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CONSOLIDATED HEALTH SYSTEMS INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
CONSOLIDATED HEALTH SYSTEMS INC (EIN 31-1139276)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-15
IRS object ID
201301359349305770
Schema version
2011v1.5
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

FieldValueIRS element (for citing)
Timestamp2013-05-15T13:25:37-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN273858252EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DEAN DORTON ALLEN FORD PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1106 W VINE STREET SUITE 600AddressLine1
CityLEXINGTONCity
StateKYState
ZIP Code40507ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN311139276EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CONSOLIDATED HEALTH SYSTEMS INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCONSNameControl
Phone6068869558Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 0787AddressLine1
CityPRESTONSBURGCity
StateKYState
ZIP Code41653ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJACK BLACKWELLName
TitleCFOTitle
Phone6068869558Phone
Date Signed2013-05-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLEIGH MCKEEName
PTINP00169845PTIN
Phone8592552341Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1HIGHLANDS HEALTH SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonJACK BLACKWELLNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 0787AddressLine1
CityPRESTONSBURGCity
StateKYState
ZIP Code41653ZIPCode
FieldValueIRS element (for citing)
Gross Receipts16225534GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HIGHLANDSHEALTHSYSTEM.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileKYStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION SERVES TO FOSTER AND DEVELOP HEALTH CARE ACTIVITIESActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees61TotalNbrEmployees
Total Nbr Volunteers7TotalNbrVolunteers
Total Gross UBI-85807TotalGrossUBI
Net Unrelated Business Txbl Income-108557NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year9635219ProgramServiceRevenuePriorYear
Program Service Revenue CY13485466ProgramServiceRevenueCY
Investment Income Prior Year358322InvestmentIncomePriorYear
Investment Income Current Year614002InvestmentIncomeCurrentYear
Other Revenue Prior Year1213298OtherRevenuePriorYear
Other Revenue Current Year993778OtherRevenueCurrentYear
Total Revenue Prior Year11206839TotalRevenuePriorYear
Total Revenue Current Year15093246TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year6696GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY3450GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4516485SalariesEtcPriorYear
Salaries Etc Current Year7245111SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year29436TotalFundrsngExpCurrentYear
Other Expense Prior Year5893665OtherExpensePriorYear
Other Expenses Current Year7611144OtherExpensesCurrentYear
Total Expenses Prior Year10416846TotalExpensesPriorYear
Total Expenses Current Year14859705TotalExpensesCurrentYear
Revenues Less Expenses Prior Year789993RevenuesLessExpensesPriorYear
Revenues Less Expenses CY233541RevenuesLessExpensesCY
Total Assets BOY55465359TotalAssetsBOY
Total Assets EOY56664626TotalAssetsEOY
Total Liabilities BOY39411391TotalLiabilitiesBOY
Total Liabilities EOY41276068TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY16053968NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY15388558NetAssetsOrFundBalancesEOY
Mission DescriptionTHE 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 Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense10946997Expense
Grants3450Grants
Revenue15122668Revenue
DescriptionTHE 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 Expense10946997TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109646NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees61NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledKYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6068869558TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 0787AddressLine1
CityPRESTONSBURGCity
StateKYState
ZIP Code41653ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
HAROLD C WARMAN
PRESIDENT/CEO40.00XX324438011904
BURL WELLS SPURLOCK
CHAIRMAN2.00X000
DEWEY L BOCOOK JR
SECRETARY1.00X000
EDWARD R NAIRN
VICE-CHAIRMAN1.00X000
PAUL D NUNN
TREASURER1.00X000
ROBERT M DUNCAN
MEMBER1.00X000
GREGORY A WILSON
MEMBER1.00X000
DENNIS DORTON
MEMBER1.00X000
JACK BLACKWELL
CFO40.00X20371309935
SUSAN ELLIS
VPHR40.00X14247007124
JAMES D JACKSON
CIO40.00X13122506561
DEBRA HALL
PHYSICIAN40.00232330011616X
DARYL LARKE
PHYSICIAN40.00379445012250X
JEREMY PARSONS
PHYSICIAN40.0015338907669X
TERRY D HALL
PHYSICIAN40.0020788306236X
BRETT AKERS
PHYSICIAN40.0058845807350X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2363351TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation80645TotalOtherCompensation
Number Individuals GT100 K11NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
PROGRESSIVE HEALTHCARE INC
109 WESTPARK DRIVE STE 150BRENTWOODTN37027CONSULTING691555
AUTOMATIC DATA PROCESSING
225 2ND AVENUEBOSTONMA02129PAYROLL PROCESSING151654
STAFF CARE INC
5001 STATESMAN DRIRVINGTX75063STAFFING110499
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MANAGEMENT/CONSULTING54161078528187852818
PHYSICIAN SERVICES62130066851276685127
REFUNDS/CONTRACT900099-1052479-1052479
FieldValueIRS element (for citing)
Total Program Service Revenue13485466TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column591252TotalRevenueColumn
Exclusion$591,252ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real488864Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real1132288Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-643424Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-643424TotalRevenueColumn
Unrelated Business Revenue-108557UnrelatedBusinessRevenue
Exclusion-$534,867ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other22750Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other22750Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column22750TotalRevenueColumn
Unrelated Business Revenue22750UnrelatedBusinessRevenue

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEANINGFUL USE FUNDS90009916148151614815
INTERDEPARTMENT BENEFI9000992238722387
FieldValueIRS element (for citing)
Total Other Revenue1637202TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column15093246TotalRevenueColumn
Related Or Exempt Function Income15122668RelatedOrExemptFunctionIncome
Unrelated Business Revenue-85807UnrelatedBusinessRevenue
Exclusion$56,385ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total3450Total
Program Services3450ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total916381Total
Management And General916381ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5018300Total
Program Services4989274ProgramServices
Fundraising29026Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total155782Total
Program Services155782ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total793712Total
Program Services758912ProgramServices
Management And General34800ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total360936Total
Management And General360936ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2388Total
Management And General2388ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total90000Total
Management And General90000ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4688230Total
Program Services4249963ProgramServices
Management And General438267ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total676149Total
Management And General675739ManagementAndGeneral
Fundraising410Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total148894Total
Management And General148894ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total450418Total
Management And General450418ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total61733Total
Management And General61733ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total54072Total
Management And General54072ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total534Total
Management And General534ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total418265Total
Program Services418265ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total11459Total
Management And General11459ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES38514237135113791
BAD DEBTS363851363851
DUES & SUBSCRIPTIONS8875888758
LICENSES & TAXES6524565245

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total106006Total
Management And General106006ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total14859705Total
Program Services10946997ProgramServices
Management And General3883272ManagementAndGeneral
Fundraising29436Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY322148BOY
EOY1219700EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY22866457BOY
EOY24472499EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1341313BOY
EOY2960744EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY7329306BOY
EOY7028707EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY16250EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY110177BOY
EOY167900EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis24068272LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec6590447LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY8102238BOY
EOY17477825EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY984927EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY15393720BOY
EOY2336074EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY55465359BOY
EOY56664626EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1099116BOY
EOY1317118EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY303056BOY
EOY229856EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2141397BOY
EOY889484EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY35867822BOY
EOY38839610EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY39411391BOY
EOY41276068EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY16053968BOY
EOY15388558EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16053968BOY
EOY15388558EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY55465359BOY
EOY56664626EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses233541ReconcilationRevenueExpenses
Reconcilation Other Changes-898951ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Written IRS DeterminationXWrittenIRSDetermination
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1HIGHLANDS HOSPITAL CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
EIN610658773EIN
Type Of Organization3TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance10748641BeginningOfYearBalance
Investment Earnings Or Losses627218InvestmentEarningsOrLosses
End Of Year Balance11375859EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance8800172BeginningOfYearBalance
Investment Earnings Or Losses1948469InvestmentEarningsOrLosses
End Of Year Balance10748641EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance8365650BeginningOfYearBalance
Investment Earnings Or Losses434522InvestmentEarningsOrLosses
End Of Year Balance8800172EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance10839794BeginningOfYearBalance
Investment Earnings Or Losses-2474144InvestmentEarningsOrLosses
End Of Year Balance8365650EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2584885OtherCostOrOtherBasis
Book Value2584885BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis17767867OtherCostOrOtherBasis
Depreciation4109309Depreciation
Book Value13658558BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis577896OtherCostOrOtherBasis
Depreciation332170Depreciation
Book Value245726BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2896999OtherCostOrOtherBasis
Depreciation2066959Depreciation
Book Value830040BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis240625OtherCostOrOtherBasis
Depreciation82009Depreciation
Book Value158616BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings17477825TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
INTERCOMPANY LIABILITIES$38,206,010
PHYSICIAN RECRUITING$633,600
FieldValueIRS element (for citing)
Total Of Amounts38839610TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
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: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, HIGHLANDS PAINTSVILLE AND HOMETOWN 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 2009.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained
No Grant More Than5000XNoGrantMoreThan5000

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE 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

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
HAROLD C WARMAN
3244380000000119040336342000
JACK BLACKWELL
203713000000099350213648000
DEBRA HALL
2323300000000116160243946000
DARYL LARKE
3794450000000122500391695000
JEREMY PARSONS
153389000000076690161058000
TERRY D HALL
207883000000062360214119000
BRETT AKERS
588458000000073500595808000

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonBURL WELLS SPURLOCKNamePerson
FieldValueIRS element (for citing)
RelationshipCHAIRMAN OF THE BOARDRelationship
Amount Of Transaction130661AmountOfTransaction
Description Of TransactionCHS RENTED PROPERTY FROM RIVERSIDE INVESTMENTS INC. WHICH IS OWNED BY MR. SPURLOCK.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE DIRECTOR OF ACCOUNTING, CFO AND BOARD OF DIRECTORS WILL REVIEW FORM 990 PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE 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 15THE 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 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -106,608. ADJ FOR SMLLCS -792,343. TOTAL TO FORM 990, PART XI, LINE 5: -898,951.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 2CTHERE 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/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
HHS DEVELOPMENT COMPANY PRESTONSBURG LLC
5000 KY RT 321PRESTONSBURGKY41653271260438HOLD MEDICAL OFFICE BUILDINGKY-2254737344965CONSOLIDATED HEALTH SYSTEMS INC
HHS DEVELOPMENT COMPANY PAINTSVILEE LLC
5000 KY RT 321PRESTONSBURGKY41653271259520HOLD MEDICAL OFFICE BUILDINGKY-1679863911278CONSOLIDATED HEALTH SYSTEMS INC
HOMETOWN FAMILY CARE LLC
5000 KY RT 321PRESTONSBURGKY41653202470645FAMILY CARE CLINICKY53675615472CONSOLIDATED HEALTH SYSTEMS INC

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
HIGHLANDS HOME CARE INC
5032 KENTUCKY ROUTE 321PRESTONSBURGKY41653611349726HOME HEALTH SERVICESKY501(C)(3)9CONSOLIDATED HEALTH SYSTEMS INC1
HIGHLANDS HOSPITAL CORPORATION
BOX 668 5032 KENTUCKY ROUTE 321PRESTONSBURGKY41653610658773HEALTH CARE SERVICESKY501(C)(3)3CONSOLIDATED HEALTH SYSTEMS INC1
HIGHLANDS FOUNDATION INC
5000 KY HIGHWAY 321PRESTONSBURGKY41653208036784PROMOTE HEALTH AND COMMUNITY EDUCATION AND INVOLVEMENTKY501(C)(3)7CONSOLIDATED HEALTH SYSTEMS INC1
HIGHLANDS CENTER FOR AUTISM INC
5000 KY HIGHWAY 321PRESTONSBURGKY41653264541964SCHOOL FOR AUTISM SPECTRUM DISORDERKY501(C)(3)9CONSOLIDATED HEALTH SYSTEMS INC1

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerShare Of EOY AssetsShareOfEOYAssets
HIGHLANDS MEDICAL PARTNERS I LLC
5000 KENTUCKY ROUTE 321PRESTONSBURGKY41653262242914MEDICAL SERIVCES - IMAGING CENTERKYCONSOLIDATED HEALTH SYSTEMS INCRELATED-23842301
HIGHLANDS MEDICAL PARTNERS II LLC
5000 KENTUCKY ROUTE 321PRESTONSBURGKY41653311139276MEDICAL SERIVCES - SLEEP LABKYCONSOLIDATED HEALTH SYSTEMS INCRELATED-2603301157835

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
CONSOLIDATED HEALTH ENTERPRISES
BOX 668 5032 KY ROUTE 321PRESTONSBURGKY41653611261592PHARMACYKYCONSOLIDATED HEALTH SYSTEMS INCC-1571057526281.00000
HIGHLANDS STAFFING INC
5000 KY RT 321PRESTONSBURGKY41653270835324STAFFINGKYCONSOLIDATED HEALTH SYSTEMS INCC225193839631.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
HIGHLANDS HOSPITAL CORPORATION
E4675069
HIGHLANDS HOME CARE INC
E96719
HIGHLANDS FOUNDATION INC
D106172
HIGHLANDS CENTER FOR AUTISM
D100334
CONSOLIDATED HEALTH ENTERPRISES
D76268
HIGHLANDS STAFFING INC
D69273