CONSOLIDATED HEALTH SYSTEMS INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- CONSOLIDATED HEALTH SYSTEMS INC (EIN 31-1139276)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-05-22
- IRS object ID
- 201901429349300720
- Schema version
- 2017v2.3
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-05-22T14:32:31-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 273858252 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEAN DORTON ALLEN FORD PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 106 W VINE STREET SUITE 600 | AddressLine1Txt |
| City | LEXINGTON | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 40507 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311139276 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CONSOLIDATED HEALTH SYSTEMS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CONS | BusinessNameControlTxt |
| Phone | 6068869558 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 0787 | AddressLine1Txt |
| City | PRESTONSBURG | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 41653 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | HAROLD C WARMAN JR | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 6068869558 | PhoneNum |
| Signature | 2019-05-22 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LEIGH MCKEE | PreparerPersonNm |
| PTIN | P00169845 | PTIN |
| Phone | 8592552341 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 192.243.74.12 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-05-22 | IPDt |
| IP Tm | 09:06:10 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | A29AFDD3996CC0121140A50036C6BC319F8FB274 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 8D0CA289866F7A271FB0C288862ECE769D750E0E | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HIGHLANDS HEALTH SYSTEM | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | HAROLD C WARMAN JR | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 0787 | AddressLine1Txt |
| City | PRESTONSBURG | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 41653 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $10,229,679 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HIGHLANDSHEALTHSYSTEM.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1984 | FormationYr |
| Legal Domicile State | KY | LegalDomicileStateCd |
| Activity Or Mission | THE ORGANIZATION SERVES TO FOSTER AND DEVELOP HEALTH CARE ACTIVITIES | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 145 | TotalEmployeeCnt |
| Total Volunteers | 30 | TotalVolunteersCnt |
| Total Gross UBI | -$61,433 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$61,433 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $13,405,461 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $8,917,407 | CYProgramServiceRevenueAmt |
| PY Investment Income | $276,306 | PYInvestmentIncomeAmt |
| CY Investment Income | $619,699 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$403,767 | PYOtherRevenueAmt |
| CY Other Revenue | -$409,231 | CYOtherRevenueAmt |
| PY Total Revenue | $13,278,000 | PYTotalRevenueAmt |
| CY Total Revenue | $9,127,875 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $204,181 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $9,273,929 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,044,712 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $29,707 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,633,949 | PYOtherExpensesAmt |
| CY Other Expenses | $4,550,743 | CYOtherExpensesAmt |
| PY Total Expenses | $17,112,059 | PYTotalExpensesAmt |
| CY Total Expenses | $10,595,455 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$3,834,059 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,467,580 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $53,889,303 | TotalAssetsBOYAmt |
| Total Assets EOY | $56,361,340 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $42,601,383 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $46,414,667 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $11,287,920 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $9,946,673 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE ORGANIZATION SERVES TO FOSTER AND DEVELOP HEALTH CARE ACTIVITIES IN THE SERVICE AREA OF HIGHLANDS REGIONAL MEDICAL CENTER, AN AFFILIATED HOSPITAL. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $7,135,487 | ExpenseAmt |
| Revenue | $9,045,927 | RevenueAmt |
| Desc | THE ORGANIZATION SERVES TO FOSTER AND DEVELOP HEALTH CARE ACTIVITIES IN THE SERVICE AREA OF HIGHLANDS REGIONAL MEDICAL CENTER, AN AFFILIATED HOSPITAL. | Desc |
| Total Program Service Expenses | $7,135,487 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 20 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 145 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | KY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6068869558 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 0787 | AddressLine1Txt |
| City | PRESTONSBURG | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 41653 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| HAROLD C WARMAN JR | |||||||||
| PRESIDENT/CEO | 24.00 | 16.00 | Yes (X) | Yes (X) | $337,099 | $0 | $31,602 | ||
| DENNIS DORTON | |||||||||
| VICE CHAIRMAN | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| DEWEY L BOCOOK JR | |||||||||
| CHAIRMAN | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| EDWARD R NAIRN | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| PAUL D NUNN | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| ROBERT M DUNCAN | |||||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| GREGORY A WILSON | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARK E MCKENZIE | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| CHRIS TACKETT | |||||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL ROBERTS | |||||||||
| CIO | 40.00 | Yes (X) | $137,070 | $0 | $26,106 | ||||
| SABRINA HOBBS | |||||||||
| VP PHYSICIAN SERVICES | 40.00 | Yes (X) | $122,849 | $0 | $28,298 | ||||
| CHAD PATTERSON | |||||||||
| PHYSICIAN | 40.00 | $565,004 | $0 | $31,355 | Yes (X) | ||||
| BRETT AKERS | |||||||||
| PHYSICIAN | 40.00 | $683,904 | $0 | $30,295 | Yes (X) | ||||
| ROBERT N ROYALTY | |||||||||
| PHYSICIAN | 40.00 | $1,568,035 | $0 | $27,705 | Yes (X) | ||||
| JOHN S BLANKENSHIP | |||||||||
| PHYSICIAN | 40.00 | $604,009 | $0 | $31,620 | Yes (X) | ||||
| TERRY HALL | |||||||||
| PHYSICIAN | 40.00 | $466,429 | $0 | $31,620 | Yes (X) | ||||
| JACK BLACKWELL | |||||||||
| FORMER CFO | 40.00 | $201,026 | $0 | $19,571 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,685,425 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $258,172 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 18 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| BE SMITH INTERIM SERVICE | |||||
| 8801 RENNER AVE | LENEXA | KS | 66219 | CFO/REVENUE STAFFING | $294,056 |
| PROGRESSIVE HEALTHCARE INC | |||||
| 109 WESTPARK DR SUITE 150 | BRENTWOOD | TN | 37027 | CONSULTING | $213,094 |
| AUTOMATIC DATA PROCESSING | |||||
| 225 2ND AVE | BOSTON | MA | 02129 | PAYROLL PROCESSING | $126,175 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PHYSICIAN SERVICES | 621300 | $5,903,520 | $5,903,520 |
| MANAGEMENT/CONSULTING | 541610 | $3,013,887 | $3,013,887 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $8,917,407 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $281,258 | TotalRevenueColumnAmt |
| Exclusion | $281,258 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $564,053 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,101,804 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$537,751 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$537,751 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$61,433 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$476,318 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $337,108 | SecuritiesAmt |
| Other | $1,333 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $337,108 | SecuritiesAmt |
| Other | $1,333 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $338,441 | TotalRevenueColumnAmt |
| Exclusion | $338,441 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MEANINGFUL USE REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $128,520 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $128,520 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $128,520 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,127,875 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,045,927 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$61,433 | UnrelatedBusinessRevenueAmt |
| Exclusion | $143,381 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $841,323 | TotalAmt |
| Management And General | $841,323 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,119,094 | TotalAmt |
| Program Services | $5,089,485 | ProgramServicesAmt |
| Fundraising | $29,609 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $304,391 | TotalAmt |
| Program Services | $304,391 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$539,362 | TotalAmt |
| Program Services | -$558,391 | ProgramServicesAmt |
| Management And General | $19,029 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $319,266 | TotalAmt |
| Management And General | $319,266 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,535 | TotalAmt |
| Management And General | $56,535 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,000 | TotalAmt |
| Management And General | $90,000 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,183,659 | TotalAmt |
| Program Services | $1,527,225 | ProgramServicesAmt |
| Management And General | $656,434 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162,280 | TotalAmt |
| Management And General | $162,182 | ManagementAndGeneralAmt |
| Fundraising | $98 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $266,889 | TotalAmt |
| Program Services | $266,222 | ProgramServicesAmt |
| Management And General | $667 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $477,149 | TotalAmt |
| Management And General | $477,149 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,170 | TotalAmt |
| Management And General | $42,170 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,335 | TotalAmt |
| Management And General | $79,335 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $233,015 | TotalAmt |
| Program Services | $233,015 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,074 | TotalAmt |
| Management And General | $6,074 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| BAD DEBT PROVISION | $381,617 | $381,617 | |
| SUPPLIES | $265,096 | $3,286 | $261,810 |
| EQUIPMENT RENTAL | $108,365 | $108,365 | |
| DUES & SUBSCRIPTIONS | $96,006 | $96,006 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,553 | TotalAmt |
| Program Services | $11,730 | ProgramServicesAmt |
| Management And General | $90,823 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,595,455 | TotalAmt |
| Program Services | $7,135,487 | ProgramServicesAmt |
| Management And General | $3,430,261 | ManagementAndGeneralAmt |
| Fundraising | $29,707 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $607,083 | BOYAmt |
| EOY | $286,690 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,731,073 | BOYAmt |
| EOY | $11,790,821 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,711,581 | BOYAmt |
| EOY | $1,424,322 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,500 | BOYAmt |
| EOY | $14,500 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,381,039 | BOYAmt |
| EOY | $1,990,075 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $28,821,267 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $12,102,705 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,834,312 | BOYAmt |
| EOY | $16,718,562 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $456,055 | BOYAmt |
| EOY | $343,895 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,153,660 | BOYAmt |
| EOY | $23,792,475 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,889,303 | BOYAmt |
| EOY | $56,361,340 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,197,600 | BOYAmt |
| EOY | $2,277,845 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,403,783 | BOYAmt |
| EOY | $44,136,822 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,601,383 | BOYAmt |
| EOY | $46,414,667 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,287,920 | BOYAmt |
| EOY | $9,946,673 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,287,920 | BOYAmt |
| EOY | $9,946,673 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,889,303 | BOYAmt |
| EOY | $56,361,340 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,467,580 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $126,333 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type1 | Yes (X) | SupportingOrgType1Ind |
| IRS Written Determination | Yes (X) | IRSWrittenDeterminationInd |
| Supported Organizations | 1 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HIGHLANDS HOSPITAL CORPORATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 610658773 | EIN |
| Organization Type | 3 | OrganizationTypeCd |
| Governing Document Listed | Yes (1) | GoverningDocumentListedInd |
| Support | $0 | SupportAmt |
| Other Support | $1,500,000 | OtherSupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 1 | SupportedOrganizationsTotalCnt |
| Support Sum | $0 | SupportSumAmt |
| Other Support Sum | $1,500,000 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (1) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | 0 | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Power Appoint Majority Dir Trst | Yes (1) | PowerAppointMajorityDirTrstInd |
| Operate Benefit Non Suprt Org | 0 | OperateBenefitNonSuprtOrgInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 11G | FormAndLineReferenceDesc |
| Explanation | ALL OF THE ORGANIZATION'S EXPENSES ARE ASSOCIATED WITH PROVIDING SERVICES TO THE SUPPORTED HOSPITAL AND RELATED ENTITIES. TO THE EXTENT THAT THE ORGANIZATION'S EXPENSES EXCEED FEES FOR SERVICE AND PHYSICIAN PAYMENTS, THIS AMOUNT IS CONSIDERED TO BE EXPENDED IN SUPPORT OF THE HOSPITAL AND ITS AFFILIATES. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $11,541,749 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $109,541 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $11,651,290 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,858,142 | BeginningYearBalanceAmt |
| Contributions | $6,312,281 | ContributionsAmt |
| Investment Earnings Or Losses | $371,326 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $11,541,749 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,881,333 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$23,191 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $4,858,142 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $14,988,697 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $269,097 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $10,376,461 | OtherExpendituresAmt |
| End Year Balance | $4,881,333 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $12,886,270 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $2,102,427 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $14,988,697 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 1.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,584,885 | OtherCostOrOtherBasisAmt |
| Book Value | $2,584,885 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,687,860 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,964,612 | DepreciationAmt |
| Book Value | $13,723,248 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $577,896 | OtherCostOrOtherBasisAmt |
| Depreciation | $577,896 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,953,381 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,542,325 | DepreciationAmt |
| Book Value | $411,056 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,245 | OtherCostOrOtherBasisAmt |
| Depreciation | $17,872 | DepreciationAmt |
| Book Value | -$627 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $16,718,562 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INTERCOMPANY RECEIVABLES | $20,840,263 |
| OTHER ASSETS | $793,096 |
| PHYSICIAN COMMITMENTS | $2,159,116 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $23,792,475 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| INTERCOMPANY LIABILTIES | $42,689,346 |
| PHYSICIAN COMMITMENTS | $998,470 |
| OTHER LIABILITIES | $449,006 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $44,136,822 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, LINE 4: | FormAndLineReferenceDesc |
| Explanation | THE BOARD RESTRICTED NET ASSETS CONSIST OF ASSETS DESIGNATED BY THE BOARD OF DIRECTORS FOR FUTURE CAPITAL IMPROVEMENTS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HAROLD C WARMAN JR | ||||||||||||||
| PRESIDENT/CEO | $337,099 | $0 | $0 | $0 | $0 | $0 | $13,232 | $0 | $18,370 | $0 | $368,701 | $0 | $0 | $0 |
| MICHAEL ROBERTS | ||||||||||||||
| CIO | $137,070 | $0 | $0 | $0 | $0 | $0 | $7,736 | $0 | $18,370 | $0 | $163,176 | $0 | $0 | $0 |
| SABRINA HOBBS | ||||||||||||||
| VP PHYSICIAN SERVICES | $122,849 | $0 | $0 | $0 | $0 | $0 | $9,928 | $0 | $18,370 | $0 | $151,147 | $0 | $0 | $0 |
| CHAD PATTERSON | ||||||||||||||
| PHYSICIAN | $565,004 | $0 | $0 | $0 | $0 | $0 | $12,985 | $0 | $18,370 | $0 | $596,359 | $0 | $0 | $0 |
| BRETT AKERS | ||||||||||||||
| PHYSICIAN | $683,904 | $0 | $0 | $0 | $0 | $0 | $11,925 | $0 | $18,370 | $0 | $714,199 | $0 | $0 | $0 |
| ROBERT N ROYALTY | ||||||||||||||
| PHYSICIAN | $1,568,035 | $0 | $0 | $0 | $0 | $0 | $9,335 | $0 | $18,370 | $0 | $1,595,740 | $0 | $0 | $0 |
| JOHN S BLANKENSHIP | ||||||||||||||
| PHYSICIAN | $604,009 | $0 | $0 | $0 | $0 | $0 | $13,250 | $0 | $18,370 | $0 | $635,629 | $0 | $0 | $0 |
| TERRY HALL | ||||||||||||||
| PHYSICIAN | $466,429 | $0 | $0 | $0 | $0 | $0 | $13,250 | $0 | $18,370 | $0 | $498,049 | $0 | $0 | $0 |
| JACK BLACKWELL | ||||||||||||||
| FORMER CFO | $201,026 | $0 | $0 | $0 | $0 | $0 | $12,383 | $0 | $7,188 | $0 | $220,597 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE DIRECTOR OF ACCOUNTING, CFO AND BOARD OF DIRECTORS WILL REVIEW FORM 990 PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY IS DISTRIBUTED TO EACH BOARD MEMBER ANNUALLY. THE POLICY IS DISTRIBUTED BY THE BOARD SECRETARY ALONG WITH A DISCLOSURE FORM. RESPONSES ARE REVIEWED BY THE CEO. IF THERE IS A PARTICULAR ISSUE THAT NEEDS TO BE BROUGHT TO THE ATTENTION OF THE BOARD, THE CEO WILL CONTACT THE BOARD CHAIR TO DISCUSS, AND IF NECESSARY, IT WILL BE PLACED ON THE BOARD AGENDA FOR REVIEW. ADDITIONALLY, IF A BOARD MEMBER OR THE CEO BECOME AWARE OF POTENTIAL CONFLICTS THEY CAN REPORT THIS TO THE BOARD CHAIR DURING THE YEAR. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPENSATION OF THE CEO AND OFFICERS IS DETERMINED BY A COMMITTEE OF THE BOARD OF DIRECTORS THAT REVIEWS PERFORMANCE ANNUALLY. THE BOARD CONSULTS WITH VARIOUS SOURCES TO DETERMINE MARKET RATES OF COMPENSATION AGAINST COMPARABLE ORGANIZATIONS. THE BOARD USES ACHE COMPENSATION SURVEYS, MODERN HEALTHCARE COMPENSATION SURVEYS, AND VERBALLY CONSULTS WITH THE KY HOSPITAL ASSOCIATION TO DETERMINE KY COMPENSATION. FROM TIME TO TIME, THE BOARD MAY USE OTHER SOURCES THAT ARE AVAILABLE. COMPENSATION IS BASED ON MARKET RATES AND PERFORMANCE AGAINST GOALS, WHICH ARE ESTABLISHED ANNUALLY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,527,225. MANAGEMENT AND GENERAL EXPENSES 656,434. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,183,659. |
| FORM 990, PART XII, LINE 2C | THERE IS A COMMITTEE OF THE BOARD OF DIRECTORS THAT ASSUMES RESPONSIBILITY FOR THE AUDIT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (3 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 |
|---|---|---|---|---|---|---|---|---|---|
| HHS DEVELOPMENT COMPANY PRESTONSBURG LLC | |||||||||
| 5000 KY RT 321 | PRESTONSBURG | KY | 41653 | 271260438 | HOLD MEDICAL OFFICE BUILDING | KY | -$301,595 | $6,976,310 | CONSOLIDATED HEALTH SYSTEMS INC |
| HHS DEVELOPMENT COMPANY PAINTSVILEE LLC | |||||||||
| 5000 KY RT 321 | PRESTONSBURG | KY | 41653 | 271259520 | HOLD MEDICAL OFFICE BUILDING | KY | -$105,708 | $5,725,024 | CONSOLIDATED HEALTH SYSTEMS INC |
| HOMETOWN FAMILY CARE PLLC | |||||||||
| 5000 KY RT 321 | PRESTONSBURG | KY | 41653 | 202470645 | FAMILY CARE CLINIC | KY | $424,003 | $3,239,672 | CONSOLIDATED HEALTH SYSTEMS INC |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| HIGHLANDS HOME CARE INC | ||||||||||
| 5032 KENTUCKY ROUTE 321 | PRESTONSBURG | KY | 41653 | 611349726 | HOME HEALTH SERVICES | KY | 501(C)(3) | 10 | CONSOLIDATED HEALTH SYSTEMS INC | Yes (1) |
| HIGHLANDS HOSPITAL CORPORATION | ||||||||||
| BOX 668 5032 KENTUCKY ROUTE 321 | PRESTONSBURG | KY | 41653 | 610658773 | HEALTH CARE SERVICES | KY | 501(C)(3) | 3 | CONSOLIDATED HEALTH SYSTEMS INC | Yes (1) |
| HIGHLANDS FOUNDATION INC | ||||||||||
| 5000 KY HIGHWAY 321 | PRESTONSBURG | KY | 41653 | 208036784 | PROMOTE HEALTH AND COMMUNITY EDUCATION AND INVOLVEMENT | KY | 501(C)(3) | 7 | CONSOLIDATED HEALTH SYSTEMS INC | Yes (1) |
| HIGHLANDS CENTER FOR AUTISM INC | ||||||||||
| 5000 KY HIGHWAY 321 | PRESTONSBURG | KY | 41653 | 264541964 | SCHOOL FOR AUTISM SPECTRUM DISORDER | KY | 501(C)(3) | 10 | CONSOLIDATED HEALTH SYSTEMS INC | Yes (1) |
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 | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HIGHLANDS MEDICAL PARTNERS II LLC | |||||||||||||
| 5000 KENTUCKY ROUTE 321 | PRESTONSBURG | KY | 41653 | 311139276 | MEDICAL SERIVCES - SLEEP LAB | KY | CONSOLIDATED HEALTH SYSTEMS INC | RELATED | -$1,550 | $534 | 0 | Yes (1) | 0.51000 |
| HIGHLANDS HEART & VASCULAR LLC | |||||||||||||
| 5000 KENTUCKY ROUTE 321 | PRESTONSBURG | KY | 41653 | 463963056 | MEDICAL SERIVCES - HEART LAB | KY | HIGHLANDS HOSPITAL CORP | RELATED | 0 | 0 | |||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CONSOLIDATED HEALTH ENTERPRISES | ||||||||||||
| BOX 668 5032 KY ROUTE 321 | PRESTONSBURG | KY | 41653 | 611261592 | PHARMACY | KY | CONSOLIDATED HEALTH SYSTEMS INC | C | -$487,686 | $1,298,834 | 1.00000 | Yes (1) |
| HIGHLANDS STAFFING INC | ||||||||||||
| 5000 KY RT 321 | PRESTONSBURG | KY | 41653 | 270835324 | STAFFING | KY | CONSOLIDATED HEALTH SYSTEMS INC | C | $400,068 | 1.00000 | Yes (1) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (8 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| HIGHLANDS HOSPITAL CORPORATION | ||
| E | $737,132 | FMV |
| HIGHLANDS HOME CARE INC | ||
| E | $299,334 | FMV |
| HIGHLANDS FOUNDATION INC | ||
| E | $253,622 | FMV |
| HIGHLANDS CENTER FOR AUTISM | ||
| E | $167,559 | FMV |
| CONSOLIDATED HEALTH ENTERPRISES | ||
| D | $124,434 | FMV |
| HIGHLANDS HOSPITAL CORPORATION | ||
| A | $179,098 | FMV |
| CONSOLIDATED HEALTH ENTERPRISES | ||
| A | $11,475 | FMV |
| HIGHLANDS STAFFING INC | ||
| D | $271,586 | FMV |
Reasonable Cause Explanation ReasonableCauseExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | LATE FILED RETURN DUE TO CCH SOFTWARE OUTAGE | ExplanationTxt |