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NORTON - KINGS DAUGHTERS HEALTH INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
NORTON - KINGS DAUGHTERS HEALTH INC (EIN 35-0895832)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-10-27
IRS object ID
201543009349301269
Schema version
2014v5.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2015-10-27T14:32:24-05:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN351178661PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BLUE & CO LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1ONE AMERICAN SQUARE 2200AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46282ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN350895832EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE BETHANY CIRCLE OF KING'S DAUGHTERS'BusinessNameLine1Txt
Business Name Line2OF MADISON INDIANA INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlBETHBusinessNameControlTxt
Phone8128010800PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 447AddressLine1Txt
CityMADISONCityNm
State AbbreviationINStateAbbreviationCd
ZIP47250ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEVE MEACHAMPersonNm
Person TitleVP OF FINANCEPersonTitleTxt
Phone8128010800PhoneNum
Signature2015-10-27SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCARRIE A MERRILL CPAPreparerPersonNm
PTINP00832283PTIN
Phone3176334705PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1KING'S DAUGHTERS' HEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerSTEVE MEACHAMPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 447AddressLine1Txt
CityMADISONCityNm
State AbbreviationINStateAbbreviationCd
ZIP47250ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$135,501,139GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.KDHMADISON.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1899FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionTO IMPROVE THE HEALTH OF THE HOSPITAL'S PATIENTS THROUGH CARE, SERVICE, AND EDUCATION.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee1141TotalEmployeeCnt
Total Volunteers72TotalVolunteersCnt
Total Gross UBI$8,192TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$6,863NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,086,439PYContributionsGrantsAmt
CY Contributions Grants$66,466CYContributionsGrantsAmt
PY Program Service Revenue$111,685,302PYProgramServiceRevenueAmt
CY Program Service Revenue$116,873,806CYProgramServiceRevenueAmt
PY Investment Income-$1,787,533PYInvestmentIncomeAmt
CY Investment Income$3,082,095CYInvestmentIncomeAmt
PY Other Revenue$2,948,480PYOtherRevenueAmt
CY Other Revenue$2,338,156CYOtherRevenueAmt
PY Total Revenue$113,932,688PYTotalRevenueAmt
CY Total Revenue$122,360,523CYTotalRevenueAmt
PY Grants And Similar Paid$64,750PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$19,566CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$66,191,410PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$62,334,347CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$55,574,589PYOtherExpensesAmt
CY Other Expenses$55,677,874CYOtherExpensesAmt
PY Total Expenses$121,830,749PYTotalExpensesAmt
CY Total Expenses$118,031,787CYTotalExpensesAmt
PY Revenues Less Expenses-$7,898,061PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,328,736CYRevenuesLessExpensesAmt
Total Assets BOY$235,555,035TotalAssetsBOYAmt
Total Assets EOY$241,257,319TotalAssetsEOYAmt
Total Liabilities BOY$115,305,835TotalLiabilitiesBOYAmt
Total Liabilities EOY$114,823,185TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$120,249,200NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$126,434,134NetAssetsOrFundBalancesEOYAmt
MissionTHE MISSION OF THE HOSPITAL IS TO IMPROVE THE HEALTH OF THE HOSPITAL'S PATIENTS THROUGH CARE, SERVICE, AND EDUCATION.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$96,638,222ExpenseAmt
Grant$19,566GrantAmt
Revenue$118,728,200RevenueAmt
DescTHE KING'S DAUGHTERS' HOSPITAL AND HEALTH SERVICES 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 2014, THE HOSPITAL PROVIDED HEALTHCARE TO PATIENTS AT THE FOLLOWING LEVELS: 12,297 DAYS OF CARE TO ACUTE INPATIENTS 1,170 DAYS OF CARE TO NEWBORN INFANTS 179,924 VISITS ASSOCIATED WITH HOSPITAL OUTPATIENTS 130,008 VISITS ASSOCIATED WITH PHYSICIAN CLINICSDesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$5,896,180ExpenseAmt
DescTHE 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 2014, THE KING'S DAUGHTERS' HOSPITAL AND HEALTH SERVICES PROVIDED SERVICES TOTALING $5,896,180 IN GROSS CHARGES TO PATIENTS WHO MET THE HOSPITAL'S CHARITY CARE POLICY.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$102,534,402TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan OutstandingYes (1)LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document63IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1141EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDAWN NUNAN DIRECTOR OF ACCOUNTINGPersonNm
Phone8128010193PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 447AddressLine1Txt
CityMADISONCityNm
State AbbreviationINStateAbbreviationCd
ZIP47250ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MAUREEN GETZ
BOARD CHAIRWOMAN1.001.00Yes (X)Yes (X)$250$0$0
PAULA HEIDERMAN
BOARD VICE CHAIRWOMAN1.001.00Yes (X)Yes (X)$500$0$0
PAM KIMMEL
BOARD SECRETARY1.000.00Yes (X)Yes (X)$0$0$0
MARY BETTE VOYLES
BOARD ASSN'T SECRETARY1.000.00Yes (X)Yes (X)$250$0$0
LINDA SLOFFER
BOARD TREASURER1.001.00Yes (X)Yes (X)$250$0$0
ANDREA FORRESTER
BOARD ASSN'T TREASURER1.000.00Yes (X)Yes (X)$750$0$0
MARJORIE HARE
BOARD MEMBER1.000.00Yes (X)$500$0$0
JONATHAN HANSON MD
BOARD MEMBER/PHYSICIAN40.000.00Yes (X)$422,855$0$39,930
PAT STACK MD
BOARD MEMBER/PHYSICIAN40.000.00Yes (X)$288,730$0$41,101
JOE CRAIG
BOARD MEMBER1.000.00Yes (X)$0$0$0
KEVIN TURNER
BOARD MEMBER1.000.00Yes (X)$0$0$0
CAROL DOZIER
PRESIDENT/CEO40.001.00Yes (X)$341,543$0$14,393
STEVE MEACHAM
VP FINANCE40.000.00Yes (X)$209,028$0$28,939
LISA MORGAN
VP PATIENT SERVICES40.000.00Yes (X)$160,911$0$30,809
DENINE FALLIS-HALLGARTH
VP PHYSICIAN PRACTICES40.000.00Yes (X)$140,671$0$17,669
HOLLY ROBINSON
VP QUALITY40.000.00Yes (X)$297,370$0$39,978
THOMAS ECKERT MD
EMPLOYED PHYSICIAN40.000.00$741,006$0$29,232Yes (X)
TRAVIS CLEGG MD
EMPLOYED PHYSICIAN40.000.00$1,377,711$0$39,713Yes (X)
WILLIAM SKILES MD
EMPLOYED PHYSICIAN40.000.00$627,693$0$26,773Yes (X)
MICHAEL SCHMIDT MD
EMPLOYED PHYSICIAN40.000.00$643,742$0$40,959Yes (X)
GEORGE ALCORN MD
EMPLOYED PHYSICIAN40.000.00$555,879$0$23,165Yes (X)
ROGER ALLMAN
FORMER PRESIDENT/ CEO40.001.00$298,536$0$0Yes (X)
LARRY KEITH
FORMER VP CLINICAL SERVICES40.000.00$159,311$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,267,486TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$372,661TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K61IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
WEHR CONSTRUCTORS INC
2517 PLANTSIDE DRIVELOUISVILLEKY40299CONTRACTOR SERVICES FOR THE CONSTRUCTION$4,630,691
MEDASSETS INC
PO BOX 405652ATLANTAGA303845652REVENUE CYCLE CONSULTING SERVICES & SOFT$804,565
MAYO COLLABORATIVE SERVICES INC
PO BOX 9146MINNEAPOLISMN554809146LABORATORY SERVICES$610,397
FIRST UROLOGY PSC
PO BOX 1087JEFFERSONVILLEIN47131CONTRACTED PHYSICIAN MEDICAL SERVICES$473,203
EMCARE
7032 COLLECTION CENTER DRIVECHICAGOIL60693CONTRACTRED PHYSICIAN AND MID-LEVEL PROV$400,411
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K34CntrctRcvdGreaterThan100KCnt
Government Grants$64,175GovernmentGrantsAmt
All Other Contributions$2,291AllOtherContributionsAmt
Total Contributions$66,466TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT SERVICE REVENUEDesc
Business621110BusinessCd
Total Revenue Column$116,873,806TotalRevenueColumnAmt
Related Or Exempt Func Income$116,865,614RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$8,192UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$116,873,806TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,460,679TotalRevenueColumnAmt
Exclusion$1,460,679ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$69,459RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$15,833RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$53,626RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$53,626TotalRevenueColumnAmt
Related Or Exempt Func Income$53,626RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$14,329,743SecuritiesAmt
Other$416,456OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$12,330,309SecuritiesAmt
Other$794,474OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,999,434SecuritiesAmt
Other-$378,018OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,621,416TotalRevenueColumnAmt
Exclusion$1,621,416ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
EHR REVENUE621110$1,659,533$1,659,533
CAFETERIA REVENUE722210$300,556$300,556
GIFT SHOP453220$175,014$175,014

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$149,427TotalRevenueColumnAmt
Related Or Exempt Func Income$149,427RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,284,530OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$122,360,523TotalRevenueColumnAmt
Related Or Exempt Func Income$118,728,200RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$8,192UnrelatedBusinessRevenueAmt
Exclusion$3,557,665ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$19,566TotalAmt
Program Services$19,566ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,149,524TotalAmt
Program Services$919,619ProgramServicesAmt
Management And General$229,905ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$48,466,498TotalAmt
Program Services$42,861,225ProgramServicesAmt
Management And General$5,605,273ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,712,342TotalAmt
Program Services$1,541,108ProgramServicesAmt
Management And General$171,234ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$7,822,544TotalAmt
Program Services$7,040,290ProgramServicesAmt
Management And General$782,254ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,183,439TotalAmt
Program Services$2,865,095ProgramServicesAmt
Management And General$318,344ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$212,605TotalAmt
Management And General$212,605ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,080,139TotalAmt
Management And General$2,080,139ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$258,822TotalAmt
Management And General$258,822ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$175,429TotalAmt
Program Services$157,886ProgramServicesAmt
Management And General$17,543ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,926,807TotalAmt
Program Services$1,579,982ProgramServicesAmt
Management And General$346,825ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$436,833TotalAmt
Program Services$393,150ProgramServicesAmt
Management And General$43,683ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,048,321TotalAmt
Program Services$1,843,489ProgramServicesAmt
Management And General$204,832ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$128,151TotalAmt
Program Services$115,336ProgramServicesAmt
Management And General$12,815ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$5,481,297TotalAmt
Program Services$4,933,167ProgramServicesAmt
Management And General$548,130ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$11,741,231TotalAmt
Program Services$10,567,108ProgramServicesAmt
Management And General$1,174,123ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,335,898TotalAmt
Program Services$1,202,308ProgramServicesAmt
Management And General$133,590ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PURCHASED SERVICES$8,679,412$7,811,471$867,941
DRUGS$7,468,870$7,468,870
SUPPLIES$6,483,286$5,510,793$972,493
HOSPITAL ASSESSMENT FEE$1,990,312$1,990,312

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$5,230,461TotalAmt
Program Services$3,713,627ProgramServicesAmt
Management And General$1,516,834ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$118,031,787TotalAmt
Program Services$102,534,402ProgramServicesAmt
Management And General$15,497,385ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$7,422,970BOYAmt
EOY$18,557,562EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,000,000BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$10,039,288BOYAmt
EOY$12,046,508EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$195,049BOYAmt
EOY$54,039EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$422,538BOYAmt
EOY$2,653,683EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,323,063BOYAmt
EOY$2,667,423EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$943,738BOYAmt
EOY$996,157EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$183,712,739LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$50,076,643LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$136,620,936BOYAmt
EOY$133,636,096EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$68,718,897BOYAmt
EOY$63,987,854EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$7,868,556BOYAmt
EOY$6,657,997EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$235,555,035BOYAmt
EOY$241,257,319EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$13,166,714BOYAmt
EOY$12,650,373EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$97,975,255BOYAmt
EOY$98,015,768EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,306,836BOYAmt
EOY$969,093EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,857,030BOYAmt
EOY$3,187,951EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$115,305,835BOYAmt
EOY$114,823,185EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$120,040,475BOYAmt
EOY$126,404,076EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$198,725BOYAmt
EOY$20,058EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,000BOYAmt
EOY$10,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$120,249,200BOYAmt
EOY$126,434,134EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$235,555,035BOYAmt
EOY$241,257,319EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$4,328,736ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$65,156NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments$1,805,499PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$14,457OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$7,537OtherActivitiesAmt
Total Lobbying Expenditures$7,537TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationPORTION 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

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$196,716BeginningYearBalanceAmt
Contributions$48,484ContributionsAmt
Other Expenditures$36,475OtherExpendituresAmt
End Year Balance$208,725EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$129,738BeginningYearBalanceAmt
Contributions$86,924ContributionsAmt
Other Expenditures$19,946OtherExpendituresAmt
End Year Balance$196,716EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$137,154BeginningYearBalanceAmt
Contributions$40,020ContributionsAmt
Other Expenditures$47,436OtherExpendituresAmt
End Year Balance$129,738EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$127,555BeginningYearBalanceAmt
Contributions$62,386ContributionsAmt
Other Expenditures$52,787OtherExpendituresAmt
End Year Balance$137,154EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.33270PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.66730TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,924,110OtherCostOrOtherBasisAmt
Book Value$4,924,110BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$112,651,666OtherCostOrOtherBasisAmt
Depreciation$17,894,118DepreciationAmt
Book Value$94,757,548BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$57,482,148OtherCostOrOtherBasisAmt
Depreciation$32,182,525DepreciationAmt
Book Value$25,299,623BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,654,815OtherCostOrOtherBasisAmt
Book Value$8,654,815BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$133,636,096TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DEFERRED COMPENSATION$88,102
THIRD PARTY PAYABLE$2,300,000
LIFE INSURANCE POLICIES$799,849
FieldValueIRS element (for citing)
Total Liability$3,187,951TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$122,134,479TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$50,698NetUnrealizedGainsInvstAmt
Other Revenue-$8,416OtherRevenueAmt
Revenue Not Reported$42,282RevenueNotReportedAmt
Revenue Subtotal$122,092,197RevenueSubtotalAmt
Investment Expenses Not Incld$258,822InvestmentExpensesNotIncldAmt
Other Revenues Not Included$9,504OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$268,326RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$122,360,523TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$117,755,044TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included-$8,416OtherExpensesIncludedAmt
Expenses Not Reported-$8,416ExpensesNotReportedAmt
Expenses Subtotal$117,763,460ExpensesSubtotalAmt
Investment Expenses Not Incld2$258,822InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$9,505OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$268,327ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$118,031,787TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 12/31/2014. TERM ENDOWMENT - TEMPORARILY RESTRICTED NET ASSETS ARE DONOR-RESTRICTED FOR A SPECIFIC USE INCLUDING: PRENATAL/POSTNATAL EDUCATION PROGRAM FUND, TEEN EVENT FUND, MAY LIBRARY FUND, FIT KIDS FUND, NATIONAL NURSES WEEK FUND, PATIENT SCALES FUND AND NICOTINE REPLACEMENT THERAPY 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, 2014 AND 2013, 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, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES -8,416.
PART XI, LINE 4B - OTHER ADJUSTMENTS:GRANTS 9,504.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES -8,416. R
PART XII, LINE 4B - OTHER ADJUSTMENTS:GRANTS 9,504. ROUNDING 1.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted Care0FPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,050,744TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,050,744NetCommunityBenefitExpnsAmt
Total Expense0.01740TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,433,480TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,196,050DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,237,430NetCommunityBenefitExpnsAmt
Total Expense0.06980TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,484,224TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,196,050DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,288,174NetCommunityBenefitExpnsAmt
Total Expense0.08720TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served7413PersonsServedCnt
Total Community Benefit Expns$148,962TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$50,719DirectOffsettingRevenueAmt
Net Community Benefit Expns$98,243NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Persons Served203PersonsServedCnt
Total Community Benefit Expns$195,027TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$33,425DirectOffsettingRevenueAmt
Net Community Benefit Expns$161,602NetCommunityBenefitExpnsAmt
Total Expense0.00140TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served4835PersonsServedCnt
Total Community Benefit Expns$4,506,764TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,824,519DirectOffsettingRevenueAmt
Net Community Benefit Expns$682,245NetCommunityBenefitExpnsAmt
Total Expense0.00580TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,806TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$19,806NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Persons Served12451PersonsServedCnt
Total Community Benefit Expns$4,870,559TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,908,663DirectOffsettingRevenueAmt
Net Community Benefit Expns$961,896NetCommunityBenefitExpnsAmt
Total Expense0.00820TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Persons Served12451PersonsServedCnt
Total Community Benefit Expns$24,354,783TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,104,713DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,250,070NetCommunityBenefitExpnsAmt
Total Expense0.09540TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Persons Served300PersonsServedCnt
Total Community Benefit Expns$306TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$306NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Persons Served2400PersonsServedCnt
Total Community Benefit Expns$1,171TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,171NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Persons Served1100PersonsServedCnt
Total Community Benefit Expns$176,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$176,000NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Persons Served881PersonsServedCnt
Total Community Benefit Expns$1,037TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,037NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Persons Served4681PersonsServedCnt
Total Community Benefit Expns$178,514TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$178,514NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$14,667,665BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$23,681,108ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$24,189,675CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$508,567MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KING'S DAUGHTERS' HEALTHBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11373 EAST STATE ROAD 62 PO BOX 447AddressLine1Txt
CityMADISONCityNm
State AbbreviationINStateAbbreviationCd
ZIP47250ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.KDHMADISON.ORGWebsiteAddressTxt
State License14-005063-1StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1KING'S DAUGHTERS' HEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
OtherYes (X)OtherInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.KDHMADISON.ORG/ABOUT_NEEDSASSESSMENT.ASPXOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.KDHMADISON.ORGStrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
KING'S DAUGHTERS' HEALTHPART 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' HEALTHPART 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 COULD HAVE AN IMPACT.
KING'S DAUGHTERS' HEALTHPART 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_NEEDSASSESSMENT.ASPX.
KING'S DAUGHTERS' HEALTHPART V, SECTION B, LINE 11: AFTER REVIEW OF THE COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED IN 2013, 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 WE 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 DO 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 2013-2016OBESITY, LACK OF PHYSICAL ACTIVITY AND SMOKING LEADING TO CHRONIC DISEASE:SEVERAL OF THE TOP MAJOR COMMUNITY HEALTH CONCERNS INVOLVE ADDRESSING THE FREQUENTLY INTER-RELATED ISSUES OF OBESITY, LACK OF PHYSICAL ACTIVITY, AND SMOKING. THESE HEALTH ISSUES LEAD TO CHRONIC DISEASE, SUCH AS STROKE WHERE THE DEATH RATE IN JEFFERSON COUNTY IS NEARLY DOUBLE THE NATION'S DEATH RATE, AND HAVE AN IMPACT ON PATIENTS SERVED BY KDH FACILITIES. THE MAJORITY OF COMMUNITY LEADERS EXPECT KDH TO TAKE A LEADERSHIP ROLE IN ADDRESSING OVERWEIGHT AND OBESITY AND TOBACCO USE. THOSE IN OUTLYING COUNTIES HAVE ASKED THAT KDH PROGRAMS AVAILABLE IN JEFFERSON COUNTY BE OFFERED IN THEIR OWN COUNTIES OR AT A MINIMUM THAT THE JEFFERSON COUNTY PROGRAMS BE PROMOTED TO CITIZENS IN THESE OTHER COUNTIES FOR THEIR POTENTIAL ATTENDANCE. ACTION PLAN: LEADERSHIP ROLEOFFER ONSITE AND COMMUNITY BASED OUTREACH EVENTS TO IMPROVE PATIENT AND COMMUNITY EDUCATION ON PREVENTION AND MANAGEMENT OF CHRONIC DISEASES. TARGET: AT RISK POPULATIONS BASED ON LIFESTYLE, AND THOSE WITH CHRONIC DISEASES. EVALUATION: NUMBER OF EVENTS OFFERED, NUMBER OF PARTICIPANTS. NUMBER OF OUTREACH EFFORTS IN OUTLYING COUNTIES AND / OR PROMOTION OF SUCH EFFORTS.IN 2014 KDH PARTICIPATED IN THREE CORPORATE AND COMMUNITY SCREENS WHERE EDUCATION INFORMATION AND TOBACCO CESSATION INFORMATION WERE DISTRIBUTED. SIMILAR EDUCATION LITERATURE WAS ALSO DISTRIBUTED AT TWO JEFFERSON CO. COMMUNITY HEALTH FAIRS AND THREE FAIRS IN OUTLYING COUNTIES. THE WELLNESS COORDINATOR AND TOBACCO EDUCATOR PROVIDED A COMBINED 22 SPEAKING ENGAGEMENTS TO COMMUNITY GROUPS IN 2014 WITH HEALTH EDUCATION MESSAGES. IN ADDITION THE TOBACCO EDUCATOR PROVIDED OUTREACH SERVICES TO AREA BUSINESSES, SCHOOLS, AND PHYSICIAN OFFICES. TO LOWER SMOKING RATES, FREE NICOTINE REPLACEMENT PRODUCTS AND CESSATION COUNSELING WERE ALSO AVAILABLE TO COMMUNITY MEMBERS WHEN REQUESTED.THE 7-WEEK KDH FIT KIDS PROGRAM, OFFERED IN 8 AREA SCHOOLS IN 2014, PROVIDES EDUCATION ON CHILDHOOD OBESITY, HEALTHY EATING, AND PHYSICAL ACTIVITY. IN ADDITION, THE KDH SPONSORED GIRLS ON THE RUN SITE IS A CHARACTER-DEVELOPMENT PROGRAM THAT USES THE POWER OF RUNNING FOR 3RD-5TH GRADE GIRLS TO PROMOTE EXERCISE AND TEACH HEALTHY LIFESTYLE CONCEPTS. THIS GIRLS ON THE RUN PROGRAM OFFERS A 5K EVENT IN ADDITION TO THE KDH RUN THE FALLS 5K EVENT. THESE TWO FITNESS OPPORTUNITIES BROUGHT IN A COMBINED 365 PARTICIPANTS IN 2014.THE SPEAKING OF WOMEN'S HEALTH PROGRAM OFFERED EXERCISE BREAKOUT SESSIONS IN 2014 AND A 12-WEEK PEP WALK PROGRAM "FREE WALKING PROGRAM" FOR OUR COMMUNITY.EMPLOYEE WELLNESS: KDH SHOULD CONSIDER WAYS IN WHICH IT CAN SET AN EXAMPLE AT ITS OWN FACILITIES FOR THE COMMUNITY; AN EXPANDED AND ENFORCED TOBACCO-FREE CAMPUS, HEALTHY FOOD OFFERINGS IN ITS CAFETERIA AND VENDING MACHINES, A WELLNESS PROGRAM WHICH FOCUSES ON ALL EMPLOYEES INCLUDING THOSE AT SATELLITE OFFICES. ACTION PLAN: LEADERSHIP ROLEIMPROVE OPPORTUNITIES FOR OUR OWN STAFF TO ACCESS HEALTHY ACTIVITIES AND OFFERINGS. OFFER INSURANCE-BASED INCENTIVES FOR A VARIETY OF HEALTHY CHOICES. (EX: NON SMOKING FAMILY PLANS) EXPAND AND IMPROVE HEALTHY EATING OPTIONS IN THE HOSPITAL CAFE. TARGET: KDH EMPLOYEES. EVALUATION: NUMBER OF EVENTS / OPTIONS OFFERED, NUMBER OF EMPLOYEES PARTICIPATING.KDH EMPLOYEES WERE OFFERED A FREE HEALTH SCREEN IN 2014, WHICH INCLUDES A FINANCIAL INCENTIVE FOR ACHIEVING SET BIOMETRIC PARAMETERS. DURING THE YEAR THREE HEALTH INCENTIVE CHALLENGES WERE OFFERED TO STAFF. FIVE ON-SITE CLASSES WERE OFFERED AND EDUCATION EMAILS AND NEWSLETTERS WERE SENT. IN ADDITION, THREE NEW 5-WEEK WEIGHT LOSS EDUCATION CLASSES WERE ALSO AVAILABLE TO EMPLOYEES.KDH CONTINUED ENFORCEMENT OF IT'S TOBACCO-FREE CAMPUS. TOBACCO FREE EMPLOYEES HAVE AN OPPORTUNITY FOR A REDUCED HEALTH INSURANCE PREMIUM AND CESSATION ASSISTANCE IS AVAILABLE FOR ALL EMPLOYEES AND THEIR FAMILY MEMBERS.THE EMPLOYEE CAFETERIA INTRODUCED TWO NEW HEALTHY BEVERAGE OPTIONS FOR STAFF, TWO NEW HEALTHY SNACK OPTIONS AND ONE NEW HEALTHY MEAL ENTREE. IN ADDITION, IT WAS REPORTED IN 2014 THAT OVER HALF OF ALL VENDING MACHINE BEVERAGES WERE ZERO CALORIES OPTIONS AND HEART HEALTHY SNACK CHOICES CONTINUED TO BE AVAILABLE IN ALL VENDING MACHINE.IN ADDITION SEVERAL OPPORTUNITIES WERE AVAILABLE TO KDH EMPLOYEES DURING 2014 TARGETING OBESITY. THESE INCLUDED A BIOMETRIC SCREEN WITH INCENTIVE PROGRAM, CLASSES, INCENTIVE CHALLENGES, AND HEALTH EDUCATION.SUBSTANCE ABUSE: SUBSTANCE ABUSE - PARTICULARLY NARCOTIC (PRIMARILY HEROIN), METHAMPHETAMINE, AND PRESCRIPTION DRUGS, WAS ONE OF THE TOP MAJOR HEALTH NEEDS CITED BY ALL GROUPS INTERVIEWED. IT IS PREVALENT IN ALL COUNTIES SERVED BY KDH. - THE LACK OF SUBSTANCE TREATMENT CENTERS AND MENTAL CARE FACILITIES TO REFER THESE TYPES OF PATIENTS TO IS A MAJOR CONCERN. - MANY INTERVIEWED FELT THE PUBLIC NEEDS TO BE AWARE OF HOW MUCH OF AN ISSUE SUBSTANCE ABUSE IS IN THE COMMUNITY I.E. AMOUNT OF BABIES BORN ADDICTED TO METH/HEROIN AND THE DETOXIFICATION REQUIRED. - THE NEED FOR FURTHER DRUG EDUCATION IN THE SCHOOLS FROM ELEMENTARY ON UP WAS MENTIONED NUMEROUS TIMES - BETTER COMMUNICATION BETWEEN KDH AND THE LOCAL LEGAL SYSTEM IS NEEDED. DOCUMENTATION OF OVERDOSE CASES IN THE ER WITH STATISTICS OF THE TYPES OF DRUGS CAUSING THE OVERDOSE (STREET VERSUS PRESCRIPTION) IS THE TYPE OF INFORMATION HELPFUL TO THE LEGAL SYSTEM. KDH PHYSICIANS MENTIONED THAT THEY WOULD LIKE TO KNOW FROM THE LEGAL SYSTEM WHEN ONE OF THE DRUGS THEY PRESCRIBED IS INVOLVED IN A CASE. - THERE IS A NEED FOR A QUARTERLY PRESCRIPTION DRUG DISPOSAL PROGRAM WHERE SUCH DRUGS CAN BE DISPOSED WITH NO QUESTIONS ASKED.
KING'S DAUGHTERS' HEALTHPART V, SECTION B, LINE 16I: AT THE TIME OF REGISTRATION, THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS DISCUSSED WITH EACH PATIENT. THE PATIENT IS PROVIDED 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.
KING'S DAUGHTERS' HEALTHPART V, SECTION B, LINE 20E: IN ADDITION TO THE ACTIONS PREVIOUSLY LISTED, A FINANCIAL AID COUNSELOR WILL MEET WITH ANY UNINSURED INPATIENT PRIOR TO DISCHARGE TO DISCUSS THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.
KING'S DAUGHTERS' HEALTHPART V, SECTION B, LINE 22D: ALL UNINSURED PATIENTS RECEIVE AN AUTOMATIC 20% DISCOUNT FROM GROSS CHARGES. AT REGISTRATION, PATIENTS ARE NOTIFIED OF THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. THEY ARE PROVIDED 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 UP TO 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 V, SECTION B, LINE 11 CONTINUEDACTION PLAN: SUPPORTIVE ROLECONTINUE TO WORK CLOSELY WITH LOCAL COALITIONS AGAINST SUBSTANCE ABUSE AND THE HEALTH DEPARTMENT TO IMPLEMENT WORKABLE SOLUTIONS TO THE ABOVE MENTIONED PROBLEMS. DEVELOP AND ASSIST IN IMPLEMENTING A PLAN OF ACTION. ALSO, CONTINUE TO INTERVENE WITH PREGNANT WOMEN DURING PREGNANCY AND DELIVERY. TARGET: CASA IN JEFFERSON COUNTY AND SCAT IN SWITZERLAND COUNTY. WORK WITH THE HEALTH DEPARTMENT TO GET PHYSICIANS AND LAW ENFORCEMENT IN THE SAME ROOM TO DEVELOP AN ACTION PLAN. EVALUATION: NUMBER OF MEETINGS ATTENDED / NUMBER OF ACTION PLANS DEVELOPED WITH THESE ORGANIZATIONS. NUMBER OF DOCUMENTED SUBSTANCE ABUSE CASES ON OB /GYN.2014 UPDATE: WE CONTINUE TO WORK CLOSELY WITH THE JEFFERSON AND SWITZERLAND COUNTY COALITIONS AGAINST SUBSTANCE ABUSE. KDH IS REPRESENTED AT MEETINGS AND CONTINUES TO ATTEND OTHER OUTREACH EFFORTS. THE OB OFFICES ADDRESS THE PROBLEM WITH THEIR PRENATAL CARE. THE PATIENT MUST SIGN A CONTRACT AND CONTINUE WITH FOLLOW UP CARE. PATIENTS ALSO ATTEND A MEETING CALLED THE ORCHARD PROGRAM. IT IS A BEGINNERS 12 STEP PROGRAM. THIS IS FOR PREGNANT MOTHERS, NEW MOTHERS, AND MOTHERS WITH OLDER CHILDREN BATTLING ADDICTION. STARTING IN 2015, EVERY TIME THEY ATTEND A MEETING THEY EARN "BABY BUCKS" TO BE USED AT A LOCAL BABY SUPPLY CLOSET. THESE MEETINGS OCCUR WEEKLY. IF THE MOTHER IS STILL USING AT TIME OF BIRTH, THE HISTORY IS COMMUNICATED TO THE STAFF. IN 2014 THAT WAS TESTING BY COLLECTING URINE AND MECONIUM. THE GOAL FOR 2015 WILL BE TO TEST VIA UMBILICAL CORD ANALYSIS. WE ALSO DO NAS (NEONATAL ABSTINENCE SYNDROME) SCORING. THE MOTHER RECEIVES AN OPPORTUNITY FOR FOLLOW UP CARE POST-DELIVERY. THEY HAVE ANOTHER OPPORTUNITY TO ATTEND THE ORCHARD PROGRAM. IF THE MOTHER IS USING CERTAIN MEDICATIONS, SUCH AS SUBUTEX OR METHADONE, OR SEBOXON, BABIES REMAIN HOSPITALIZED A MINIMUM OF 72 TO 96 HOURS TO ENSURE THE HEALTH OF THE BABY. IF SCORES ARE TOO HIGH, THEY ARE TREATED LONGER AS AN INPATIENT. FOLLOW UP IS ALSO DONE BY OUR HOME HEALTH AGENCY IN CASES OF ACTIVE WITHDRAWAL.SUPPORTING DATA:NUMBER OF ER ADMISSIONS IN 2014 WITH A DIAGNOSIS OF DRUG ABUSE / DEPENDENCY / OVERDOSE: 2430NUMBER OF ADMISSIONS IN 2014 WITH NEONATAL ABSTINENCE SYNDROME: 10 MENTAL HEALTH ISSUES: WHILE KDH MAY NOT BE EXPECTED TO TAKE A LEADERSHIP ROLE IN ADDRESSING MENTAL HEALTH ISSUES, IT CANNOT IGNORE THE NEED FOR MENTAL HEALTH SERVICES IN ALL THE COUNTIES IT SERVES. MANY INTERVIEWED MENTIONED THE NEED FOR EXPANDING TELEMED AS A MENTAL HEALTH RESOURCE, RECRUITING AN ON-STAFF PSYCHIATRIST OR AN IMPROVED REFERRAL PROGRAM FOR THOSE WITH MENTAL ILLNESS. KDH LEADERS INTERVIEWED STRESSED THE HOURS OF STAFF TIME THAT IS CURRENTLY SPENT FINDING FACILITIES TO REFER PATIENTS TO WITH OPEN BEDS. THIS ISSUE IS WORTH FURTHER STUDY BY KDH TO DETERMINE WHAT SUPPORTING ROLE IT CAN PROVIDE TO THE COMMUNITY IN THIS AREA. ACTION PLAN: SUPPORTIVE ROLEKDH WILL CONTINUE TO EXPLORE WAYS TO COLLABORATE WITH LOCAL AGENCIES TO IMPROVE ACCESS TO MENTAL HEALTH RESOURCES. IMPROVEMENT IN OTHER RISK FACTOR AREAS, SUCH AS LACK OF PHYSICAL ACTIVITY WILL AFFECT MENTAL HEALTH AS WELL AS OTHER RISK FACTORS. TARGET: KDH PATIENTS IN NEED OF MENTAL HEALTH SERVICES. EVALUATION: NUMBER OF REFERRALS FOR MENTAL HEALTH SERVICES / NUMBER OF PROVIDERS KDH IS ABLE TO ACCESS.2014 UPDATE: IN 2014 KDH MADE A TOTAL OF 475 PATIENT REFERRALS FOR MENTAL HEALTH SERVICES. (THIS NUMBER EXCLUDES PEDIATRIC AND OB OUTPATIENTS). THE QUALITY AND RESOURCE MANAGEMENT TEAM, ALONG WITH SUPPORT FROM THE INFORMATION TECHNOLOGY DEPARTMENT, WILL BE WORKING TO IMPROVE DATA COLLECTION ACCURACY AND WILL HAVE THE CAPABILITY TO INCLUDE ALL PATIENT REFERRALS FOR THE YEAR 2015.KING'S DAUGHTERS' HEALTH HAS A TOTAL OF 19 MENTAL HEALTH PROVIDERS THAT ARE USED FOR REFERRALS.TRANSPORTATION: THE LACK OF TRANSPORTATION WAS CITED NUMEROUS TIMES AS A HEALTH ISSUE PARTICULARLY FOR THOSE OF LOWER INCOME. CATCH-A-RIDE AND MEDI-CAB ARE WELL UTILIZED IN THE KDH SERVICE AREA, BUT THEY DO NOT OPERATE AFTER 5 P.M. NOR DO THEY RUN ON WEEKENDS. FOR SOME, THE FEE ASSOCIATED FOR THE SERVICE IS COST-PROHIBITIVE. KDH MAY WANT TO CONSIDER OFFERING ALTERNATIVE TRANSPORTATION AND/OR EXPLORE OFFERING PREVENTATIVE HEALTH SCREENINGS SUCH AS BLOOD PRESSURE, GLUCOSE ETC. AT EVENTS WHERE THOSE OF LOWER INCOME MAY GATHER SUCH AS THE SALVATION ARMY END OF THE MONTH MEAL, THE DISTRIBUTION AT THE HOUSE OF HOPE FOOD PANTRY, ETC. ACTION PLAN: SUPPORTIVE ROLEDEVELOP A SERIES OF CLASSES AND SCREENS TO BE OFFERED IN LOW INCOME AREAS. TO TAKE SERVICES TO THOSE IN NEED, WHO ARE UNABLE TO COME TO KDH. TARGET: LOW INCOME POPULATIONS AS IDENTIFIED THROUGH THE HOUSE OF HOPE AND / OR THE SALVATION ARMY. EVALUATION: NUMBER OF CLASSES AND SCREENS HELD / NUMBER OF INDIVIDUALS PARTICIPATING.2014 UPDATE: A NEW HOUSE OF HEALTH PROGRAM WAS DEVELOPED IN 2014. THIS PROGRAM HELD AT THE JEFFERSON COUNTY CLEARINGHOUSE HOUSE OF HOPE FOOD PANTRY, BEGAN IN JULY, WHICH PROVIDED SIX MONTHLY PROGRAMS FOR 2014. TWO OF THESE EVENTS PROVIDED FREE SCREENING SERVICES TO PARTICIPANTS. ATTENDANCE RANGED FROM 25-70 PARTICIPANTS EACH MONTH.AWARENESS OF SERVICES AND PROGRAMS: SOME INDIVIDUALS ALSO EXPRESSED THE IDEA THAT RESIDENTS IN THE COMMUNITY SERVED BY KDH MAY NOT BE AWARE OF THE EXISTING PROGRAMS AND SERVICES OFFERED AND MAY NOT BE AWARE OF THE LEVEL OF EXPERTISE OF THE STAFF. THESE ARE IDEAS THAT COULD BE ADDRESS IN A STRATEGIC, WELL-PLANNED, LONG-TERM PUBLIC RELATIONS CAMPAIGN. ACTION PLAN: LEADERSHIP ROLEDEVELOP AND IMPLEMENT A PUBLIC RELATIONS CAMPAIGN TO LET PEOPLE KNOW OF SERVICES AND OUTREACH THROUGH KDH. TARGET: INDIVIDUALS IN THE KDH PRIMARY MARKET. EVALUATION: NUMBER OF PROMOTIONAL PIECES AND MARKETING ACTIVITIES GEARED TOWARD THE COMMUNITY TO IMPROVE KNOWLEDGE AND EDUCATION OF OUTREACH SCREENS / CLASSES / PROGRAMS.2014 UPDATE: JOINT REPLACEMENT PROGRAM - 8 MONTH CAMPAIGN THAT INCLUDED ONE COMPREHENSIVE VIDEO AND FOUR SUBSET VIDEOS POSTED TO THE KDH WEBSITE AND PROMOTED FURTHER VIA THE PRINT CAMPAIGN, FACEBOOK, AND TWITTER. PRINT CAMPAIGN INCLUDED TESTIMONIALS FROM SEVERAL KNEE/HIP REPLACEMENT PATIENTS. BANNER ON MAIN PAGE OF KDH WEBSITE.COLON HEALTH / DR. ADAMU / COLONOSCOPIES - 5-MONTH TOTAL CAMPAIGN THAT INCLUDED BILLBOARDS IN MADISON, VERSAILLES, AND MILTON, ALONG WITH PRINT AND RADIO CAMPAIGNS IN ALL MEDIA PRIMARY MEDIA OUTLETS. BANNER ON MAIN PAGE OF KDH WEBSITE. TO YOUR HEALTH RADIO PROGRAM ON WORX INCLUDED A DISCUSSION WITH DR. THOMAS ECKERT ABOUT COLONOSCOPIES.COMMUNITY CAMPAIGN - FEATURED GENERAL INFORMATION PRINT ADS IN PRIMARY MEDIA OUTLETS WITH THE SLOGAN, COMMUNITY PEOPLE, QUALITY CARE. TALKED ABOUT OUR COMMITTMENT TO QUALITY CARE WITH PEOPLE YOU CAN TRUST, WHO CARE ABOUT YOU. 3-MONTH CAMPAIGN.MOTHER/BABY SERVICES - WE FEATURED TWO TESTIMONIAL VIDEOS ON A VARIETY OF FORMATS, INCLUDING FACEBOOK AND THE WEBSITE. THESE WERE BACKED BY A SERIES OF PRINT ADS PROMOTING THE VIDEOS AND SERVICES OF OUR OB/GYN TEAM. THIS WAS A ROUGHLY 6-MONTH CAMPAIGN DURING THE COURSE OF THE YEAR. WE FEATURED A VARIETY OF RADIO SPOTS IN PRIMARY MARKETS. WE ALSO COMPLETED A UNIQUE VIDEO THAT FEATURED PHOTOS OF A NEW MOM ARRIVING FOR DELIVERY, THROUGH DEPARTURE WITH THE NEW BABY. IT WAS WELL RECEIVED. BANNER ON MAIN KDH WEBSITE.PROMOTION OF SCREENINGS/EVENTS - THESE EVENTS AND PROGRAMS INCLUDED DIABETES AWARENESS, CHOLESTEROL SCREENING, DIRECT ACCESS TESTING AT ALL LOCATIONS (FLYERS, ADS), DOCTOR AND THE DIETICIAN, HEART MONTH, LUNG CANCER SCREENING ($88 FOR APPROPRIATE PATIENTS), PEP WALKS, SENIORCIZE, HOUSE OF HEALTH EVENTS AT THE CLEARINGHOUSE, GIRLS ON THE RUN, AND THE RUN THE FALLS 5K EVENT IN SEPTEMBER.PHYSICIANS - EFFORTS INCLUDED DR. ADAMU AND DR. ECKERT FOR COLONOSCOPIES AND COLON HEALTH, DR. VICTORIA SHIRLEY (OB), DR. DIAMOND HARRIS (PEDIATRICS), DR. DAWN MEACHAM (FAMILY PRACTICE), AND DR. MICHAEL WILLHITE AND LAUREN DUBBERLY, PA (VERSAILLES). WE ALSO FEATURED PRINT ADS IN VARIOUS SPORTS PROGRAMS THAT OUTLINE PHYSICIAN SERVICES IN CARROLLTON, TRIMBLE COUNTY, AND MADISON, IN PARTICULAR.VERSAILLES CAMPAIGN - WE FEATURED A FOUR-MONTH CAMPAIGN IN VERSAILLES (PSA) TO PROMOTE THE PHYSICIAN SERVICES AVAILABLE THROUGH DR. MICHAEL WILLHITE AND LAUREN DUBBERLY, PA - WHO HAD MOVED FROM NEUROLOGY AT THE TIME. THIS EXTENSIVE CAMPAIGN INCLUDED WEEKLY PRINT ADS, ALONG WITH A BILLBOARD IN THE VERSAILLES MARKET, AND RADIO ADS TO RUN IN THAT SPECIFIC AREA (INCLUDING MILAN AND LAWRENCEBURG).CANCER CENTER - PROMOTION ABOUT THE ARRIVAL (IN FEBRUARY 2015) OF THE NEW CANCER TREATMENT CENTER. THIS INCLUDED WORKING WITH THE FOUNDATION'S HOPE AND HEALING CAMPAIGN. WE STARTED THE CAMPAIGN LATE IN 2014 (NOVEMBER - DECEMBER) IN PREPARATION FOR THE FULL CAMPAIGN IN JANUARY 2015.
PART V, SECTION B, LINE 11 CONTINUEDWE PROVIDED LOCAL MEDIA MEMBERS AN EARLY TOUR OF THE FACILITY PRIOR TO COMPLETION AND USED THE ROUNDABOUT MADISON AND RIVER TIMES TO PROMOTE THE ARRIVAL OF THE NEW CANCER CENTER.MYKDH PORTAL - INTRODUCTION OF THE NEW ONLINE ELECTRONIC MEDICAL RECORDS -MYKDH. WE INTEGRATED FLYERS AT ALL KDH FACILITIES, POSTERS FOR DISPLAY, BANNER ON THE MAIN KDH WEBSITE - INCLUDING DIRECT LINKS FOR REGISTRATION, PROMOTION AT THE 4H FAIRS AND PHYSICIAN OFFICES, PRINT ADS, RADIO SPOTS, AND NEWS RELEASES IN ALL PRIMARY MEDIA OUTLETS. MEMBERS OF THE INFORMATION TECHNOLOGY TEAM ALSO HELPED REGISTER PEOPLE AT SPECIFIC EVENTS AND THE 4H FAIR.NEWS RELEASE - SPECIFIC NEWS RELEASES COVERED A WIDE RANGE OF TOPICS: COLON CANCER TAKE-HOME KITS, DIABETES AWARENESS EVENT, DOCTOR AND THE DIETICIAN PROGRAM, HEART MONTH, DIRECT ACCESS TESTING, JOINT REPLACEMENT PROGRAM, MYKDH PORTAL, STUDER GROUP QUALITY, TO YOUR HEALTH PROGRAMS, VERSAILLES PHYSICIAN SERVICES, CANCER PROGRAMS, LUNG CANCER SCREENING, DR. VICTORIA SHIRLEY, DR. DIAMOND HARRIS, DR. DAWN MEACHAMMEDICAL SERVICES AND PROVIDERS:GAPS IN THE CURRENT MEDICAL SERVICE LINES AND THE MEDICAL SPECIALTIES DESIRED ARE WORTH EXPLORING. ACTION PLAN: LEADERSHIP ROLECONTINUE TO IDENTIFY AREAS WHERE MEDICAL SERVICES ARE LACKING, AND TO RECRUIT MEDICAL PROVIDERS TO MEET THE NEEDS OF THE COMMUNITY. TARGET: PRIMARY SERVICE AREA. EVALUATION: NUMBER OF PROVIDERS (PRIMARY AND SECONDARY) PLACED IN PRACTICES IN OUR PRIMARY SERVICE AREA. 2014 UPDATE: THE FOLLOWING SERVICES / PROVIDERS WERE ADDED IN 2014 TO SERVE OUR AREA: MANDY WILSON, NP: NOCTURNIST DR. DAWN MEACHAM, FAMILY PRACTICE DR. DIAMOND HARRIS, PEDIATRICIAN DR. VICTORIA SHIRLEY, OB / GYN ALLISON FEIDER, NP, ORTHOPEDICS SUSAN KIRKWOOD, CRNA DAVID BROWN, CRNA THOMAS SEAVER, CRNA DR. OLIVER DE RAET, HOSPITALIST DR. HOSSLER BECAME THE DIRECTOR OF SILVER MEMORIES
PART V, SECTION B, LINE 16FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY
KING'S DAUGHTERS' HEALTH PART V, SECTION B, LINE 16A WEBSITE:HTTP://WWW.KDHMADISON.ORG/PATIENTS_FINANCIAL.ASPX
KING'S DAUGHTERS' HEALTH PART V, SECTION B, LINE 16B WEBSITE:HTTP://WWW.KDHMADISON.ORG/PATIENTS_FINANCIAL.ASPX
KING'S DAUGHTERS' HEALTH PART V, SECTION B, LINE 16C WEBSITE:HTTP://WWW.KDHMADISON.ORG/PATIENTS_FINANCIAL.ASPX
FieldValueIRS element (for citing)
Facility10FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
REHABILITATION CENTER AND HOME CARE
2670 N MICHIGAN ROADMADISONIN47250OUTPATIENT REHABILITATION CENTER AND HOME CARE SERVICES
CLIFTY DR MED OFFICE BLDG & CONV CARE
445 CLIFTY DRIVEMADISONIN47250PHYSICIAN MEDICAL OFFICE & CONVENIENT CARE CENTER
VERSAILLES MEDICAL OFFICE BLDG-MAIN ST
128 NORTH MAIN STREETVERSAILLESIN47042PHYSICIAN MEDICAL OFFICE
VERSAILLES MEDICAL OFFICE BLDG-TYSON ST
206 W TYSON STREETVERSAILLESIN47042PHYSICIAN MEDICAL OFFICE
TRIMBLE COUNTY MEDICAL OFFICE BLDG
10235 US HIGHWAY 421MILTONKY40045PHYSICIAN MEDICAL OFFICE
CARROLLTON MEDICAL OFFICE BLDG
205 MARWILL DRIVECARROLLTONKY41008PHYSICIAN MEDICAL OFFICE
SWITZERLAND CNTY MEDICAL OFFICE BLDG
727 STATE RD 56VEVAYIN47043PHYSICIAN MEDICAL OFFICE
HANOVER MEDICAL OFFICE BLDG
36 MEDICAL PLAZAHANOVERIN47243PHYSICIAN MEDICAL OFFICE
CANCER TREATMENT CENTER
621 WEST STREETMADISONIN47250PHYSICIAN MEDICAL OFFICE
DOWNTOWN MEDICAL OFFICE BLDG
630 NORTH BROADWAYMADISONIN47250PHYSICIAN MEDICAL OFFICE AND HOSPITAL STAFF

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:THE HOSPITAL USED FACTORS OTHER THAN FEDERAL POVERTY GUIDELINES IN DETERMINING ELIGIBILITY FOR DISCOUNTED CARE. A PATIENT CAN APPLY FOR THE HOSPITAL'S CATASTROPHIC DISCOUNT PROGRAM. THIS POLICY WILL LIMIT THE PATIENT'S TOTAL FINANCIAL OBLIGATION TO 20% OF THE PATIENT'S TOTAL ANNUAL FAMILY INCOME.
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 CAREER DAYS AT LOCAL SCHOOLS AND JOB FAIRS AT THE LOCAL COMMUNITY COLLEGE- PARTICIPATION ON LOCAL COMMUNITY COLLEGE BOARD- 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.)- SUPPORTING THE LOCAL AMERICAN CANCER SOCIETY RELAY FOR LIFE EVENT ALONG WITH A CANCER SURVIVORS DINNER
PART III, LINE 2:AS REPORTED ON THE FINANCIAL STATEMENTS PAGE 5.
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 THESE REASONS, THE HOSPITAL BELIEVES THAT IT ACCURATELY CAPTURES ALL CHARITY CARE DEDUCTIONS PROVIDED ACCORDING TO THE FINANCIAL ASSISTANCE POLICY, AND THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS NEGLIGIBLE.
PART III, LINE 4:SEE PAGES 10 AND 11 ON THE ATTACHED FINANCIAL STATEMENTS.
PART III, LINE 8:THIS SHOULD BE TREATED AS COMMUNITY BENEFIT AS MORE SERVICES WERE PROVIDED TO THE ELDERLY POPULATION THAN WERE REIMBURSED. THE SOURCE USED TO DETERMINE THE AMOUNT OF MEDICARE ALLOWABLE COSTS REPORTED FOR PART III, SECTION B, MEDICARE HAS BEEN PROVIDED FROM THE YEAR ENDED 12/31/2014 REPORT: HOSPITAL STATEMENT OF REIMBURSABLE COST.
PART III, LINE 9B:ALL UNINSURED PATIENTS RECEIVE AN AUTOMATIC 20% DISCOUNT FROM GROSS CHARGES. AT REGISTRATION, PATIENTS ARE NOTIFIED OF THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. THEY ARE PROVIDED 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 UP TO 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:KING'S DAUGHTERS' HEALTH, (KDH), CONDUCTED A COMMUNITY NEEDS ANALYSIS IN 2013 THAT INVOLVED BOTH ITS PRIMARY SERVICE AREA (JEFFERSON COUNTY, RIPLEY COUNTY, AND SWITZERLAND COUNTY, INDIANA) AND ITS SECONDARY SERVICE AREA (TRIMBLE COUNTY AND CARROLL COUNTY, KENTUCKY). PRIOR TO THIS A COMMUNITY NEEDS ASSESSMENT WAS CONDUCTED IN 2010.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 DISEASE 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, 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 PROVIDED 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 MEET WITH ANY UNINSURED INPATIENT PRIOR TO DISCHARGE TO DISCUSS THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.
PART VI, LINE 4:JEFFERSON COUNTY- JEFFERSON COUNTY IS EXPERIENCING A SLOW GROWTH IN TOTAL POPULATION, CURRENTLY AT 32,554. BY 2020, THE POPULATION IS EXPECTED TO BE ABOUT 38,811. IT HAS A MEDIAN AGE OF 37.1, NEARLY IDENTICAL TO THE STATE AVERAGE OF 37.0. THE UNEMPLOYMENT RATE OF 8.4% IS SLIGHTLY ABOVE THE INDIANA RATE OF 8.2%.- THE POPULATION IS FAIRLY HOMOGENEOUS WITH A LARGELY CAUCASIAN POPULATION, 96%- THE MEDIAN AVERAGE HOUSEHOLD INCOME, OF $40,386, IS LOWER THAN THAT FOR INDIANA AND THE NATION. IN JEFFERSON COUNTY, ABOUT 14.3% OF THE INDIVIDUALS, OR ABOUT 4,326, LIVE BELOW THE POVERTY LEVEL, BELOW THE 15.8% POVERTY RATE OF INDIVIDUALS IN INDIANA AND THE 15.9% RATE FOR THE ENTIRE U.S.- 35% OF ALL FAMILIES IN JEFFERSON COUNTY ARE SINGLE PARENT FAMILIES WITH 28.3% OF THESE FAMILIES IN POVERTY. IN INDIANA, 32.9% OF ALL FAMILIES ARE SINGLE PARENT FAMILIES WITH 27.4% OF THESE FAMILIES IN POVERTY.- JEFFERSON COUNTY RANKS FIRST IN INDIANA IN TERMS OF THE NUMBER OF ACRES DEVOTED TO TOBACCO WITH TOBACCO CROP SALES OF $1.6 MILLION IN 2007. 28% OF ADULTS IN JEFFERSON COUNTY USE TOBACCO COMPARED TO 24% OF ADULTS LIVING IN THE STATE OF INDIANA.- ACCORDING TO THE INDIANA STATE DEPARTMENT OF HEALTH 2012 REPORT, JEFFERSON COUNTY WAS NOT LISTED AS A COUNTY THAT HAD A SHORTAGE OF HEALTHCARE PROFESSIONALS OR OF MENTAL HEALTH PROFESSIONALS. HOWEVER, THE 2012 REPORT LISTS MILTON, SHELBY AND SMYRNA TOWNSHIPS AS MEDICALLY UNDERSERVED.- THE RATE OF ALL CANCER INCIDENCE IS HIGHER IN JEFFERSON COUNTY, AT 502 PER 100,000 POPULATION, THAN FOR INDIANA, AT 476 PER 100,000 POPULATION. THE RATE OF LUNG CANCER IS HIGHER IN JEFFERSON, AT 96 PER 100,000 POPULATION THAN FOR INDIANA AT 80 PER 100,000. THE RATE OF PROSTATE CANCER IS HIGHER IN JEFFERSON, AT 152 PER 100,000 POPULATION THAN FOR INDIANA AT 136 PER 100,000. THE RATE OF BREAST CANCER IN JEFFERSON IS SLIGHTLY LOWER, AT 115 PER 100,000 POPULATION THAN FOR INDIANA AT 116 PER 100,000 POPULATION. THE RATE OF COLORECTAL CANCER IS LOWER IN JEFFERSON, AT 48 PER 100,000, THAN THE RATE FOR INDIANA, AT 51 PER 100,000.- THE RATE OF ADULT ASTHMA IN JEFFERSON COUNTY, AT 7.3%, IS SLIGHTLY HIGHER THAN THE RATE FOR INDIANA, AT 7.2%, AS IS THE RATE OF CHRONIC BRONCHITIS (3.4% FOR JEFFERSON; 3.3% FOR INDIANA) AND FOR EMPHYSEMA (1.6% FOR JEFFERSON; 1.4% FOR INDIANA.)- THE PERCENT OF MOTHERS WHO SMOKED DURING PREGNANCY IN JEFFERSON COUNTY IS 25.8% SIGNIFICANTLY HIGHER THAN THE STATE OF INDIANA AVERAGE OF 17.1%. IN 2010, THE PERCENT OF LOW-WEIGHT BIRTHS FOR JEFFERSON COUNTY WAS 9.6%, ABOVE THE 8.0% FOR INDIANA. - THE NUMBER OF TEEN PREGNANCIES AMONG WOMEN 15 TO 19 YEARS OLD HAS SLIGHTLY DECREASED IN JEFFERSON COUNTY FROM 2007 TO THE MOST RECENT MEASUREMENT IN 2010. IN JEFFERSON COUNTY, THERE WERE 46 TEEN PREGNANCIES IN 2007 AND 44 TEEN PREGNANCIES IN 2010. IN INDIANA, A SIGNIFICANT DECREASE TOOK PLACE - THERE WERE 11,683 TEEN PREGNANCIES IN 2007 AND 8,654 IN 2010.- JEFFERSON COUNTY REPORTED 97 NEWLY DIAGNOSED CASES OF CHLAMYDIA IN 2011, AN INCREASE FROM THE 82 REPORTED IN 2009. THERE WERE 12 CASES OF GONORRHEA IN 2011 AN INCREASE FROM THE LESS THAN FIVE REPORTED IN JEFFERSON COUNTY IN 2009.- THE MOST RECENT INFORMATION FROM THE INDIANA FAMILY AND SOCIAL SERVICE ADMINISTRATION IN 2008 SHOWS 1,324 ADULTS IN JEFFERSON COUNTY WITH SERIOUS MENTAL ILLNESS AND 247 SERIOUSLY EMOTIONALLY DISTURBED CHILDREN.- THE RATE OF DEATHS RELATED TO MAJOR CARDIO VASCULAR DISEASES IN JEFFERSON COUNTY INCREASED FROM 2008 - 249.8 PER 100,000 POPULATION TO 2010 - 372.1 PER 100,000 POPULATION. THE OPPOSITE TREND OCCURRED IN INDIANA WITH 214.3 PER 100,000 DEATHS RECORDED IN 2008 FALLING TO 206.5 PER 100,000 IN 2010.- THE STROKE DEATH RATE IN JEFFERSON, AT 79.4 PER 100,000 POPULATION IN 2010, WAS SIGNIFICANTLY HIGHER THAN THE 47.5 PER 100,000 POPULATION FOR INDIANA AND THE 41.9 PER 100,000 FOR THE NATION. - THE INCIDENCE OF CANCER RATE (ALL SITES) WAS HIGHER IN JEFFERSON COUNTY - 502 PER 100,000 POPULATION COMPARED TO INDIANA'S RATE OF 476 PER 100,000. RIPLEY COUNTY- RIPLEY COUNTY HAS A CURRENT POPULATION OF 28,583. THERE IS A NET OUTWARD MIGRATION. BY THE YEAR 2020, THE POPULATION WILL BE ABOUT 30,754.- THE POPULATION IS 97.8% CAUCASIAN.- THE MEDIAN HOUSEHOLD INCOME IN RIPLEY IS $47,900 - LOWER THAN THE NATIONAL AVERAGE OF $50,502, BUT HIGHER THAN THE INDIANA AVERAGE OF $46,438.- THE PERCENT OF FAMILIES BELOW POVERTY IN RIPLEY IS 15.4%, LOWER THAN THE INDIANA AVERAGE OF 20.6% AND THE NATIONAL AVERAGE OF 20.8%.- 29.8% OF ALL FAMILIES IN RIPLEY COUNTY ARE SINGLE PARENT FAMILIES WITH 27% OF THESE FAMILIES IN POVERTY. IN INDIANA, 32.9% OF ALL FAMILIES ARE SINGLE PARENT FAMILIES WITH 27.4% OF THESE FAMILIES IN POVERTY.- THE PERCENT OF MOTHERS IN RIPLEY COUNTY WHO SMOKE DURING PREGNANCY IS 22.8%, COMPARED TO 17.1% IN INDIANA. THE PERCENT OF LOW BIRTH WEIGHT IN RIPLEY COUNTY IS 7%, COMPARED TO 8% IN INDIANA. - THE MOST RECENT INFORMATION FROM THE INDIANA FAMILY AND SOCIAL SERVICE ADMINISTRATION IN 2008 SHOWS 1,071 ADULTS IN RIPLEY COUNTY WITH SERIOUS MENTAL ILLNESS AND 250 SERIOUSLY EMOTIONALLY DISTURBED CHILDREN.- RIPLEY COUNTY DOES NOT HAVE A SHORTAGE OF HEALTH CARE PROFESSIONALS. THE TOWNSHIPS OF DELAWARE, CENTER AND BROWN ARE CONSIDERED MEDICALLY UNDERSERVED. RIPLEY HAS A SHORTAGE OF MENTAL HEALTH PROFESSIONALS. - THE RATE OF INDIVIDUALS WITH PROSTATE CANCER IN RIPLEY WAS 146 PER 100,000 POPULATION COMPARED TO 136 FOR INDIANA IN 2008.- THE DEATH RATE FROM MAJOR CARDIOVASCULAR DISEASE WAS 246.6 PER 100,000 POPULATION FOR RIPLEY COUNTY IN 2010. THIS IS HIGHER THAN INDIANA'S 206.5 AND THE NATION'S 193.6 PER 100,000 DURING THE SAME PERIOD.- THE INCIDENCE OF CANCER RATE (ALL SITES) WAS HIGHER IN RIPLEY COUNTY - 518 PER 100,000 POPULATION COMPARED TO INDIANA'S RATE OF 476 PER 100,000. SWITZERLAND COUNTY- SWITZERLAND COUNTY HAS A POPULATION OF 10,424 AND HAS A SLOW GROWTH RATE OF 0.5 WHICH MIRRORS THAT FOR INDIANA. THERE IS A NET MIGRATION INTO THE COUNTY. BY 2020, THE POPULATION WILL BE 11,950.- THE ETHNICITY IS 98.1% WHITE.- THE UNEMPLOYMENT RATE IS 6.9% IN SWITZERLAND COUNTY, LOWER THAN THE INDIANA RATE OF 8.4%. - THE MEDIAN HOUSEHOLD INCOME IS $42,285, COMPARED TO $46,438 FOR INDIANA AND $50,502 FOR THE NATION. IN SWITZERLAND, 28% OF THE FAMILIES ARE BELOW THE POVERTY LEVEL, COMPARED TO 20.6% OF INDIANA FAMILIES, AND 20.8% OF FAMILIES IN THE NATION. 29.4% OF THE CHILDREN IN SWITZERLAND COUNTY ARE BELOW THE POVERTY LEVEL.- IN 2010, 22.5% OF ALL ADULTS AGE 25+ HAD LESS THAN A HIGH SCHOOL DIPLOMA.- THE TEEN BIRTH RATE FOR SWITZERLAND COUNTY IN 2009 WAS 37.8 PER 1,000 FEMALES AGE 15-17. THIS IS SIGNIFICANTLY HIGHER THAN THE RATE FOR INDIANA OF 20.8 PER 1,000. - THE RATE OF MOTHERS SMOKING DURING PREGNANCY IS 27.3% IN SWITZERLAND COUNTY, COMPARED TO 17.1% IN INDIANA. IN SWITZERLAND, THERE IS A 6.8% LOW BIRTH WEIGHT, COMPARED TO 8.0% IN INDIANA.- SWITZERLAND COUNTY HAS A SHORTAGE OF HEALTH CARE PROFESSIONALS. ALL AREAS OF SWITZERLAND COUNTY ARE CONSIDERED MEDICALLY UNDERSERVED. SWITZERLAND COUNTY ALSO HAS A SHORTAGE OF MENTAL HEALTH PROFESSIONALS. - THE RATE OF CHRONIC BRONCHITIS IN SWITZERLAND COUNTY AND IN INDIANA IS 3.0%. THE RATE OF EMPHYSEMA IN SWITZERLAND IS 1.5%, SLIGHTLY HIGHER THAN THE INDIANA RATE OF 1.4%.- THERE ARE 379 ADULTS WITH SERIOUS MENTAL ILLNESS IN SWITZERLAND COUNTY AND 78 SERIOUSLY EMOTIONALLY DISTURBED CHILDREN.- THE DEATH RATE FROM MAJOR CARDIOVASCULAR DISEASE WAS 347.0 PER 100,000 POPULATION FOR SWITZERLAND COUNTY IN 2010. THIS IS SIGNIFICANTLY HIGHER THAN INDIANA'S 206.5 AND THE NATION'S 193.6 PER 100,000 DURING THE SAME PERIOD.- THE INCIDENCE OF CANCER RATE (ALL SITES) WAS HIGHER IN SWITZERLAND COUNTY - 562 PER 100,000 POPULATION COMPARED TO INDIANA'S RATE OF 476 PER 100,000. THE ONLY TYPE OF CANCER IN WHICH SWITZERLAND COUNTY RECORDED AN INCIDENCE RATE LOWER THAN INDIANA WAS BREAST CANCER - SWITZERLAND COUNTY'S 82 PER 100,000 VERSUS INDIANA'S 116 PER 100,000 POPULATION.CARROLL COUNTY, KENTUCKY- CARROLL COUNTY KENTUCKY CURRENTLY HAS A POPULATION OF 11,013 WITH A TOTAL OF 4,195 HOUSEHOLDS. THE POPULATION IS PROJECTED TO BE ABOUT 11,440 BY 2020.- THE POPULATION IS 95.1% CAUCASIAN.- THE AVERAGE MEDIAN HOUSEHOLD INCOME IN 2011 WAS $40,685 - LOWER THAN THE $41,141 FOR KENTUCKY, AND THE $50,512 FOR THE NATION.- THE AVERAGE PERCENT OF MOTHERS WHO SMOKE DURING PREGNANCY FOR CARROLL COUNTY IS 30%, COMPARED TO 24% FOR KENTUCKY. - AS FAR AS SMOKING PREVALENCE IS CONCERNED, 30% OF THE ADULTS IN CARROLL SMOKE, COMPARED TO 29% OF KENTUCKY AND 21% OF THE NATION. THE PERCENT OF HIGH SCHOOL STUDENTS IN CARROLL WHO SMOKE IS 31%, COMPARED TO 25% FOR KENTUCKY AND 19% FOR THE NATION.- CARROLL COUNTY KENTUCKY HAS 25% OF THE POPULATION OBESE, COMPARED TO 29% OF KENTUCKY AND 24% OF THE NATION. - IN CARROLL, 43% OF THE POPULATION LACK PHYSICAL ACTIVITY, COMPARED TO 32% IN KENTUCKY AND 24% IN THE NATION.
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.2014 KING'S DAUGHTERS' HEALTH OVERVIEW OF COMMUNITY BENEFIT ACTIVITIES1. HEALTH SCREENS: A. CORPORATE HEALTH SCREENS / FAIRS CLIFTY ENGINEERING SCREEN: 18 ARVIN SANGO HEALTH FAIR: APX. 150 EMPLOYEES IN ATTENDANCE B. SKIN CANCER SCREENING: HELD IN MAY, 101 PEOPLE SCREENED C. BREAST CANCER SCREENINGS: HELD IN OCTOBER, 12 PEOPLE SCREENED. D. COLON CANCER SCREENING KITS: 42 RETURNS. E. CHOLESTEROL/BLOOD PRESSURE SCREEN: HELD IN FEBRUARY, 10 PEOPLE SCREENED. F. CORPORATE FLU SHOTS: MADISON ANIMAL CLINIC: 5 AGS LAW OFFICE: 11 SET ENTERPRISES: 13 CLIFTY ENGINEERING: 14 140 SOLD TO IVY TECH FOR SELF-ADMINISTRATION 2. COMMUNITY HEALTH FAIRS: (PARTICIPATED BY OFFERING A BOOTH WITH HEALTH EDUCATION) A. RIPLEY COUNTY 4H FAIR B. JEFFERSON COUNTY 4H FAIR C. REMC HEALTH FAIR IN VERSAILLES (INCLUDING FREE GLUCOSE CHECKS FOR 100) D. HISPANIC CULTURAL AWARENESS DAY E. WAL-MART CANCER AWARENESS EVENT: F. HEALTHY KIDS DAY AT SWITZERLAND CO. YMCA G. BACK TO SCHOOL HEALTH FAIR 3. COMMUNITY EDUCATION OPPORTUNITIES/CLASSES/SPECIAL EVENTS: A. SPEAKERS BUREAU: HEATHER (WELLNESS): 17 SPEAKING ENGAGEMENTS ELIZABETH/STEPHANIE (TOBACCO): 5 SPEAKING ENGAGEMENTS B. FIT KIDS PROGRAM (7 WK PROGRAM FOR AREA 5TH GRADE CLASSROOMS) 8 SCHOOLS / 13 CLASSROOMS / 340 KIDS + TEACHERS C. TOBACCO CESSATION & EDUCATION: PROVIDED OUTREACH TO: 8 BUSINESSES 25 PHYSICIAN OFFICES 5 SCHOOL VISITS D. CPR AND FIRST AID CLASSES: COMMUNITY CLASSES HELD WITH 453 GRADUATES SCHOOL-BASED CLASSES HELD WITH 183 STUDENTS PARTICIPATING E. PRENATAL EDUCATION: OB PREP PROGRAM - 405 PEOPLE SERVED PREPARED CHILDCARE ESSENTIAL CLASSES - 46 PEOPLE SERVED LAMAZE CLASSES - 12 PEOPLE SERVED SIBLING CLASSES - 9 PEOPLE SERVED F. GIRLS ON THE RUN FALL SEASON: 41 GIRLS / 5 SITES / 16 TRAINED COACHES / 10 WEEK PROGRAM FALL 5K: 157 PARTICIPANTS AND 50 VOLUNTEERS G. HOUSE OF HEALTH: (OFFERED JULY-DEC. FOR 2014) MONTHLY EDUCATION OPPORTUNITY PROVIDED AT THE HOUSE OF HOPE FOOD PANTRY. APPROXIMATELY 25-70 PEOPLE ATTEND EACH MONTH. TOPICS FOR 2014 INCLUDE: SUN SAFETY, DIABETES, HAND WASHING & FLU PREVENTION, BREAST CANCER, TOBACCO, AND MEDICATION Q&A & SAFE DRUG DROP OFF . H. SPEAKING OF WOMEN'S HEALTH 308 WOMEN IN ATTENDANCE. KDH PROVIDED: STEERING COMMITTEE SUPPORT FINANCIAL SPONSORSHIP AND IN-KIND SUPPORT FREE CHOLESTEROL TESTING FOR ALL PARTICIPANTS 80% OF ALL BREAKOUT SESSIONS SPEAKERS WERE IN-KIND KDH STAFF GIFT FOR PARTICIPANT GIFT BAG I. HEART HEALTH EDUCATION OFFERRED IN FEBRUARY4. EMPLOYEE HEALTH OPPORTUNITIES FOR KDH STAFF: WELLNESS NEWSLETTERS (ON-LINE AND PAPER VERSIONS AVAILABLE) WELLNESS COLUMN IN THE MONTHLY MONITOR NEWSLETTER WELLNESS CALENDAR DISTRIBUTION TO ALL STAFF EMPLOYEE HEALTH SCREEN AVAILABLE FOR ALL STAFF WITH INSURANCE PREMIUM REDUCTION INCENTIVE PROGRAM AVAILABLE FOR EMPLOYEES WITH HEALTH INSURANCE. 3 WELLNESS CHALLENGES: TRIPLE THREAT WEIGHT LOSS CHALLENGE GET IN SHAPE IN INDIANA CHALLENGE STRESS LESS 5 ON-SITE EMPLOYEE WELLNESS CLASSES HEART MONTH ACTIVITIES WEIGHT WATCHERS AT WORK PROGRAM HELD THE FIRST QUARTER OF 2014 THREE STRIVE FOR 5 WEIGHT LOSS CLASSES HELD (5 WEEK SERIES) 5. COMMUNITY SERVICE ACTIVITIES: A. CANCER SURVIVORS DAY: HELD IN CONJUNCTION WITH THE RELAY FOR LIFE. SERVED ABOUT 200 PEOPLE. B. SUPPORT GROUPS: BREAST CANCER SUPPORT GROUP C. ACTIVE ATTENDANCE AND PARTICIPATION IN: CASA (COALITION AGAINST SUBSTANCE ABUSE, JEFFERSON COUNTY). SCAT (SWITZERLAND COUNTY AWARENESS TEAM). TPCC (TOBACCO PREVENTION & CESSATION COMMISSION). D. KDH RUN THE FALLS 5K WALK/RUN HELD AT CLIFTY FALLS STATE PARK 208 PEOPLE PARTICIPATED E. PEP WALK PROGRAM 12-WEEK FREE COMMUNITY WALKING PROGRAM F. EMS STAND-BY AT ALL COMMUNITY ACTIVITIES: EMS PROVIDES STAND-BY COVERAGE AT ALL JEFFERSON COUNTY ACTIVITIES. G. 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.6. SUCCESSFUL GRANT ACTIVITY: A. TPCC: TOBACCO PREVENTION AND CESSATION COMMISSION: FUNDING TO HIRE FULL TIME COORDINATOR, STARTING IN 2009, CONTINUES FOR JEFFERSON CO. B. CASA / SCAT GRANTS: TO FUND NICOTINE REPLACEMENT THERAPY FOR INDIVIDUALS WISHING TO QUIT TOBACCO.
PART VI, LINE 6:NA
PART VI, LINE 7, REPORTS FILED WITH STATESIN
PART VI, LINE 4 CONTINUEDCARROLL COUNTY, KENTUCKY (CONTINUED)- THE UNEMPLOYMENT RATE IN CARROLL COUNTY IS 9.6%, HIGHER THAN BOTH KENTUCKY'S 8.2% AND THE NATION'S 8.1%.- THE DEATH RATE FROM HEART DISEASE IN CARROLL COUNTY IS 299.8 PER 100,000 COMPARED TO 205.6 PER 100,000 FOR KENTUCKY AND 173.7 PER 100,000 FOR THE NATION.- THE DEATH RATE PER 100,000 DUE TO CHRONIC RESPIRATORY DISEASE IN 2011 WAS 112.1 FOR CARROLL COUNTY COMPARED TO 63.1 PER 100,000 FOR KENTUCKY AND 42.7 PER 100,000 FOR THE NATION.- IN 2011, CARROLL COUNTY HAD NEARLY TWO AND HALF TIMES THE NUMBER OF DRUG ARRESTS PER 100,000 IN COMPARISON TO KENTUCKY: 2,162 VERSUS 870.TRIMBLE COUNTY, KENTUCKY- TRIMBLE COUNTY, KENTUCKY, HAS A POPULATION OF 8,725 AND A DECLINING GROWTH RATE OF -1.0 PER 1,000 POPULATION, COMPARED TO 0.6% INCREASED GROWTH FOR KENTUCKY. BY 2020, THE POPULATION WILL BE 9,514.- THE POPULATION IS 97.2% WHITE.- THE AVERAGE MEDIAN HOUSEHOLD INCOME IN TRIMBLE COUNTY IS $44,141 COMPARED TO $43,677 IN KENTUCKY AND $50,502 IN THE NATION. THE UNEMPLOYMENT RATE IS 8.2%, COMPARED TO 8.2% FOR KENTUCKY AND 8.1% FOR THE NATION.- THE RATE OF SMOKING DURING PREGNANCY IN TRIMBLE COUNTY IS 44%, COMPARED TO 24% IN KENTUCKY. THE LOW BIRTH WEIGHT RATE IN TRIMBLE COUNTY IS 6% WHICH IS BELOW KENTUCKY'S 9%.- IN TRIMBLE COUNTY, 30% OF ADULTS SMOKE, WHICH IS HIGHER THAN THE 29% FOR KENTUCKY AND THE 19% FOR THE NATION. IN TRIMBLE COUNTY, 25% OF HIGH SCHOOL STUDENTS SMOKE, THE SAME AS IN KENTUCKY, BUT HIGHER THAN THE 23% IN THE NATION.- IN TRIMBLE COUNTY, 29% OF THE ADULTS ARE OBESE, THE SAME AS FOR KENTUCKY, BUT HIGHER THAN THE 24% FOR THE NATION. IN TRIMBLE, 14% LACK PHYSICAL ACTIVITY, COMPARED TO 32% IN KENTUCKY AND 24% IN THE NATION.- IN TRIMBLE COUNTY, THERE IS AN 9% RATE OF ADULT DIABETES, COMPARED TO 8% IN KENTUCKY AND 10% FOR THE NATION. THE DEATH RATE PER 100,000 DUE TO DIABETES WAS 55.4 FOR TRIMBLE COUNTY, COMPARED TO 28.0 FOR KENTUCKY AND 25.3 FOR THE NATION.- DEATHS DUE TO BREAST CANCER WERE 15 PER 100,000 FOR TRIMBLE COUNTY COMPARED TO 14 PER 100,000 FOR KENTUCKY. DEATHS DUE TO PROSTATE CANCER WERE 23 PER 100,000 FOR TRIMBLE COUNTY AND 18 PER 100,000 FOR KENTUCKY.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationFUNDS ARE NOT GRANTED TO ORGANIZATIONS BUT ARE DONATED. DONATIONS ARE DETERMINED ON A DISCRETIONARY BASIS. NO ONE ENTITY OR INDIVIDUAL RECEIVED $5,000 OR MORE DURING THE YEAR.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JONATHAN HANSON MD
BOARD MEMBER/PHYSICIAN$273,275$0$149,220$0$360$0$13,000$0$26,930$0$462,785$0$0$0
PAT STACK MD
BOARD MEMBER/PHYSICIAN$169,895$0$117,803$0$1,032$0$13,000$0$28,101$0$329,831$0$0$0
CAROL DOZIER
PRESIDENT/CEO$340,956$0$35$0$552$0$13,000$0$1,393$0$355,936$0$0$0
STEVE MEACHAM
VP FINANCE$189,909$0$35$0$19,084$0$9,767$0$19,172$0$237,967$0$0$0
LISA MORGAN
VP PATIENT SERVICES$142,824$0$35$0$18,052$0$7,325$0$23,484$0$191,720$0$0$0
DENINE FALLIS-HALLGARTH
VP PHYSICIAN PRACTICES$122,584$0$35$0$18,052$0$6,349$0$11,320$0$158,340$0$0$0
HOLLY ROBINSON
VP QUALITY$203,349$0$76,281$0$17,740$0$13,000$0$26,978$0$337,348$0$0$0
THOMAS ECKERT MD
EMPLOYED PHYSICIAN$423,664$0$315,758$0$1,584$0$13,000$0$16,232$0$770,238$0$0$0
TRAVIS CLEGG MD
EMPLOYED PHYSICIAN$577,509$0$720,494$0$79,708$0$13,000$0$26,713$0$1,417,424$0$0$0
WILLIAM SKILES MD
EMPLOYED PHYSICIAN$448,532$0$178,129$0$1,032$0$13,000$0$13,773$0$654,466$0$0$0
MICHAEL SCHMIDT MD
EMPLOYED PHYSICIAN$445,191$0$182,823$0$15,728$0$13,000$0$27,959$0$684,701$0$0$0
GEORGE ALCORN MD
EMPLOYED PHYSICIAN$322,492$0$224,503$0$8,884$0$13,000$0$10,165$0$579,044$0$0$0
ROGER ALLMAN
FORMER PRESIDENT/ CEO$0$0$0$0$298,536$0$0$0$0$0$298,536$0$0$0
LARRY KEITH
FORMER VP CLINICAL SERVICES$0$0$0$0$159,311$0$0$0$0$0$159,311$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART IIFormAndLineReferenceDesc
ExplanationBOARD 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.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1INDIANA FINANCE AUTHORITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN351602316BondIssuerEIN
CUSIP45471ACW0CUSIPNum
Bond Issued2010-11-03BondIssuedDt
Issue Price$97,847,058IssuePriceAmt
PurposeSEE PART VIPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$97,847,058TotalProceedsAmt
In Reserve Fund$6,756,861InReserveFundAmt
Issuance Costs From Proceeds$1,749,243IssuanceCostsFromProceedsAmt
Capital Expenditures$88,974,097CapitalExpendituresAmt
Other Spent Proceeds$366,857OtherSpentProceedsAmt
Substantial Completion2013SubstantialCompletionYr
Current Refunding0CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (1)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (1)EngageBondCounselContractsInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCH K PART I LINE A - PURPOSEFormAndLineReferenceDesc
ExplanationTHE 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

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (3 entries)

Loan PurposeLoanPurposeTxtLoan From OrganizationLoanFromOrganizationIndOriginal PrincipalOriginalPrincipalAmtBalance DueBalanceDueAmtDefaultDefaultIndBoard Or Committee ApprovalBoardOrCommitteeApprovalIndWritten AgreementWrittenAgreementInd
DR MICHAEL SCHMIDT
PRATICE COMMENCEMENT ASSISTANCEYes (X)$75,000$9,8080Yes (1)Yes (1)
DR TRAVIS CLEGG
PRATICE COMMENCEMENT ASSISTANCEYes (X)$176,664$25,0000Yes (1)Yes (1)
DR TRAVIS CLEGG
INTERIM LIVING EXPENSE ASSISTANCEYes (X)$93,333$19,2310Yes (1)Yes (1)
FieldValueIRS element (for citing)
Total Balance Due$54,039TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
A DATTILO FRUIT COMPANY
VICE PRESIDENT OF PATIENT SERVICES OF KDHHS HAS 51% OWNERSHIP INTEREST$37,572LISA MORGAN, VICE PRESIDENT OF PATIENT SERVICES OF KDHHS OWNS A 51% INTEREST IN A. DATILLO FRUIT COMPANY. KDHHS PURCHASES PRODUCE FROM A. DATTILO FRUIT COMPANY.0
RIVER VALLEY FINANCIAL BANK
BOARD MEMBER IS THE SPOUSE OF PRESIDENT AND CEO OF RIVER VALLEY FIN. BANK$0ANDREA FORRESTER, BOARD ASST TREASURER, IS MARRIED TO THE PRESIDENT AND CEO OF RIVER VALLEY FINANCIAL BANK. THE HOSPITAL'S OPERATING ACCOUNT IS WITH THE BANK, AND DURING 2014, THE HOSPITAL HELD RIVERVALLEY PREFERRED STOCK TOTALING 1,000,000 (THE PREFERRED STOCK WAS REDEEMED BY THE BANK BY YEAR-END). THE HOSPITAL RECORDED INTEREST INCOME OF $145,772, DIVIDEND INCOME OF $72,500 AND SERVICE FEES OF $7,395 FROM ACTIVITY WITH THE BANK.0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6PER 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 7ATHE 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 7BONLY 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 11THE 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 12CBOARD MEMBERS ARE REQUIRED TO DISCLOSE ANNUALLY INTERESTS THAT COULD GIVE RISE TO CONFLICT. OFFICERS AND KEY EMPLOYEES ARE NOT REQUIRED TO ANNUALLY DISCLOSE INTERESTS THAT COULD GIVE RISE TO CONFLICTS. HOWEVER THE HR CONFLICT OF INTEREST POLICY DOES STATE THAT ANY EMPLOYEE WHO IS AN OFFICER, OWNER, PARTNER OR EMPLOYEE OF AN ORGANIZATION WITH WHICH THE HOSPITAL MAY ENTER INTO A RELATIONSHIP OR TRANSACTION(OR WHOSE SPOUSE OR CHILD IS AN OFFICER, OWNER, PARTNER OR EMPLOYEE OF AN ORGANIZATION WITH WHICH THE HOSPITAL MAY ENTER INTO A RELATIONSHIP OR TRANSACTION) MUST DISCLOSE THIS INFORMATION TO THE APPROPRIATE VICE PRESIDENT AND THE PRESIDENT/CEO. SHOULD SUCH INFORMATION BE DISCLOSED, THE EMPLOYEE WILL REFRAIN FROM ANY SUBSEQUENT DISCUSSION AND DECISIONS RELATED TO THE OUTSIDE FIRM. A CONFLICT OF INTEREST STATEMENT MUST BE COMPLETED BY EVERY BOARD MEMBER EACH YEAR. AT SUCH TIME AS ANY MATTER COMES BEFORE THE BOARD CONCERNING AN EXISTING OR CONTEMPLATED TRANSACTION OR RELATIONSHIP BETWEEN THE ORGANIZATION AND ANY PARTY IN WHICH A BOARD MEMBER OR THE SPOUSE OR MINOR CHILDREN OF SUCH BOARD MEMBER HAS AN INTEREST OR OTHERWISE MAY GIVE RISE TO A CONFLICT OF INTEREST BETWEEN THE BOARD MEMBER AND THE ORGANIZATION, THE AFFECTED BOARD MEMBER SHALL MAKE KNOWN THE POTENTIAL CONFLICT, WHETHER DISCLOSED BY HIS OR HER WRITTEN STATEMENT OR NOT, AND AFTER ANSWERING ANY QUESTIONS THAT MIGHT BE ASKED OF HIM OR HER, SHALL WITHDRAW FROM THE MEETING FOR SO LONG AS THE MATTER SHALL CONTINUE UNDER DISCUSSION. SHOULD THE MATTER BE BROUGHT TO A VOTE, THE AFFECTED BOARD MEMBER SHALL NOT VOTE ON IT.
FORM 990, PART VI, SECTION B, LINE 15ATHE HOSPITAL'S BOARD EXECUTIVE COMMITTEE REVIEWS ANNUAL CEO SURVEY INFORMATION FROM THE INDIANA HOSPITAL ASSOCIATION THAT COMPARES THE HOSPITAL'S CEO'S COMPENSATION WITH OTHER HOSPITAL CEO'S IN INDIANA. COMPARISONS ARE MADE WITH HOSPITALS THAT ARE IN THE HOSPITAL'S REGION IN INDIANA, HOSPITALS SIMILAR IN SIZE TO KDHHS, AND HOSPITALS THAT MIGHT REASONABLY BE EXPECTED TO COMPETE FOR SERVICES OF THE HOSPITAL'S CEO. THE CONSUMER PRICE INDEX FOR ALL URBAN CONSUMERS (CPI-U) FOR THE PRIOR TWELVE MONTH PERIOD IS ALSO REVIEWED AND CONSIDERED. THE EXECUTIVE COMMITTEE, AFTER REVIEWING A STATUS REPORT OF THE CEO'S ANNUAL GOALS, RECOMMENDS CHANGES IN THE CEO'S COMPENSATION TO THE FULL BOARD OF MANAGERS. ANY ACTION TAKEN ON THE RECOMMENDATION IS MADE BY THE FULL BOARD. HOWEVER, PHYSICIAN BOARD MEMBERS WHO ARE HOSPITAL EMPLOYEES DO NOT PARTICIPATE IN VOTING FOR ANY CHANGE TO CEO COMPENSATION. MINUTES ARE TAKEN AT ALL BOARD EXECUTIVE COMMITTEE AND FULL BOARD MEETINGS.
FORM 990, PART VI, SECTION C, LINE 19THE 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 -14,458. ROUNDING 1.
FORM 990, PART XI, LINE 2C, AUDIT OVERSIGHTTHE 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 MONTH, AND MEETS ONCE PER YEAR WITH THE INDEPENDENT AUDITORS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1THE KING'S DAUGHTERS' HOSPITAL FOUNDATION INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 447AddressLine1Txt
CityMADISONCityNm
State AbbreviationINStateAbbreviationCd
ZIP47250ZIPCd
FieldValueIRS element (for citing)
EIN202148950EIN
Primary ActivitiesFUNDRAISING TO SUPPORT THE PROVISION OF HEALTHCARE SERVICESPrimaryActivitiesTxt
Legal Domicile StateINLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 7PublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmt
THE KING'S DAUGHTERS' HOSPITAL FOUNDATION INCORPORATED
O$148,109
THE KING'S DAUGHTERS' HOSPITAL FOUNDATION INCORPORATED
Q$44,068
THE KING'S DAUGHTERS' HOSPITAL FOUNDATION INCORPORATED
N$29,893