JENNIE STUART MEDICAL CENTER INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: JENNIE STUART MEDICAL CENTER INC (EIN 61-0482973)
Tax period: 2021-01-01 to 2021-12-31
Filed: 2022-11-15
IRS object ID: 202213199349307731
Schema version: 2021v4.2
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-11-15T09:44:27-06:00	ReturnTs
Tax Period End	2021-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	FORVIS LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1196	AddressLine1Txt
City	BOWLING GREEN	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	42102	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	610482973	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JENNIE STUART MEDICAL CENTER INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% MARK LARAMEE	InCareOfNm
Business Name Control	JENN	BusinessNameControlTxt
Phone	2708870100	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	320 W 18TH STREET	AddressLine1Txt
City	HOPKINSVILLE	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	42240	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MARK LARAMEE	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	2708870239	PhoneNum
Signature	2022-11-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	MARK	PersonFirstNm
Person Last	LARAMEE	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JEFF SMITH	PreparerPersonNm
PTIN	P00289876	PTIN
Phone	2707810111	PhoneNum
Preparation	2022-11-14	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	ERIC LEE	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	320 W 18TH STREET	AddressLine1Txt
City	HOPKINSVILLE	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	42240	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$184,496,011	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.JENNIESTUARTHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1914	FormationYr
Legal Domicile State	KY	LegalDomicileStateCd
Activity Or Mission	JSMC 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 Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	1288	TotalEmployeeCnt
Total Volunteers	10	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$9,183,539	PYContributionsGrantsAmt
CY Contributions Grants	$87,102	CYContributionsGrantsAmt
PY Program Service Revenue	$142,058,974	PYProgramServiceRevenueAmt
CY Program Service Revenue	$174,377,273	CYProgramServiceRevenueAmt
PY Investment Income	$1,871,834	PYInvestmentIncomeAmt
CY Investment Income	$3,988,437	CYInvestmentIncomeAmt
PY Other Revenue	$853,829	PYOtherRevenueAmt
CY Other Revenue	$718,131	CYOtherRevenueAmt
PY Total Revenue	$153,968,176	PYTotalRevenueAmt
CY Total Revenue	$179,170,943	CYTotalRevenueAmt
PY Grants And Similar Paid	$138,946	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$158,077	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$65,505,890	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$69,973,583	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$73,471,776	PYOtherExpensesAmt
CY Other Expenses	$86,040,117	CYOtherExpensesAmt
PY Total Expenses	$139,116,612	PYTotalExpensesAmt
CY Total Expenses	$156,171,777	CYTotalExpensesAmt
PY Revenues Less Expenses	$14,851,564	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$22,999,166	CYRevenuesLessExpensesAmt
Total Assets BOY	$247,841,315	TotalAssetsBOYAmt
Total Assets EOY	$272,583,736	TotalAssetsEOYAmt
Total Liabilities BOY	$131,842,718	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$123,065,363	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$115,998,597	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$149,518,373	NetAssetsOrFundBalancesEOYAmt
Mission	JSMC 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 Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$134,344,044	ExpenseAmt
Revenue	$174,377,273	RevenueAmt
Desc	PROVIDE 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 $369,000 FOR THE YEAR ENDED DECEMBER 31, 2021.	Desc
Total Program Service Expenses	$134,344,044	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	77	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1288	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	KY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	MARK LARAMEE	PersonNm
Phone	2708870251	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	320 W 18TH STREET	AddressLine1Txt
City	HOPKINSVILLE	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	42240	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Key EmployeeKeyEmployeeInd
DAVID BEALLE
PHYSICIAN	40.0	0.0	Yes (X)	$995,926	$0	$19,832
FREDERICK ROBBE III
PHYSICIAN	40.0	0.0	Yes (X)	$929,051	$0	$12,869
TANNER PARRENT
PHYSICIAN	40.0	0.0	Yes (X)	$914,356	$0	$15,935
RAMESH PATEL
MED STAFF PRESIDENT/PHYSICIAN	1.0	0.0		$785,282	$0	$14,392	Yes (X)	Yes (X)
GERAME WELLS
PHYSICIAN	40.0	0.0	Yes (X)	$733,299	$0	$16,967
KEITH TOMS
VP OF INTEGRATED SERVICES	40.0	0.0		$192,220	$0	$14,024			Yes (X)
BETH MCGRAW
CHIEF NURSING OFFICER	40.0	0.0		$185,334	$0	$11,141			Yes (X)
ANTHONY GIBSON
AVP OF HUMAN RESOURCES	40.0	0.0		$154,215	$0	$5,810			Yes (X)
ALISSA YOUNG
BOARD MEMBER	1.0	0.0		$0	$0	$0	Yes (X)
BETSY SHELTON
BOARD MEMBER	1.0	0.0		$0	$0	$0	Yes (X)
CARTER HENDRICKS
BOARD MEMBER	1.0	0.0		$0	$0	$0	Yes (X)
CHARLES TURNER
MEMBER AT LARGE	1.0	0.0		$0	$0	$0	Yes (X)	Yes (X)
DERRICK WATSON
BOARD CHAIR	1.0	0.0		$0	$0	$0	Yes (X)	Yes (X)
HOLLIS WHITE
BOARD MEMBER	1.0	0.0		$0	$0	$0	Yes (X)
JANET CALHOUN
SECRETARY / TREASURER	1.0	0.0		$0	$0	$0	Yes (X)	Yes (X)
LESLIE CARROLL
BOARD VICE CHAIRMAN	1.0	0.0		$0	$0	$0	Yes (X)	Yes (X)
MARTY BOZARTH
BOARD MEMBER	1.0	0.0		$0	$0	$0	Yes (X)
MICHAEL CLARK MD
PRESIDENT ELECT MEDICAL STAFF	1.0	0.0		$0	$0	$0	Yes (X)	Yes (X)
STEVE TRIBBLE
BOARD MEMBER	1.0	0.0		$0	$0	$0	Yes (X)
ERIC LEE
CEO	0.0	0.0		$0	$0	$0		Yes (X)
GREG MOORE
CFO	40.0	0.0		$0	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,889,683	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$110,970	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	83	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	Yes (true)	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
HUDSON STAFFING PLLC
4625 NADINE LN	FRANKLIN	TN	37064	STAFFING	$2,045,198
THERAPY STAFFING SPECIALISTS INC
103 KEETON DRIVE	HOPKINSVILLE	KY	42240	PHYSICAL THERAPY	$2,873,944
AMN WORKFORCE SOLUTIONS LLC
8840 CYPRESS WATERS BLVD STE 300	DALLAS	TX	75019	STAFFING	$1,118,796
QUORUM HEALTH RESOURCES
105 CONTINENTAL PLACE	BRENTWOOD	TN	37027	MANAGEMENT SERVICES	$1,427,451
MEDICAL STAFFING SOLUTIONS
9700 HWY 57 N STE A	EVANSVILLE	IN	60673	STAFFING	$932,660

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	21	CntrctRcvdGreaterThan100KCnt
Government Grants	$73,550	GovernmentGrantsAmt
All Other Contributions	$13,552	AllOtherContributionsAmt
Total Contributions	$87,102	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE	621110	$174,351,653	$174,351,653
BIO MED INCOME	621110	$25,620	$25,620

Field	Value	IRS element (for citing)
Total Program Service Revenue	$174,377,273	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,381,390	TotalRevenueColumnAmt
Exclusion	$2,381,390	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$93,262	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$223,555	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$130,293	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$130,293	TotalRevenueColumnAmt
Exclusion	-$130,293	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$6,708,560	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$5,101,513	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,607,047	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,607,047	TotalRevenueColumnAmt
Exclusion	$1,607,047	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA SALES	722514	$256,651	$256,651
MISC REVENUE	900099	$591,773	$591,773

Field	Value	IRS element (for citing)
Other Revenue Total	$848,424	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$179,170,943	TotalRevenueColumnAmt
Related Or Exempt Func Income	$174,377,273	RelatedOrExemptFuncIncomeAmt
Exclusion	$4,706,568	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$158,077	TotalAmt
Program Services	$158,077	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,275,149	TotalAmt
Management And General	$1,275,149	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$60,057,709	TotalAmt
Program Services	$55,111,246	ProgramServicesAmt
Management And General	$4,946,463	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$732,903	TotalAmt
Program Services	$668,737	ProgramServicesAmt
Management And General	$64,166	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,123,256	TotalAmt
Program Services	$3,475,240	ProgramServicesAmt
Management And General	$648,016	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,784,566	TotalAmt
Program Services	$3,429,097	ProgramServicesAmt
Management And General	$355,469	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,428,056	TotalAmt
Management And General	$1,428,056	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$257,538	TotalAmt
Program Services	$57,790	ProgramServicesAmt
Management And General	$199,748	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$202,862	TotalAmt
Management And General	$202,862	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$5,447	TotalAmt
Management And General	$5,447	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$18,641,365	TotalAmt
Program Services	$15,829,224	ProgramServicesAmt
Management And General	$2,812,141	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$194,712	TotalAmt
Management And General	$194,712	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,694,759	TotalAmt
Program Services	$2,055,547	ProgramServicesAmt
Management And General	$1,639,212	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,853,021	TotalAmt
Program Services	$2,345,955	ProgramServicesAmt
Management And General	$507,066	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,726,808	TotalAmt
Program Services	$2,644,452	ProgramServicesAmt
Management And General	$82,356	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$170,669	TotalAmt
Program Services	$141,390	ProgramServicesAmt
Management And General	$29,279	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$38,967	TotalAmt
Program Services	$38,967	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,980,352	TotalAmt
Program Services	$3,723,632	ProgramServicesAmt
Management And General	$256,720	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$7,575,524	TotalAmt
Program Services	$6,020,290	ProgramServicesAmt
Management And General	$1,555,234	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,410,949	TotalAmt
Program Services	$210,701	ProgramServicesAmt
Management And General	$1,200,248	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$32,491,678	$32,464,179	$27,499
DUES & SUBSCRIPTIONS	$398,748	$118,105	$280,643
PROVIDER TAX	$4,822,782	$4,822,782
REPAIRS & MAINTENANCE	$1,886,708	$984,613	$902,095

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,259,172	TotalAmt
Program Services	$44,020	ProgramServicesAmt
Management And General	$3,215,152	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$156,171,777	TotalAmt
Program Services	$134,344,044	ProgramServicesAmt
Management And General	$21,827,733	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$31,072,393	BOYAmt
EOY	$29,057,284	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$101,823,274	BOYAmt
EOY	$125,752,069	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$16,984,182	BOYAmt
EOY	$20,091,732	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$43,750	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,432,679	BOYAmt
EOY	$2,382,658	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,709,117	BOYAmt
EOY	$2,619,724	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$186,882,971	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$119,632,360	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$67,398,442	BOYAmt
EOY	$67,250,611	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$1,441,829	BOYAmt
EOY	$1,384,897	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$24,935,649	BOYAmt
EOY	$24,044,761	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$247,841,315	BOYAmt
EOY	$272,583,736	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$17,982,475	BOYAmt
EOY	$17,151,230	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$59,715,127	BOYAmt
EOY	$58,859,840	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$5,670,945	BOYAmt
EOY	$5,207,964	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$48,474,171	BOYAmt
EOY	$41,846,329	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$131,842,718	BOYAmt
EOY	$123,065,363	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$113,819,809	BOYAmt
EOY	$146,838,391	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,178,788	BOYAmt
EOY	$2,679,982	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$115,998,597	BOYAmt
EOY	$149,518,373	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$247,841,315	BOYAmt
EOY	$272,583,736	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$22,999,166	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$10,750,665	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$230,055	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

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)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$5,447	OtherActivitiesAmt
Total Lobbying Expenditures	$5,447	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART 11-B, LINE 1I	FormAndLineReferenceDesc
Explanation	LOBBYING EXPENSE ----------------- JENNIE STUART PAYS DUES TO THE KENTUCKY HOSPITAL ASSOCIATION. A PORTION OF THESE DUES ARE FOR LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,245,729	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$64,568	InvestmentEarningsOrLossesAmt
End Year Balance	$1,181,161	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,099,514	BeginningYearBalanceAmt
Investment Earnings Or Losses	$146,215	InvestmentEarningsOrLossesAmt
End Year Balance	$1,245,729	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$107,687,750	OtherCostOrOtherBasisAmt
Depreciation	$63,879,008	DepreciationAmt
Book Value	$43,808,742	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$239,365	OtherCostOrOtherBasisAmt
Depreciation	$109,476	DepreciationAmt
Book Value	$129,889	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$68,778,188	OtherCostOrOtherBasisAmt
Depreciation	$55,643,876	DepreciationAmt
Book Value	$13,134,312	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,027,034	OtherCostOrOtherBasisAmt
Book Value	$1,027,034	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$67,250,611	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM RELATED PARTY	$0
PENSION ASSET	$20,625,386
INSURANCE RECOVERIES	$2,708,983
OTHER ASSETS	$710,392

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$24,044,761	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
THIRD PARTY SETTLEMENTS	$2,649,289
MEDICAL MALPRACTICE LIABILITY	$8,473,957
LEASE LIABILITIES	$21,187,502
MEDICARE ADVANCE PAYMENTS	$9,535,581

Field	Value	IRS element (for citing)
Total Liability	$41,846,329	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$190,400,707	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$10,750,665	NetUnrealizedGainsInvstAmt
Other Revenue	$413,621	OtherRevenueAmt
Revenue Not Reported	$11,164,286	RevenueNotReportedAmt
Revenue Subtotal	$179,236,421	RevenueSubtotalAmt
Other Revenues Not Included	-$65,478	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$65,478	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$179,170,943	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$156,671,733	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$427,982	OtherExpensesIncludedAmt
Expenses Not Reported	$427,982	ExpensesNotReportedAmt
Expenses Subtotal	$156,243,751	ExpensesSubtotalAmt
Other Expenses Not Included	-$71,974	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	-$71,974	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$156,171,777	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4	ENDOWMENT FUNDS ---------------- INVESTMENTS TO BE HELD IN PERPETUITY, THE INCOME OF WHICH IS RESTRICTED FOR OPERATIONS OF THE MEDICAL CENTER.
SCHEDULE D, PART X, LINE 2	UNCERTAIN 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 XI	LINE 2D ---------- REVENUE REPORTED ON JENNIE STUART HEALTH FOUNDATION 990 413,621 LINE 4B --------- REVERSE AUDIT ELIM ENTRY FOR CONTRIBUTION TO FDN 158,077 RENTAL EXPENSE NETTED AGAINST REVENUE PER TAX RETURN (223,555) ------------ ( 65,478)
SCHEDULE D, PART XII	LINE 4B --------- REVERSE AUDIT ELIM ENTRY FOR CONTRIBUTION TO FDN 204,427 RENTAL EXPENSE NETTED AGAINST REVENUE PER TAX RETURN 223,555 ------------ 402,782 LINE 4B ---------- ELIMINATIONS ADJUSTMENTS ( 71,974)

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	400.	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,172,838	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,429,262	DirectOffsettingRevenueAmt
Total Expense	0.00000	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,343,440	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$45,818,646	DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$30,516,278	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$60,247,908	DirectOffsettingRevenueAmt
Total Expense	0.00000	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$30,516,278	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$60,326,093	DirectOffsettingRevenueAmt
Total Expense	0.00000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,575	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,575	NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$64,986	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$64,986	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$66,561	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$66,561	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$5,159,000	BadDebtExpenseAmt
Bad Debt Expense Attributable	$2,579,500	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$30,232,435	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$30,961,948	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$729,513	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	PHYSICIANS HOLDINGS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	RENTAL ACTIVITY	PrimaryActivitiesTxt
Org Profit Or Ownership	0.57	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.43	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JENNIE STUART MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	320 WEST 18TH STREET	AddressLine1Txt
City	HOPKINSVILLE	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	42240	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.JENNIESTUARTHEALTH.ORG	WebsiteAddressTxt
State License	100068	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	JENNIE STUART MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SCHEDULE H, PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE SCHEDULE H, PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	139.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE SCHEDULE H, PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	CHNA 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 & 10	CHNA / 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 11	NEEDS 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 16	MEASURES 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

Field	Value	IRS element (for citing)
Facility	17	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (17 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
JENNIE STUART AMBULATORY SURGERY DEPT
8250 EAGLE WAY	HOPKINSVILLE	KY	42240	OUTPATIENT SURGERY DEPARTMENT
JENNIE STUART MEDICAL IMAGING CENTER
110 NICK TERHUNE BLVD	HOPKINSVILLE	KY	42240	DIAGNOSTIC IMAGING
JSMG DEPT OF GASTROENTEROLOGY
231 BURLEY AVE	HOPKINSVILLE	KY	42245	PHYSICIAN OFFICE
JSMG DEPT OF GENERAL SURGERY
1724 KENTON ST SUITE 2B	HOPKINSVILLE	KY	42249	PHYSICIAN OFFICE
JSMG DEPT OF DERMATOLOGY
10755 EAGLE WAY	HOPKINSVILLE	KY	42243	PHYSICIAN OFFICE
JSMG DEPT OF FAMILY HEALTH
223 BURLEY AVE	HOPKINSVILLE	KY	42242	PHYSICIAN OFFICE
JSMG DEPT OF UROLOGY
219 W 17TH ST	HOPKINSVILLE	KY	42247	PHYSICIAN OFFICE
JSMG DEPT OF GENERAL SURGERY
1722 HIGH ST	HOPKINSVILLE	KY	42248	PHYSICIAN OFFICE
JSMG WKY ORTHOPEDIC AND SPORTS MEDICINE
10755 EAGLE WAY	HOPKINSVILLE	KY	42246	PHYSICIAN OFFICE
JSMG DEPT OF FAMILY HEALTH
120 N MAIN ST	TRENTON	KY	42286	PHYSICIAN OFFICE
JSMG DEPT OF FAMILY HEALTH
222 W 18TH ST	HOPKINSVILLE	KY	42241	PHYSICIAN OFFICE
JSMG DEPT OF OBSTETRICS AND GYNECOLOGY
1717 HIGH STREET SUITE 4B	HOPKINSVILLE	KY	42244	PHYSICIAN OFFICE
JENNIE STUART EXPRESS LAB
110 NICK TERHUNE BOULEVARD	HOPKINSVILLE	KY	42240	EXPRESS LAB
JENNIE STUART PHYSICAL THERAPY
10755 EAGLE WAY	HOPKINSVILLE	KY	42240	PHYSICAL THERAPY
JENNIE STUART HOME HEALTH
320 WEST 18TH STREET	HOPKINSVILLE	KY	42240	HOME HEALTH
JENNIE CARE
10755 EAGLE WAY	HOPKINSVILLE	KY	42240	PHYSICIAN OFFICE
JSMG DEPT OF ENT
10755 EAGLE WAY	HOPKINSVILLE	KY	42240	PHYSICIAN OFFICE

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART III, SECTION A, LINE 2 & 3	BAD 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, 2020. 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 8	CALCULATION 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 2	NEEDS 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 3	PATIENT 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 4	COMMUNITY 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 5	PROMOTION 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 COLLABORATIVE ENTITY IN MEETING THE NEEDS OF OUR PATIENTS AND THE COMMUNITY IS THE MEDICAL STAFF OF JENNIE STUART MEDICAL CENTER AND JENNIE STUART MEDICAL GROUP. ADDITIONALLY, WE HAVE FOCUSED RELATIONSHIPS WITH JENNIE STUART FAMILY HEALTH, CONVENIENT CARE, OB/GYN ASSOCIATES, LIFELINC ANESTHESIA, ALIGN MD, AND PENNYRILE RADIOLOGY TO SPECIFICALLY ADDRESS THE HEALTHCARE NEEDS FOR MULTIPLE AT-RISK, UNDERSERVED PATIENT POPULATIONS. JENNIE STUART'S BOARD HAS ALSO APPROVED MAJOR INITIATIVES FOR HEALTH, EDUCATION AND WELLNESS COLLABORATIONS WITH PENNYROYAL MENTAL HEALTH, HOPKINSVILLE/CHRISTIAN COUNTY AMBULANCE SERVICE, HOPKINSVILLE COMMUNITY COLLEGE, AND HOPKINSVILLE/CHRISTIAN COUNTY YMCA. JSMC OFFERED FREE PROSTATE SCREENINGS, WELLNESS TESTS AND EDUCATION DIABETES TESTING AND EDUCATION, CPR CLASSES, WEIGHT LOSS SEMINARS AND EDUCATION, AND OUR ANNUAL WOMENS SHOW WHICH PROVIDED HEALTHCARE AND WELLNESS INFORMATION TO WOMEN IN OUR COMMUNITY. ALSO, FREE TESTING SUCH AS CAROTID ARTERY TESTING, HEARING TESTING, BLOOD SUGAR TESTING, MAMMOGRAMS, AND PAP TESTING.
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 7	COSTING METHODOLOGY ------------------- THE MEDICARE COST TO CHARGE RATIO WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JENNIE STUART HEALTH FOUNDATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 608	AddressLine1Txt
City	HOPKINSVILLE	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	42241	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	822980765	RecipientEIN
IRC Section	501(C)3	IRCSectionDesc
Cash Grant	$158,077	CashGrantAmt
Purpose Of Grant	ADMIN SUPPORT	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	MONITORING 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

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (true)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ERIC LEE
CEO	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
GREG MOORE
CFO	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0
RAMESH PATEL
MED STAFF PRESIDENT/PHYSICIAN	$759,011	$0	$25,052	$0	$1,219	$0	$8,700	$0	$5,692	$0	$799,674	$0	$0	$0
ANTHONY GIBSON
AVP OF HUMAN RESOURCES	$154,215	$0	$0	$0	$0	$0	$0	$0	$5,810	$0	$160,025	$0	$0	$0
BETH MCGRAW
CHIEF NURSING OFFICER	$171,902	$0	$13,192	$0	$240	$0	$5,331	$0	$5,810	$0	$196,475	$0	$0	$0
KEITH TOMS
VP OF INTEGRATED SERVICES	$191,921	$0	$52	$0	$247	$0	$4,672	$0	$9,352	$0	$206,244	$0	$0	$0
DAVID BEALLE
PHYSICIAN	$638,697	$0	$356,455	$0	$774	$0	$8,700	$0	$11,132	$0	$1,015,758	$0	$0	$0
FREDERICK ROBBE III
PHYSICIAN	$645,831	$0	$282,806	$0	$414	$0	$8,700	$0	$4,169	$0	$941,920	$0	$0	$0
GERAME WELLS
PHYSICIAN	$422,605	$0	$310,424	$0	$270	$0	$8,700	$0	$8,267	$0	$750,266	$0	$0	$0
TANNER PARRENT
PHYSICIAN	$467,765	$0	$446,429	$0	$162	$0	$8,700	$0	$7,235	$0	$930,291	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1A	BENEFITS PROVIDED ------------------ COUNTRY CLUB MEMBERSHIP DUES WERE PAID FOR THE CEO AND WERE EXCLUDED FROM TAXABLE COMPENSATION.
SCHEDULE J, PART II	COMPENSATION FROM UNRELATED ORGANIZATIONS ------------------------------------------ THE HOSPITAL CONTRACTS THE SERVICES OF ERIC LEE (CEO) AND GREG MOORE (CFO) WITH QHR (FORMERLY QUORUM HEALTH RESOURCES, INC.), AN UNRELATED ORGANIZATION. QHR WAS PAID $974,519 FOR SERVICES PROVIDED BY THESE INDIVIDUALS DURING 2021.
SCHEDULE J, PART II	COMPENSATION REPORTED --------------------- THE FOLLOWING INDIVIDUALS' COMPENSATION IS PAID FROM JENNIE STUART MEDICAL GROUP, A DISREGARDED ENTITY OF JENNIE STUART MEDICAL CENTER: - DAVID BEALLE - RAMESH PATEL - FREDERICK ROBBE III - TANNER PARRENT - GERAME WELLS - ROBERT LEWE
SCHEDULE J, PART I, LINE 6A	LEADERSHIP 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

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	COUNTY OF CHRISTIAN KENTUCKY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	616000824	BondIssuerEIN
CUSIP	170692CPO	CUSIPNum
Bond Issued	2016-12-21	BondIssuedDt
Issue Price	$62,052,293	IssuePriceAmt
Purpose	REFUND OUTSTANDING BONDS/CAPITAL	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$1,615,000	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$62,052,293	TotalProceedsAmt
In Reserve Fund	$4,994,713	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$45,910,620	RefundingEscrowAmt
Issuance Costs From Proceeds	$1,146,961	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$10,000,000	CapitalExpendituresAmt
Other Spent Proceeds	$0	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2019	SubstantialCompletionYr
Refunding Tax Exempt Bonds	false	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	Yes (true)	RefundingTaxableBondsInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Change In Use Bond Financed Prop	0.00000	ChangeInUseBondFinancedPropPct
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	false	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	Yes (true)	NoRebateDueInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	Yes (true)	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	NAXIS FUNDING GROUP	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Term Of GIC	10.1	TermOfGICPct
Regulatory Safe Harbor Stsfd	Yes (true)	RegulatorySafeHarborStsfdInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K, PART I, COLUMN F	PURPOSE 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 2C	REBATE COMPUTATION ------------------------------ THE ARBITRAGE REBATE CALCULATION WAS PERFORMED IN FEBRUARY 2020, COVERING THE PERIOD OF DECEMBER 21, 2016 TO JANUARY 31, 2020. 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 ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3	DELEGATION 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 11	REVIEW 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 12C	MONITORING 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 15B	PROCESS FOR DETERMINING COMPENSATION ------------------------------------- AN ANNUAL COMPENSATION REVIEW WAS CONDUCTED IN 2021 FOR THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS AND OTHER OFFICERS AND KEY EMPLOYEES.
FORM 990, PART VI, SECTION C, LINE 19	MAKING 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 8	RECONCILIATION OF NET ASSETS ---------------------------- OTHER CHANGES IN NET ASSETS: DISTRIBUTIONS TO NONCONTROLLING INTEREST $(230,050) ROUNDING $( 5)
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIANS/ PROFESSIONAL SVCS TOTAL FEES:3095745
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACTED LAB SERVICES TOTAL FEES:1399866
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER FEES FOR SERVICES TOTAL FEES:14145754

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
FAIRVIEW PHYSICIANS NETWORK LLC
320 W 18TH STREET	HOPKINSVILLE	KY	42240	452032126	PHYSCIAN SRVS	KY	$10,539,413	$4,231,755	JSMC
WESTERN KENTUCKY MEDICAL DEVELOPMENTLLC
PO BOX 2400	HOPKINSVILLE	KY	42241		RENTAL	KY			JSMC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	JENNIE STUART HEALTH FOUNDATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 608	AddressLine1Txt
City	HOPKINSVILLE	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	42241	ZIPCd

Field	Value	IRS element (for citing)
EIN	822980765	EIN
Primary Activities	SUPPORT	PrimaryActivitiesTxt
Legal Domicile State	KY	LegalDomicileStateCd
Exempt Code Section	501(C)(3)	ExemptCodeSectionTxt
Public Charity Status	12B-11	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	JSMC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Controlled Organization	Yes (true)	ControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
PHYSICIANS' HOLDINGS
320 W18	HOPKINSVILLE	KY	42240	261608818	BUILDING RENT	KY	JSMC	EXCLUDED	$252,975	$1,541,984	false	$0	false	0.57000
KENTUCKY HEALTHCARE HOLDINGS I LLC
109 WESTPARK DRIVE	BRENTWOOD	TN	37027	842468059	REAL ESTATE	TN	NA	RELATED	$170,271	$830,567	false	$0	false	0.50000

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
PHYSICIANS' HOLDINGS LLC
J	$31,566	FMV
PHYSICIANS' HOLDINGS LLC
K	$605,666	FMV