2023-10-13T08:35:26-05:00 2022-12-31 FORVIS LLP 1222 Demonbreun Street Suite 950 Nashville TN 372033357 990 2022-01-01 822980765 JENNIE STUART HEALTH FOUNDATION INC % TRACEY CLARK JENN 2708870198 PO BOX 608 HOPKINSVILLE KY 42241 TRACEY CLARK EXECUTIVE DIRECTOR 2708870181 2023-10-15 true TRACEY CLARK 999009999 P00289876 6159883600 2 2022 2023-04-26 12:10:37Z TRACEY PATE CLARK PO BOX 608 HOPKINSVILLE KY 42241 1032501 false X JENNIESTUARTHEALTH.ORG/FOUNDATION X 2017 KY TO INSPIRE MEANINGFUL GIVING THAT WILL HELP JENNIE STUART MEDICAL CENTER ACCOMMODATE THE GROWING HEALTH CARE NEEDS OF OUR COMMUNITY. 9 8 2 8 0 319116 1016176 0 0 16007 16325 0 0 335123 1032501 12605 52717 0 0 121174 127436 0 0 88445 70648 58242 204427 238395 130696 794106 1068867 1806177 0 52573 1068867 1753604 TO IMPROVE QUALITY OF LIFE IN THE COMMUNITIES SERVED BY JENNIE STUART MEDICAL CENTER BY ENSURING ACCESS TO EXCEPTIONAL HEALTH CARE AND SUPPORTING INITIATIVES THAT PROMOTE WELL-BEING. false false 118655 THE JENNIE STUART HEALTH FOUNDATION WAS CREATED TO WORK COLLABORATIVELY WITH MEMBERS OF THE COMMUNITY WHO SEEK TO PARTNER WITH JENNIE STUART MEDICAL CENTER IN FUNDRAISING AND TO FURTHER PROMOTE INNOVATION AND ACCESS TO CARE. THE FOUNDATION'S VISION IS TO INSPIRE MEANINGFUL GIVING THAT WILL ALLOW JENNIE STUART HEALTH TO ACCOMMODATE THE GROWING HEALTH CARE NEEDS OF OUR COMMUNITIES AND TO EXPAND SERVICES IN RESPONSE TO ADVANCES IN MEDICINE AND TECHNOLOGY. 118655 true true false false false false false false false false false false false false true false false true false false false false false false false false false false false true false false false false false false false false true false false false false true false false false true 0 0 2 true false false false false false false false false false false false false X 9 8 false false false false true true true true true false false true true true true true true true false false KY X X TRACEY CLARK 2708870181 PO BOX 608 HOPKINSVILLE KY 422410608 TRACEY CLARK EXECUTIVE DIRECTOR 20.0 0.0 X 64932 0 0 ERIC LEE SECRETARY/JSMC CEO 1.0 40.0 X X 0 0 0 BRECK CAYCE BOARD MEMBER 1.0 0.0 X 0 0 0 TRACEY WILLIAMS CHAIR 1.0 0.0 X X 0 0 0 JOHN MADDUX BOARD MEMBER 1.0 0.0 X 0 0 0 DR RATILAL GAJERA BOARD MEMBER 1.0 0.0 X 0 0 0 LORI HARPER TREASURER 1.0 0.0 X X 0 0 0 ELIZABETH MCCOY VICE CHAIR 1.0 0.0 X X 0 0 0 DERRICK WATSON BOARD MEMBER 1.0 0.0 X 0 0 0 LESLIE CARROLL BOARD MEMBER 1.0 0.0 X 0 0 0 64932 0 0 0 false false true 0 158788 857388 50120 1016176 0 16325 16325 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1032501 16325 52717 52717 0 0 0 64932 19480 12986 32466 0 62504 18751 12501 31252 0 0 0 0 0 0 0 0 0 20121 9566 10555 28341 14903 13438 4320 2852 734 734 0 0 0 0 0 0 0 0 0 0 DUES & SUBSCRIPTIONS 5330 256 5074 MISC EXP 130 130 238395 118655 31295 88445 175135 369999 893732 824726 0 0 0 611452 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1068867 1806177 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52573 0 52573 X 76815 867049 992052 886555 1068867 1753604 1068867 1806177 794106 -109369 X false true X true false X X X 1 JENNIE STUART MEDICAL CENTER 610482973 3 true 6645 0 1 6645 0 true false false false false false false false false false false false false false false true false SCHEDULE A, PART IV, SECTION B, LINE 1 BOARD MEMBER ELECTIONS ------------------------ ALL APPOINTMENTS/TERMINATIONS TO THE FOUNDATION'S BOARD OF DIRECTORS ARE APPROVED BY THE FOUNDATION BOARD, BUT THEN MUST BE RATIFIED BY THE SOLE MEMBER'S BOARD OF TRUSTEES. THE SOLE MEMBER, JSMC, IS THE FOUNDATION'S SUPPORTED ORGANIZATION. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE TO RELATED PARTY 52573 52573 X false false false false false false false false false ERIC LEE SECRETARY/JSMC CEO SCHEDULE J, PART II COMPENSATION FROM UNRELATED ORGANIZATION ------------------------------------------ THE HOSPITAL (JSMC) CONTRACTS THE SERVICES OF ERIC LEE (THE HOSPITAL'S CEO) WITH QHR (FORMERLY QUORUM HEALTH RESOURCES, INC.), AN UNRELATED ORGANIZATION. X 1 50120 FMV 1 false true false FORM 990, PART VI, SECTION A, LINE 6, 7A & 7B ORGANIZATION MEMBERS -------------------- JENNIE STUART HEALTH FOUNDATION'S SOLE MEMBER IS JENNIE STUART MEDICAL CENTER, INC., (JSMC), PER ARTICLES OF INCORPORATION AND BYLAWS. ALL APPOINTMENTS/TERMINATIONS TO THE FOUNDATION'S BOARD OF DIRECTORS ARE APPROVED BY THE FOUNDATION BOARD, BUT THEN MUST BE RATIFIED BY THE SOLE MEMBER'S BOARD OF TRUSTEES. BECAUSE THE FOUNDATION IS A SUPPORTING ORGANIZATION FOR JSMC AND JSMC IS THE SOLE MEMBER OF THE FOUNDATION, BOARD APPOINTMENTS, BYLAW AND/OR ARTICLE AMENDMENTS, AND HIRING/TERMINATION OF THE EXECUTIVE DIRECTOR ARE SUBJECT TO RATIFICATION BY THE JSMC BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW FORM 990 ------------------------------- THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTANT AND PROVIDED TO THE FULL BOARD PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12A, 13, & 14 CONFLICT OF INTEREST AND OTHER GOVERNING POLICIES ------------------------------------------------- BOARD MEMBERS ARE REQUIRED TO COMPLETE A STATEMENT OF INTEREST ANNUALLY. ONCE REVIEWED, IF A DISCLOSURE IS MADE, IT MUST BE APPROVED BY THE NON-INTERESTED BOARD MEMBERS. BOARD MEMBERS WITH DISCLOSED INTEREST ARE PROHIBITED FROM VOTING ON ISSUES RELATED TO THEIR INTEREST. ADDITIONALLY, THE FOUNDATION IS IN THE PROCESS OF CREATING A WRITTEN WHISTLEBLOWER POLICY AND RECORD RETENTION POLICY. FORM 990, PART VI, SECTION B, LINE 15A & 15B MANAGEMENT COMPENSATION REVIEW -------------------------------------- THE FOUNDATION'S BOARD OF DIRECTORS CONDUCTED A REVIEW WHEN THE EXECUTIVE DIRECTOR WAS HIRED IN 2018. ANNUAL PERFORMANCE REVIEWS CONDUCTED BY THE BOARD OF DIRECTORS ALSO INCLUDES DECISIONS AS TO MERIT INCREASES OR ANY OTHER COMPENSATION CHANGES. THE HOSPITAL (JSMC) BOARD OF TRUSTEES REVIEWS AND APPROVES THE FOUNDATION'S ANNUAL BUDGET, WHICH INCLUDES ANY CHANGES TO THE EXECUTIVE DIRECTOR'S COMPENSATION. THE EXECUTIVE DIRECTOR IS PAID BY JSMC, A RELATED ORGANIZATION. NO OTHER OFFICERS ARE COMPENSATED FOR FOUNDATION ACTIVITY. JENNIE STUART MEDICAL CENTER 320 W 18TH STREET HOPKINSVILLE KY 42240 610482973 HOSPITAL KY 501(C)(3) 3 NA false false true true false false false false false false false false true true true true false true false true JENNIE STUART MEDICAL CENTER C 158788 FMV JENNIE STUART MEDICAL CENTER B 6645 FMV JENNIE STUART MEDICAL CENTER L 234583 FMV