MARY BRECKINRIDGE HEALTHCARE INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- MARY BRECKINRIDGE HEALTHCARE INC (EIN 61-1124401)
- Tax period
- 2009-05-01 to 2010-04-30
- Filed
- 2011-03-15
- IRS object ID
- 201120749349300622
- Schema version
- 2009v1.7
- 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 | 2011-03-15T14:12:32-05:00 | Timestamp |
| Tax Period End Date | 2010-04-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
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 | 2009-05-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 611124401 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARY BRECKINRIDGE HEALTHCARE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MARY | NameControl |
| Phone | 8592816783 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 170 PROSPEROUS PLACE | AddressLine1 |
| City | LEXINGTON | City |
| State | KY | State |
| ZIP Code | 40509 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | michael steinmetz | Name |
| Title | INTERIM CFO | Title |
| Phone | 8592816783 | Phone |
| Date Signed | 2011-03-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LEIGH MCKEE | Name |
| Phone | 8592552341 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MICHAEL STEINMETZ | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 170 PROSPEROUS PLACE | AddressLine1 |
| City | LEXINGTON | City |
| State | KY | State |
| ZIP Code | 40509 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 16205193 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.FRONTIERNURSING.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1986 | YearFormation |
| State Legal Domicile | KY | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE MEDICAL CARE TO THE PEOPLE OF LESLIE AND SURROUNDING COUNTIES | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 217 | TotalNbrEmployees |
| Total Nbr Volunteers | 11 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 19735 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 9396 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 14079493 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 16026751 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 963 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1572 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1163126 | OtherRevenuePriorYear |
| Other Revenue Current Year | 167474 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 15263317 | TotalRevenuePriorYear |
| Total Revenue Current Year | 16205193 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 7677916 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 6264525 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 11671997 | OtherExpensePriorYear |
| Other Expenses Current Year | 11559068 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 19349913 | TotalExpensesPriorYear |
| Total Expenses Current Year | 17823593 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -4086596 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -1618400 | RevenuesLessExpensesCY |
| Total Assets BOY | 2984164 | TotalAssetsBOY |
| Total Assets EOY | 2716174 | TotalAssetsEOY |
| Total Liabilities BOY | 15483855 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 17220958 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -12499691 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -14504784 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO PROVIDE MEDICAL CARE TO THE PEOPLE OF LESLIE AND SURROUNDING COUNTIES. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 14616999 | Expense |
| Revenue | 16026751 | Revenue |
| Description | HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO LOCAL RESIDENTS. | Description |
| Total Program Service Expense | 14616999 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| 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 | 1 | Hospital |
| Grants To Organizations | 0 | 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 | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 1 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 17 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 217 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| 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 |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | 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 |
| Other Website | X | OtherWebsite |
| 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 | 8592816783 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 170 PROSPEROUS PLACE | AddressLine1 |
| City | LEXINGTON | City |
| State | KY | State |
| ZIP Code | 40509 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (17 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| NANCY HINES | |||||||
| CHAIRMAN | 1.00 | X | 0 | 0 | 0 | ||
| KEN TUGGLE | |||||||
| VICE-CHAIRMAN | 1.00 | X | 0 | 0 | 0 | ||
| JOHN FOLEY | |||||||
| TREASURER/SECRETARY | 1.00 | X | 0 | 0 | 0 | ||
| JANE LEIGH POWELL | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| DR CHARLIE MAHAN | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| DR MICHAEL CARTER | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| MARY ETHEL WOOTON | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| RHONDA BRASHEAR | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| EFFIE STIDHAM | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| ANTHONY LITTLE | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| MIKE RUST | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| NATHAN LEE | |||||||
| CEO & PRESIDENT | 40.00 | 0 | 208935 | 14785 | X | ||
| ROBERT BESTEN | |||||||
| CFO | 40.00 | 0 | 98929 | 8226 | X | ||
| ENRICO ASCANI | |||||||
| PHYSICIAN | 40.00 | 201020 | 0 | 8513 | X | ||
| LONNIE HUBBARD | |||||||
| PHARMACIST | 40.00 | 102874 | 0 | 9602 | X | ||
| ANDREW KRASUSKI | |||||||
| PHYSICIAN | 40.00 | 223595 | 0 | 15225 | X | ||
| GABOR LAUFER | |||||||
| PHYSICIAN | 40.00 | 109374 | 0 | 6133 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 636863 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 307864 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 62484 | TotalOtherCompensation |
| Number Individuals GT100 K | 4 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| FNS INC | |||||
| 170 PROSPEROUS PLACE | LEXINGTON | KY | 40509 | CORPORATE COSTS | 1161294 |
| DEFINITIVE MEDICAL SOLUTIONS | |||||
| P O BOX 418 | EAST BERNSTADT | KY | 40729 | ANESTHESIA DOCTORS | 713800 |
| SOUTHERN MEDICAL PARTNERS | |||||
| 3107 STIRLING RD STE 300 | FT LAUDERDALE | FL | 33312 | EMERGENCY ROOM DOCTORS | 646545 |
| GE HEALTHCARE | |||||
| P O BOX 96483 | CHICAGO | IL | 606936483 | MAINTENANCE | 190995 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
| Related Organizations | 1300 | RelatedOrganizations |
| Government Grants | 8096 | GovernmentGrants |
| Total Contributions | 9396 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | net patient service re | Description |
| Business Code | 621400 | BusinessCode |
| Total Revenue Column | 16026751 | TotalRevenueColumn |
| Related Or Exempt Function Income | 16026751 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 16026751 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1572 | TotalRevenueColumn |
| Exclusion | $1,572 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| cafeteria sales | 900099 | 69778 | $69,778 |
| medicare receipts | 621400 | 60227 | $60,227 |
| other revenue | 900099 | 28528 | $28,528 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8941 | TotalRevenueColumn |
| Exclusion | $8,941 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 167474 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 16205193 | TotalRevenueColumn |
| Related Or Exempt Function Income | 16026751 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $169,046 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5060261 | Total |
| Program Services | 4861759 | ProgramServices |
| Management And General | 198502 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 217566 | Total |
| Program Services | 162129 | ProgramServices |
| Management And General | 55437 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 641232 | Total |
| Program Services | 575384 | ProgramServices |
| Management And General | 65848 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 345466 | Total |
| Program Services | 326936 | ProgramServices |
| Management And General | 18530 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1161294 | Total |
| Management And General | 1161294 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 114778 | Total |
| Management And General | 114778 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25316 | Total |
| Management And General | 25316 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2908967 | Total |
| Program Services | 2885404 | ProgramServices |
| Management And General | 23563 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7297 | Total |
| Program Services | 3665 | ProgramServices |
| Management And General | 3632 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 70375 | Total |
| Program Services | 1886 | ProgramServices |
| Management And General | 68489 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1605504 | Total |
| Program Services | 1605504 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6140 | Total |
| Program Services | 2892 | ProgramServices |
| Management And General | 3248 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39990 | Total |
| Program Services | 12209 | ProgramServices |
| Management And General | 27781 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49000 | Total |
| Program Services | 4106 | ProgramServices |
| Management And General | 44894 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1293675 | Total |
| Management And General | 1293675 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBTS | 1719219 | 1719219 | |
| SUPPLIES | 1530649 | 1518557 | 12092 |
| EQUIPMENT RENTAL | 712373 | 648076 | 64297 |
| TAXES | 251356 | 251356 | |
| SMALL EQUIPMENT/TOOLS | 28711 | 24101 | 4610 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34424 | Total |
| Program Services | 13816 | ProgramServices |
| Management And General | 20608 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17823593 | Total |
| Program Services | 14616999 | ProgramServices |
| Management And General | 3206594 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15935 | BOY |
| EOY | 12651 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2227780 | BOY |
| EOY | 2207250 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 314728 | BOY |
| EOY | 418142 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 20874 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 425721 | BOY |
| EOY | 57257 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2984164 | BOY |
| EOY | 2716174 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3038919 | BOY |
| EOY | 2790734 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 142068 | BOY |
| EOY | 137895 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6776768 | BOY |
| EOY | 6776768 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5526100 | BOY |
| EOY | 7515561 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15483855 | BOY |
| EOY | 17220958 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -12925412 | BOY |
| EOY | -14543812 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 342513 | BOY |
| EOY | -44180 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 83208 | BOY |
| EOY | 83208 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -12499691 | BOY |
| EOY | -14504784 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2984164 | BOY |
| EOY | 2716174 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 425721 | BeginningOfYearBalance |
| Contributions | 1300 | Contributions |
| Investment Earnings Or Losses | -50783 | InvestmentEarningsOrLosses |
| Other Expenditures | 337210 | OtherExpenditures |
| End Of Year Balance | 39028 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 514232 | BeginningOfYearBalance |
| Contributions | 19735 | Contributions |
| Investment Earnings Or Losses | -108246 | InvestmentEarningsOrLosses |
| End Of Year Balance | 425721 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 1 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| dues to affiliates | $6,778,234 |
| NOTES PAYABLE | $737,327 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 7515561 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part V, Line 4: | Description of Intended Use of Endowment Funds: | TEMPORARILY RESTRICTED NET ASSETS ARE THOSE WHOSE USE BY THE HOSPITAL HAS BEEN LIMITED BY DONORS TO A SPECIFIC TIME PERIOD OR PURPOSE. PERMANENTLY RESTRICTED NET ASSETS HAVE BEEN RESTRICTED BY DONORS TO BE MAINTAINED BY THE HOSPITAL IN PERPETUITY. THESE FUNDS HAVE BEEN SET ASIDE TO PROVIDE SUPPORT FOR THE CONTINUED OPERATIONS OF THE HOSPITAL. |
| Part X: | Description of Uncertain Tax Positions Under FIN 48: | The Service adopted the provisions of FASB ASC 740-10 relating to uncertainty in income taxes on May 1, 2009. The implementation includes evaluating the tax positions taken on all income tax returns that remain open to examination by the respective taxing authorities. The Service does not believe that there are any uncertain positions on those returns that require recognition or disclosure in the consolidated financial statements. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | 0 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1220290 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1220290 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06850 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5606811 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4690084 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 916727 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05140 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6827101 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4690084 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2137017 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.11990 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2286 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2286 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2286 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2286 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6829387 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4690084 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2139303 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.12000 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 791 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 791 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 791 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 791 | NetCommunityBuildingExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $665,907 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 4259301 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 4221152 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 38149 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 0 | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | mary breckinridge healthcare inc | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 130 kate ireland drive | AddressLine1 |
| City | HYDEN | City |
| State | KY | State |
| ZIP Code | 41749 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Critical Access Hospital | X | CriticalAccessHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Income Based Criteria | Part I, Line 3c: THE HOSPITAL DOES NOT NORMALLY PROVIDE DISCOUNTED CARE, BUT THE HOSPITAL LOOKS AT ELIGIBILITY FOR FREE OR DISCOUNTED CARE ON A CASE BY CASE BASIS. THE HOSPITAL FOLLOWS THE APPLICATION FOR DSH IN DETERMINING FREE CARE. IF ELIGIBILITY IS NOT MET USING THE DSH APPLICATION, THE HOSPITAL WORKS WITH THE PATIENT TO MAKE A PAYMENT PLAN BY LOOKING AT BOTH INCOME AND NET ASSETS WHICH INCLUDE CASH AND INVESTMENTS LESS OTHER MEDICAL BILLS. | IncomeBasedCriteria |
| Bad Debt Footnote | Part III, Line 4: COST OF BAD DEBT EXPENSE WAS DETERMINED BY MULTIPLYING THE BAD DEBT EXPENSE AS REPORTED ON THE HOSPITAL'S FINANCIAL STATEMENT BY THE COST TO CHARGE RATIO CACLULATED ON WORKSHEET 2 OF SCHEDULE H INSTRUCTIONS. | BadDebtFootnote |
| Shortfall As Community Benefit | Part III, Line 8: THE HOSPITAL IS A CRITICAL ACCESS HOSPITAL. MEDICARE COSTS WERE DETERMINED ON THE MEDICARE COST REPORT ON WORKSHEETS D-1, D PART V AND D-4. | ShortfallAsCommunityBenefit |
| Needs Assessment | Part VI, Line 2: THE HOSPITAL ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY BY REVIEWING THE PATIENT SURVEYS IN THE ER AND MED/SURG UNITS. | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: When a patient presents at registration and does not have insurance, they are routed to the Financial Counselor to complete DSH application. If the patient meets the guidelines, then the registration is keyed to the DSH financial class. If the patient does not qualify for DSH, they are placed in the Self Pay financial class. | PatientEducationAssistance |
| Community Information | Part VI, Line 4: MBH is located in Hyden, Leslie Co., Ky. Leslie Co. is a small, rural community in southeastern KY. Other than healthcare and education, the major employers in the area are coal mining and logging. | CommunityInformation |
| Community Building Activities | Part VI, Line 5: By participating in local health fairs, our organization provides free blood pressure screenings, as well as other health-related screenings free of charge. | CommunityBuildingActivities |
| Other Information | Part VI, Line 6: THE HOSPITAL PROVIDES A WIDE ARRAY OF COMMUNITY HELP INCLUDING THE PROMOTION OF BREAST CANCER AWARENESS DURING OCTOBER WHEN IT PROVIDES DISCOUNTED MAMOGRAMS, DRUG AWARENESS PROGRAMS, CAR SEAT EDUCATION FOR NEWBORNS, SPONSORING COMMUNITY WIDE PICNICS AND BABY SHOWERS FOR NEWBORNS, PROVIDING TOURS OF THE HEALTHCARE FACILITIES FOR LOCAL 5TH AND 6TH GRADE STUDENTS, PROVIDING STAFF FOR THE INVOLVEMENT OF CAREER DAYS AND SENIOR DAY AT THE LOCAL HIGH SCHOOL, AND VOLUNTEERING FOR LOCAL CHAMBER OF COMMERCE COMMUNITY EVENTS THROUGHOUT THE YEAR. | OtherInformation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | X | WrittenEmploymentContract |
| 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 (3 entries)
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NATHAN LEE | |||||||||||||
| 0 | 201451 | 0 | 0 | 0 | 7484 | 0 | 6268 | 0 | 8517 | 0 | 223720 | 0 | 0 |
| ENRICO ASCANI | |||||||||||||
| 201020 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 8513 | 0 | 209533 | 0 | 0 | 0 |
| ANDREW KRASUSKI | |||||||||||||
| 223595 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 15225 | 0 | 238820 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section B, line 11 | THE HOSPITAL'S MANAGEMENT REVIEWS THE FORM 990 FOR ACCURACY, THEN DISTRIBUTES A COPY TO THE BOARD OF DIRECTORS PRIOR TO SUBMISSION TO THE IRS. |
| Form 990, Part VI, Section B, line 12c | EACH BOARD MEMBER IS REQUIRED TO READ AND SIGN A CONFLICT OF INTEREST POLICY ANNUALLY. |
| Form 990, Part VI, Section B, line 15 | The Board of Directors revIEws CEO and President's compensation annually. The CEO, President, or respective managers reviews employees salary annually. |
| Form 990, Part VI, Section C, line 19 | THE HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 2C: | A COMMITTEE OF THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR THE SELECTION OF AN INDEPENDENT ACCOUNTANT AND OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|
| FNS INC | ||||||||||
| 170 prosperous place | lexington | KY | 40509 | 611124268 | provide nursing care and health education to the community | KY | 501(c)(3) | 11b | N/A | |
| FRONTIER NURSING SERVICE INCORPORATED | ||||||||||
| 170 prosperous place | lexington | KY | 40509 | 611124266 | promotion of education, public health and social welfare in rural areas | KY | 501(c)(3) | 07 | FNS INC | |
| frontier school of midwifery and family nursing inc | ||||||||||
| 170 prosperous place | lexington | KY | 40509 | 611124267 | education promoting public health and social welfare | KY | 501(c)(3) | 02 | FNS INC | |
| frontier nursing healthcare inc | ||||||||||
| 170 prosperous place | lexington | KY | 40509 | 010700085 | provide health care for economically disadvantaged rural citizens | KY | 501(c)(3) | 03 | FNS INC | |
| fns real estate inc | ||||||||||
| 170 prosperous place | lexington | KY | 40509 | 611124991 | title holding company | KY | 501(c)(2) | n/a | FNS INC | |
| mary breckinridge home health inc | ||||||||||
| 170 prosperous place | lexington | KY | 40509 | 611485691 | provide in-home medical care | KY | 501(c)(3) | 09 | FNS INC | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| 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 | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | 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
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | fns real estate inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | J | TransactionType |
| Amount Involved | 1351308 | AmountInvolved |