Civic Intelligence

Caverna Memorial Hospital Inc

EIN 61-0654135 • 501(c)3 • Horse Cave, KY

View Organization Page

Profile

To provide critical care hospital and nursing services

1501 S Dixie StreetHorse Cave, KY 42749

www.cavernahospital.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

88th percentile

0.81x

Higher debt load relative to assets than 88% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2015

Liabilities / Revenue

71st percentile

0.55x

Higher debt load relative to revenue than 71% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2015

Net Margin

40th percentile

1.3%

Higher net margin than 40% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2015

Top Officer Pay

76th percentile

$270,769

Higher top officer pay than 76% of similar nonprofits.

Top officer pay equals 2.0% of source-year revenue.

501(c)3 • $10M-$25M nonprofits • Source year 2015

Asset Growth

61st percentile

8.4%

Faster asset growth than 61% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2014 to 2015

Revenue Growth

70th percentile

18%

Faster revenue growth than 70% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2014 to 2015

Balance Sheet
Liabilities / Assets88th percentile

Assets

Up

$9,345,720

Up $722,420 (+8.4%) from 2014

Liabilities

Up

$7,597,518

Up $546,862 (+7.8%) from 2014

Net Assets

Up

$1,748,202

Up $175,558 (+11%) from 2014

Operations
Liabilities / Revenue71st percentileNet Margin40th percentile

Revenue

Up

$13,707,474

Up $2,137,650 (+18%) from 2014

Expenses

Down

$13,531,914

Down $794,222 (-5.5%) from 2014

Net Income

Up

$175,560

Up $2,931,872 (+106%) from 2014

Trend Graphs

Balance Sheet Trend

Asset Growth61st percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$15M$10M$5.0M$0Assets 2011: $7,901,749Liabilities 2011: $3,249,330Net Assets 2011: $4,652,4192011Assets 2012: $8,460,852Liabilities 2012: $3,801,555Net Assets 2012: $4,659,2972012Assets 2013: $10,125,276Liabilities 2013: $5,749,558Net Assets 2013: $4,375,7182013Assets 2014: $8,623,300Liabilities 2014: $7,050,656Net Assets 2014: $1,572,6442014Assets 2015: $9,345,720Liabilities 2015: $7,597,518Net Assets 2015: $1,748,2022015

Highlighted filing

2015

Assets$9,345,720
Liabilities$7,597,518
Net Assets$1,748,202
Open 2015 Filing

Operations Trend

Revenue Growth70th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$15M$10M$5.0M$0-$5.0MExpenses 2011: $13,933,5332011Expenses 2012: $13,714,0492012Revenue 2013: $13,789,705Expenses 2013: $14,073,284Net Income 2013: -$283,5792013Revenue 2014: $11,569,824Expenses 2014: $14,326,136Net Income 2014: -$2,756,3122014Revenue 2015: $13,707,474Expenses 2015: $13,531,914Net Income 2015: $175,5602015

Highlighted filing

2015

Revenue$13,707,474
Expenses$13,531,914
Net Income$175,560
Open 2015 Filing

Filings

Most recent year

2015 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$9,345,720
Liabilities
$7,597,518
Net assets
$1,748,202
Revenue
$13,707,474
Expenses
$13,531,914
Net income
$175,560
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2015Detailed filing. Detailed filing data is available for this year.$9.35$7.60$1.75$13.7$13.5$0.18
2014Detailed filing. Detailed filing data is available for this year.$8.62$7.05$1.57$11.6$14.3$2.76
2013Summary only. Only limited summary data is available for this year.$10.1$5.75$4.38$13.8$14.1$0.28
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.46$3.80$4.66$13.7
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.90$3.25$4.65$13.9
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2014 to Jun 30, 2015
Signed
Feb 1, 2016
Return Version
2014v6.0
Gross Receipts
$13,707,474
Mission and Program Overview

Mission

To provide critical care hospital and nursing services

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$5,634,040$5,124,712▼ $509,328
Accounts Receivable$959,537$2,173,871▲ $1,214,334
Savings and Temporary Cash Investments$959,249$1,028,694▲ $69,445
Cash and Non-Interest-Bearing Accounts$410,768$761,989▲ $351,221
Inventories for Sale or Use$173,253$265,552▲ $92,299
Prepaid Expenses and Deferred Charges$94,690$131,123▲ $36,433
Total Assets$8,623,300$9,345,720▲ $722,420
Other Assets Total$391,763$-140,221▼ $531,984
Liabilities
Mortgage Notes Payable Secured by Investment Property$6,003,584$6,150,068▲ $146,484
Accounts Payable and Accrued Expenses$1,047,072$1,447,450▲ $400,378
Total Liabilities$7,050,656$7,597,518▲ $546,862
Net Assets / Fund Balance
Unrestricted Net Assets$1,572,644$1,748,202▲ $175,558
Total Net Assets Fund Balance$1,572,644$1,748,202▲ $175,558
Total Liabilities and Net Assets / Fund Balance$8,623,300$9,345,720▲ $722,420

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$5,124,712$7,873,605-
Compensation and Service Providers
Top Officer Pay76th percentile

Employees

NameTitleFull / Part TimeBaseTotal
Swaranjit Chani MdDoctor-$270,769$270,769
Laura SpencerDirector Pha-$115,952$115,952
Vanessa Bard RnChief Nursin-$115,952$115,952
Allen B BrownPresidentPT$1,200$1,200

Board Members and Trustees

NameTitle
Charles BryantTrustee
Evelynsalisbury MdTrustee
Garland C CottrellTrustee
Randall CurryTrustee
Stanley WaltonTrustee
William HowellSecretary
Hm CherryTreasurer
Mary Mills-turnerVice Preside
Revenue and Support

Revenue Composition

Contributions and Grants
$8,604
Program Service Revenue
$12,449,447
Investment Income
$28,341
Other Revenue
$1,221,082
All Other Contributions
$8,604
Change in Net Assets
$175,560

Audited Revenue Reconciliation

Revenue per Audited Statements
$13,707,474
Total Revenue per Audited Statements
$13,707,474
Total Revenue per Form 990
$13,707,474
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$7,927,938
Salaries, Compensation, and Employee Benefits$5,603,976
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$5,179,000--$5,179,000
All Other Expenses$2,056,825--$2,056,825
Depreciation Depletion$973,924--$973,924
Other Expenses$522,867--$522,867
Insurance$438,685--$438,685
Payroll Taxes$310,470--$310,470
Interest$135,611--$135,611
Pension Plan Contributions$108,999--$108,999
Fees for Services Accounting$104,874--$104,874
Travel$69,956--$69,956
Other Employee Benefits$5,507--$5,507
Total Functional Expenses$13,531,914$0$0$13,531,914

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$13,531,915
Expenses per Audited Statements$13,531,914
Total Expenses per Form 990$13,531,914
Expenses Not Reported on Form 990$1
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

Form 990, Page 6, Part VI, Line 3

“The chief executive officer of the hospital is employed by alliant management services and is responsible for controlling management duties.”

Form 990, Page 6, Part VI, Line 7A

“Member of the voluntary board of trustees are elected by majority vote when a vacancy arises.”

Form 990, Page 6, Part VI, Line 11B

“The form 990 is submitted to the governing body for review and approval before its filing is finalized with the internal revenue service.”

Form 990, Page 6, Part VI, Line 12C

“The entity regularly and consistently monitors and enforces compliance with the conflict of interest policy through board oversight and review as needed by the entity.”

Form 990, Page 6, Part VI, Line 15A

“Compensation is subject to review and approval annually by the board of trustees.”

Form 990, Page 6, Part VI, Line 15B

“Compensation is subject to review and approval annually by the ceo.”

Form 990, Page 6, Part VI, Line 19

“Governing documents are made available upon request.”

Filing and Contact Details

Filer

Filer Name
Caverna Memorial Hospital Inc
EIN
61-0654135
Phone
2707862191
Address
1501 S DIXIE STREET, HORSE CAVE, KY 42749

Signing Officer

Name
Alan Alexander
Title
CEO
Phone
2707862191
Signed
2016-02-01

Organization Details

Formed
1963
Legal Domicile
Ky
Voting Board Members
9
Independent Board Members
9
Employees
135

Preparer

Firm
Buckles Travis Vanmeter & Hart Pllc
Address
PO BOX 4069, LEITCHFIELD, KY 42755-4069
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 24E

“Management fees 484,207 0 0 physician clinic 326,113 0 0 plant operation & mainten 316,522 0 0 medical professional serv 293,475 0 0 insurance 182,989 0 0 healthcare tax 181,489 0 0 miscellaneous 60,257 0 0 dietary 58,512 0 0 housekeeping 37,430 0 0 admin dues & subs 27,080 0 0 telephone 25,274 0 0 other supplies 17,054 0 0 training 11,997 0 0 dues & subscriptions 10,752 0 0 admin postage 7,367 0 0 collection fees 6,952 0 0 advertising 5,402 0 0 medical records - supplie 2,676 0 0 housekeeping - laundry 1,277 0 0”

Form 990, Part XI, Line 9

“Book / tax depreciation difference -1”

Form 990, Part XI, Line 9

“ROUNDING -1”

Financial Statement Notes

Schedule D, Page 4, Part XII, Line 2D

“Book / tax depreciation difference 1”

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0BOOK / TAX DEPRECIATION DIFFERENCE 1
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE D, PAGE 4, PART XII, LINE 2D
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IRS990ScheduleH/HospitalFacilitiesGrp/OtherDesc0RURAL HEALTH CLINICS
IRS990ScheduleH/HospitalFacilitiesGrp/USAddress/AddressLine1Txt01501 S DIXIE STREET
IRS990ScheduleH/HospitalFacilitiesGrp/USAddress/CityNm0HORSE CAVE
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IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt0PATIENT FINANCIAL ASSISTANCE PROGRAM UTILIZED THE FEDERAL POVERTY GUIDELINES AND AN ASSET TEST CONSISTING OF RESIDENCE, VEHICLES, AND CASH TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE.
IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt1THE TOTAL BAD DEBT EXPENSE AT COST REPRESENTS THE TOTAL AMOUNT EXPECTED TO BE COLLECTED, BUT DEEMED UNCOLLECTABLE. AUDIT FOOTNOTE: IF NO PAYMENT ARRANGEMENTS HAVE BEEN MADE AFTER A SIXTY-DAY PERIOD, THE BILLING AGENCY WILL TRANSFER THE UNPAID ACCOUNT TO PRE-COLLECTION. ACCOUNTS WILL REMAIN IN PRE-COLLECTION FOR SIXTY DAYS. DURING THE PRE-COLLECTION PERIOD EACH ACCOUNT WILL BE CONTACTED BY MAIL WITH TWO LETTERS AT FIFTEEN DAY INTERVALS. AT THIS TIME, THE COLLECTION POTENTIAL OF THIS CLAIM IS REVIEWED. IF THE PATIENT HAS NO INCOME AVAILABLE TO PAY THE ACCOUNT, THE ACCOUNT IS RETURNED TO THE HOSPITAL TO BE IMMEDIATELY WRITTEN OFF AS A BAD DEBT OR CHARITY AS APPROPRIATE. IF THE PATIENT HAS INCOME AVAILABLE TO COVER THE DEBT, THE ACCOUNT WILL BE SENT TO THE COLLECTION AGENCY. THE HOSPITAL RECEIVES A LISTING OF ALL ACCOUNT TRANSFERS MADE TO COLLECTION STATUS. THIS LISTING IS USED AS A LOG OF ACCOUNTS TO BE DESIGNATED AS BAD DEBT IMMEDIATELY AFTER THE ACCOUNT IS TRANSFERRED TO THE COLLECTION AGENCY. MANAGEMENT'S PERIODIC EVALUATION OF THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED ON PAST LOSS EXPERIENCE, KNOWN AND OTHER RISKS INHERENT TO THE SPECIFIC ACCOUNT, ADVERSE SITUATIONS THAT MAY AFFECT THE PATIENT'S ABILITY TO RENDER PAYMENT AND CURRENT ECONOMIC CONDITIONS. MANAGEMENT CONSIDERS MANY FACTORS IN DETERMINING WHETHER A RECEIVABLE IS IMPAIRED, SUCH AS PAYMENT HISTORY AND CHANGES IN EMPLOYMENT.
IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt2THE TOTAL MEDICARE ALLOWABLE COST OF CARE REPRESENTS THE AMOUNTS REPORTED IN THE HOSPITAL'S MEDICARE COST REPORT FOR THE FISCAL YEAR. AMOUNTS IN DISPUTE WOULD HAVE CAUSED A SHORTFALL WHICH SHOULD HAVE BEEN CONSIDERED COMMUNITY BENEFIT DUE TO THE COMMUNITY IT SERVES.
IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt3PATIENTS THAT HAVE NO INSURANCE COVERAGE ARE GIVEN FINANCIAL ASSISTANCE PAPERWORK AT THE TIME OF SERVICE. IF THIS APPLICATION IS NOT RETURNED BY THE TIME THE ACCOUNT HAS BEEN RELEASED FOR BILLING A STATEMENT IS SENT TO THE PATIENT WITH AN APPLICATION AND INSTRUCTIONS FOR FINANCIAL ASSISTANCE. IF NO RESPONSE HAS BEEN RECEIVED FROM THE PATIENT WITHIN TWO WEEKS FROM THE INITIAL STATEMENT THE ACCOUNT GOES INTO THE REGULAR BILLING CYCLE. AT ANYTIME DURING THIS PERIOD THE PATIENT COMPLETES THE APPLICATION AND PROVIDES INCOME VERIFICATION THE BILLING CYCLE IS STOPPED UNTIL THE FACILITY MAKES SURE THAT THE PATIENT DOES NOT QUALIFY FOR ANY TYPE OF FINANCIAL ASSISTANCE. A PATIENT THAT HAS PREVIOUSLY QUALIFIED FOR THE PROGRAM WILL BE NOTIFIED IF THEIR APPLICATION IS GETTING READY TO EXPIRE OR HAS EXPIRED TO ENCOURAGE THEIR SUBMISSION OF A NEW APPLICATION.
IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt4CAVERNA MEMORIAL HOSPITAL ASSESSES THE COMMUNITY'S HEALTH CARE NEEDS BY OBTAINING INFORMATION FROM A VARIETY OF SOURCES INCLUDING: A. LOCAL AND REGIONAL HEALTH DEPARTMENT AND RELATED ORGNIZATIONS B. KENTUCKY HOSPITAL ASSOCIATION REPORTS AND DATABASES C. MARKET CANVASSING D. COMMUNICATIONS RECEIVED FROM PHYSICIAN AND COMMUNITY GROUPS E. BOARD OF TRUSTEES THAT IS MADE UP OF LOCAL AND COUNTY RESIDENTS
IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt5PATIENTS ARE INFORMED OF FINANCIAL ASSISTANCE PROGRAMS AT REGISTRATION AND THROUGH COMMUNICATION FROM THE HOSPITAL FINANCIAL COUNSELOR. LOCAL PHYSICIAN OFFICES HAVE BEEN INFORMED OF THE PROGRAMS AND ENCOURAGED TO ASSIST THEIR PATIENTS IN PARTICIPATION. PATIENTS ARE GIVEN APPLICATIONS AND DIRECTIONS AT REGISTRATION AND AGAIN PRIOR TO BEING PLACED INTO THE GENERAL BILLING CYCLE.
IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt6CAVERNA MEMORIAL HOSPITAL IS LOCATED IN HART COUNTY KENTUCKY. THE CITY OF HORSE CAVE HAS A LOCAL POPULATION OF AROUND 2,500 WITH THE COUNTY POPULATION APPROXIMATELY 18,396. USING 2008 DATA THE MEDIAN INCOME IS 31,166 WITH AN UNEMPLOYMENT RATE OF 10.5. HART COUNTY IS A FEDERALLY DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREA. REVENUE FROM MEDICARE IS APPROXIMATELY 48%, MEDICAID IS 19% AND SELF PAY IS 15%.
IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt7CAVERNA MEMORIAL HOSPITAL UNDERSTANDS THE NEED FOR THE COMMUNITY TO HAVE ACCESS TO EXCELLENT HEALTHCARE AND HAS WORKED TIRELESSLY TO RECRUIT PHYSICIANS TO THE COUNTY AND PROVIDE THE COMMUNITY WITH SPECIALISTS FROM NUMEROUS FIELDS OF EXPERTISE THAT ARE LOCALLY AVAILABLE.
IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt8N/A
IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt9CAVERNA MEMORIAL HOSPITAL AND ITS EMPLOYEES HAVE A STRONG COMMITMENT TO OUR COMMUNITY AND HEALTHY LIVING. CAVERNA HOSPITAL PARTICIPATES IN THE LOCAL FESTIVALS, IN OUR CITY AND COUNTY, AND WITH HEALTH FAIRS PROVIDING SCREENINGS. EMPLOYEES AND ADMINISTRATIVE STAFF PARTICIPATE IN THE LOCAL SCHOOL SYSTEM TO PROVIDE HEALTH INFORMATION AND PROMOTE JOB OPPORTUNITIES WITHIN THE HEALTHCARE FIELD. CAVERNA MEMORIAL HOSPITAL ADHERES TO THE FOLLOWING IRS EXEMPTION REQUIREMENTS BY: A. ACCEPT AND TREAT MEDICARE AND MEDICAID PATIENTS B. EMERGENCY DEPARTMENT OPEN TO ALL EMERGENCY CASES, REGARDLESS OF ABILITY TO PAY C. OPEN MEDICAL STAFF THAT ALLOWS CREDENTIALED PHYSICIANS TO PRACTICE AT THIS FACILITY. D. OPERATE UNDER A VOLUNTEER BOARD OF TRUSTEES COMPRISED OF COMMUNITY RESIDENTS.
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc1PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc2PART III, LINE 8 - MEDICARE EXPLANATION
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc3PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc4PART VI, LINE 2 - NEEDS ASSESSMENT
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc5PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc6PART VI, LINE 4 - COMMUNITY INFORMATION
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc7PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc8PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc9ADDITIONAL INFORMATION
IRS990ScheduleH/SupplementalInformationGrp/ExplanationTxt0THE HOSPITAL FACILITY CHARGED SOME OF ITS PATIENTS AN AMOUNT EQUAL TO THE GROSS CHARGE FOR SIMILAR SERVICES PROVIDED TO ANOTHER PATIENT BASED ON ABILITY TO PAY AND THIRD PARTY PAYOR ARRANGEMENTS.
IRS990ScheduleH/SupplementalInformationGrp/FormAndLineReferenceDesc0FACILITY 1, CAVERNA MEMORIAL HOSPITAL - PART V, LINE 24
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