2024-11-14T02:21:12-00:00 2023-12-31 611310119 Roger A Frantz PSC 9504 Poplar Hill Drive Crestwood KY 40014 990 2023-01-01 611297707 CCMH Corporation CCMH 5027323200 309 Eleventh St Carrollton KY 41008 Kim Haverly CFO 5027323200 2024-11-14 true Roger A Frantz P01259520 5023768467 2024-11-14 2023 2024-10-15 13:58:12Z Kim Haverly 309 Eleventh St Carrollton KY 41008 26953831 false X WWW.CCMHOSP.com X 2007 KY PROVIDE A HEALTHCARE FACILITY OFFERING ACURE CARE, SKILLED CARE, OUTPAITENT SERVICES, AND EMERGENCY MEDICAL SERVICES TO RESIDENTS OF CARROLL COUNTY, KENTUCKY AND SURROUNDING AREAS 13 12 243 26 0 467881 1971207 19230731 20238478 7167 169119 2557649 4575027 22263428 26953831 0 0 12526420 12747096 0 0 10499208 12072942 23025628 24820038 -762200 2133793 13268932 15791364 8179770 8568409 5089162 7222955 PROVIDE A HEALTHCARE FACILITY OFFERING ACURE CARE, SKILLED CARE, OUTPAITENT SERVICES, AND EMERGENCY MEDICAL SERVICES TO RESIDENTS OF CARROLL COUNTY, KENTUCKY AND SURROUNDING AREAS true false 23369498 26953831 SERVICED 54,511 PATIENTS THIS YEAR. APPROXIMATELY 7,293 PATIENTS WERE SERVICED IN EMERGENCY ROOMS. ALSO HAD 18,691 PHYSICIAN CLAIMS. PROVIDED MEDICAL CARE FOR THOSE UNABLE TO PAY. PROVIDED RURAL HEALTH CLINIC TO SERVICE THE INDIGENT OF THE COMMUNITY. 23369498 true false false false false false false false false false true false false false true false true false false false false false false false false false true true false false true false false false false false false false false false false false false false false false false false true 32 0 true 243 true false false false false false false false false false false false false false false false false X 13 12 true false false false false false false true true false false true true true true true true false false false KY X KIMBERLY HAVERLY 5027323275 309 ELEVENTH ST CARROLLTON KY 41008 RANJHAN GOPANG PHYSICIAN 040.00 X 789051 0 30000 PATRICIA FIGERT SURGEON 040.00 X 414288 0 30000 WINSTON YAP MEDICAL STAFF PERSIDENT 000.70 X 287204 0 26559 SHERRELL NUNNELLEY PHYSICIAN 040.00 X 275306 0 30000 KIMBERLY HAVERLY CEO/CFO 040.00 X 220388 0 8039 HERB HUNTER PHYSICIAN 040.00 X 154083 0 6788 JOHN WRIGHT BOARD MEMEBER 000.70 X 0 0 0 NICK MARSH TRUSTEE 000.70 X 0 0 0 ROBERT YOWLER BOARD MEMEBER 000.70 X 0 0 0 HAROLD TOMLINSON BOARD MEMBER 000.70 X 0 0 0 SCOTT NAB BOARD MEMEBER 000.70 X 0 0 0 LAMEN STARK BOARD MEMBER 000.70 X 0 0 0 JAMES STEVENSON SECRETARY 000.70 X 0 0 0 DENNIS RAISOR BOARD CHAIRPERSON 000.70 X 0 0 0 JIM CONTI BOARD MEMBER 000.70 X 0 0 0 DAVID WILHOITE BOARD MEMBER 000.70 X 0 0 0 CAROLYN WILLIAMS BOARD MEMBER 000.70 X 0 0 0 JOHN OGBURN BOARD MEMBER 000.70 X 0 0 0 KEVIN RICHARDSON PHYSICIAN 040.00 X 0 0 0 2140320 131386 6 false true false BLUE & CO INC 12800 NORTH MEDIDIAN ST SUITE 400 CARMEL IN 46032 Consulting 235718 CROTHALL HEALTHCARE 1500 LIBERTY RIDGE DR SUITE 210 WYANE PA 19087 Biomedical Services 184827 TRIBRIDGE (EVIDENT) PO BOX 850309 MOBILE AL 36685 EMR Systems 147250 TRISTATE BIOMEDICAL SOLUTIONS 201 INDUSTRIAL DRIVE SUITE A FRANKLIN OH 45005 EQUIPMENT SERVICES 164582 ULTRA GROUP VENTURES LLC 651 EAST 4TH STREET SUITE 100 CHATTANOOGA TN 37403 MANAGEMENT SERVICES 126000 5 1694822 276385 1971207 PATIENT SERVICES 20238478 20238478 20238478 169119 169119 111479 111479 111479 111479 340B PROGRAM 1232662 1232662 MEDICAID HRIP 3214278 3214278 MISCELLANEOUS 16608 16608 4463548 26953831 24702026 280598 X 0 0 0 0 228427 114214 114213 0 10464045 10254764 209281 0 1339782 1302426 37356 714842 679100 35742 0 10606 10606 47550 47550 0 0 3532861 2261032 1271829 29692 12174 17518 69651 68954 697 0 0 1042723 1042723 39095 33622 5473 0 0 165075 165075 0 770557 770557 374858 374858 BAD DEBT 2348263 2348263 MEDICAL SUPPLIES AND DR 2754624 2754624 PROVIDER TAX 282586 282586 MISCELLANEOUS 604801 604801 0 24820038 23069773 1750265 0 4230395 6701156 17517 17543 1488785 1883584 241160 258722 388527 215390 23000417 17027350 6128069 5973067 774479 741902 13268932 15791364 1755209 2529598 5790700 5650355 633861 388456 8179770 8568409 X 5089162 7222955 5089162 7222955 13268932 15791364 2133793 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false 376450 376450 9182663 6061155 3121508 12591551 10631382 1960169 849753 334813 514940 5973067 Financial derivatives and other financial products Closely-held equity interests Federal income taxes ESTIMATED THIRD PARTY SETTLEMENTS 360950 OPERATING LEASES 27506 388456 X 24605568 24605568 2348263 2348263 26953831 22471775 22471775 2348263 2348263 24820038 X 2 THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AND HAS BEEN RECOGNIZED AS A TAX-EXEMPT PURSUANT TO SECTION 501C3 OF THE INTERNAL REVENUE CODE. X 2 THE HOSPITAL RECOGNIZES UNCERTAIN TAX POSITIONS USING THE MORE LIKELY-THAN-NOT APPROACH AS DEFINED IN THE ASC. NO LIABILITY FOR UNCERTAIN TAX POSITIONS HAS BEEN RECORDED IN THE ACCOMPANYING FINANCIAL STATEMENTS. XI 4B BAD DEBT EXPENSE 2,348,263 XII 4B BAD DEBT EXPENSE 2,348,263 true true X true X true X true true false true true 3050198 898237 9128701 5776220 3352481 0.18840 12178899 6674457 3352481 0.18840 12178899 6674457 3352481 0.18840 true 2348263 7678317 7333923 344394 X true true 1 1 CARROLL COUNTY MEMORIAL HOSPITAL 309 ELEVENTH ST CARROLLTON KY 41008 X X X X X 1 1 1 false false true X X X X X X X 22 true false false true X WWW.CCMHOSP.COM/ABOUT-US/HOSPITAL X true 22 true WWW.CCMHOSP.COM/ABOUT-US/HOSPITAL-INFORMATION false true X 0000000100.000000000000 0000000200.000000000000 X X X X X true true X X X true X WWW.CCMHOSP.COM/FINANCIAL-INFORMATION true X false X X X true false false Group CARROLL COUNTY MEMORIAL HOSPITAL Line Part V, Section B, Line 5 THE COMMUNITY STEERING COMMITTEE IS A VITAL PART TO THE CHNA PROCESS. THESE INDIVIDUALS REPRESENT ORGANIZATIONS AND AGENCIES FROM THE SERVICE AREA AND IN PARTICULAR, 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. CEDIK PROVIDED A LIST OF POTENTIAL AGENVIES AND ORGANIZATIONS THAT WOULD FACILITATE BROAD INPUT. THE COMMUNITY STEERING COMMITTEE MET TWICE AS A GROUP AND EACH TIME A HOSPITAL REPRESENTATIVE WELCOMED AND THANKED THE INDIVIDUALS FOR ASSISTING IN THE PROCESS AND THEN EXCUSED THEMSELVES IF FOCUS GROUP DISCUSSION WAS BEING CONDUCTED. CEDIK ASKED THAT HOSPITAL REPRESENTATIVES NOT BE PRESENT DURING ANY FOCUS GROUP DISCUSSIONS OR DEBRIEFING WITH THE COMMUNITY STEERIGN COMMITTEE. Group CARROLL COUNTY MEMORIAL HOSPITAL Line Part V, Section B, Line 5 COMMUNITY STEERING COMMITTE MEMBERS HEATHER YOCUM - KCTCS, CARROLLTON COMPUS SITE DIRECTOR, MATTHEW ADKINS - KIEDA, DIRECTOR, LINDA DAVIS - BUSINESS OWNER, COMMUNITY REPRESENTATIVE, ALYSSA CASPER - DOW CHEMICAL, INDUSTRY REPRESENTATIVE, PATRICK CASPER - DOW CHEMICAL, INDUSTRY REPRESENTATIVE, RUSTY BENNETT - RELEVANT CHURCH, PASTER, JAKE THOMPSON - CBKY LAW, DENISE HALL - TIMBLE COUNTY COALITION, KIMBERLY HAVERLY - CARROLL COUNTY MEMORIAL HOSPITAL CEO, JILL GOODMAN - CARROLL COUNTY MEMORIAL HOSPITAL DIRECTOR OF ANCILLARY SERVICES, SHELIA TOMLINSON - CAROLL COUNTY MEMORIAL HOSPITAL DIRECT OF PHYS CLINICS, LOGAN MORGAN - CARROLL COUNTY MEMORIAL HOSPITAL EXECUTIVE ASSISTANT, ASHLEY JOHNSON - CARROLL COUNTY MEMORIAL HOSPITAL HUMAN RESOURCE MGR. Group CARROLL COUNTY MEMORIAL HOSPITAL Line Part V, Section B, Line 11 PROMOTING CURRENT HOSPITAL RESOURCES AVAILABLE THE CEO AND HR MARKETING MANAGER ARE WORKING ON CLOSING WITH AFFILIATED ORGANIZATIONS MARKETING DEPARTMENTS TO INCREASE COMMUNITY AWARENESS ON PROGRAMS THE FACILITY OFFERS. OUTSIDE MARKETING FIRMS ARE ALSO BEING REVIEWED TO ASSIST WITH PROMOTING SUBSTANCE ABUSE PROGRAMS THAT CCMH CURRENTLY HAS AVAILABLE. THE COMMUNITIES WE SERVE HAVE DIVERSE DEMOGRAPHICS, SO ADDITIONAL FOCUS IS BEING GIVE TO PROPER COMMUNICATION STYLES FOR DIFFERING GENERATIONS. CCMH HAS TRANSPORTATION OPTIONS AND OVERALL GOOD QUALITY SCORES, SO ENSURING GENERAL POPLUATION AWARENESS OF THESE FACTS AS WELL. Group CARROLL COUNTY MEMORIAL HOSPITAL Line Part V, Section B, Line 11 EXPANDING MENTAL HEALTH TREATMENT OPTIONS CCMH IS PURSING POSSIBILITES IN THIS AREA BY LOOKING TO OFFER IMPATIENT TREATMENT OPTIONS, OPTIONS FOR ADOLESCENTS, AS WELL AS HOLDING COMMUNITY EVERNTS TO INCREASE EDUCATION ON MENTAL HEALTH. CCMH CURRENTLY OFFERS COUNSELING FOR ADULTS, AND INPATIENT MEDICAL STABILIZATION FOR PEOPLE LOOKING TO ENTER TREATMENT OPTIONS. Group CARROLL COUNTY MEMORIAL HOSPITAL Line Part V, Section B, Line 11 HEALTH EDUCATION CCMH IS WORKING WITH MARKETING FIRST TO INCLUDE PERTINENT INFORMATION ON OUR WEBSITE TO CONNECT PATIENTS WITH PROVIDERS AND PROPER TREATMENT OPTIONS. FOCUS ON HIGHLIGHTING PHYSICIANS AND TREATMENT TYPES AND EDUCATION TO THE GENERAL PUBLIC THROUGH USE OF VARIOUS MARKETING TECHNIQUES. CCMH IS WORKING WITH AFFILIATE AND OUTSIDE MARKETING FIRMS TO IMPROVE AND EXPAND ITS ONLINE PRESENCE. ADDITIONALLY, CCMH WILL CONDUCT COMMUNITY EVENTS ON NUTRITION EDUCATON, GENERAL HYGIENE AND OTHER HEALTH EDUCATION TOPICS. Group CARROLL COUNTY MEMORIAL HOSPITAL Line Part V, Section B, Line 11 EXPAND SECIALTY CARE AVAILABILITY CCMH HAS ENTERED INTO A STRATIGIC PARTNERSHIP WITH U OF L HEALTH IN 2022. ADDITIONAL SPECIALTIES ADDED IN THE LAST 12 MONTHS INCLUDE VASCULAR SURGERY, PODIATRY, ADDITIONAL CARDIOLOGY SERVICES. SERVICES SCHEDULE TO ONBOARD IN 2024 INCLUDE OB/GYN, ENT, AND SPORTS MEDICINE. OTHER SPECIALTIES ARE CURRENTLY BEING EVALUATED. 3 BEDFORD FAMILY PRACTICE 470 HIGHWAY 421 NORTH BEDFORD KY 40006 PROVIDER BASED RURAL HEALTH CLINIC WARSAW FAMILY PRATIVE 202 FRANKLIN STREET WARSAW KY 41095 PROVIDER BASED RURAL HEALTH CLINIC CARROLL COUNTY RURAL HEALTH CLINIC 309 ELEVENTH ST CARROLLTON KY 41008 PROVIDER BASED RURAL HEALTH CLINIC Part I Line 7 THE ORGANIZATION USED THE MEDICARE COST TO CHARGE RATIO TO COMPLETE PART 1, LINE 7 Part III Line 4 A SEPARATE FOOTNOTE FOR BAD DEBT EXPENSE IS NOT INCLUDED IN THE AUDITED FINANCIAL STATEMENTS. Part III Line 9b THE ORGANIZATIONS COLLECTION POLICY STATES THAT ANY PERSON INDICATING AN INABILITY TO PAY WILL BE SCREENED FOR FINANCIAL ASSISTANCE. false false false false false false false true false RANJHAN GOPANG PHYSICIAN 429587 359465 30000 819052 WINSTON YAP MEDICAL STAFF PERSIDENT 266604 20600 26559 313763 SHERRELL NUNNELLEY PHYSICIAN 273921 1385 30000 305306 KIMBERLY HAVERLY CEO/CFO 193808 26580 8039 228427 HERB HUNTER PHYSICIAN 153083 1000 6788 160871 PATRICIA FIGERT SURGEON 382788 31500 30000 444288 Form 990, Part I, Line 1 DESCRIPTION OF ORGANIZATION MISSIONEMERGENCY MEDICAL SERVICES TO RESIDENTS OF CARROLL COUNTY, KENTUCKY AND SURROUNDING AREAS. Form 990, Part VI, Section B, Line 11B THE CFO REVIEWS THE 990 AND THEN THE 990 IS DISTRIBUTED TO THE GOVERNING BODY PRIOR TO ITS FILING. Form 990, Part VI, Section B, Line 12C CARROLL COUNTY MEMORIAL HOSPITALS ADVISORY BOARD CCMH CORPORATION OWE A DUTY OF CARE AND A DUTY OF LOYALTY TO CARROLL COUNTY MEMORIAL HOSPITAL, WHICH REQUIRE EACH DIRECTOR TO ACT IN GOOD FAITH, ON AN INFORMED BASIS, AND IN A MANNER THAT THE DIRECTOR HONESTLY BELIEVES TO BE IN THE BEST INTEREST OF CARROLL COUNTY MEMORIAL HOSPITAL. Form 990, Part VI, Section B, Line 12C EACH MEMBER OF THE ADVISORY BOARD OF CARROLL COUNTY MEMORIAL HOSPITAL AND ITS AFFILIATED ORGANIZATIONS, CARROLL COUNTY MEMORIAL HOSPITAL OR SUBCOMMITTEES OF THESE BOARDS THAT HAVE BOARD DELEGATED POWERS SHALL FULLY AND ACCURATELY COMPLETE CARROLL COUNTY MEMORIAL HOSPITALS CONFLICT OF INTEREST DISCLOSURE FORM. THE FORM IS COMPLETED ANNUALLY Form 990, Part VI, Section B, Line 15 THE COMPENSATION OF THE CEO IS REVIEWED, DETERMINED AND APPROVED BY THECCMH BOARD OF DIRECTORS. IT IS PART OF AN EMPLOYMENT CONTRACT FOR THE CEO. COMPARATIVE DATA FOR A HOSPITAL OF THIS SIZE AND IN THIS GEOGRAPHIC AREA ARE USED AMONG OTHER FACTORS. SALARY ADJUSTMENT IS REVIEWED ANNUALLY BY THE BOARD. THE CONTRACT IS REVIEWED EVERY THREE YEARS Form 990, Part VI, Section B, Line 15 COMPENSATION FOR THE DIRECTOR OF FINANCE, D.O.N., D.O.A., DIRECTOR OF CLINICAL SERVICES AND DEPARTMENT MANAGER SALARY AND WAGES ARE BASED ON A SALARY SCALE CONSIDERING YEARS OF EXPERIENCE AND YEARS OF SERVICE AT THE HOSPITAL. ANNUAL INCREASES ARE REVIEWED AND APPROVED BY THE CCMH BOARD AS PART OF THE BUDGETARY PROCESS AND AT THE TIME OF THE SALARY AND WAGE INCREASE. THE SALARY SCALE IS REVIEWED ANNUALLY THROUGH A MARKET ANALYSISWITH COMPARATIVE DATA FOR HOSPITALS OF THIS SIZE IN THE GEOGRAPHIC AREA. Form 990, Part VI, Section C, Line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST Form 990, Part XII, Line 2C THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. Form 990, Part XII, Line 2C THE BOARD OF DIRECTORS OVERSEES THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT AUDITOR. THE INDEPENDENT AUDITOR MEETS WITH THE BOARD OF DIRECTORS AT THE CONCLUSION OF THE AUDIT. Form 990, Part IX, Line 11G PURCHASED SERVICES PROGRAM SERVICE EXPENSE 2,119,280 MANAGEMENT AND GENERAL 1,100,998 PHYSICAN FEES PROGRAM SERVICE EXPENSE 682,444 MANAGEMENT AND GENERAL 383,874