APPALACHIAN REGIONAL HEALTHCARE INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- APPALACHIAN REGIONAL HEALTHCARE INC (EIN 52-0795508)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-04-26
- IRS object ID
- 201131169349300618
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-04-26T15:09:51-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | 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 | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 520795508 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | APPALACHIAN REGIONAL HEALTHCARE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | APPA | NameControl |
| Phone | 8592262440 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2285 EXECUTIVE DRIVE No 400 | AddressLine1 |
| City | LEXINGTON | City |
| State | KY | State |
| ZIP Code | 40505 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOSEPH GROSSMAN | Name |
| Title | cfo/vp fiscal affairs | Title |
| Phone | 8592262440 | Phone |
| Date Signed | 2011-04-21 | 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 | Jerry Haynes | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2285 EXECUTIVE DRIVE No 400 | AddressLine1 |
| City | LEXINGTON | City |
| State | KY | State |
| ZIP Code | 40505 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 567385247 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.ARH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1956 | YearFormation |
| State Legal Domicile | KY | StateLegalDomicile |
| Activity Or Mission Description | TO IMPROVE HEALTH AND PROMOTE WELL-BEING OF ALL THE PEOPLE IN CENTRAL APPALACHIA. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 16 | NbrIndependentVotingMembers |
| Total Nbr Employees | 4975 | TotalNbrEmployees |
| Total Nbr Volunteers | 220 | TotalNbrVolunteers |
| Total Gross UBI | 11307056 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 729737 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1160171 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1049317 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 521211445 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 545430866 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1143061 | InvestmentIncomePriorYear |
| Investment Income Current Year | 3716893 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 26579318 | OtherRevenuePriorYear |
| Other Revenue Current Year | 16757854 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 550093995 | TotalRevenuePriorYear |
| Total Revenue Current Year | 566954930 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 269202292 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 282192194 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 253264 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 261753004 | OtherExpensePriorYear |
| Other Expenses Current Year | 273512451 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 530955296 | TotalExpensesPriorYear |
| Total Expenses Current Year | 555704645 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 19138699 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 11250285 | RevenuesLessExpensesCY |
| Total Assets BOY | 352013660 | TotalAssetsBOY |
| Total Assets EOY | 374684749 | TotalAssetsEOY |
| Total Liabilities BOY | 335950997 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 365423566 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 16062663 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 9261183 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO IMPROVE HEALTH AND PROMOTE WELL-BEING OF ALL THE PEOPLE IN CENTRAL APPALACHIA IN AN EVOLVING, COMMUNITY BASED SYSTEM PROVIDING HIGH QUALITY HEALTHCARE PROGRAMS AND SERVICES. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 489416629 | Expense |
| Revenue | 543656445 | Revenue |
| Description | History:Appalachian Regional Healthcare (ARH) is a not-for-profit health system operating nine hospitals, physician practices, home health agencies, HomeCare Stores and retail pharmacies in Harlan, Hazard, McDowell, Middlesboro, Morgan County, Whitesburg and South Williamson, Ky. and Beckley and Summers County, W.Va. The System serves more than 16 counties and more than 350,000 residents in the two states. ARH is both the largest provider of care and one of the largest private employers in southeastern Kentucky and southern West Virginia.For the past 50 years, ARH has addressed the varied healthcare needs of the residents of Eastern Kentucky and Southern West Virginia by standing firm to its mission to improve the health and promote the well being of all the people in Central Appalachia in partnership with its communities.The UMWA's first Miners Memorial Hospital Association (MMHA) hospital opened in Middlesboro, Kentucky on November 12, 1955 - the system's other hospitals were located in Harlan, Hazard, McDowell, Whitesburg, Pikeville and South Williamson, Kentucky; Beckley and Man, West Virginia; and Wise, Virginia. The UMWA and thousands of citizens in the coal communities officially dedicated the MMHA facilities on June 2, 1956 in Beckley, West Virginia. This unique hospital system was a huge success with miners and their families and has served as a model for similar healthcare organizations. In 1962, the MMHA announced its intention to close four hospitals in Kentucky in order to save the system. The Reverend Samuel McMaster Kerr, then-pastor of the First Presbyterian Church in Harlan, realized the consequences of MMHA's decision. He asked the Board of National Missions of the United Presbyterian Church to investigate. In the meantime, the UMWA decided it would have to sell all of its facilities. Church leaders committed themselves to finding a solution.On June 28, 1963, the Board of National Missions formed a new and independent not-for-profit corporation -- Appalachian Regional Hospitals (ARH). ARH purchased the first hospitals with a $3.9 million grant from the Area Redevelopment Administration, established by President John F. Kennedy. Governor Bert T. Combs called a special session of the Kentucky legislature to approve $700,000 to support indigent care during ARH's first year.ARH continues to serve some of the most economically depressed regions in the nation that have some of the country's highest rates for heart disease, lung cancer and diabetes. Many health analysts trace these conditions to the harsh reality that these financial struggles often overshadow concerns about health risk factors or preventive care. Therefore, it is no coincidence that residents of Eastern Kentucky and Southern West Virginia statistically die younger of easily preventable disease. Most of ARH's facilities are located in areas that are at least partially classified as medically underserved areas and health professional shortage areas.A Board of Trustees provides governance to the ARH system. This dynamic group of men and women work without compensation to benefit the System and the people it serves. Among them are representatives from the area served by ARH, as well as others with an interest in the ARH service area.This Board is composed of a maximum of 21 people, including two ex-officio members. These ex-officio members include a representative from the medical staff leadership council and a representative of the regional advisory council.During Fiscal Year ending June 30, 2010, ARH provided each of the communities it serves in Eastern Kentucky and Southern West Virginia an abundance of healthcare and community-oriented services.ARH operates in an area with some of the largest uninsured and underinsured rates and provides care to all patients regardless of their ability to pay. ARH provided $120 million in uncompensated care throughout its system. ARH provides assistance in the form of charity care for those who qualify for reduced payments through a sliding fee schedule, interest-free time payments and medical assistance loans. ARH also regularly works with uninsured and underinsured patients to help them qualify for financial assistance, free or discounted medication, and referrals to physicians who provide preventive care at no charge. ARH also offers outreach programs to identify and treat uninsured patients with chronic diseases and helps them manage their conditions more effectively on their own.To further improve the health of the residents it serves, especially those without health insurance, ARH strongly promotes the importance of preventative health screenings. Throughout the year, each facility provided free health screenings such as blood pressure checks, blood glucose, body mass index, pulse and cholesterol screenings. The health system also is working to educate the region's youth about the importance of physical fitness to good health by hosting Fitness Fairs at elementary schools and keeps our seniors healthy through a senior wellness program.In recognition of its efforts in improving access to health services and information for people in rural areas through innovative, comprehensive approaches, the ARH system was selected as the 2010 Outstanding Rural Health Organization in the nation by the National Rural Health Association (NRHA).Additionally, for the fifth time in the past six years, the full-range of services offered by the ARH system were recognized as among the best in the nation by SDI Health LLC, a nationally recognized healthcare data and consulting firm. ARH was one of only two Kentucky health systems to be named to the 2010 SDI IHN 100 listing of the most highly integrated healthcare networks in the nation and the only integrated health system in West Virginia to be named.The cardiac program at Hazard ARH Regional Medical Center was also recognized during the year for its level of expertise in caring for patients who arrive in its emergency department with chest pain or other symptoms of a heart attack. Hazard ARH earned Chest Pain Center Accreditation from the Society of Chest Pain Centers (SCPC), an international organization dedicated to eliminating heart disease as the number one cause of death worldwide.ARH's hospital in McDowell, Ky, McDowell ARH, also received multiple accolades during the year including the presentation of an Excellence through Insight award for overall satisfaction in their Outpatient Lab Unit by HealthStream and the McDowell ARH auxiliary was recognized with a HANDS (Helping Accomplish Noteworthy Duties Successfully) award by the KHA Committee on Volunteer Services. McDowell's recognized program was the purchase of a refreshment cart by the auxiliary to serve refreshments and offer magazines to patients and their family members. This program has received many positive responses and has also positively impacted patient satisfaction scores for that facility.ARH also added new services and technology for residents including the expansion of bariatric services at the ARH Bariatrics Center in Hazard, which is now a full-service surgical weight loss center. In addition, the Williamson ARH Hospital joined the nationally recognized St. Mary's Regional Stroke Network enabling the hospital to now offer patients a full-spectrum of neurology services, including state-of-the-art diagnostics and the latest in treatments. At Hazard ARH Regional Medical Center, the area's first cornea transplant took place, restoring sight to a patient who had been legally blind since childhood. | Description |
| Total Program Service Expense | 489416629 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | 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 | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| 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 | 1 | 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 | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 300 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 4975 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Nbr Voting Governing Body Members | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 16 | 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 | 0 | 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 | ORGANIZATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8592262440 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2285 EXECUTIVE DRIVE SUITE 400 | AddressLine1 |
| City | LEXINGTON | City |
| State | KY | State |
| ZIP Code | 40505 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (32 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 |
|---|---|---|---|---|---|---|---|
| Leon Hollon | |||||||
| Vice Chairman | 5.00 | X | 0 | 0 | 0 | ||
| Russell Bentley | |||||||
| chairman | 5.00 | X | 0 | 0 | 0 | ||
| Kathleen Dalton | |||||||
| Trustee | 3.00 | X | 0 | 0 | 0 | ||
| Deborah Harris | |||||||
| Trustee | 3.00 | X | 0 | 0 | 0 | ||
| ida androwich | |||||||
| Trustee | 3.00 | X | 0 | 0 | 0 | ||
| William May | |||||||
| Trustee | 3.00 | X | 0 | 0 | 0 | ||
| Wayne Myers MD | |||||||
| Trustee | 3.00 | X | 0 | 0 | 0 | ||
| Emmett Pugh III | |||||||
| secretary/treasurer | 5.00 | X | 0 | 0 | 0 | ||
| Carolyn Sundy | |||||||
| Trustee | 3.00 | X | 0 | 0 | 0 | ||
| raymond cox | |||||||
| trustee | 3.00 | X | 0 | 0 | 0 | ||
| ahmed faheem | |||||||
| trustee | 3.00 | X | 1200 | 0 | 0 | ||
| maria hortillosa | |||||||
| trustee | 3.00 | X | 0 | 0 | 0 | ||
| thomas hyatt | |||||||
| trustee | 3.00 | X | 0 | 0 | 0 | ||
| craig lenz | |||||||
| trustee | 3.00 | X | 0 | 0 | 0 | ||
| debra reynolds | |||||||
| trustee | 3.00 | X | 0 | 0 | 0 | ||
| madonna sturgill | |||||||
| trustee | 3.00 | X | 0 | 0 | 0 | ||
| james shoffner | |||||||
| trustee | 3.00 | X | 0 | 0 | 0 | ||
| larry meador | |||||||
| trustee | 3.00 | X | 0 | 0 | 0 | ||
| timothy mosher | |||||||
| trustee | 3.00 | X | 0 | 0 | 0 | ||
| john pellegrini | |||||||
| trustee | 3.00 | X | 0 | 0 | 0 | ||
| richard sturgill | |||||||
| trustee | 3.00 | X | 0 | 0 | 0 | ||
| JERRY HAYNES | |||||||
| PRESIDENT/CEO | 40.00 | 669198 | 0 | 38352 | X | ||
| JOSEPH GROSSMAN | |||||||
| cfo/VP fiscal services | 40.00 | 381480 | 0 | 39042 | X | ||
| HOLLIE P HARRIS | |||||||
| VP CORPORATE STRATEGY | 40.00 | 231059 | 0 | 38447 | X | ||
| JOHN D MILLER | |||||||
| VP MEDICAL SERVICES | 40.00 | 308981 | 0 | 20964 | X | ||
| paul miles | |||||||
| vp operations | 40.00 | 276870 | 0 | 30453 | X | ||
| bobby rick king | |||||||
| vp legal affairs | 40.00 | 281111 | 0 | 35944 | X | ||
| JOSE M ECHEVERRIA | |||||||
| GENERAL INTERNIST | 40.00 | 477955 | 0 | 23197 | X | ||
| prakash puranik | |||||||
| orTHOPEDIC SURGEON | 40.00 | 399807 | 0 | 51457 | X | ||
| jameel a butt | |||||||
| GENERAL SURGEON | 40.00 | 651913 | 0 | 31055 | X | ||
| jamal bazzi | |||||||
| orTHOPEDIC SURGEON | 40.00 | 405017 | 0 | 6549 | X | ||
| nathan e doctry | |||||||
| ORTHOPEDIC SURGEON | 40.00 | 421635 | 0 | 5923 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4506226 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 321383 | TotalOtherCompensation |
| Number Individuals GT100 K | 164 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| TRIANGLE ANESTHESIA GROUP PSC | |||||
| 3300 TATES CREEK ROAD SUITE 100 | LEXINGTON | KY | 40502 | PHYSICIAN SERVICES | 6000000 |
| MCKESSON information solutions | |||||
| PO BOX 9837 | CHICAGO | IL | 60693 | IT CONSULTING | 3064755 |
| esi business solutions | |||||
| 4144 N Central Expressway Suite 2 | dallas | TX | 75204 | revenue cycle consulting | 2389221 |
| MAYO COLLABORATIVE SERVICES INC | |||||
| PO BOX 9146 | MINNEAPOLIS | MN | 55480 | REFERENCE LABORATORY | 2339335 |
| executive health resources inc | |||||
| 15 Campus Blvd suite 200 | newtown square | PA | 19073 | consulting | 1778369 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 56 | NumberOfContractorsGT100K |
| Government Grants | 849204 | GovernmentGrants |
| All Other Contributions | 200113 | AllOtherContributions |
| Total Contributions | 1049317 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| PATIENT SERVICE REVENU | 621110 | 537223045 | 537223045 | ||
| PHARMACY/LAB/LAUNDRY | 812300 | 8011916 | 4461739 | $3,550,177 | |
| RECORD TRANSCRIPT FEES | 900099 | 195905 | $195,905 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 545430866 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3464929 | TotalRevenueColumn |
| Exclusion | $3,464,929 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1561353 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 17768 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1543585 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1543585 | TotalRevenueColumn |
| Exclusion | $1,543,585 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 621257 | Securities |
| Other | 43256 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 412549 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 621257 | Securities |
| Other | -369293 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 251964 | TotalRevenueColumn |
| Exclusion | $251,964 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| HOME STORES REVENUE | 446199 | 6795866 | 6795866 | ||
| MISCELLANEOUS REVENUE | 900099 | 6433400 | 6433400 | ||
| CAFETERIA REVENUE | 722100 | 1066994 | $1,066,994 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 918009 | TotalRevenueColumn |
| Unrelated Business Revenue | 49451 | UnrelatedBusinessRevenue |
| Exclusion | $868,558 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 15214269 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 566954930 | TotalRevenueColumn |
| Related Or Exempt Function Income | 543656445 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 11307056 | UnrelatedBusinessRevenue |
| Exclusion | $10,942,112 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1898504 | Total |
| Management And General | 1898504 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 192547754 | Total |
| Program Services | 176839193 | ProgramServices |
| Management And General | 15583474 | ManagementAndGeneral |
| Fundraising | 125087 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16697421 | Total |
| Program Services | 14543548 | ProgramServices |
| Management And General | 2142904 | ManagementAndGeneral |
| Fundraising | 10969 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 57204631 | Total |
| Program Services | 51958084 | ProgramServices |
| Management And General | 5208969 | ManagementAndGeneral |
| Fundraising | 37578 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13843884 | Total |
| Program Services | 12905919 | ProgramServices |
| Management And General | 928871 | ManagementAndGeneral |
| Fundraising | 9094 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2673594 | Total |
| Program Services | 118617 | ProgramServices |
| Management And General | 2554977 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22443 | Total |
| Management And General | 22443 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14986966 | Total |
| Program Services | 14659391 | ProgramServices |
| Management And General | 327575 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 801278 | Total |
| Program Services | 235171 | ProgramServices |
| Management And General | 501132 | ManagementAndGeneral |
| Fundraising | 64975 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3672232 | Total |
| Program Services | 635945 | ProgramServices |
| Management And General | 3035885 | ManagementAndGeneral |
| Fundraising | 402 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10041292 | Total |
| Program Services | 8679066 | ProgramServices |
| Management And General | 1361096 | ManagementAndGeneral |
| Fundraising | 1130 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1566250 | Total |
| Program Services | 1273484 | ProgramServices |
| Management And General | 292566 | ManagementAndGeneral |
| Fundraising | 200 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 148385 | Total |
| Program Services | 3892 | ProgramServices |
| Management And General | 144493 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6530012 | Total |
| Program Services | 5537306 | ProgramServices |
| Management And General | 992706 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23414029 | Total |
| Program Services | 20742777 | ProgramServices |
| Management And General | 2671252 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6278951 | Total |
| Program Services | 6250794 | ProgramServices |
| Management And General | 28157 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | Program ServicesProgramServices | FundraisingFundraising |
|---|---|---|---|---|
| UBI Tax | 962177 | 962177 | ||
| supplies | 78328137 | 610911 | 77714298 | 2928 |
| bad debt | 57567407 | 57567407 | ||
| outside services | 25820897 | 7630616 | 18190281 | |
| equipment rental & main | 13767929 | 5011144 | 8756405 | 380 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26930472 | Total |
| Program Services | 12805051 | ProgramServices |
| Management And General | 14124900 | ManagementAndGeneral |
| Fundraising | 521 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 555704645 | Total |
| Program Services | 489416629 | ProgramServices |
| Management And General | 66034752 | ManagementAndGeneral |
| Fundraising | 253264 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35030760 | BOY |
| EOY | 33309622 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18550889 | BOY |
| EOY | 24541645 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 68964179 | BOY |
| EOY | 75020707 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15514207 | BOY |
| EOY | 5868810 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8562178 | BOY |
| EOY | 8395072 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3141190 | BOY |
| EOY | 2717789 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 434471853 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 284704217 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 157130525 | BOY |
| EOY | 149767636 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34612736 | BOY |
| EOY | 67908455 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 481907 | BOY |
| EOY | 711158 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10025089 | BOY |
| EOY | 6443855 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 352013660 | BOY |
| EOY | 374684749 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61117425 | BOY |
| EOY | 62913778 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17410877 | BOY |
| EOY | 17217822 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 78827784 | BOY |
| EOY | 74953835 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14297630 | BOY |
| EOY | 15447992 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 164297281 | BOY |
| EOY | 194890139 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 335950997 | BOY |
| EOY | 365423566 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16062663 | BOY |
| EOY | 9261183 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16062663 | BOY |
| EOY | 9261183 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 352013660 | BOY |
| EOY | 374684749 | 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 B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $64,650 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 64650 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part II-B, Line 1i: | Identifier |
| Return Reference | Explanation of Other Lobbying Activities: | ReturnReference |
| Explanation | Retained a lobbyist for mailing to legislators or the public and also to have direct contact with legislators, their staffs, government officials, and/or a legislative body. These are done at the state level only. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6465343 | OtherCostOrOtherBasis |
| Book Value | 6465343 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 211711314 | OtherCostOrOtherBasis |
| Depreciation | 115591894 | Depreciation |
| Book Value | 96119420 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 191935714 | OtherCostOrOtherBasis |
| Depreciation | 153192882 | Depreciation |
| Book Value | 38742832 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 24359482 | OtherCostOrOtherBasis |
| Depreciation | 15919441 | Depreciation |
| Book Value | 8440041 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 149767636 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| medicare & medicaid estimated settlements | $22,243,587 |
| other liabilities | $12,712,530 |
| accrued pension cost | $107,453,316 |
| reserve for self-insurance | $32,013,045 |
| capital lease obligations | $19,892,093 |
| physician commitments | $575,568 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 194890139 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part X: | Identifier |
| Return Reference | Description of Uncertain Tax Positions Under FIN 48: | ReturnReference |
| Explanation | The Corporation adopted the provisions of FASB ASC 740-10 relating to uncertainty in income taxes on July 1, 2009. The implementation included evaluating the tax positions taken on all income tax returns that remain open to examination by the respective taxing authorities. The Corporation does not believe that there are any uncertain positions on those returns that meet the requirements of FASB ASC 740-10 and therefore should be reflected in the financial statements. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To Most Hospitals | X | PolicyAppliedToMostHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent150 | X | Pcent150 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 150.000000000000 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 31397294 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15486808 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 15910486 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03190 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 111970262 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 74738253 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 37232009 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07470 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 143367556 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 90225061 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 53142495 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10660 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 571636 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5986 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 565650 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 571636 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5986 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 565650 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 143939192 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 90231047 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 53708145 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10770 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $21,237,017 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 138245273 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 148827870 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -10582597 | 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 | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (4 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership |
|---|---|
| ARH Regional Medical Center Professional Office Building Co-Owners Council | |
| Condo Owner | 0.36250 |
| Hazard ARH Imaging Center LLC dba Medical Mall Imaging Center | |
| Diagnostic Imaging Services | 0.60000 |
| Whitesburg Physician Office Building LLC | |
| Condo Owner | 0.28000 |
| Phelps Regional Health Services Inc | |
| Property Owner of Physician office building & Nursing home | 0.50000 |
Form990 Schedule H Part V Form990ScheduleHPartV (60 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | OtherOther | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Er24 HoursEr24Hours | Teaching HospitalTeachingHospital | Critical Access HospitalCriticalAccessHospital |
|---|---|---|---|---|---|---|---|---|---|
| ARH Family Care Wayland | |||||||||
| 2662 King kelly Coleman Highway | wayland | KY | 41666 | primary care center or clinic | |||||
| Elkhorn City ARH Family Care Center | |||||||||
| 905 W Russell Street | elkhorn city | KY | 41522 | primary care center or clinic | |||||
| Jenkins ARH Family Care Center | |||||||||
| 9480 highway 805 | jenkins | KY | 41514 | primary care center or clinic | |||||
| arh family care middlesboro | |||||||||
| 1217 East Cumberland Avenue | middlesboro | KY | 40965 | Clinic | |||||
| Tug Valley Medical Mall | |||||||||
| 26901 US Highway 119N | belfry | KY | 41514 | primary care center or clinic | |||||
| Harlan ARH Hospital | |||||||||
| 81 Ball Park Road | harlan | KY | 40831 | X | X | X | |||
| Hazard ARH Regional Medical Center | |||||||||
| 100 Medical Center Drive | hazard | KY | 41701 | X | X | X | X | ||
| McDowell ARH Hospital | |||||||||
| Route 122 Box 247 | mcdowell | KY | 41647 | X | X | X | X | ||
| Middlesboro ARH Hospital | |||||||||
| 3600 West Cumberland Ave | middlesboro | KY | 40965 | X | X | X | |||
| Morgan County ARH Hospital | |||||||||
| 476 Liberty Road | west liberty | KY | 41472 | X | X | X | X | ||
| Whitesburg Arh Hospital | |||||||||
| 240 Hospital Road | whitesburg | KY | 41858 | X | X | X | |||
| Williamson ARH Hospital | |||||||||
| 260 Hospital Drive | south williamson | KY | 41503 | X | X | X | |||
| Beckley ARH Hospital | |||||||||
| 306 Stanaford Road | beckley | WV | 25801 | X | X | X | |||
| Summers County ARH Hospital | |||||||||
| 1500 Terrace Street | hinton | WV | 25951 | X | X | X | X | ||
| ARH HAZARD FAMILY HEALTH SERVICES | |||||||||
| 200 MEDICAL CENTER DRIVE | HAZARD | KY | 41701 | primary care center or clinic | |||||
| ARH MCDOWELL PROFESSIONAL CLINIC | |||||||||
| 9879 KY RT 122 | MCDOWELL | KY | 41647 | rural health clinic | |||||
| ARH MORGAN COUNTY CLINIC | |||||||||
| 476 LIBERTY ROAD | WEST liberty | KY | 41472 | rural health clinic | |||||
| ARH TRI-CITY MEDICAL CENTER | |||||||||
| 18880 NORTH US 119 | CUMBERLAND | KY | 40823 | primary care center/Rural health clinic | |||||
| ARH TUG VALLEY MEDICAL ASSOCIATES | |||||||||
| 306 HOSPITAL DRIVE | SOUTH williamson | KY | 41503 | rural health clinic | |||||
| ARH WHITESBURG CLINIC | |||||||||
| 214 HOSPITAL ROAD | WHITEsburg | KY | 41858 | rural health clinic | |||||
| ARH WOMEN'S AND FAMILY HEALTHCARE HARLAN | |||||||||
| 87 BALL PARK ROAD SUITE 201 | HARLAN | KY | 40831 | PHYsician Clinic | |||||
| NEON CLINIC | |||||||||
| 37 highway 343 | NEON | KY | 41840 | PHysician Clinic | |||||
| BARIATRIC CLINIC | |||||||||
| 210 BLACK GOLD BOULEVARD SUITE 102 | HAZard | KY | 41701 | PHYsician Clinic | |||||
| ARH MIDDLESBORO INTERNAL MEDICINE | |||||||||
| 3004 CUMBERLAND AVENUE SUITE 3 | MIDDLEsboro | KY | 40965 | Physician Clinic | |||||
| ARH SUMMERS COUNTY CLINIC | |||||||||
| 1500 Terrace Street | HINTON | WV | 25951 | PHysician Clinic | |||||
| ARH OUTPATIENT PHARMACY 37 | |||||||||
| 37 BALL PARK ROAD | HARLan | KY | 40831 | PHARMACY | |||||
| ARH TRI-CITIES CLINIC PHARMACY | |||||||||
| 18880 NORTH US 119 | CUMBERLAND | KY | 40823 | PHARMACY | |||||
| ARH JUNE BUCHANAN CLINIC PHARMACY | |||||||||
| ROUTE 550 COWTOWN ROAD | HINDMAN | KY | 41822 | PHARMACY | |||||
| HAZARD ARH REGNL MED CTR CLINIC PHARMACY | |||||||||
| 200 MEDICAL CENTER DRIVE | HAZARD | KY | 41701 | PHARMACY | |||||
| MIDDLESBORO ARH PHARMACY | |||||||||
| 3600 WEST CUMBERland Ave | MIDDlesboro | KY | 40965 | PHARMACY | |||||
| MORGAN COUNTY ARH PHARMACY | |||||||||
| 476 Liberty Road | WEst liberty | KY | 41472 | PHARMACY | |||||
| WHITESBURG ARH PHARMACY | |||||||||
| 240 HOspital Road | WHItesburg | KY | 41858 | PHARMACY | |||||
| ARH PRESCRIPTION DIVISION | |||||||||
| 306 HOSPITAL DRIVE SUITE 105 | SOUTh williamson | KY | 41503 | PHARMACY | |||||
| BECKLEY ARH PHARMACY | |||||||||
| 250 STANAFORD ROAD | BEckley | WV | 25801 | PHARMACY | |||||
| MATEWAN ARH PHARMACY | |||||||||
| 7 MATEWAN STREET | MATEWAN | WV | 25678 | PHARMACY | |||||
| HARLAN ARH HOME HEALTH AGENCY | |||||||||
| 81 BALL PARK ROAD | HARLAN | KY | 40831 | HOME HEALTH | |||||
| HAZARD ARH HOME HEALTH AGENCY | |||||||||
| 100 AIRPORT GARDENS ROAD | HAZard | KY | 41701 | HOME HEALTH | |||||
| MCDOWELL ARH HOME HEALTH AGENCY | |||||||||
| 8535 KY RT 122 | MINNE | KY | 41651 | HOME HEALTH | |||||
| MIDDLESBORO ARH HOME HEALTH AGENCY | |||||||||
| 1916 CUMBERLAND AVENUE | MIDdlesboro | KY | 40965 | HOME HEALTH | |||||
| MORGAN COUNTY ARH HOME HEALTH AGENCY | |||||||||
| 493 MAIN STREET | WEst liberty | KY | 41472 | HOME HEALTH | |||||
| PIKEVILLE BRANCH-ARH PIKE CO HOME HEALTH | |||||||||
| 247 SOUTH MAYO TRAIL | PIKEVILLE | KY | 41502 | HOME HEALTH | |||||
| WHITESBURG ARH HOME HEALTH AGENCY | |||||||||
| 240 HOSPITAL ROAD | WHITEsburg | KY | 41858 | HOME HEALTH | |||||
| WILLIAMSON ARH HOME HEALTH AGENCY | |||||||||
| 160 HOSPITAL DRIVE | SOUTH williamson | KY | 41503 | HOME HEALTH | |||||
| BECKLEY ARH HOME HEALTH AGENCY | |||||||||
| 306 STanaford Road | BEckley | WV | 25801 | HOME HEALTH | |||||
| MAN ARH HOME HEALTH SUB-STATION | |||||||||
| BUFFALO CREEK ROAD/ROUTE 99 | KISTLER | WV | 25628 | HOME HEALTH | |||||
| ARH HARLAN HOMECARE STORE | |||||||||
| 106 RAILROAD STREET SUITE 5 | HARLAN | KY | 40831 | HOME CARE | |||||
| ARH HAZARD HOMECARE STORE | |||||||||
| 200 MEDICAL CENTER DRIVE | HAZard | KY | 41701 | HOME CARE | |||||
| ARH MCDOWELL HOMECARE STORE | |||||||||
| 8535 KY RT 122 | MINNE | KY | 41651 | HOME CARE | |||||
| ARH MIDDLESBORO HOMECARE STORE | |||||||||
| 1916 CUMBERLAND AVENUE | MIddlesboro | KY | 40965 | HOME CARE | |||||
| ARH PIKEVILLE HOMECARE STORE | |||||||||
| 247 SOUTH MAYO TRAIL | PIKEVILLE | KY | 41501 | HOME CARE | |||||
| ARH WEST LIBERTY HOMECARE STORE | |||||||||
| 520 PRESTONBURG STREET | WEST liberty | KY | 41472 | HOME CARE | |||||
| ARH WHITESBURG HOMECARE STORE | |||||||||
| 240 HOspital Road | WHItesburg | KY | 41858 | HOME CARE | |||||
| ARH WILLIAMSON HOMECARE STORE | |||||||||
| 306 HOSPITAL DRIVE SUITE 104A | SOUTH Williamson | KY | 41503 | HOME CARE | |||||
| ARH BECKLEY HOMECARE STORE | |||||||||
| 260 STANAFORD ROAD | BECKLey | WV | 25801 | HOME CARE | |||||
| ARH HINTON HOMECARE STORE | |||||||||
| 1500 Terrace Street | HINTON | WV | 25951 | HOME CARE | |||||
| ARH MAN HOMECARE STORE | |||||||||
| ROUTE 99 BUFFALO CREEK ROAD | KISTLER | WV | 25628 | HOME CARE | |||||
| ARH PSYCHIATRIC CENTER- HAZARD | |||||||||
| 102 MEDICAL CENTER DRIVE | HAZARD | KY | 41701 | PHARMACY | |||||
| HARLAN ARH HOSPITAL PSYCHIATRIC SERVICES | |||||||||
| 81 BALL PARK ROAD | HArlan | KY | 40831 | PHARMACY | |||||
| BECKLEY ARH BEHAVIORAL SERVICES CENTER | |||||||||
| 306 STanaford Road | BECKley | WV | 25801 | PHARMACY | |||||
| ARH REFERENCE LABORATORY | |||||||||
| 100 MEDical Center Drive | HAZARD | KY | 41701 | LAB | |||||
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Income Based Criteria | Part I, Line 3c: The discounts are based on a sliding fee schedule starting at 150% of FPG qualifying for free care, ranging up to unlimited income levels for a 40% discount on all uninsured care provided. | IncomeBasedCriteria |
| Costing Method Used | Part I, Line 7: The cost-to-charge ratio was derived from worksheet 2. | CostingMethodUsed |
| Percent Of Total Expense Expln | Part I, Line 7f: $57,567,407 is the bad debt expense included in total expense on the 990. Therefore, in order to calculate the percentages as directed in the instructions, that bad debt expense has been removed from total expenses for purposes of the calcuation in column f. | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | Part III, Line 4: To determine the bad debt expense on line 2, the bad debt expense per the financial statements, which consists of gross charges less discounts, was converted to cost using the global cost-to-charge ratio developed in Worksheet 2. Patient discounts are not reflected in bad debt. Any payments on an account after it is written off to bad debt result in a reversal of the entire account out of bad debt, reinstatement of the patient account receivable, and any negotiated difference in the full amount of the account and the payment made is written off to contractual allowance. Patients who may qualify for charity care but do not apply cannot be estimated. All patients are educated about and given every opportunity to apply for charity care and, therefore, ARH has no information for those who choose not to apply.Financial Statement Footnote related to bad debt expense: The Corporation has an established process to determine the adequacy of the allowance for uncollectible accounts that relies on a number of analytical tools and benchmarks to arrive at a reasonable allowance. No single statistic or measurement determines the adequacy of the allowance for uncollectible accounts. Some of the analytical tools that the Corporation utilizes include, but are not limited to, historical cash collection experience by payor, revenue trends by payor classification and aged accounts from date of service by payor. Accounts receivable are written off after collection efforts have been followed in accordance with the Corporation's policies. | BadDebtFootnote |
| Shortfall As Community Benefit | Part III, Line 8: In the fiscal year ending June 30, 2010, nearly one-half of the Corporation's patient revenues were derived from services provided to Medicare beneficiaries. In turn, payments received by the federal government fell short of the cost to provide such services by more than $10 million. Medicare recipients rely heavily on ARH for care; in many of the communities it serves, ARH is the lone provider of acute hospital care. The Corporation considers its participation in the Medicare program and the associated losses resulting thereof as an essential component of community benefit. Accordingly, we deem that $10,582,597 [or 100%] of the amount reported on Schedule H, Part III, Line 7 be treated as community benefit. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | Part III, Line 9b: The policy provides that charity and financial assistance applications are valid for six months, after which time the patient must reapply and present current financial documents as necessary. | DebtCollectionPolicy |
| Number Of Facility Type Expln | Part V: ARH additionally operates six support facilities and four clinics which are not required to registered or licensed with the state. | NumberOfFacilityTypeExpln |
| Needs Assessment | Part VI, Line 2: The needs of the communities that ARH serves throughout Eastern Kentucky and Southern West Virginia are assessed by following emerging medical practice needs as a whole across the nation and specifically in the Appalachian region. The health needs are examined by looking at health statistics and disease prevalence compared to service/physician availability. Patient and community surveys are also regularly conducted to assess consumer perceived needs. | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: Under ARH's financial assistance program and policy each patient without medical coverage for rendered services is offered a 40% discount of gross charges at time of service. If the patient extends payment at time of service they are given another 10% discount, making their liability 50% of gross charges. All of these discounts are applied at time of charge and billed after the discount is taken.If said patient is unable to meet the financial obligations for service, they are educated and screened for potential federal and/or state assistance programs. By doing this the patient is reviewed and educated by on-site financial counselors and/or eligibility agency to get the individual placed in a program. Based on income and family status the patient is screened in conjunction with the federal and state poverty guidelines. At this time, all applications are completed with the assistance of ARH personnel and submitted for approval. In the event an agency requires the patient/guarantor to apply in person the individual is asked to make an appointment with that agency and file their completed documents. If the responsible party is not eligible for federal or state assistance, they are additionally screened by ARH for eligibility into our internal sliding fee schedule charity program for additional discounts up to 100% of gross charges. If the patient is held responsible, additional efforts to assist the patient are offered by offering reasonable payment plans and deferred payments. In the event the patient/guarantor does not make a reasonable effort to complete necessary documentation to apply or become eligible for a financial assistance program they are then still given the initial 40% discount and moved through the normal collection process. | PatientEducationAssistance |
| Community Information | Part VI, Line 4: The rural service area covered by ARH in Eastern Kentucky and Southern West Virginia covers 16 counties and consists of almost 370,000 residents with 51 percent being female and 49 percent being male.This region is fraught with some of the highest chronic health prevalence rates in the country for lung cancer, diabetes, and heart disease. To compound these problems, most of ARH's facilities are located in areas that are at least partially classified as Medically Underserved Areas and Health Professional Shortage Areas by the U.S. Department of Health and Human Services. In addition, the areas served by ARH also face unemployment rates that are substantially higher than state and national averages and a higher number of citizens in these areas rank below the national poverty level. For example, in September 2010, the unemployment rate for Harlan County, Kentucky was 11.5 percent, compared to 9.8 percent for the state and 9.2 percent nationally.For more than half a century, ARH has carried a heavy load in caring for this population. Over 8 percent of ARH's inpatients in fiscal year 2010 were uninsured and during that same fiscal year more than 63 percent of ARH's inpatients were Medicare or Medicaid beneficiaries. | CommunityInformation |
| Other Information | Part VI, Line 6: Today, Appalachian Regional Healthcare continues its mission in the mountains by offering residents of Eastern Kentucky and Southern West Virginia a local option for quality healthcare services. ARH holds steadfast to the mission to, "improve health and promote well-being of all the people in Central Appalachia in partnership with our communities."ARH has evolved into an integrated healthcare delivery system serving more than 350,000 residents and employing close to 4,700 people across Eastern Kentucky and Southern West Virginia with hospitals, clinics, home health agencies, pharmacies and home durable medical equipment stores. ARH's nine hospitals range in size from critical-access facilities to the system's flagship regional medical center with 308-licensed beds in Hazard, Kentucky.While providing this region with quality healthcare, ARH reinvests any earnings back into operations to further the system's efforts in improving and accessing healthcare services for the region.Created to address the unmet health needs of an underserved region, ARH leadership and staff members realize that serving this population is about more than just addressing the health needs, it is also about preventing them. Through partnerships with area schools, businesses, organizations and health departments, ARH is one of the primary sources for health education and disease prevention in each community and partners with all of these various community entities to further these efforts. | OtherInformation |
| Reports Filed With States | KY | ReportsFiledWithStates |
| Reports Filed With States | WV | ReportsFiledWithStates |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | 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 | 1 | 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 (11 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JERRY HAYNES | |||||||||||||
| 613362 | 0 | 55836 | 0 | 0 | 0 | 21663 | 0 | 16689 | 0 | 707550 | 0 | 0 | 0 |
| JOSEPH GROSSMAN | |||||||||||||
| 355440 | 0 | 26040 | 0 | 0 | 0 | 16448 | 0 | 22594 | 0 | 420522 | 0 | 0 | 0 |
| HOLLIE P HARRIS | |||||||||||||
| 214679 | 0 | 16380 | 0 | 0 | 0 | 16500 | 0 | 21947 | 0 | 269506 | 0 | 0 | 0 |
| JOHN D MILLER | |||||||||||||
| 288149 | 0 | 20832 | 0 | 0 | 0 | 2480 | 0 | 18484 | 0 | 329945 | 0 | 0 | 0 |
| paul miles | |||||||||||||
| 256038 | 0 | 20832 | 0 | 0 | 0 | 7440 | 0 | 23013 | 0 | 307323 | 0 | 0 | 0 |
| bobby rick king | |||||||||||||
| 261371 | 0 | 19740 | 0 | 0 | 0 | 21050 | 0 | 14894 | 0 | 317055 | 0 | 0 | 0 |
| JOSE M ECHEVERRIA | |||||||||||||
| 192369 | 0 | 285586 | 0 | 0 | 0 | 1663 | 0 | 21534 | 0 | 501152 | 0 | 0 | 0 |
| prakash puranik | |||||||||||||
| 399807 | 0 | 0 | 0 | 0 | 0 | 38154 | 0 | 13303 | 0 | 451264 | 0 | 0 | 0 |
| jameel a butt | |||||||||||||
| 373254 | 0 | 278659 | 0 | 0 | 0 | 25132 | 0 | 5923 | 0 | 682968 | 0 | 0 | 0 |
| jamal bazzi | |||||||||||||
| 405017 | 0 | 0 | 0 | 0 | 0 | 626 | 0 | 5923 | 0 | 411566 | 0 | 0 | 0 |
| nathan e doctry | |||||||||||||
| 421635 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 5923 | 0 | 427558 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 4a | ARH provides senior executives a contribution of seven (7) percent of pay (subject to a dollar cap) into the Top Hat 457(b) retirement Plan, if the executive signs a non-compete agreement. The contribution and earnings are tax deferred until assets are distributed or withdrawn. The maximum contribution is subject to the IRS compensation cap, which allows a contribution of up to $16,500 in 2009. This contribution total is an aggregate total regardless of whether ARH or the executive makes the contribution. Contribution to the 457(b) does not affect the amounts the executive might contribute to the 403(b) Thrift Plan. The executive may contribute her/his own money to the plan pre-tax, to the extent the IRS caps allow room after ARH's contribution. Catch up contributions are allowed within IRS limits in the last three years prior to retirement (and, if 7% of pay exceeds the regular dollar cap, ARH may use the balance of the 7% to fund up to the catch up limit. Benefits are subject to Social Security and Medicare taxes as they accrue. The funds are invested as directed by the executive, but the account remains a general asset of ARH. If ARH becomes insolvent, the executive will be an unsecured creditor and will have no preferred claim to any assets. To receive the ARH credit to the 457(b) plan, the executive must sign a non-compete, confidentiality, etc. agreement restricting work for a competing organization for two (2) years post termination. If the funding of the 457(b), including any catch up provisions, is less than 7% of base pay, then ARH will contribute the remainder to a 457(f) plan. Respective employer contributions into the 457(f) plan include: Jerry Haynes $2,538; Joseph Grossman $4,365; Paul Miles $192; and John Miller $192. |
| Part I, Line 6 | The Compensation and Contracts Committee of the ARH Board of Trustees adopted a short-term incentive compensation program for executives in September 2002. The program established incentives for achieving System and community objectives for executive leadership by integrating the performance management and executive compensation systems. The incentive thresholds have been modified across time to reflect increased performance expectations as identified in the System's Strategic, Budget and Operations Plans. The incentive awards provide additional cash compensation as a percentage of base salary in relation to levels of achievement. These achievement levels range from Threshold (lowest), to Target (10% above the threshold), and Maximum (highest and 20% above the threshold) and vary based upon executive level. The Executive Incentive Plan will be administered in accordance with the following guidelines: a. Objectives and targets are set through the strategic planning, budgeting and performance management processes. b. System margin and cash budget thresholds must be met before individual awards will be considered. c. Awards will be considered as having been earned upon affirmation based on audited financial results and actual operating performance. d. The President and CEO will recommend payment of individual awards, if any, to the Compensation and Contracts Committee for consideration. e. The Compensation and Contracts Committee may accept, reject, or modify the President and CEO's recommendation. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)
| Issuer EINIssuerEIN | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer |
|---|---|---|---|---|---|
| city of hazard ky | |||||
| 616001839 | 2007-02-14 | 4600000 | construction of and equipment at hazard cancer center | 0 | 0 |
| county of pikeville ky | |||||
| 616000928 | 2007-06-15 | 2400000 | purchase of a building for central purchasing services | 0 | 0 |
| county of perry kentucky | |||||
| 616000810 | 2007-08-08 | 4600000 | construction of and equipment at the Hazard cancer center | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)
| Total ProceedsTotalProceeds | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|
| 4600000 | 56500 | 4543500 | 2008 | 0 | 0 | 1 | 1 |
| 2400000 | 44199 | 2355801 | 2008 | 0 | 0 | 1 | 1 |
| 4600000 | 65525 | 4534475 | 2008 | 0 | 0 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 1 | 0.00000 | 0.00000 | 0.00000 | 1 |
| 0 | 0 | 0 | 0 | 1 | 0.00000 | 0.00000 | 0.00000 | 1 |
| 0 | 0 | 0 | 0 | 1 | 0.00000 | 0.00000 | 0.00000 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| 1 | 0 | 0 | 0 | 0 | 0 |
| 1 | 0 | 0 | 0 | 0 | 0 |
| 1 | 0 | 0 | 0 | 0 | 0 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | dr john pellegrini | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | trustee of arh | Relationship |
| Amount Of Transaction | 210324 | AmountOfTransaction |
| Description Of Transaction | a clinic owned by dr. pellegrini provides physician practice management services to an arh-employed physician. | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section B, line 11 | the director of accounting and cfo both review the 990. |
| Form 990, Part VI, Section B, line 12c | A secure website is provided to officers and trustees for annual disclosures, and is monitored regularly by the Vice-President of Legal Affairs and the Corporate Compliance officers. Potential conflicts of interest are reported directly to the Chairman of the Board. Trustees identified as having a conflict of interest in a particular matter before the Board may not participate in the Board's decision-making process. Failure to disclose is subject to discipline, including censure, and in some cases, removal from the Board. Employee officers are subject to discipline in accordance with the Corporation's human resource policies and the ARH Code of Business and Professional Conduct. |
| Form 990, Part VI, Section B, line 15 | The ARH Board sets compensation levels for Mr. Haynes and other ARH executives. The Board contracts with a consulting firm to review the market for the positions on the System Operating Council who makes recommendations on the salary ranges and assesses the competitiveness of the salaries. With that information, the Compensation and Contracts Committee set the ranges and the President's compensation. The Board reviews and finalizes compensation amounts. The consulting firm follows up with a letter attesting to the reasonableness of compensation. |
| Form 990, Part VI, Section C, line 19 | While ARH has not yet adopted a policy of sharing its financial statements with the public, it does provide financial information through the Form 990 and also provides certain financial information in other public documents, including its periodic reports to the communities it serves. |
| Form 990, Part XI, line 2c | Process for overseeing and selecting independent auditors has not changed. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| the arh foundation for healthier communities inc | |||||||||
| 100 airport gardens road | hazard | KY | 41701 | 204840007 | carrying out fundraising and charitable activities for arh | KY | 501(c)(3) | Line 7 | appalachian regional healthcare inc |
| west virginia arh inc | |||||||||
| 2285 executive drive | lexington | KY | 40505 | 550756776 | HEALTH CARE | WV | 501(c)(3) | Line 3 | appalachian regional healthcare inc |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | hazard arh imaging center llc | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 210 black gold blvd | AddressLine1 |
| City | hazard | City |
| State | KY | State |
| ZIP Code | 41701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 270755457 | EIN |
| Primary Activity | medical imaging services | PrimaryActivity |
| Legal Domicile State | KY | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Predominant Income Type | related | PredominantIncomeType |
| Share Of Total Income | -400292 | ShareOfTotalIncome |
| Share Of EOY Assets | 430433 | ShareOfEOYAssets |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 1 | GeneralOrManagingPartner |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | 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 | 0 | 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 | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| the arh foundation for healthier communities inc | |
| P | 208306 |
| hazard arh imaging center llc | |
| B | 169950 |