2011-05-16T15:01:59-05:00 2010-06-30 DEAN DORTON ALLEN FORD PLLC 106 W VINE STREET SUITE 600 LEXINGTON KY 40507 990 2009-07-01 311139276 CONSOLIDATED HEALTH SYSTEMS INC CONS 6068869558 PO BOX 0787 PRESTONSBURG KY 41653 JACK BLACKWELL 6068869558 2011-05-12 1 PAULA C HANSON 8592552341 2009 2016-02-24 21:20:13Z HIGHLANDS HEALTH SYSTEM JACK BLACKWELL PO BOX 0787 PRESTONSBURG KY 41653 12862609 0 X www.highlandshealthsystem.com X 1984 KY THE ORGANIZATION SERVES TO FOSTER AND DEVELOP HEALTH CARE ACTIVITIES 9 5 42 5 -29922 -29922 100000 0 7788396 9024005 -4841075 443185 -58308 -37322 2989013 9429868 33162 0 3534448 4017230 0 14292 5508583 6225779 9043031 10276171 -6054018 -846303 36141081 46693273 21704371 33432484 14436710 13260789 THE ORGANIZATION SERVES TO FOSTER AND DEVELOP HEALTH CARE ACTIVITIES IN THE SERVICE AREA OF HIGHLANDS REGIONAL MEDICAL CENTER, AN AFFILIATED HOSPITAL. 0 0 7444792 33162 9024005 THE ORGANIZATION SERVES TO FOSTER AND DEVELOP HEALTH CARE ACTIVITIES IN THE SERVICE AREA OF HIGHLANDS REGIONAL MEDICAL CENTER, AN AFFILIATED HOSPITAL. 7444792 1 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 1 1 0 0 1 69 0 1 42 1 1 1 0 0 0 0 0 0 0 0 9 5 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 KY X X The Organization 6068869558 PO BOX 0787 PRESTONSBURG KY 41653 BURL WELLS SPURLOCK 2.00 X 0 0 0 DEWEY L BOCOOK JR 1.00 X 0 0 0 EDWARD R NAIRN 1.00 X 0 0 0 paul d nunn 1.00 X 0 0 0 robert m duncan 1.00 X 0 0 0 gregory a wilson 1.00 X 0 0 0 dennis dorton 1.00 X 0 0 0 HAROLD C WARMAN 40.00 X 334437 0 11562 jack blackwell 40.00 X 208611 0 10240 james d jackson 40.00 X 131716 0 6586 debra hall 40.00 X 215635 0 10782 daryl larke 40.00 X 230000 0 6900 jeremy parsons 40.00 X 143468 0 6250 syed badrudduja 40.00 X 119995 0 3600 susan ellis 40.00 X 142604 0 7130 1526466 0 63050 9 0 1 0 progressive healthcare inc 109 westpark drive ste 150 brentwood TN 37027 consulting 529009 nairn corporation inc po box 266 prestonsburg KY 41653 project management 103500 2 MANAGEMENT/CONSULTING 541610 7629949 7629949 PHYSICIAN SERVICES 621300 1916394 1916394 REFUNDS/CONTRACT 900099 -522338 -522338 9024005 410624 410624 404665 441987 -37322 -37322 -29922 -7400 3023315 2987742 3012 35573 -3012 32561 32561 9429868 9024005 -29922 435785 33162 33162 707435 707435 2429233 2415182 14051 135771 135771 532534 498805 33729 212257 212257 2646 496 2150 90000 90000 4221120 3726449 494671 397502 397261 241 119067 119067 281416 281416 59209 59209 18814 18814 477153 477153 supplies 182139 157774 24365 employee recruitment 116165 116165 DUES & SUBSCRIPTIONS 67223 67223 equipment rental 65489 65489 bad debts 65477 65477 62359 62359 10276171 7444792 2817087 14292 260110 540072 15950319 16825511 425584 836481 5585902 6586852 84801 65951 24636957 5048123 13217219 19588834 617146 2249572 36141081 46693273 1993735 1607063 239674 303056 1354975 2831485 18115987 28690880 21704371 33432484 X 14436710 13260789 14436710 13260789 36141081 46693273 X 0 1 1 X 0 X X X X 0 0 0 HIGHLANDS HOSPITAL CORPORATION 610658773 3 1 1 1 10276171 1 10276171 8365650 434522 8800172 10839794 -2474144 8365650 1.00000 0 0 2325254 2325254 17655876 2734512 14921364 2936695 1158854 1777841 1507222 1152473 354749 211910 2284 209626 19588834 INTERCOMPANY LIABILITIES 27622280 PHYSICIAN RECRUITING 1068600 28690880 Part V, Line 4: Description of Intended Use of Endowment Funds: THE BOARD RESTRICTED NET ASSETS CONSIST OF ASSETS DESIGNATED BY THE BOARD OF DIRECTORS FOR FUTURE CAPITAL IMPROVEMENTS. Part X: Description of Uncertain Tax Positions Under FIN 48: THE ORGANIZATION ADOPTED THE PROVISIONS OF FASB ASC 740-10 RELATING TO UNCERTAINTY IN INCOME TAXES ON JULY 1, 2009. THE IMPLEMENTATION INCLUDED EVALUATING THE TAX POSITIONS TAKEN ON ALL INCOME TAX RETURNS THAT REMAIN OPEN TO EXAMINATION BY THE RESPECTIVE TAXING AUTHORITIES. THE ORGANIZATION DOES NOT BELIEVE THAT THERE ARE ANY UNCERTAIN POSITIONS ON THOSE RETURNS THAT MEET THE REQUIREMENTS OF FASB ASC 740-10 AND THEREFORE SHOULD BE REFLECTED IN THE FINANCIAL STATEMENTS. 1 ALICE LLOYD COLLEGE 100 PURPOSE ROAD PIPPA PASSES KY 41844 610492351 501(C)(3) 10000 DONATION 1 0 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, 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 334437 0 0 0 0 0 0 0 11562 0 345999 0 0 0 jack blackwell 208611 0 0 0 0 0 0 0 10240 0 218851 0 0 0 debra hall 215635 0 0 0 0 0 0 0 10782 0 226417 0 0 0 daryl larke 230000 0 0 0 0 0 0 0 6900 0 236900 0 0 0 ted nairn board member 103500 PROJECT MANAGEMENT SERVICES 0 BURL WELLS SPURLOCK BOARD member 90105 OWNER IN RIVERSIDE INVESTMENTS, WHICH RECIEVED RENTAL INCOME FROM THE ORGANIZATON 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 XI, 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. highlands home care inc 5032 kentucky route 321 prestonsburg KY 41653 611349726 home health services KY 501(c)(3) 9 consolidated health systems inc 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 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 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 HIGHLANDS MEDICAL PARTNERS I LLC 5000 KENTUCKY ROUTE 321 PRESTONSBURG KY 41653 262242914 MEDICAL SERIVCES - IMAGING CENTER KY CONSOLIDATED HEALTH SYSTEMS INC RELATED -165059 297330 0 1 HIGHLANDS MEDICAL PARTNERS II LLC 5000 KENTUCKY ROUTE 321 PRESTONSBURG KY 41653 311139276 MEDICAL SERIVCES - SLEEP LAB KY CONSOLIDATED HEALTH SYSTEMS INC RELATED -118782 75674 0 1 CONSOLIDATED HEALTH ENTERPRISES BOX 668 5032 KY ROUTE 321 PRESTONSBURG KY 41653 611261592 HEALTH CARE SERVICES KY CONSOLIDATED HEALTH SYSTEMS INC C 692200 829902 1.00000 1 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 highlands hospital corporation E 9209359 highlands home care inc E 296934 highlands hospital corporation D 123866 highlands foundation inc D 214937 highlands home care inc N 564850 highlands center for autism D 175192 highlands hospital corporation A 22000 CONSOLIDATED HEALTH ENTERPRISES A 15300