACTIVITIES | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 8 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 65 | TotalNbrEmployees |
| Total Nbr Volunteers | 7 | TotalNbrVolunteers |
| Total Gross UBI | 307069 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -115945 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 13485466 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 14387000 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 614002 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1025424 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 993778 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2164384 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 15093246 | TotalRevenuePriorYear |
| Total Revenue Current Year | 17576808 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 3450 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 62577 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 7245111 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 7459319 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 29495 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 7611144 | OtherExpensePriorYear |
| Other Expenses Current Year | 7607944 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 14859705 | TotalExpensesPriorYear |
| Total Expenses Current Year | 15129840 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 233541 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2446968 | RevenuesLessExpensesCY |
| Total Assets BOY | 56664626 | TotalAssetsBOY |
| Total Assets EOY | 55302961 | TotalAssetsEOY |
| Total Liabilities BOY | 41276068 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 36158493 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 15388558 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 19144468 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE ORGANIZATION SERVES TO FOSTER AND DEVELOP HEALTH CARE ACTIVITIES IN THE SERVICE AREA OF HIGHLANDS REGIONAL MEDICAL CENTER, AN AFFILIATED HOSPITAL. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 11076331 | Expense |
| Grants | 62577 | Grants |
| Revenue | 17189230 | Revenue |
| Description | THE ORGANIZATION SERVES TO FOSTER AND DEVELOP HEALTH CARE ACTIVITIES IN THE SERVICE AREA OF HIGHLANDS REGIONAL MEDICAL CENTER, AN AFFILIATED HOSPITAL. | Description |
| Total Program Service Expense | 11076331 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 34 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 65 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 8 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | KY | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6068869558 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 0787 | AddressLine1 |
| City | PRESTONSBURG | City |
| State | KY | State |
| ZIP Code | 41653 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (17 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| HAROLD C WARMAN | |||||||
| PRESIDENT/CEO | 40.00 | X | X | 313247 | 0 | 32772 | |
| BURL WELLS SPURLOCK | |||||||
| VICE CHAIRMAN | 2.00 | X | 0 | 0 | 0 | ||
| DEWEY L BOCOOK JR | |||||||
| CHAIRMAN | 1.00 | X | 0 | 0 | 0 | ||
| EDWARD R NAIRN | |||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | ||
| PAUL D NUNN | |||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | ||
| ROBERT M DUNCAN | |||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| GREGORY A WILSON | |||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| DENNIS DORTON | |||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JACK BLACKWELL | |||||||
| CFO | 40.00 | X | 204463 | 0 | 18684 | ||
| SUSAN ELLIS | |||||||
| VPHR | 40.00 | X | 143511 | 0 | 27561 | ||
| JAMES D JACKSON | |||||||
| CIO | 40.00 | X | 133468 | 0 | 26871 | ||
| TODD HIGHTOWER | |||||||
| VP PHYSICIAN SERVICES | 40.00 | X | 146103 | 0 | 24666 | ||
| TERRY D HALL | |||||||
| PHYSICIAN | 40.00 | 466234 | 0 | 27772 | X | ||
| DARYL LARKE | |||||||
| PHYSICIAN | 40.00 | 548987 | 0 | 32772 | X | ||
| BRETT AKERS | |||||||
| PHYSICIAN | 40.00 | 698263 | 0 | 31522 | X | ||
| ROBERT N ROYALTY | |||||||
| PHYSICIAN | 40.00 | 328805 | 0 | 15947 | X | ||
| JOEL A SHAPIRO | |||||||
| PHYSICIAN | 40.00 | 321393 | 0 | 14257 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3304474 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 252824 | TotalOtherCompensation |
| Number Individuals GT100 K | 16 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| PROGRESSIVE HEALTHCARE INC | |||||
| 109 WESTPARK DRIVE STE 150 | BRENTWOOD | TN | 37027 | CONSULTING | 455729 |
| AUTOMATIC DATA PROCESSING | |||||
| 225 2ND AVENUE | BOSTON | MA | 02129 | PAYROLL PROCESSING | 130004 |
| FAIRWAY OUTDOOR ADVERTISING | |||||
| 1749 US HWY NORTH | PRESTONSBURG | KY | 41653 | ADVERTISING | 122453 |
| GOGGANS CONSTRUCTION CORP | |||||
| 312 EUCLID AVENUE | PAINTSVILLE | KY | 41240 | CONTRACTOR | 111330 |
| STAFF CARE INC | |||||
| 5001 STATESMAN DR | IRVING | TX | 75063 | STAFFING | 101528 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PHYSICIAN SERVICES | 621300 | 12235016 | 12235016 |
| MANAGEMENT/CONSULTING | 541610 | 7478243 | 7478243 |
| REFUNDS/CONTRACT | 900099 | -5326259 | -5326259 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 14387000 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 602410 | TotalRevenueColumn |
| Exclusion | $602,410 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 447832 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1085678 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -637846 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -637846 | TotalRevenueColumn |
| Unrelated Business Revenue | -115945 | UnrelatedBusinessRevenue |
| Exclusion | -$521,901 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 423014 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 423014 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 423014 | TotalRevenueColumn |
| Unrelated Business Revenue | 423014 | UnrelatedBusinessRevenue |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MEANINGFUL USE FUNDS | 900099 | 2378184 | 2378184 |
| INTERDEPARTMENT BENEFITS | 900099 | 424046 | 424046 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2802230 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 17576808 | TotalRevenueColumn |
| Related Or Exempt Function Income | 17189230 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 307069 | UnrelatedBusinessRevenue |
| Exclusion | $80,509 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 62577 | Total |
| Program Services | 62577 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1039236 | Total |
| Management And General | 1039236 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5049373 | Total |
| Program Services | 5020168 | ProgramServices |
| Fundraising | 29205 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 190650 | Total |
| Program Services | 190650 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 803694 | Total |
| Program Services | 778894 | ProgramServices |
| Management And General | 24800 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 376366 | Total |
| Management And General | 376366 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9479 | Total |
| Management And General | 9479 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 90000 | Total |
| Management And General | 90000 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4540508 | Total |
| Program Services | 4224785 | ProgramServices |
| Management And General | 315723 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 479923 | Total |
| Management And General | 479633 | ManagementAndGeneral |
| Fundraising | 290 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 233087 | Total |
| Management And General | 233087 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 535427 | Total |
| Management And General | 535427 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 72243 | Total |
| Management And General | 72243 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35900 | Total |
| Management And General | 35900 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4856 | Total |
| Management And General | 4856 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 373325 | Total |
| Program Services | 373325 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | Program ServicesProgramServices |
|---|---|---|---|
| PROVISION FOR BAD DEBTS | 457313 | 457313 | |
| SUPPLIES | 453205 | 32273 | 420932 |
| DUES & SUBSCRIPTIONS | 127700 | 127700 | |
| EQUIPMENT RENTAL | 91257 | 91257 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 103721 | Total |
| Program Services | 5000 | ProgramServices |
| Management And General | 98721 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15129840 | Total |
| Program Services | 11076331 | ProgramServices |
| Management And General | 4024014 | ManagementAndGeneral |
| Fundraising | 29495 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1219700 | BOY |
| EOY | 790895 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24472499 | BOY |
| EOY | 26938612 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2960744 | BOY |
| EOY | 1262016 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7028707 | BOY |
| EOY | 5150723 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16250 | BOY |
| EOY | 16250 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 167900 | BOY |
| EOY | 117841 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 24616650 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 7496012 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17477825 | BOY |
| EOY | 17120638 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 984927 | BOY |
| EOY | 1101683 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2336074 | BOY |
| EOY | 2804303 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 56664626 | BOY |
| EOY | 55302961 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1317118 | BOY |
| EOY | 1368407 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 229856 | BOY |
| EOY | 297571 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 889484 | BOY |
| EOY | 379037 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38839610 | BOY |
| EOY | 34113478 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41276068 | BOY |
| EOY | 36158493 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15388558 | BOY |
| EOY | 19144468 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15388558 | BOY |
| EOY | 19144468 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 56664626 | BOY |
| EOY | 55302961 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 2446968 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 1308942 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Certification Checkbox | X | CertificationCheckbox |
| Written IRS Determination | X | WrittenIRSDetermination |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HIGHLANDS HOSPITAL CORPORATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 610658773 | EIN |
| Type Of Organization | 3 | TypeOfOrganization |
| Listed In Governing Doc | 1 | ListedInGoverningDoc |
| Supported Organization Notified | 1 | SupportedOrganizationNotified |
| Organized In US | 1 | OrganizedInUS |
| Amount | $0 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 1 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 0 | SumOfAmounts |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 11375859 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 1510411 | InvestmentEarningsOrLosses |
| End Of Year Balance | 12886270 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 10748641 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 927218 | InvestmentEarningsOrLosses |
| End Of Year Balance | 11375859 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 8800172 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 1948469 | InvestmentEarningsOrLosses |
| End Of Year Balance | 10748641 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 8365650 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 434522 | InvestmentEarningsOrLosses |
| End Of Year Balance | 8800172 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 10839794 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -2474144 | InvestmentEarningsOrLosses |
| End Of Year Balance | 8365650 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 1.00000 | BoardDesignatedEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2584885 | OtherCostOrOtherBasis |
| Book Value | 2584885 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 17858015 | OtherCostOrOtherBasis |
| Depreciation | 4739223 | Depreciation |
| Book Value | 13118792 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 577896 | OtherCostOrOtherBasis |
| Depreciation | 392680 | Depreciation |
| Book Value | 185216 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3155923 | OtherCostOrOtherBasis |
| Depreciation | 2356804 | Depreciation |
| Book Value | 799119 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 439931 | OtherCostOrOtherBasis |
| Depreciation | 7305 | Depreciation |
| Book Value | 432626 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 17120638 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | INTERCOMPANY RECEIVABLE | Description |
| Book Value | 2804303 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 2804303 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | INTERCOMPANY LIABILITIES | Description |
| Amount | $34,113,478 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 34113478 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | THE BOARD RESTRICTED NET ASSETS CONSIST OF ASSETS DESIGNATED BY THE BOARD OF DIRECTORS FOR FUTURE CAPITAL IMPROVEMENTS. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X, LINE 2: | THE PARENT COMPANY, HHHC, THE HOSPITAL AND HCFA ARE EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC), EXCEPT FOR ANY UNRELATED BUSINESS INCOME ACTIVITIES. NO PROVISION FOR INCOME TAXES HAS BEEN REFLECTED IN THE COMBINED FINANCIAL STATEMENTS FOR ANY OF THESE ENTITIES. CHE IS A FOR-PROFIT CORPORATION ON WHICH APPLICABLE CORPORATE INCOME TAXES APPLY. HMP I, HMP II, HS, HIGHLANDS PRESTONSBURG AND HIGHLANDS PAINTSVILLE ARE LIMITED LIABILITY ENTITIES. IN LIEU OF INCOME TAXES, THE OWNERS OF THE ENTITIES ARE REQUIRED TO REPORT THEIR RESPECTIVE SHARES OF THE ENTITIES' TAXABLE INCOME OR LOSS ON THEIR RESPECTIVE INCOME TAX RETURNS. THE HOSPITAL HAS UNRELATED BUSINESS INCOME FROM CERTAIN ACTIVITIES. THESE ACTIVITIES ARE GENERALLY CONDUCTED AT A LOSS AND HELP TO COVER OVERHEAD COSTS. BOTH THE HOSPITAL AND CHE HAVE SMALL NET OPERATING LOSS CARRYFORWARDS. MANAGEMENT HAS EVALUATED THE COMPANY'S TAX POSITIONS AND CONCLUDED THAT THE COMPANY TOOK NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE COMBINED FINANCIAL STATEMENTS TO COMPLY WITH GAAP. WITH FEW EXCEPTIONS, THE COMPANY IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2010. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BIG SANDY HEALTH CARE INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1709 KY RT 321 SUITE 3 | AddressLine1 |
| City | PRESTONSBURG | City |
| State | KY | State |
| ZIP Code | 41653 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 610849776 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 50000 | AmountOfCashGrant |
| Purpose Of Grant | PROVIDE HEALTH CARE TO RESIDENTS OF SOUTHEASTERN KENTUCKY | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: THE ORGANIZATION MAINTAINS RECORDS TO SUBSTANTIATE THE GRANTS PAID AND DOCUMENTATION RECEIVED FROM THE RECIPIENT ORGANIZATION REQUESTING THE GRANT. HOWEVER, THE ORGANIZATION DOES NOT MONITOR THE USE OF THE FUNDS BY THE RECIPIENT ORGANIZATION AT THIS TIME. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HAROLD C WARMAN | ||||||||||||||
| PRESIDENT/CEO | 313247 | 0 | 0 | 0 | 0 | 0 | 12500 | 0 | 20272 | 0 | 346019 | 0 | 0 | 0 |
| JACK BLACKWELL | ||||||||||||||
| CFO | 204463 | 0 | 0 | 0 | 0 | 0 | 10237 | 0 | 8447 | 0 | 223147 | 0 | 0 | 0 |
| SUSAN ELLIS | ||||||||||||||
| VPHR | 143511 | 0 | 0 | 0 | 0 | 0 | 7289 | 0 | 20272 | 0 | 171072 | 0 | 0 | 0 |
| JAMES D JACKSON | ||||||||||||||
| CIO | 133468 | 0 | 0 | 0 | 0 | 0 | 6599 | 0 | 20272 | 0 | 160339 | 0 | 0 | 0 |
| TODD HIGHTOWER | ||||||||||||||
| VP PHYSICIAN SERVICES | 146103 | 0 | 0 | 0 | 0 | 0 | 4394 | 0 | 20272 | 0 | 170769 | 0 | 0 | 0 |
| TERRY D HALL | ||||||||||||||
| PHYSICIAN | 466234 | 0 | 0 | 0 | 0 | 0 | 7500 | 0 | 20272 | 0 | 494006 | 0 | 0 | 0 |
| DARYL LARKE | ||||||||||||||
| PHYSICIAN | 548987 | 0 | 0 | 0 | 0 | 0 | 12500 | 0 | 20272 | 0 | 581759 | 0 | 0 | 0 |
| BRETT AKERS | ||||||||||||||
| PHYSICIAN | 698263 | 0 | 0 | 0 | 0 | 0 | 11250 | 0 | 20272 | 0 | 729785 | 0 | 0 | 0 |
| ROBERT N ROYALTY | ||||||||||||||
| PHYSICIAN | 328805 | 0 | 0 | 0 | 0 | 0 | 7500 | 0 | 8447 | 0 | 344752 | 0 | 0 | 0 |
| JOEL A SHAPIRO | ||||||||||||||
| PHYSICIAN | 321393 | 0 | 0 | 0 | 0 | 0 | 7500 | 0 | 6757 | 0 | 335650 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE DIRECTOR OF ACCOUNTING, CFO AND BOARD OF DIRECTORS WILL REVIEW FORM 990 PRIOR TO FILING. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY IS DISTRIBUTED TO EACH BOARD MEMBER ANNUALLY. THE POLICY IS DISTRIBUTED BY THE BOARD SECRETARY ALONG WITH A DISCLOSURE FORM. RESPONSES ARE REVIEWED BY THE CEO. IF THERE IS A PARTICULAR ISSUE THAT NEEDS TO BE BROUGHT TO THE ATTENTION OF THE BOARD, THE CEO WILL CONTACT THE BOARD CHAIR TO DISCUSS, AND IF NECESSARY, IT WILL BE PLACED ON THE BOARD AGENDA FOR REVIEW. ADDITIONALLY, IF A BOARD MEMBER OR THE CEO BECOME AWARE OF POTENTIAL CONFLICTS THEY CAN REPORT THIS TO THE BOARD CHAIR DURING THE YEAR. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPENSATION OF THE CEO AND OFFICERS IS DETERMINED BY A COMMITTEE OF THE BOARD OF DIRECTORS THAT REVIEWS PERFORMANCE ANNUALLY. THE BOARD CONSULTS WITH VARIOUS SOURCES TO DETERMINE MARKET RATES OF COMPENSATION AGAINST COMPARABLE ORGANIZATIONS. THE BOARD USES ACHE COMPENSATION SURVEYS, MODERN HEALTHCARE COMPENSATION SURVEYS, AND VERBALLY CONSULTS WITH THE KY HOSPITAL ASSOCIATION TO DETERMINE KY COMPENSATION. FROM TIME TO TIME, THE BOARD MAY USE OTHER SOURCES THAT ARE AVAILABLE. COMPENSATION IS BASED ON MARKET RATES AND PERFORMANCE AGAINST GOALS, WHICH ARE ESTABLISHED ANNUALLY. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. | |
| FORM 990, PART IX, LINE 11G | OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 4,224,785. MANAGEMENT AND GENERAL EXPENSES 315,723. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,540,508. | OTHER FEES |
| FORM 990, PART XI, LINE 2C | THERE IS A COMMITTEE OF THE BOARD OF DIRECTORS THAT ASSUMES RESPONSIBILITY FOR THE AUDIT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| HHS DEVELOPMENT COMPANY PRESTONSBURG LLC | |||||||||
| 5000 KY RT 321 | PRESTONSBURG | KY | 41653 | 271260438 | HOLD MEDICAL OFFICE BUILDING | KY | -272109 | 7075691 | CONSOLIDATED HEALTH SYSTEMS INC |
| HHS DEVELOPMENT COMPANY PAINTSVILEE LLC | |||||||||
| 5000 KY RT 321 | PRESTONSBURG | KY | 41653 | 271259520 | HOLD MEDICAL OFFICE BUILDING | KY | -186298 | 3854251 | CONSOLIDATED HEALTH SYSTEMS INC |
| HOMETOWN FAMILY CARE LLC | |||||||||
| 5000 KY RT 321 | PRESTONSBURG | KY | 41653 | 202470645 | FAMILY CARE CLINIC | KY | 446177 | 1101346 | CONSOLIDATED HEALTH SYSTEMS INC |
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| HIGHLANDS HOME CARE INC | ||||||||||
| 5032 KENTUCKY ROUTE 321 | PRESTONSBURG | KY | 41653 | 611349726 | HOME HEALTH SERVICES | KY | 501(C)(3) | 9 | CONSOLIDATED HEALTH SYSTEMS INC | 1 |
| HIGHLANDS HOSPITAL CORPORATION | ||||||||||
| BOX 668 5032 KENTUCKY ROUTE 321 | PRESTONSBURG | KY | 41653 | 610658773 | HEALTH CARE SERVICES | KY | 501(C)(3) | 3 | CONSOLIDATED HEALTH SYSTEMS INC | 1 |
| HIGHLANDS FOUNDATION INC | ||||||||||
| 5000 KY HIGHWAY 321 | PRESTONSBURG | KY | 41653 | 208036784 | PROMOTE HEALTH AND COMMUNITY EDUCATION AND INVOLVEMENT | KY | 501(C)(3) | 7 | CONSOLIDATED HEALTH SYSTEMS INC | 1 |
| HIGHLANDS CENTER FOR AUTISM INC | ||||||||||
| 5000 KY HIGHWAY 321 | PRESTONSBURG | KY | 41653 | 264541964 | SCHOOL FOR AUTISM SPECTRUM DISORDER | KY | 501(C)(3) | 9 | CONSOLIDATED HEALTH SYSTEMS INC | 1 |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HIGHLANDS MEDICAL PARTNERS II LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5000 KENTUCKY ROUTE 321 | AddressLine1 |
| City | PRESTONSBURG | City |
| State | KY | State |
| ZIP Code | 41653 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311139276 | EIN |
| Primary Activity | MEDICAL SERIVCES - SLEEP LAB | PrimaryActivity |
| Legal Domicile State | KY | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CONSOLIDATED HEALTH SYSTEMS INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeType |
| Share Of Total Income | -31300 | ShareOfTotalIncome |
| Share Of EOY Assets | 33375 | ShareOfEOYAssets |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 1 | GeneralOrManagingPartner |
| Percentage Ownership | 0.51000 | PercentageOwnership |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CONSOLIDATED HEALTH ENTERPRISES | ||||||||||||
| BOX 668 5032 KY ROUTE 321 | PRESTONSBURG | KY | 41653 | 611261592 | PHARMACY | KY | CONSOLIDATED HEALTH SYSTEMS INC | C | -136678 | 743045 | 1.00000 | 1 |
| HIGHLANDS STAFFING INC | ||||||||||||
| 5000 KY RT 321 | PRESTONSBURG | KY | 41653 | 270835324 | STAFFING | KY | CONSOLIDATED HEALTH SYSTEMS INC | C | 7291 | 400044 | 1.00000 | 1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| HIGHLANDS HOSPITAL CORPORATION | |
| E | 4333148 |
| HIGHLANDS HOME CARE INC | |
| E | 240615 |
| HIGHLANDS FOUNDATION INC | |
| D | 195119 |
| HIGHLANDS CENTER FOR AUTISM | |
| D | 156032 |
| CONSOLIDATED HEALTH ENTERPRISES | |
| D | 76594 |