HARRISON MEMORIAL HOSPITAL: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- HARRISON MEMORIAL HOSPITAL (EIN 61-0420440)
- Tax period
- 2024-10-01 to 2025-09-30
- Filed
- 2026-08-17
- IRS object ID
- 202622299349301862
- Schema version
- 2024v5.5
- 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 G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-08-17T14:30:35-05:00 | ReturnTs |
| Tax Period End | 2025-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 273858252 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEAN DORTON ALLEN FORD PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 W MAIN STREET STE 1400 | AddressLine1Txt |
| City | LEXINGTON | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 40507 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 610420440 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HARRISON MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HARR | BusinessNameControlTxt |
| Phone | 8592353502 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1210 KY HWY 36 EAST | AddressLine1Txt |
| City | CYNTHIANA | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 41031 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | HEATHER HUTCHISON | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 8592353502 | PhoneNum |
| Signature | 2026-08-17 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BRYAN PAUTSCH | PreparerPersonNm |
| PTIN | P00034913 | PTIN |
| Phone | 8592552341 | PhoneNum |
| Preparation | 2026-08-17 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KATHY TUSSEY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1210 KY HWY 36 EAST | AddressLine1Txt |
| City | CYNTHIANA | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 41031 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $121,305,177 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HARRISONMEMHOSP.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1906 | FormationYr |
| Legal Domicile State | KY | LegalDomicileStateCd |
| Activity Or Mission | HARRISON MEMORIAL HOSPITAL EXISTS TO SERVE COMMUNITIES BY PROVIDING HIGH QUALITY HEALTH CARE SERVICES. WE OFFER OUR SERVICES WITHOUT REGARD TO RACE, RELIGION, GENDER, NATIONAL ORIGIN, SOCIAL STATUS OR ECONOMIC CIRCUMSTANCES. IN FULFILLING OUR MISSION, WE STRIVE FOR EXCELLENCE IN THE QUALITY CARE WE DELIVER ACROSS ALL FACILITIES, IN THE SAFETY AND SECURITY WE OFFER PATIENTS DURING THEIR CARE, IN THE RECRUITMENT, RETENTION AND DEVELOPMENT OF DEDICATED PHYSICIANS AND PERSONNEL, AND IN FACILITATING, COORDINATING AND PROVIDING ACCESS TO GENERAL AND SPECIALIZED HEALTH SERVICES THROUGH OUR OWN RESOURCES AND IN COLLABORATION WITH THE RESOURCES OF OTHERS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 866 | TotalEmployeeCnt |
| Total Volunteers | 15 | TotalVolunteersCnt |
| Total Gross UBI | $123,700 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $148,127 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $952,862 | PYContributionsGrantsAmt |
| CY Contributions Grants | $748,579 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $90,639,607 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $96,868,514 | CYProgramServiceRevenueAmt |
| PY Investment Income | $54,239 | PYInvestmentIncomeAmt |
| CY Investment Income | -$429,441 | CYInvestmentIncomeAmt |
| PY Other Revenue | $10,781,893 | PYOtherRevenueAmt |
| CY Other Revenue | $12,225,503 | CYOtherRevenueAmt |
| PY Total Revenue | $102,428,601 | PYTotalRevenueAmt |
| CY Total Revenue | $109,413,155 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $111,310 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $106,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $50,114,581 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $57,201,966 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $51,656,864 | PYOtherExpensesAmt |
| CY Other Expenses | $60,324,106 | CYOtherExpensesAmt |
| PY Total Expenses | $101,882,755 | PYTotalExpensesAmt |
| CY Total Expenses | $117,632,072 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $545,846 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$8,218,917 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $82,712,482 | TotalAssetsBOYAmt |
| Total Assets EOY | $69,676,332 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $47,644,697 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $42,544,348 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $35,067,785 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $27,131,984 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | HARRISON MEMORIAL HOSPITAL EXISTS FOR THE PURPOSE OF PROVIDING HIGH QUALITY HEALTH AND MEDICAL CARE SERVICES TO THE PEOPLE OF HARRISON AND SURROUNDING COUNTIES OF OUT REGION WITHIN THE CAPABILITIES OF OUR RESOURCES. IN FULFILLING THIS MISSION, WE STRIVE FOR EXCELLENCE IN: THE CARE WE DELIVER; IN PATIENT SAFETY; IN THE FACILITIES WE PROVIDE; IN THE RECRUITMENT, RETENTION, AND DEVELOPMENT OF DEDICATED PHYSICIANS AND PERSONNEL; IN FACILITATING, COORDINATING AND PROVIDING ACCESS TO GENERAL AND SPECIALIZED HEALTH SERVICES THROUGH OUR OWN RESOURCES AND IN COLLABORATION WITH THE RESOURCES OF OTHERS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $106,895,254 | ExpenseAmt |
| Grant | $106,000 | GrantAmt |
| Revenue | $107,760,206 | RevenueAmt |
| Desc | THE HOSPITAL PROVIDED HEALTHCARE TO 1,397 INPATIENTS, 182 NURSERY PATIENTS, AND 178,698 OUTPATIENTS. THE HOSPITAL HAS A HIGH VOLUME OF MEDICARE AND MEDICAID PATIENTS. THE HOSPITAL TREATS ALL PATIENTS REGARDLESS OF ABILITY TO PAY. HARRISON MEMORIAL HOSPITAL PROVIDED APPROXIMATELY $1,323,414 OF CHARITY CARE AT COST. | Desc |
| Total Program Service Expenses | $106,895,254 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 106 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 866 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | KY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8592353502 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1210 KY HWY 36 EAST | AddressLine1Txt |
| City | CYNTHIANA | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 41031 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| MARIBETH MIDDEN PHARMD | ||||||||
| BOARD CHAIRMAN-ELECT | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| WAYNE CONNOR | ||||||||
| CHAIRMAN | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DAVID CASE | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JANELLE GARDENER-COX | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JAMES CALDER MD | ||||||||
| CHAIRMAN | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DOUGLAS DARBO | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ANGELA GRAY | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| BRETT HINES OD | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| HARLAND HATTER | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| CHARLES KOCH | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JACQUELINE BURRELL PHARMD | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| KATHY TUSSEY | ||||||||
| CEO/SECRETARY | 40.00 | 0.50 | $360,157 | $0 | $18,805 | Yes (X) | ||
| NICHOLAS WILEY | ||||||||
| COO | 40.00 | 0.00 | $186,599 | $0 | $4,327 | Yes (X) | ||
| HEATHER HUTCHISON | ||||||||
| CFO/TREASURER | 40.00 | 0.50 | $180,298 | $0 | $10,998 | Yes (X) | ||
| DAVID ASHER | ||||||||
| CSO | 40.00 | 0.00 | $167,361 | $0 | $11,439 | Yes (X) | ||
| MICHAEL RUTLAND | ||||||||
| CIO | 40.00 | 0.00 | $162,480 | $0 | $9,743 | Yes (X) | ||
| MATTHEW SHOTWELL | ||||||||
| CARDIOLOGY PHYSICAN | 40.00 | 0.00 | $2,315,310 | $0 | $18,139 | Yes (X) | ||
| YAZAN DAABOUL | ||||||||
| CARDIOLOGY PHYSICAN | 40.00 | 0.00 | $1,433,233 | $0 | $2,072 | Yes (X) | ||
| EARL GLEN ROBBINS | ||||||||
| GI & DIGESTIVE PHYSICIAN | 40.00 | 0.00 | $723,520 | $0 | $40,906 | Yes (X) | ||
| MICHAEL HORN | ||||||||
| ONCOLOGY PHYSICAN | 40.00 | 0.00 | $722,420 | $0 | $19,796 | Yes (X) | ||
| SRINADH ANNANGI | ||||||||
| PULMONOLOGY PHYSCIAN | 40.00 | 0.00 | $604,061 | $0 | $40,604 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $6,855,439 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $176,829 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 61 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MEDYCUS STAFFING PLLC | |||||
| 102 REDDING ROAD | GEORGETOWN | KY | 40324 | EMERGENCY ROOM PHYSICIAN STAFFING | $3,729,377 |
| COMMUNITY ANESTHESIA | |||||
| 1210 KY HIGHWAY 36 EAST | CYNTHIANA | KY | 41031 | ANESTHESIA SERVICES | $1,953,000 |
| QUALIVIS | |||||
| 5930 CORNERSTONE COURT WEST SUITE 3 | SAN DIEGO | CA | 92121 | AGENCY STAFFING | $1,453,153 |
| COGENT HEALTHCARE | |||||
| PO BOX 742936 | LOS ANGELES | CA | 90074 | HOSPITALISTS | $1,164,852 |
| ORTHOLINKS ORTHOPEDIC & REHAB LLC | |||||
| 348 EAST MAIN STREET | LEXINGTON | KY | 40507 | ORTHOPEDIC PHYSICIAN | $673,800 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 20 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $80,625 | FundraisingAmt |
| Government Grants | $570,941 | GovernmentGrantsAmt |
| All Other Contributions | $97,013 | AllOtherContributionsAmt |
| Total Contributions | $748,579 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REVENUE | 621999 | $94,420,034 | $94,420,034 |
| 340B PHARMACY REVENUE | 621399 | $2,448,480 | $2,448,480 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $96,868,514 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $75,605 | TotalRevenueColumnAmt |
| Exclusion | $75,605 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $375,305 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $753,687 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$378,382 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$378,382 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$378,382 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $7,800,000 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $8,305,046 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$505,046 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$505,046 | TotalRevenueColumnAmt |
| Exclusion | -$505,046 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $29,985 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $80,625 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $44,141 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$14,156 | TotalRevenueColumnAmt |
| Exclusion | -$14,156 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $12,384,799 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $2,789,148 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,595,651 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,471,951 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $123,700 | UnrelatedBusinessRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| MISCELLANEOUS INCOME | 900099 | $1,224,267 | $1,224,267 | |
| KIDTOWN CHILD CARE FEES | 624410 | $800,508 | $800,508 | |
| CAFETERIA REVENUE | 721310 | $589,699 | $589,699 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $407,916 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $407,916 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,022,390 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $109,413,155 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $107,760,206 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $123,700 | UnrelatedBusinessRevenueAmt |
| Exclusion | $780,670 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,000 | TotalAmt |
| Program Services | $100,000 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,000 | TotalAmt |
| Program Services | $6,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,056,895 | TotalAmt |
| Program Services | $955,785 | ProgramServicesAmt |
| Management And General | $101,110 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,086,615 | TotalAmt |
| Program Services | $41,677,060 | ProgramServicesAmt |
| Management And General | $4,409,555 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $911,349 | TotalAmt |
| Program Services | $829,041 | ProgramServicesAmt |
| Management And General | $82,308 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,920,367 | TotalAmt |
| Program Services | $5,402,939 | ProgramServicesAmt |
| Management And General | $517,428 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,226,740 | TotalAmt |
| Program Services | $2,918,047 | ProgramServicesAmt |
| Management And General | $308,693 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,058 | TotalAmt |
| Program Services | $53,408 | ProgramServicesAmt |
| Management And General | $5,650 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $658,868 | TotalAmt |
| Program Services | $595,836 | ProgramServicesAmt |
| Management And General | $63,032 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,670 | TotalAmt |
| Program Services | $28,640 | ProgramServicesAmt |
| Management And General | $3,030 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,368,512 | TotalAmt |
| Program Services | $18,419,518 | ProgramServicesAmt |
| Management And General | $1,948,994 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $262,886 | TotalAmt |
| Program Services | $237,736 | ProgramServicesAmt |
| Management And General | $25,150 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $196,070 | TotalAmt |
| Program Services | $177,313 | ProgramServicesAmt |
| Management And General | $18,757 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,072 | TotalAmt |
| Program Services | $5,491 | ProgramServicesAmt |
| Management And General | $581 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,595,580 | TotalAmt |
| Program Services | $1,442,702 | ProgramServicesAmt |
| Management And General | $152,878 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $127,664 | TotalAmt |
| Program Services | $115,451 | ProgramServicesAmt |
| Management And General | $12,213 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,113,552 | TotalAmt |
| Program Services | $1,113,552 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,594,408 | TotalAmt |
| Program Services | $3,248,168 | ProgramServicesAmt |
| Management And General | $346,240 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,333,870 | TotalAmt |
| Program Services | $1,206,040 | ProgramServicesAmt |
| Management And General | $127,830 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES AND DR | $23,802,547 | $21,525,429 | $2,277,118 |
| PROVIDER TAX | $3,767,334 | $3,767,334 | |
| OTHER SUPPLIES | $1,378,250 | $1,246,262 | $131,988 |
| REPAIRS AND MAINTENANCE | $713,002 | $644,661 | $68,341 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,314,763 | TotalAmt |
| Program Services | $1,178,841 | ProgramServicesAmt |
| Management And General | $135,922 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $117,632,072 | TotalAmt |
| Program Services | $106,895,254 | ProgramServicesAmt |
| Management And General | $10,736,818 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,312,543 | BOYAmt |
| EOY | $820,622 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,927,887 | BOYAmt |
| EOY | $8,901,825 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,322,131 | BOYAmt |
| EOY | $13,424,709 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $427,755 | BOYAmt |
| EOY | $265,804 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,181,797 | BOYAmt |
| EOY | $2,441,140 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,231,507 | BOYAmt |
| EOY | $1,136,753 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $88,179,346 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $56,408,984 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,521,974 | BOYAmt |
| EOY | $31,770,362 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,190,766 | BOYAmt |
| EOY | $3,248,018 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,100,057 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,033,810 | BOYAmt |
| EOY | $947,433 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,462,255 | BOYAmt |
| EOY | $6,719,666 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,712,482 | BOYAmt |
| EOY | $69,676,332 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,387,395 | BOYAmt |
| EOY | $10,094,305 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $152,693 | BOYAmt |
| EOY | $41,186 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,783,073 | BOYAmt |
| EOY | $29,178,324 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,045,572 | BOYAmt |
| EOY | $2,642,571 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,275,964 | BOYAmt |
| EOY | $587,962 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,644,697 | BOYAmt |
| EOY | $42,544,348 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,985,594 | BOYAmt |
| EOY | $27,041,761 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,191 | BOYAmt |
| EOY | $90,223 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,067,785 | BOYAmt |
| EOY | $27,131,984 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,712,482 | BOYAmt |
| EOY | $69,676,332 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$8,218,917 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $47,198 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $235,918 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
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) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $31,670 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $31,670 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION PAID MEMBERSHIP DUES TO THE KENTUCKY HOSPITAL ASSOCIATION, A PORTION OF WHICH IS ATTRIBUTABLE TO LOBBYING ACTIVITIES. IT ALSO PAID A VENDOR FOR SERVICES, A PORTION OF WHICH IS ATTRIBUTABLE TO LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,208,044 | OtherCostOrOtherBasisAmt |
| Book Value | $2,208,044 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $37,671,026 | OtherCostOrOtherBasisAmt |
| Depreciation | $19,428,249 | DepreciationAmt |
| Book Value | $18,242,777 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $38,872,017 | OtherCostOrOtherBasisAmt |
| Depreciation | $29,961,624 | DepreciationAmt |
| Book Value | $8,910,393 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,428,259 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,019,111 | DepreciationAmt |
| Book Value | $2,409,148 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $31,770,362 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ASSET WHOSE USE IS LIMITED | $90,223 |
| PHYSICIAN RECRUITMENT | $48,786 |
| OTHER ASSETS | $1,823,563 |
| ESTIMATED THIRD PARTY SETTLEMENTS | $4,757,094 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $6,719,666 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| PHYSICIAN COMMITMENTS | $48,786 |
| ROU - LEASES | $539,176 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $587,962 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2 | FormAndLineReferenceDesc |
| Explanation | HMH, FOUNDATION, EMS, AND PHARMACY ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. AS SUCH, THESE ENTITIES ARE GENERALLY EXEMPT FROM INCOME TAXES. HOWEVER, THESE ENTITIES ARE REQUIRED TO FILE FEDERAL FORM 990 RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX WHICH IS AN INFORMATIONAL RETURN ONLY. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE HOSPITAL AND RECOGNIZE A TAX LIABILITY IF THE HOSPITAL HAS TAKEN AN UNCERTAIN TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE HOSPITAL, AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2025 AND 2024 , THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE HOSPITAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | SPRING GALA | Event1Nm |
| Gross Receipts Event1 | $110,610 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $80,625 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $29,985 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $1,270 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $2,000 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $36,543 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $1,000 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $3,328 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $110,610 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $80,625 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $29,985 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $1,270 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $2,000 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $36,543 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $1,000 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $3,328 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $44,141 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$14,156 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 15000.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $577,162 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $577,162 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00490 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,413,335 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $30,976,104 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,990,497 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $30,976,104 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $577,162 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00490 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,785 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,785 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $4,201,681 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,736 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,196,945 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03570 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $100,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $100,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $4,306,466 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,736 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,301,730 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03660 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $24,296,963 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $30,980,840 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,878,892 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04150 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 76 | ActivitiesOrProgramsCnt |
| Persons Served | 14533 | PersonsServedCnt |
| Total Community Benefit Expns | $91,865 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $91,865 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 52 | ActivitiesOrProgramsCnt |
| Persons Served | 8710 | PersonsServedCnt |
| Total Community Benefit Expns | $84,497 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $84,497 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 128 | ActivitiesOrProgramsCnt |
| Persons Served | 23243 | PersonsServedCnt |
| Total Community Benefit Expns | $176,362 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $176,362 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense | $3,320,435 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $9,590,691 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $14,850,756 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$5,260,065 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | 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 | HARRISON MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1210 KY HWY 36 EAST | AddressLine1Txt |
| City | CYNTHIANA | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 41031 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| State License | 100167 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HARRISON MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | 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 |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 24 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.HARRISONMEMHOSP.COM | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 24 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.HARRISONMEMHOSP.COM | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 150.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 150.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.HARRISONMEMHOSP.COM | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.HARRISONMEMHOSP.COM | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.HARRISONMEMHOSP.COM | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| HARRISON MEMORIAL HOSPITAL INC | PART V, SECTION B, LINE 5: HMH ENGAGED BLUE TO ASSIST THE HOSPITAL IN CONDUCTING A CHNA AND ANALYZE THE DATA FOR THE CHNA REQUIREMENTS OUTLINED IN SECTION 9007 OF THE PPACA OF 2010. BLUE IS A CERTIFIED PUBLIC ACCOUNTING FIRM THAT PROVIDES TAX CONSULTING AND COMPLIANCE TO THE HEALTHCARE INDUSTRY, AMONG OTHER SERVICES. HMH PROVIDED ALL THE FINANCIAL SUPPORT FOR THE ASSESSMENT PROCESS.BLUE AND HMH DEVELOPED INTERVIEW QUESTIONS AND A SURVEY THAT WOULD BE THE TOOLS USED TO GATHER INFORMATION FROM KEY STAKEHOLDERS IN THE COMMUNITY. HMH THEN CONDUCTED CONVERSATIONS WITH COMMUNITY LEADERS AND MEMBERS OF THE HOSPITAL'S MEDICAL STAFF AND SENT SURVEYS THAT COULD BE COMPLETED ONLINE. THE COMMUNITY OUTREACH DATA COLLECTION STRATEGY WAS TARGETED AT ENGAGING A CROSSSECTION OF RESIDENTS FROM THE COMMUNITY. ONCE DATA HAD BEEN COLLECTED AND ANALYZED, MEETINGS WITH HOSPITAL LEADERSHIP WERE HELD TO DISCUSS KEY FINDINGS AND REFINE THE COMPREHENSIVE LIST OF COMMUNITY NEEDS, SERVICES, AND POTENTIAL GAPS. A SURVEY WAS DEVELOPED BY BLUE AND HMH TO SOLICIT PERCEPTIONS, INSIGHTS, AND GENERAL UNDERSTANDING FROM COMMUNITY MEMBERS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH. THESE INDIVIDUALS ALSO REPRESENTED THE INTERESTS OF THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS OF THE COMMUNITY SERVED. PERSONAL INTERVIEWS WERE CONDUCTED BY HMH WITH A TOTAL OF TWENTY (20) PARTICIPANTS DURING MARCH - APRIL 2024, WITH EACH SESSION LASTING APPROXIMATELY 15 MINUTES. THESE SESSIONS WERE CONDUCTED WITH COMMUNITY MEMBERS SERVED BY HMH, INCLUDING PUBLIC SERVICE LEADERS, HEALTH EXPERTS, PUBLIC OFFICIALS, PHYSICIANS, HOSPITAL EMPLOYEES, AND OTHER HEALTH PROFESSIONALS AND PROVIDERS, INCLUDING THOSE ASSOCIATED WITH HMH. THE PRIMARY OBJECTIVE WAS TO SOLICIT PERCEPTIONS REGARDING HEALTH NEEDS AND SERVICES OFFERED IN THE COMMUNITY AND ANY OPPORTUNITIES OR BARRIERS TO SATISFY THE REQUIREMENTS. |
| HARRISON MEMORIAL HOSPITAL INC | PART V, SECTION B, LINE 11: THIS COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED FOUR VITAL AREAS OF FOCUS, WHICH WILL GUIDE HMH'S STRATEGIC PLANNING AND COMMUNITY HEALTH INITIATIVES. THESE ARE OUTLINED BELOW:- OBESITY AND CHRONIC CONDITIONS- DRUG, ALCOHOL, AND TOBACCO USE AND ABUSE- ACCESS TO CARE- HEALTH AND WELL-BEING OF OLDER ADULTSFOCUS AREA 1:OBESITY AND CHRONIC CONDITIONS- GOAL: PROMOTE WELLNESS AND FOOD INSECURITY- STRATEGIES: RECRUIT AN ENDOCRINOLOGIST AND ESTABLISH A CLINIC TO ASSIST WITH DIABETIC AND PRE-DIABETIC PATIENTS, IMPROVE OUTPATIENT DIETICIAN CONSULTS TO HELP WITH HEALTHY EATING HABITS AND TREATMENTS, INCREASE HEART DISEASE AWARENESS, DECREASE HYPERTENSION, HOST HEALTH AND WELLNESS FAIRS, PROVIDE INDUSTRY SCREENINGS, CONTINUE TO SUPPORT LOCAL EVENTS INVOLVING EXERCISE, PROMOTE HMH WELLNESS CENTER AND CLASSES, PROVIDE A FULL-SERVICE DIABETICS CLINIC, CREATE A RESOURCE GUIDE FOR EACH COMMUNITY HMH SERVES, AND PROMOTE FOOD PANTRIES, FOOD DROP-OFFS AND COMMUNITY GARDENS IN EACH AREA.FOCUS AREA 2: ALCOHOL, SUBSTANCE AND TOBACCO USE- GOAL: INCREASE COMMUNITY CAPACITY TO RESPOND TO INCREASED SUBSTANCE USE NEEDS, INCLUDING PREVENTION, TREATMENT AND RECOVER. - STRATEGIES: PARTERNSHIPS WITH LOCAL MENTAL HEALTH PROGRAMS, PROMOTION OF AA AND NA GROUPS IN COMMUNITIES, EDUCATION TO THE COMMUNITY, ADDING A FULL-TIME PEER SUPPORT SPECIALIST TO THE EMERGENCY DEPARTMENT, HAVING MORE MENTAL HEALTH PROVIDERS AT HMH, CREATING AN HMH SMOKING CESSATION PROGRAM, PARTNERING WITH UNIVERSITY OF KENTUCKY #ICANTRENTPROGRAM FOR EDUCATION ON THE RISKS OF VAPING AND E-CIGARETTES, AND PROMOTION OF HMH LUNG CANCER SCREENING PROGRAM. FOCUS AREA 3: ACCESS TO CARE- GOAL: SPECIALTY CARE, PRIMARY CARE, COST OF CARE, AND TRANSPORTATION- STRATEGIES: ADD A FULL-TIME GASTROENTEROLOGY AND ENDOCRINOLOGY SERVICE AT HMH, EVALUATE APPOINTMENT AVAILABILITY, ADD MORE PRIMARY CARE PROVIDERS TO HMH PRIMARY CARE OFFICES, INCREASE UTILIZATION OF PATIENT PORTAL, INCREASE HOURS PRMARY CARE IS AVAILABLE INCLUDING EVENING AND WEEKEND HOURS, PROMOTE ABLEPAY PROGRAM, INCREASE AWARENESS OF COMMUNITY PROGRAMS TO ASSIST WITH COST OF LIVING ISSUES, CREATE TRANSPORTATION SERVICE FOR THE LOCAL COMMUNITY, AND PROMOTE TRANSPORTATION ASSISTANCE. FOCUS AREA 4: HEALTH AND WELL-BEING OF OLDER ADULTS- GOAL: PROVIDING ACCES AND EDUCATION - STRATEGIES: ADD ADDITIONAL PRIMARY CARE AND SPECIALISTS TO MEDICAL STAFF, INCREASE ACCESS OF CARE FOR AGING POPULATION, ADD MORE HEALTH-RELATED FOCUSED SEMINARS AND EDUCATION, AND ADD MORE HEALTH-RELATED EDUCATION VIA SOCIAL, RADIO, AND EMAIL BLASTS. OTHER GOALS OF THE ASSESSMENT WERE:- STRENGTHEN RELATIONSHIPS WITH LOCAL COMMUNITY LEADERS, HEALTH CARE LEADERS/PROVIDERS, OTHER HEALTH SERVICE ORGANIZATIONS, AND THE COMMUNITY AT LARGE- PROVIDE QUANTITATIVE AND QUALITATIVE DATA TO HELP GUIDE FUTURE STRATEGIC POLICY, BUSINESS, AND CLINICAL PROGRAMMING DECISIONS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 10 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - PRIMARY CARE PLEASANT | ||||
| 439 EAST PLEASANT STREET | CYNTHIANA | KY | 41031 | RURAL HEALTH CLINIC |
| 2 - PRIMARY CARE CARLISLE | ||||
| 254 EAST MAIN STREET | CARLISLE | KY | 40311 | RURAL HEALTH CLINIC |
| 3 - PRIMARY CARE FALMOUTH | ||||
| 1120 WEST SHELBY STREET | FALMOUTH | KY | 41040 | RURAL HEALTH CLINIC |
| 4 - PRIMARY CARE SOUTH | ||||
| 809 US HWY 27 S | CYNTHIANA | KY | 41031 | RURAL HEALTH CLINIC |
| 5 - PRIMARY CARE MAIN | ||||
| 1210 KY HWY 36 EAST | CARLISLE | KY | 41031 | RURAL HEALTH CLINIC |
| 6 - PT CLINIC | ||||
| 2300 CONCRETE DRIVE | CARLISLE | KY | 40311 | PT SATELLITE OFFICE |
| 7 - HARRISON COUNTY EMS | ||||
| 101 RODGERS PARK | CYNTHIANA | KY | 41031 | AMBULANCE SERVICE |
| 8 - CLINIC PHARMACY | ||||
| 1210 KY HWY 36 EAST | CYNTHIANA | KY | 41031 | RETAIL PHARMACY |
| 9 - CLINIC PHARMACY II | ||||
| 1210 KY HWY 36 EAST | CYNTHIANA | KY | 41031 | RETAIL PHARMACY |
| 10 - COTTAGES AT FLAT RUN | ||||
| KY HWY 36 EAST | CYNTHIANA | KY | 41031 | SENIOR RENTAL COTTAGES |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | AMOUNTS WERE DETERMINED USING A COST-TO-CHARGE RATIO DERIVED FROM THE WORKSHEETS IN THE INSTRUCTIONS TO SCHEDULE H. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | HARRISON MEMORIAL HOSPITAL IS VERY ACTIVE IN THE COMMUNITY WITH PROMOTING HEALTH EDUCATION. HMH PARTNERS WITH SEVERAL COMMUNITY ORGANIZATIONS TO REACH THE LARGEST AUDIENCE. IN MOST RECENT YEARS, HMH HAS PROVIDED HEALTH FAIRS AND SEMINARS IN SEVERAL COUNTIES LIKE PENDLETON, BRACKEN AND ROBERTSON. BY PROVIDING THESE EVENTS, HMH IS ABLE TO PROVIDE EDUCATION AND SCREENINGS MORE LOCALLY FOR THE RESIDENTS. IN ADDITION, THE EVENTS AID IN BUILDING RELATIONSHIPS WITH COMMUNITY LEADERS AND RESIDENTS. THE EVENTS LIKE HEALTH FAIRS PROVIDE FREE TESTS AND SCREENINGS, WHICH WOULD NORMALLY COST $1,200 PER PERSON. THE HEALTH FAIRS PROVIDE AN OPPORTUNITY FOR THE UNDERINSURED AND UNINSURED TO RECEIVE MEDICAL CARE. THE EVENTS ALSO HAVE SEVERAL OPPORTUNITIES TO MEET WITH HEALTH CARE PROFESSIONALS TO DISCUSS HEALTH ISSUES. THE HMH SPONSORED EDUCATIONAL SEMINARS PROVIDE AN OPPORTUNITY FOR INDIVIDUALS TO MEET HEALTH CARE PROFESSIONALS AND DISCUSS MAJOR HEALTH TOPICS. COMMUNITY EVENTS WERE LIMITED DURING THE FISCAL YEAR DUE TO COVID. |
| PART III, LINE 2: | BAD DEBT COST REPRESENTS THE EXPENSE THE HOSPITAL INCURRED DUE TO NONPAYMENT OF HOSPITAL CHARGES INCLUDING, BUT NOT LIMITED TO, NONPAYMENT OF MEDICARE COINSURANCE AND DEDUCTIBLE AMOUNTS. THIS EXPENSE IS LISTED AS CONTRA-REVENUE IN THE FINANCIAL STATEMENTS. BAD DEBT COST IS CALCULATED BY MULTIPLYING THE BAD DEBT EXPENSE LISTED ON THE FINANCIAL STATEMENTS BY THE COST TO CHARGE RATIO COMPUTED ON WORKSHEET 2. |
| PART III, LINE 4: | SEE AUDITED FINANCIAL STATEMENTS PAGES 10 AND 11. |
| PART III, LINE 8: | THE SHORTFALL REPORTED ON LINE 7 SHOULD BE TREATED AS COMMUNITY BENEFIT. LINE 6 WAS COMPUTED USING REVENUE AMOUNTS LISTED ON THE SETTLEMENT WORKSHEETS ON THE AS-FILED MEDICARE COST REPORT FOR FYE 2025. |
| PART III, LINE 9B: | THE HOSPITAL PROVIDES FINANCIAL ASSISTANCE BASED ON FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR PROVIDING FREE CARE AND DISCOUNTED CARE. FOR PATIENTS QUALIFYING FOR FINANCIAL ASSISTANCE WITH DISCOUNTED CARE, COLLECTION PURSUITS FOR THE DISCOUNTED CHARGES ARE FOLLOWED AS STATED IN OUR PROMPT PAYMENT ON SELF-PAY ACCOUNTS POLICY. |
| PART VI, LINE 2: | THE HOSPITAL COMPLETED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT AS REQUIRED BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT. IN ADDITION, HARRISON MEMORIAL HOSPITAL ASSESSES THE COMMUNITY THROUGH SEVERAL METHODS. THE HMH COMMUNITY CONSISTS OF A SEVEN-COUNTY AREA. HMH HAS TWO BOARD LEVEL COMMITTEES WHO PROVIDE RECOMMENDATIONS TO THE HMH BOARD OF DIRECTORS. PLANNING: MARKET SHARE ENHANCEMENT COMMITTEE IS COMPRISED OF HMH BOARD MEMBERS AND HMH PHYSICIAN STAFF MEMBERS. THE COMMITTEE IS PRESENTED WITH MARKET SHARE DATA OF THE INPATIENT ACTIVITY OF THE HOSPITAL AND OF MAJOR SERVICE LINES LIKE CARDIOLOGY, ORTHOPEDICS. THE DATA INFORMS THE COMMITTEE WHERE PATIENTS IN THE HMH SERVICE AREA CHOOSE TO RECEIVE HEALTHCARE. THE DATA IS EXTRACTED FROM KENTUCKY INFOSUITE EACH QUARTER. THE REPORTS AID THE COMMITTEE IN MAKING DECISIONS IN REGARDS TO THE NEEDS OF THE COMMUNITY. EACH YEAR THE PMSE COMMITTEE HOSTS A STRATEGIC RETREAT INVITING HMH BOARD MEMBERS, PHYSICIAN STAFF MEMBERS AND SENIOR MANAGEMENT TO DISCUSS COMMUNITY NEEDS AND PLANS FOR THE FUTURE. ANOTHER BOARD LEVEL COMMITTEE IS CALLED MEDICAL STAFF DEVELOPMENT. THE COMMITTEE IS COMPRISED OF HMH BOARD MEMBERS, HMH PHYSICIAN STAFF MEMBERS AND COMMUNITY VOLUNTEERS. EACH YEAR THE MEDICAL STAFF DEVELOPMENT COMMITTEE COMPLETES A PHYSICIAN NEEDS ASSESSMENT. THE ASSESSMENT DEMONSTRATES THE PHYSICIAN NEED IN THE AREA BASED ON POPULATION. THE ASSESSMENT IS USED TO FORM A PHYSICIAN RECRUITING PLAN FOR THE FUTURE AND IS RECOMMENDED TO THE BOARD FOR APPROVAL. FINALLY, THE HMH MEDICAL STAFF MEETINGS ARE HELD ONCE A MONTH WHERE MEMBERS OF THE HMH SENIOR MANAGEMENT ALSO ATTEND. WITHIN THESE MEETINGS, THE STAFF MEMBERS DISCUSS PATIENT NEEDS. THE INFORMATION GATHERED AT THESE MEETINGS AID IN THE DECISIONS OF SERVICE LINE ENHANCEMENT. |
| PART VI, LINE 3: | NOTIFICATION ABOUT CHARITY AVAILABLE FROM HARRISON MEMORIAL HOSPITAL, WHICH SHALL INCLUDE A CONTACT NUMBER, SHALL BE DISSEMINATED BY HARRISON MEMORIAL HOSPITAL BY VARIOUS MEANS, WHICH MAY INCLUDE, BUT ARE NOT LIMITED TO, THE PUBLICATION OF NOTICES IN PATIENT BILLS AND BY POSTING NOTICES IN EMERGENCY ROOMS, SPECIALTY PHYSICIAN CLINICS, ADMITTING AND REGISTRATIONDEPARTMENTS, HOSPITAL BUSINESS OFFICES, AND PATIENT FINANCIAL SERVICES OFFICES THAT ARE LOCATED ON FACILITY CAMPUSES, AND AT OTHER PUBLIC PLACES AS HARRISON MEMORIAL HOSPITAL MAY ELECT. SUCH INFORMATION SHALL BE PROVIDED IN THE PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY HARRISON MEMORIAL HOSPITAL. REFERRAL OF PATIENTS FOR CHARITY MAY BE MADE BY ANY MEMBER OF THE HARRISON MEMORIAL HOSPITAL STAFF OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL COUNSELORS, SOCIAL WORKERS, CASE MANAGERS, CHAPLAINS, AND RELIGIOUS SPONSORS. A REQUEST FOR CHARITY MAY BE MADE BY THE PATIENT OR A FAMILY MEMBER, CLOSE FRIEND, OR ASSOCIATE OF THE PATIENT, SUBJECT TO APPLICABLE PRIVACY LAWS. |
| PART VI, LINE 4: | HARRISON MEMORIAL HOSPITAL SERVES SEVEN COUNTIES IN THE CENTRAL KENTUCKY AREA MAKING IT A REGIONAL FACILITY. THOSE COUNTIES ARE HARRISON, PENDLETON, ROBERTSON, BRACKEN, NICHOLAS, BOURBON AND SCOTT. HMH'S COMMUNITY IS CONSIDERED IN MOST PARTS RURAL WITH CYNTHIANA BEING ITS LARGEST TOWN IT SERVES WITH A POPULATION AROUND 7,000. THE AREA IS ALSO DESCRIBED AS A BEDROOM COMMUNITY OF LEXINGTON. THE AREA IS A FARMING COMMUNITY WITH SEVERAL STRONG INDUSTRIES BASED IN THE AREA. HMH CONSIDERS ITS SERVICE AREA POPULATION TO BE 35,000. THE DEMOGRAPHIC OF THE COMMUNITIES IS PREDOMINANTLY CAUCASIAN WITH AN AGING POPULATION. |
| PART VI, LINE 5: | THE ORGANIZATION'S HOSPITAL FACILITY FURTHERS ITS EXEMPT PURPOSE BY ACTIVELY PROMOTING THE HEALTH OF THE COMMUNITY THROUGH SEVERAL KEY INITIATIVES. THE HOSPITAL MAINTAINS A MEDICAL STAFF WHO PROVIDES SPECIALIZED CARE TO ALL THE PATIENT POPULATION, ENSURING ACCESS TO A BROAD RANGE OF MEDICAL EXPERTISE. THE HOSPITAL PROVIDES SEVERAL RURAL HEALTH CLINICS OFFERING PRIMARY CARE SERVICES TO OUR PATIENTS. A VOLUNTEER COMMUNITY BOARD, COMPRISING LOCAL LEADERS AND STAKEHOLDERS, GUIDES HOSPITAL POLICIES AND PROGRAMS TO ADDRESS SPECIFIC HEALTH NEEDS AND PRIORITIES OF THE AREA. THE HOSPITAL HAS A SIGNIFICANT PRESENCE IN THE COMMUNITY OFFERING FREE HEALTH SCREENINGS, EDUCATIONAL SEMINARS, AND WELLNESS INITIATIVES, AIMED AT PREVENTING DISEASE AND FOSTERING A HEALTHIER POPULATION. THESE EFFORTS UNDERSCORE THE HOSPITAL'S COMMITMENT TO ENHANCING COMMUNITY HEALTH AND WELLBEING, ALIGNING WITH ITS MISSION TO SERVE AND SUPPORT THE LOCAL POPULATION. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNIVERSITY OF LOUISVILLE FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 215 CENTRAL AVENUE STE 212 | AddressLine1Txt |
| City | LOUISVILLE | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 40208 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 237078461 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $100,000 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Purpose Of Grant | FUND CARDIOVASCULAR RESEARCH CONDUCTED BY THE UNIVERSITY OF LOUISVILLE | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIPS | GrantTypeTxt |
| Recipient | 2 | RecipientCnt |
| Cash Grant | $6,000 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION MONITORS THE USE OF GRANT FUNDS. REGARDING SCHOLARSHIPS, INDIVIDUALS COMPLETE AN APPLICATION THAT IS REVIEWED AGAINST AWARD CRITERIA. RECIPIENTS MUST SUBMIT PROOF OF GRADES AND PROOF OF EXPENSES AFTER SUCCESFUL COMPLETION OF THE COURSE(S). | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MATTHEW SHOTWELL | ||||||||||||||
| CARDIOLOGY PHYSICAN | $2,315,310 | $0 | $0 | $0 | $0 | $0 | $14,000 | $0 | $4,139 | $0 | $2,333,449 | $0 | $0 | $0 |
| YAZAN DAABOUL | ||||||||||||||
| CARDIOLOGY PHYSICAN | $1,433,233 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $2,072 | $0 | $1,435,305 | $0 | $0 | $0 |
| EARL GLEN ROBBINS | ||||||||||||||
| GI & DIGESTIVE PHYSICIAN | $723,520 | $0 | $0 | $0 | $0 | $0 | $37,500 | $0 | $3,406 | $0 | $764,426 | $0 | $0 | $0 |
| MICHAEL HORN | ||||||||||||||
| ONCOLOGY PHYSICAN | $722,420 | $0 | $0 | $0 | $0 | $0 | $14,000 | $0 | $5,796 | $0 | $742,216 | $0 | $0 | $0 |
| SRINADH ANNANGI | ||||||||||||||
| PULMONOLOGY PHYSCIAN | $604,061 | $0 | $0 | $0 | $0 | $0 | $37,500 | $0 | $3,104 | $0 | $644,665 | $0 | $0 | $0 |
| KATHY TUSSEY | ||||||||||||||
| CEO/SECRETARY | $360,157 | $0 | $0 | $0 | $0 | $0 | $14,000 | $0 | $4,805 | $0 | $378,962 | $0 | $0 | $0 |
| HEATHER HUTCHISON | ||||||||||||||
| CFO/TREASURER | $180,298 | $0 | $0 | $0 | $0 | $0 | $7,365 | $0 | $3,633 | $0 | $191,296 | $0 | $0 | $0 |
| NICHOLAS WILEY | ||||||||||||||
| COO | $186,599 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $4,327 | $0 | $190,926 | $0 | $0 | $0 |
| DAVID ASHER | ||||||||||||||
| CSO | $167,361 | $0 | $0 | $0 | $0 | $0 | $6,880 | $0 | $4,559 | $0 | $178,800 | $0 | $0 | $0 |
| MICHAEL RUTLAND | ||||||||||||||
| CIO | $162,480 | $0 | $0 | $0 | $0 | $0 | $5,278 | $0 | $4,465 | $0 | $172,223 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COUNTY OF HARRISON KENTUCKY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 616000746 | BondIssuerEIN |
| CUSIP | 415005AA5 | CUSIPNum |
| Bond Issued | 2015-12-03 | BondIssuedDt |
| Issue Price | $32,065,000 | IssuePriceAmt |
| Purpose | FINANCE CAPITAL EXPENDITURES AND REFUND PREVIOUS BONDS | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $2,886,676 | RetiredAmt |
| Total Proceeds | $32,065,000 | TotalProceedsAmt |
| Refunding Escrow | $15,299,328 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $557,081 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $16,208,591 | CapitalExpendituresAmt |
| Substantial Completion | 2015 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | Yes (1) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | Yes (1) | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1A | THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE BOARD CHAIRMAN, BOARD CHAIRMAN-ELECT, FINANCE COMMITTEE CHAIRMAN, BOARD MEMBER AND CEO (WHEN APPROPRIATE AND AS AN EX-OFFICIO MEMBER WITHOUT VOTE). IT SHALL HAVE THE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE HOSPITAL DURING THE INTERIM BETWEEN THE MEETINGS OF THE BOARD OF DIRECTORS, PROVIDED ANY ACTION WHICH IT MAY TAKE SHALL NOT CONFLICT WITH THE POLICIES AND EXPRESSED WISHES OF THE BOARD OF DIRECTORS, AND IT SHALL REFER ALL MATTERS OF MAJOR IMPORTANCE TO THE BOARD OF DIRECTORS. SHOULD ANY MATTERS OF EXTREME URGENCY ARISE BETWEEN THE REGULAR MEETINGS OF THE BOARD OF DIRECTORS, IT SHALL BE THE DUTY OF THE EXECUTIVE COMMITTEE TO REQUEST THE BOARD CHAIRMAN TO CALL A SPECIAL MEETING OF THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 11B | A COPY OF FORM 990 IS PROVIDED TO THE BOARD THROUGH THE HMH BOARD PORTAL PRIOR TO FILING. THE 990 IS REVIEWED IN DETAIL AT THE FINANCE COMMITTEE MEETING WITH BOARD MEMBERS PRESENT. THEY ARE ENCOURAGED TO PERSONALLY VISIT WITH THE CFO TO COVER ANY TOPICS NECESSARY. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANNUALLY, ALL APPLICABLE PERSONNEL SIGN A CONFLICT OF INTEREST STATEMENT AND WHEN NEEDED, IT IS INCORPORATED INTO POLICIES. IF THE CEO OR HIS/HER DESIGNEE HAS REASONABLE CAUSE TO BELIEVE THAT AN INTERESTED PERSON HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICT OF INTEREST, HE/SHE SHALL INFORM THE MANAGER/DIRECTOR OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MANAGER/DIRECTOR AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. WHEN IT IS DEEMED THAT A CONFLICT HAS IN FACT ARISEN, THE INDIVIDUAL SHALL ABSTAIN FROM ANY VOTING MATTERS. |
| FORM 990, PART VI, SECTION B, LINE 15 | LINE 15A: THE BYLAWS OF THE HARRISON MEMORIAL BOARD OF DIRECTORS SET OUT THE REQUIREMENTS FOR CEO EVALUATION AND COMPENSATION. THE BOARD EXECUTIVE COMMITTEE HAS THE SPECIFIC RESPONSIBILITY TO ANNUALLY EVALUATE THE CEO AND RECOMMEND TO THE BOARD OF DIRECTORS THE SALARY AND BENEFITS OF THE CEO. THE BOARD OF DIRECTORS DISCUSSES THE RESULTS AND RECOMMENDATIONS OF THE EXECUTIVE COMMITTEE AND APPROVE ANY SALARY ADJUSTMENT. LINE 15B: THE BOARD CHAIR AND EXECUTIVE COMMITTEE REVIEW AND THE BOARD APPROVES COMPENSATION ANNUALLY DURING THE BUDGET PROCESS. MANAGEMENT USES THE AHA SALARY SURVEY AND THE BOARD APPROVES ANY INCREASES IN COMPENSATION. THIS PROCESS IS DOCUMENTED AND COMPLETED BY INDEPENDENT INDIVIDUALS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE ALL MADE AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 10,448,895. MANAGEMENT AND GENERAL EXPENSES 1,105,803. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,554,698. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 7,970,623. MANAGEMENT AND GENERAL EXPENSES 843,191. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,813,814. |
| PART XII, LINE 2C | THE ORGANIZATION DIDN'T CHANGE ITS OVERSIGHT OR SELECTION PROCESS RELATED TO TO ITS FINANCIAL STATEMENTS DURING THE TAX YEAR. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| HARRISON MEMORIAL HOSPITAL FOUNDATION | |||||||||
| 1210 KY HWY 36 EAST | CYNTHIANA | KY | 41031 | 610420440 | HOLD REAL ESTATE | KY | $341,303 | $20,601 | HARRISON MEMORIAL HOSPITAL INC |
| CLINIC PHARMACY LLC | |||||||||
| 1210 KY HWY 36 EAST | CYNTHIANA | KY | 41031 | 611395931 | PHARMACY SERVICES | KY | HARRISON MEMORIAL HOSPITAL INC | ||
| HARRISON COUNTY EMS LLC | |||||||||
| 1210 KY HWY 36 EAST | CYNTHIANA | KY | 41031 | 884390894 | AMBULANCE SERVICES | KY | HARRISON MEMORIAL HOSPITAL INC | ||
| CLINIC PHARMACY II LLC | |||||||||
| 1210 KY HWY 36 EAST | CYNTHIANA | KY | 41031 | 332637616 | PHARMACY SERVICES | KY | HARRISON MEMORIAL HOSPITAL INC | ||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HARRISON MEMORIAL PAIN MANAGEMENT LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1210 KY HWY 36 EAST | AddressLine1Txt |
| City | CYNTHIANA | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 41031 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 472547452 | EIN |
| Primary Activities | PAIN MANAGEMENT SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | KY | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HARRISON MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | $286,503 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $354,863 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
| Ownership | 0.51000 | OwnershipPct |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH PARTNERSHIP LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1210 KY HWY 36 EAST | AddressLine1Txt |
| City | CYNTHIANA | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 41031 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 611348611 | EIN |
| Primary Activities | HEALTH CARE PROMOTION | PrimaryActivitiesTxt |
| Legal Domicile State | KY | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HARRISON MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Share Of EOY Assets | $500 | ShareOfEOYAssetsAmt |
| Ownership | 0.80000 | OwnershipPct |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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