CUMBERLAND COUNTY HOSPITAL ASSOCIATION INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- CUMBERLAND COUNTY HOSPITAL ASSOCIATION INC (EIN 61-0624096)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-05-16
- IRS object ID
- 201601379349303325
- Schema version
- 2014v6.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-05-16T11:17:45-05:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 360 E 8TH AVE STE 201 PO BOX 1196 | AddressLine1Txt |
| City | BOWLING GREEN | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 421021196 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 610624096 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Cumberland County Hospital Association Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % RICK NEIKIRK | InCareOfNm |
| Business Name Control | CUMB | BusinessNameControlTxt |
| Phone | 2708642511 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 280 | AddressLine1Txt |
| City | Burkesville | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 42717 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RICK NEIKIRK | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 2708642511 | PhoneNum |
| Signature | 2016-05-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JESSICA FREEMAN | PreparerPersonNm |
| PTIN | P01261457 | PTIN |
| Phone | 2707810111 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Rick Neikirk CEO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 280 | AddressLine1Txt |
| City | Burkesville | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 42717 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $17,806,067 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.cchospital.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1964 | FormationYr |
| Legal Domicile State | KY | LegalDomicileStateCd |
| Activity Or Mission | CUMBERLAND COUNTY HOSPITAL SEEKS TO BECOME THE NETWORK LEADER IN PROVIDING, COORDINATING, AND CONTRACTING THE FULL CONTINUUM OF HEALTH CARE SERVICES REQUIRED BY RESIDENTS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 238 | TotalEmployeeCnt |
| Total Volunteers | 11 | TotalVolunteersCnt |
| Total Gross UBI | $30,000 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $2,495 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $228,868 | PYContributionsGrantsAmt |
| CY Contributions Grants | $231,833 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $16,610,451 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $17,186,746 | CYProgramServiceRevenueAmt |
| PY Investment Income | $18,965 | PYInvestmentIncomeAmt |
| CY Investment Income | $11,211 | CYInvestmentIncomeAmt |
| PY Other Revenue | $241,873 | PYOtherRevenueAmt |
| CY Other Revenue | $376,277 | CYOtherRevenueAmt |
| PY Total Revenue | $17,100,157 | PYTotalRevenueAmt |
| CY Total Revenue | $17,806,067 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | 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 | $8,674,141 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,149,757 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,780,624 | PYOtherExpensesAmt |
| CY Other Expenses | $8,988,322 | CYOtherExpensesAmt |
| PY Total Expenses | $17,454,765 | PYTotalExpensesAmt |
| CY Total Expenses | $18,138,079 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$354,608 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$332,012 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $16,790,052 | TotalAssetsBOYAmt |
| Total Assets EOY | $16,775,689 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $11,618,162 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $11,935,811 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,171,890 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,839,878 | NetAssetsOrFundBalancesEOYAmt |
| Mission | CUMBERLAND COUNTY HOSPITAL SEEKS TO BECOME THE NETWORK LEADER IN PROVIDING, COORDINATING, AND CONTRACTING THE FULL CONTINUUM OF HEALTH CARE SERVICES REQUIRED BY RESIDENTS OF CUMBERLAND COUNTY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $15,611,640 | ExpenseAmt |
| Revenue | $17,186,856 | RevenueAmt |
| Desc | CUMBERLAND COUNTY HOSPITAL, IN PARTNERSHIP WITH ITS MEDICAL STAFF, EMPLOYEES, AND OTHER PROVIDERS, STRIVES TO BE RECOGNIZED FOR HIGH QUALITY, COST-EFFECTIVE CARE RESULTING IN COMMUNITY PRIDE, CONFIDENCE, AND SUPPORT. THE HOSPITAL ACKNOWLEDGES THE PARTNERSHIPS REQUIRED WITH ITS MEDICAL STAFF, ITS EMPLOYEES, AND OTHER PROVIDERS TO ACHIEVE THIS VISION. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO PATIENTS IN CUMBERLAND COUNTY, KY AND SURROUNDING COUNTIES. THE HOSPITAL PROVIDED APPROXIMATELY $101,000 IN CHARITY CARE DURING THE YEAR ENDED JUNE 30, 2015. | Desc |
| Total Program Service Expenses | $15,611,640 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 71 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 238 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | KY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RICK NEIKIRK | PersonNm |
| Phone | 2708642511 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 280 | AddressLine1Txt |
| City | Burkesville | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 42717 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 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 | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Joe David Brown | |||||||||
| VICE CHAIRMAN OF BOARD | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Steve Burns | |||||||||
| COO, EMPLOYEE BOARD MEMBER | 40.0 | 0.0 | Yes (X) | Yes (X) | $80,617 | $0 | $4,393 | ||
| DR ROBERT FLOWERS SR | |||||||||
| Board Member/PHYSICIAN | 40.0 | 0.0 | Yes (X) | $578,465 | $0 | $9,613 | |||
| James Long | |||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Todd Morgan | |||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| ELIZABETH NORRIS | |||||||||
| Secretary/Treasurer of Board | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DAVID T LONG | |||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Doug Butler | |||||||||
| Chairman of the Board | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| VICKIE WELLS | |||||||||
| BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| JOHN HURT | |||||||||
| BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Richard Neikirk | |||||||||
| CEO | 40.0 | 0.0 | Yes (X) | $183,037 | $0 | $11,491 | |||
| RICHIE CAPPS | |||||||||
| CFO | 40.0 | 0.0 | Yes (X) | $129,552 | $0 | $10,153 | |||
| Dr Samuel Rice | |||||||||
| DIRECTOR OF INPATIENT SERVICES | 40.0 | 0.0 | $460,164 | $0 | $6,000 | Yes (X) | |||
| Dr Christian Konsavage | |||||||||
| Physician | 40.0 | 0.0 | $182,398 | $0 | $6,000 | Yes (X) | |||
| PEGGY FLOWERS | |||||||||
| DIRECTOR OF FRHC/RN | 40.0 | 0.0 | $119,267 | $0 | $9,887 | Yes (X) | |||
| DR ROBERT FLOWERS JR | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $172,143 | $0 | $6,000 | Yes (X) | |||
| VICTORIA KINGREY | |||||||||
| APRN/OFFICE DIRECTOR | 40.0 | 0.0 | $125,613 | $0 | $9,969 | Yes (X) | |||
| MEGAN SELLS | |||||||||
| PHARMACIST | 40.0 | 0.0 | $125,311 | $0 | $9,133 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,156,567 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $82,639 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 9 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Inspire Medical Inc | |||||
| 2323 Lime Kiln Lane | LOUISVILLE | KY | 40222 | ER Coverage | $448,166 |
| DR JAINARAYN SINGH | |||||
| 212 TROON DRIVE | PRINCETON | KY | 42445 | RADIOLOGY DIRECTOR | $120,000 |
| SIMPSON CONSTRUCTION | |||||
| PO BOX 2481 | RUSSEL SPRINGS | KY | 42642 | CONSTRUCTION SERVICE | $132,506 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $229,426 | GovernmentGrantsAmt |
| All Other Contributions | $2,407 | AllOtherContributionsAmt |
| Total Contributions | $231,833 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| HOSPITAL SERVICES - NET OF THIRD PARTY | 621110 | $17,186,746 | $17,186,746 |
| CONRACTUAL ADJUSTMENTS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $17,186,746 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,211 | TotalRevenueColumnAmt |
| Exclusion | $11,211 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $77,199 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $77,199 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $77,199 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $30,000 | UnrelatedBusinessRevenueAmt |
| Exclusion | $47,199 | ExclusionAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| EHR INCENTIVES | 900099 | $186,556 | $186,556 |
| REBATES | 900099 | $4,111 | $4,111 |
| CAFETERIA | 722514 | $48,265 | $48,265 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $60,146 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $110 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $60,036 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $299,078 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,806,067 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $17,186,856 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $30,000 | UnrelatedBusinessRevenueAmt |
| Exclusion | $357,378 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,003,709 | TotalAmt |
| Program Services | $574,070 | ProgramServicesAmt |
| Management And General | $429,639 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,725,124 | TotalAmt |
| Program Services | $5,905,973 | ProgramServicesAmt |
| Management And General | $819,151 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $167,178 | TotalAmt |
| Program Services | $167,178 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $714,241 | TotalAmt |
| Program Services | $702,436 | ProgramServicesAmt |
| Management And General | $11,805 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $539,505 | TotalAmt |
| Management And General | $539,505 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,100 | TotalAmt |
| Program Services | $11,100 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,920 | TotalAmt |
| Management And General | $16,920 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,032 | TotalAmt |
| Management And General | $78,032 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,733,458 | TotalAmt |
| Program Services | $1,669,770 | ProgramServicesAmt |
| Management And General | $63,688 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,670 | TotalAmt |
| Program Services | $3,375 | ProgramServicesAmt |
| Management And General | $7,295 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $856,464 | TotalAmt |
| Program Services | $727,736 | ProgramServicesAmt |
| Management And General | $128,728 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $780 | TotalAmt |
| Management And General | $780 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $339,606 | TotalAmt |
| Program Services | $335,453 | ProgramServicesAmt |
| Management And General | $4,153 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,832 | TotalAmt |
| Program Services | $36,531 | ProgramServicesAmt |
| Management And General | $10,301 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $412,124 | TotalAmt |
| Program Services | $412,124 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $841,057 | TotalAmt |
| Program Services | $841,057 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $199,482 | TotalAmt |
| Program Services | $64,649 | ProgramServicesAmt |
| Management And General | $134,833 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBTS | $1,798,246 | $1,798,246 | |
| PROVIDER TAX | $180,458 | $180,458 | |
| DUES & SUBSCRIPTIONS | $29,507 | $14,178 | $15,329 |
| MEDICAL SUPPLIES | $2,124,708 | $2,124,708 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $308,878 | TotalAmt |
| Program Services | $42,598 | ProgramServicesAmt |
| Management And General | $266,280 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,138,079 | TotalAmt |
| Program Services | $15,611,640 | ProgramServicesAmt |
| Management And General | $2,526,439 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $651,872 | BOYAmt |
| EOY | $436,666 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,000 | BOYAmt |
| EOY | $5,000 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,280,790 | BOYAmt |
| EOY | $2,780,402 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $396,813 | BOYAmt |
| EOY | $410,450 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,774 | BOYAmt |
| EOY | $74,257 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $17,687,384 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,383,391 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,588,516 | BOYAmt |
| EOY | $10,303,993 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,789,287 | BOYAmt |
| EOY | $2,764,921 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,790,052 | BOYAmt |
| EOY | $16,775,689 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,533,851 | BOYAmt |
| EOY | $1,623,655 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,084,311 | BOYAmt |
| EOY | $10,312,156 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,618,162 | BOYAmt |
| EOY | $11,935,811 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,171,890 | BOYAmt |
| EOY | $4,839,878 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,171,890 | BOYAmt |
| EOY | $4,839,878 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,790,052 | BOYAmt |
| EOY | $16,775,689 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$332,012 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 | false | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $1,511 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1,511 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
| Form4720 Filed4912 Tax | false | Form4720Filed4912TaxInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1I | FormAndLineReferenceDesc |
| Explanation | LOBBYING EXPENSES ----------------- A percentage of dues paid to the Kentucky Hospital Association are attributable to lobbying activities. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| Agent Trustee Etc | false | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | false | InclEscrowCustodialAcctLiabInd |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $547,269 | OtherCostOrOtherBasisAmt |
| Book Value | $547,269 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,557,191 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,333,676 | DepreciationAmt |
| Book Value | $7,223,515 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,738,696 | OtherCostOrOtherBasisAmt |
| Depreciation | $805,644 | DepreciationAmt |
| Book Value | $1,933,052 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $844,228 | OtherCostOrOtherBasisAmt |
| Depreciation | $244,071 | DepreciationAmt |
| Book Value | $600,157 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $10,303,993 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER RECEIVABLES | $755,481 |
| RESTRICTED FUNDS | $754,496 |
| INTERNALLY DESIGNATED ASSETS | $146,202 |
| DUE FROM THIRD PARTIES | $1,108,742 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,764,921 | TotalBookValueOtherAssetsAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PART X, LINE 2 | FormAndLineReferenceDesc |
| Explanation | INCOME TAXES ------------- The organization's audited financial statements did not include a footnote that addressed the organization's liability for uncertain tax positions under FIN48 (ASC 740). Management has evaluated their income tax positions under the guidance included in ASC 740. Based on their review,management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | false | FPGReferenceFreeCareInd |
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $80,961 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $185,940 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,712,466 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,309,147 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,403,319 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08890 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,793,427 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,495,087 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,403,319 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08890 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,750 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,380 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,370 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $584,569 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $459,361 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $125,208 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00790 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $590,319 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $460,741 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $129,578 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00820 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,383,746 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,955,828 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,532,897 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09710 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,248,246 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $588,764 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $6,452,502 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $6,263,938 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $188,564 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | false | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CUMBERLAND COUNTY HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 299 GLASGOW ROAD | AddressLine1Txt |
| City | BURKESVILLE | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 42717 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CUMBERLAND COUNTY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.cchospital.org | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 12 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | www.cchospital.org | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.cchospital.org | FAPAvailableOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION B, LINE 5 | INPUT FROM COMMUNITY -------------------- CUMBERLAND COUNTY HOSPITAL INTERVIEWED TEN KEY INFORMANTS FROM THE COMMUNITY IN ORDER TO ASSESS PUBLIC PERCEPTIONS OF THE COUNTY'S HEALTH STATUS AND UNMET NEEDS. THE INTERVIEWEES WERE DETERMINED BASED ON THEIR SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH, THEIR AFFILIATION WITH THE LOCAL GOVERNMENT, FROM THE SCHOOLS OR INDUSTRY AND THEIR INVOLVEMENT WITH UNDERSERVED AND MINORITY POPULATIONS. THE KEY INFORMANTS WERE: A MEMBER FROM THE CUMBERLAND COUNTY HEALTH DEPARTMENT, THE DIRECTOR FOR BFT RURAL HEALTH CLINIC, AN EMPLOYEE FROM THE CUMBERLAND COUNTY HOSPITAL, ADMINISTRATION FROM THE CUMBERLAND VALLEY MANOR (NURSING HOME), THE ADANTA GROUP (BEHAVIORAL HEALTH), THE CITY MAYOR, THE COUNTY JUDGE EXECUTIVE, EMERGENCY MANAGEMENT SERVICES DIRECTOR, SUPERINTENDANT, AND DIRECTOR OF LIFELINE HOME HEALTH AGENCY. |
| PART V, SECTION B, LINE 11 | ADDRESSING NEEDS IDENTIFIED IN CHNA ----------------------------------- THE HOSPITAL IS REACHING OUT TO THE COMMUNITY MORE BY USING MEDIA ROUTES SUCH AS THE RADIO TO ADVERTISE HEALTH EDUCATION. THERE IS AN ATTEMPT TO COLLABORATE MORE IN THE COMMUNITY, AND MORE HEALTH CARE IS BEING BROUGHT INTO THE COMMUNITY BY THE HOSPITAL. THE FOLLOWING ISSUES IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT HAVE NOT BEEN ADDRESSED DUE TO BEING OUTSIDE THE SCOPE OF EXPERTISE AND RESOURCES OF CUMBERLAND COUNTY HOSPITAL: CHILDREN IN POVERTY SEXUALLY TRANSMITTED INFECTIONS TEEN BIRTH RATE |
| PART V, SECTION B, LINE 13 | DETERMINING ELIGIBILITY FOR PROVING FREE AND DISCOUNTED CARE ------------------------------------------------------------ DETERMINING FREE CARE: State guidelines are followed for eligibility requirements as set forth by DMS for Disproportionate Share Hospital Programs for the current year. Upon completion of the application, it can be determined whether the patient is eligible for charity. If the patient is eligible 100% will be adjusted. The income limits are for a household size of one an annual income of $13,520 or lower qualifies. for each additional person in the household the income limit is increased $4,680.00. DETERMINING DISCOUNTED CARE: ALL patients with a private pay balance of any form (deductible, all charges etc.) qualify for a 40% discount immediately with a prompt payment or prompt repayment plan. |
| PART V, SECTION B, LINE 22 | DETERMINATION OF CHARGES TO FAP-ELIGIBLE INDIVIDUALS ---------------------------------------------------- IF A PATIENT COMPLETES THE FAP APPLICATION FOR CHARITY CARE AND IT IS DETERMINED THAT HE/SHE QUALIFIES, 100% OF THE CHARGES ARE DISCOUNTED. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| BF TAYLOR CLINIC | ||||
| 299A GLASGOW RD | BURKSEVILLE | KY | 42717 | RURAL HEALTH CLINIC |
| FLOWERS RURAL HEALTH CLINIC | ||||
| 333 KEEN ST | BURKSEVILLE | KY | 42717 | RURAL HEALTH CLINIC |
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C | DETERMINING ELIGIBILITY ----------------------- THE QUALIFICATION INCOME REQUIREMENTS ARE AS FOLLOWS: WITH A HOUSEHOLD SIZE OF 1, THE ACCOUNT WILL BE 50% CHARITY IF ANNUAL INCOME IS $13,520 OR LESS. ADD $4,680 TO THE INCOME FOR EACH ADDITIONAL PERSON IN THE HOUSEHOLD. |
| PART I, LINE 7 | BAD DEBTS --------- Bad Debts Included in Part IX, Line 25 totaled $1,248,246. This amount has been removed from total expenses calculated in Column F on Schedule H, Part I and II. |
| PART I, LINE 7 | COST OF CHARITY CARE --------------------- Cost of Charity Care was calculated with a cost to charge ratio using worksheet 2. Cost of Medicaid was calculated with a cost to charge ratio using worksheet 3. Cost of Medicare was based on the Medicare Cost Report. |
| PART III, LINE 4 | BAD DEBT EXPENSE ---------------- THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT. IN DETERMINING WHAT AMOUNTS SHOULD BE INCLUDED IN BAD DEBT, CCH HAS A BAD DEBT POLICY THAT THEY FOLLOW. THE AMOUNTS WRITTEN OFF TO BAD DEBT ARE THE ACTUAL WRITE OFFS MADE DURING THE YEAR PLUS THE ALLOWANCE FOR BAD DEBTS THAT IS CALCULATED BASED ON PREVIOUS YEARS ACTIVITY THAT IS APPLIED TO CURRENT ACCOUNTS. ALL PAYMENTS THAT ARE MADE ARE APPLIED DIRECTLY TO THE ACCOUNT IN CONJUNCTION WITH ANY CONTRACTUAL'S TO INSURANCE COMPANIES OR DISCOUNTS. APPLIED DIRECTLY TO THE ACCOUNT IN CONJUNCTION WITH ANY CONTRACTUALS TO INSURANCE COMPANIES OR DISCOUNTS. |
| PART VI, LINE 2 | NEEDS ASSESSMENT ---------------- Cumberland County Hospital is designated as a Critical Access Hospital. As such Cumberland County Hospital provides inpatient, outpatient and emergency care services to patients in Cumberland County, Kentucky and surrounding counties. |
| PART VI, LINE 3 | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE ----------------------------------------------- PATIENTS ARE INFORMED OF PATIENT ASSISTANCE AT TIME OF REGISTRATIONS, BY THE DISCHARGE NURSE, IF INPATIENT, AND ARE MAILED A LETTER. |
| PART VI, LINE 4 | COMMUNITY INFORMATION ---------------------- The population of Cumberland County, Kentucky is approximately 6,800. Cumberland County Hospital qualifies for a disproportionate share payment on ther medicare cost report due to the larger than normal share of medicaid patient volume served by the hospital. Nearly 35% of the counties' residents are enrolled in Medicaid. The community health fair is a huge success. It is an excellent way the Cumberland County Hosptial shares important health information with the community. Cumberland County Hospital also has radio spots on the local radio station to discuss specific health needs and to share health information with the community. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DR ROBERT FLOWERS SR | ||||||||||||||
| Board Member/PHYSICIAN | $578,465 | $0 | $0 | $0 | $0 | $0 | $8,254 | $0 | $1,359 | $0 | $588,078 | $0 | $0 | $0 |
| Dr Samuel Rice | ||||||||||||||
| DIRECTOR OF INPATIENT SERVICES | $460,164 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $6,000 | $0 | $466,164 | $0 | $0 | $0 |
| Dr Christian Konsavage | ||||||||||||||
| Physician | $182,398 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $6,000 | $0 | $188,398 | $0 | $0 | $0 |
| Richard Neikirk | ||||||||||||||
| CEO | $183,037 | $0 | $0 | $0 | $0 | $0 | $5,491 | $0 | $6,000 | $0 | $194,528 | $0 | $0 | $0 |
| DR ROBERT FLOWERS JR | ||||||||||||||
| PHYSICIAN | $172,143 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $6,000 | $0 | $178,143 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCH J, PART II | FormAndLineReferenceDesc |
| Explanation | COMPENSATION ------------ DR. SAMUEL RICE AND DR. ROBERT FLOWERS WERE BOTH W-2 WAGE EMPLOYEES AT BFT CLINIC AND INDEPENDENT CONTRACTORS FOR ER COVERAGE FOR THE YEAR. DR. RICE'S TOTAL COMPENSATION OF $466,164 CONSISTS OF $274,423 OF W-2 COMPENSATION AND $190,741 OF 1099 COMPENSATION. DR. FLOWERS' TOTAL COMPENSATION OF $588,078 CONSISTS OF $284,751 OF W-2 COMPENSATION AND $303,327 OF 1099 COMPENSATION. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 & 7A | ORGANIZATIONAL MEMBERS OR STOCKHOLDERS -------------------------------------- PER THE BY-LAWS, ANY PERSON OR ENTITY HAVING ITS PRINCIPAL OFFICE IN CUMBERLAND COUNTY, KY AND HAVING CUMBERLAND COUNTY, KY AS THE PRINCIPAL AREA OF ITS ACTIVITY MAY BECOME A MEMBER OF THE HOSPITAL ASSOCIATION. TO BECOME A MEMBER OF THE ASSOCIATION, A DONATION OF $100 MUST BE MADE TO THE ASSOCATION. NINE DIRECTORS OF THE ELEVEN DIRECTOR BOARD MAY BE ELECTED BY THE MEMBERS. |
| FORM 990, PART VI, SECTION B, LINE 12C | MONITORING OF THE CONFLICT OF INTEREST POLICY --------------------------------------------- All contracts and other agreements are reviewed by management to ensure that no conflicts exist or have the ability to arise. The Board of Directors must vote on the policy if a conflicting event arises and a conflicting board member must abstain from voting. |
| FORM 990, PART VI, SECTION B, LINE 15A | DETERMINING COMPENSATION OF THE CEO AND TOP MANAGEMENT OFFICIALS ---------------------------------------------------------------- THE CEO AND CFO SALARIES ARE DETERMINED BY THE BOARD OF DIRECTORS. THE COO SALARY IS DETERMINED BY THE CEO. SALARY SURVEYS ARE OBTAINED FROM THE KENTUCKY HOSPITAL ASSOCIATION FOR THE TOP MANAGEMENT POSITIONS INCLUDING CEO, CFO, AND COO. THE INDEPENDENT BOARD UTILIZES THESE SALARY SURVEYS IN SETTING COMPENSATION FOR THESE POSITIONS. |
| FORM 990, PART VI, SECTION B, LINE 15B | DETERMINING COMPENSATION - OTHER OFFICERS & KEY EMPLOYEES ---------------------------------------------------------- EACH EMPLOYEE IS EVALUATED ANNUALLY BY THEIR DEPARTMENT DIRECTOR TO DETERMINE IF A CHANGE IN SALARY IS WARRANTED. THE DIRECTORS ARE EVALUATED BY ADMINISTRATION ANNUALLY. |
| FORM 990, PART VI, SECTION B, LINE 19 | MAKING DOCUMENTS AVAILABLE TO THE PUBLIC ---------------------------------------- The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. |
| FORM 990, PART VI, SECTION B, LINE 11 | REVIEW OF FORM 990 ------------------ A COPY OF THE FORM 990 IS PRESENTED TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. |
Schedule R IRS990ScheduleR
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Capps Pharmacy dba Cumberland Cty Phar | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 333 Keen Street | AddressLine1Txt |
| City | Burkesville | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 42717 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 611318396 | EIN |
| Primary Activities | Pharmacy | PrimaryActivitiesTxt |
| Legal Domicile State | KY | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Cumberland Cty | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Share Of Total Income | $6,837,206 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $2,512,513 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | Yes (true) | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| CAPPS PHARMACY | ||
| A | $24,000 | FMV |
| CAPPS PHARMACY | ||
| H | $300,000 | FMV |
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