2018-05-15T12:39:35-05:00 2017-06-30 273858252 DEAN DORTON ALLEN FORD PLLC 106 W VINE STREET SUITE 600 LEXINGTON KY 40507 990 2016-07-01 311139276 CONSOLIDATED HEALTH SYSTEMS INC CONS 6068869558 PO BOX 0787 PRESTONSBURG KY 41653 MICHAEL ROBERTS CIO 6068869558 2018-05-14 1 LEIGH MCKEE P00169845 8592552341 2016 2022-09-23 18:48:47Z HIGHLANDS HEALTH SYSTEM HAROLD C WARMAN JR PO BOX 0787 PRESTONSBURG KY 41653 14407504 0 X WWW.HIGHLANDSHEALTHSYSTEM.COM X 1984 KY THE ORGANIZATION SERVES TO FOSTER AND DEVELOP HEALTH CARE ACTIVITIES 9 8 116 34 -41808 -41808 0 0 14178583 13405461 1541519 276306 53895 -403767 15773997 13278000 206775 204181 0 0 9446518 9273929 0 0 40300 8235075 7633949 17888368 17112059 -2114371 -3834059 51492880 53889303 37314228 42601383 14178652 11287920 THE ORGANIZATION SERVES TO FOSTER AND DEVELOP HEALTH CARE ACTIVITIES IN THE SERVICE AREA OF HIGHLANDS REGIONAL MEDICAL CENTER, AN AFFILIATED HOSPITAL. 0 0 12553396 204181 13534948 THE ORGANIZATION SERVES TO FOSTER AND DEVELOP HEALTH CARE ACTIVITIES IN THE SERVICE AREA OF HIGHLANDS REGIONAL MEDICAL CENTER, AN AFFILIATED HOSPITAL. 12553396 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 18 0 1 116 1 1 1 0 0 0 0 0 0 0 0 0 X 9 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 KY X THE ORGANIZATION 6068869558 PO BOX 0787 PRESTONSBURG KY 41653 HAROLD C WARMAN JR PRESIDENT/CEO 24.00 16.00 X X 364935 0 31652 DENNIS DORTON VICE CHAIRMAN 2.00 X 0 0 0 DEWEY L BOCOOK JR CHAIRMAN 1.00 X 0 0 0 EDWARD R NAIRN SECRETARY 1.00 X 0 0 0 PAUL D NUNN TREASURER 1.00 X 0 0 0 ROBERT M DUNCAN DIRECTOR 1.00 X 0 0 0 GREGORY A WILSON DIRECTOR 1.00 X 0 0 0 MARK E MCKENZIE DIRECTOR 1.00 X 0 0 0 CHRIS TACKETT DIRECTOR 1.00 X 0 0 0 JACK BLACKWELL CFO 23.00 17.00 X 257845 0 19631 MICHAEL ROBERTS CIO 40.00 X 149345 0 26156 TODD HIGHTOWER VP PHYSICIAN SERVICES 40.00 X 202652 0 29988 CHAD PATTERSON PHYSICIAN 40.00 X 581725 0 31405 DARYL S LARKE PHYSICIAN 40.00 X 540920 0 28844 BRETT AKERS PHYSICIAN 40.00 X 672952 0 30345 ROBERT N ROYALTY PHYSICIAN 40.00 X 1426784 0 27755 JOHN S BLANKENSHIP PHYSICIAN 40.00 X 697705 0 31670 4894863 0 257446 27 0 1 0 PROGRESSIVE HEALTHCARE INC 109 WESTPARK DR SUITE 150 BRENTWOOD TN 37027 CONSULTING 292068 AUTOMATIC DATA PROCESSING 225 2ND AVE BOSTON MA 02129 PAYROLL PROCESSING 188047 RUFINO PIEDAD DBA SANDY VALLEY CLEA 257 EDGEWOOD LANE PRESTONSBURG KY 41653 CLEANING SERVICES 137640 3 PHYSICIAN SERVICES 621300 6955779 6955779 MANAGEMENT/CONSULTING 541610 6449682 6449682 13405461 266533 266533 596250 1129504 -533254 -533254 -41808 -491446 9773 0 9773 9773 9773 MEANINGFUL USE REVENUE 900099 129487 129487 129487 13278000 13534948 -41808 -215140 X 204181 204181 1082202 1082202 6914286 6874293 39993 308933 308933 491056 469485 21571 477452 477452 11054 11054 76000 76000 4084228 3645336 438892 507391 507084 307 180938 180883 55 693360 693360 32172 32172 54546 54546 2229 2229 260633 260633 8147 8147 BAD DEBT PROVISION 658303 658303 SUPPLIES 625908 609471 16437 DUES & SUBSCRIPTIONS 174688 174688 EQUIPMENT RENTAL 155809 155809 108543 181 108362 17112059 12553396 4518363 40300 1051105 607083 12675066 12731073 1546118 1711581 14500 14500 2106546 2381039 27241801 11407489 15269443 15834312 690243 456055 18139859 20153660 51492880 53889303 2146848 2197600 110000 35057380 40403783 37314228 42601383 X 14178652 11287920 14178652 11287920 51492880 53889303 -3834059 943327 0 X X 0 1 X 1 0 X X X 1 HIGHLANDS HOSPITAL CORPORATION 610658773 3 1 0 3700000 1 0 3700000 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 PART IV, SECTION A, LINE 6 THE ORGANIZATION PROVIDED SUPPORT TO THE HIGHLANDS FOUNDATION INC, A RELATED TAX EXEMPT ORGANIZATION THAT ALSO PROVIDES SUPPORT TO THE HIGHLANDS HOSPITAL CORPORATION. PART I, LINE 11G 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. 4858142 6312281 371326 11541749 4881333 -23191 4858142 14988697 269097 10376461 4881333 12886270 2102427 14988697 11375859 1510411 12886270 1.00000 0.00000 0.00000 0 0 2584885 2584885 20129715 7314254 12815461 577895 576317 1578 3932061 3499046 433015 17245 17872 -627 15834312 INTERCOMPANY RECEIVABLES 17295949 OTHER ASSETS 759669 PHYSICIAN COMMITMENTS 2098042 20153660 INTERCOMPANY LIABILTIES 38459405 PHYSICIAN COMMITMENTS 1649550 OTHER LIABILITIES 294828 40403783 PART V, LINE 4: THE BOARD RESTRICTED NET ASSETS CONSIST OF ASSETS DESIGNATED BY THE BOARD OF DIRECTORS FOR FUTURE CAPITAL IMPROVEMENTS. 1 HIGHLANDS FOUNDATION 5000 KY HIGHWAY 321 PRESTONSBURG KY 41653 208036784 501(C)(3) 192066 TO PROMOTE HEALTH AND COMMUNITY EDUCATION AND INVOLVEMENT TO RESIDENTS OF EASTERN KENTUCKY. 1 PART I, LINE 2: THE ORGANIZATION MANTAINS RECORDS TO SUBSTANTIATE THE GRANTS PAID AND DOCUMENTATION RECEIVED FROM THE RECIPIENT ORGANIZATION REQUESTING THE GRANT. HOWEVER, THE ORGANIZATION DOES NOT MONITOR THE USE OF THE FUNDS BY THE RECIPIENT ORGANIZATION AT THIS TIME. X X X X 0 0 0 0 0 0 0 0 0 HAROLD C WARMAN JR PRESIDENT/CEO 364935 0 0 0 0 0 13232 0 18420 0 396587 0 0 0 JACK BLACKWELL CFO 257845 0 0 0 0 0 12383 0 7248 0 277476 0 0 0 MICHAEL ROBERTS CIO 149345 0 0 0 0 0 7736 0 18420 0 175501 0 0 0 TODD HIGHTOWER VP PHYSICIAN SERVICES 202652 0 0 0 0 0 9928 0 20060 0 232640 0 0 0 CHAD PATTERSON PHYSICIAN 581725 0 0 0 0 0 12985 0 18420 0 613130 0 0 0 DARYL S LARKE PHYSICIAN 540920 0 0 0 0 0 13250 0 15594 0 569764 0 0 0 BRETT AKERS PHYSICIAN 672952 0 0 0 0 0 11925 0 18420 0 703297 0 0 0 ROBERT N ROYALTY PHYSICIAN 1426784 0 0 0 0 0 9335 0 18420 0 1454539 0 0 0 JOHN S BLANKENSHIP PHYSICIAN 697705 0 0 0 0 0 13250 0 18420 0 729375 0 0 0 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 3,645,336. MANAGEMENT AND GENERAL EXPENSES 438,892. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,084,228. 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. HHS DEVELOPMENT COMPANY PRESTONSBURG LLC 5000 KY RT 321 PRESTONSBURG KY 41653 271260438 HOLD MEDICAL OFFICE BUILDING KY -296257 5623844 CONSOLIDATED HEALTH SYSTEMS INC HHS DEVELOPMENT COMPANY PAINTSVILEE LLC 5000 KY RT 321 PRESTONSBURG KY 41653 271259520 HOLD MEDICAL OFFICE BUILDING KY -138178 4948413 CONSOLIDATED HEALTH SYSTEMS INC HOMETOWN FAMILY CARE PLLC 5000 KY RT 321 PRESTONSBURG KY 41653 202470645 FAMILY CARE CLINIC KY -9995 2256667 CONSOLIDATED HEALTH SYSTEMS INC HIGHLANDS HOME CARE INC 5032 KENTUCKY ROUTE 321 PRESTONSBURG KY 41653 611349726 HOME HEALTH SERVICES KY 501(C)(3) 9 CONSOLIDATED HEALTH SYSTEMS INC 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 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 1 HIGHLANDS CENTER FOR AUTISM INC 5000 KY HIGHWAY 321 PRESTONSBURG KY 41653 264541964 SCHOOL FOR AUTISM SPECTRUM DISORDER KY 501(C)(3) 9 CONSOLIDATED HEALTH SYSTEMS INC 1 HIGHLANDS MEDICAL PARTNERS II LLC 5000 KENTUCKY ROUTE 321 PRESTONSBURG KY 41653 311139276 MEDICAL SERIVCES - SLEEP LAB KY CONSOLIDATED HEALTH SYSTEMS INC RELATED -45 9620 0 1 0.51000 HIGHLANDS HEART & VASCULAR LLC 5000 KENTUCKY ROUTE 321 PRESTONSBURG KY 41653 463963056 MEDICAL SERIVCES - HEART LAB KY CONSOLIDATED HEALTH SYSTEMS INC RELATED -492433 579299 0 1 0.55000 CONSOLIDATED HEALTH ENTERPRISES BOX 668 5032 KY ROUTE 321 PRESTONSBURG KY 41653 611261592 PHARMACY KY CONSOLIDATED HEALTH SYSTEMS INC C -1386517 1036304 1.00000 1 HIGHLANDS STAFFING INC 5000 KY RT 321 PRESTONSBURG KY 41653 270835324 STAFFING KY CONSOLIDATED HEALTH SYSTEMS INC C 400069 1.00000 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 HIGHLANDS HOSPITAL CORPORATION E 3358192 FMV HIGHLANDS HOME CARE INC E 196228 FMV HIGHLANDS FOUNDATION INC E 108689 FMV HIGHLANDS CENTER FOR AUTISM D 52042 FMV CONSOLIDATED HEALTH ENTERPRISES D 229584 FMV HIGHLANDS HOSPITAL CORPORATION A 206656 FMV CONSOLIDATED HEALTH ENTERPRISES A 11475 FMV HIGHLANDS CENTER FOR AUTISM B 192066 FMV