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Nonprofiteer
← UOFL HEALTH-SHELBYVILLE INC

Form 990 for tax year 2022

Filed by UOFL HEALTH-SHELBYVILLE INC.

Totals

Total revenue
$35,925,141
Total expenses
$37,979,925
Contributions and grants received
$2,164,093
Grants paid
$18,123
Program service revenue
$33,548,830
Investment income
$0
Other revenue
$212,218
Total assets, end of year
$15,415,943
Total liabilities, end of year
$6,845,171
Net assets or fund balances, end of year
$8,570,772
Program services expenses (Part IX)
$31,551,548
Management and general expenses
$6,428,377
Fundraising expenses
$0
Program service expenses (Part III)
$31,551,548

Program services were 83.1% 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.

  • 1e · Government grants (contributions)

    $2,164,093

  • 2a · Program service revenue: NET PATIENT REVENUE

    total $33,548,830 · related or exempt $33,548,830

  • 6a · Gross rents

    real property $59,144

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $59,144

  • 6d · Net rental income or loss

    total $59,144 · excluded $59,144

  • 10a · Gross sales of inventory

    $3,495

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $3,495 · excluded $3,495

  • 11a · Other revenue: CONTRACTED SERVICES

    total $3,360 · related or exempt $3,360

  • 11b · Other revenue: EARNINGS IN KMRRRG

    total $2,872 · excluded $2,872

  • 11d · All other revenue

    total $143,347 · related or exempt $143,347

  • 11e · Other revenue, total

    $149,579

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $18,123 · program services $18,123

  • 7 · Other salaries and wages

    total $13,857,726 · program services $11,743,011 · management and general $2,114,715

  • 8 · Pension plan contributions

    total $1,219 · program services $925 · management and general $294

  • 9 · Other employee benefits

    total $2,352,027 · program services $1,784,394 · management and general $567,633

  • 10 · Payroll taxes

    total $970,271 · program services $736,108 · management and general $234,163

  • 11b · Fees: legal

    total $69,016 · program services $36,669 · management and general $32,347

  • 11g · Fees: other

    total $6,266,811 · program services $4,604,209 · management and general $1,662,602

  • 12 · Advertising and promotion

    total $8,231 · program services $3,051 · management and general $5,180

  • 13 · Office expenses

    total $474,951 · program services $470,981 · management and general $3,970

  • 16 · Occupancy

    total $555,488 · program services $196,592 · management and general $358,896

  • 17 · Travel

    total $7,445 · program services $2,760 · management and general $4,685

  • 19 · Conferences, conventions and meetings

    total $885 · program services $328 · management and general $557

  • 22 · Depreciation, depletion and amortization

    total $1,340,773 · program services $751,622 · management and general $589,151

  • 23 · Insurance

    total $315,849 · program services $117,088 · management and general $198,761

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $5,212,261 · program services $5,212,261

  • 24b · Other expenses: CORPORATE ALLOCATION EX

    total $3,400,116 · program services $3,400,116

  • 24c · Other expenses: PROVIDER TAX

    total $1,587,344 · program services $1,587,344

  • 24d · Other expenses: REPAIRS & MAINTENANCE

    total $1,428,069 · program services $843,957 · management and general $584,112

  • 24e · All other expenses

    total $113,320 · program services $42,009 · management and general $71,311

Balance sheet

Part X, book values.

  • 4 · Accounts receivable

    beginning of year $5,591,871 · end of year $5,592,052

  • 8 · Inventories for sale or use

    beginning of year $704,547 · end of year $779,900

  • 9 · Prepaid expenses and deferred charges

    beginning of year $49,812 · end of year $22,575

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

    $11,177,146

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

    $3,409,912

  • 10c · Land, buildings and equipment, net

    beginning of year $7,249,893 · end of year $7,767,234

  • 15 · Other assets

    beginning of year $364,929 · end of year $1,254,182

  • 17 · Accounts payable and accrued expenses

    beginning of year $3,365,728 · end of year $3,117,081

  • 19 · Deferred revenue

    beginning of year $2,377,695 · end of year $2,505,908

  • 25 · Other liabilities

    beginning of year $2,381,288 · end of year $1,222,182

  • 27 · Net assets without donor restrictions

    beginning of year $5,836,341 · end of year $8,570,772

Mission and programs · 2022

Mission

TO OPERATE AND MAINTAIN A HOSPITAL AFFILIATED WITH THE UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE AND TO PROVIDE CARE FOR THE PEOPLE WHO ARE IN NEED OF THOSE, OR RELATED, MEDICAL SERVICES.

  • UOFL HEALTH SHELBYVILLE, INC. OWNS AND OPERATES A 70-BED HOSPITAL LOCATED AT 727 HOSPITAL DRIVE IN SHELBYVILLE, KENTUCKY. FOR MORE THAN A CENTURY, SHELBYVILLE HOSPITAL HAS SERVED THE PEOPLE OF SHELBY AND SURROUNDING COUNTIES WITH HIGH-QUALITY HEALTH CARE. THE HOSPITAL SERVES RESIDENTS OF SHELBY, HENRY, AND SPENCER COUNTIES. THE HOSPITAL OFFERS A FULL COMPLEMENT OF INPATIENT AND OUTPATIENT CARE, INCLUDING: 24/7 EMERGENCY CARE, INTENSIVE CARE UNIT, INPATIENT CARE (MEDICAL/SURGICAL), DIAGNOSTIC IMAGING: MRI, CT, PET/CT, NUCLEAR CARDIOLOGY, ULTRASOUND, 3D MAMMOGRAPHY, BONE DENSITY, GENERAL AND SPECIALIZED SURGERY: ENDOSCOPY, ENT GASTROENTEROLOGY, ORTHOPEDICS, PODIATRY, UROLOGY, VASCULAR SURGERY, PAIN MANAGEMENT, CARDIOLOGY, CARDIAC REHAB/HEALTHY LIFESTYLE CENTER, SLEEP MEDICINE, FRAZIER REHAB INSTITUTE - PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY, DIABETES AND NUTRITION COUNSELING, OUTPATIENT INFUSION SERVICES, CLINICAL LABORATORY AND PHARMACY.

    Expenses $31,551,548 · Grants $18,123 · Revenue $33,695,537

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Thomas D Miller

    PRESIDENT/CEO UOFL HEALTH

    Total calculated
    $1,653,819
    From this org
    $0
    From related orgs
    $1,623,505
    Other
    $30,314
    Hours/week
    2 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,076,144 related
    Bonus
    $0 + $537,104 related
    Other
    $0 + $10,257 related
    Deferred
    $0 + $10,675 related
    Nontaxable benefits
    $0 + $19,639 related
    Filer's total
    $0 + $1,653,819 related
  • Valerie Briones-Pryor MD

    CHAIR

    Total calculated
    $523,297
    From this org
    $0
    From related orgs
    $479,193
    Other
    $44,104
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $478,085 related
    Bonus
    $0
    Other
    $0 + $1,108 related
    Deferred
    $0 + $17,508 related
    Nontaxable benefits
    $0 + $26,596 related
    Filer's total
    $0 + $523,297 related
  • Andrew Duffee MD

    VICE CHAIR

    Total calculated
    $913,253
    From this org
    $0
    From related orgs
    $858,067
    Other
    $55,186
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $816,560 related
    Bonus
    $0 + $40,247 related
    Other
    $0 + $1,260 related
    Deferred
    $0 + $29,038 related
    Nontaxable benefits
    $0 + $26,148 related
    Filer's total
    $0 + $913,253 related
  • Ron Caughron

    MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Kenneth Gardner MD

    MEMBER

    Total calculated
    $210,582
    From this org
    $0
    From related orgs
    $186,291
    Other
    $24,291
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $166,718 related
    Bonus
    $0 + $15,092 related
    Other
    $0 + $4,481 related
    Deferred
    $0 + $5,743 related
    Nontaxable benefits
    $0 + $18,548 related
    Filer's total
    $0 + $210,582 related
  • Pat Hargadon

    MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Ray Leathers

    MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Christopher Theuer MD

    MEMBER (TERM END 11/22)

    Total calculated
    $594,136
    From this org
    $0
    From related orgs
    $551,481
    Other
    $42,655
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $515,863 related
    Bonus
    $0 + $30,074 related
    Other
    $0 + $5,544 related
    Deferred
    $0 + $18,223 related
    Nontaxable benefits
    $0 + $24,432 related
    Filer's total
    $0 + $594,136 related
  • Ron Waldridge II MD

    MEMBER (TERM END)

    Total calculated
    $0
    Hours/week
    1
  • Gary Walls

    MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Janice Harris

    MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Steve Meador

    MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Greg Pfister MD

    MEMBER (TERM BEG)

    Total calculated
    $437,237
    From this org
    $0
    From related orgs
    $419,203
    Other
    $18,034
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $419,014 related
    Bonus
    $0
    Other
    $0 + $189 related
    Deferred
    $0 + $14,002 related
    Nontaxable benefits
    $0 + $4,032 related
    Filer's total
    $0 + $437,237 related
  • Troy Rawlins

    MEMBER (TERM BEG)

    Total calculated
    $0
    Hours/week
    1
  • Michael Douzuk Jr

    CFO UOFL HEALTH (END 2023)

    Total calculated
    $984,207
    From this org
    $0
    From related orgs
    $950,873
    Other
    $33,334
    Hours/week
    2 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $631,792 related
    Bonus
    $0 + $302,442 related
    Other
    $0 + $16,639 related
    Deferred
    $0 + $10,675 related
    Nontaxable benefits
    $0 + $22,659 related
    Filer's total
    $0 + $984,207 related
  • Ken Marshall

    COO UOFL HEALTH

    Total calculated
    $963,535
    From this org
    $0
    From related orgs
    $950,038
    Other
    $13,497
    Hours/week
    2 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $610,294 related
    Bonus
    $0 + $313,913 related
    Other
    $0 + $25,831 related
    Deferred
    $0 + $10,675 related
    Nontaxable benefits
    $0 + $2,822 related
    Filer's total
    $0 + $963,535 related
  • Timothy Aaron Garofola

    CEO SHELBYVILLE HOSPITAL

    Total calculated
    $483,633
    From this org
    $0
    From related orgs
    $447,682
    Other
    $35,951
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $296,216 related
    Bonus
    $0 + $150,822 related
    Other
    $0 + $644 related
    Deferred
    $0 + $10,920 related
    Nontaxable benefits
    $0 + $25,031 related
    Filer's total
    $0 + $483,633 related
  • Annessa Baker

    COO/CNO

    Total calculated
    $216,326
    From this org
    $0
    From related orgs
    $202,315
    Other
    $14,011
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $160,514 related
    Bonus
    $0 + $40,430 related
    Other
    $0 + $1,371 related
    Deferred
    $0 + $6,422 related
    Nontaxable benefits
    $0 + $7,589 related
    Filer's total
    $0 + $216,326 related
  • Kirk Strack

    CFO UOFL HEALTH

    Total calculated
    $538,220
    From this org
    $0
    From related orgs
    $508,411
    Other
    $29,809
    Hours/week
    2 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $320,713 related
    Bonus
    $0 + $172,118 related
    Other
    $0 + $15,580 related
    Deferred
    $0 + $10,675 related
    Nontaxable benefits
    $0 + $19,134 related
    Filer's total
    $0 + $538,220 related
  • Michelle H Ledger

    DIRECTOR - LABRATORY

    Total calculated
    $136,054
    From this org
    $0
    From related orgs
    $113,788
    Other
    $22,266
    Hours/week
    40
  • Amy Capps

    DIRECTOR - NURSING

    Total calculated
    $142,768
    From this org
    $0
    From related orgs
    $113,541
    Other
    $29,227
    Hours/week
    40
  • James Bose

    DIRECTOR - IMAGING SERVICE

    Total calculated
    $160,355
    From this org
    $0
    From related orgs
    $134,520
    Other
    $25,835
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $113,945 related
    Bonus
    $0 + $18,767 related
    Other
    $0 + $1,808 related
    Deferred
    $0 + $2,266 related
    Nontaxable benefits
    $0 + $23,569 related
    Filer's total
    $0 + $160,355 related
  • Kelly Nolan

    DIRECTOR - NURSING

    Total calculated
    $143,984
    From this org
    $0
    From related orgs
    $133,005
    Other
    $10,979
    Hours/week
    40
  • Emily Miracle

    SUPERVISOR - PT SERVICES

    Total calculated
    $114,069
    From this org
    $0
    From related orgs
    $105,509
    Other
    $8,560
    Hours/week
    40

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

  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 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
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 7
THERE IS A SHORT TERM INCENTIVE PLAN THAT ELIGIBLE UOFL HEALTH - SHELBYVILLE INC. EMPLOYEES MAY RECEIVE BASED ON MEETING CERTAIN BENCHMARKS. THE PLAN IS BASED ON MEETING FINANCIAL GOALS, DESIRED PATIENT QUALITY OUTCOMES, PATIENT SATISFACTION SCORES AND IS CONSISTENT WITH MARKET PRACTICES AND THE ORGANIZATION'S COMPENSATION PHILOSOPHY.

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.

Provenance

Return type
form_990
Tax year
2022
Filed
13 May 2024
IRS schema version
2022v5.0
Source object
202401359349302680

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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