2026-05-15T11:05:09-04:00 2025-06-30 610932881 WELCH & COMPANY CPAS PSC 101A WIND HAVEN DR 101 NICHOLASVILLE KY 403568005 990 2024-07-01 061705652 CASEY COUNTY HOSPITAL DISTRICT CASE 6067876275 187 WOLFORD AVE LIBERTY KY 42539 REX TUNGATE ADMINISTRATOR 6067876275 2026-05-15 true false S RODNEY WELCH P00452238 8592248909 2026-05-15 2024 2025-03-06 01:10:19Z REX TUNGATE WOLFORD AVE LIBERTY KY 42539 70347068 false X WWW.CASEYCOUNTYHOSPITAL.COM X 1948 KY THE TREATMENT AND CARE OF ILL OR INJURED MEMBERS OF THE LIBERTY, KY AREA AND ITS SURROUNDING GEOGRAPHIC REGION IS THE HOSPITAL'S EXEMPT PURPOSE. THE REVENUE GENERATED IS USED FOR PROVIDING THE COST OF THIS CARE. 7,359 DAYS OF INPATIENT CARE PROVIDED; 5,026 PATIENTS TREATED IN EMERGENCY ROOM; 7,256 PATIENTS RECEIVED OUTPATIENT CARE; AND 15,057 PATIENTS RECEIVED OUTPATIENT CARE AT THE RURAL HEALTH CLINICS. 5 5 287 0 0 64536084 67238661 0 3994738 3108407 68530822 70347068 0 0 21511434 24970464 0 0 8640391 10308589 30151825 35279053 38378997 35068015 103320091 141182841 4543241 7354454 98776850 133828387 X THE TREATMENT AND CARE OF ILL OR INJURED MEMBERS OF THE LIBERTY, KY AREA AND ITS SURROUNDING GEOGRAPHIC REGION IS THE HOSPITAL'S EXEMPT PURPOSE. THE REVENUE GENERATED IS USED FOR PROVIDING THE COST OF THIS CARE. 7,359 DAYS OF INPATIENT CARE PROVIDED; 5,026 PATIENTS TREATED IN EMERGENCY ROOM; 7,256 PATIENTS RECEIVED OUTPATIENT CARE; AND 15,057 PATIENTS RECEIVED OUTPATIENT CARE AT THE RURAL HEALTH CLINICS. false false THE TREATMENT AND CARE OF ILL OR INJURED MEMBERS OF THE LIBERTY, KY AREA AND ITS SURROUNDING GEOGRAPHIC REGION IS THE HOSPITAL'S EXEMPT PURPOSE. THE REVENUE GENERATED IS USED FOR PROVIDING THE COST OF THIS CARE. 7,826 DAYS OF INPATIENT CARE PROVIDED; 5,416 PATIENTS TREATED IN EMERGENCY ROOM; 10.408 PATIENTS RECEIVED OUTPATIENT CARE; AND 15,713 PATIENTS RECEIVED OUTPATIENT CARE AT THE RURAL HEALTH CLINICS. 28952 THE TREATMENT AND CARE OF ILL OR INJURED MEMBERS OF THE LIBERTY, KY AREA 30495861 THE TREATMENT AND CARE OF ILL OR INJURED MEMBERS OF THE LIBERTY, KY AREA AND ITS SURROUNDING GEOGRAPHIC REGION IS THE HOSPITAL'S EXEMPT PURPOSE. THE REVENUE GENERATED IS USED FOR PROVIDING THE COST OF THIS CARE. 7,826 DAYS OF INPATIENT CARE PROVIDED; 5,416 PATIENTS TREATED IN EMERGENCY ROOM; 10,408 PATIENTS RECEIVED OUTPATIENT CARE; AND 15,713 PATIENTS RECEIVED OUTPATIENT CARE AT THE RURAL HEALTH CLINICS. 30495861 30524813 true false false false false false false false false false true false false false true false true true 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 false 15 0 287 false false false false false false false false false X 5 5 false false false false false false false true true false false false false false false false true false RICHARD HENDERSHOT 6067876275 187 WOLFORD AVE LIBERTY KY 42539 X HOUSAM I HADDAD MD PHYSICIAN X 808527 0 0 JARED WILSON MD PHYSICIAN X 407428 0 0 SHANE DESIMONE MD PHYISICIAN X 321387 0 0 JOHN SMART MD PHYSICIAN X 321048 0 0 MICHAEL SLONE PT PHYSICIAN X 239341 0 0 KAREN ATWOOD SECRETARY X 0 0 0 DAN JOHNSON TRUSTEE X 0 0 0 TAYLOR ROUSEY TRUSTEE X 0 0 0 EDWARD WESLEY TRUSTEE X 0 0 0 RONALD WRIGHT CHAIRPERSON X 0 0 0 2097731 5 false true false AMERISOURCE-BERGEN CORP 12727 W AIRPORT BLVD SUGAR LAND TX 77478 PHARMACEUTICAL 4833618 DOSTER CONSTRUCTIN CO INC 2100 INTERNATIONAL PARK DR BIRMINGHAM AL 35243 CONSTRUCTION 3467788 INSPIRE MEDICAL INC 2323 LIME KILN LANE LOUISVILLE KY 40222 ER PHYSICIANS 1577164 340B HOLDINGS LLC 10181 SCRIPPS GATEWAY COURT SAN DIEGO CA 92131 TECHNOLGOY 798869 ROBERT TIMOTHY PICKARD 905 WINDING RIDGE DRIVE SOMERSET KY 42503 IOP PHYSICIAN 104720 5 PATIENT SERVICE REVENUE 67238661 67238661 67238661 OTHER OPERATING REVENUE 1240809 1240809 SMART 340B REVENUE 696372 696372 PHARMACY 672575 672575 498651 498651 3108407 70347068 70347068 21745853 20658560 1087293 3224611 3063380 161231 1952443 1171466 780977 26452 12009 14443 21821 21821 1360729 1360729 401004 28952 372052 OTHER EXPENSES 1409820 1268838 140982 MAINT. & SERVICE AGREE 1394799 767139 627660 MEDICAL SUPPLIES 966924 966924 DRUGS AND IV 918075 918075 1856522 1647649 208873 35279053 31885542 3393511 0 57935601 95238914 2296768 2711732 13471355 9069206 417939 784071 102209 119885 49713575 16454587 27014208 33258988 2082011 45 103320091 141182841 214870 1489517 4328371 5864937 4543241 7354454 X 60397850 98760372 38379000 35068015 98776850 133828387 103320091 141182841 X 35068015 1360729 X false false X 5442202 5442202 36883750 16454587 20429163 25871365 OTHER ACCRUED LIABILITIES 5000000 INVESTMENT LIABILITY 864937 5864937 70347068 70347068 70347068 33918324 33918324 1360729 1360729 35279053 SCHEDULE D, PAGE 4, PART XII, LINE 4B BOOK / TAX DEPRECIATION DIFFERENCE 1,360,729 true true X true X true X true true false true true 374159 374159 0.01060 19212586 42184895 19586745 42184895 374159 0.01060 36000 36000 0.00100 36000 36000 0.00100 19622745 42184895 410159 0.01160 true 717605 11394037 11452936 -58899 true true 1 1 CASEY COUNTY HOSPITAL 108 WOLFORD AVE LIBERTY KY 42539 600060 X X CASEY COUNTY HOSPITAL 1 false false true X X X X X X X X X 25 true false false true X WWW.CASEYCOUNTYHOSPITAL.COM X HTTPS://WWW.CASEYCOUNTYHOSPITAL.COM X true 25 true HTTPS://WWW.CASEYCOUNTYHOSPITAL.COM false false true X 100.000000000000 300.000000000000 true true X X X X true X HTTPS://WWW.CASEYCOUNTYHOSPITAL.COM X HTTPS://WWW.CASEYCOUNTYHOSPITAL.COM X HTTPS://WWW.CASEYCOUNTYHOSPITAL.COM X true X false true X false false FACILITY 1, CASEY COUNTY HOSPITAL - PART V, LINE 3J PART V, LINE 5 - ACCOUNT INPUT FROM PERSON WHO REPRESENT THE COMMUNITY FACILITY: IDENTIFYING HEALTH NEEDS A COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED FROM FEBRUARY 2025 TO JUNE 2025. COMMUNITY INPUT WAS PROVIDED THROUGH 7 KEY STAKEHOLDER INTERVIEWS, INCLUDING REPRESENTATIVES FROM: CASEY COUNTY HOSPITAL LOCAL GOVERNMENT (MAYOR) LOCAL SCHOOL SYSTEMS PUBLIC HEALTH AGENCIES LOCAL CHURCHES LOCAL BUSINESS POPULATION DEMOGRAPHICS AND SOCIOECONOMIC CHARACTERISTICS OF THE COMMUNITY WERE GATHERED AND REPORTED UTILIZING VARIOULS THIRD PARTIES. THE HEALTH STATUS OF THE COMMUNITY WAS THEN REVIEWED. INFORMATIN ON THE LEADING CAUSES OF DEATH AND MORBIDITY INFORMATION WAS ANALYZED IN CONJUNCTION WITH EHALTH OUTCOMES AND FACTORS REPORTED FOR THE COMMUNITY BY COUNTYHEALTHRANKINGS.ORG AND OTHER THIRD PARTIES. THIS DATA WAS ANALUZED AND REVIEWED TO IDENTIFY HEALTH ISSUES OF UNINSURED PERSONS, LOW-INCOME PERSONS AND MINORITY GROUPS, AND THE COMMUNITYU AS A WHOLE. AS A RESULT OF THE ANALYSIS DESCRIBED ABOVE, THE FOLLOWING HEALTH NEEDS WERE INDETIFIED AS THE MOST SIGNIFICANT HEALTH NEEDS FOR THE COMMUNITY: OBESITY HIGH COST OF HEALTHCARE/DEDUCTIBLES LACK OF HEALTH KNOWLEDGE HEALTHY BEHAVIOUS/LIFESTYLE CHANGES THE IDENTIFIED HEALTH NEEDS WERE REVIEWED BY HOSPITAL MANAGEMENT AND PROIRITY AREAS WERE DETERMINED BASED ON THEIR ASSESSMENT OF THE QUALITATIVE AND QUANTITATIVE DATA. PRIORITY 1: HIGH COST OF HEALTH CARE/DEDUCTIBLES STRATEGIES: ON REPORT A: MEET WITH AREA PHYSICIANS TO DETERMINE MOST COMMON HEALTH ISSUE AND WAYS TO OFFER EDUCATION ON TREATMENT AND PREVENTION. B: TAKE MORE ACTIVE ROLE IN THE COMMUNITY ON HEALTH ISSUES THROUGH MEDIA INVOLVEMENT, INCLUDING QUARTERLY OR BI-ANNUAL REPORTS ON AVAILABLE SERVICES AT HOSPITALS/CLINICS C: REFOUCUS GOAL OF ANNUAL HEALTH FAIR TO INCLUDE MORE EMPHASIS ON HEALTH EDUCATION AND PREVENTIVE CARE. PRIORITY 2: CHRONIC DISEASE PREVENTION AND MANAGEMENT GOAL 1; TO MAKE PATIENTS MORE AWARE OF CONSEQUENCES OF CHRONIC DISEASES AND THEIR EFFECTS. STRATEGIES: A: WORK WITH AREA HEALTH CARE PROVIDERS TO OFFER EDUATIONAL MATERIALS ON CHRONIC DISEASES FOR DISTRIBUTION TO PATIENTS. E: USE HOSPITAL'S WEBSITE TO PROMOTE PREVENTION AND MANAGEMENT OF CHRONIC DISEASES. GOAL 2: OFFER EDUCATIONAL OPPORTUNITIES ON CHRONIC DISEASE MANAGEMEDNT STRATEGIES: A: SPONSOR CHRONIC DISEASE PREVENTION/MANAGEMENT CLINICS TO CORRESPOND WITH NATIONAL AWARENESS DAYS/MONTHS B: PARTNER WITH CABINET FOR HEALTH AND FAMILY SERVICES TO PROMOTE TOBACCO CESSATION PROGRAMS. FACILITY 1, CASEY COUNTY HOSPITAL-PART V, LINE 5 PART V, LINE5-ACCOUNT INPUT FROM PERSON WHO REPRESENTS THE COMMUNITY FACILITY: IDENTIFYING HEALTH NEEDS A COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED FROM FEBRUARY 2025 TO JUNE 2025. COMMUNITY INPUT WAS PROVIDED THROUGH 7 KEY STAKEHOLDERS INTERVIEWS, INCLUDING REPRESENTATIVES FROM: CASEY COUNTY HOSPITAL LOCAL GOVERNMENT (SHERIFF AND FINANCE OFFICE) LOCAL SCHOOL SYSTEMS PUBLIC HEALTH AGENCIES LOCAL CHURCHES LOCAL BUSINESS FACILITY 1, CASEY COUNTY HOSPITAL - PART V, LINE 5 PART V, LINE 5 - ACCOUNT INPUT FROM PERSON WHO REPRESENT THE COMMUNITY FACILITY: IDENTIFYING HEALTH NEEDS A COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED FROM FEBRUARY 2025 TO JUNE 2025. COMMUNITY INPUT WAS PROVIDED THROUGH 7 KEY STAKEHOLDER INTERVIEWS, INCLUDING REPRESENTATIVES FROM: CASEY COUNTY HOSPITAL LOCAL GOVERNMENT (SHERIFF AND FINANCE) LOCAL SCHOOL SYSTEMS PUBLIC HEALTH AGENCIES LOCAL CHURCHES LOCAL BUSINESS SCHEDULE H, PART III, LINE 9B AFTER ALL INSURANCE HAS BEEN FILED AND A REASONABLE AMOUN T OF TIME HAS BEEN ALLOWED FOR THE PARIENT TO PAY, A MINI MUM OF FOUR (4) STATEMENTS OR OTHER DOCUMENTED ATTEMPTS W ILL BE SENT TO THE PATIENT TO COLLECT THE BALANCE DUE. I F A REASONABLE PAYMENT PLAN HAS NOT BEE SIGNED ON THE ACC SCHEDULE H, PART VI, LINE 2 THE HOSPITAL IS AWARE OF THE HEALTH ISSUES WITHIN THE COMMUITY THROUGH ITS COMMUNICATIONS WITH LOCAL OFFICIALS AND INTERACTIONS BETWEEN EMPLOYEES AN D THE RESIDENTS OF THE COMMUNITIES IT SERVES. SCHEDULE H, PART VI, LINE 3 PATIENTS RECEIVE COUNSELING UPON ADMISSIONS TO THE HOSPITAL WHERE THE ADMI SSION CLERK NOTIFIES THE DSH COORDINATOR, WHO OFFERS THE DSH PROGRAM TO TH E PATIENT AND COMPLETES THE PAPERWORK. IF THE PATIENT PRESENTS FOR TREATM ENT AFTER 4:30PM OR OVER THE WEEKEND, THE DSH APPLICATION IS AVAILABLE WIT H A NOTE OFFERING THE PROGRAM AND THE PHONE NUMBER OF THE DSH COORDINATOR SCHEDULE H, PART VI, LINE 4 CASEY COUNTY IS AN ECONOMICALLY DEPRESSED COMMUNITY LOCATED IN SOUTH CENTR AL KENTUCKY WITH A MEDIAN HOUSEHOLD INCOME OF 45,510. THE SOUTH CENTRAL REGION OF KY FELL VICTIM TO THE NORTH AMERICAN FREE TRADE AGREEMENT (NAFTA ) IN THE 1990'S WHICH SAW ALL OF ITS LARGE TEXTILE COMPANIES SUCH AS FRUIT -OF-THE-LOOM, OSH-KOSH, AND RED WING SHOES RELOCATE TO CENTRAL AMERICA. A SCHEDULE H, PART VI, LINE 5 CASEY COUNTY HOSPITAL FURTHERS ITS EXEMPT POUPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY WITH ITS ANNUAL HEALTH FAIR. CCH PROVIDES FIVE DAYS OF B LOOD DRAWS SO PATIENTS WILL HAVE THEIR RESULTS BACK BY THE SATURDAY HEALTH FAIR WHERE HEALTHCARE PROFESSIONALS ARE AVAILABLE TO REVIEW THE PATIENRS RESULTS. THIS ALLOWS THE PATIENT TO ASK QUESTIONS AND OBTAIN A BETTER UND false false false false false false false false false HOUSAM I HADDAD MD PHYSICIAN 808527 808527 JARED WILSON MD PHYSICIAN 407428 407428 SHANE DESIMONE MD PHYISICIAN 321387 321387 JOHN SMART MD PHYSICIAN 321048 321048 MICHAEL SLONE PT PHYSICIAN 239341 239341 FORM 990 - ORGANIZATION'S MISSION THE TREATMENT AND CARE OF ILL OR INJURED MEMBERS OF THE LIBERTY, KY AREA AND ITS SURROUNDING GEOGRAPHIC REGION IS THE HOSPITAL'S EXEMPT PURPOSE. THE REVENUE GENERATED IS USED FOR PROVIDING THE COST OF THIS CARE. 7,359 DAYS OF INPATIENT CARE PROVIDED; 5,026 PATIENTS TREATED IN EMERGENCY ROOM; 7,256 PATIENTS RECEIVED OUTPATIENT CARE; AND 15,057 PATIENTS RECEIVED OUTPATIENT CARE AT THE RURAL HEALTH CLINICS. FORM 990, PAGE 2, PART III, LINE 4D THE TREATMENT AND CARE OF ILL OR INJURED MEMBERS OF THE LIBERTY, KY AREA AND ITS SURROUNDING GEOGRAPHIC REGION IS THE HOSPITAL'S EXEMPT PURPOSE. THE REVENUE GENERATED IS USED FOR PROVIDING THE COST OF THIS CARE. 7,826 DAYS OF INPATIENT CARE PROVIDED; 5,416 PATIENTS TREATED IN EMERGENCY ROOM; 10,408 PATIENTS RECEIVED OUTPATIENT CARE; AND 15,713 PATIENTS RECEIVED OUTPATIENT CARE AT THE RURAL HEALTH CLINICS. FORM 990, PAGE 6, PART VI, LINE 11B NO REVIEW WAS OR WILL BE CONDUCTED. FORM 990, PAGE 6, PART VI, LINE 12C EACH INDIVIDUAL WHETHER TRUSTEE OR EMPLOYEE, WHO HAS CONTROL OVER ANY OF T HE HOSPITAL'S ASSESTS IS GIVEN A COPY OF THE CONFLICT OF INTEREST POLICY. A SIGNED COPY IS RETAINED IN THE HOSPITAL'S ADMINISTRATIVE FILES. THIS P OLICY IS REVIEWED AND SIGNED ANNUALLY BY TRUSTEES, MANAGEMENT PERSONNEL, A ND EMPLOYEES IN SENSITIVE POSITIONS. THE HOSPITAL'S ASST. ADMINISTRATOR I FORM 990, PAGE 6, PART VI, LINE 15B THE COMPENSATION FOR OFFICERS AND TOP MANAGEMENT IS DETERMINED BY USING DA TA FROM THE KENTUCKY HOSPITAL ASSOCIATION AND OTHER SOURCES TO COMPARE SAL ARIES FOR THE HOSPITAL'S GEOGRAPHIC AREA AND SIZE. FORM 990, PAGE 6, PART VI, LINE 19 ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STAT EMENTS ARE MADE AVAILABLE UPON REQUEST TO THE PUBLIC, PENDING APPROVAL OF THE CEO. ALL MEETINGS OF THE BOARD OF TRUSTEES ARE OPEN TO THE PUBLIC, AN D REPORTED ON BY THE LOCAL PAPER. ANY CHANGES IN DATES OR TIMES OF THE MO NTHLY MEETINGS ARE PUBLISHED IN THE LOCAL PAPER. FORM 990, PART XI, LINE 9 BOOK / TAX DEPRECIATION DIFFERENCE 1,360,729