2026-05-14T14:22:12-05:00 2025-06-30 621046406 JOHNSON HICKEY & MURCHISON PC 2215 OLAN MILLS DRIVE CHATTANOOGA TN 37421 990 2024-07-01 610432526 CALDWELL COUNTY HOSPITAL INC CALDWELL MEDICAL CENTER CALD 2703650321 100 MEDICAL CENTER DRIVE PRINCETON KY 42445 NACY BUTTS CFO 2703650327 2026-05-14 1 DIANA BOLEN P01226129 4237560052 2026-05-13 2024 2025-03-06 01:10:19Z NACY BUTTS 100 MEDICAL CENTER DRIVE PRINCETON KY 42038 38436997 0 X WWW.CALDWELLMEDICAL.COM X 1947 KY CALDWELL MEDICAL CENTER IS AN ORGANIZATION THAT PROVIDES HEALTHCARE SERVICES FOR CALDWELL AND SURROUNDING COUNTIES TO RAISE AND MAINTAIN THE STANDARDS OF COMMUNITY HEALTH THROUGH EDUCATION, PREVENTION, AND TREATMENT OF ILLNESS. 11 10 303 2 0 0 38214 48020 31610975 33543776 732177 901049 1441907 2313464 33823273 36806309 0 0 0 0 13477853 15026028 0 0 0 17083187 18640345 30561040 33666373 3262233 3139936 36260685 38606647 29639364 28703328 6621321 9903319 CALDWELL MEDICAL CENTER'S MISSION IS TO PROVIDE QUALITY, COMPASSIONATE HEALTHCARE. 0 0 26436390 35857240 CALDWELL MEDICAL CENTER PROVIDED INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES IN CALDWELL AND LYON COUNTIES. IN ADDITION CALDWELL MEDICAL CENTER'S MAJOR SERVICE ACCOMPLISHMENTS FOR THE YEAR INCLUDED HOSTING A COMMUNITY HEALTH FAIR, BLOOD DRIVES, BLOOD PRESSURE SCREENINGS, COVID DRIVE THRU TESTING SERVICES, COMMUNITY MAMMOGRAPHY EDUCATION, DIABETES EDUCATION, SPONSORED COMMUNITY EVENTS, AND PAYING EMPLOYEES TO SERVE ON VARIOUS COMMUNITY BOARDS. 26436390 1 1 0 1 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 41 0 1 303 1 0 0 0 0 0 0 0 0 0 0 X 11 10 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 KY X THE ORGANIZATION 2703650321 100 MEDICAL CENTER DRIVE PRINCETON KY 42445 J BRENT BUGG CHAIRMAN 2.00 X X 0 0 0 JOE FALDER VICE CHAIRMAN 2.00 X X 0 0 0 JOE GRAY TREASURER/CHAIRMAN FINANCE 2.00 X X 0 0 0 ELLEN DUNNING DIRECTOR 1.00 X 0 0 0 MONTE NESMITH DIRECTOR 1.00 X 0 0 0 KEITH ADCOCK DIRECTOR 1.00 X 0 0 0 DAVID LEE OLIVER DMD SECRETARY 2.00 X X 0 0 0 PAT LANDER DIRECTOR 1.00 X 0 0 0 CMICHAEL LITTLEJOHN MD DIRECTOR/PHYSICIAN 40.00 X 346921 0 13731 CHANTAY STALLINS DIRECTOR 1.00 X 0 0 0 STEVE WOODWARD DIRECTOR 1.00 X 0 0 0 BRADLEY HUTCHINS PA 40.00 X 188799 0 9304 JOSEPH DRAWDY APRN 40.00 X 138751 0 14218 DAVID FRENCH MD 40.00 X 373729 0 13706 JOHN MOBLEY MD 40.00 X 406259 0 23672 ELIZABETH SCHEIDLER APRN 40.00 X 154583 0 6917 1609042 0 81548 6 0 1 0 RH EMERGENCY MEDICINE OF CM LLC PO BOX 7058 TUPELO MS 38802 ED PHYSICIAN COMPANY 1033909 QUORUM 1573 MALLORY LANE SUITE 200 BRENTWOOD TN 37027 MANAGEMENT 944233 NEW CHANCE INFUSION 102 W 18TH STREET HOPKINSVILLE KY 42240 CRNA 249500 SANJAY BOSE MD 6811 TURNBERRY DRIVE PADUCAH KY 42001 PHYSICIAN COVERAGE 163999 JENNIE STUART MEDICAL GROUP 320 W 18TH STREET HOPKINSVILLE KY 42240 MEDICAL SERVICES 122153 5 48020 48020 HEALTH CARE SERVICES 621110 33543776 33543776 33543776 891641 891641 1640096 1630688 9408 9408 9408 340B INCOME 900099 2089086 2089086 CAFETERIA SALES 900099 55256 55256 EMP OTCS SALES 900099 7737 7737 161385 161385 2313464 36806309 35857240 0 901049 X 12747903 9822680 2925223 166664 128420 38244 1228389 946514 281875 883072 680436 202636 944233 944233 69531 69531 73560 73560 21893 21893 3692186 2842983 849203 43549 43549 1867838 1438235 429603 104832 80721 24111 23330 17964 5366 1360811 1048549 312262 1670166 1286918 383248 700221 539543 160678 MEDICAL SUPPLIES AND DR 3869146 3869146 BAD DEBT 2891636 2891636 SUPPLIES 530170 140151 390019 DUES TAXES LICENSES 365107 281132 83975 412136 377813 34323 33666373 26436390 7229983 0 7488208 8957112 4522164 4512183 713308 728449 122879 257434 38513611 28079152 10918357 10434459 8446440 9771166 3563824 3622484 485505 323360 36260685 38606647 2300763 2287018 0 43006 25045133 23775667 2293468 2597637 29639364 28703328 X 6621321 9903319 6621321 9903319 36260685 38606647 3139936 142062 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2399 2399 0 PART II-B, LINE 1: ORGANIZATION'S DIRECT AND INDIRECT POLICIAL CAMPAIGN ACTIVITIES - FORM 990, SCH C, PART II-B, LINE 1I: THE ORGANIZATION MAKES INDIRECT DONATIONS THROUGH AHA AND KHA DUES. DESCRIPTION OF OTHER ACTIVITIES - FORM 990, SCH C, PART II-III, LINE 1I: A PERCENTAGE OF AHA AND KHA DUES ARE USED FOR LOBBYING EXPENSES. 1445515 1445515 21708790 15512767 6196023 12889756 10457274 2432482 2469550 2109111 360439 10434459 OTHER DESIGNATED CASH 3622484 C 3622484 REFUNDABLE ADVANCE 2283379 OPERATING LEASE LIABILITIES 314258 2597637 X 34034842 142062 142062 33892780 21893 2891636 2913529 36806309 30752844 0 30752844 21893 2891636 2913529 33666373 PART X, LINE 2: THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. THE HOSPITAL ACCOUNTS FOR UNCERTAIN TAX POSITIONS WITH PROVISIONS OF FASB ASC 740-10 "ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES" WHICH PROVIDES A FRAMEWORK FOR HOW COMPANIES SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE UNCERTAIN TAX POSITIONS WITHIN THE FINANCIAL STATEMENTS. THE HOSPITAL MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE HOSPITAL DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2025 AND 2024. AS OF JUNE 30, 2025 AND 2024, THE HOSPITAL DID NOT RECORD ANY PENALTIES OR INTEREST ASSOCIATED WITH UNCERTAIN TAX POSITIONS. THE HOSPITAL FILES TAX RETURNS IN THE U.S. FEDERAL JURISDICTIONS. WITH A FEW EXCEPTIONS, THE HOSPITAL IS NO LONGER SUBJECT TO U.S. FEDERAL EXAMINATIONS BY TAX AUTHORITIES FOR THE YEARS BEFORE 2022. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT NETTED AGAINST REVENUE 2,891,636. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 2,891,636. 1 1 1 X 0 1 1 1 0 0 341044 0 341044 0.01110 6374885 5096843 1278042 0.04150 6715929 5096843 1619086 0.05260 60582 2318 58264 0.00190 60582 2318 58264 0.00190 6776511 5099161 1677350 0.05450 1 1334490 80069 13822974 13755496 67478 X 1 1 1 1 CALDWELL COUNTY HOSPITAL INC 100 MEDICAL CENTER DRIVE PRINCETON KY 42445 WWW.CALDWELLMEDICAL.COM 600072 X X X X CALDWELL COUNTY HOSPITAL INC 1 0 0 1 X X X X X X X X 21 1 0 0 1 X CALDWELLMEDICAL.COM X 1 21 1 CALDWELLMEDICAL.COM 0 1 X 100.000000000000 1 1 X X X X 1 X WWW.CALDWELLHOSP.ORG X X X X 1 X 1 X 1 X 0 0 CALDWELL COUNTY HOSPITAL INC. PART V, SECTION B, LINE 5: CALDWELL MEDICAL CENTER CONTRACTED WITH QUORUM HEALTH RESOURCES TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT. WITH THE ASSISTANCE OF THE COMMUNITY STEERING COMMITTEE, INPUT FROM THE COMMUNITY WAS COLLECTED THROUGH FOCUS GROUP DISCUSSIONS AND SURVEYS. THESE INDIVIDUALS REPRESENT ORGANIZATIONS AND AGENCIES FROM THE SERVICE AREA AND THE INDIVIDUALS WHO WERE WILLING TO VOLUNTEER ENABLED THE HOSPITAL TO GET INPUT FROM POPULATIONS THAT WERE OFTEN NOT ENGAGED IN CONVERSATIONS ABOUT THEIR HEALTH NEEDS. CALDWELL COUNTY HOSPITAL INC. PART V, SECTION B, LINE 11: RESPONSE TO SIGNIFCANT NEEDS IDENTIFIED IN THE MOST RECENTLY CONDUCTED CHNA:THE TOP SIGNIFICANT NEEDS WHERE THE HOSPITAL HAS DEVELOPED AN ACTION PLAN TO ADDRESS THE IDENTIFIED HEALTH PRIORITIES WILL BE ORGANIZED IN SUBGROUPS IN ORDER TO ADEQUATELY ADDRESS THE HEALTH NEEDS WITH AVAILABLE TIME AND RESOURCES ARE: (1) OBESITY, (2) DRUG/SUBSTANCE ABUSE (3) HEALTH CARE SERVICES:PREVENTION (4) HEALTHCARE SERVICES: AFFORDABILITY, (5) CANCER (6) SMOKING/VAPING/TOBACCO USE, AND (7) HEALTHCARE SERVICES: PHYSICAL PRESENCE. VARIOUS STRATEGIES WERE DEVELOPED TO ADDRESS EACH OF THESE RESPECTIVE NEEDS. ONE SIGNIFICANT NEEDS WHICH WAS IDENTIFIED BUT FOR WHICH THE HOSPITAL DID NOT DEVELOP IMPLEMENTATION STRATEGIES WAS MENTAL HEALTH. THE REASON IMPLEMENTATION STRATEGIES WERE NOT DEVELOPED AND IMPLEMENTED FOR THIS NEED WAS OTHER COMMUNITY ORGANIZATIONS CAN ADDRESS THIS NEED WHICH ARE BETTER QUALIFIED TO SERVE. CALDWELL COUNTY HOSPITAL INC. PART V, SECTION B, LINE 18E: CALDWELL MEDICAL CENTER CONTRACTS WITH A COMPANY THAT WORKS WITH EACH UNINSURED PATIENT THAT COMES INTO OUR FACILITY. THE PATIENT RECEIVES CARE REGARDLESS OF THEIR ABILITY TO PAY. THE PATIENT IS BILLED THE SAME RATES AS ALL OTHER PATIENTS. THE CONTRACT COMPANY SENDS EACH PATIENT PAPERS TO ASSIST THEM WITH GETTING ON MEDICAID OR OUR CHARITY PROGRAM. THE ENTIRE AMOUNT OF THE BILL IS WRITTEN OFF IF THE PATIENT DOESN'T QUALIFY FOR MEDICAID BUT QUALIFIES FOR OUR CHARITY CARE PROGRAM. THE PATIENT'S BILL IS PUT ON HOLD WHILE THIS PROCESS IS TAKING PLACE SO THAT NO ACTION WILL BE TAKEN AGAINST THE PATIENT.CMC HAS A FINANCIAL ASSISTANCE POLICY ON ITS WEBSITE AND GIVES TO PATIENTS AT REGISTRATION. CALDWELL COUNTY HOSPITAL INC. PART V, SECTION B, LINE 19E: CMC WILL ONLY IMPLEMENT EXTRAORDINARY COLLECTION ACTION 120 DAYS AFTER IT HAS MADE REASONABLE EFFORTS TO DETERMINE WHETHER THE PATIENT ACCOUNT IS ELIGIBLE FOR ASSISTANCE UNDER THIS FINANCIAL ASSISTANCE POLICY. PART I, LINE 3C: A FINANCIAL ASSISTANCE POLICY. PART I, LINE 7: COST OF CHARITY CARE WAS CALCULATED WITH A COST TO CHARGE RATIO CALCULATED BY THE HOSPITAL. COST OF MEDICAID WAS CALCULATED WITH A COST TO CHARGE RATIO USING WORKSHEET 3. PART I, LN 7 COL(F): BAD DEBTS INCLUDED IN PART IX, LINE 25 TOTALED $2,891,636. THIS AMOUNT HAS BEEN REMOVED FROM TOTAL EXPENSES CALCULATED IN COLUMN F ON SCHEDULE H, PART I AND II. PART III, LINE 4: CMC PROVIDED $79,000 OF CHARITY CARE DURING THE YEAR. THE HOSPITAL USED THE COST TO CHARGE RATIO CALCULATED BY THE HOSPITAL TO DETERMINE THE COST. CMC INCLUDES THIS AMOUNT AS A COMMUNITY BENEFIT DUE TO THE FACT THAT WE TREATED PATIENTS FROM THE COMMUNITY WHO COULD NOT PAY FOR SERVICES. PART III, LINE 8: CALDWELL MEDICAL CENTER IS A CRITICAL ACCESS HOSPITAL AND IS REIMBURSED FROM MEDICARE AT 99% OF COST RELATED TO CARING FOR MEDICARE PATIENTS. IF THERE IS A SHORTFALL IT IS A COMMUNITY BENEFIT DUE THAT WE TREATED PATIENTS FROM THE COMMUNITY WHO DID NOT PAY FOR SERVICES. PART III, LINE 9B: PATIENTS THAT QUALIFY FOR CHARITY NEVER ENTER INTO OUR COLLECTION PRACTICES. THESE ACCOUNTS ARE WRITTEN OFF AS SOON AS THE PATIENT QUALIFIES FOR CHARITY. PART VI, LINE 2: CALDWELL MEDICAL CENTER CONTRACTED WITH QUORUM HEALTH RESOURCES TO CONDUCT A COMMUNITY NEEDS ASSESSMENT. CALDWELL MEDICAL CENTER IS ALWAYS AVAILABLE IF A NEED ARISES AND ASSISTS OTHER COMMUNITY AGENCIES TO MEET THE NEEDS OF THE COMMUNITY.THE ASSESSMENT PROCESS INCLUDED COLLECTING SECONDARY DATA RELATED TO THE HEALTH OF THE COMMUNITY. SOCIAL AND ECONOMIC DATA AS WELL AS HEALTH OUTCOMES DATA WERE COLLECTED FROM SECONDARY SOURCES TO HELP PROVIDE CONTEXT FOR THE COMMUNITY. IN ADDITION HOSPITAL UTILIZATION DATA WAS COMPILED TO BETTER UNDERSTAND WHO WAS USING THE FACILITY AND FOR WHAT SERVICES. FINALLY, WITH THE ASSISTANCE OF THE COMMUNITY STEERING COMMITTEE, INPUT FROM THE COMMUNITY WAS COLLECTED THROUGH FOCUS GROUP DISCUSSIONS AND SURVEYS. PART VI, LINE 3: ANY UNINSURED PATIENT IS PROVIDED WITH THE FINANCIAL ASSISTANCE POLICY. CALDWELL MEDICAL CENTER CONTRACTS WITH DISABILITY MANAGEMENT SERVICES TO CONTACT EACH OF THE PATIENTS AND PROVIDE THEM WITH INFORMATION ON HOW TO GET QUALIFIED FOR MEDICAID OR THE CHARITY PROGRAM. PART VI, LINE 4: CALDWELL MEDICAL CENTER'S PRIMARY SERVICE AREAS ARE CALDWELL AND LYON COUNTIES. CALDWELL MEDICAL CENTER IS THE ONLY HOSPITAL LOCATED IN THESE COMMUNITIES. BOTH OF THESE COUNTIES ARE RURAL COMMUNITIES AND ARE DESIGNATED AS HPSA'S. THE COMBINED POPULATION IS 21,753. THESE COMMUNITIES HAVE PER CAPITA INCOME LEVELS BELOW THE AVERAGE FOR KENTUCKY. THE PERCENT OF POPULATION THAT WAS 65 OR OLDER WAS 24% FOR CALDWELL COUNTY AND 27.3% FOR LYON COUNTY. CALDWELL COUNTY AND LYON COUNTY HAVE 6% AND 7% UNINSURED RATES RESPECTIVELY. PART VI, LINE 5: CALDWELL MEDICAL CENTER'S BOARD OF DIRECTORS IS COMPRISED OF 13 COMMUNITY VOLUNTEERS FROM THE SERVICE AREA. THE BOARD EXTENDS MEDICAL STAFF PRIVELEGES TO ALL QUALIFIED PHYSICIANS IN THE SERVICE AREA. CALDWELL MEDICAL CENTER OPERATES AN ER THAT IS STAFFED 24/7 AND SERVES ALL PERSONS REGARDLESS OF ABILITY TO PAY. CALDWELL MEDICAL CENTER ALSO PARTICIPATES IN ALL GOVERMENT SPONSORED HEALTH PROGRAMS. X X X 0 0 0 0 0 0 0 0 0 JOHN MOBLEY MD 396259 0 10000 0 0 0 9875 0 13797 0 429931 0 0 0 DAVID FRENCH MD 202955 0 170774 0 0 0 0 0 13706 0 387435 0 0 0 CMICHAEL LITTLEJOHN MD DIRECTOR/PHYSICIAN 220000 0 126921 0 0 0 6346 0 7385 0 360652 0 0 0 BRADLEY HUTCHINS PA 135726 0 53073 0 0 0 1938 0 7366 0 198103 0 0 0 ELIZABETH SCHEIDLER APRN 123562 0 31021 0 0 0 3708 0 3209 0 161500 0 0 0 JOSEPH DRAWDY APRN 110865 0 27886 0 0 0 3295 0 10923 0 152969 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 QUORUM HEALTH RESOURCE, LLC PROVIDE CEO AND CFO FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS EMAILED TO EACH BOARD MEMBER PRIOR TO FILING. THE BOARD IS TO CONTACT ADMINISTRATION IF THEY HAVE ANY CONCERNS OR QUESTIONS. FORM 990, PART VI, SECTION B, LINE 12C EACH EMPLOYEE AND BOARD MEMBER IS REQUIRED TO SIGN A CONFLICT OF INTEREST POLICY EACH YEAR. THE BOARD AND ADMINISTRATION RELY ON SELF-REPORTING TO MONITOR COMPLIANCE. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS REVIEWS THE CEO AND CFO COMPENSATION ON AN ANNUAL BASIS. QHR PRESENTS THE BOARD WITH SALARY COMPARISONS DURING EACH REVIEW. THE BOARD OF DIRECTORS HAVE TO APPROVE PHYSICIAN COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G CONTRACT LABOR & OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,842,983. MANAGEMENT AND GENERAL EXPENSES 849,203. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,692,186. CALDWELL COUNTY HOSPITAL FOUNDATION INC 100 MEDICAL CENTER DRIVE PRINCETON KY 42445 203941757 FUNDRAISING KY 501(C)(3) 11 CALDWELL COUNTY HOSPITAL 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0