2016-05-16T08:01:29-05:00 2015-06-30 273858252 DEAN DORTON ALLEN FORD PLLC 106 W VINE STREET SUITE 600 LEXINGTON KY 40507 990 2014-07-01 311139276 CONSOLIDATED HEALTH SYSTEMS INC CONS 6068869558 PO BOX 0787 PRESTONSBURG KY 41653 JACK BLACKWELL CFO 6068869558 2016-05-13 1 LEIGH MCKEE P00169845 8592552341 2014 2016-08-17 19:52:53Z HIGHLANDS HEALTH SYSTEM JACK BLACKWELL PO BOX 0787 PRESTONSBURG KY 41653 16229840 0 X WWW.HIGHLANDSHEALTHSYSTEM.COM X 1984 KY THE ORGANIZATION SERVES TO FOSTER AND DEVELOP HEALTH CARE ACTIVITIES 8 7 89 20 -97470 -97470 0 0 13710478 12534115 2404745 2618457 575631 2479 16690854 15155051 228896 209675 0 0 8188774 9361035 0 0 45096 8065840 7474058 16483510 17044768 207344 -1889717 61512806 49650147 41056104 33343701 20456702 16306446 THE ORGANIZATION SERVES TO FOSTER AND DEVELOP HEALTH CARE ACTIVITIES IN THE SERVICE AREA OF HIGHLANDS REGIONAL MEDICAL CENTER, AN AFFILIATED HOSPITAL. 0 0 13585844 209675 13136893 THE ORGANIZATION SERVES TO FOSTER AND DEVELOP HEALTH CARE ACTIVITIES IN THE SERVICE AREA OF HIGHLANDS REGIONAL MEDICAL CENTER, AN AFFILIATED HOSPITAL. 13585844 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 31 0 1 89 1 1 1 0 0 0 0 0 0 0 0 0 X 8 7 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 322031 0 33100 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 JACK BLACKWELL CFO 23.00 17.00 X 212714 0 18929 JAMES D JACKSON CIO 40.00 X 40386 0 2022 TODD HIGHTOWER VP PHYSICIAN SERVICES 40.00 X 191578 0 29433 MICHAEL ROBERTS CIO 40.00 X 126570 0 26623 TERRY D HALL PHYSICIAN 40.00 X 520259 0 33100 DARYL LARKE PHYSICIAN 40.00 X 527852 0 32128 CHAD PATTERSON PHYSICIAN 40.00 X 448804 0 27900 BRETT AKERS PHYSICIAN 40.00 X 716500 0 31800 ROBERT N ROYALTY PHYSICIAN 40.00 X 898791 0 30484 4005485 0 265519 19 0 1 0 PROGRESSIVE HEALTHCARE INC 109 WESTPARK DR SUITE 150 BRENTWOOD TN 37027 CONSULTING 261573 AUTOMATIC DATA PROCESSING 225 2ND AVE BOSTON MA 02129 PAYROLL PROCESSING 132049 RUFINO PIEDAD DBA SANDY VALLEY CLEA 257 EDGEWOOD LANE PRESTONSBURG KY 41653 CLEANING SERVICES 131350 GOGGANS CONSTRUCTION CORP 312 EUCLID AVE PAINTSVILLE KY 41240 CONSTRUCTION SERVICES 124136 4 MANAGEMENT/CONSULTING 541610 6277237 6277237 PHYSICIAN SERVICES 621300 6256878 6256878 12534115 469253 469253 474490 1074789 -600299 -600299 -97470 -502829 2149204 0 2149204 2149204 2149204 INTERDEPARTMENT BENEFITS 900099 578265 578265 BAD DEBT RECOVERY 900099 24513 24513 602778 15155051 13136893 -97470 2115628 X 209675 209675 895582 895582 6873481 6828773 44708 299212 299212 830237 796637 33600 462523 462523 47088 47088 90000 90000 4434758 4098472 336286 641180 640792 388 292035 291961 74 577884 577884 49187 49187 41589 41589 17677 17677 556823 556823 SUPPLIES 513245 504291 8954 DUES & SUBSCRIPTIONS 114144 114144 LICENSES & TAXES 80704 80704 EQUIPMENT RENTAL 17532 17532 212 212 17044768 13585844 3413828 45096 1182787 1244507 23451772 12559825 656442 1411785 2025293 575237 16250 16250 2042034 1901410 25780154 9567335 16999284 16212819 984927 984927 14154017 14743387 61512806 49650147 1724664 2113490 506429 265000 38825011 30965211 41056104 33343701 X 20456702 16306446 20456702 16306446 61512806 49650147 -1889717 -2260539 0 X X 0 1 X 1 0 X X X 1 HIGHLANDS HOSPITAL CORPORATION 610658773 3 1 0 1700000 1 0 1700000 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 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. PART IV, SECTION B, LINE 2 A GRANT WAS PROVIDED TO THE HIGHLANDS FOUNDATION INC, A RELATED EXEMPT ORGANIZATION, WHICH PROVIDES SUPPORT TO THE HIGHLANDS HOSPITAL CORPORATION. THE FOUNDATION IS CONTROLLED BY CONSOLIDATED HEALTH SYSTEMS INC. 14988697 269097 10376461 4881333 12886270 2102427 14988697 11375859 1510411 12886270 10748641 927218 11375859 8800172 1948469 10748641 1.00000 0.00000 0.00000 0 0 2584885 2584885 18660180 6029877 12630303 577896 513701 64195 3866794 3007829 858965 90399 15928 74471 16212819 INTERCOMPANY RECEIVABLES 13944160 OTHER ASSETS 799227 14743387 INTERCOMPANY LIABILTIES 30259340 PHYSICIAN COMMITMENTS 282097 OTHER LIABILITIES 423774 30965211 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 INC 5000 KY HIGHWAY 321 PRESTONSBURG KY 41653 208036784 501(C)(3) 199000 TO PROMOTE HEALTH AND COMMUNITY EDUCATION AND INVOLVEMENT TO RESIDENTS OF EASTERN KENTUCKY PART I, LINE 2: THE ORGANIZATION MAINTAINS 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 322031 0 0 0 0 0 13000 0 20100 0 355131 0 0 0 JACK BLACKWELL CFO 212714 0 0 0 0 0 10611 0 8318 0 231643 0 0 0 TODD HIGHTOWER VP PHYSICIAN SERVICES 191578 0 0 0 0 0 9333 0 20100 0 221011 0 0 0 MICHAEL ROBERTS CIO 126570 0 0 0 0 0 6523 0 20100 0 153193 0 0 0 TERRY D HALL PHYSICIAN 520259 0 0 0 0 0 13000 0 20100 0 553359 0 0 0 DARYL LARKE PHYSICIAN 527852 0 0 0 0 0 12028 0 20100 0 559980 0 0 0 CHAD PATTERSON PHYSICIAN 448804 0 0 0 0 0 7800 0 20100 0 476704 0 0 0 BRETT AKERS PHYSICIAN 716500 0 0 0 0 0 11700 0 20100 0 748300 0 0 0 ROBERT N ROYALTY PHYSICIAN 898791 0 0 0 0 0 10384 0 20100 0 929275 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 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 4,098,472. MANAGEMENT AND GENERAL EXPENSES 336,286. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,434,758. 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 -267990 5846367 CONSOLIDATED HEALTH SYSTEMS INC HHS DEVELOPMENT COMPANY PAINTSVILEE LLC 5000 KY RT 321 PRESTONSBURG KY 41653 271259520 HOLD MEDICAL OFFICE BUILDING KY -133191 3782648 CONSOLIDATED HEALTH SYSTEMS INC HOMETOWN FAMILY CARE PLLC 5000 KY RT 321 PRESTONSBURG KY 41653 202470645 FAMILY CARE CLINIC KY 2 1390877 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 -2285 9753 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 19880 200034 0 1 0.55000 CONSOLIDATED HEALTH ENTERPRISES BOX 668 5032 KY ROUTE 321 PRESTONSBURG KY 41653 611261592 PHARMACY KY CONSOLIDATED HEALTH SYSTEMS INC C -262937 755534 1.00000 1 HIGHLANDS STAFFING INC 5000 KY RT 321 PRESTONSBURG KY 41653 270835324 STAFFING KY CONSOLIDATED HEALTH SYSTEMS INC C 400068 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 8204427 HIGHLANDS HOME CARE INC E 93862 HIGHLANDS FOUNDATION INC D 118555 HIGHLANDS CENTER FOR AUTISM D 30639 CONSOLIDATED HEALTH ENTERPRISES D 73031 HIGHLANDS STAFFING INC D 33580 HIGHLANDS HOSPITAL CORPORATION A 142797 CONSOLIDATED HEALTH ENTERPRISES A 11475 HIGHLANDS FOUNDATION INC B 199000