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SRHS BANKRUPTCY INC (FKA SUMNER REGIONAL HEALTH SYSTEMS INC): Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SRHS BANKRUPTCY INC (FKA SUMNER REGIONAL HEALTH SYSTEMS INC) (EIN 62-1573738)
Tax period
2011-06-01 to 2012-05-31
Filed
2013-04-11
IRS object ID
201341019349300424
Schema version
2011v1.2
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)
Timestamp2013-04-11T14:00:20-05:00Timestamp
Tax Period End Date2012-05-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line170 West Madison StreetAddressLine1
Address Line2Suite 700AddressLine2
CityChicagoCity
StateILState
ZIP Code606024903ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-06-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN621573738EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SRHS BANKRUPTCY INC (FKA SUMNER REGIONAL HEALTH SYSTEMS INC)BusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSRHSNameControl
Phone8475832807Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1c/o Navigant Capital Advisors LLCAddressLine1
Address Line21603 Orrington AveAddressLine2
CityEvanstonCity
StateILState
ZIP Code60201ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOSEPH ORITIName
TitleVP OF FINANCETitle
Date Signed2012-08-22DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJohn WoodhullName
PTINP01305268PTIN
Phone3128997000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1JOSEPH ORITIBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11603 Orrington Avenue suite 1600AddressLine1
CityEvanstonCity
StateILState
ZIP Code60201ZIPCode
FieldValueIRS element (for citing)
Gross Receipts5443908GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1994YearFormation
State Legal DomicileTNStateLegalDomicile
Activity Or Mission DescriptionAS OF SEPTEMBER 1, 2010 THE HOSPITAL DISCONTINUED ALL OPERATIONS. THE HOSPITAL AND IT AFFILIATES WERE PURCHASED BY LIFEPOINT HOSPITALS AND CURRENTLY OPERATE UNDER NEW OWNERSHIP.ActivityOrMissionDescription
Nbr Voting Members Governing Body0NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year9311ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year30396238ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year405428InvestmentIncomePriorYear
Investment Income Current Year666756InvestmentIncomeCurrentYear
Other Revenue Prior Year951550OtherRevenuePriorYear
Other Revenue Current Year4125402OtherRevenueCurrentYear
Total Revenue Prior Year31762527TotalRevenuePriorYear
Total Revenue Current Year4792158TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year15967028SalariesEtcPriorYear
Salaries Etc Current Year10094SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year39681647OtherExpensePriorYear
Other Expenses Current Year15329611OtherExpensesCurrentYear
Total Expenses Prior Year55648675TotalExpensesPriorYear
Total Expenses Current Year15339705TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-23886148RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-10547547RevenuesLessExpensesCY
Total Assets BOY52453926TotalAssetsBOY
Total Assets EOY16692086TotalAssetsEOY
Total Liabilities BOY46178609TotalLiabilitiesBOY
Total Liabilities EOY18222457TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6275317NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-1530371NetAssetsOrFundBalancesEOY
Mission DescriptionAS OF SEPTEMBER 1, 2010 THE HOSPITAL DISCONTINUED ALL OPERATIONS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense0Expense
Grants0Grants
Revenue0Revenue
DescriptionAS OF SEPTEMBER 1, 2010 THE HOSPITAL DISCONTINUED ALL OPERATIONS.Description
Total Program Service Expense0TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuertrueOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members0NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodyfalseMinutesOfGoverningBody
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicyfalseConflictOfInterestPolicy
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledTNStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Joseph OritiBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8475832807TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11603 Orrington Avenue suite 1600AddressLine1
CityevanstonCity
StateILState
ZIP Code60201ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (2 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
JOSEPH ORITI
VP OF FINANCE10.00X000
MATT CAINE
PLAN ADMINISTRATOR1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
PROSKAUER ROSE LLP
1585 BROADWAYNEW YORKNY10036LEGAL SERVICES1495786
NAVIGANT CAPITAL ADVISORS LLC
30 SOUTH WACKER DRIVE STE 3100CHICAGOIL60606CONSULTING1389224
EPIQ SYSTEMS (EPIQ BANKRUPTCY SOLUTIONS LLC)
757 THIRD AVE 3RD FLOORNEW YORKNY10017CONSULTING264862
ALSTON & BIRD LLP
90 PARK AVENEW YORKNY100161387LEGAL SERVICES141848
FROST BROWN TODD LLC
PO BOX 5716CINCINATTIOH452015716LEGAL SERVICES133048
FieldValueIRS element (for citing)
Number Of Contractors GT100 K8NumberOfContractorsGT100K
Total Contributions0TotalContributions

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column11500TotalRevenueColumn
Exclusion$11,500ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other1307006Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other651750Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other655256Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column655256TotalRevenueColumn
Exclusion$655,256ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
LIFEPOINT SETTLEMENT9000993361000$3,361,000
PREMIER INVESTMENT PROCEEDS900099612435$612,435
UNEMPLOYMENT FUND PROCEEDS90009994602$94,602

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column57365TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$57,365ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue4125402TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4792158TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$4,792,158ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total8303Total
Management And General8303ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1791Total
Management And General1791ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total49886Total
Management And General49886ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1174861Total
Management And General1174861ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total5419Total
Management And General5419ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneral
SECURED CLAIM DISTRIBUTIONS1107327811073278
RESTRUCTURING COSTS26684172668417
ADMIN. CLAIM DISTRIBUTIONS292149292149
PRIORITY CLAIM DISTRIBUTIONS5352953529

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total12072Total
Program Services0ProgramServices
Management And General12072ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total15339705Total
Program Services0ProgramServices
Management And General15339705ManagementAndGeneral
Fundraising0Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY22756454BOY
EOY12208862EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY778098BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1097719BOY
EOY784580EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3688644LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec0LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY9931324BOY
EOY3688644EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY79500BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY17810831BOY
EOY10000EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY52453926BOY
EOY16692086EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY8495069BOY
EOY10854134EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY18120592BOY
EOY7368323EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY19562948BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY46178609BOY
EOY18222457EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6265317BOY
EOY-1540371EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY10000BOY
EOY10000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6275317BOY
EOY-1530371EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY52453926BOY
EOY16692086EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-10547547ReconcilationRevenueExpenses
Reconcilation Other Changes2741903ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance10000BeginningOfYearBalance
End Of Year Balance10000EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance10000BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses0InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance10000EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance10000BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses0InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance10000EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance10000BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses0InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance10000EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Book Value0BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Book Value0BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Book Value0BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3688644OtherCostOrOtherBasis
Book Value3688644BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3688644TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability
Total Of Amounts0TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierIntended uses of endowment fundsIdentifier
Return ReferenceSchedule D, Part V, Line 4ReturnReference
ExplanationPRIOR TO CEASING OPERATIONS ON SEPTEMBER 1, 2010, THE ORGANIZATION MAINTAINED A PERMANENTLY RESTRICTED ENDOWMENT FUND FOR THE PURPOSE OF FUNDING THE HEALTH SYSTEM'S MEDICAL LIBRARY. INCOME GENERATED FROM THE ENDOWMENT FUND IS USED TO PURCHASE BOOKS AND PERIODICALS FOR THE MEDICAL LIBRARY.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
HEALTH EDUCATION AND HOUSING FACILITIES BOARD
52130536086642PDKO2007-08-15151983729CONSTRUCTION OF FACILITYfalsetruefalse
HEALTH EDUCATION AND HOUSING FACILITIES BOARD
521305360NONEAVAIL2008-05-2812000000CONSTRUCTION OF FACILITYfalsetruefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
0015198372995748500030000000013940887900falsefalsetruetrue
0012000000000240000001176000000falsefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalse0.00000.00000.0000true
falsefalsefalsefalse0.00000.00000.0000true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsTerm Of HedgeTermOfHedgeGross Proceeds Invested In GICGrossProceedsInvestedInGICTerm Of GICTermOfGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
falsefalsefalse0.0false0.0falsefalse
falsefalsefalse0.0false0.0falsefalse

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATION ON TAX-EXEMPT BONDSIdentifier
Return ReferencePART IReturnReference
ExplanationTHE TAX-EXEMPT BOND ISSUES LISTED IN PART I OF SCHEDULE K WERE ISSUED TO SUMNER REGIONAL HEALTH SYSTEMS, INC. A PORTION OF THE PROCEEDS FOR BOTH THE 2008 AND 2007 SERIES BONDS WERE ALLOCATED TO TWO SUBSIDIARIES OF SUMNER REGIONAL HEALTH SYSTEMS, INC.: TROUSDALE MEDICAL CENTER, INC. AND FRANK T. RUTHERFORD MEMORIAL HOSPITAL, INC. THE ENTIRE ISSUANCE AND RELATED INFORMATION FOR THE 2008 AND 2007 SERIES BONDS ARE REPORTED ON SCHEDULE K OF THE SUMNER REGIONAL HEALTH SYSTEMS, INC. 2011 FORM 990.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Delegation of management dutiesForm 990, Part VI, Section A, Line 3DURING THE FISCAL YEAR ENDED MAY 31, 2012 THE ORGANIZATION ENGAGED NAVIGANT CONSULTING, A MANAGEMENT AND ADVISORY CONSULTING COMPANY, TO PERFORM MANAGEMENT DUTIES CUSTOMARILY PERFORMED BY THE ORGANIZATION'S OFFICERS OR KEY EMPLOYEES. THE FOLLOWING INDIVIDUALS PERFORMED SERVICES TO SRHS BANKRUPTCY, INC. THROUGH NAVIGANT CONSULTING: JOSEPH ORITI, VP OF FINANCE MATT CAINE, PLAN ADMINISTRATOR ACCORDINGLY, THE INDIVIDUALS LISTED ABOVE HAVE BEEN REPORTED AS OFFICERS IN PART VII, SECTION A OF THE FORM 990.
Documentation of meetings held by governing bodyForm 990, Part VI, Section A, Line 8aTHE ORGANIZATION CEASED OPERATIONS AS OF SEPTEMBER 1, 2010. THERE IS NO LONGER A FORMAL BOARD OF DIRECTORS. DURING THE FISCAL YEAR ENDED MAY 31, 2012 THE ORGANIZATION ENGAGED NAVIGANT CONSULTING, A MANAGEMENT AND ADVISORY CONSULTING COMPANY, TO PERFORM MANAGEMENT DUTIES CUSTOMARILY PERFORMED BY THE ORGANIZATION'S OFFICERS, KEY EMPLOYEES AND BOARD OF DIRECTORS. THE FOLLOWING INDIVIDUALS PERFORMED SERVICES TO SRHS BANKRUPTCY, INC. THROUGH NAVIGANT CONSULTING: JOSEPH ORITI, VP OF FINANCE MATT CAINE, PLAN ADMINISTRATOR
Review of form 990 by governing bodyForm 990, Part VI, Section B, Line 11bTHE ORGANIZATION'S VP OF FINANCE WORKS WITH ITS INDEPENDENT THIRD PARTY TAX PREPARERS TO COMPLETE THE FORM 990. UPON ITS COMPLETION, THE ORGANIZATION'S VP OF FINANCE PERFORMS A DETAILED PRELIMINARY REVIEW OF THE PREPARED FORM 990.
DOES THE ORGANIZATION MONITOR OR ENFORCE ITS CONFLICT OF INTEREST POLICY?FORM 990, PART VI, LINE 12CTHE ORGANIZATION CEASED OPERATIONS AS OF SEPTEMBER 1, 2010. THERE IS NO LONGER A FORMAL BOARD OF DIRECTORS, OFFICERS OR KEY EMPLOYEES. DURING THE FISCAL YEAR ENDED MAY 31, 2012 THE ORGANIZATION ENGAGED NAVIGANT CONSULTING, A MANAGEMENT AND ADVISORY CONSULTING COMPANY, TO PERFORM MANAGEMENT DUTIES CUSTOMARILY PERFORMED BY THE ORGANIZATION'S OFFICERS, KEY EMPLOYEES AND BOARD OF DIRECTORS. THE FOLLOWING INDIVIDUALS PERFORMED SERVICES TO SRHS BANKRUPTCY, INC. THROUGH NAVIGANT CONSULTING: JOSEPH ORITI, VP OF FINANCE MATT CAINE, PLAN ADMINISTRATOR
PROCESS FOR DETERMINING COMPENSATIONFORM 990, PART VI, LINE 15THE ORGANIZATION DOES NOT HAVE ANY COMPENSATED OFFICERS OR KEY EMPLOYEES PER THE IRS'S DEFINITION. AS SUCH, LINES 15A AND 15B HAVE BEEN MARKED "NO" IN ACCORDANCE WITH THE INSTRUCTIONS TO THE FORM 990.
Governing documents, conflict of interest policy and financial statements available to the publicForm 990, Part VI, Section C, Line 19PUBLIC DISCLOSURE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME.
Other changes in net assets or fund balancesForm 990, Part XI, Line 5WRITE-OFFS OF INTERCOMPANY BALANCES - 2741903;

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
SUMNER REGIONAL MEDICAL CENTER INC
1603 ORRINGTON AVE STE 1600EVANSTONIL60201621573738HEALTHCARETNNA
SRHS HOLDINGS LLC DBA RRMCN
1603 ORRINGTON AVE STE 1600EVANSTONIL60201204212680HEALTHCARETNNA
SUMNER HOMECARE & HOSPICE LLC
1603 ORRINGTON AVE STE 1600EVANSTONIL60201204574324HEALTHCARETNNA
FAMILY WELLNESS GROUP OF MIDDLE TN LLC
1603 ORRINGTON AVE STE 1600EVANSTONIL60201263741860HEALTHCARETNNA

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
SUMNER REGIONAL HEALTH SYSTEMS FOUNDATION INC
PO BOX 1588GALLATINTN37066582185850SUPPORT SRHSTN501(C)(3)7NAtrue
FTRMH BANKRUPTCY INC
1603 ORRINGTON AVE STE 1600EVANSTONIL60201621468987HOSPITALTN501(C)(3)3NAtrue
TMC BANKRUPTCY INC
1603 ORRINGTON AVE STE 1600EVANSTONIL60201621805666HOSPITALTN501(C)(3)3NAtrue
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg