2016-12-15T12:10:31-06:00 2016-06-30 610420207 JONES NALE & MATTINGLY PLC 642 SOUTH FOURTH ST STE 300 LOUISVILLE KY 40202 990 2015-07-01 610984463 OWSLEY COUNTY HEALTH CARE CENTER INC OWSL 6065936302 20 COUNTRY BARN RD BOONEVILLE KY 413140250 WHITTNEY YOUNTS ADMINISTRATOR 6065936302 2016-11-29 1 DAVID R PRICE P01272254 5025830248 2015 2017-02-10 21:41:12Z WHITTNEY YOUNTS 20 COUNTRY BARN RD BOONEVILLE KY 413140250 5634655 0 X N/A X 1980 KY HEALTH CARE FACILITY FOR THE PUBLIC. TO MEET THE SPECIFIC INDIVIDUAL NEEDS OF EACH OF OUR RESIDENTS SO THEY WILL RESIDE IN THE CENTER WITH DIGNITY AND AN IMPROVED QUALITY OF LIFE. 7 7 147 2 0 0 0 0 5279156 5607561 1809 1843 17052 25251 5298017 5634655 0 0 0 0 2672785 2747177 0 0 0 2655534 2679881 5328319 5427058 -30302 207597 2517380 2678807 822276 776106 1695104 1902701 X TO MEET THE SPECIFIC INDIVIDUAL NEEDS OF EACH OF OUR RESIDENTS SO THEY WILL RESIDE IN THE CENTER WITH DIGNITY AND AN IMPROVED QUALITY OF LIFE. 0 0 1849444 5419971 NURSING SERVICES. 753744 187590 ANCILLARY SERVICES - PHARMACY, OCCUPATIONAL, PHYSICAL & SPEECH THERAPIES, LAB, OXYGEN, AND ENTERAL NUTRITION PROGRAM. 956559 9174 GENERAL SERVICES - DIETARY, HOUSEKEEPING, LAUNDRY, RECREATIONAL ACTIVITIES, SOCIAL SERVICES, MEDICAL RECORDS, AND PLANT OPERATIONS. 908323 16077 ADMINISTRATIVE SERVICES OTHER COSTS INCURRED AS A RESULT OF PROVIDING RESIDENTS WITH CARE. 908323 16077 4468070 1 0 0 0 0 0 0 0 0 0 1 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 1 0 0 0 0 0 0 0 0 0 0 1 14 0 1 147 1 0 0 0 0 0 0 0 0 X 7 7 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 KY X X OWSLEY COUNTY HEALTH CARE CENTER INC 6065936302 20 COUNTRY BARN RD BOONEVILLE KY 413140250 DALE BISHOP SECRETARY/TREASURER 5.00 X X 2750 0 0 PHYLLIS REFFITT MEMBER 1.00 X 150 0 0 ROGER ROBERTS MEMBER 1.00 X 350 0 0 BOBBY SMITH MEMBER 1.00 X 300 0 0 TRAVIS SMITH CHAIRMAN 1.00 X X 250 0 0 ARNOLD WILSON MEMBER 1.00 X 200 0 0 JASON WILSON MEMBER 1.00 X 0 0 0 WHITTNEY YOUNTS ADMINISTRATOR 40.00 X 71255 0 0 75255 0 0 0 0 0 0 HERITAGE HEALTHCARE INC 536 OLD HOWELL ROAD GREENVILLE SC 29615 THERAPY PROVIDER 456034 HEALTH SYSTEMS OF KENTUCKY 329 TOWNEPARK CIRCLE LOUISVILLE KY 40245 MANAGEMENT SERVICE 272661 MEDCARE PHARMACY 350 ARISTOCRAT DRIVE FLORENCE KY 41042 PHARMACY PRODUCTS AND SERVICE 145088 GORDON FOOD SERVICE PO BOX 880029 CHICAGO IL 60680 FOOD AND SUPPLY PROVIDER 133285 MCKESSON MEDICAL PO BOX 630693 CINCINNATI OH 45263 MEDICAL SUPPLIES 109291 5 PATIENT HEALTH CARE 623000 5419971 5419971 REHABILITATION/SPEECH 623000 127725 127725 MEDICAL SUPP, OXYGEN 623000 43963 43963 PHARMACY 623000 15902 15902 5607561 1843 1843 MISCELLANEOUS 623000 16077 16077 EMPLOYEE MEALS 623000 9174 9174 25251 5634655 5632812 0 1843 79151 79151 2280667 2115003 165664 13470 11449 2021 177019 150466 26553 196870 167339 29531 202592 202592 118741 118741 71681 71681 6251 6251 41199 41199 14652 14652 110934 110934 94265 16657 77608 ANCILLARY SERVICES 753744 753744 GENERAL SERVICES 549862 549862 OTHER ADMIN 404895 297368 107527 NURSING SERVICES 182351 182351 128714 112897 15817 5427058 4468070 958988 0 771712 1157681 803534 649992 28929 27446 49878 47959 3606033 2813369 860804 792664 2523 3065 2517380 2678807 471704 447001 350572 329105 822276 776106 X 1695104 1902701 1695104 1902701 2517380 2678807 207597 0 X 0 1 X 0 0 X 5588858 5124582 5150221 5279155 5607561 26750377 5588858 5124582 5150221 5279155 5607561 26750377 0 0 0 26750377 4103 2507 1862 1809 1843 12124 4103 2507 1862 1809 1843 12124 36443 42873 28418 17053 25251 150038 5629404 5169962 5180501 5298017 5634655 26912539 0.99400 0.99400 0.00050 0.00060 X 1827475 1546007 281468 1089795 699500 390295 688763 567862 120901 792664 X 5634655 0 5634655 0 5634655 5427058 0 5427058 0 5427058 PART X, LINE 2: THE CENTER'S ACCOUNTING POLICY PROVIDES THAT A TAX EXPENSE/BENEFIT FROM AN UNCERTAIN TAX POSITION MAY BE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTIONS OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS. THE CENTER HAS NO UNCERTAIN TAX POSITIONS RESULTING IN AN ACCRUAL OF TAX EXPENSE OR BENEFIT. KATHY ROBERTS FAMILY MEMBER OF BOARD MEMBERS (DALE ROBERTS AND ROGER ROBERTS) EMPLOYEETOTAL COMPENSATION: 29,321 0 FORM 990, PART VI, SECTION A, LINE 2 ARNOLD WILSON (DIRECTOR) IS THE FATHER OF JASON WILSON (DIRECTOR). BOBBY SMITH (DIRECTOR) IS THE FATHER OF TRAVIS SMITH (PRESIDENT/CHAIRMAN OF THE BOARD). FORM 990, PART VI, SECTION B, LINE 11 ADMINISTRATOR WHITTNEY YOUNTS WILL PROVIDE A COPY OF THE 990 TO ALL BOARD MEMBERS AND WILL REQUIRE THEM TO SIGN A STATEMENT AFFIRMING THAT THEY HAVE REVIEWED THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT AFFIRMING COMPLIANCE. FORM 990, PART VI, SECTION C, LINE 18 THE 990 IS AVAILABLE THROUGH WWW.GUIDESTAR.ORG AND BY REQUEST. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS WILL BE MADE AVIALABLE TO THE PUBLIC UPON REQUEST.