JENNIE STUART MEDICAL CENTER INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
JENNIE STUART MEDICAL CENTER INC (EIN 61-0482973)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-10
IRS object ID
202303149349302020
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-11-10T09:11:58-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FORVIS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1196AddressLine1Txt
CityBOWLING GREENCityNm
State AbbreviationKYStateAbbreviationCd
ZIP42102ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN610482973EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JENNIE STUART MEDICAL CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% MARK LARAMEEInCareOfNm
Business Name ControlJENNBusinessNameControlTxt
Phone2708870100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1320 W 18TH STREETAddressLine1Txt
CityHOPKINSVILLECityNm
State AbbreviationKYStateAbbreviationCd
ZIP42240ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARK LARAMEEPersonNm
Person TitleCFOPersonTitleTxt
Phone2708870239PhoneNum
Signature2023-10-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMARKPersonFirstNm
Person LastLARAMEEPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
PTINP00289876PTIN
Phone2707810111PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerERIC LEEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1320 W 18TH STREETAddressLine1Txt
CityHOPKINSVILLECityNm
State AbbreviationKYStateAbbreviationCd
ZIP42240ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$193,428,631GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.JENNIESTUARTHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1914FormationYr
Legal Domicile StateKYLegalDomicileStateCd
Activity Or MissionJSMC IS COMMITTED TO EXCELLENCE IN SERVICE, AND WE EXIST TO PROMOTE, PRESERVE AND ACCOMMODATE THE GROWING HEALTHCARE NEEDS OF OUR COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee1161TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$87,102PYContributionsGrantsAmt
CY Contributions Grants$5,634,853CYContributionsGrantsAmt
PY Program Service Revenue$174,377,273PYProgramServiceRevenueAmt
CY Program Service Revenue$165,277,771CYProgramServiceRevenueAmt
PY Investment Income$3,988,437PYInvestmentIncomeAmt
CY Investment Income$3,150,950CYInvestmentIncomeAmt
PY Other Revenue$718,131PYOtherRevenueAmt
CY Other Revenue$1,236,033CYOtherRevenueAmt
PY Total Revenue$179,170,943PYTotalRevenueAmt
CY Total Revenue$175,299,607CYTotalRevenueAmt
PY Grants And Similar Paid$158,077PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$158,788CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$69,973,583PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$84,799,252CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$86,040,117PYOtherExpensesAmt
CY Other Expenses$90,110,239CYOtherExpensesAmt
PY Total Expenses$156,171,777PYTotalExpensesAmt
CY Total Expenses$175,068,279CYTotalExpensesAmt
PY Revenues Less Expenses$22,999,166PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$231,328CYRevenuesLessExpensesAmt
Total Assets BOY$272,583,736TotalAssetsBOYAmt
Total Assets EOY$257,029,546TotalAssetsEOYAmt
Total Liabilities BOY$123,065,363TotalLiabilitiesBOYAmt
Total Liabilities EOY$121,359,863TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$149,518,373NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$135,669,683NetAssetsOrFundBalancesEOYAmt
MissionJSMC IS COMMITTED TO EXCELLENCE IN SERVICE, AND WE EXIST TO PROMOTE, PRESERVE AND ACCOMMODATE THE GROWING HEALTHCARE NEEDS OF OUR COMMUNITY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$149,678,193ExpenseAmt
Revenue$165,277,771RevenueAmt
DescPROVIDE HOSPITAL INPATIENT, OUTPATIENT, AND EMERGENCY ROOM SERVICES TO AREA RESIDENTS. IN RECOGNITION OF ITS MISSION, JSMC WILL STRIVE TO PASSIONATELY PURSUE A CULTURE OF EXCEPTIONAL SERVICE AND A COMMITMENT TO CONTINUOUS QUALITY IMPROVEMENT. THE AMOUNT OF CHARITY CARE AT COST WAS APPROXIMATELY $198,000 FOR THE YEAR ENDED DECEMBER 31, 2022.Desc
Total Program Service Expenses$149,678,193TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document78IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1161EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldKYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMARK LARAMEEPersonNm
Phone2708870251PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1320 W 18TH STREETAddressLine1Txt
CityHOPKINSVILLECityNm
State AbbreviationKYStateAbbreviationCd
ZIP42240ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerInd
FREDERICK ROBBE III
PHYSICIAN40.00.0Yes (X)$959,812$0$9,100
TANNER PARRENT
PHYSICIAN40.00.0Yes (X)$928,653$0$16,530
JOSHUA HORTON
PHYSICIAN40.00.0Yes (X)$868,518$0$9,948
DAVID BEALLE
PHYSICIAN40.00.0Yes (X)$842,149$0$17,751
GERAME WELLS
PHYSICIAN40.00.0Yes (X)$720,693$0$17,751
KEITH TOMS
VP OF INTEGRATED SERVICES40.00.0$208,953$0$11,332Yes (X)
BETH MCCRAW
CHIEF NURSING OFFICER40.00.0$203,472$0$11,912Yes (X)
JASMINE EMERSON
AVP OF HUMAN RESOURCES40.00.0$117,833$0$10,893Yes (X)
ALISSA YOUNG
BOARD MEMBER1.00.0$0$0$0Yes (X)
BETSY SHELTON
BOARD MEMBER1.00.0$0$0$0Yes (X)
CARTER HENDRICKS
BOARD MEMBER1.00.0$0$0$0Yes (X)
CHARLES TURNER
MEMBER AT LARGE1.00.0$0$0$0Yes (X)Yes (X)
DERRICK WATSON
BOARD CHAIR1.00.0$0$0$0Yes (X)Yes (X)
HOLLIS WHITE
BOARD MEMBER1.00.0$0$0$0Yes (X)
JANET CALHOUN
SECRETARY / TREASURER1.00.0$0$0$0Yes (X)Yes (X)
LESLIE CARROLL
BOARD VICE CHAIRMAN1.00.0$0$0$0Yes (X)Yes (X)
MARTY BOZARTH
BOARD MEMBER1.00.0$0$0$0Yes (X)
CASEY COVINGTON MD
PRESIDENT ELECT MEDICAL STAFF1.00.0$0$0$0Yes (X)Yes (X)
STEVE TRIBBLE
BOARD MEMBER1.00.0$0$0$0Yes (X)
MICHAEL CLARK MD
MED STAFF PRESIDENT1.00.0$0$0$0Yes (X)Yes (X)
ERIC LEE
CEO40.00.0$0$0$0Yes (X)
MARK LARAMEE
CFO40.00.0$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,850,083TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$105,217TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K69IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (true)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
THERAPY STAFFING SPECIALISTS
755 EVERETT LANEHOPKINSVILLEKY42240STAFFING SERVICES$3,056,073
HUDSON STAFFING PLLC
4409 IVAN CREEK DRFRANKLINTN37064STAFFING SERVICES$2,769,492
MEDICAL STAFFING SOLUTIONS
9700 HWY 57 NORTH SUITE AEVANSVILLEIN47725STAFFING SERVICES$957,268
QHR HEALTH LLC DBA OVATION HEALTH
105 CONTINENTAL PLACEBRENTWOODTN37027MANAGEMENT SERVICES$1,493,563
AMN WORKFORCE SOLUTIONS LLC
8840 CYPRESS WATERS BLVD STE 300DALLASTX75019STAFFING$976,750
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K18CntrctRcvdGreaterThan100KCnt
Government Grants$5,584,853GovernmentGrantsAmt
All Other Contributions$50,000AllOtherContributionsAmt
Total Contributions$5,634,853TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE621110$165,253,201$165,253,201
BIO MED INCOME621110$24,570$24,570
FieldValueIRS element (for citing)
Total Program Service Revenue$165,277,771TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,670,944TotalRevenueColumnAmt
Exclusion$2,670,944ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$493,595RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$208,093RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$285,502RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$285,502TotalRevenueColumnAmt
Exclusion$285,502ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$18,400,937SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$17,920,931SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$480,006SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$480,006TotalRevenueColumnAmt
Exclusion$480,006ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CAFETERIA SALES722514$325,135$325,135
MISC REVENUE900099$625,396$625,396
FieldValueIRS element (for citing)
Other Revenue Total$950,531OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$175,299,607TotalRevenueColumnAmt
Related Or Exempt Func Income$165,277,771RelatedOrExemptFuncIncomeAmt
Exclusion$4,386,983ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$158,788TotalAmt
Program Services$158,788ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$530,257TotalAmt
Management And General$530,257ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$72,308,752TotalAmt
Program Services$64,580,057ProgramServicesAmt
Management And General$7,728,695ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$761,717TotalAmt
Program Services$684,875ProgramServicesAmt
Management And General$76,842ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,709,899TotalAmt
Program Services$5,597,225ProgramServicesAmt
Management And General$1,112,674ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,488,627TotalAmt
Program Services$4,016,158ProgramServicesAmt
Management And General$472,469ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,308,245TotalAmt
Management And General$1,308,245ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$209,144TotalAmt
Program Services$44,213ProgramServicesAmt
Management And General$164,931ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$195,440TotalAmt
Management And General$195,440ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$5,611TotalAmt
Management And General$5,611ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$22,635,760TotalAmt
Program Services$18,650,732ProgramServicesAmt
Management And General$3,985,028ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$298,140TotalAmt
Program Services$257ProgramServicesAmt
Management And General$297,883ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,356,134TotalAmt
Program Services$1,810,385ProgramServicesAmt
Management And General$1,545,749ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,812,392TotalAmt
Program Services$2,950,786ProgramServicesAmt
Management And General$861,606ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,305,231TotalAmt
Program Services$3,214,811ProgramServicesAmt
Management And General$90,420ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$191,127TotalAmt
Program Services$163,846ProgramServicesAmt
Management And General$27,281ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$48,698TotalAmt
Program Services$48,698ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,812,624TotalAmt
Program Services$3,568,693ProgramServicesAmt
Management And General$243,931ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,837,655TotalAmt
Program Services$6,263,046ProgramServicesAmt
Management And General$1,574,609ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,655,137TotalAmt
Program Services$243,756ProgramServicesAmt
Management And General$1,411,381ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$32,890,933$32,869,873$21,060
DUES & SUBSCRIPTIONS$549,963$199,499$350,464
PROVIDER TAX$3,616,576$3,616,576
REPAIRS & MAINTENANCE$1,196,185$922,213$273,972

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,185,244TotalAmt
Program Services$73,706ProgramServicesAmt
Management And General$3,111,538ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$175,068,279TotalAmt
Program Services$149,678,193ProgramServicesAmt
Management And General$25,390,086ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$29,057,284BOYAmt
EOY$10,036,920EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$125,752,069BOYAmt
EOY$128,286,611EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$20,091,732BOYAmt
EOY$17,549,925EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,382,658BOYAmt
EOY$2,793,297EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,619,724BOYAmt
EOY$2,296,550EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$195,542,980LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$122,329,535LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$67,250,611BOYAmt
EOY$73,213,445EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$1,384,897BOYAmt
EOY$1,125,441EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$24,044,761BOYAmt
EOY$21,727,357EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$272,583,736BOYAmt
EOY$257,029,546EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$17,151,230BOYAmt
EOY$21,933,381EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$58,859,840BOYAmt
EOY$62,234,732EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$5,207,964BOYAmt
EOY$7,013,683EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$41,846,329BOYAmt
EOY$30,178,067EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$123,065,363BOYAmt
EOY$121,359,863EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$146,838,391BOYAmt
EOY$132,445,268EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,679,982BOYAmt
EOY$3,224,415EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$149,518,373BOYAmt
EOY$135,669,683EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$272,583,736BOYAmt
EOY$257,029,546EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$231,328ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$13,868,457NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$211,561OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$5,611OtherActivitiesAmt
Total Lobbying Expenditures$5,611TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART 11-B, LINE 1IFormAndLineReferenceDesc
ExplanationLOBBYING EXPENSE ----------------- JENNIE STUART PAYS DUES TO THE KENTUCKY HOSPITAL ASSOCIATION. A PORTION OF THESE DUES ARE FOR LOBBYING.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,592,509BeginningYearBalanceAmt
Investment Earnings Or Losses-$190,897InvestmentEarningsOrLossesAmt
Administrative Expenses$9,414AdministrativeExpensesAmt
End Year Balance$1,392,198EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,422,853BeginningYearBalanceAmt
Investment Earnings Or Losses$205,136InvestmentEarningsOrLossesAmt
Administrative Expenses$35,480AdministrativeExpensesAmt
End Year Balance$1,592,509EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,304,660BeginningYearBalanceAmt
Investment Earnings Or Losses$155,745InvestmentEarningsOrLossesAmt
Administrative Expenses$37,552AdministrativeExpensesAmt
End Year Balance$1,422,853EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,181,161BeginningYearBalanceAmt
Investment Earnings Or Losses$197,048InvestmentEarningsOrLossesAmt
Other Expenditures$73,549OtherExpendituresAmt
End Year Balance$1,304,660EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,245,729BeginningYearBalanceAmt
Investment Earnings Or Losses-$64,568InvestmentEarningsOrLossesAmt
End Year Balance$1,181,161EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,150,634OtherCostOrOtherBasisAmt
Book Value$9,150,634BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$108,050,867OtherCostOrOtherBasisAmt
Depreciation$66,427,088DepreciationAmt
Book Value$41,623,779BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$239,365OtherCostOrOtherBasisAmt
Depreciation$119,532DepreciationAmt
Book Value$119,833BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$70,177,036OtherCostOrOtherBasisAmt
Depreciation$54,597,517DepreciationAmt
Book Value$15,579,519BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,925,078OtherCostOrOtherBasisAmt
Depreciation$1,185,398DepreciationAmt
Book Value$6,739,680BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$73,213,445TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
ROU ASSETS$18,287,287
INSURANCE RECOVERIES$2,729,678
OTHER ASSETS$710,392
FieldValueIRS element (for citing)
Total Book Value Other Assets$21,727,357TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
THIRD PARTY SETTLEMENTS$2,385,706
MEDICAL MALPRACTICE LIABILITY$8,508,401
LEASE LIABILITIES$19,283,960
MEDICARE ADVANCE PAYMENTS$0
FieldValueIRS element (for citing)
Total Liability$30,178,067TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$162,403,587TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$13,868,457NetUnrealizedGainsInvstAmt
Other Revenue$923,132OtherRevenueAmt
Revenue Not Reported-$12,945,325RevenueNotReportedAmt
Revenue Subtotal$175,348,912RevenueSubtotalAmt
Other Revenues Not Included-$49,305OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$49,305RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$175,299,607TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$175,567,540TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$658,049OtherExpensesIncludedAmt
Expenses Not Reported$658,049ExpensesNotReportedAmt
Expenses Subtotal$174,909,491ExpensesSubtotalAmt
Other Expenses Not Included$158,788OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$158,788ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$175,068,279TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4ENDOWMENT FUNDS ---------------- INVESTMENTS TO BE HELD IN PERPETUITY, THE INCOME OF WHICH IS RESTRICTED FOR OPERATIONS OF THE MEDICAL CENTER.
SCHEDULE D, PART X, LINE 2UNCERTAIN TAX POSITIONS ----------------------- THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS DID NOT INCLUDE A FOOTNOTE THAT ADDRESSED THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN48 (ASC 740). MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
SCHEDULE D, PART XILINE 2D ---------- REVENUE REPORTED ON JENNIE STUART HEALTH FOUNDATION 990 923,132 LINE 4B --------- AUDIT ELIMINATION FOR CONTRIBUTION TO FOUNDATION 158,788 RENTAL EXPENSE NETTED AGAINST REVENUE PER TAX RETURN (208,093) ------------ ( 49,305)
SCHEDULE D, PART XIILINE 2D --------- EXPENSES REPORTED ON JENNIE STUART FOUNDATION 990 238,396 RENTAL EXPENSE NETTED AGAINST REVENUE PER TAX RETURN 208,093 DISTRIBUTION TO NON-CONTROLLING INTEREST 211,560 ------------ 658,049 LINE 4B ---------- AUDIT ELIMINATION FOR CONTRIBUTION TO FOUNDATION 158,788

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other400.FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,082,862TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,185,695DirectOffsettingRevenueAmt
Total Expense0.00000TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$29,498,096TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$40,067,897DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$31,580,958TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$51,253,592DirectOffsettingRevenueAmt
Total Expense0.00000TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$31,580,958TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$51,324,012DirectOffsettingRevenueAmt
Total Expense0.00000TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18,009TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$18,009NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$97,956TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$97,956NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$115,965TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$115,965NetCommunityBenefitExpnsAmt
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$12,269,000BadDebtExpenseAmt
Bad Debt Expense Attributable$6,134,500BadDebtExpenseAttributableAmt
Reimbursed By Medicare$26,401,120ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$33,227,082CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$6,825,962MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line1PHYSICIANS HOLDINGSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesRENTAL ACTIVITYPrimaryActivitiesTxt
Org Profit Or Ownership0.57OrgProfitOrOwnershipPct
Physicians Profit Or Ownership0.43PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JENNIE STUART MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1320 WEST 18TH STREETAddressLine1Txt
CityHOPKINSVILLECityNm
State AbbreviationKYStateAbbreviationCd
ZIP42240ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.JENNIESTUARTHEALTH.ORGWebsiteAddressTxt
State License100068StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1JENNIE STUART MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE SCHEDULE H, PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE SCHEDULE H, PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care139.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE SCHEDULE H, PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5CHNA COMMUNITY INPUT --------------------- INPUT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT WAS ASKED FROM INDIVIDUALS WITH KNOWLEDGE OF THE COMMUNITY AND EXPERTISE. INPUT WAS PROVIDED THROUGH A COUPLE INTERNET-BASED SURVEYS WITH LOCAL EXPERT ADVISORS WHO REPRESENT THE HOSPITAL'S COMMUNITY AS WELL AS THOSE WHO WORK WITH VULNERABLE POPULATIONS AND WHO HAVE HEALTH KNOWLEDGE.
SCHEDULE H, PART V, SECTION B, LINE 7 & 10CHNA / IMPLEMENTATION STRATEGY ------------------------------- THE FULL CHNA AND IMPLEMENTATION STRATEGY REPORT MAY BE OBTAINED AT: HTTPS://WWW.JENNIESTUARTHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSM ENT
SCHEDULE H, PART V, SECTION B, LINE 11NEEDS NOT IDENTIFIED ----------------------- THE HOSPITAL DID NOT ADDRESS EVERY NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT BECAUSE SOME OF THE NEEDS FELL OUT OF THE SCOPE OF EXPERTISE AND RESOURCES OF THE HOSPITAL, WHILE OTHER NEEDS WERE ALREADY BEING ADDRESSED IN THE COMMUNITY.
SCHEDULE H, PART V, SECTION B, LINE 16MEASURES TO PUBLICIZE FINANCIAL ASSISTANCE POLICY ------------------------------------------------- THE ENTIRE FINANCIAL ASSISTANCE POLICY IS AVAILABLE ON THE HOSPITAL'S WEBSITE AND UPON REQUEST. INFORMATION REGARDING HOW TO OBTAIN THE FINANCIAL ASSISTANCE POLICY IS INCLUDED ON BILLING INVOICES AND IN POSTINGS IN THE HOSPITAL WAITING ROOMS. THE FULL FINANCIAL ASSISTANCE POLICY MAY BE OBTAINED AT: HTTPS://WWW.JENNIESTUARTHEALTH.ORG/PATIENT-VISITORS/FINANCIAL-ASSISTANCE-G UIDELINES
FieldValueIRS element (for citing)
Facility18FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (18 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
JENNIE STUART AMBULATORY SURGERY DEPT
8250 EAGLE WAYHOPKINSVILLEKY42240OUTPATIENT SURGERY DEPARTMENT
JENNIE STUART MEDICAL IMAGING CENTER
110 NICK TERHUNE BLVDHOPKINSVILLEKY42240DIAGNOSTIC IMAGING
DEPT OF GASTROENTEROLOGY
231 BURLEY AVEHOPKINSVILLEKY42245PHYSICIAN OFFICE
DEPT OF GENERAL SURGERY
1724 KENTON ST SUITE 2BHOPKINSVILLEKY42249PHYSICIAN OFFICE
DEPT OF DERMATOLOGY
10755 EAGLE WAYHOPKINSVILLEKY42243PHYSICIAN OFFICE
DEPT OF FAMILY HEALTH
223 BURLEY AVEHOPKINSVILLEKY42242PHYSICIAN OFFICE
DEPT OF UROLOGY
219 W 17TH STHOPKINSVILLEKY42247PHYSICIAN OFFICE
DEPT OF GENERAL SURGERY
1722 HIGH STHOPKINSVILLEKY42248PHYSICIAN OFFICE
WKY ORTHOPEDIC AND SPORTS MEDICINE
10755 EAGLE WAYHOPKINSVILLEKY42246PHYSICIAN OFFICE
DEPT OF FAMILY HEALTH
120 N MAIN STTRENTONKY42286PHYSICIAN OFFICE
DEPT OF FAMILY HEALTH
222 W 18TH STHOPKINSVILLEKY42241PHYSICIAN OFFICE
DEPT OF OBSTETRICS AND GYNECOLOGY
1717 HIGH STREET SUITE 4BHOPKINSVILLEKY42244PHYSICIAN OFFICE
JENNIE STUART EXPRESS LAB
110 NICK TERHUNE BOULEVARDHOPKINSVILLEKY42240EXPRESS LAB
JENNIE STUART PHYSICAL THERAPY
10755 EAGLE WAYHOPKINSVILLEKY42240PHYSICAL THERAPY
JENNIE STUART HOME HEALTH
320 WEST 18TH STREETHOPKINSVILLEKY42240HOME HEALTH
JENNIE CARE
10755 EAGLE WAYHOPKINSVILLEKY42240PHYSICIAN OFFICE
DEPT OF ENT
10755 EAGLE WAYHOPKINSVILLEKY42240PHYSICIAN OFFICE
DEPT OF OBSTETRICS AND GYNECOLOGY
1621 NASHVILLE STREET SUITE 102RUSSELLVILLEKY42276PHYSICIAN OFFICE

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART III, SECTION A, LINE 2 & 3BAD DEBT EXPENSE ---------------- THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED DECEMBER 31, 2022. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. APPROXIMATELY 50% OF ACCOUNTS WRITTEN OFF AS BAD DEBT WOULD QUALIFY FOR CHARITY CARE IF THE NECESSARY DOCUMENTATION WERE RECEIVED BY JENNIE STUART MEDICAL CENTER.
SCHEDULE H, PART III, LINE 8CALCULATION OF MEDICARE ALLOWABLE COSTS ---------------------------------------- COSTS REPORTED ON LINE 6 ARE OBTAINED USING THE MEDICARE COST REPORT COST TO CHARGE RATIO.
SCHEDULE H, PART VI, LINE 2NEEDS ASSESSMENT ----------------- DURING THE STRATEGIC BUSINESS PLANNING SESSION, THE ADMINISTRATIVE GROUP ANALYZES NEW SERVICES THAT MAY BE NEEDED. THIS PLAN IS BASED ON 5 PILLARS, ONE OF WHICH IS GROWTH. JSMC RECRUITS AND ENGAGES KEY STAKEHOLDERS AND WORKS TO HELP ASSESS RESULTS IN ADDRESSING COMMUNITY WIDE NEEDS. FEEDBACK FROM SURVEYS AND CITIZENS IN OUR COMMUNITY PROVIDE US WITH INPUT AND FEEDBACK. SEE THE FULL REPORT ON THE HOSPITAL'S WEBSITE AT: HTTP://WWW.JENNIESTUARTHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSME NT/
SCHEDULE H, PART VI, LINE 3PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE ------------------------------------------------ SIGNS AND MONITORS ARE DISPLAYED IN REGISTRATION AREAS TO NOTIFY PATIENTS REGARDING THE PROGRAMS AVAILABLE. COPIES OF THE FAP AND BILLING AND COLLECTION POLICIES ARE AVAILABLE ON THE HOSPITAL WEBSITE AS WELL AS IN PAPER FORM BY REQUEST. ALSO, COUNSELORS ARE AVAILABLE TO PROVIDE INFORMATION AND WORK WITH PATIENTS. ALL REGISTRARS AND BILLING CLERKS RECEIVE EDUCATION REGARDING POLICIES AND PRACTICES.
SCHEDULE H, PART VI, LINE 4COMMUNITY INFORMATION ----------------------- JSMC IS THE ONLY NON-MILITARY ACUTE CARE FACILITY IN CHRISTIAN COUNTY, KENTUCKY. CHRISTIAN, TODD, AND TRIGG COUNTIES MAKE UP JSMC'S PRIMARY SERVICE AREA. JSMC'S SECONDARY SERVICE AREA IS COMPRISED OF CALDWELL, HOPKINS, AND MUHLENBERG COUNTIES IN KENTUCKY. HOPKINSVILLE IS THE 7TH LARGEST CITY IN KY AND IS APPROXIMATELY 75 MILES FROM NASHVILLE, TN.
SCHEDULE H, PART VI, LINE 5PROMOTION OF COMMUNITY HEALTH ------------------------------ JENNIE STUART IS ONE OF THE MOST WIDELY ENGAGED OPERATING ENTITIES IN OUR REGION, WORKING WITH A MULTITUDE OF KEY COMMUNITY IMPACT ORGANIZATIONS TO MEET THE NEEDS OF THE PEOPLE OF OUR COMMUNITY AND WESTERN KENTUCKY. OUR PRIMARY COLLABORATITIVE ENTITY IN MEETING THE NEEDS OF OUR PATIENTS AND THE COMMUNITY IS THE MEDICAL STAFF OF JENNIE STUART MEDICAL CENTER. JSMC WAS THE SPONSOR OF THE LOCAL AMERICAN CANCER SOCIETY'S RELAY FOR LIFE AND MATCHES FUNDS RAISED FOR LOCAL PINK RIBBON NETWORK. THROUGH A KENTUCKY COLON CANCER GRANT JSMC PROVIDES COLONOSCOPIES TO PATIENTS THAT NEED ASSISTANCE WITH FUNDS. JSMC ALSO PARTNERED WITH PENNYROYAL CENTER TO PROVIDE TELEPSYCHIATRIC SERVICES. JSMC WAS A MAJOR SPONSOR OF AMERICAN HEART ASSOCIATION'S LOCAL HEART WALK AND SPONSORS LOCAL EVENTS THAT PROMOTE PHYSICAL ACTIVITY INCLUDING 5KS, RUN/WALKS AND SENIOR OLYMPICS. JSMC PARTICIPATES IN MULTIPLE COMMUNITY HEALTH FAIRS TO PROVIDE FREE SCREENINGS FOR BLOOD SUGAR, BLOOD PRESSURE, AND BMI. JSMC HOSTED A YEARLY BACK TO SCHOOL CLINIC AND PROVIDES EDUCATION IN SCHOOLS ON ALCHOHOL AND SUBSTANCE ABUSE THROUGH THE HEALTH EDUCATION TEAM.
SCHEDULE H, PART I, LINE 7, COL (F) & SCHEDULE H, PART II, COL (F)PERCENT OF TOTAL EXPENSE: ------------------------ TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25, OF THE FORM 990.
SCHEDULE H, PART I, LINE 7COSTING METHODOLOGY ------------------- THE MEDICARE COST TO CHARGE RATIO WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1JENNIE STUART HEALTH FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 608AddressLine1Txt
CityHOPKINSVILLECityNm
State AbbreviationKYStateAbbreviationCd
ZIP42241ZIPCd
FieldValueIRS element (for citing)
Recipient EIN822980765RecipientEIN
IRC Section501(C)3IRCSectionDesc
Cash Grant$158,788CashGrantAmt
Purpose Of GrantADMIN SUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationMONITORING THE USE OF GRANT FUNDS ------------------------------------ ADMINISTRATIVE EXPENSES FOR THE JENNIE STUART HEALTH FOUNDATION, A PHILANTHROPIC SUBSIDIARY OF JENNIE STUART HEALTH, ARE PROVIDED BY JENNIE STUART HEALTH TO ALLOW THE FOUNDATION TO DIRECTLY SUPPORT COMMUNITY CARE AND SERVICE EXPANSION.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ERIC LEE
CEO$0$0$0$0$0$0$0$0$0$0$0$0$0$0
MARK LARAMEE
CFO$0$0$0$0$0$0$0$0$0$0$0$0$0$0
JASMINE EMERSON
AVP OF HUMAN RESOURCES$117,013$0$820$1,959$8,934$128,726$0
BETH MCCRAW
CHIEF NURSING OFFICER$178,053$21,401$4,018$6,004$5,908$215,384$0
KEITH TOMS
VP OF INTEGRATED SERVICES$186,010$21,732$1,211$5,121$6,211$220,285$0
DAVID BEALLE
PHYSICIAN$600,248$238,841$3,060$9,150$8,601$859,900$0
FREDERICK ROBBE III
PHYSICIAN$621,988$332,892$4,932$9,100$0$968,912$0
GERAME WELLS
PHYSICIAN$396,161$324,240$292$9,150$8,601$738,444$0
TANNER PARRENT
PHYSICIAN$448,347$480,306$0$9,150$7,380$945,183$0
JOSHUA HORTON
PHYSICIAN$520,506$348,012$0$9,150$798$878,466$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1ABENEFITS PROVIDED ------------------ COUNTRY CLUB MEMBERSHIP DUES WERE PAID FOR THE CEO AND WERE EXCLUDED FROM TAXABLE COMPENSATION.
SCHEDULE J, PART IICOMPENSATION FROM UNRELATED ORGANIZATIONS ------------------------------------------ THE HOSPITAL CONTRACTS THE SERVICES OF ERIC LEE (CEO) AND MARK LARAMEE (CFO) WITH QHR (FORMERLY QUORUM HEALTH RESOURCES, INC.), AN UNRELATED ORGANIZATION. QHR WAS PAID $778,809 FOR SERVICES PROVIDED BY THESE INDIVIDUALS DURING 2022.
SCHEDULE J, PART IICOMPENSATION REPORTED --------------------- THE FOLLOWING INDIVIDUALS' COMPENSATION IS PAID FROM JENNIE STUART MEDICAL GROUP, A DISREGARDED ENTITY OF JENNIE STUART MEDICAL CENTER: - DAVID BEALLE - JOSHUA HORTON - FREDERICK ROBBE III - TANNER PARRENT - GERAME WELLS
SCHEDULE J, PART I, LINE 6ALEADERSHIP INCENTIVE PLAN -------------------------- JSMC'S ANNUAL INCENTIVE PLAN IS BASED ON THE FOLLOWING GUIDING PRINCIPLES: - SUPPORT THE MISSION OF JSMC - RETAIN AND MOTIVATE A HIGH PERFORMANCE EXECUTIVE TEAM - REWARD SUCCESS IN ACHIEVING MEASURABLE FINANCIAL, QUALITY AND STRATEGIC GOALS - ALIGN INCENTIVE COMPENSATION AWARDS WITH THE STRATEGIC PLAN OF JSMC - ENCOURAGE HIGH LEVELS OF TEAM AND INDIVIDUAL PERFORMANCE PLAN PARTICIPANTS INCLUDE SELECT LEADERS AND MANAGERS AT JSMC. THE ANNUAL INCENTIVE AWARD LEVELS ARE: - THRESHOLD = 5% OF BASE SALARY - TARGET = 10% OF BASE SALARY - MAXIMUM = 15% OF BASE SALARY PERFORMANCE MEASURES ARE BASED ON THE PARTICIPANT'S PROGRESS AGAINST THE FOLLOWING METRICS: 1. PATIENT EXPERIENCE - HCAHPS SCORES MEETING AND/OR EXCEEDING TARGET 2. QUALITY - READMISSION RATES MEETING AND/OR EXCEEDING TARGET 3. FINANCIAL - OPERATING MARGIN MEETING AND/OR EXCEEDING VARIOUS TIERS

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
COUNTY OF CHRISTIAN KENTUCKY
A616000824170692CPO2016-12-21$62,052,293REFUND OUTSTANDING BONDS/CAPITALfalsefalsefalse
COUNTY OF CHRISTIAN KENTUCKY
B6160008240000000002022-11-29$32,000,000REMODEL OF ER AND CANCER CENTERfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$1,615,000$0$62,052,293$4,994,713$0$45,910,620$1,146,961$0$0$10,000,000$0$02019falseYes (true)Yes (true)Yes (true)
B$0$0$32,000,000$0$0$0$0$0$0$6,908,518$0$25,091,482falsefalsefalseYes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndChange In Use Bond Financed PropChangeInUseBondFinancedPropPctRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalsefalseYes (true)Yes (true)false0.000000.000000.00000falsefalse0.00000falseYes (true)
BfalsefalseYes (true)Yes (true)false0.000000.000000.00000falsefalse0.00000falseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtTerm Of GICTermOfGICPctRegulatory Safe Harbor StsfdRegulatorySafeHarborStsfdIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalsefalsefalseYes (true)falsefalseYes (true)NAXIS FUNDING GROUP10.1Yes (true)falseYes (true)
0
BfalsefalsefalseYes (true)falsefalseYes (true)0Yes (true)falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE K, PART I, COLUMN FPURPOSE OF THE BOND ------------------- 1. ADVANCE REFUNDING ON BONDS ISSUED 09/18/2008 2. CONSTRUCTION AND EQUIPPING OF THE CAPITAL ADDITIONS AND IMPROVEMENTS TO THE ORGANIZATION'S MAIN HOSPITAL CAMPUS AND AMBULATORY CARE CAMPUS
SCHEDULE K, PART IV, LINE 2CREBATE COMPUTATION ------------------------------ THE ARBITRAGE REBATE CALCULATION WAS PERFORMED IN FEBRUARY 2022, COVERING THE PERIOD OF DECEMBER 21, 2016 TO JANUARY 31, 2022. NO ARBITRAGE REBATE LIABILITY HAS BEEN RECORDED AS A RESULT OF THE EVALUATION.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3DELEGATION OF MANAGEMENT DUTIES ------------------------------- THE MEDICAL CENTER CONTRACTS WITH QUORUM HEALTH RESOURCES, LLC TO PROVIDE MANAGEMENT SERVICES UNDER AN AGREEMENT WHICH EXPIRES AUGUST 31, 2026.
FORM 990, PART VI, SECTION B, LINE 11REVIEW OF FORM 990 ------------------- THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE ITS FORM 990. ONCE THE FORM 990 IS PREPARED BY THE ACCOUNTING FIRM AND REVIEWED BY MANAGEMENT, THE FINAL FORM IS PROVIDED TO THE ENTIRE BOARD OF DIRECTORS AT A REGULARLY SCHEDULED BOARD MEETING PRIOR TO FILING. QUESTIONS AND COMMENTS RAISED DURING THE MEETING REGARDING THE FINAL FORM 990 ARE ADDRESSED PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12B AND 12CMONITORING THE CONFLICT OF INTEREST POLICY ------------------------------------------ EACH OFFICER FROM DEPARTMENT MANAGER TO THE PRESIDENT, MEMBER OF MEDICAL STAFF, QUALIFIED PROFESSIONAL OR LICENSED INDEPENDENT PRACTITIONER, EACH MEMBER OF THE BOARD, AND EACH MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS MUST SIGN ANNUALLY A STATEMENT AND MAKE DISCLOSURES WHICH ARE PRESENTED TO THE BOARD FOR REVIEW, BEFORE THE FIRST BOARD MEETING OF EACH NEW YEAR. DOCUMENTATION OF THE ANNUAL BOARD REVIEW WILL BE RECORDED IN THE MINUTES. PERIODIC REVIEW SHALL BE CONDUCTED TO ENSURE THE MEDICAL CENTER OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES AND THAT IT DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX.
FORM 990, PART VI, SECTION B, LINE 15A AND 15BPROCESS FOR DETERMINING COMPENSATION ------------------------------------- AN ANNUAL COMPENSATION REVIEW WAS CONDUCTED IN 2022 FOR THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS AND OTHER OFFICERS AND KEY EMPLOYEES.
FORM 990, PART VI, SECTION C, LINE 19MAKING DOCUMENTS AVAILABLE TO THE PUBLIC ----------------------------------------- THE HOSPITAL DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 8RECONCILIATION OF NET ASSETS ---------------------------- OTHER CHANGES IN NET ASSETS: DISTRIBUTIONS TO NONCONTROLLING INTEREST $(211,560) ROUNDING $( 1)
FORM 990 PART IX LINE 11GDESCRIPTION:PHYSICIANS/PROFESSIONAL SVCS TOTAL FEES:3922739
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACTED LAB SERVICES TOTAL FEES:1479903
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER FEES FOR SERVICES TOTAL FEES:17233118

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
FAIRVIEW PHYSICIANS NETWORK LLC
320 W 18TH STREETHOPKINSVILLEKY42240452032126PHYSCIAN SRVSKY-$8,851,590$0JSMC
WESTERN KENTUCKY MEDICAL DEVELOPMENTLLC
PO BOX 2400HOPKINSVILLEKY42241RENTALKYJSMC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1JENNIE STUART HEALTH FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 608AddressLine1Txt
CityHOPKINSVILLECityNm
State AbbreviationKYStateAbbreviationCd
ZIP42241ZIPCd
FieldValueIRS element (for citing)
EIN822980765EIN
Primary ActivitiesSUPPORTPrimaryActivitiesTxt
Legal Domicile StateKYLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity Status12B-11PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1JSMCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (true)ControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
PHYSICIANS' HOLDINGS
320 W18HOPKINSVILLEKY42240261608818BUILDING RENTKYJSMCEXCLUDED$225,177$1,487,182false$0false0.57000
KENTUCKY HEALTHCARE HOLDINGS I LLC
109 WESTPARK DRIVEBRENTWOODTN37027842468059REAL ESTATETNNARELATED$45,544$571,111false$0false0.50000
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PHYSICIANS' HOLDINGS LLC
J$27,272FMV
PHYSICIANS' HOLDINGS LLC
K$559,076FMV

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