2017-02-14T15:35:52-06:00 2016-09-30 610420207 JONES NALE & MATTINGLY PLC 642 SOUTH FOURTH ST STE 300 LOUISVILLE KY 40202 990 2015-10-01 610650767 BOURBON HEIGHTS INC BOUR 8599875750 2000 SOUTH MAIN STREET PARIS KY 40361 CHARLOTTE L ROBERTS ADMINISTRATOR 8599875750 2017-02-13 1 KATHY K CHLON P01246853 5025830248 2015 2021-01-29 14:40:06Z CHARLOTTE L ROBERTS 2000 SOUTH MAIN STREET PARIS KY 40361 7687074 0 X WWW.BOURBONHEIGHTS.COM X 1964 KY BOURBON HEIGHTS, INC. IS A NON-PROFIT LONG-TERM CARE PROVIDER OFFERING A FULL CONTINUUM OF QUALITY CARE THAT INCLDUDES INDEPENDENT APARTMENT LIVING, PERSONAL CARE, NURSING FACILITY, ADULT DAY CARE, AND REHABILITATION SERVICES TO THE ELDERLY. 8 8 197 92 0 0 142278 116858 7357681 7486725 18897 11378 55536 69219 7574392 7684180 0 0 0 0 5085681 5219291 0 0 0 2489446 2395467 7575127 7614758 -735 69422 2684333 2724913 385275 331565 2299058 2393348 BOURBON HEIGHTS, INC. STRIVES TO ENHANCE THE QUALITY OF LIFE FOR ELDERLY INDIVIDUALS RESIDING IN BOURBON COUNTY AS WELL AS SURROUNDING COUNTIES. 0 0 6665455 7547164 THE CORPORATION'S PRINCIPAL ACTIVITY IS PROVIDING NURSING CARE AND RETIREMENT SERVICES THROUGH 109 LICENSED BEDS AND 29 APARTMENTS. 6665455 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 7 0 1 197 1 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X CHARLOTTE ROBERTS 8599875750 2000 SOUTH MAIN STREET PARIS KY 40361 WILLIAM HARNEY CHAIRMAN 1.00 X 0 0 0 CHARLES ANDERSON DIRECTOR 1.00 X 0 0 0 DOROTHY KAUFMAN DIRECTOR 1.00 X 0 0 0 FRANK MCCRACKEN JR DIRECTOR 1.00 X 0 0 0 RUBY SCOTT SLADE DIRECTOR 1.00 X 0 0 0 BARBARA THORNTON CO-CHAIR/SECRETARY 1.00 X 0 0 0 LUCY MARSH DIRECTOR 1.00 X 0 0 0 SHARON FIELDS DIRECTOR 1.00 X 0 0 0 CHARLOTTE ROBERTS ADMINISTRATOR 40.00 X 80770 0 0 80770 0 0 0 0 0 0 FUNCTIONAL PATHWAYS 10133 SHERRIL BLVD KNOXVILLE TN 37932 THERAPY 417361 US FOODS PO BOX 98761 CHICAGO IL 609387610 DIETARY 283604 MEDCARE PHARMACY 350 ARISTOCRAT DRIVE FLORENCE KY 41042 PHARMACY 116040 GROGAN'S HEALTHCARE SUPPLY 1016 SOUTH BROADWAY LEXINGTON KY 40504 RESIDENT SUPPLIES 114201 4 116858 116858 NET PATIENT REVENUE 623000 7486725 7486725 7486725 11378 11378 11674 2894 8780 8780 DIETARY MEALS 812900 38571 38571 LAUNDRY 812300 1237 1237 20631 20631 60439 7684180 7547164 0 20158 96112 96112 3984416 3849157 135259 36918 33218 3700 803646 755339 48307 298199 282631 15568 168 168 16550 16550 25260 25260 8831 8831 114688 114688 228509 228509 11493 11493 62 62 167951 167951 100273 100273 ANCILLARY SERVICES 490682 490682 HEALTH CARE PROVIDER TA 401357 401357 FOOD 338211 338211 MEDICAL SUPPLIES 207972 207972 283460 277694 5766 7614758 6665455 949303 0 214085 244602 645225 711178 36349 43107 8915 5038 5060035 3912038 1238354 1147997 402902 434228 138503 138763 2684333 2724913 385275 331565 385275 331565 X 2299058 2393348 2299058 2393348 2684333 2724913 69422 24868 0 X X 1 X 0 1 0 X 104509 66630 93359 149887 125638 540023 6660984 6850344 7161541 7405608 7547164 35625641 6765493 6916974 7254900 7555495 7672802 36165664 0 0 0 36165664 14407 15799 16513 18897 11378 76994 14407 15799 16513 18897 11378 76994 6779900 6932773 7271413 7574392 7684180 36242658 0.99790 0.99770 0.00210 0.00230 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 54043 54043 1179830 602411 577419 2156223 1837068 319155 1669939 1472559 197380 1147997 CASH AND CASH EQUIVALENTS 138763 F 138763 FORM 990, PART VI, SECTION B, LINE 11 THE FULL BOARD REVIEWS THE FORM 990 BEFORE IT IS ISSUED AND FINALIZED. FORM 990, PART VI, SECTION B, LINE 12C ANY DIRECTOR, PRINCIPAL OFFICER OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS ARE REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST TO THE GOVERNING BOARD FOR RESOLUTION. ANNUALLY, EACH OF THE PARTIES NOTED ABOVE SIGN A STATEMENT AFFIRMING THAT HE/SHE RECEIVED THE CONFLICT OF INTEREST POLICY, READ AND UNDERSTOOD THE POLICY AND AGREED TO COMPLY WITH THE POLICY. FURTHER, PERIODIC REVIEWS ARE CONDUCTED OF COMPENSATION AND BENEFIT ARRANGEMENTS TO ENSURE REASONABLENESS AND ARM'S LENGTH BARGAINING. REVIEWS ARE ALSO CONDUCTED ON PARTNERSHIPS, JOINT VENTURES AND ARRANGEMENTS WITH MANAGEMENT ORGANIZATIONS TO ASSURE CONFORMITY. THE MONTHLY BOARD MEETINGS OFFER A VENUE FOR ANY POTENTIAL CONFLICTS OF INTERST TO BE DISCUSSED. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE PERSON IS REVIEWED AND APPROVED BY THE FULL BOARD. COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN COMPARABLE POSITIONS AT SIMILAR ORGANIZATIONS IS REVIEWED WHEN AVAILABLE. CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO THE DISCUSSIONS AND DECISIONS OF COMPENSATION ARRANGEMENTS ARE MAINTAINED. FORM 990, PART VI, SECTION C, LINE 19 BOURBON HEIGHTS, INC.'S FORM 990, POLICIES, GOVERNING AND FINANCIAL DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC FOR REVIEW DURING BUSINESS HOURS UPON REQUEST BUT UNDER THE ORGANIZATION'S CONTROL AND SUPERVISION. FORM 990, PART XII, LINE 2C: THIS REVIEW PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.