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KENTUCKY HEART INSTITUTE INC: Form 990EZ, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
KENTUCKY HEART INSTITUTE INC (EIN 61-1255904)
Tax period
2020-10-01 to 2021-09-30
Filed
2022-08-15
IRS object ID
202222279349200947
Schema version
2020v4.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-08-15T11:46:46-05:00ReturnTs
Tax Period End2021-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390859910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAKER TILLY US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11570 FRUITVILLE PIKE SUITE 400AddressLine1Txt
CityLANCASTERCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17601ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2020-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN611255904EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KENTUCKY HEART INSTITUTE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlKENTBusinessNameControlTxt
Phone6063244745PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12201 LEXINGTON AVENUEAddressLine1Txt
CityASHLANDCityNm
State AbbreviationKYStateAbbreviationCd
ZIP41101ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAUTUMN MCFANNPersonNm
Person TitleTREASURERPersonTitleTxt
Phone6063244745PhoneNum
Signature2022-08-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstAUTUMNPersonFirstNm
Person LastMCFANNPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKERRI N BOGDA CPAPreparerPersonNm
PTINP00760402PTIN
Phone7177404863PhoneNum
Self EmployedYes (X)SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Website AddressN/AWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$0GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Total Revenue$0TotalRevenueAmt
Total Expenses$0TotalExpensesAmt
Excess Or Deficit For Year$0ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$32,523NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets$4,427OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$36,950NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$35,958BOYAmt
EOY$37,772EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$15,232BOYAmt
EOY$978EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$51,190BOYAmt
EOY$38,750EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$18,667BOYAmt
EOY$1,800EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$32,523BOYAmt
EOY$36,950EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
Primary Exempt PurposePROVIDE WORLD CLASS CARDIOVASCULAR CARE INCLUDING EARLY DETECTION OF CARDIOVASCULAR DISEASE.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomKENTUCKY HEART INSTITUTE ("KHI") WAS ESTABLISHED ON AUGUST 1, 2008. KHI'S MISSION IS TO PROVIDE WORLD-CLASS CARDIOVASCULAR CARE INCLUDING THE EARLY DETECTION OF CARDIOVASCULAR DISEASE.KHI CEASED OPERATIONS ON MARCH 31, 2014, BUT REMAINS AN ACTIVE CORPORATION TO COLLECT ON ACCOUNTS RECEIVABLE. KHI TRANSFERRED SUBSTANTIALLY ALL OF ITS ASSETS TO AN AFFILIATE, KING'S DAUGHTERS MEDICAL SPECIALTIES (KDMS) WHICH DELIVERS QUALITY HEALTHCARE SERVICES THROUGH A NUMBER OF PRIMARY CARE PHYSICIANS AND MEDICAL SPECIALTY PRACTICES.DescriptionProgramSrvcAccomTxt
Grants And Allocations$0GrantsAndAllocationsAmt
Program Service Expenses$0ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$0TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (12 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
DAVID JONES
BOARD CHAIR0.25$0$0$0
MARK NEWMAN
BOARD VICE CHAIR0.25$0$0$0
STEPHEN ADDINGTON
DIRECTOR0.25$0$0$0
MARK BIRDWHISTELL
DIRECTOR0.25$0$0$0
TOM BURNETTE
DIRECTOR0.25$0$0$0
CRAIG COLLINS
DIRECTOR0.25$0$0$0
ERIC MONDAY
DIRECTOR0.25$0$0$0
JOHN STEWART
DIRECTOR0.25$0$0$0
KRISTIE WHITLATCH
PRESIDENT0.25$0$0$0
SHERYL MAHANEY
SECRETARY0.25$0$0$0
AUTUMN MCFANN
TREASURER0.25$0$0$0
SARA MARKS
VP/COO0.25$0$0$0
FieldValueIRS element (for citing)
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not Rpt0ChgMadeToOrgnzngDocNotRptInd
Organization Had UBI0OrganizationHadUBIInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Direct Indirect Pltcl Expend$0DirectIndirectPltclExpendAmt
Made Loans To From Officers0MadeLoansToFromOfficersInd
Tax Imposed Under IRC4911$0TaxImposedUnderIRC4911Amt
Tax Imposed Under IRC4912$0TaxImposedUnderIRC4912Amt
Tax Imposed Under IRC4955$0TaxImposedUnderIRC4955Amt
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
Tax Imposed On Organization Mgr$0TaxImposedOnOrganizationMgrAmt
Tax Reimbursed By Organization$0TaxReimbursedByOrganizationAmt
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
States Where Copy Of Return Is FldKYStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLAURIE STEWART CONTROLLERPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12201 LEXINGTON AVENUEAddressLine1Txt
CityASHLANDCityNm
State AbbreviationKYStateAbbreviationCd
ZIP41101ZIPCd
FieldValueIRS element (for citing)
Phone6064089640PhoneNum
FieldValueIRS element (for citing)
Foreign Financial Account0ForeignFinancialAccountInd
Foreign Office0ForeignOfficeInd
Donor Advised Fnds0DonorAdvisedFndsInd
Operate Hospital0OperateHospitalInd
Tanning Services Provided0TanningServicesProvidedInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
School Operating0SchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (1)FiledScheduleAInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind
Public Support Total509$0PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.00000PublicSupportCY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Private Foundation509Yes (X)PrivateFoundation509Ind

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990-EZ, PART I, LINE 20 - OTHER CHANGES IN NET ASSETSDESCRIPTION: TRANSFER TO AFFILIATES. AMOUNT: 4,427.
FORM 990-EZ, PART II, LINE 24 - OTHER ASSETSDESCRIPTION: ACCOUNTS RECEIVABLE. BEG. OF YEAR AMOUNT: 978. END OF YEAR AMOUNT: 978. DESCRIPTION: DUE FROM AFFILIATES. BEG. OF YEAR AMOUNT: 14,254. END OF YEAR AMOUNT: 0.
FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIESDESCRIPTION: ACCOUNTS PAYABLE. BEG. OF YEAR AMOUNT: 176. END OF YEAR AMOUNT: 0. DESCRIPTION: CUSTOMER DEPOSITS. BEG. OF YEAR AMOUNT: 332. END OF YEAR AMOUNT: 1,800. DESCRIPTION: DUE TO AFFILIATES. BEG. OF YEAR AMOUNT: 18,159. END OF YEAR AMOUNT: 0.

Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl

FieldValueIRS element (for citing)
DeclarationTHE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.DeclarationDesc

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