2025-09-16T09:45:08-05:00 2024-10-31 273858252 DEAN DORTON ALLEN FORD PLLC 250 W MAIN STREET STE 1400 LEXINGTON KY 40507 990 2023-11-01 610523304 ROCKCASTLE HOSPITAL & RESPIRATORY CARE CENTER INC ROCK 6062562195 PO BOX 1310 MT VERNON KY 40456 CHRISTOPHER NICHOLAS BASTIN CFO 6062562195 2025-09-16 1 0 ALLISON C CARTER P01242412 8592552341 2023 2025-03-06 01:10:19Z ROCKCASTLE REGIONAL HOSPITAL AND RESPIRATORY CARE CENTER STEPHEN A ESTES PO BOX 1310 MT VERNON KY 40456 92690273 0 X WWW.ROCKCASTLEREGIONAL.ORG X 1956 KY ROCKCASTLE HOSPITAL IS ORGANIZED TO PROVIDE MEDICAL CARE TO MEMBERS OF ITS COMMUNITY. 4 0 1008 6 2019 1019 335489 503444 83673293 86529463 1882132 1658811 2750591 3992894 88641505 92684612 6000 3000 0 0 49770672 51829454 0 0 0 34884379 37359790 84661051 89192244 3980454 3492368 108661680 111095485 27047916 25149488 81613764 85945997 X ROCKCASTLE HOSPITAL IS ORGANIZED TO PROVIDE MEDICAL CARE TO MEMBERS OF ITS COMMUNITY. THE HOSPITAL HAS A POLICY OF ACCEPTING ALL PATIENTS WITHIN ITS PRIMARY SERVICE AREA REGARDLESS OF ABILITY TO PAY. MISSION: ROCKCASTLE HOSPITAL AND RESPIRATORY CARE CENTER IS A FAMILY-ORIENTED TEAM OF HEALTHCARE PROFESSIONALS DEDICATED TO DELIVERING THE HIGHEST QUALITY OF CARE TO THOSE WE SERVE.VISION: ROCKCASTLE HOSPITAL AND RESPIRATORY CARE CENTER'S VISION IS TO BE THE HOSPITAL OF CHOICE FOR HEALTHCARE IN ROCKCASTLE COUNTY AND SURROUNDING AREAS AND TO BE THE FACILITY OF CHOICE NATIONWIDE IN VENTILATOR CARE. VALUES: OUR WORK WILL BE GUIDED BY OUR COMMITMENT TO QUALITY OF CARE, PATIENT SAFETY, SERVICE EXCELLENCE, CLEANLINESS, AND THE HEALTH OF OUR COMMUNITY. 0 0 71719338 3000 90379893 THE HOSPITAL PROVIDES HEALTH CARE SERVICES TO MEMBERS OF ITS COMMUNITY. THE HOSPITAL MAINTAINS A POLICY OF ACCEPTING ALL PATIENTS WITHIN ITS PRIMARY SERVICE AREA REGARDLESS OF ABILITY TO PAY. 71719338 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 88 0 1 1008 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 4 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 KY X THE ORGANIZATION 6062562195 PO BOX 1310 MT VERNON KY 40456 JOSEPH E LAMBERT CHAIR 7.00 X 28500 0 240 BIGE TOWERY JR SECRETARY/TREASURER 7.00 X 28500 0 240 DEBRA H LAMBERT MEMBER 7.00 X 28500 0 240 JEFFERY T BURDETTE MEMBER 7.00 X 28500 0 240 STEPHEN A ESTES CEO 40.00 X 398369 0 15296 CHRISTOPHER NICHOLAS BASTIN CFO 40.00 X 211562 0 5641 COREY COE CONTROLLER 40.00 X 95808 0 8579 KAREN B SAYLOR MD PHYSICIAN 40.00 X 560000 0 11880 DAVID S BULLOCK MD PHYSICIAN 40.00 X 560000 0 10350 MICHAEL KEVIN ROWE MD PHYSICIAN 40.00 X 540000 0 10590 WILLIAM BAKHOS MD PHYSICIAN 40.00 X 425000 0 10350 MARY JOENBORG PHYSICIAN 40.00 X 411346 0 10140 3316085 0 83786 50 0 1 0 ROCKCASTLE EMERGENCY GROUP LLC PO BOX 677979 DALLAS TX 75267 PHYSICIAN GROUP 722857 KMSF INC PO BOX 587 LEXINGTON KY 40588 PHYSICIAN GROUP 337987 QUEST DIAGNOSTICS PO BOX 912512 PASADENA CA 91110 LABORATORY TESTS 305945 3 362699 140745 503444 PATIENT SERVICE REVENUE 623990 86529463 86529463 86529463 1656796 1656796 148125 5661 142464 142464 2019 140445 2015 0 2015 2015 2015 RPP 340 B DRUGS 623990 2277052 2277052 AHEC INCOME 623990 636025 636025 DAY CARE 624410 344599 344599 592754 592754 3850430 92684612 90379893 2019 1799256 3000 3000 889048 889048 42129842 34964027 7165815 836533 694248 142285 5011902 4159434 852468 2962129 2458304 503825 49152 49152 45464 45464 111266 111266 2393966 2393966 326949 326949 349201 349201 1081107 816485 264622 86262 86262 1119802 845709 274093 4187232 3160941 1026291 1095785 909404 186381 UNRELATED BUSINESS INCO 34 34 SUPPLIES 16277804 16277804 EMPLOYEE MEDICAL SERVIC 4300192 4300192 REPAIRS & MAINTENANCE 2588140 2588140 3347434 686672 2660762 89192244 71719338 17472906 0 13043750 15869052 19047218 19952229 10480771 10312868 5216596 5453075 863102 873578 299955 330717 108418421 60802207 50050155 47616214 4998209 5963540 4661924 4724212 108661680 111095485 3055732 2468957 504827 540698 3681662 3219630 19438543 18572558 367152 347645 27047916 25149488 X 81182578 85530547 431186 415450 81613764 85945997 108661680 111095485 3492368 839865 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 5952 5952 0 PART II-B, LINE 1: THE HOSPITAL IS A MEMBER OF THE KENTUCKY HOSPITAL ASSOCIATION. A PERCENTAGE OF MEMBERSHIP DUES PAID TO THIS ORGANIZATION IS USED FOR LOBBYING PURPOSES. THE HOSPITAL PAID DUES OF $25,649 TO KHA, OF WHICH 12.50% WAS USED FOR LOBBYING PURPOSES. THE HOSPITAL IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION. A PERCENTAGE OF MEMBERSHIP DUES PAID TO THIS ORGANIZATION IS USED FOR LOBBYING PURPOSES. THE HOSPITAL PAID DUES OF $7,586 TO AHA, OF WHICH 36.2% WAS USED FOR LOBBYING PURPOSES. 3266536 3266536 41681475 14787742 26893733 8639914 6195795 2444119 54758835 39818670 14940165 71661 71661 47616214 CAPITAL LEASES 347645 347645 1 1 1 X 0 1 1 0 1 1 1 37497857 32122364 5375493 0.06030 37497857 32122364 5375493 0.06030 102103 102103 0.00110 3000 0 3000 0.00000 0 0 105103 105103 0.00110 37602960 32122364 5480596 0.06140 1 3245231 6710504 5746744 963760 X 1 0 1 1 ROCKCASTLE HOSPITAL AND RESPIRATORY CARE CENTER INC PO BOX 1310 145 NEWCOMB AVE MT VERNON KY 40456 X X X INCLUDES PROVIDER-BASED SKILLED NURSING FACILITY AND 2 RHCS ROCKCASTLE HOSPITAL AND RESPIRATORY CARE 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X WWW.ROCKCASTLEREGIONAL.ORG X X 1 22 1 WWW.ROCKCASTLEREGIONAL.ORG 0 1 X 150.000000000000 X X 1 1 X X X 1 X WWW.ROCKCASTLEREGIONAL.ORG X WWW.ROCKCASTLEREGIONAL.ORG X WWW.ROCKCASTLEREGIONAL.ORG X X X 1 0 X X 1 X 0 0 ROCKCASTLE HOSPITAL AND RESPIRATORY CARE CENTER PART V, SECTION B, LINE 7D: COPIES OF THE NEEDS ASSESSMENT WERE DISTRIBUTED THROUGHOUT CAMPUS. ROCKCASTLE HOSPITAL AND RESPIRATORY CARE CENTER PART V, SECTION B, LINE 11: THE HOSPITAL IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN THE MOST RECENTLY CONDUCTED CHNA BY DOING SECONDARY RESEARCH AND FOCUS GROUP MEETINGS TO IDENTIFY THE TOP PLANNING ISSUES AND PRIORITIES FOR THE HOSPITAL TO ADDRESS THE ISSUES FACING THE COMMUNITY, INCLUDING HEALTHCARE ACCESS AND ENHANCEMENT OF SERVICES, HEALTH EDUCATION, AND SUBSTANCE ABUSE CARE AND PREVENTION. IN ADDITION TO ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN THE MOST RECENTLY CONDUCTED CHNA, CURRENT PRIORITIES FOR THE HOSPITAL ARE ADDRESSING COVID-19, INCLUDING TESTING, MITIGATION, ADMINISTERING VACCINES, AND VACCINE EDUCATION. ROCKCASTLE HOSPITAL AND RESPIRATORY CARE CENTER PART V, SECTION B, LINE 13H: THE DSH APPLICATION IS AUTOMATICALLY PRINTED ON EVERY SELF-PAY REGISTRATION. 5 1 - ROCKCASTLE SNF 145 NEWCOMB AVE MT VERNON KY 40456 PROVIDER-BASED SNF 2 - ROCKCASTLE FAMILY WELLNESS 145 NEWCOMB AVE MT VERNON KY 40456 PROVIDER-BASED RHC 3 - ROCKCASTLE PEDIATRICS AND ADOLESCENT 145 NEWCOMB AVE MT VERNON KY 40456 PROVIDER-BASED RHC 4 - BRODHEAD FAMILY CARE 46 W MAIN ST BRODHEAD KY 40409 PROVIDER-BASED RHC 5 - QUICK CARE 46 W MAIN ST BRODHEAD KY 40409 PROVIDER-BASED RHC PART I, LINE 7: COSTS ARE DETERMINED BY MEDICARE CHARGES MULTIPLIED BY THE COST TO CHARGE RATIOS FOR EACH COST CENTER ON THE MEDICARE REPORT. PART I, LN 7 COL(F): BAD DEBT EXPENSE IS THE COST OF THE UNPAID PORTION OF PATIENT LIABILITIES. PART II, COMMUNITY BUILDING ACTIVITIES: EDUCATING THE COMMUNITY ABOUT THE IMPORTANCE OF PHYSICAL FITNESS AND OTHER TOPICS SUCH AS PATIENT SAFETY, DIABETES, COLON CANCER, CHOLESTEROL, HEART HEALTH, AND BREAST CANCER, (JUST TO NAME A FEW) ARE A PART OF OUR MISSION. COMBINED WITH EDUCATION, WE ALSO REACH OUT TO OUR COMMUNITY WITH EVENTS AND SCREENINGS TO PROMOTE WELLNESS AND PREVENTION. OUR DINNER WITH A DOCTOR PROGRAM IS A QUARTERLY, FREE EVENT FOR THE COMMUNITY IN WHICH PHYSICIANS ADDRESS A SPECIFIC HEALTH TOPIC. OUR FREE AND REDUCED-PRICED HEALTH SCREENINGS PROVIDE IMPORTANT MEDICAL FEEDBACK TO PATIENTS AND THEIR PHYSICIANS. OUR WALK/RUN EVENTS GIVE PEOPLE AN OPPORTUNITY TO EXERCISE WHILE HAVING FUN. OTHER COMMUNITY OUTREACH PROGRAMS INCLUDE: LONGEST DAY OF PLAY, RELAY FOR LIFE, FREE CHOLESTEROL SCREENINGS, FREE COLORECTAL SCREENING KITS, SMOKING CESSATION CLASSES, REDUCED PRICE MAMMOGRAMS, GO RED FOR WOMEN, BLOOD PRESSURE SCREENINGS, FIT CAMP AND CHILD SAFETY PROGRAM. PART III, LINE 4: THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE ADDRESSING BAD DEBT EXPENSE. PART III, LINE 8: A SURPLUS HAS BEEN CALCULATED USING REVENUES AND COSTS FROM THE MEDICARE COST REPORT. COSTS ARE DETERMINED BY MEDICARE CHARGES MULTIPLIED BY THE COST TO CHARGE RATIOS FOR EACH COST CENTER ON THE MEDICARE REPORT. PART III, LINE 9B: THE ORGANIZATION DOES NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS BEFORE REASONABLE EFFORTS HAVE BEEN MADE TO DETERMINE WHETHER AN INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY. PART III, LINE 2: BAD DEBT EXPENSE IS THE COST OF THE UNPAID PORTION OF PATIENT LIABILITIES. PART III, SECTION A, LINE 3: THE ORGANIZATION DOES NOT OFFER DISCOUNTED CARE OTHER THAN THE 24% DISCOUNT FROM FULL CHARGES GENERALLY OFFERED TO INDIVIDUALS WITH OTHER HEALTH INSURANCE COVERAGE. THEREFORE, THERE ARE NO BAD DEBTS RELATED TO PATIENTS UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. PART VI, LINE 2: IN ADDITION TO THE CHNA, THE ORGANIZATION RELIES ON PUBLIC HEALTH STUDIES TO ASSESS THE HEALTH CARE NEEDS OF ITS COMMUNITY. ACCORDING TO THE KENTUCKY CANCER REGISTRY (2003-2007) THE INCIDENCE RATE FOR LUNG CANCER IN ROCKCASTLE COUNTY IS 124.0 COMPARED TO THE UNITED STATES RATE OF 62.5. THE INCIDENCE RATE FOR COLORECTAL CANCER IS 74.2 COMPARED TO THE UNITED STATES RATE OF 47.9. ACCORDING TO THE CENTERS FOR DISEASE CONTROL AND PREVENTION (2008), ROCKCASTLE COUNTY HAS A HIGHER PREVALENCE OF OBESITY, DIAGNOSED DIABETES, AND LOWER PHYSICAL ACTIVITY LIFESTYLE, WITH NEARLY 1 OUT OF EVERY 3 ADULTS SUFFERING FROM AT LEAST ONE OF THE PREVIOUSLY MENTIONED. ACCORDING TO A COUNTY HEALTH RANKINGS REPORT FROM THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE (2011), ROCKCASTLE COUNTY WAS RANKED 88 OUT OF 120 COUNTIES, BASED ON SOCIAL AND ECONOMIC FACTORS INCLUDING: EDUCATION, EMPLOYMENT, INCOME, FAMILY AND SOCIAL SUPPORT, AND COMMUNITY SAFETY. IN THE SAME STUDY, ROCKCASTLE COUNTY WAS RANKED 61 OUT OF 120 COUNTIES BASED ON HEALTH BEHAVIORS INCLUDING: TOBACCO, DIET, ALCOHOL USE, AND HIGH RISK SEXUAL BEHAVIOR. ALSO IN THE SAME STUDY, ROCKCASTLE WAS RANKED 77 OF 120 COUNTIES BASED ON THE HEALTH FACTORS THAT INFLUENCE THE HEALTH OF THE COUNTY. ACCORDING TO THE FOUNDATION FOR HEALTHY KENTUCKY, ROCKCASTLE COUNTY IS HIGHER THAN THE STATE'S AVERAGE FOR PREVALENCE OF DIABETES (ROCKCASTLE 13%, KY 8%), BREAST CANCER DEATHS (ROCKCASTLE 28 DEATHS, KY 23 DEATHS), AND HEART DISEASE (ROCKCASTLE 270.5, KY 224.0). A 2007 ASSESSMENT ON THE HEALTH OF KENTUCKY FROM THE KENTUCKY INSTITUTE OF MEDICINE, RANKED ROCKCASTLE COUNTY 86 OF 120 COUNTIES. THE BIGGEST OUTLIERS WERE HIGH SMOKING RATES, HIGH OBESITY RATES, AND TOTAL CANCER DEATHS. PART VI, LINE 3: BEFORE ANY SERVICE IS PERFORMED, EACH PATIENT MUST REGISTER AT THE HOSPITAL. IF THE PATIENT DOES NOT HAVE INSURANCE, THE PATIENT IS PROVIDED A DISPROPORTIONATE SHARE HOSPITAL PROGRAM APPLICATION TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE DSH PROGRAM. PART VI, LINE 4: ACCORDING TO THE US CENSUS BUREAU REPORT FROM 2025, ROCKCASTLE CO, KY HAS A POPULATION OF 16,064 OF WHICH 51% ARE FEMALE AND 49% ARE MALE. 97.6% OF THE POPULATION IS CAUCASIAN. PER CAPITA INCOME IS $21,125. 18.8% OF THE POPULATION IS AGE 65 OR OLDER. APPROXIMATELY 23.6% OF THE POPULATION IS LIVING IN POVERTY. PART VI, LINE 5: THE ORGANIZATION'S HOSPITAL AND OTHER HEALTH CARE FACILITIES FURTHER ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY. THE ORGANIZATION HAS AN ACTIVE COMMUNITY BASED BOARD, PARTICIPATES IN VARIOUS HEALTH FAIRS, SUPPORTS THE ROCKCASTLE COUNTY CHAMBER OF COMMERCE AND THE ROCKCASTLE COUNTY KIWANIS. 1 X X 0 0 0 0 0 0 0 0 0 KAREN B SAYLOR MD PHYSICIAN 560000 0 0 0 0 0 9900 0 1980 0 571880 0 0 0 DAVID S BULLOCK MD PHYSICIAN 560000 0 0 0 0 0 9900 0 450 0 570350 0 0 0 MICHAEL KEVIN ROWE MD PHYSICIAN 540000 0 0 0 0 0 9900 0 690 0 550590 0 0 0 WILLIAM BAKHOS MD PHYSICIAN 425000 0 0 0 0 0 9900 0 450 0 435350 0 0 0 MARY JOENBORG PHYSICIAN 411346 0 0 0 0 0 9900 0 240 0 421486 0 0 0 STEPHEN A ESTES CEO 398369 0 0 0 0 0 9116 0 6180 0 413665 0 0 0 CHRISTOPHER NICHOLAS BASTIN CFO 211562 0 0 0 0 0 5447 0 194 0 217203 0 0 0 A COUNTY OF ROCKCASTLE KENTUCKY 610953696 77288PAW5 2015-06-01 7150000 REFUND THE COUNTY OF ROCKCASTLE KY MORTGAGE HOSPITAL REVENUE BOND 10/1/05 0 0 0 A 3825000 7150000 642744 2015 1 0 1 1 A 0 0 0 0 0 0 1 A 0 0 0 1 1 0 0 0 1 A 1 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED AND DISCUSSED BY MANAGEMENT AND AT A REGULAR BOARD MEETING ONCE THE RETURN IS COMPLETED. A COMPLETE COPY IS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO REVIEW THE CONFLICT OF INTEREST POLICY AND SIGN ANNUALLY. IF A CONFLICT EXISTS, THE PERSON INVOLVED IS REQUIRED TO RECUSE THEMSELVES FROM THE DISCUSSION AND VOTE. FORM 990, PART VI, SECTION B, LINE 15 THE OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE EVALUATED ANNUALLY BY THE BOARD WITH THE KHA (KENTUCKY HOSPITAL ASSOCIATION) ANNUAL SALARY SURVEY GUIDE PROVIDING GUIDANCE. FORM 990, PART VI, SECTION C, LINE 19 COPIES OF THE FORM 1023 AND FORMS 990/990T ARE KEPT IN THE BUSINESS OFFICE AND ANYONE REQUESTING ACCESS IS GIVEN A COPY. FORM 990, PART XII, LINE 2C THE HOSPITAL HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. ROCKCASTLE VENTURES INC P O BOX 279 MT VERNON KY 40456 611064744 MEDICAL CLINIC KY ROCKCASTLE HOSPITAL & RESPIRATORY CARE CENTER INC C -140029 415817 1.00000 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 ROCKCASTLE VENTURES INC D 428989 COST ROCKCASTLE VENTURES INC A 7680 COST