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Nonprofiteer
← JAMES B HAGGIN MEMORIAL HOSPITAL INC

Form 990 for tax year 2022

Filed by JAMES B HAGGIN MEMORIAL HOSPITAL INC.

Totals

Total revenue
$37,816,801
Total expenses
$33,465,074
Contributions and grants received
$270,786
Grants paid
$0
Program service revenue
$37,427,743
Investment income
$10,343
Other revenue
$107,929
Total assets, end of year
$15,443,478
Total liabilities, end of year
$11,205,212
Net assets or fund balances, end of year
$4,238,266
Program services expenses (Part IX)
$29,969,767
Management and general expenses
$3,495,307
Fundraising expenses
$0
Program service expenses (Part III)
$29,969,767

Program services were 89.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1f · All other contributions, gifts and grants

    $270,786

  • 2a · Program service revenue: Patient Services

    total $35,535,861 · related or exempt $35,535,370 · unrelated business $491

  • 2b · Program service revenue: Pharmacy Revenue

    total $1,891,882 · related or exempt $1,891,882

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $10,343 · excluded $10,343

  • 6a · Gross rents

    real property $5,871

  • 6b · Less rental expenses

    real property $28,854

  • 6c · Rental income or loss

    real property -$22,983 · personal property $0

  • 6d · Net rental income or loss

    total -$22,983 · excluded -$22,983

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 11a · Other revenue: Miscellaneous Revenues

    total $68,810 · excluded $68,810

  • 11b · Other revenue: Cafeteria

    total $62,102 · excluded $62,102

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $130,912

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $280,482 · program services $280,482

  • 7 · Other salaries and wages

    total $13,239,687 · program services $11,994,715 · management and general $1,244,972

  • 8 · Pension plan contributions

    total $458,825 · program services $416,571 · management and general $42,254

  • 9 · Other employee benefits

    total $570,387 · program services $518,128 · management and general $52,259

  • 10 · Payroll taxes

    total $884,696 · program services $808,290 · management and general $76,406

  • 11b · Fees: legal

    total $14 · management and general $14

  • 11c · Fees: accounting

    total $71,225 · management and general $71,225

  • 11g · Fees: other

    total $4,682,085 · program services $4,037,675 · management and general $644,410 · fundraising $0

  • 12 · Advertising and promotion

    total $11,219 · program services $5,428 · management and general $5,791

  • 13 · Office expenses

    total $1,097,040 · program services $1,001,060 · management and general $95,980

  • 16 · Occupancy

    total $602,710 · program services $161,345 · management and general $441,365

  • 17 · Travel

    total $17,244 · program services $17,213 · management and general $31

  • 19 · Conferences, conventions and meetings

    total $33,963 · program services $33,963

  • 20 · Interest

    total $130,516 · program services $130,516

  • 22 · Depreciation, depletion and amortization

    total $1,156,082 · program services $1,156,082

  • 23 · Insurance

    total $178,209 · program services $66 · management and general $178,143

  • 24a · Other expenses: Medical Supplies

    total $5,875,947 · program services $5,874,389 · management and general $1,558

  • 24b · Other expenses: Shared Resource Allocation

    total $2,836,889 · program services $2,836,889

  • 24c · Other expenses: Repair & Maintenance

    total $851,102 · program services $621,011 · management and general $230,091

  • 24d · Other expenses: Provider Taxes

    total $340,265 · management and general $340,265

  • 24e · All other expenses

    total $146,487 · program services $75,944 · management and general $70,543 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $499,750 · end of year $586,203

  • 2 · Savings and temporary cash investments

    beginning of year $0

  • 3 · Pledges and grants receivable

    beginning of year $0

  • 4 · Accounts receivable

    beginning of year $4,554,662 · end of year $4,445,297

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $1,037,798 · end of year $800,047

  • 9 · Prepaid expenses and deferred charges

    beginning of year $150,162 · end of year $138,911

  • 10a · Land, buildings and equipment: cost or other basis

    $16,329,141

  • 10b · Land, buildings and equipment: accumulated depreciation

    $8,391,869

  • 10c · Land, buildings and equipment, net

    beginning of year $7,553,153 · end of year $7,937,272

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $1,535,748

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,590,044 · end of year $2,405,092

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $3,092,073 · end of year $2,786,506

  • 25 · Other liabilities

    beginning of year $8,226,869 · end of year $6,013,614

  • 27 · Net assets without donor restrictions

    beginning of year -$113,461 · end of year $4,238,266

Mission and programs · 2022

Mission

THE JAMES B HAGGIN MEMORIAL HOSPITAL WILL MAINTAIN A LEADERSHIP POSITION IN EFFICIENTLY PROVIDING QUALITY MEDICAL CARE AND HEALTH CARE SERVICES TO THE RESIDENTS OF MERCER AND SURROUNDING COUNTIES. SEE SCHEDULE O FOR CONTINUATION.

Activities or mission (Part I)

TO PROVIDE ACUTE HOSPITAL CARE TO INDIVIDUALS RESIDING WITHIN A PRIMARY SERVICE AREA OF MERCER AND SURROUNDING COUNTIES.

  • EPHRAIM MCDOWELL JAMES B. HAGGIN HOSPITAL (EMJBHH), LOCATED IN HARRODSBURG, KENTUCKY, IS A 25-BED CRITICAL ACCESS HOSPITAL. THE HOSPITAL OFFERS A FULL ARRAY OF HEALTH CARE SERVICES RANGING FROM SURGERY TO DIAGNOSTIC IMAGING. THE HOSPITAL'S EMERGENCY DEPARTMENT IS ALSO RECOGNIZED AS A LEVEL IV TRAUMA CENTER AND THE HOSPITAL NOW HAS PEDIATRIC READY DESIGNATION AND ACUTE STROKE READY DESIGNATION. THE FACILITY IS JOINT COMMISSION ACCREDITED. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.

    Expenses $29,969,767 · Revenue $37,427,743

As filed on the 2022 return.

Listed in Part VII

  • Daniel McKay

    PRESIDENT & CEO

    Total calculated
    $852,284
    From this org
    $0
    From related orgs
    $792,327
    Other
    $59,957
    Hours/week
    2.5 + 57.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $604,355 related
    Bonus
    $0 + $172,218 related
    Other
    $0 + $15,754 related
    Deferred
    $0 + $24,400 related
    Nontaxable benefits
    $0 + $35,557 related
    Filer's total
    $0 + $852,284 related

  • Gregory Cobetto

    VICE-CHAIR

    Total calculated
    $1,650
    From this org
    $1,650
    From related orgs
    $0
    Other
    $0
    Hours/week
    7.5

  • Joetta Wickliffe

    Chair

    Total calculated
    $5,100
    From this org
    $5,100
    From related orgs
    $0
    Other
    $0
    Hours/week
    7.5

  • Kay Richardson

    SECRETARY-TREASURER

    Total calculated
    $2,400
    From this org
    $2,400
    From related orgs
    $0
    Other
    $0
    Hours/week
    7.5

  • Lynne Warner-Lynn

    HOSPITAL ADMINISTRATOR

    Total calculated
    $327,072
    From this org
    $135,850
    From related orgs
    $135,850
    Other
    $55,372
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $107,484 + $107,484 related
    Bonus
    $20,722 + $20,722 related
    Other
    $7,644 + $7,644 related
    Deferred
    $10,398 + $10,398 related
    Nontaxable benefits
    $17,288 + $17,288 related
    Filer's total
    $163,536 + $163,536 related

  • Alvis Johnson

    BOARD MEMBER

    Total calculated
    $750
    From this org
    $750
    From related orgs
    $0
    Other
    $0
    Hours/week
    4.5

  • Buddy L Hurt Do

    BOARD MEMBER

    Total calculated
    $294,842
    From this org
    $244,554
    From related orgs
    $0
    Other
    $50,288
    Hours/week
    4.5 + 40 related

    Schedule J breakdown matched by us

    Base
    $211,293
    Bonus
    $7,500
    Other
    $25,761
    Deferred
    $20,100
    Nontaxable benefits
    $30,188
    Filer's total
    $294,842

  • Dennis Davis

    BOARD MEMBER

    Total calculated
    $1,650
    From this org
    $1,650
    From related orgs
    $0
    Other
    $0
    Hours/week
    4.5

  • James W Dunn

    BOARD MEMBER

    Total calculated
    $4,950
    From this org
    $4,950
    From related orgs
    $0
    Other
    $0
    Hours/week
    4.5

  • Jeremiah Phelps MD

    BOARD MEMBER

    Total calculated
    $1,050
    From this org
    $1,050
    From related orgs
    $0
    Other
    $0
    Hours/week
    4.5

  • Jill Ransdell MD

    MEDICAL STAFF VICE-PRESIDENT

    Total calculated
    $0
    Hours/week
    4.5

  • John Settles

    BOARD MEMBER

    Total calculated
    $1,200
    From this org
    $1,200
    From related orgs
    $0
    Other
    $0
    Hours/week
    4.5

  • Shawn Markham

    BOARD MEMBER

    Total calculated
    $1,350
    From this org
    $1,350
    From related orgs
    $0
    Other
    $0
    Hours/week
    4.5

  • Amanda Kinman

    CFO

    Total calculated
    $383,229
    From this org
    $0
    From related orgs
    $329,991
    Other
    $53,238
    Hours/week
    2.5 + 57.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $272,139 related
    Bonus
    $0 + $49,003 related
    Other
    $0 + $8,849 related
    Deferred
    $0 + $20,500 related
    Nontaxable benefits
    $0 + $32,738 related
    Filer's total
    $0 + $383,229 related

  • Gary Bunch

    CMO

    Total calculated
    $369,921
    From this org
    $0
    From related orgs
    $338,399
    Other
    $31,522
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $270,774 related
    Bonus
    $0 + $27,921 related
    Other
    $0 + $39,704 related
    Deferred
    $0 + $24,400 related
    Nontaxable benefits
    $0 + $7,122 related
    Filer's total
    $0 + $369,921 related

  • Lydia Tims

    CHIEF NURSING OFFICER

    Total calculated
    $162,015
    From this org
    $142,258
    From related orgs
    $0
    Other
    $19,757
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $118,144
    Bonus
    $23,151
    Other
    $963
    Deferred
    $11,438
    Nontaxable benefits
    $8,319
    Filer's total
    $162,015

  • Tammy Ensslin

    LEGAL COUNSEL

    Total calculated
    $367,063
    From this org
    $0
    From related orgs
    $309,450
    Other
    $57,613
    Hours/week
    2.5 + 57.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $251,856 related
    Bonus
    $0 + $47,771 related
    Other
    $0 + $9,823 related
    Deferred
    $0 + $24,400 related
    Nontaxable benefits
    $0 + $33,213 related
    Filer's total
    $0 + $367,063 related

  • Amelia Bradshaw

    PHARMACIST

    Total calculated
    $113,888
    From this org
    $105,127
    From related orgs
    $0
    Other
    $8,761
    Hours/week
    40

  • Joan Delahousey

    CRNA

    Total calculated
    $235,188
    From this org
    $204,567
    From related orgs
    $0
    Other
    $30,621
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $203,007
    Bonus
    $0
    Other
    $1,560
    Deferred
    $11,390
    Nontaxable benefits
    $19,231
    Filer's total
    $235,188

  • Paula Taylor

    House Supervisor

    Total calculated
    $127,289
    From this org
    $89,972
    From related orgs
    $0
    Other
    $37,317
    Hours/week
    40

  • Stacey Rider

    PHARMACIST

    Total calculated
    $191,680
    From this org
    $148,355
    From related orgs
    $0
    Other
    $43,325
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $144,380
    Bonus
    $0
    Other
    $3,975
    Deferred
    $12,411
    Nontaxable benefits
    $30,914
    Filer's total
    $191,680

  • Susan Wheeler

    PHARMACIST

    Total calculated
    $161,797
    From this org
    $135,680
    From related orgs
    $0
    Other
    $26,117
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $134,271
    Bonus
    $0
    Other
    $1,409
    Deferred
    $11,079
    Nontaxable benefits
    $15,038
    Filer's total
    $161,797

  • William Snapp III

    VP & CFO UNTIL 06/30/21

    Total calculated
    $315,471
    From this org
    $0
    From related orgs
    $295,271
    Other
    $20,200
    Hours/week
    0 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + -$5,847 related
    Bonus
    $0 + $49,457 related
    Other
    $0 + $251,661 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $20,200 related
    Filer's total
    $0 + $315,471 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4a · Severance or change-of-control payment
  • 6b · Pay contingent on a related organization's net earnings

Answered no

  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 4a Severance or change-of-control payment
SEVERANCE PAYMENTS -------------------------------- WILLIAM SNAPP LEFT EPHRAIM MCDOWELL IN JULY 2021. HIS SEVERANCE OF $241,786 WAS REPORTED IN HIS W-2.ESTABLISHING
Schedule J, Part I, Line 3 ESTABLISHING CEO COMPENSATION
THE CEO IS COMPENSATED BY EPHRAIM MCDOWELL HEALTH, INC. (EMH), A RELATED ORGANIZATION. EMH USES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
Schedule J, Part I, Line 6b MANAGEMENT INCENTIVE PLAN
EPHRAIM MCDOWELL HEALTH, INC. AND ITS AFFILIATES HAVE MANAGEMENT INCENTIVE PLANS FOR CORPORATE OFFICERS, SENIOR VICE PRESIDENTS, VICE-PRESIDENTS, AND DIRECTORS. ANNUAL PAYOUTS RELATED TO THESE INCENTIVE PLANS HAVE TWO COMPONENTS. 30% OF THE ANNUAL PAYOUT IS BASED ON NET OPERATING INCOME GOALS COMPARED TO BUDGET. THE OTHER 70% IS BASED ON QUALITY MEASURES, PATIENT SATISFACTION GOALS, ASSOCIATE SATISFACTION GOALS, AND SAFETY MEASURES.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • COOPERATIVE CARE INC

    C Corporation · CONTRACTING SVCS · KY

    Directly controlled by NA

Provenance

Return type
form_990
Tax year
2022
Filed
16 August 2024
IRS schema version
2022v5.0
Source object
202402289349304210

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