NORTON - KINGS DAUGHTERS HEALTH INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: NORTON - KINGS DAUGHTERS HEALTH INC (EIN 35-0895832)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-04
IRS object ID: 201903089349301190
Schema version: 2018v3.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-04T11:05:24-06:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	351178661	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BLUE & CO LLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	500 N MERIDIAN ST SUITE 200	AddressLine1Txt
City	INDIANAPOLIS	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46204	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	350895832	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE BETHANY CIRCLE OF KING'S DAUGHTERS'	BusinessNameLine1Txt
Business Name Line2	OF MADISON INDIANA INC	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	BETH	BusinessNameControlTxt
Phone	8128010800	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1373 EAST STATE ROAD 62 PO BOX 447	AddressLine1Txt
City	MADISON	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	47250	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	PAULA HEIDERMAN	PersonNm
Person Title	BOARD CHAIRWOMAN	PersonTitleTxt
Phone	8128010800	PhoneNum
Signature	2019-11-03	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	CARRIE A MERRILL CPA	PreparerPersonNm
PTIN	P00832283	PTIN
Phone	3176334705	PhoneNum
Preparation	2019-11-03	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	96.28.64.110	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-11-03	IPDt
IP Tm	20:28:40	IPTm
IP Timezone	ES	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	DFFF94E40E6042B53F95D34511187C45F8C68B42	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-04-17 16:48:07Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	KING'S DAUGHTERS' HEALTH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	JOHN PRICE	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1373 EAST STATE ROAD 62 PO BOX 447	AddressLine1Txt
City	MADISON	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	47250	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$172,789,840	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.KDHMADISON.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1899	FormationYr
Legal Domicile State	IN	LegalDomicileStateCd
Activity Or Mission	TO IMPROVE THE HEALTH OF THE HOSPITAL'S PATIENTS THROUGH CARE, SERVICE, AND EDUCATION.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	1102	TotalEmployeeCnt
Total Volunteers	75	TotalVolunteersCnt
Total Gross UBI	$59,038	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$140,093	PYContributionsGrantsAmt
CY Contributions Grants	$323,957	CYContributionsGrantsAmt
PY Program Service Revenue	$127,224,164	PYProgramServiceRevenueAmt
CY Program Service Revenue	$131,389,037	CYProgramServiceRevenueAmt
PY Investment Income	$4,937,314	PYInvestmentIncomeAmt
CY Investment Income	$5,035,094	CYInvestmentIncomeAmt
PY Other Revenue	$1,374,463	PYOtherRevenueAmt
CY Other Revenue	$595,593	CYOtherRevenueAmt
PY Total Revenue	$133,676,034	PYTotalRevenueAmt
CY Total Revenue	$137,343,681	CYTotalRevenueAmt
PY Grants And Similar Paid	$4,664	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$17,791	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$64,434,304	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$65,393,601	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$92,091	CYTotalFundraisingExpenseAmt
PY Other Expenses	$59,643,999	PYOtherExpensesAmt
CY Other Expenses	$61,010,144	CYOtherExpensesAmt
PY Total Expenses	$124,082,967	PYTotalExpensesAmt
CY Total Expenses	$126,421,536	CYTotalExpensesAmt
PY Revenues Less Expenses	$9,593,067	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$10,922,145	CYRevenuesLessExpensesAmt
Total Assets BOY	$277,232,984	TotalAssetsBOYAmt
Total Assets EOY	$275,324,825	TotalAssetsEOYAmt
Total Liabilities BOY	$107,951,699	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$107,693,407	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$169,281,285	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$167,631,418	NetAssetsOrFundBalancesEOYAmt
Mission	THE MISSION OF THE HOSPITAL IS TO IMPROVE THE HEALTH OF THE HOSPITAL'S PATIENTS THROUGH CARE, SERVICE, AND EDUCATION.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$97,234,228	ExpenseAmt
Grant	$17,791	GrantAmt
Revenue	$131,500,787	RevenueAmt
Desc	KING'S DAUGHTERS' HEALTH IS A NOT-FOR-PROFIT, ACUTE CARE HOSPITAL OWNED BY THE BETHANY CIRCLE OF KING'S DAUGHTERS' OF MADISON, INDIANA, INC., LOCATED IN MADISON, INDIANA. THE HOSPITAL IS ORGANIZED FOR THE PURPOSE OF PROVIDING HEALTHCARE SERVICES TO THE RESIDENTS OF JEFFERSON COUNTY AND THE SURROUNDING AREA.DURING THE CALENDAR YEAR 2018, THE HOSPITAL PROVIDED HEALTHCARE TO PATIENTS AT THE FOLLOWING LEVELS:11,122 DAYS OF CARE TO ACUTE INPATIENTS1,250 DAYS OF CARE TO NEWBORN INFANTS191,482 VISITS ASSOCIATED WITH HOSPITAL OUTPATIENTS135,814 VISITS ASSOCIATED WITH PHYSICIAN CLINICS	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$1,377,147	ExpenseAmt
Desc	THE HOSPITAL'S PRIMARY SOURCES OF SUPPORT ARE FROM PATIENT REVENUES. PATIENT REVENUES INCLUDE FUNDS RECEIVED FROM MEDICARE, STATE AGENCIES, INSURANCE COMPANIES, AND THE PATIENTS THEMSELVES. IN 2018, KING'S DAUGHTERS' HEALTH PROVIDED SERVICES TOTALING $1,377,147 IN GROSS CHARGES TO PATIENTS WHO MET THE HOSPITAL'S CHARITY CARE POLICY.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$98,611,375	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	85	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1102	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	IN	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	DAWN NUNAN DIRECTOR OF ACCOUNTING	PersonNm
Phone	8128010800	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1373 EAST STATE ROAD 62 PO BOX 447	AddressLine1Txt
City	MADISON	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	47250	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
PAULA HEIDERMAN
BOARD CHAIRWOMAN	1.00	1.00	Yes (X)	$1,250	$0	$0
MARJORIE HARE
BOARD VICE CHAIRWOMAN	1.00	0.00	Yes (X)	$750	$0	$0
ANNIE SCHROEDER
BOARD SECRETARY	1.00	0.00	Yes (X)	$1,250	$0	$0
MARY BETTE VOYLES
BOARD TREASURER	1.00	0.00	Yes (X)	$1,250	$0	$0
ANDREA FORRESTER
BOARD ASSN'T TREASURER	1.00	0.00	Yes (X)	$1,250	$0	$0
BONNIE COLEN
BOARD ASSN'T SECRETARY	1.00	0.00	Yes (X)	$750	$0	$0
JONATHAN HANSON MD
BOARD MEMBER/PHYSICIAN	40.00	0.00	Yes (X)	$467,687	$0	$41,962
PATRICK STACK MD
BOARD MEMBER/PHYSICIAN	40.00	0.00	Yes (X)	$236,338	$0	$23,549
JOE CRAIG
BOARD MEMBER	1.00	0.00	Yes (X)	$1,250	$0	$0
MARY KAY MCCUBBIN
BOARD MEMBER	1.00	0.00	Yes (X)	$1,250	$0	$0
KEVIN TURNER
BOARD MEMBER	1.00	0.00	Yes (X)	$0	$0	$0
CAROL DOZIER
PRESIDENT/CEO	40.00	1.00		$411,425	$0	$15,123	Yes (X)
JOHN PRICE
VP FINANCE	40.00	0.00		$249,348	$0	$18,418	Yes (X)
LISA MORGAN
VP OUTPATIENT SERVICES	40.00	0.00		$180,570	$0	$18,501	Yes (X)
DENINE FALLIS-HALLGARTH
VP PHYSICIAN PRACTICES	40.00	0.00		$161,950	$0	$18,615	Yes (X)
JENNIFER LITER
VP INPATIENT SERVICES	40.00	0.00		$155,861	$0	$20,371	Yes (X)
THOMAS ECKERT MD
EMPLOYED PHYSICIAN	40.00	1.00		$696,088	$0	$24,840		Yes (X)
TRAVIS CLEGG MD
EMPLOYED PHYSICIAN	40.00	0.00		$1,795,514	$0	$41,997		Yes (X)
WILLIAM SKILES MD
EMPLOYED PHYSICIAN	40.00	0.00		$654,323	$0	$28,102		Yes (X)
MICHAEL SCHMIDT MD
EMPLOYED PHYSICIAN	40.00	0.00		$653,158	$0	$31,961		Yes (X)
RONALD AUER MD
EMPLOYED PHYSICIAN	40.00	0.00		$940,171	$0	$42,596		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,611,433	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$326,035	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	59	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
ARUP LABORATORIES
500 CHIPETA WAY	SALT LAKE CITY	UT	84108	LABORATORY SERVICES	$1,047,885
EMCARE INC
7032 COLLECTION CENTER DRIVE	CHICAGO	IL	60693	CONTRACTED PHYSICIAN & MID LEVEL PROVIDE	$942,038
COMPREHENSIVE MEDICAL MANAGEMENT
300 DAVE COWENS DRIVE STE 600	NEWPORT	KY	41071	CONTRACTED PHYSICIAN BILLING SERVICES	$768,178
WEATHERBY LOCUMS INC
PO BOX 972633	DALLAS	TX	75397	CONTRACTED PHYSICIAN & MID LEVEL PROVIDE	$726,590
NORTON HEALTHCARE
PO BOX 35070 N-52	LOUISVILLE	KY	40232	CONTRACTED PHSICIAN PROVIDER SERVICES	$486,204

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	30	CntrctRcvdGreaterThan100KCnt
Government Grants	$60,199	GovernmentGrantsAmt
All Other Contributions	$263,758	AllOtherContributionsAmt
Total Contributions	$323,957	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT SERVICE REVENUE	Desc
Business	621110	BusinessCd
Total Revenue Column	$131,389,037	TotalRevenueColumnAmt
Related Or Exempt Func Income	$131,389,037	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$131,389,037	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,407,995	TotalRevenueColumnAmt
Exclusion	$3,407,995	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$49,531	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$23,286	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$26,245	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$26,245	TotalRevenueColumnAmt
Related Or Exempt Func Income	$26,245	RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$36,852,683	SecuritiesAmt
Other	$197,289	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$35,323,270	SecuritiesAmt
Other	$99,603	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,529,413	SecuritiesAmt
Other	$97,686	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,627,099	TotalRevenueColumnAmt
Exclusion	$1,627,099	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA REVENUE	722210	$414,193	$414,193
GIFT SHOP	453220	$10,612	$10,612
EHR INCOME	900099	$10,443		$10,443

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$134,100	TotalRevenueColumnAmt
Related Or Exempt Func Income	$75,062	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$59,038	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$569,348	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$137,343,681	TotalRevenueColumnAmt
Related Or Exempt Func Income	$131,500,787	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$59,038	UnrelatedBusinessRevenueAmt
Exclusion	$5,459,899	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$17,791	TotalAmt
Program Services	$17,791	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,028,718	TotalAmt
Program Services	$1,582,400	ProgramServicesAmt
Management And General	$446,318	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$50,012,426	TotalAmt
Program Services	$38,952,695	ProgramServicesAmt
Management And General	$10,986,657	ManagementAndGeneralAmt
Fundraising	$73,074	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,005,921	TotalAmt
Program Services	$1,564,618	ProgramServicesAmt
Management And General	$441,303	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$8,140,412	TotalAmt
Program Services	$6,334,889	ProgramServicesAmt
Management And General	$1,786,764	ManagementAndGeneralAmt
Fundraising	$18,759	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,206,124	TotalAmt
Program Services	$2,500,777	ProgramServicesAmt
Management And General	$705,347	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$325,958	TotalAmt
Management And General	$325,958	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$117,520	TotalAmt
Management And General	$117,520	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$576,528	TotalAmt
Management And General	$576,528	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$211,370	TotalAmt
Management And General	$211,370	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$195,908	TotalAmt
Program Services	$152,808	ProgramServicesAmt
Management And General	$43,100	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$635,592	TotalAmt
Program Services	$495,762	ProgramServicesAmt
Management And General	$139,830	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$32,467	TotalAmt
Program Services	$25,324	ProgramServicesAmt
Management And General	$7,143	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,974,844	TotalAmt
Program Services	$1,540,378	ProgramServicesAmt
Management And General	$434,466	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$113,879	TotalAmt
Program Services	$88,826	ProgramServicesAmt
Management And General	$25,053	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,345,831	TotalAmt
Program Services	$4,169,748	ProgramServicesAmt
Management And General	$1,176,083	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$8,748,228	TotalAmt
Program Services	$6,823,618	ProgramServicesAmt
Management And General	$1,924,352	ManagementAndGeneralAmt
Fundraising	$258	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,609,189	TotalAmt
Program Services	$1,255,167	ProgramServicesAmt
Management And General	$354,022	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PURCHASED SERVICES	$11,825,732	$9,224,071	$2,601,661
DRUGS	$10,385,673	$10,385,673
SUPPLIES	$9,983,682	$7,787,272	$2,196,410
HOSPITAL ASSESSMENT FEE	$3,391,276	$3,391,276

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,536,467	TotalAmt
Program Services	$2,318,282	ProgramServicesAmt
Management And General	$3,218,185	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$126,421,536	TotalAmt
Program Services	$98,611,375	ProgramServicesAmt
Management And General	$27,718,070	ManagementAndGeneralAmt
Fundraising	$92,091	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$9,474	BOYAmt
EOY	$9,574	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$16,294,366	BOYAmt
EOY	$19,678,050	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$10,370,400	BOYAmt
EOY	$9,340,720	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$456,146	BOYAmt
EOY	$309,153	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,497,096	BOYAmt
EOY	$2,507,284	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,917,927	BOYAmt
EOY	$3,741,312	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$187,936,846	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$85,975,989	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$107,005,759	BOYAmt
EOY	$101,960,857	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$129,961,696	BOYAmt
EOY	$129,076,266	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$7,720,120	BOYAmt
EOY	$8,701,609	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$277,232,984	BOYAmt
EOY	$275,324,825	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$10,511,186	BOYAmt
EOY	$11,412,609	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$93,886,785	BOYAmt
EOY	$92,387,457	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$1,370,016	BOYAmt
EOY	$1,746,968	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,183,712	BOYAmt
EOY	$2,146,373	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$107,951,699	BOYAmt
EOY	$107,693,407	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$169,268,328	BOYAmt
EOY	$167,618,568	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,957	BOYAmt
EOY	$2,850	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$10,000	BOYAmt
EOY	$10,000	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$169,281,285	BOYAmt
EOY	$167,631,418	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$277,232,984	BOYAmt
EOY	$275,324,825	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$10,922,145	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$13,013,699	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$441,687	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$8,934	OtherActivitiesAmt
Total Lobbying Expenditures	$8,934	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	PORTION OF INDIANA HOSPITAL ASSOCIATION DUES AND AMERICAN HOSPITAL ASSOCIATION DUES ATTRIBUTABLE TO LOBBYING EXPENSES AS DISCLOSED ON THE DUES NOTICES OF THE RESPECTIVE ASSOCIATIONS.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$12,957	BeginningYearBalanceAmt
Contributions	$3,208	ContributionsAmt
Other Expenditures	$3,315	OtherExpendituresAmt
End Year Balance	$12,850	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$20,194	BeginningYearBalanceAmt
Contributions	$28,678	ContributionsAmt
Other Expenditures	$35,915	OtherExpendituresAmt
End Year Balance	$12,957	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$28,255	BeginningYearBalanceAmt
Contributions	$356,398	ContributionsAmt
Other Expenditures	$364,459	OtherExpendituresAmt
End Year Balance	$20,194	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$30,058	BeginningYearBalanceAmt
Contributions	$506,513	ContributionsAmt
Other Expenditures	$508,316	OtherExpendituresAmt
End Year Balance	$28,255	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$208,725	BeginningYearBalanceAmt
Contributions	$50,077	ContributionsAmt
Other Expenditures	$228,744	OtherExpendituresAmt
End Year Balance	$30,058	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.77820	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.22180	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,039,775	OtherCostOrOtherBasisAmt
Book Value	$4,039,775	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$117,953,918	OtherCostOrOtherBasisAmt
Depreciation	$35,263,675	DepreciationAmt
Book Value	$82,690,243	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$65,537,067	OtherCostOrOtherBasisAmt
Depreciation	$50,712,314	DepreciationAmt
Book Value	$14,824,753	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$406,086	OtherCostOrOtherBasisAmt
Book Value	$406,086	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$101,960,857	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
DEFERRED COMPENSATION	$38,384
THIRD PARTY PAYABLE	$1,712,532
LIFE INSURANCE POLICIES	$395,457

Field	Value	IRS element (for citing)
Total Liability	$2,146,373	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$124,177,400	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$13,013,699	NetUnrealizedGainsInvstAmt
Other Revenue	$441,687	OtherRevenueAmt
Revenue Not Reported	-$12,572,012	RevenueNotReportedAmt
Revenue Subtotal	$136,749,412	RevenueSubtotalAmt
Investment Expenses Not Incld	$576,528	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$17,741	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$594,269	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$137,343,681	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$125,827,267	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$125,827,267	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$576,528	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$17,741	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$594,269	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$126,421,536	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	PERMANENT ENDOWMENT - INTENT IS TO HOLD THE INVESTMENT IN PERPETUITY. PER AUDITED FINANCIAL STATEMENTS, "THE PORTION OF PERPETUAL ENDOWMENT FUNDS THAT IS REQUIRED TO BE RETAINED PERMANENTLY EITHER BY EXPLICIT DONOR STIPULATION OR UPMIFA" IS $10,000 AT 12/31/2018. TERM ENDOWMENT - TEMPORARILY RESTRICTED NET ASSETS ARE DONOR-RESTRICTED FOR A SPECIFIC USE INCLUDING: INDIANA HOSPITAL ASSOCIATION FUND AND HIP 2.0 PREMIUM ASSISTANCE FUND.
PART X, LINE 2:	ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE HOSPITAL AND RECOGNIZE A TAX LIABILITY IF THE HOSPITAL HAS TAKEN AN UNCERTAIN TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE HOSPITAL, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2018 AND 2017, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE HOSPITAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, AS OF THE DATE THE FINANCIAL STATEMENTS WERE ISSUED, THERE WERE NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	CHANGE IN SUBSCRIBER SAVINGS CUMULATIVE ACCOUNT 441,687.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	OTHER RENTAL INCOME 6,025. OTHER EXPENSE NETTED WITH INCOME ON FINANCIAL STATEMENTS 11,716.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	OTHER RENTAL INCOME 6,025. OTHER EXPENSE NETTED WITH INCOME ON FINANCIAL STATEMENTS 11,716.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$421,115	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$421,115	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,971,036	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,773,279	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,197,757	NetCommunityBenefitExpnsAmt
Total Expense	0.06480	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,392,151	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,773,279	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,618,872	NetCommunityBenefitExpnsAmt
Total Expense	0.06810	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$191,473	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$61,273	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$130,200	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$170,718	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$45,275	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$125,443	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,366,683	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,231,825	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$134,858	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,166	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$18,166	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,747,040	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,338,373	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$408,667	NetCommunityBenefitExpnsAmt
Total Expense	0.00320	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,139,191	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,111,652	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,027,539	NetCommunityBenefitExpnsAmt
Total Expense	0.07130	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$63	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$63	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$253,880	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$253,880	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$180	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$180	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$254,123	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$254,123	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$12,317,037	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$28,122,012	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$26,939,044	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$1,182,968	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KING'S DAUGHTERS' HEALTH	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1373 EAST STATE ROAD 62 PO BOX 447	AddressLine1Txt
City	MADISON	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	47250	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.KDHMADISON.ORG	WebsiteAddressTxt
State License	18-005063-1	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Emergency Room Other	Yes (X)	EmergencyRoomOtherInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	KING'S DAUGHTERS' HEALTH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.KDHMADISON.ORG/ABOUT-US/COMMUNITY-NEEDS-ASSESSMENT	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	17	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.KDHMADISON.ORG/ABOUT-US/COMMUNITY-NEEDS-ASSESSMENT	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTP://WWW.KDHMADISON.ORG/PATIENTS_FINANCIAL.ASPX	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTP://WWW.KDHMADISON.ORG/PATIENTS_FINANCIAL.ASPX	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTP://WWW.KDHMADISON.ORG/PATIENTS_FINANCIAL.ASPX	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
KING'S DAUGHTERS' HEALTH	PART V, SECTION B, LINE 3J: THE NEEDS ASSESSMENT PERFORMED BY THE HOSPITAL ALSO EXPLORED KEY ISSUES SUCH AS: PHYSICAL ACTIVITY, OVERWEIGHT AND OBESITY, TOBACCO USE, SUBSTANCE ABUSE/GAMBLING/ADDICTIONS, RESPONSIBLE SEXUAL BEHAVIOR, MENTAL HEALTH, INJURY AND VIOLENCE (INCLUDING DOMESTIC VIOLENCE AND SEXUAL ASSAULT), ENVIRONMENTAL QUALITY, IMMUNIZATION, ACCESS TO HEALTH CARE FOR THE INSURED AND UNINSURED, MATERNAL AND CHILD HEALTH, INFECTIOUS DISEASE, OCCUPATIONAL AND SAFETY HEALTH, SPECIAL NEEDS/DISABLED/IMPAIRED, AND CHRONIC DISEASE.
KING'S DAUGHTERS' HEALTH	PART V, SECTION B, LINE 5: THE FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS IN THE COMMUNITY BY UTILIZING THE FOLLOWING COMPONENTS:- ANALYSIS OF SECONDARY DATA TO DEVELOP A PROFILE OF THE RESIDENTS OF EACH COUNTY AND TO INDICATE, WHERE POSSIBLE FUTURE TRENDS AND TO SHOW COMPARISONS WITH STATE AND NATIONAL DATA;- IN-PERSON INTERVIEWS WITH 30 KEY LEADERS WITHIN KDH INCLUDING BOARD, STAFF AND MEDICAL STAFF;- IN-DEPTH-INTERVIEWS BY TELEPHONE OR IN-PERSON WITH 44 COMMUNITY LEADERS INCLUDING GOVERNMENT, MEDICAL, EDUCATION, AND OTHER COMMUNITY LEADERSHIP POSITIONS IN ALL FIVE COUNTIES;- IN-PERSON SURVEYS OF 72 INDIVIDUALS IN LOW INCOME LOCATIONS;- IN-PERSON DISCUSSIONS WITH 19 SENIOR CITIZENS;- A WEB-BASED SURVEY OPEN TO THE GENERAL PUBLIC WHICH RESULTED IN 184 COMPLETED INTERVIEWS. THIS ASSESSMENT ALLOWED ALL INDIVIDUALS TO PROVIDE RESPONSES ON ANY COMMUNITY NEEDS NOT LISTED IN THE QUESTIONS AND ALLOWED INDIVIDUALS TO MAKE COMMENTS ON COMMUNITY HEALTH ISSUES ON WHICH KDH C
KING'S DAUGHTERS' HEALTH	PART V, SECTION B, LINE 7D: RESULTS OF THE NEEDS ASSESSMENT HAVE BEEN MADE AVAILABLE THROUGH A VARIETY OF SOURCES: NEWSPAPER AND RADIO RELEASES, DISTRIBUTION OF INFORMATION IN THE COMMUNITY NEWSLETTER, THE VITAL SIGNS, THROUGH PUBLIC HEALTH FORUMS. IT IS ALSO AVAILABLE ON OUR WEBSITE @ WWW.KDHMADISON.ORG/ABOUT-US/COMMUNITY-NEEDS-ASSESSMENT.
KING'S DAUGHTERS' HEALTH	PART V, SECTION B, LINE 11: AFTER REVIEW OF THE COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED IN 2017, A SMALL COMMITTEE OF INTERESTED INDIVIDUALS WAS INVITED TO PARTICIPATE IN MEETINGS TO DETERMINE WAYS WE CAN WORK TOGETHER TO BETTER MEET THE NEEDS OF THE COMMUNITIES WE SERVE. THIS SMALL GROUP INCLUDED PARTICIPATION FROM THE JEFFERSON COUNTY HEALTH DEPARTMENT, OUR STATE GRANT FOR TOBACCO PREVENTION AND OUR KDH COMMUNITY RELATIONS PARTICIPANTS. AMONG THIS GROUP WAS INPUT FROM OTHER PARTIES, AND AN INTERESTED VOLUNTEER MEDICAL STUDENT. THE NEEDS ASSESSMENT FINDINGS, AND THE IMPLEMENTATION STRATEGY, WERE SHARED WITH THE BOARD OF MANAGERS AND ALL ACTION PLAN ITEMS WILL BE INCORPORATED INTO THE WORKING STRATEGIC PLAN FOR THE ORGANIZATION.KDH GAPS: THERE DOES NOT APPEAR TO BE LARGE GAPS IN THE TOPICS OR TYPES OF COMMUNITY OUTREACH PROGRAMS THAT KDH HAS CONDUCTED IN THE PAST. HOWEVER, THERE MAY BE GAPS DUE TO FUNDING LEVELS OR STAFFING LEVELS IN THE NUMBER OF PROGRAMS AND THE GEOGRAPHIC REACH OF THE PROGRAMS THAT HAVE BEEN OFFERED. KDH WILL USE THE LIST OF MAJOR HEALTH ISSUES IN WHICH KDH IS EXPECTED TO HAVE A LEADERSHIP AND SUPPORTING ROLE AS WELL AS THE LIST OF SPECIFIC TOPICS SUGGESTED TO DEVELOP PROGRAMS AND APPLY FOR GRANTS TO IMPROVE HEALTH IN THE COMMUNITIES IT SERVES.IMPLEMENTATION STRATEGY 2017-2019 SAFE DRUG DROP OFF PROGRAM: KING'S DAUGHTERS' HEALTH WILL SUPPORT THE JEFFERSON COUNTY HEALTH DEPARTMENT WITH MULTIPLE DRUG DROP OFF EVENTS EACH YEAR. MANY OF THESE EVENTS WILL BE HOSTED ON THE KDH CAMPUS. KDH WILL ADVERTISE ALL DROP OFF EVENTS TO MEDICAL PROVIDERS, INTERNALLY TO STAFF, AND THROUGH SOCIAL MEDIA EFFORTS. GOALS: TO PROVIDE A SAFE ALTERNATIVE TO DISPOSING OF UNWANTED PRESCRIPTION MEDICATIONS. MEDICATIONS ARE INCINERATED BY LAW ENFORCEMENT AFTER COLLECTION. EVALUATION: THE HEALTH DEPARTMENT WILL EVALUATE THE NUMBER OF SPECIAL DROP OFF EVENTS EACH CALENDAR YEAR. THE NUMBER OF INDIVIDUALS DROPPING OFF DRUGS/MEDICINE WILL BE TRACKED AS WELL AS THE TOTAL POUNDS OF DRUGS COLLECTED. KDH WILL PROMOTE THE DRUG DROP OFF PROGRAM BY OFFERING A MINIMUM OF THREE DIFFERENT PROMOTIONAL METHODS FOR EACH SPECIAL EVENT.YEAR 2 - 2018 UPDATE:- NUMBER OF DRUG DROP OFF EVENTS IN 2018: 4 (ALL EVENTS WERE HELD AT THE KDH CAMPUS)- NUMBER OF INDIVIDUALS DROPPING OFF DRUGS/MEDICINE: 93- TOTAL POUNDS OF DRUGS COLLECTED: 211 LBS.- TOTAL POUNDS OF SYRINGES COLLECTED: 59.5 LBS.- SIMILAR PROMOTION METHODS FOR ALL DRUG DROP OFF EVENTS OCCURRED IN 2018. IN ADDITION, FLIERS WERE DISTRIBUTED BY THE LOCAL HEALTH DEPARTMENT. IN 2018 A TOTAL OF 10 DIFFERENT DOCUMENTED METHODS OF PROMOTION WERE RECORDED FROM PARTICIPANTS WHO WERE ASKED HOW THEY HEARD ABOUT THE DRUG DROP OFF EVENTS.OVERWEIGHT AND OBESITY AND LACK OF PHYSICAL ACTIVITY FIT KIDS DESCRIPTION: FIT KIDS IS A CURRICULUM-BASED HEALTH EDUCATION PROGRAM OFFERED IN THE SCHOOL CLASSROOM SETTING. KDH STAFF VISIT 5TH GRADE SCHOOL CLASSROOMS FOR 7 WEEKS OFFERING LESSONS TARGETING THE SUBJECT OF CHILDHOOD OBESITY. AGE-APPROPRIATE EDUCATION AND WEEKLY TAKE-HOME CHALLENGES TO INVOLVE FAMILIES ARE OFFERED EACH LESSON. ALL HEALTH LESSONS FOCUS ON A SPECIFIC AREA OF NUTRITION AND PHYSICAL ACTIVITY. GOALS: TO EXTEND THE FIT KIDS PROGRAM TO BOTH SWITZERLAND COUNTY, IN AND TRIMBLE COUNTY, KY ELEMENTARY SCHOOLS. IN ADDITION, THE PROGRAM WILL CONTINUE TO BE OFFERED TO ALL JEFFERSON COUNTY ELEMENTARY SCHOOLS. ANTICIPATED OUTCOMES IMPROVED HEART HEALTH KNOWLEDGE, INCREASE PHYSICAL ACTIVITY FOR CHILDREN, AND IMPROVED NUTRITION CHOICES SUCH AS; INCREASE WATER INTAKE, DECREASE HIGH SUGARY BEVERAGES, INCREASE IN FRUIT AND VEGETABLE CONSUMPTION, CONTROLLED PORTION SIZES, AND INCREASE PERCENTAGE OF CHILDREN WHO CONSUME BREAKFAST EACH DAY. PLAN TO EVALUATE: PRE/POST SURVEYS, WEEKLY TAKE HOME CHALLENGE PARTICIPATION. METRICS USED TO EVALUATE THE PROGRAM/ACTIVITY/INITIATIVE: A NEW PRE/POST SURVEY WILL BE DEVELOPED AND IMPLEMENTED FOR ALL PARTICIPATING STUDENTS. INSTRUCTORS WILL TRACK PERCENT OF STUDENTS WHO COMPLETE WEEKLY TAKE-HOME CHALLENGES.YEAR 2 - 2018 UPDATE:- THE PROGRAM WAS OFFERED AT THREE SCHOOL SYSTEMS IN JEFFERSON COUNTY.- ONE OF THE TWO ELEMENTARY SCHOOLS IN SWITZERLAND COUNTY WERE ADDED. THIS INCLUDED THREE NEW 5TH GRADE CLASSROOMS. - A TOTAL OF 18 CLASSROOMS WERE REACHED. THIS INCLUDED 382 STUDENTS AND 18 TEACHERS.- NEW VISUAL AIDS WERE ADDED IN 2018.- A NEW HOSPITAL FOUNDATION FUNDRAISER WAS ADDED IN 2018. PROCEEDS FROM THIS EVENT WERE DESIGNATED TO THE FIT KIDS PROGRAM. THIS FUNDING WILL HELP COVER STIPEND PAY FOR ADDITIONAL FIT KIDS INSTRUCTORS TO ASSIST THE WELLNESS COORDINATOR AND A HEALTHY SNACK AND GIFT FOR ALL 5TH GRADE STUDENTS. THESE ITEMS ARE GIVEN IN THE FINAL WEEK'S REVIEW LESSON.HEALTHY LIFESTYLES TEAM, COMMUNITY-WIDE WELLNESS CHALLENGES DESCRIPTION: THE NEWLY FORMED HEALTHY LIFESTYLES TEAM WILL CREATE AND IMPLEMENT A MINIMUM OF ONE COMMUNITY-WIDE WELLNESS CHALLENGE EACH CALENDAR YEAR. THESE CHALLENGES WILL BE INCENTIVE-BASED AND OPEN TO ALL COUNTY RESIDENTS. GOALS: CREATE CREATIVE CHALLENGES THAT WILL MOTIVATE PARTICIPANTS TO IMPROVE THEIR HEALTH. THE TEAM WILL WORK TO GET AS MANY LOCAL RESIDENTS INVOLVED BY TARGETING PROMOTION AND SIGNUPS TO INDUSTRIES/BUSINESSES, SCHOOLS, CHURCHES, AND CIVIC GROUPS. ANTICIPATED OUTCOMES: INCREASE PHYSICAL ACTIVITY, IMPROVE NUTRITIONAL HABITS, AND IMPROVE MISC. HEALTHY LIFESTYLE CHOICES LIKE STRESS MANAGEMENT AND QUALITY/QUANTITY OF SLEEP. THE ULTIMATE OUTCOME IS TO LOWER THE RATE OF OVERWEIGHT AND OBESE RESIDENTS IN THE COMMUNITY. PLAN TO EVALUATE: THE HEALTHY LIFESTYLES TEAM, UNDER THE LEADERSHIP OF THE HCI COORDINATOR AND WELLNESS COORDINATOR WILL EVALUATE PARTICIPATION LEVELS AND ANY BIOMETRIC MEASUREMENTS THAT CAN BE CAPTURED. PARTICIPATION SURVEYS WILL BE OFFERED WHEN POSSIBLE. METRICS USED TO EVALUATE THE PROGRAM/ACTIVITY/INITIATIVE: NUMBER OF CHALLENGES EACH CALENDAR YEAR WILL BE DOCUMENTED ALONG WITH NUMBER OF INDIVIDUALS PARTICIPATING AND PERCENT OF PEOPLE WHO COMPLETE/FINISH THE CHALLENGE. CHALLENGE TRACKING TOOLS WILL BE MEASURED, DEPENDING ON THE THEME/FOCUS OF THE CHALLENGE; EXAMPLE- CALCULATING TOTAL STEPS, EXERCISE MINUTES, CHANGE IN BMI, SERVINGS OF FRUITS/VEGETABLES, ETC. YEAR 2 - 2018 UPDATE:- HEALTHY LIFESTYLES TEAM MET 12 TIMES IN 2018. THE TEAM HAS 59 MEMBERS.- FREQUENT UPDATES ARE MADE FOR THE HEALTHY LIFESTYLES RESOURCE GUIDE. THIS JEFFERSON COUNTY GUIDE IS AVAILABLE ON-LINE AND IN PRINT.- A 2018 LIGHTEN UP JEFFERSON COUNTY COMMUNITY WEIGHT LOSS CHALLENGE WAS HELD. 126 ADULTS PARTICIPATED WITH A RECORDED 391 LB. TOTAL WEIGHT LOSS.- A SUMMER HEALTHY LIFESTYLES CHALLENGE WAS HELD AGAIN IN 2018.- SUMMER COMMUNITY PEP WALK WAS HELD.- A FALL 2018 HEALTHY YOUTH TAILGATE EVENT WAS HELD WITH 400 IN ATTENDANCE, 20 HEALTH EDUCATION BOOTHS, AND 50 VOLUNTEERS. STRIVE FOR 5 WEIGHT LOSS EDUCATION CLASS DESCRIPTION: THIS 5-WEEK CLASS SERIES TEACHES BASIC WEIGHT LOSS CONCEPTS AND FOCUSES ON DIFFERENT ASPECTS OF HEALTHY NUTRITION AND EXERCISE EACH WEEK. CLASS PARTICIPANTS WEIGH DURING THE FIRST AND LAST CLASS. THE ONE-TIME CLASS FEE OF $5 IS REFUNDED TO ANYONE WHO LOSES AT LEAST 5 POUNDS OF THEIR BODY WEIGHT. GOALS: OFFER A MINIMUM OF THREE 5-WEEK CLASS SERIES EACH CALENDAR YEAR, WITH A MINIMUM OF 30 PARTICIPANTS. ACHIEVE A 50% RATE EACH CLASS SERIES FOR PARTICIPANTS WHO LOSE THE MINIMUM OF 5 POUNDS OF BODY WEIGHT DURING THE 5 WEEK CLASS SERIES. ANTICIPATED OUTCOMES: IMPROVE NUTRITIONAL HABITS AND INCREASE PHYSICAL ACTIVITY FOR ALL CLASS PARTICIPANTS. MOTIVATE, EDUCATE, AND ASSIST CLASS PARTICIPANTS TO REDUCE BMI. PLAN TO EVALUATE: STRIVE FOR 5 INSTRUCTOR CALCULATIONS. METRICS USED TO EVALUATE THE PROGRAM/ACTIVITY/INITIATIVE: TRACK NUMBER OF CLASS SERIES OFFERED, NUMBER OF PARTICIPANTS, AND ATTENDANCE. OFFER PRE AND POST BODY WEIGHT CHECKS AND MEASURE ANY WEIGHT CHANGE. YEAR 2 - 2018 UPDATE:- TWO 5-WEEK CLASS SERIES WAS HELD IN 2018 WITH 19 TOTAL PARTICIPANTS.- 9 TOTAL PARTICIPANTS. 75% OF PARTICIPANTS COMPLETED THE 5 WEEK PROGRAM.- THESE CLASSES LOST A TOTAL OF 56.6 LBS. AND 85% OF PARTICIPANTS LOST WEIGHT. 35% OF PARTICIPANTS WHO COMPLETED THE CLASS LOST THE SUGGESTED 5+ LBS. DURING THE CLASS. TOBACCO USE DESCRIPTION: TOBACCO PREVENTION AND CESSATION COORDINATOR, EMPLOYED FULL TIME AT KDH, WILL PROVIDE EDUCATIONAL LITERATURE AND RESOURCES REGARDING THE HEALTH AND FINANCIAL EFFECTS OF SMOKING DURING PREGNANCY THROUGH WIC AND KDH OB/GYN PROVIDERS. THE COORDINATOR WILL MEET WITH WOMEN FACE TO FACE AS NECESSARY TO PROVIDE COUNSELING AND ADDITIONAL RESOURCES. GOALS: DECREASE SMOKING RATE AMONG PREGNANT WOMEN. ANTICIPATED OUTCOMES: THE MAIN ANTICIPATED OUTCOME IS A DECREASED SMOKING RATE AMONG PREGNANT WOMEN, WHICH WOULD ALSO LEAD TO DECREASED PRE-TERM BIRTHS, LOW BIRTH WEIGHT AND BIRTH DEFECTS DUE TO SMOKING.
KING'S DAUGHTERS' HEALTH	PART V, SECTION B, LINE 16J: AT THE TIME OF REGISTRATION, THE PATIENT IS OFFERED A PAMPHLET REGARDING THE POLICY, ELIGIBILITY REQUIREMENTS AND THE ASSOCIATED APPLICATION PROCESS. THE PATIENT MUST SIGN A FORM INDICATING THAT HE/SHE RECEIVED THIS INFORMATION. THE HOSPITAL ALSO HAS A REPRESENTATIVE ON SITE TO ASSIST PATIENTS WITH THE FINANCIAL AID APPLICATION PROCESS. PATIENTS ARE REMINDED TO CONTACT CUSTOMER SERVICE REGARDING FINANCIAL AID AND FEDERAL/STATE ASSISTANCE DIRECTLY ON THE PATIENT BILL ITSELF. THE HOSPITAL'S WEBSITE HAS A LINK TO THE FINANCIAL AID APPLICATION. IN ADDITION TO THE ACTIONS PREVIOUSLY LISTED, A FINANCIAL AID COUNSELOR WILL ATTEMPT TO MEET (DURING NORMAL BUSINESS HOURS) WITH ANY UNINSURED INPATIENT PRIOR TO DISCHARGE TO DISCUSS THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.
KING'S DAUGHTERS' HEALTH	PART V, SECTION B, LINE 20E: AT THE TIME OF REGISTRATION, THE PATIENT IS OFFERED A PAMPHLET REGARDING THE POLICY, ELIGIBILITY REQUIREMENTS AND THE ASSOCIATED APPLICATION PROCESS. THE PATIENT MUST SIGN A FORM INDICATING THAT HE/SHE RECEIVED THIS INFORMATION. THE HOSPITAL ALSO HAS A REPRESENTATIVE ON SITE TO ASSIST PATIENTS WITH THE FINANCIAL AID APPLICATION PROCESS. PATIENTS ARE REMINDED TO CONTACT CUSTOMER SERVICE REGARDING FINANCIAL AID AND FEDERAL/STATE ASSISTANCE DIRECTLY ON THE PATIENT BILL ITSELF. THE HOSPITAL'S WEBSITE HAS A LINK TO THE FINANCIAL AID APPLICATION. IN ADDITION TO THE ACTIONS PREVIOUSLY LISTED, A FINANCIAL AID COUNSELOR WILL ATTEMPT TO MEET (DURING NORMAL BUSINESS HOURS) WITH ANY UNINSURED INPATIENT PRIOR TO DISCHARGE TO DISCUSS THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.
PART V, SECTION B, LINE 11 CONTINUED	PLAN TO EVALUATE: WIC AND OB/GYN PROVIDER TRACKING, INDIANA STATE DEPARTMENT OF HEALTH/CDC STATISTICS AND REPORTS. METRICS USED TO EVALUATE THE PROGRAM/ACTIVITY/INITIATIVE: NUMBER OF PREGNANT WOMEN WHO RECEIVE EDUCATIONAL MATERIALS, RESOURCES, COUNSELING, ETC. YEAR 2 - 2018 UPDATE:- NUMBER OF OB/GYN PATIENTS REFERRED TO THE TOBACCO QUITLINE 32.- EDUCATION/CESSATION LITERATURE CONTINUES TO BE PROVIDED TO EACH OB PATIENT.- 2018 JEFFERSON COUNTY SMOKING WHILE PREGNANT RATE DECREASED TO 28.2% (WAS 31.3% IN 2016 AND 30.4% IN 2017).INDIANA TOBACCO QUITLINE DESCRIPTION: KDH TOBACCO PREVENTION AND CESSATION COORDINATOR WILL PROMOTE THE INDIANA TOBACCO QUITLINE IN ORDER TO INCREASE THE NUMBER OF PEOPLE WHO UTILIZE OR ARE REFERRED TO THE QUITLINE VIA THEIR MEDICAL PROVIDER OR EMPLOYER. THE QUITLINE IS A FREE RESOURCE FOR ALL IN RESIDENTS THAT CONNECTS THEM WITH A CESSATION COUNSELOR AND PROVIDES FREE NICOTINE REPLACEMENT PRODUCTS FOR THOSE ENROLLED IN MEDICARE, MEDICAID, OR ARE UNINSURED. GOALS: DECREASE SMOKING RATE AMONG ADULTS. ANTICIPATED OUTCOMES: THE MAIN ANTICIPATED OUTCOME IS A DECREASED SMOKING RATE AMONG ADULTS, WHICH WOULD ALSO LEAD TO A DECREASED INCIDENCE OF CHRONIC DISEASE AND ILLNESS DUE TO SMOKING. PLAN TO EVALUATE: TOBACCO PREVENTION AND CESSATION TRACKING AND REPORTS. METRICS USED TO EVALUATE THE PROGRAM/ACTIVITY/INITIATIVE: NUMBER OF QUITLINE CALLS, NUMBER OF QUITLINE REFERRALS, NUMBER OF PATIENTS WHO ACCEPT QUITLINE SERVICES, DATA REGARDING HOW PATIENTS ARE HEARING ABOUT THE QUITLINE. YEAR 2 - 2018 UPDATE:- NUMBER OF 2018 QUITLINE REFERRALS 181.- NUMBER OF ACCEPTED SERVICES 32. (DOES NOT INCLUDE NOV/DEC DUE TO ERROR IN REPORT)- NUMBER OF DECLINED SERVICES 51. (DOES NOT INCLUDE NOV/DEC DUE TO ERROR IN REPORT)YOUTH OUTREACH THROUGH SCHOOLS AND YOUTH ORGANIZATIONS DESCRIPTION: KDH TOBACCO PREVENTION AND CESSATION COORDINATOR WILL HOLD PRESENTATIONS AND ORGANIZE ACTIVITIES AT SCHOOLS AND YOUTH ORGANIZATIONS REGARDING HEALTH EFFECTS OF TOBACCO USE, AND THE MARKETING TACTICS OF BIG TOBACCO AND E-CIGARETTES. GOALS: DECREASE CURRENT YOUTH SMOKING RATES AND DISCOURAGE YOUTH FROM SMOKING. EDUCATE YOUTH ABOUT MARKETING TACTICS OF BIG TOBACCO USED TO TARGET YOUNG PEOPLE. ANTICIPATED OUTCOMES: THE MAIN ANTICIPATED OUTCOME IS A DECREASED SMOKING RATE AMONG YOUTH, AS WELL AS A MORE EDUCATED GROUP OF YOUTH WHO DO NOT DESIRE TO START SMOKING AND CAN ALSO RECOGNIZE THE TACTICS BIG TOBACCO USES TO TARGET YOUNG PEOPLE. PLAN TO EVALUATE: SURVEYS, PRE AND POST TESTS, IN STATE DEPARTMENT OF HEALTH AND CDC STATISTICS AND REPORTS. METRICS USED TO EVALUATE THE PROGRAM/ACTIVITY/INITIATIVE: NUMBER OF PRESENTATIONS, NUMBER OF STUDENTS REACHED, SURVEY AND TEST RESULTS. YEAR 2 - 2018 UPDATE:- EIGHT YOUTH-BASED TOBACCO PRESENTATIONS WERE HELD IN 2018.- ONE YOUTH-BASED CIGARETTE BUTT CLEAN UP EVENT WAS HELD WITH SUPPORT OF THE BOYS & GIRLS CLUB STAFF AND YOUTH MEMBERS.- KDH PARTICIPATED IN THE YOUTH TOBACCO SURVEY AT SWITZERLAND COUNTY HIGH SCHOOL.- KDH PARTICIPATED IN THE STARS TOBACCO RETAIL SURVEY IN JEFFERSON COUNTY.OUTREACH THROUGH RESPIRATORY THERAPY DEPARTMENT DESCRIPTION: KDH TOBACCO PREVENTION AND CESSATION COORDINATOR WILL PROVIDE FREE NICOTINE PATCHES FOR RESPIRATORY THERAPY PATIENTS AT KDH. PATIENTS WHO SMOKE AND SUFFER FROM COPD WILL BE OFFERED NICOTINE REPLACEMENT PRODUCTS AND EDUCATIONAL INFORMATION REGARDING THE HEALTH EFFECTS OF SMOKING, AS WELL AS INFORMATION ABOUT THE IN TOBACCO QUITLINE. PATCHES WILL BE PURCHASED THROUGH A GRANT, FUNDED FROM THE JEFFERSON COUNTY JUSTICE, TREATMENT, AND PREVENTION COALITION. GOALS: ASSIST RESPIRATORY PATIENTS WITH SMOKING CESSATION. ANTICIPATED OUTCOMES: THE MAIN ANTICIPATED OUTCOME IS A DECREASED NUMBER OF RESPIRATORY PATIENTS THAT SMOKE, WHICH WOULD ALSO LEAD TO IMPROVED RESPIRATORY FUNCTION, AND POSSIBLY A DECREASED CHANCE OF HOSPITAL ADMISSIONS. PLAN TO EVALUATE: RESPIRATORY DEPARTMENT TRACKING. METRICS USED TO EVALUATE THE PROGRAM/ACTIVITY/INITIATIVE: NUMBER OF PATCHES DISTRIBUTED, NUMBER OF PATIENTS SEEN IN RESPIRATORY DEPARTMENT, NUMBER OF COPD PATIENTS WHO SMOKE. YEAR 2 - 2018 UPDATE:- NUMBER OF PATCHES GIVEN BY RESPIRATORY DEPARTMENT TO PATIENTS IN 2018: 5 - THE NUMBER OF INPATIENTS TO RECEIVING SMOKING CESSATION INFORMATION FROM THE RESPIRATORY DEPARTMENT STAFF IN 2018 WAS NOT RECORDED. ALL INPATIENT WHO ARE LABELED AS TOBACCO USERS ARE OFFERED CESSATION COUNSELING. QUITLINE REFERRALS ARE OFFERED AND CESSATION INFORMATION (BROCHURES, LITERATURE, ITEMS SUCH AS STRESS BALLS) ARE GIVEN WHEN THE PATIENT IS WILLING TO ACCEPT. A BETTER TRACKING SYSTEM WILL BE PUT INTO PLACE FOR 2019 TO IMPROVE TOBACCO CESSATION FOR INPATIENTS.CHRONIC DISEASE HOUSE OF HEALTH DESCRIPTION: THE KDH WELLNESS DEPARTMENT WILL OFFER A MONTHLY EDUCATION PROGRAM TARGETING CHRONIC DISEASE PREVENTION AND EARLY DETECTION AT THE HOUSE OF HEALTH FOOD PANTRY. THE HOUSE OF HEALTH PROGRAM IS THE LARGEST COMMUNITY FOOD PANTRY IN THE COUNTY. THE PROGRAM SERVES AN AVERAGE OF 400 LOW-INCOME FAMILIES PER MONTH. GOALS: LOWER CHRONIC DISEASE RISK BY OFFERING VALUABLE HEALTH INFORMATION AND FREE SCREENS TO A LOW-INCOME POPULATION. ANTICIPATED OUTCOMES: IMPROVE KNOWLEDGE AND HEALTH AWARENESS BY OFFERING INFORMATION ON SUCH TOPICS AS; HEART DISEASE, SKIN AND BREAST CANCER PREVENTION AND DETECTION, STD/HIV PREVENTION AND DETECTION, BASIC FIRST AID, ETC. PLAN TO EVALUATE: PERSONAL SUCCESS STORIES SHARED FROM PARTICIPANTS WILL BE DOCUMENTED. METRICS USED TO EVALUATE THE PROGRAM/ACTIVITY/INITIATIVE: NUMBER OF HOUSE OF HEALTH SESSIONS HELD. THE NUMBER OF PEOPLE IN ATTENDANCE WILL BE MEASURED. THE NUMBER OF PEOPLE PARTICIPATING IN FREE SCREENING SERVICES WILL BE MEASURED (EXAMPLE BLOOD PRESSURE, SKIN CANCER SCREEN).YEAR 2 - 2018 UPDATE:- ELEVEN PROGRAMS WERE HELD IN 2018.- ATTENDANCE RANGED FROM 30-75 PEOPLE EACH MONTH.- TOPICS INCLUDED: HEART HEALTH, NUTRITION, STD/HIV/HEP C, TOBACCO, MOSQUITOS, SKIN CANCER, IMMUNIZATIONS, HEALTHY COMMUNITIES, BREAST CANCER, FOOD SAFETY, WEIGHT LOSS.- THE ONLY BIOMETRIC SCREEN OFFERED IN 2018 WAS BLOOD PRESSURE. A TOTAL OF 25 PEOPLE WERE SCREENED.CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) READMISSION PREVENTION PROGRAM DESCRIPTION: A MULTI-DISCIPLINARY TEAM OF STAFF AT KDH WILL TARGET COPD PATIENTS AND THE PROBLEM OF READMISSION. READMISSION IS COSTLY TO THE PATIENT, THE HEALTH CARE ORGANIZATION, THE INSURANCE COMPANY, AND READMISSIONS INCREASE HEALTH CONCERNS FOR THE PATIENT. EMERGENCY MEDICATION KITS WILL BE PROVIDED TO COPD PATIENTS WITH DETAILS INSTRUCTIONS FOR USE AND SELF-HOME CARE. TAKE-HOME BINDERS WITH HEALTH EDUCATION ARE ALSO GIVEN TO ALL COPD PATIENTS. GOALS: TO DECREASE READMISSION FOR COPD PATIENTS. ANTICIPATED OUTCOMES: IMPROVE CHRONIC DISEASE MANAGEMENT SKILLS SO THE PATIENT CAN MANAGE PROBLEMS SAFELY AND EFFECTIVELY AT HOME, TO AVOID A RETURN TO THE HOSPITAL FOR READMISSION. PLAN TO EVALUATE: READMISSION RATES ARE MEASURED BY A PROGRAM TITLED MEDISOLVE. FOLLOW UP PATIENT PHONE CALLS ARE ALSO DOCUMENTED. METRICS USED TO EVALUATE THE PROGRAM/ACTIVITY/INITIATIVE: THE NUMBER OF COPD PATIENTS WILL BE MEASURED. THE NUMBER OF COPD EMERGENCY MED KITS AND THE NUMBER OF HEALTH EDUCATION BINDERS DISTRIBUTED WILL BE DOCUMENTED. YEAR 2 - 2018 UPDATE:- # OF EMERGENCY MED KITS DISTRIBUTED TO COPD PATIENTS: 146- # OF HEALTH EDUCATION BINDERS DISTRIBUTED TO COPD PATIENTS: 74- A TOTAL OF 178 DOCUMENTED FOLLOW-UP PHONE CALLS WERE MADE IN 2018 TO COPD PATIENTS.
PART V, SECTION B, LINE 11 CONTINUED	CONGESTIVE HEART FAILURE (CHF) READMISSION PREVENTION PROGRAM DESCRIPTION: HOME SCALES TO TRACK BODY WEIGHT WILL BE GIVEN TO CHF PATIENTS IN NEED. CHF EDUCATION BINDERS WITH HEALTH INSTRUCTIONS FOR HOME CARE WILL ALSO BE GIVEN TO ALL CHF DIAGNOSED PATIENTS. IN ADDITION, THE ACO COORDINATOR WILL PROVIDE FOLLOW-UP WITH INDIVIDUALS ON AN OUT-PATIENT LEVEL, PROVIDING REMINDERS OF APPOINTMENTS, ATTENDING PHYSICIAN OFFICE VISITS IF NEEDED, AND WILL SERVE AS A RESOURCE TO HELP PATIENTS MEET NEEDS. GOALS: TO DECREASE READMISSION FOR CHF PATIENTS. ANTICIPATED OUTCOMES: IMPROVE CHRONIC DISEASE MANAGEMENT SKILLS SO THE PATIENT CAN RECOGNIZE PROBLEMS SAFELY AND EFFECTIVELY AT HOME, TO REDUCE RISK OF RETURNING TO THE HOSPITAL FOR A READMISSION. PLAN TO EVALUATE: READMISSION RATES ARE MEASURED BY A PROGRAM TITLED MEDISOLVE. FOLLOW UP PATIENT PHONE CALLS ARE DOCUMENTED ONE WEEK AFTER DISCHARGE. METRICS USED TO EVALUATE THE PROGRAM/ACTIVITY/INITIATIVE: THE NUMBER OF CHF PATIENTS WILL BE MEASURED. THE NUMBER OF SCALES GIVEN FOR HOME USE AND THE NUMBER OF HEALTH EDUCATION BINDERS DISTRIBUTED WILL BE DOCUMENTED. THE NUMBER OF HOME PHONE CALLS WILL BE TRACKED AND STATISTICS WILL BE GATHERED FROM THE ACO COORDINATOR. YEAR 2 - 2018 UPDATE:- # OF SCALES DISTRIBUTED TO CHF PATIENTS: 19- # OF HEALTH EDUCATION BINDERS DISTRIBUTED TO COPD PATIENTS: 85- ALL PATIENTS RECEIVED A FOLLOW UP PHONE CALL.MENTAL HEALTH / SUICIDE MENTAL HEALTH/SUICIDE TEAM, RESOURCE GUIDE DESCRIPTION: THE NEWLY FORMED MENTAL HEALTH/SUICIDE TEAM WILL PROMOTE AVAILABLE TRAININGS DESIGNED TO TEACH PEOPLE HOW TO RECOGNIZE INDIVIDUALS WHO ARE AT RISK FOR SUICIDE AND OFFER EARLY INTERVENTION TO RESOURCES. GOALS: INCREASE THE NUMBER OF INDIVIDUALS WHO ARE TRAINED IN A STRUCTURED PROGRAM SUCH AS, BUT NOT LIMITED TO; QUESTION PERSUADE AND REFER (QPR) OR APPLIED SUICIDE INTERVENTION SKILLS TRAINING (ASIST). CREATE A RESOURCE GUIDE THAT HIGHLIGHTS ALL SUICIDE PREVENTION PERSONAL AND ANY/ALL LOCAL MENTAL HEALTH/SUICIDE RESOURCES IN THE COMMUNITY. PROMOTE AND ADVERTISE THIS RESOURCE GUIDE COUNTY-WIDE. IN ADDITION, KDH WILL INCREASE THE NUMBER OF KDH STAFF MEMBERS WHO ARE TRAINED IN QPR OR ASIST. ANTICIPATED OUTCOMES: BY INCREASING THE NUMBER OF PEOPLE TRAINED IN SUICIDE SUPPORT, THE ULTIMATE OUTCOME IS TO REDUCE THE NUMBER OF SUICIDE ATTEMPTS AND DEATHS. PLAN TO EVALUATE: MENTAL HEALTH/SUICIDE TEAM TRACKING. METRICS USED TO EVALUATE THE PROGRAM/ACTIVITY/INITIATIVE: NUMBER OF TRAINED SUICIDE PREVENTION PERSONAL. WORK WITH KDH IT AND ER STAFF AND THE COUNTY CORONER'S OFFICE TO OBTAIN NUMBER OF SUICIDE ATTEMPTS AND NUMBER OF SUICIDE DEATHS EACH CALENDAR YEAR. NUMBER OF PROMOTIONAL METHODS FOR THE RESOURCE GUIDE WILL BE TABULATED. YEAR 2 - 2018 UPDATE:- MULTIPLE SUICIDE-FOCUSED TRAININGS WERE HELD IN 2018: AMSR (ACCESSING AND MANAGING SUICIDE RISK) TRAINING HELD AT KDH 25 PEOPLE TRAINED. THREE MENTAL HEALTH FIRST AID TRAINING CLASSES HELD 78 PEOPLE TRAINED. SIX JEFFERSON COUNTY PROFESSIONALS ATTENDED THE INDIANA STATE SUICIDE PREVENTION CONFERENCE. QPR/QUESTION, PERSUADE, REFER TRAIN THE TRAINER HELD 19 PEOPLE TRAINED. SAFETALK SUICIDE PREVENTION TRAIN THE TRAINER HELD. ASIST TRAIN THE TRAINER HELD 15 PEOPLE TRAINED.MENTAL HEALTH/SUICIDE TEAM, SCHOOL BASED MENTAL HEALTH GRANT DESCRIPTION: A LARGE GRANT, WHICH WILL SUPPORT A COMPREHENSIVE MENTAL HEALTH/SUICIDE PREVENTION PROGRAM IN THE COUNTY'S LARGEST SCHOOL SYSTEM, WILL BE RESEARCHED, WRITTEN, AND SUBMITTED. IF GRANT FUNDING IS OBTAINED, THIS PROGRAM WILL BE BASED OUT OF THE MADISON CONSOLIDATED SCHOOL SYSTEM'S SPECIAL SERVICES AND COUNSELING DEPARTMENTS. THE HCI MENTAL HEALTH/SUICIDE TEAM WILL SUPPORT THE SCHOOL SYSTEM WITH ALL PROGRAMMING IMPLEMENTED FROM GRANT FUNDING. GOALS: OBTAIN GRANT TO BRING A COMPREHENSIVE MENTAL HEALTH / SUICIDE PROGRAM TO THE MADISON CONSOLIDATED SCHOOL SYSTEM. ANTICIPATED OUTCOMES: AWARDING OF GRANT FUNDING. THE ULTIMATE OUTCOME IS TO REDUCE THE NUMBER OF SUICIDE ATTEMPTS AND DEATHS FROM SUICIDE. SECONDARY OUTCOMES INCLUDE; REDUCE BULLYING CONCERNS, IMPROVE SELF-WORTH IN STUDENTS, INCREASE SUPPORTIVE RESOURCES FOR STUDENTS, SCHOOL STAFF, AND FAMILIES, AND IMPROVE COUNSELING SERVICES. PLAN TO EVALUATE: SEE BELOW, METRICS USED TO EVALUATE. METRICS USED TO EVALUATE THE PROGRAM/ACTIVITY/INITIATIVE: SINCE GRANT FUNDING IS NOT CONFIRMED AT THE TIME OF IMPLEMENTATION STRATEGY SUBMISSION, METRICS WILL CURRENTLY NOT BE DETERMINED. IF/WHEN FUNDING IS ESTABLISHED, THE SPECIAL SERVICES AND COUNSELING DEPARTMENTS OF MCS WILL WORK WITH THE MENTAL HEALTH/SUICIDE TEAM TO DETERMINE EVALUATION METHODS AND METRICS. YEAR 2 - 2018 UPDATE:ZERO-SUICIDE PLAN BEGAN IN 2018 WITH $40,000 GRANT. ACCOMPLISHED ACTIVITIES SUPPORTED BY THE GRANT INCLUDE: - COUNTY-WIDE 40-DAY KINDNESS CHALLENGE HELD. - COMMUNITY AND SCHOOL-BASED PRESENTATIONS HELD WITH AUTHOR OF A CASE FOR KINDNESS. - COMMUNITY WIDE PRESENTATION HELD WITH KEVIN HINES, SUICIDE SURVIVOR. - SUICIDE HOTLINE POSTERS (AND FRAMES) PRINTED AND PLACED AROUND THE COUNTY. - PATHA CURRICULUM FUNDED AND IMPLEMENTED IN THE FALL OF 2018 AT AREA ELEMENTARY SCHOOL. - MULTIPLE SUICIDE-FOCUSED TRAINERS WERE HELD (SEE PREVIOUS INDICATOR).MCS-BASED LILLY GRANT WORK CONTINUES INDEPENDENTLY. SUPPORT LOCAL SUICIDE SUPPORT GROUP(S) AND AREA AWARENESS ACTIVITIES DESCRIPTION: KDH WILL SUPPORT THE LOCAL SUICIDE SUPPORT GROUP AND ANY SUICIDE PREVENTION COMMUNITY ACTIVITIES. GOALS: PROMOTE SUICIDE SUPPORT GROUP TO ALL INTERNAL KDH STAFF AND PATIENTS. SUPPORT THE GROUP BY OFFERING MEETING SPACE IF NEEDED. SUPPORT LOCAL OUT OF THE DARKNESS SUICIDE AWARENESS COMMUNITY EVENT. PROMOTE THE EVENT TO STAFF, FORM A TEAM OF KDH EMPLOYEES, ENCOURAGE FINANCIAL DONATIONS, AND SECURE THAT DONATIONS ARE BEING USED ON A LOCAL LEVEL. ANTICIPATED OUTCOMES: INCREASE NUMBER OF ATTENDEES AT MONTHLY SUICIDE SUPPORT GROUP. INCREASE NUMBER OF PARTICIPANTS AND FUNDS RAISED FOR LOCAL SUICIDE AWARENESS WALK EVENT. PLAN TO EVALUATE: SOCIAL SERVICES STAFF AT KDH WILL WORK WITH SUICIDE SUPPORT GROUP FACILITATOR. METRICS USED TO EVALUATE THE PROGRAM/ACTIVITY/INITIATIVE: TRACK NUMBER OF PARTICIPANTS AT MONTHLY SUICIDE SUPPORT GROUP MEETINGS. REPORT NUMBER OF PARTICIPANTS AT COMMUNITY OUT OF THE DARKNESS AWARENESS EVENT, DOLLARS RAISED AT THE EVENT, AND % OF DOLLARS THAT WILL STAY LOCAL IN JEFFERSON COUNTY. YEAR 2 - 2018 UPDATE:- ALMOST $25,000 WAS RAISED AT THE 2018 OUT OF THE DARKNESS WALK IN JEFFERSON COUNTY. SOME OF THIS MONEY RAISED REMAINED IN THE COUNTY TO PURCHASE BOOKS/TEACHING MATERIALS FOR THE SUICIDE PREVENTION TRAININGS MENTIONED ABOVE. KDH PROMOTED THIS EVENT TO ALL EMPLOYEES FOR PARTICIPATION AND SERVED AS A FINANCIAL SPONSOR FOR THE EVENT. - CANDLELIGHT SERVICE HELD IN CONJUNCTION WITH WORLD SUICIDE PREVENTION DAY AGAIN IN 2018.

Field	Value	IRS element (for citing)
Facility	8	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - REHABILITATION CENTER AND HOME CARE
2670 N MICHIGAN ROAD	MADISON	IN	47250	OUTPATIENT REHABILITATION CENTER AND HOME CARE SERVICES
2 - CONVENIENT CARE CENTER
445 CLIFTY DRIVE	MADISON	IN	47250	CONVENIENT CARE CENTER
3 - VERSAILLES MEDICAL OFFICE BLDG-TYSON ST
206 W TYSON STREET	VERSAILLES	IN	47042	PHYSICIAN MEDICAL OFFICE
4 - TRIMBLE COUNTY MEDICAL OFFICE BLDG
10235 US HIGHWAY 421	MILTON	KY	40045	PHYSICIAN MEDICAL OFFICE
5 - CARROLLTON MEDICAL OFFICE BLDG
205 MARWILL DRIVE	CARROLLTON	KY	41008	PHYSICIAN MEDICAL OFFICE
6 - SWITZERLAND CNTY MEDICAL OFFICE BLDG
1190 WEST MAIN STREET	VEVAY	IN	47043	PHYSICIAN MEDICAL OFFICE
7 - HANOVER MEDICAL OFFICE BLDG
36 MEDICAL PLAZA	HANOVER	IN	47243	PHYSICIAN MEDICAL OFFICE
8 - DOWNTOWN MEDICAL OFFICE BLDG
630 NORTH BROADWAY	MADISON	IN	47250	PHYSICIAN MEDICAL OFFICE AND HOSPITAL STAFF

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART II, COMMUNITY BUILDING ACTIVITIES:	COMMUNITY BUILDING ACTIVITIES PROMOTED THE HEALTH OF THE COMMUNITY IN THE FOLLOWING WAYS:- PROMOTING HEALTHCARE CAREERS TO POTENTIAL "FUTURE EMPLOYEES" THROUGH JOB FAIRS AND PARTICIPATING IN HANOVER COLLEGE'S HEALTH CAREERS SUMMER ACADEMY.- ASSISTING COMMUNITY MEMBERS WITH MEDICAID PROGRAM ENROLLMENT VIA A FORMAL MEDICAID ENROLLMENT ASSISTANCE PROGRAM OFFERED BY THE HOSPITAL. THIS PROGRAM HELPS COMMUNITY MEMBERS ENROLL TO RECEIVE ALL TYPES OF MEDICAID ASSISTANCE (FOOD, HEALTHCARE, ETC.).
PART III, LINE 2:	IN 2018, THE HOSPITAL ADOPTED THE NEW REVENUE RECOGNITION ACCOUNTING STANDARD ISSUED BY FASB AND CODIFIED IN THE FASB ASC AS TOPIC 606 ("ASC 606"). AS A RESULT OF ADOPTING ASC 606, THE MAJORITY OF WHAT WAS PREVIOUSLY CLASSIFIED AS PROVISION FOR BAD DEBTS IN THE AUDITED FINANCIAL STATEMENTS (STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS) IS NOW REFLECTED AS IMPLICIT PRICE CONCESSIONS (AS DEFINED BY ASC 606) AND THEREFORE INCLUDED AS A REDUCTION TO NET PATIENT SERVICE REVENUE IN 2018.UPON ADOPTION OF ASC 606, NET PATIENT SERVICE REVENUES ARE RECORDED AT THE TRANSACTION PRICE ESTIMATED BY THE HOSPITAL TO REFLECT THE TOTAL CONSIDERATION DUE FROM PATIENTS AND THIRD-PARTY PAYORS IN EXCHANGE FOR PROVIDING GOODS AND SERVICES IN PATIENT CARE. THE TRANSACTION PRICE, WHICH INVOLVES SIGNIFICANT ESTIMATES, IS DETERMINED BASED ON THE HOSPITAL'S STANDARD CHARGES FOR THE GOODS AND SERVICES PROVIDED, WITH A REDUCTION RECORDED FOR PRICE CONCESSIONS RELATED TO THIRD-PARTY CONTRACTUAL ARRANGEMENTS AS WELL AS PATIENT DISCOUNTS AND OTHER PATIENT PRICE CONCESSIONS. THE HOSPITAL DETERMINES ITS ESTIMATES OF CONTRACTUAL ADJUSTMENTS AND DISCOUNTS BASED ON CONTRACTUAL AGREEMENTS, ITS DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE. THE HOSPITAL DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH THIS CLASS OF PATIENTS.THE AMOUNT REPORTED ON LINE 2 IS "IMPLICIT PRICE CONCESSIONS" AS REFLECTED ON THE AUDITED, CONSOLIDATED TRIAL BALANCE FOR THE HOSPITAL.
PART III, LINE 3:	THE HOSPITAL HAS A DETAILED FINANCIAL ASSISTANCE POLICY WHICH STATES THAT TO PARTICIPATE IN CHARITY CARE CANDIDATES MUST COOPERATE FULLY. IN ADDITION THE HOSPITAL EDUCATES PATIENTS WITH LIMITED ABILITY TO PAY REGARDING FINANCIAL ASSISTANCE. FOR THIS REASON THE ORGANIZATION BELIEVES THAT IT ACCURATELY CAPTURES ALL CHARITY CARE DEDUCTIONS PROVIDED ACCORDING TO THE FINANCIAL ASSISTANCE POLICY AND THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS NEGLIGIBLE.
PART III, LINE 4:	IN 2018, THE HOSPITAL ADOPTED THE NEW REVENUE RECOGNITION ACCOUNTING STANDARD ISSUED BY FASB AND CODIFIED IN THE FASB ASC AS TOPIC 606 ("ASC 606"). AS A RESULT OF ADOPTING ASC 606, THE MAJORITY OF WHAT WAS PREVIOUSLY CLASSIFIED AS PROVISION FOR BAD DEBTS IN THE AUDITED FINANCIAL STATEMENTS (STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS) IS NOW REFLECTED AS IMPLICIT PRICE CONCESSIONS (AS DEFINED BY ASC 606) AND THEREFORE INCLUDED AS A REDUCTION TO NET PATIENT SERVICE REVENUE IN 2018.PLEASE REFER TO THE ATTACHED AUDITED FINANCIAL STATEMENTS - PAGES 8-9 "PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT SERVICE REVENUE" PAGES 12-14 "CHANGED IN ACCOUNTING PRINCIPLE" PAGES 29-32 "NET PATIENT SERVICE REVENUE"
PART III, LINE 8:	THE MEDICARE COST REPORT WAS THE SOURCE OF INFORMATION REPORTED ON PART III LINE 6.
PART III, LINE 9B:	ALL UNINSURED PATIENTS RECEIVED AN AUTOMATIC 30% DISCOUNT FROM GROSS CHARGES. AT REGISTRATION, PATIENTS ARE NOTIFIED OF THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. THEY ARE OFFERED PAMPHLETS DETAILING THE PROGRAM. IF THE PATIENT IS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE AND IS APPROVED FOR FINANCIAL ASSISTANCE, THE PATIENT WILL RECEIVE A DISCOUNT OF 100% ON THE OUTSTANDING ACCOUNT BALANCE. THE HOSPITAL WILL ATTEMPT TO COLLECT ANY BALANCE REMAINING ON THE UNINSURED ACCOUNT AFTER ALL FINANCIAL ASSISTANCE DISCOUNTS HAVE BEEN APPLIED USING A SERIES OF STATEMENTS, LETTERS, AND TELEPHONE CALLS. THE HOSPITAL WILL ALSO OFFER PATIENTS INTEREST-FREE EXTENDED PAYMENT PLANS. IF THE ACCOUNT REMAINS UNPAID, THE ACCOUNT MAY BE TURNED OVER TO A COLLECTION AGENCY.
PART VI, LINE 2:	THE HOSPITAL CONDUCTED A NEEDS ASSESSMENT IN 2016 WHOSE IMPLEMENTATION STRATEGY WAS ADOPTED IN APRIL 2017. - THE FOCUS OF THIS ASSESSMENT WAS ON THE HEALTH NEEDS THAT COULD BE ADDRESSED BY KDH AND CAN BE USED BY KDH IN PLANNING FUTURE SERVICES, APPLYING FOR GRANTS AND PLANNING OUTREACH EFFORTS.- THE STUDY INCLUDED THE FOLLOWING COMPONENTS:- ANALYSIS OF SECONDARY DATA TO DEVELOP A PROFILE OF THE RESIDENTS OF EACH COUNTY AND TO INDICATE, WHERE POSSIBLE FUTURE TRENDS AND TO SHOW COMPARISONS WITH STATE AND NATIONAL DATA;- IN-PERSON INTERVIEWS WITH 30 KEY LEADERS WITHIN KDH INCLUDING BOARD, STAFF AND MEDICAL STAFF;- IN-DEPTH-INTERVIEWS BY TELEPHONE OR IN-PERSON WITH 44 COMMUNITY LEADERS INCLUDING GOVERNMENT, MEDICAL, EDUCATION, AND OTHER COMMUNITY LEADERSHIP POSITIONS IN ALL FIVE COUNTIES;- IN-PERSON SURVEYS OF 72 INDIVIDUALS IN LOW INCOME LOCATIONS;- IN-PERSON DISCUSSIONS WITH 19 SENIOR CITIZENS;- A WEB-BASED SURVEY WAS OPEN TO THE GENERAL PUBLIC WHICH RESULTED IN 184 COMPLETED INTERVIEWS.- THIS ASSESSMENT ALLOWED ALL INDIVIDUALS TO PROVIDE RESPONSES ON ANY COMMUNITY NEEDS NOT LISTED IN THE QUESTIONS AND ALLOWED INDIVIDUALS TO MAKE COMMENTS ON COMMUNITY HEALTH ISSUES ON WHICH KDH COULD HAVE AN IMPACT.- KEY HEALTH ISSUES EXPLORED WERE THE FOLLOWING:- PHYSICAL ACTIVITY- OVERWEIGHT AND OBESITY- TOBACCO USE- SUBSTANCE ABUSE/GAMBLING/ADDICTIONS- RESPONSIBLE SEXUAL BEHAVIOR- MENTAL HEALTH- INJURY AND VIOLENCE (INCLUDING DOMESTIC VIOLENCE AND SEXUAL ASSAULT)- ENVIRONMENTAL QUALITY- IMMUNIZATION- ACCESS TO HEALTH CARE FOR THE INSURED AND UNINSURED- MATERNAL AND CHILD HEALTH- INFECTIOUS DISEASE- OCCUPATIONAL AND SAFETY HEALTH- SPECIAL NEEDS/DISABLED/IMPAIRED- CHRONIC DISEASERESULTS OF THE NEEDS ASSESSMENT HAVE BEEN MADE AVAILABLE THROUGH A VARIETY OF SOURCES:NEWSPAPER AND RADIO RELEASES, DISTRIBUTION OF INFORMATION IN THE COMMUNITY NEWSLETTER, VITAL SIGNS, AND IS ALSO AVAILABLE ON OUR WEB SITE.
PART VI, LINE 3:	-AT THE TIME OF REGISTRATION, THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS DISCUSSED WITH EACH PATIENT. THE PATIENT IS OFFERED A PAMPHLET REGARDING THE POLICY, ELIGIBILITY REQUIREMENTS AND THE ASSOCIATED APPLICATION PROCESS. THE PATIENT MUST SIGN A FORM INDICATING THAT THEY RECEIVED THIS INFORMATION.-THE HOSPITAL HAS A REPRESENTATIVE ON SITE TO ASSIST PATIENTS WITH THE FINANCIAL AID APPLICATION PROCESS.-PATIENTS ARE REMINDED TO CONTACT CUSTOMER SERVICE REGARDING FINANCIAL AID AND FEDERAL/STATE ASSISTANCE DIRECTLY ON THE PATIENT BILL ITSELF.-THE HOSPITAL'S WEBSITE HAS A LINK TO THE FINANCIAL AID APPLICATION.
PART VI, LINE 4:	KING'S DAUGHTER'S HEALTH PROVIDES HEALTH CARE SERVICES TO FIVE COUNTIES IN SOUTHERN INDIANA AND NORTHERN KENTUCKY. THE 2016 KDH CHNA INCLUDED ITS PRIMARY SERVICE AREAS OF JEFFERSON AND SWITZERLAND COUNTIES IN INDIANA AND TRIMBLE COUNTY IN KENTUCKY. THE ADDITIONAL TWO COUNTIES (RIPLEY IN INDIANA AND CARROLL IN KENTUCKY) HAVE MULTIPLE HEALTH CARE FACILITIES THAT CURRENTLY CONDUCT A CHNA. TO AVOID DUPLICATION, THE THREE PRIMARY COUNTIES DESCRIBED WERE INCLUDED IN THE 2016 KDH CHNA. A FEW DESCRIPTIVE DEMOGRAPHIC HIGHLIGHTS FOR THESE THREE COUNTIES INCLUDE:JEFFERSON COUNTY, INDIANA TOTAL POPULATION 32,428, MEDIAN AGE 40.9 (ABOVE STATE AVERAGE OF 37.0) RACIAL/ETHNIC COMPOSITION 95.4% CAUCASIAN PERCENT POVERTY 16.2% (ABOVE THE STATE AVERAGE OF 15.2%) PERCENT UNINSURED 14% ADULTS UNDER 65 HAVE NO INSURANCE (13.8% STATE AVERAGE) UNEMPLOYMENT RATE 6.0% (SAME AS STATE AVERAGE) EDUCATION LEVEL 15% OF ADULTS 25+ HAVE LESS THAN A HIGH SCHOOL DIPLOMA (STATE AVERAGE 12%)SWITZERLAND COUNTY, INDIANA TOTAL POPULATION 10,613 RACIAL/ETHNIC COMPOSITION 97.7% CAUCASIAN PERCENT POVERTY 28% PERCENT UNINSURED 15.7% ADULTS UNDER 65 HAVE NO INSURANCE UNEMPLOYMENT RATE 4.9% EDUCATION LEVEL 18% OF ADULTS 25+ HAVE LESS THAN A HIGH SCHOOL DIPLOMATRIMBLE COUNTY, KENTUCKY TOTAL POPULATION 8,769 RACIAL/ETHNIC COMPOSITION 94% CAUCASIAN PERCENT POVERTY 17.4% (BELOW STATE AVERAGE OF 18.9%) PERCENT UNINSURED 9.6% ADULTS UNDER 65 HAVE NO INSURANCE (9.8% STATE AVERAGE) UNEMPLOYMENT RATE 7.2% (ABOVE THE STATE AVERAGE OF 6.5%) EDUCATION LEVEL 15.8% OF ADULTS 25+ HAVE LESS THAN A HIGH SCHOOL DIPLOMA (SAME STATE AVERAGE)
PART VI, LINE 5:	THE MAJORITY OF KING'S DAUGHTERS' HEALTH BOARD OF MANAGERS IS COMPRISED OF INDIVIDUALS WHO LIVE AND WORK IN THE HOSPITAL SERVICES AREA. THE MAJORITY OF THESE INDIVIDUALS ARE NEITHER EMPLOYEES, NOR CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS. THE ORGANIZATION ALSO APPLIES A PORTION OF SURPLUS FUNDS TO IMPROVEMENTS IN PATIENT CARE. HISTORICALLY, KDH HAS EMPLOYED A FULL TIME COMMUNITY WELLNESS COORDINATOR. THIS POSITION PROVIDES OUTREACH SERVICES IN AREAS OF NEED TO THE COMMUNITIES WE SERVE. IN ADDITION TO THESE SERVICES, KDH ALSO SERVES AS THE FISCAL AGENT FOR SEVERAL STATE AND FEDERAL GRANTS. ALL OF THESE SERVICES HELP US MEET THE IDENTIFIED NEEDS OF THE COMMUNITIES WE SERVE.PARTICIPATION IN THE BELOW COMMUNITY ORGANIZATIONS IS PART OF THE HOSPITAL'S INDIANA STATE DEPARTMENT OF HEALTH COMMUNITY BENEFIT PLAN AND GOALS.2018 KING'S DAUGHTERS' HEALTH OVERVIEW OF COMMUNITY BENEFIT ACTIVITIES1. HEALTH SCREENS/HEALTH FAIRS: A. CORPORATE HEALTH SCREENS / FAIRS: GROTE INDUSTRIES EMPLOYEE HEALTH FAIR IKE EMPLOYEE HEALTH FAIR IVY TECH HEALTH FAIR B. COMMUNITY HEALTH SCREENS / FAIRS: REMC HEALTH FAIR FOR RIPLEY AND DEARBORN COUNTIES IN IN. THORNTON TERRACE HEALTH FAIR IN JEFFERSON CO. TRIMBLE CO. KY HIGH SCHOOL HEALTH FAIR. SWISS VILLA HEALTH FAIR IN SWITZERLAND CO. IN. C. CORPORATE FLU SHOTS: LAW FIRM 12 EMPLOYEES D. 4-H FAIR PARTICIPATION: RIPLEY COUNTY, IN JEFFERSON COUNTY, IN TRIMBLE COUNTY, KY E. FREE TAKE-HOME COLOR CANCER SCREENING KITS: 71 KITS DISTRIBUTED THROUGH THE KDH LABORATORY2. COMMUNITY EDUCATION OPPORTUNITIES/CLASSES/SPECIAL EVENTS: A. WELLNESS DEPARTMENT 15 SPEAKING ENGAGEMENTS B. FIT KIDS PROGRAM (7 WEEK PROGRAM FOR AREA 5TH GRADE CLASSROOMS) 5 SCHOOL SYSTEMS / 18 CLASSROOMS / 448 KIDS + TEACHERS C. TOBACCO CESSATION & EDUCATION: KING'S DAUGHTERS' HEALTH EMPLOYS A FULL TIME STATE GRANT FUNDED TOBACCO COORDINATOR. WE HAVE SERVED AS THE FISCAL AGENT FOR THESE FUNDS SINCE 2009 FROM TPCC, TOBACCO PREVENTION AND CESSATION COMMISSION. CESSATION RESOURCES GIVEN TO 30 INDIVIDUALS IN 2018. KDH DOCUMENTED 181 ELECTRONIC PATIENT REFERRALS TO THE IN QUITLINE. TOBACCO COORDINATOR COMPLETED 16 SPEAKING ENGAGEMENTS. HELD 1 COMMUNITY CONVERSATION EVENT. HELD 2 CIGARETTE BUTT CLEAN UP EVENTS. PARTICIPATED IN YOUTH TOBACCO SURVEY AT SWITZERLAND CO. HIGH SCHOOL. PARTICIPATED IN STARS TOBACCO RETAIL SURVEY IN JEFFERSON CO. D. CPR AND FIRST AID CLASSES: COMMUNITY CLASSES - 492 TOTAL GRADUATES. BLS, PALS, ACLS, AND PEARS CLASSES HELD FOR KDH EMPLOYEES AND AREA HEALTH CARE PROFESSIONALS 708 TOTAL PEOPLE TRAINED. E. STRIVE FOR 5 PROGRAM: COMMUNITY 5-WEEK WEIGHT LOSS EDUCATION PROGRAM. TWO CLASSES HELD IN 2018, 19 PARTICIPANTS. F. PRENATAL EDUCATION: OB PREP PROGRAM 381 EXPECTING MOTHERS SERVED G. GIRLS ON THE RUN FALL SEASON: 93 GIRLS / 8 SITES / 25 TRAINED COACHES / 10 WEEK PROGRAM FALL 5K: 238 PARTICIPANTS AND 50 VOLUNTEERS H. HOUSE OF HEALTH: MONTHLY HEALTH EDUCATION OPPORTUNITY PROVIDED AT THE HOUSE OF HOPE FOOD PANTRY. APPROXIMATELY 25-70 PEOPLE ATTEND EACH MONTH. I. LET'S TALK LADIES WOMEN'S HEALTH EVENT: 42 WOMEN IN ATTENDANCE. 17 KDH STAFF OFFERED HEALTH INFORMATION AND FREE HEALTH SCREENS. J. MAN UP, MEN'S HEALTH EVENT: 65 MEN IN ATTENDANCE. 19 KDH STAFF OFFERED HEALTH INFORMATION AND FREE HEALTH SCREENS. K. MONTHLY "TO YOUR HEALTH" RADIO SHOW: 30-MINUTE HEALTH EDUCATION PROGRAM WITH VARIOUS TOPICS OFFERED EACH MONTH. L. WOMEN'S SAFETY & SELF-DEFENSE WORKSHOPS: FREE COMMUNITY WORKSHOP OFFERED TO COMMUNITY. 12 PARTICIPANTS. M. KDH RUN THE FALLS 5K WALK/RUN: 222 PEOPLE PARTICIPATED N. CANCER SUPPORT ACTIVITES: WOMEN AND CANCER SUPPORT GROUP PARTICIPATION IN JEFFERSON CO. IN AND TRIMBLE CO. KY RELAY FOR LIFE EVENTS. CANCER SURVIVOR'S DINNER HELD WITH 125 PARTICIPANTS3. EMPLOYEE HEALTH OPPORTUNITIES FOR KDH STAFF: WELLNESS NEWSLETTERS (ON-LINE AND PAPER VERSIONS AVAILABLE) WELLNESS COLUMN IN THE MONTHLY MONITOR NEWSLETTER MONTHLY PADLET WELLNESS NEWSLETTER CREATED AND SENT TO ALL STAFF FREE LIPID BLOOD TEST OFFERED FOR ALL STAFF WITH INSURANCE PREMIUM REDUCTION OPPORTUNITY SEATED CHAIR MASSAGE SESSIONS, PART OF HOLIDAY STRESS LESS CAMPAIGN 2018 GOAL SHEETS WITH INCENTIVE OFFERED 3 WELLNESS CHALLENGES: 47250 INCENTIVE CHALLENGE PARTICIPATION IN COMMUNITY-WIDE PHYSICAL ACTIVITY CHALLENGE PARTICIPATION IN COMMUNITY-WIDE WEIGHT LOSS CONTEST 4. COMMUNITY SERVICE ACTIVITIES: A. ACTIVE ATTENDANCE AND PARTICIPATION IN: JC-JTP JEFFERSON COUNTY JUSTICE TREATMENT PREVENTION COALITION SCAN SWITZERLAND COUNTY AWARENESS NETWORK MADISON CONSOLIDATED SCHOOLS WELLNESS COMMITTEE MASHER (AREA CORPORATE SAFETY GROUP) OVO HEAD START POLICY COUNCIL PURDUE EXTENSION HEALTH AND HUMAN SERVICES BOARD PERINATAL COMMUNITY TASK FORCE PARTICIPATION IN INDIANA HEALTH ROADSHOW. PROVIDED SPEAKERS AND SPONSORSHIP. B. EMS STAND-BY AT ALL COMMUNITY ACTIVITIES: EMS PROVIDES STAND-BY COVERAGE AT ALL JEFFERSON COUNTY ACTIVITIES. C. ATHLETIC TRAINING/REHAB SERVICES PROVIDED FOR THREE JEFFERSON COUNTY SCHOOLS. D. SUPPORT TO VARIOUS AREA SCHOOLS WITH INTERNSHIPS: SUPPORT MANY LOCAL AND AREA HIGH SCHOOLS AND COLLEGES WITH INTERNSHIPS AND JOB SHADOW EXPERIENCES: INCLUDES NURSING AND MEDICAL STUDENTS AMONG OTHERS.5. HEALTHY COMMUNITIES INITIATIVE (HCI): EFFORTS LED BY KING'S DAUGHTERS' HEALTH, PART-TIME COORDINATOR FUNDED BY KDH FOUNDATION THREE TEAMS, COMPRISED OF HOSPITAL STAFF AND COMMUNITY REPRESENTATIVES: MENTAL HEALTH/ZERO SUICIDE SUBSTANCE ABUSE HEALTHY LIFESTYLES (INCLUDES TOBACCO COALITION) 2018 HCI ACCOMPLISHMENTS: GENERAL: - HOSTED COMMUNITY POVERTY SIMULATION 52 PARTICIPANTS - PROVIDED HCI INFORMATION AT 12 COMMUNITY MEETINGS. SUBSTANCE ABUSE TEAM: - SUB-COMMITTEE ACTIVE FOR MENTOR FOR MOMS PROGRAM - SUB-COMMITTEE ACTIVE FOR ROAD TO RECOVERY PROGRAM AND VOLUNTEER TRAINING HELD. - HOSTED PRESENTATION ON THE IMPACT OF TRAUMA/SUBSTANCE ABUSE - HELD TWO COMMUNITY-WIDE SESSIONS ON HUMAN TRAFFICKING. MENTAL HEALTH/ZERO SUICIDE TEAM: - FORMAL ZERO SUICIDE INITIATIVE CORE TEAM FORMED. $40,000 GRANT AWARDED FROM THE MADISON JEFFERSON COUNTY COMMUNITY FOUNDATION FOR THIS INITIATIVE. - HOSTED AND/OR ATTENDED A VARIETY OF SUICIDE TRAININGS: ACCESSING AND MANAGING SUICIDE RISK INDIANA STATE SUICIDE PREVENTION CONFERENCE MENTAL HEALTH FIRST AID SAFETALK SUICIDE PREVENTION QPR QUESTION, PERSUADE, REFER - HOSTED 40 DAY KINDNESS CHALLENGE. INCLUDED HOSTING SCHOOL BASED AND COMMUNITY SPEAKER, AUTHOR OF A CASE FOR KINDNESS BOOK. - HOSTED KEVIN HINES PRESENTATION ON HOPE/SUICIDE. - HELD A COMMUNITY PRAYER SERVICE FOR WORLD SUICIDE DAY. HEALTHY LIFESTYLES TEAM: - HELD 12 MONTHLY MEETINGS IN 2018. - CREATED AND UPDATES HEALTHY LIFESTYLE RESOURCE GUIDE. - HELD LIGHTEN UP JEFFERSON COUNTY WEIGHT LOSS CONTEST. RECORDED A TOTAL OF 391 POUNDS LOST. HOSTED OUR FREE NUTRITION WORKSHOPS IN CONJUNCTION WITH THE CONTEST. - HOSTED COMMUNITY PEP WALK EVENT. - OFFERED SUMMER COMMUNITY-WIDE HEALTHY LIFESTYLES CHALLENGE WITH 150 PARTICIPANTS. - HELD HEALTHY YOUTH TAILGATE PARTY WITH OVER 400 PARTICIPANTS, 20 BOOTHS, AND 50 VOLUNTEERS. - HELD A QUIT COLD-TURKEY TOBACCO CESSATION EVENT.
PART VI, LINE 6:	NA
PART VI, LINE 7, REPORTS FILED WITH STATES	IN

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	IHA HOSPITAL ASSISTANCE FOUNDATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	500 NORTH MERIDIAN STREET STE 250	AddressLine1Txt
City	INDIANAPOLIS	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46204	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	455573749	RecipientEIN
Cash Grant	$11,716	CashGrantAmt
Purpose Of Grant	DONATION	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	FUNDS ARE NOT GRANTED BUT ARE DONATED. DONATIONS ARE DETERMINED ON A DISCRETIONARY BASIS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JONATHAN HANSON MD
BOARD MEMBER/PHYSICIAN	$307,677	$0	$159,650	$0	$360	$0	$13,750	$0	$28,212	$0	$509,649	$0	$0	$0
PATRICK STACK MD
BOARD MEMBER/PHYSICIAN	$140,987	$0	$93,767	$0	$1,584	$0	$12,012	$0	$11,537	$0	$259,887	$0	$0	$0
CAROL DOZIER
PRESIDENT/CEO	$402,645	$0	$0	$0	$8,780	$0	$13,750	$0	$1,373	$0	$426,548	$0	$0	$0
JOHN PRICE
VP FINANCE	$230,296	$0	$0	$0	$19,052	$0	$11,560	$0	$6,858	$0	$267,766	$0	$0	$0
LISA MORGAN
VP OUTPATIENT SERVICES	$161,038	$0	$0	$0	$19,532	$0	$8,206	$0	$10,295	$0	$199,071	$0	$0	$0
DENINE FALLIS-HALLGARTH
VP PHYSICIAN PRACTICES	$142,898	$0	$0	$0	$19,052	$0	$7,348	$0	$11,267	$0	$180,565	$0	$0	$0
JENNIFER LITER
VP INPATIENT SERVICES	$137,124	$0	$0	$0	$18,737	$0	$4,897	$0	$15,474	$0	$176,232	$0	$0	$0
THOMAS ECKERT MD
EMPLOYED PHYSICIAN	$422,821	$0	$271,683	$0	$1,584	$0	$13,750	$0	$11,090	$0	$720,928	$0	$0	$0
TRAVIS CLEGG MD
EMPLOYED PHYSICIAN	$453,809	$0	$1,341,489	$0	$216	$0	$13,750	$0	$28,247	$0	$1,837,511	$0	$0	$0
WILLIAM SKILES MD
EMPLOYED PHYSICIAN	$448,152	$0	$204,587	$0	$1,584	$0	$13,750	$0	$14,352	$0	$682,425	$0	$0	$0
MICHAEL SCHMIDT MD
EMPLOYED PHYSICIAN	$447,994	$0	$204,804	$0	$360	$0	$13,750	$0	$18,211	$0	$685,119	$0	$0	$0
RONALD AUER MD
EMPLOYED PHYSICIAN	$539,705	$0	$357,852	$0	$42,614	$0	$13,750	$0	$28,846	$0	$982,767	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 7

PHYSICIANS ARE ELIGIBLE FOR INCENTIVE COMPENSATION. THE PHYSICIAN IS COMPENSATED FOR EACH WORK RVU PERFORMED BY A PHYSICIAN IN A CALENDAR YEAR IN EXCESS OF THE PHYSICIAN'S WORK RVU INCENTIVE THRESHOLD FOR THE CALENDAR YEAR MULTIPLIED BY THE INCENTIVE RVU PAYMENT. NON-PHYSICIAN BONUS COMPENSATION IS DISCRETIONARY, SOLELY UP TO THE BOARD OF MANAGERS, AND THE CALCULATION FOR SAID BONUS COMPENSATION VARIES FROM YEAR TO YEAR.

ADDITIONAL SCHEDULE J DISCLOSURES

BOARD MEMBERS PAT STACK, MD AND JONATHAN HANSON, MD LISTED ABOVE ARE EMPLOYED PHYSICIANS OF THE HOSPITAL. DR. STACK AND DR. HANSON DO NOT RECEIVE COMPENSATION FOR SERVICES PROVIDED AS BOARD MEMBERS. THE COMPENSATION LISTED ABOVE FOR DR. STACK AND DR. HANSON IS COMPENSATION RECEIVED FOR SERVICES PROVIDED AS EMPLOYED PHYSICIANS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	INDIANA FINANCE AUTHORITY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	351602316	BondIssuerEIN
CUSIP	45471ACW0	CUSIPNum
Bond Issued	2010-11-03	BondIssuedDt
Issue Price	$97,847,058	IssuePriceAmt
Purpose	SEE PART VI	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$97,847,058	TotalProceedsAmt
In Reserve Fund	$6,756,861	InReserveFundAmt
Issuance Costs From Proceeds	$1,749,243	IssuanceCostsFromProceedsAmt
Capital Expenditures	$88,974,097	CapitalExpendituresAmt
Other Spent Proceeds	$266,857	OtherSpentProceedsAmt
Substantial Completion	2013	SubstantialCompletionYr
Refunding Tax Exempt Bonds	0	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (1)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (1)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (1)	EngageBondCounselContractsInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Use By Others	0.00560	PrivateBusUseByOthersPct
Total Private Business Use	0.00560	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	0	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCH K PART I LINE A - PURPOSE	FormAndLineReferenceDesc
Explanation	THE PURPOSE OF THE BOND ISSUANCE IS TO FINANCE, REFINANCE, OR REIMBURSE A PORTION OF THE COSTS OF ACQUIRING, CONSTRUCTING, RENOVATING AND EQUIPPING VARIOUS HEALTH CARE FACILITIES OF THE HOSPITAL, INCLUDING A REPLACEMENT ACUTE CARE HOSPITAL FACILITY AND A MEDICAL OFFICE BUILDING.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
A DATTILO FRUIT COMPANY
VICE PRESIDENT OF OUTPATIENT SERVICES OF KDH HAS 51% OWNERSHIP INTEREST	$14,597	VICE PRESIDENT OF OUTPATIENT SERVICES OF KDH, LISA MORGAN, OWNS A 51% INTEREST IN A. DATILLO FRUIT COMPANY. KDH PURCHASES PRODUCE FROM A. DATTILO FRUIT COMPANY. THE HOSPITAL MADE PURCHASES TOTALING $ 14,597 IN 2018.	0
GERMAN AMERICAN BANK
BOARD MEMBER IS THE SPOUSE OF THE FORMER REGIONAL CHAIRMAN OF THE GERMAN NA	$163,418	BOARD ASST TREASURER, ANDREA FORRESTER, IS MARRIED TO THE FORMER REGIONAL CHAIRMAN OF THE GERMAN NATIONAL BANK. THE HOSPITAL'S OPERATING ACCOUNT IS HELD BY GERMAN NATIONAL BANK. THE HOSPITAL RECORDED INTEREST INCOME OF $156,130 AND SERVICE FEES OF $7,288 IN 2018 FROM ACTIVITY WITH THE BANK.	0
MCCUBBIN MOTORS
BOARD MEMBER IS THE SPOUSE OF THE PRESIDENT OF MCCUBBIN MOTORS, INC.	$46,828	BOARD OF MANAGERS MEMBER, MARY KAY MCCUBBIN, IS MARRIED TO THE PRESIDENT OF MCCUBBINS MOTORS, INC. KING'S DAUGHTERS' HEALTH UTILIZES MCCUBBIN MOTORS, INC. FOR SERVICING AND/OR REPAIR OF EMERGENCY VEHICLES. THE HOSPITAL PAID $46,828 TO MCCUNNIN MOTORS, INC. IN 2018 FOR THESE TYPES OF SERVICES.	0
BENNETT MOTORS INC DBA CRAIG TOYOTA
BOARD MEMBER IS THE PRESIDENT OF BENNETT MOTORS, INC. (D/B/A CRAIG TOYOTA)	$1,582	BOARD OF MANAGERS MEMBER, JOE CRAIG, IS THE PRESIDENT OF BENNETT MOTORS, INC. (D/B/A CRAIG TOYOTA). KING'S DAUGHTERS' HEALTH UTILIZES CRAIG TOYOTA FOR SERVICING AND/OR REPAIR OF EMERGENCY VEHICLES. THE HOSPITAL PAID $1,582 TO CRAIG TOYOTA IN 2018 FOR THESE TYPES OF SERVICES.	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	PER THE BYLAWS, THE MEMBERSHIP OF THE ORGANIZATION SHALL BE NON-SECTARIAN, NON-POLITICAL AND NOT CONFINED TO ANY CHRISTIAN RELIGIOUS DENOMINATION OR SECT. ANY SUCH PERSON OF GOOD REPUTE WHO HOLDS HERSELF RESPONSIBLE TO THE KING, CHRIST, OUR LORD AND SAVIOR, MAY BECOME A MEMBER OF THE ORGANIZATION. ALL MEMBERS MUST BE AND REMAIN PERMANENT RESIDENTS OF THE SERVICE AREA OF THE HOSPITAL, AS DETERMINED FROM TIME TO TIME BY THE HOSPITAL BOARD OF MANAGERS, AS A CONTINUING REQUIREMENT FOR MEMBERSHIP. FAILURE TO MAINTAIN SUCH RESIDENCY STATUS AUTOMATICALLY TERMINATES A PERSON'S MEMBERSHIP. HOSPITAL EMPLOYEES, MEMBERS OF THE MEDICAL STAFF, AND THEIR IMMEDIATE FAMILY MEMBERS SHALL NOT BE ELIGIBLE FOR MEMBERSHIP IN THE ORGANIZATION. THE IMMEDIATE FAMILY SHALL BE DEFINED AS INCLUDING THE MOTHER, FATHER, HUSBAND, WIFE, SISTER, BROTHER, DAUGHTER, SON, AND STEPCHILDREN.
FORM 990, PART VI, SECTION A, LINE 7A	THE ORGANIZATION SHALL HAVE TWO (2) CLASSES OF MEMBERS, ACTIVE AND HONORARY, AND ALL MEMBERS SHALL HAVE THE RIGHTS, PRIVILEGES, DUTIES, LIABILITIES, LIMITATIONS AND RESTRICTIONS AS SET FORTH FROM TIME TO TIME IN THE STANDING RULES. ANY ACTIVE MEMBER OF THE ORGANIZATION MAY PROPOSE ANY OTHER PERSON MEETING THE ELIGIBILITY REQUIREMENTS OUTLINED IN PART VI, 7A ABOVE FOR MEMBERSHIP. ONLY ACTIVE MEMBERS IN GOOD STANDING THAT HAVE BEEN A MEMBER FOR AT LEAST TWO ANNIVERSARY YEARS CAN PRESENT A PERSON'S NAME FOR MEMBERSHIP OR TO SERVE ON THE BOARD OF DIRECTORS. A MAJORITY VOTE OF THOSE PRESENT AND VOTING AFFIRMATIVELY AT ANY REGULAR MEETING OF THE ORGANIZATION AT WHICH A QUORUM IS PRESENT SHALL BE SUFFICIENT TO ELECT SUCH PROPOSED PERSON TO MEMBERSHIP. ONLY ACTIVE MEMBERS SHALL HAVE THE RIGHT AT EVERY MEETING OF THE MEMBERS TO CAST ONE (1) VOTE FOR HER MEMBERSHIP. THIS RIGHT TO VOTE MUST BE EXERCISED IN PERSON, OR AS THE BYLAWS MAY PROVIDE FROM TIME TO TIME.
FORM 990, PART VI, SECTION A, LINE 7B	ONLY ACTIVE MEMBERS SHALL HAVE THE RIGHT AT EVERY MEETING OF THE MEMBERS TO CAST ONE (1) VOTE FOR HIS/HER MEMBERSHIP. THIS RIGHT TO VOTE MUST BE EXERCISED IN PERSON, OR AS THE BYLAWS MAY PROVIDE FROM TIME TO TIME.
FORM 990, PART VI, SECTION B, LINE 11B	THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW BY THE ORGANIZATION'S MANAGEMENT. THE BOARD OF MANAGERS RECEIVES A DRAFT COPY OF THE FORM 990 INCLUDING REQUESTED SCHEDULES PRIOR TO FILING WITH THE IRS. CHANGES OR REVISIONS ARE SUGGESTED BY THE BOARD IF NECESSARY. THE 990 WILL BE REVIEWED AT THE NEXT BOARD MEETING.
FORM 990, PART VI, SECTION B, LINE 12C	KING'S DAUGHTERS' HEALTH HAS A FORMAL CONFLICT OF INTEREST POLICY. THE CONFLICT OF INTEREST POLICY COVERS BOARD OF MANAGER MEMBERS, OFFICERS AND DIRECTORS. THE POLICY REQUIRES THE BOARD OF MANAGERS, OFFICERS AND DIRECTORS TO DISCLOSE ANNUALLY INFORMATION REGARDING THEIR INTERESTS AND THOSE OF THEIR FAMILY MEMBERS THAT COULD GIVE RISE TO CONFLICT. THIS INFORMATION IS TO BE DISCLOSED TO THE APPROPRIATE VICE PRESIDENT, THE PRESIDENT/CEO AND COMPLIANCE DEPARTMENT. SHOULD SUCH INFORMATION BE DISCLOSED, THE INTERESTED PERSON WILL REFRAIN FROM ANY SUBSEQUENT DISCUSSION AND DECISIONS RELATED TO THE OUTSIDE FIRM. AT SUCH TIME AS ANY MATTER COMES BEFORE THE BOARD OF MANAGERS CONCERNING AN EXISTING OR CONTEMPLATED TRANSACTION OR RELATIONSHIP BETWEEN THE HOSPITAL AND ANY PARTY MAY GIVE RISE TO A CONFLICT OF INTEREST 1.) THE BOARD OF MANAGERS MEMBER SHALL LEAVE THE MEETING DURING THE DISCUSSION OF AND THE VOTE ON THE TRANSACTION OR ARRANGEMENT. 2.) THE CHAIRPERSON OF THE BOARD OF MANAGERS SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. 3.) AFTER EXERCISING DUE DILIGENCE, THE BOARD OF MANAGERS SHALL DETERMINE WHETHER THE HOSPITAL CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. 4.) IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE BOARD OF MANAGERS SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED MEMBERS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE HOSPITAL'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION, IT SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. TO ENSURE THE HOSPITAL OPERATES IN A MANNER CONSISTENT WITH CHARITABLE PURPOSES AND DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS TAX-EXEMPT STATUS, PERIODIC REVIEWS SHALL BE CONDUCTED. THE PERIODIC REVIEWS INCLUDE, AT A MINIMUM, - 1.) WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION AND THE RESULT OF ARM'S LENGTH BARGAINING. 2.) WHETHER PARTNERSHIPS, JOINT VENTURES AND ARRANGEMENTS WITH MANAGEMENT ORGANIZATIONS CONFORM TO THE HOSPITAL'S WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE INVESTMENT OR PAYMENTS FOR GOODS AND SERVICES, FURTHER CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT, IMPERMISSIBLE PRIVATE BENEFIT, OR IN AN EXCESS BENEFIT TRANSACTION. DISCIPLINARY AND CORRECTION ACTION, UP TO AND INCLUDING TERMINATION OF EMPLOYMENT, CAN BE TAKEN FOR FAILURE TO DISCLOSE A CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15A	THE HOSPITAL'S BOARD OF MANAGERS REVIEWS ANNUAL CEO SURVEY INFORMATION FROM THE INDIANA HOSPITAL ASSOCIATION. THIS SURVEY COMPARES KDH'S CEO'S COMPENSATION WITH OTHER HOSPITAL CEO'S IN INDIANA. COMPARISONS ARE MADE WITH HOSPITALS THAT ARE IN KDH'S REGION IN INDIANA, HOSPITALS OF A SIMILAR SIZE, AND HOSPITALS THAT MIGHT REASONABLY BE EXPECTED TO COMPETE FOR SERVICES OF KDH'S CEO. THE BOARD OF MANAGERS, AFTER REVIEWING THE SURVEY AND A STATUS REPORT OF THE CEO'S ANNUAL GOALS, APPROVES THE CEO'S COMPENSATION. HOWEVER, PHYSICIAN BOARD MEMBERS WHO ARE ALSO HOSPITAL EMPLOYEES DO NOT PARTICIPATE IN VOTING FOR ANY CHANGES TO CEO COMPENSATION. MINUTES ARE TAKEN AT ALL OF THE BOARD OF MANAGERS MEETINGS AND EXECUTIVE SESSIONS.
FORM 990, PART VI, SECTION C, LINE 19	THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST, OR FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE FOR PUBLIC INSPECTION. THE FORM 990 TAX RETURN IS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST.
FORM 990, PART XI, LINE 9:	CHANGE IN SUBSCRIBER SAVINGS CUMULATIVE ACCOUNT 441,687.
FORM 990, PART XI, LINE 2C, AUDIT OVERSIGHT	THE HOSPITAL'S FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR THE SELECTION OF AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTING FIRM TO PERFORM THE ANNUAL AUDIT OF THE FINANCIAL STATEMENTS. THE FINANCE COMMITTEE ALSO IS RESPONSIBLE FOR OVERSIGHT OF THAT AUDIT PROCESS. THE TREASURER OF THE HOSPITAL'S BOARD OF MANAGERS SERVES AS THE CHAIR OF THE FINANCE COMMITTEE. THE FINANCE COMMITTEE REGULARLY MEETS EVERY OTHER MONTH, AND MEETS ONCE PER YEAR WITH THE INDEPENDENT AUDITORS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	THE KING'S DAUGHTERS' HOSPITAL FOUNDATION INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 447	AddressLine1Txt
City	MADISON	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	47250	ZIPCd

Field	Value	IRS element (for citing)
EIN	202148950	EIN
Primary Activities	FUNDRAISING TO SUPPORT THE PROVISION OF HEALTHCARE SERVICES	PrimaryActivitiesTxt
Legal Domicile State	IN	LegalDomicileStateCd
Exempt Code Section	501(C)(3)	ExemptCodeSectionTxt
Public Charity Status	LINE 7	PublicCharityStatusTxt
Direct Controlling NA	N/A	DirectControllingNACd
Controlled Organization	0	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd