Siviq Scores
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Balance Sheet
Assets
Flat$2,754,970
Flat from 2012
Net Assets
Flat-$151,033
Flat from 2012
Liabilities
Flat$2,906,003
Flat from 2012
Revenue And Expenses
Revenue
-
No earlier filing loaded for comparison.
Expenses
Flat$7,791,087
Flat from 2012
Net Income
-
No earlier filing loaded for comparison.
Historical Trend
Jump To
Filing Snapshot
- Filing Period
- Jan 1, 2012 to Dec 31, 2012
- Signed
- Nov 14, 2013
- Return Version
- 2012v2.1
- Gross Receipts
- $6,846,393
Filing and Contact Details
Filer
- EIN
- 61-0646583
Raw XML AppendixShowing 400 of 655 raw XML fields
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
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| IRS990/AccountsPayableAccruedExpenses/BOY | 0 | 1793066 |
| IRS990/AccountsPayableAccruedExpenses/EOY | 0 | 1789056 |
| IRS990/AccountsReceivable/BOY | 0 | 735855 |
| IRS990/AccountsReceivable/EOY | 0 | 800122 |
| IRS990/ActivitiesConductedPartnership | 0 | 0 |
| IRS990/ActivityOrMissionDescription | 0 | TO PROVIDE QUALITY HEALTHCARE SERVICES TO THE CITIZENS OF NICHOLAS COUNTY, KENTUCKY AND THE SURROUNDING COUNTIES THROUGH HOSPITAL, OUTPATIENT AND SKILLED NURSING SERVICES. |
| IRS990/AddressPrincipalOfficerUS/AddressLine1 | 0 | 2325 CONCRETE ROAD |
| IRS990/AddressPrincipalOfficerUS/City | 0 | CARLISLE |
| IRS990/AddressPrincipalOfficerUS/State | 0 | KY |
| IRS990/AddressPrincipalOfficerUS/ZIPCode | 0 | 40311 |
| IRS990/AllOtherContributions | 0 | 40538 |
| IRS990/AllOtherExpenses/ManagementAndGeneral | 0 | 14402 |
| IRS990/AllOtherExpenses/Total | 0 | 14402 |
| IRS990/AnnualDisclosureCoveredPersons | 0 | 1 |
| IRS990/BenefitsPaidToMembersCY | 0 | 0 |
| IRS990/BenefitsPaidToMembersPriorYear | 0 | 0 |
| IRS990/BsnssRltnshpThruFamilyMember | 0 | 0 |
| IRS990/BsnssRltnshpWithOrganization | 0 | 0 |
| IRS990/CashNonInterestBearing/BOY | 0 | 190079 |
| IRS990/CashNonInterestBearing/EOY | 0 | 34714 |
| IRS990/ChangesToOrganizingDocs | 0 | 0 |
| IRS990/CollectionsOfArt | 0 | 0 |
| IRS990/CompCurrentOfficersDirectors/ManagementAndGeneral | 0 | 267189 |
| IRS990/CompCurrentOfficersDirectors/Total | 0 | 267189 |
| IRS990/CompensationFromOtherSources | 0 | 0 |
| IRS990/CompensationProcessCEO | 0 | 1 |
| IRS990/CompensationProcessOther | 0 | 1 |
| IRS990/ComplianceWithBackupWitholding | 0 | 1 |
| IRS990/ConflictOfInterestPolicy | 0 | 1 |
| IRS990/ConservationEasements | 0 | 0 |
| IRS990/ConsolidatedAuditFinancialStmt | 0 | 0 |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/AddressLine1 | 0 | 1609 N ANKENT BLVD STE 200 |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/City | 0 | ANKENY |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/State | 0 | IA |
| IRS990/ContractorCompensation/AddressOfContractor/AddressUS/ZIPCode | 0 | 50023 |
| IRS990/ContractorCompensation/Compensation | 0 | 784428 |
| IRS990/ContractorCompensation/DescriptionOfServices | 0 | EMERGENCY ROOM PHYSICIAN STAFFING |
| IRS990/ContractorCompensation/NameOfContractor/NameBusiness/BusinessNameLine1 | 0 | ACUTE CARE INC |
| IRS990/ContributionsGrantsCurrentYear | 0 | 40538 |
| IRS990/ContributionsGrantsPriorYear | 0 | 253254 |
| IRS990/CreditCounseling | 0 | 0 |
| IRS990/DecisionsSubjectToApproval | 0 | 0 |
| IRS990/DeductibleContributionsOfArt | 0 | 0 |
| IRS990/DeductibleNonCashContributions | 0 | 0 |
| IRS990/DelegationOfManagementDuties | 0 | 0 |
| IRS990/DepreciationDepletion/ManagementAndGeneral | 0 | 44059 |
| IRS990/DepreciationDepletion/ProgramServices | 0 | 335383 |
| IRS990/DepreciationDepletion/Total | 0 | 379442 |
| IRS990/DescribedIn501C3 | 0 | 1 |
| IRS990/Description | 0 | PROVIDED HEALTH CARE- AREAS INCLUDE HOSPITAL, OUTPATIENT, AND SKILLED NURSING SERVICES TO THE CITIZENS OF NICHOLAS COUNTY, KENTUCKY AND THE SURROUNDING COUNTIES. IN 2012, THE ORGANIZATION PROVIDED $1,096,141 OF CARE TO PERSONS UNABLE TO AFFORD HEALTHCARE. |
| IRS990/DisregardedEntity | 0 | 0 |
| IRS990/DocumentRetentionPolicy | 0 | 1 |
| IRS990/DoingBusinessAs/BusinessNameLine1 | 0 | NICHOLAS COUNTY HOSPITAL |
| IRS990/DonorAdvisedFunds | 0 | 0 |
| IRS990/ElectionOfBoardMembers | 0 | 0 |
| IRS990/EmploymentTaxReturnsFiled | 0 | 1 |
| IRS990/ExcessBenefitTransaction | 0 | 0 |
| IRS990/Expense | 0 | 6710000 |
| IRS990/FamilyOrBusinessRelationship | 0 | 0 |
| IRS990/FederalGrantAuditRequired | 0 | 0 |
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| IRS990/FeesForServicesAccounting/Total | 0 | 52407 |
| IRS990/FeesForServicesLegal/ManagementAndGeneral | 0 | 6728 |
| IRS990/FeesForServicesLegal/Total | 0 | 6728 |
| IRS990/FeesForServicesOther/ProgramServices | 0 | 655026 |
| IRS990/FeesForServicesOther/Total | 0 | 655026 |
| IRS990/FinancialStmtAttached | 0 | 1 |
| IRS990/FollowSFAS117 | 0 | X |
| IRS990/ForeignActivities | 0 | 0 |
| IRS990/ForeignFinancialAccount | 0 | 0 |
| IRS990/ForeignOffice | 0 | 0 |
| IRS990/Form8282PropertyDisposedOf | 0 | 0 |
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| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 1 | 1.00 |
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| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 4 | 1.00 |
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| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 10 | 1.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 11 | 1.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 12 | 1.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 13 | 40.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 14 | 40.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 15 | 40.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 16 | 40.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 17 | 40.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 18 | 40.00 |
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| IRS990/Form990PartVIISectionA/HighestCompensatedEmployee | 2 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 0 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 1 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 2 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 3 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 4 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 5 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 6 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 7 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 8 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 9 | X |
| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 10 | X |
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| IRS990/Form990PartVIISectionA/NamePerson | 0 | JOSEPH H CONLEY |
| IRS990/Form990PartVIISectionA/NamePerson | 1 | STEVEN D HAMILTON |
| IRS990/Form990PartVIISectionA/NamePerson | 2 | HORACE C MARSHALL |
| IRS990/Form990PartVIISectionA/NamePerson | 3 | LOIS C GATES |
| IRS990/Form990PartVIISectionA/NamePerson | 4 | ROBERT KEITH CAMPBELL |
| IRS990/Form990PartVIISectionA/NamePerson | 5 | PAUL DOUGLAS GARRETT |
| IRS990/Form990PartVIISectionA/NamePerson | 6 | JANNA H CASWELL |
| IRS990/Form990PartVIISectionA/NamePerson | 7 | JULIANA METZGER ROGERS |
| IRS990/Form990PartVIISectionA/NamePerson | 8 | WILLIAM FRANK MCKEMIE MD |
| IRS990/Form990PartVIISectionA/NamePerson | 9 | DR OSIAS VILLAFLOR |
| IRS990/Form990PartVIISectionA/NamePerson | 10 | ALEX KAZUNAS |
| IRS990/Form990PartVIISectionA/NamePerson | 11 | MARY CATHERINE KNAPKE |
| IRS990/Form990PartVIISectionA/NamePerson | 12 | KENNY LYONS |
| IRS990/Form990PartVIISectionA/NamePerson | 13 | RICHARD SNAPP |
| IRS990/Form990PartVIISectionA/NamePerson | 14 | BARRY PAPANIA |
| IRS990/Form990PartVIISectionA/NamePerson | 15 | BENNY NOLEN |
| IRS990/Form990PartVIISectionA/NamePerson | 16 | ADNAN AHMED |
| IRS990/Form990PartVIISectionA/NamePerson | 17 | BETSY KELLEY |
| IRS990/Form990PartVIISectionA/NamePerson | 18 | TODD BOONSTRA |
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| IRS990/Form990PartVIISectionA/Officer | 3 | X |
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| IRS990/Form990PartVIISectionA/Officer | 5 | X |
| IRS990/Form990PartVIISectionA/Officer | 6 | X |
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| IRS990/Form990PartVIISectionA/OtherCompensation | 13 | 1174 |
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| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 17 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 18 | 0 |
| IRS990/Form990PartVIISectionA/Title | 0 | CHAIR |
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| IRS990/Form990PartVIISectionA/Title | 2 | SECRETARY |
| IRS990/Form990PartVIISectionA/Title | 3 | VICE CHAIR |
| IRS990/Form990PartVIISectionA/Title | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionA/Title | 5 | DIRECTOR |
| IRS990/Form990PartVIISectionA/Title | 6 | DIRECTOR |
| IRS990/Form990PartVIISectionA/Title | 7 | DIRECTOR |
| IRS990/Form990PartVIISectionA/Title | 8 | DIRECTOR |
| IRS990/Form990PartVIISectionA/Title | 9 | 1.1-10.29.12 PY DIRECTOR |
| IRS990/Form990PartVIISectionA/Title | 10 | 1.1-6.30.12 PY DIRECTOR |
| IRS990/Form990PartVIISectionA/Title | 11 | 01.1-8.25.12 PY DIRECTOR |
| IRS990/Form990PartVIISectionA/Title | 12 | 01.1-9.1.12 PY DIRECTOR |
| IRS990/Form990PartVIISectionA/Title | 13 | CFO |
| IRS990/Form990PartVIISectionA/Title | 14 | CEO 1.1 - 8.31.12 |
| IRS990/Form990PartVIISectionA/Title | 15 | PT CEO 9.1 - 12.31.12 |
| IRS990/Form990PartVIISectionA/Title | 16 | PHYSICIAN |
| IRS990/Form990PartVIISectionA/Title | 17 | THERAPIST |
| IRS990/Form990PartVIISectionA/Title | 18 | PHYSICIAN ASSISTANT |
| IRS990/Form990ProvidedToGoverningBody | 0 | 0 |
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| IRS990/FSAudited | 0 | 0 |
| IRS990/FundraisingActivities | 0 | 0 |
| IRS990/Gaming | 0 | 0 |
| IRS990/GrantsAndSimilarAmntsCY | 0 | 0 |
| IRS990/GrantsAndSimilarAmntsPriorYear | 0 | 0 |
| IRS990/GrantsToIndividuals | 0 | 0 |
| IRS990/GrantsToOrganizations | 0 | 0 |
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| IRS990/Hospital | 0 | 1 |
| IRS990/IndependentAuditFinancialStmt | 0 | 0 |
| IRS990/IndoorTanningServices | 0 | 0 |
| IRS990/InfoInScheduleOPartVI | 0 | X |
| IRS990/InformationTechnology/ManagementAndGeneral | 0 | 85647 |
| IRS990/InformationTechnology/Total | 0 | 85647 |
| IRS990/Insurance/ManagementAndGeneral | 0 | 244086 |
| IRS990/Insurance/Total | 0 | 244086 |
| IRS990/Interest/ManagementAndGeneral | 0 | 3034 |
| IRS990/Interest/ProgramServices | 0 | 23099 |
| IRS990/Interest/Total | 0 | 26133 |
| IRS990/InventoriesForSaleOrUse/BOY | 0 | 60975 |
| IRS990/InventoriesForSaleOrUse/EOY | 0 | 59948 |
| IRS990/InvestmentIncomeCurrentYear | 0 | 752 |
| IRS990/InvestmentIncome/ExclusionAmount | 0 | 752 |
| IRS990/InvestmentIncomePriorYear | 0 | 17510 |
| IRS990/InvestmentIncome/TotalRevenueColumn | 0 | 752 |
| IRS990/InvestmentInJointVenture | 0 | 0 |
| IRS990/InvestmentsOtherSecurities/BOY | 0 | 906479 |
| IRS990/InvestmentsOtherSecurities/EOY | 0 | 258 |
| IRS990/LandBldgEquipmentAccumDeprec | 0 | 5234107 |
| IRS990/LandBuildingsEquipmentBasis | 0 | 7043775 |
| IRS990/LandBuildingsEquipmentBasisNet/BOY | 0 | 1123984 |
| IRS990/LandBuildingsEquipmentBasisNet/EOY | 0 | 1809668 |
| IRS990/LoanToOfficerOrDQP | 0 | 0 |
| IRS990/LobbyingActivities | 0 | 1 |
| IRS990/LocalChapters | 0 | 0 |
| IRS990/MaterialDiversionOrMisuse | 0 | 0 |
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| IRS990/MinutesOfGoverningBody | 0 | 1 |
| IRS990/MissionDescription | 0 | PROVIDE HEALTHCARE TO THE CITIZENS OF NICHOLAS COUNTY, KENTUCKY AND SURROUNDING COUNTIES. |
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| IRS990/MoreThan5000KToOrganizations | 0 | 0 |
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| IRS990/NetAssetsOrFundBalancesEOY | 0 | -151033 |
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| IRS990/OtherEmployeeBenefits/ProgramServices | 0 | 216933 |
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| IRS990/OtherExpenses/Description | 0 | BAD DEBT |
| IRS990/OtherExpenses/Description | 1 | MEDICAL SUPPLIES |
| IRS990/OtherExpenses/Description | 2 | PROVIDER TAX |
| IRS990/OtherExpenses/Description | 3 | MISCELLANEOU |
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| IRS990/PartialLiquidation | 0 | 0 |
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| IRS990/PensionPlanContributions/ManagementAndGeneral | 0 | 1682 |
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| IRS990/PensionPlanContributions/Total | 0 | 16790 |
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| IRS990/PermanentlyRestrictedNetAssets/EOY | 0 | 258 |
| IRS990/PoliticalActivities | 0 | 0 |
| IRS990/PrepaidExpensesDeferredCharges/BOY | 0 | 79605 |
| IRS990/PrepaidExpensesDeferredCharges/EOY | 0 | 50260 |
| IRS990/PriorExcessBenefitTransaction | 0 | 0 |
| IRS990/ProfessionalFundraising | 0 | 0 |
| IRS990/ProgramServiceRevenue/BusinessCode | 0 | 621400 |
| IRS990/ProgramServiceRevenueCY | 0 | 6564769 |
| IRS990/ProgramServiceRevenue/Description | 0 | PATIENT SERVICE REVENU |
| IRS990/ProgramServiceRevenuePriorYear | 0 | 6499765 |
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| IRS990/RegularMonitoringEnforcement | 0 | 1 |
| IRS990/RelatedEntity | 0 | 0 |
| IRS990/RelatedOrgControlledEntity | 0 | 0 |
| IRS990/ReportFin48Footnote | 0 | 0 |
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| IRS990/ReportOtherLiabilities | 0 | 1 |
| IRS990/ReportProgRelInvest | 0 | 0 |
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| IRS990/SalariesEtcPriorYear | 0 | 4084621 |
| IRS990ScheduleA/Hospital170b1Aiii | 0 | X |
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| IRS990ScheduleB/ContributorInfo/ContributorAddressUS/AddressLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInfo/ContributorAddressUS/AddressLine2 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInfo/ContributorAddressUS/City | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInfo/ContributorAddressUS/State | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInfo/ContributorAddressUS/ZIPCode | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInfo/ContributorNameBusiness/BusinessNameLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInfo/ContributorNumber | 0 | RESTRICTED |
| IRS990/ScheduleBRequired | 0 | 1 |
| IRS990ScheduleC/DirectContactLegislators | 0 | 0 |
| IRS990ScheduleC/Form990ScheduleCPartIV/Explanation | 0 | THE HOSPITAL IS A MEMBER OF THE KENTUCKY HOSPITAL ASSOCIATION. A PERCENTAGE OF THE MEMBERSHIP DUES PAID TO THIS ORGANIZATION IS USED FOR LOBBYING PURPOSES. |
| IRS990ScheduleC/Form990ScheduleCPartIV/Identifier | 0 | EXPLANATION OF LOBBYING ACTIVITIES: |
| IRS990ScheduleC/Form990ScheduleCPartIV/ReturnReference | 0 | PART II-B, LINE 1: |
| IRS990ScheduleC/GrantsOtherOrganizations | 0 | 0 |
| IRS990ScheduleC/MailingsMembers | 0 | 0 |
| IRS990ScheduleC/MediaAdvertisements | 0 | 0 |
| IRS990ScheduleC/NotDescribedIn501c3 | 0 | 0 |
| IRS990ScheduleC/OtherActivities | 0 | 1 |
| IRS990ScheduleC/OtherActivitiesAmount | 0 | 1002 |
| IRS990ScheduleC/PaidStaffOrManagement | 0 | 0 |
| IRS990ScheduleC/PublicationsOrBroadcast | 0 | 0 |
| IRS990ScheduleC/RalliesDemonstrations | 0 | 0 |
| IRS990ScheduleC/TotalLobbyingExpendituresIIB | 0 | 1002 |
| IRS990ScheduleC/Volunteers | 0 | 0 |
| IRS990ScheduleD/Buildings/BookValue | 0 | 233309 |
| IRS990ScheduleD/Buildings/Depreciation | 0 | 2234973 |
| IRS990ScheduleD/Buildings/OtherCostOrOtherBasis | 0 | 2468282 |
| IRS990ScheduleD/Equipment/BookValue | 0 | 1497160 |
| IRS990ScheduleD/Equipment/Depreciation | 0 | 2842376 |
| IRS990ScheduleD/Equipment/OtherCostOrOtherBasis | 0 | 4339536 |
| IRS990ScheduleD/Land/BookValue | 0 | 74484 |
| IRS990ScheduleD/Land/OtherCostOrOtherBasis | 0 | 74484 |
| IRS990ScheduleD/LeaseholdImprovements/BookValue | 0 | 4715 |
| IRS990ScheduleD/LeaseholdImprovements/Depreciation | 0 | 156758 |
| IRS990ScheduleD/LeaseholdImprovements/OtherCostOrOtherBasis | 0 | 161473 |
| IRS990ScheduleD/OtherLiabilities/Amount | 0 | 624740 |
| IRS990ScheduleD/OtherLiabilities/Amount | 1 | 470550 |
| IRS990ScheduleD/OtherLiabilities/Description | 0 | CAPITAL LEASE OBLIGATION |
| IRS990ScheduleD/OtherLiabilities/Description | 1 | MEDICARE SETTLEMENT DUE HOSPITAL |
| IRS990ScheduleD/TotalOfAmounts | 0 | 1095290 |
| IRS990ScheduleD/TotalOfBookValueLandBuildings | 0 | 1809668 |
| IRS990ScheduleH/AmountReimbursedByMedicare | 0 | 1198485 |
| IRS990ScheduleH/AmountsBudgetedForCharityCare | 0 | 1 |
| IRS990ScheduleH/AnnualCommunityBenefitReport | 0 | 1 |
Document Assets
No mirrored PDF or thumbnail assets are attached yet.
Filings
Displayed year
2012 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
- Assets
- $2,754,970
- Liabilities
- $2,906,003
- Net assets
- -$151,033
- Revenue
- -
- Expenses
- $7,791,087
- Net income
- -