NORTON - KINGS DAUGHTERS HEALTH INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: NORTON - KINGS DAUGHTERS HEALTH INC (EIN 35-0895832)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-09-23
IRS object ID: 201112669349301016
Schema version: 2010v3.4
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-09-23T13:17:30-05:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BLUE & CO LLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	2650 EASTPOINT PKY	AddressLine1
City	LOUSIVILLE	City
State	KY	State
ZIP Code	40223	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	350895832	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	THE KING'S DAUGHTERS' HOSPITAL AND HEALTH SERVICES	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	KING	NameControl
Phone	8122655211	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE KINGS DAUGHTERS DRIVE	AddressLine1
City	MADISON	City
State	IN	State
ZIP Code	47250	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	STEVE MEACHAM	Name
Title	VP OF FINANCE	Title
Phone	8122655211	Phone
Date Signed	2011-09-23	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	CARRIE A MERRILL CPA	Name
Phone	5029923500	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	STEVE MEACHAM	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	ONE KINGS DAUGHTERS DRIVE	AddressLine1
City	MADISON	City
State	IN	State
ZIP Code	47250	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	141510592	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.KDHHS.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1899	YearFormation
State Legal Domicile	IN	StateLegalDomicile
Activity Or Mission Description	THE MISSION OF THE HOSPITAL IS TO IMPROVE THE HEALTH OF THE HOSPITAL'S PATIENTS THROUGH CARE, SERVICE, AND EDUCATION.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	11	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	1071	TotalNbrEmployees
Total Nbr Volunteers	110	TotalNbrVolunteers
Total Gross UBI	51520	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	234056	ContributionsGrantsPriorYear
Contributions Grants Current Year	111292	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	112523063	ProgramServiceRevenuePriorYear
Program Service Revenue CY	111975580	ProgramServiceRevenueCY
Investment Income Prior Year	-910384	InvestmentIncomePriorYear
Investment Income Current Year	1926894	InvestmentIncomeCurrentYear
Other Revenue Prior Year	349597	OtherRevenuePriorYear
Other Revenue Current Year	383135	OtherRevenueCurrentYear
Total Revenue Prior Year	112196332	TotalRevenuePriorYear
Total Revenue Current Year	114396901	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	39041	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	90566	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	60951495	SalariesEtcPriorYear
Salaries Etc Current Year	61651819	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	45677505	OtherExpensePriorYear
Other Expenses Current Year	45965238	OtherExpensesCurrentYear
Total Expenses Prior Year	106668041	TotalExpensesPriorYear
Total Expenses Current Year	107707623	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	5528291	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	6689278	RevenuesLessExpensesCY
Total Assets BOY	128221022	TotalAssetsBOY
Total Assets EOY	222731294	TotalAssetsEOY
Total Liabilities BOY	24103683	TotalLiabilitiesBOY
Total Liabilities EOY	108562005	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	104117339	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	114169289	NetAssetsOrFundBalancesEOY
Mission Description	THE MISSION OF THE HOSPITAL IS TO IMPROVE THE HEALTH OF THE HOSPITAL'S PATIENTS THROUGH CARE, SERVICE, AND EDUCATION.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	92832840	Expense
Revenue	111992163	Revenue
Description	THE 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 CALENDAR YEAR 2010, THE HOSPITAL PROVIDED HEALTHCARE TO PATIENTS AT THE FOLLOWING LEVELS:12,702 DAYS OF CARE TO ACUTE INPATIENTS926 DAYS OF CARE TO NEWBORN INFANTS172,276 VISITS ASSOCIATED WITH HOSPITAL OUTPATIENTS131,434 VISITS ASSOCIATED WITH PHYSICIAN CLINICS	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	3373317	Expense
Description	THE HOSPITAL'S PRIMARY SOURCES OF SUPPORT ARE FROM PATIENT REVENUES. PATIENT REVENUES INCLUDE FUNDS RECEIVED FROM MEDICARE, STATE AGENCIES, INSURANCE COMPANIES, AND THE PATIENTS THEMSELVES. IN 2010, THE KING'S DAUGHTERS' HOSPITAL AND HEALTH SERVICES PROVIDED $3,373,317 IN CARE TO PATIENTS WHO MET THE HOSPITAL'S CHARITY CARE POLICY.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	96206157	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	0	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	1	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	96	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	1071	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	11	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	0	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	IN	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	DAWN NUNAN DIRECTOR OF ACCOUNTING	NamePerson
Telephone Number	8122650193	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	ONE KINGS DAUGHTERS DRIVE	AddressLine1
City	MADISON	City
State	IN	State
ZIP Code	47250	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
LESLIE GROTE
BOARD CHAIRMAN	1.00	X	X	5500	0	0
MAUREEN GETZ
BOARD VICE CHAIRMAN	1.00	X	X	3250	0	0
PAULA HEIDERMAN
BOARD SECRETARY	1.00	X	X	2750	0	0
JEAN DONNELLON
BOARD ASS'T SECRETARY	1.00	X	X	1500	0	0
LINDA SLOFFER
BOARD TREASURER	1.00	X	X	3000	0	0
JENNIFER JOAS
BOARD ASS'T TREASURER	1.00	X	X	1250	0	0
TONY WALTZ
BOARD MEMBER	1.00	X		1500	0	0
PAM KIMMEL
BOARD MEMBER	1.00	X		1250	0	0
MARY BETTE VOYLES
BOARD MEMBER	1.00	X		0	0	0
EILEEN MCGARVEY MD
BOARD MEMBER/PHYSICIAN	40.00	X		392575	0	22345
PAT STACK MD
BOARD MEMBER/PHYSICIAN	40.00	X		217694	0	32233
ROGER ALLMAN
PRESIDENT/CEO	40.00		X	325430	0	34052
STEVE MEACHAM
VP FINANCE	40.00		X	196470	0	27141
MIKE BURNETT
VP PHYSICIAN PRACTICES	40.00		X	150393	0	22601
LARRY KEITH
VP SUPPORT/CORP COMPLIANCE	40.00		X	127028	0	20916
LISA MORGAN
VP PATIENT SERVICES	40.00		X	125540	0	19221
CARL RISK
VP CLINICAL SERVICES	40.00		X	109780	0	18618
THOMAS ECKERT MD
EMPLOYED PHYSICIAN	40.00			757379	0	33810	X
GIL WEIZER MD
EMPLOYED PHYSICIAN	40.00			545303	0	34030	X
PAUL ROSENBERG MD
EMPLOYED PHYSICIAN	40.00			540266	0	33799	X
WILLIAM SKILES MD
EMPLOYED PHYSICIAN	40.00			530537	0	28425	X
ROBERT LEATHERMAN MD
EMPLOYED PHYSICIAN	40.00			522366	0	34420	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	4560761	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	361611	TotalOtherCompensation
Number Individuals GT100 K	61	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
ARTEKNA DESIGN
321 E NEW YORK STREET	INDIANAPOLIS	IN	46204	ARCHITECTURE SERVICES	1498981
MADISON CATHETERIZATION SERVICES
ONE KINGS DAUGHTERS DRIVE	MADISON	IN	47250	CARDIAC CATHETERIZATION SERVICES	566002
MAYO COLLABORATIVE SERVICES
PO BOX 9146	MINNEAPOLIS	MN	554809146	LABORATORY SERVICES	476682
BLUE & CO LLC
2650 EASTPOINT PARKWAY STE 300	LOUISVILLE	KY	40223	AUDITING AND CONSULTING SERVICES	472859
SOUTHEASTERN EMERGENCY PHYSICIANS INC
PO BOX 634850	CINCINNATI	OH	45263	CONTRACTED PHYSICIAN MEDICAL SERVICES	352577

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	13	NumberOfContractorsGT100K
Government Grants	68700	GovernmentGrants
All Other Contributions	42592	AllOtherContributions
Noncash Contributions	10001	NoncashContributions
Total Contributions	111292	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	NET PATIENT SERVICE RE	Description
Business Code	621110	BusinessCode
Total Revenue Column	111975580	TotalRevenueColumn
Related Or Exempt Function Income	111924060	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	51520	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Program Service Revenue	111975580	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1718531	TotalRevenueColumn
Exclusion	$1,718,531	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	66797	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	69241	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-2444	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-2444	TotalRevenueColumn
Related Or Exempt Function Income	-2444	RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	27243413	Securities
Other	9400	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	27027536	Securities
Other	16914	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	215877	Securities
Other	-7514	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	208363	TotalRevenueColumn
Exclusion	$208,363	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA REVENUE	722210	219564	$219,564
GIFT SHOP	453220	95468	$95,468
OTHER	621110	36672		36672

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	33875	TotalRevenueColumn
Related Or Exempt Function Income	33875	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	385579	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	114396901	TotalRevenueColumn
Related Or Exempt Function Income	111992163	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	51520	UnrelatedBusinessRevenue
Exclusion	$2,241,926	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	90566	Total
Program Services	90566	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1862037	Total
Program Services	1489630	ProgramServices
Management And General	372407	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	47326313	Total
Program Services	42287648	ProgramServices
Management And General	5038665	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	2951337	Total
Program Services	2656203	ProgramServices
Management And General	295134	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	6445919	Total
Program Services	5801327	ProgramServices
Management And General	644592	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	3066213	Total
Program Services	2759592	ProgramServices
Management And General	306621	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	214187	Total
Management And General	214187	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	755517	Total
Management And General	755517	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	271595	Total
Management And General	271595	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	70987	Total
Program Services	63888	ProgramServices
Management And General	7099	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	1720289	Total
Program Services	1410637	ProgramServices
Management And General	309652	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	376769	Total
Program Services	339092	ProgramServices
Management And General	37677	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1517256	Total
Program Services	1365530	ProgramServices
Management And General	151726	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	165416	Total
Program Services	148874	ProgramServices
Management And General	16542	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	601187	Total
Program Services	541068	ProgramServices
Management And General	60119	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	4934236	Total
Program Services	4440812	ProgramServices
Management And General	493424	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1301390	Total
Program Services	1171251	ProgramServices
Management And General	130139	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BAD DEBTS	13575949	13575949
DRUGS	6298600	6298600
SUPPLIES	4984093	4236479	747614
PURCHASED SERVICES	4865536	4378982	486554
OFFICE COLLECTIONS	536524	482872	53652

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	3775707	Total
Program Services	2667157	ProgramServices
Management And General	1108550	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	107707623	Total
Program Services	96206157	ProgramServices
Management And General	11501466	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	20728378	BOY
EOY	8699077	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	11745113	BOY
EOY	11212808	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	362960	BOY
EOY	324614	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	418152	BOY
EOY	556234	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1889855	BOY
EOY	1970608	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1074678	BOY
EOY	1038484	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	96755971	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	54429002	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	37055155	BOY
EOY	42326969	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	52427631	BOY
EOY	153056023	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	2519100	BOY
EOY	3546477	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	128221022	BOY
EOY	222731294	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	8021979	BOY
EOY	8631077	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	12050000	BOY
EOY	97853607	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	1328633	BOY
EOY	925638	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	2703071	BOY
EOY	1151683	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	24103683	BOY
EOY	108562005	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	103989784	BOY
EOY	114032135	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	117555	BOY
EOY	127154	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	10000	BOY
EOY	10000	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	104117339	BOY
EOY	114169289	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	128221022	BOY
EOY	222731294	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	6689278	ReconcilationRevenueExpenses
Reconcilation Other Changes	3362672	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$8,245	OtherActivitiesAmount
Total Lobbying Expenditures IIB	8245	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF OTHER LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1I:	ReturnReference
Explanation	PORTION OF INDIANA HOSPITAL ASSOCIATION DUES ATTRIBUTABLE TO LOBBYING EXPENSES AS DEFINED BY FEDERAL LAW.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	127555	BeginningOfYearBalance
Contributions	62386	Contributions
Other Expenditures	52787	OtherExpenditures
End Of Year Balance	137154	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	89334	BeginningOfYearBalance
Contributions	84150	Contributions
Other Expenditures	45929	OtherExpenditures
End Of Year Balance	127555	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	105321	BeginningOfYearBalance
Contributions	20051	Contributions
Other Expenditures	36038	OtherExpenditures
End Of Year Balance	89334	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	0.07000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.93000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	5442334	OtherCostOrOtherBasis
Book Value	5442334	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	42695331	OtherCostOrOtherBasis
Depreciation	26306111	Depreciation
Book Value	16389220	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	12960	OtherCostOrOtherBasis
Depreciation	2849	Depreciation
Book Value	10111	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	38568861	OtherCostOrOtherBasis
Depreciation	28120042	Depreciation
Book Value	10448819	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	10036485	OtherCostOrOtherBasis
Book Value	10036485	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	42326969	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
DEFERRED COMPENSATION	$851,683
THIRD PARTY PAYABLE	$300,000

Field	Value	IRS element (for citing)
Total Of Amounts	1151683	TotalOfAmounts
Total Revenue	114396901	TotalRevenue
Total Expenses	107707623	TotalExpenses
Excess Or Deficit For Year	6689278	ExcessOrDeficitForYear
Net Unrealized GL On Investments	3430252	NetUnrealizedGLOnInvestments
Other	-$67,580	OtherAmount
Total Adjustments	3362672	TotalAdjustments
Excess Or Deficit Per FS	10051950	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	117573833	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	3430252	NetUnrealizedGainsInvestments
Other Revenues	69241	OtherRevenues
Revenue Not Rptd F990	3499493	RevenueNotRptdF990
Revenue Subtotal	114074340	RevenueSubtotal
Investment Expenses Not Included	271595	InvestmentExpensesNotIncluded
Other Revenues Not Included	50966	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	322561	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	114396901	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	107454303	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	69241	OtherExpensesIncluded
Expenses Not Rptd F990	69241	ExpensesNotRptdF990
Expenses Subtotal	107385062	ExpensesSubtotal
Investment Expenses Not Included2	271595	InvestmentExpensesNotIncluded2
Other Expenses Not Included	50966	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	322561	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	107707623	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	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 12/31/2010. TEMPORARILY RESTRICTED NET ASSETS ARE DONOR-RESTRICTED FOR A SPECIFIC USE INCLUDING: PRENATAL/POSTNATAL EDUCATION PROGRAM FUND, TOBACCO SETTLEMENT FUND, TEEN EVENT FUND, GIRLS ON THE RUN FUND, AND MAY LIBRARY FUND.
PART XI, LINE 8 - OTHER ADJUSTMENTS:		MEMBERS' WITHDRAWAL -67,580.
PART XII, LINE 2D - OTHER ADJUSTMENTS:		RENTAL EXPENSES 69,241.
PART XII, LINE 4B - OTHER ADJUSTMENTS:		GRANTS 50,966.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:		RENTAL EXPENSES 69,241.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:		GRANTS 50,966.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent150	X	Pcent150
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	0.0	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1270223	TotalCommunityBenefitExpense
Net Community Benefit Expense	1270223	NetCommunityBenefitExpense
Percent Of Total Expense	0.01350	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	12139400	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3726712	DirectOffsettingRevenue
Net Community Benefit Expense	8412688	NetCommunityBenefitExpense
Percent Of Total Expense	0.08940	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	13409623	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3726712	DirectOffsettingRevenue
Net Community Benefit Expense	9682911	NetCommunityBenefitExpense
Percent Of Total Expense	0.10290	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	310657	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3321	DirectOffsettingRevenue
Net Community Benefit Expense	307336	NetCommunityBenefitExpense
Percent Of Total Expense	0.00330	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	223499	TotalCommunityBenefitExpense
Direct Offsetting Revenue	33875	DirectOffsettingRevenue
Net Community Benefit Expense	189624	NetCommunityBenefitExpense
Percent Of Total Expense	0.00200	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5326925	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4059110	DirectOffsettingRevenue
Net Community Benefit Expense	1267815	NetCommunityBenefitExpense
Percent Of Total Expense	0.01350	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	96244	TotalCommunityBenefitExpense
Net Community Benefit Expense	96244	NetCommunityBenefitExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5957325	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4096306	DirectOffsettingRevenue
Net Community Benefit Expense	1861019	NetCommunityBenefitExpense
Percent Of Total Expense	0.01980	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	19366948	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7823018	DirectOffsettingRevenue
Net Community Benefit Expense	11543930	NetCommunityBenefitExpense
Percent Of Total Expense	0.12270	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	2703	TotalCommunityBuildingExpense
Net Community Building Expense	2703	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	2703	TotalCommunityBuildingExpense
Net Community Building Expense	2703	NetCommunityBuildingExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$5,112,024	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	20755547	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	20708271	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	47276	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	1 MADISON CATHETERIZATION SERVICES LLC	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	PROVIDES CATHETERIZATION SERVICES	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.51000	OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership	0.00000	OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership	0.00000	PhysicansProfitOrOwnership

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

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

Address Address

Field	Value	IRS element (for citing)
Address Line1	ONE KINGS DAUGHTERS DRIVE	AddressLine1
City	MADISON	City
State	IN	State
ZIP Code	47250	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	1	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Other	X	Other
Needs Assessment Conducted	10	NeedsAssessmentConducted
Take Into Account	1	TakeIntoAccount
Other Facilities	0	OtherFacilities
CHNA Widely Available	1	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Other Method	X	OtherMethod
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Develop Community Plan	X	DevelopCommunityPlan
Participate Community Plan	X	ParticipateCommunityPlan
Include Operational Plans	X	IncludeOperationalPlans
Adopt Budget	X	AdoptBudget
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	0	AllNeedsAddressed
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	150.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	250.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	1	ActionsOnNonpayment
Permit Report To Credit Agency	X	PermitReportToCreditAgency
Permit Lawsuit	X	PermitLawsuit
Permit Lien On Residence	X	PermitLienOnResidence
Collection Activities	1	CollectionActivities
Report To Credit Agency	X	ReportToCreditAgency
Lawsuit	X	Lawsuit
Lien On Residence	X	LienOnResidence
Notify Upon Admission	X	NotifyUponAdmission
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Other Actions Taken	X	OtherActionsTaken
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	10	NumberOfOtherFacilities

Other Facilities OtherFacilities (10 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
REHABILITATION CENTER AND HOME CARE
2670 N MICHIGAN ROAD	MADISON	IN	47043	PHYSICIAN MEDICAL OFFICE
HILLTOP CLINIC
445 CLIFTY DRIVE	MADISON	IN	47250	PHYSICIAN MEDICAL OFFICE
VERSAILLES CLINIC - MAIN STREET
128 NORTH MAIN STREET	VERSAILLES	IN	47042	PHYSICIAN MEDICAL OFFICE
KING'S DAUGHTER'S MEDICAL BUILDING
206 W TYSON STREET	VERSAILLES	IN	47042	PHYSICIAN MEDICAL OFFICE
TRIMBLE COUNTY MEDICAL BUILDING
10235 US HIGHWAY 421	MILTON	KY	40045	PHYSICIAN MEDICAL OFFICE
RIVERBOURNE MEDICAL CENTER
205 MARWILL DRIVE	CARROLLTON	KY	41008	PHYSICIAN MEDICAL OFFICE
SWITZERLAND COUNTY MEDICAL BUILDING
745 WEST HIGHWAY 56	VEVAY	IN	47043	PHYSICIAN MEDICAL OFFICE
HANOVER CLINIC
36 MEDICAL PLAZA	HANOVER	IN	47243	PHYSICIAN MEDICAL OFFICE
VEVAY CLINIC
213 WEST MAIN STREET	VEVAY	IN	47043	PHYSICIAN MEDICAL OFFICE
CONVENIENT CARE CENTER
443 EAST CLIFTY DRIVE	MADISON	IN	47043	PHYSICIAN MEDICAL OFFICE

Form990 Schedule H Part VI Form990ScheduleHPartVI (18 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
PART I, LINE 3C: THE HOSPITAL USES A SLIDING FEE SCALE ARRANGEMENT TO PROVIDE DISCOUNTED CARE TO LOW INCOME INDIVIDUALS. THE SCALE IS AS FOLLOWS:INCOME EQUAL TO 0-150% OF FPG = 100% WRITEOFFINCOME EQUAL TO 151-175% OF FPG = 80% WRITEOFFINCOME EQUAL TO 176-200% OF FPG = 60% WRITEOFFINCOME EQUAL TO 201-225% OF FPG = 40% WRITEOFFINCOME EQUAL TO 226-250% OF FPG = 20% WRITEOFF
PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 13575949.
PART II: NA
PART III, LINE 4: PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT SERVICE REVENUE - THE HOSPITAL HAS AGREEMENTS WITH THIRD-PARTY PAYORS THAT PROVIDE FOR PAYMENTS TO THE HOSPITAL AT AMOUNTS DIFFERENT FROM ITS ESTABLISHED RATES. PAYMENT ARRANGEMENTS INCLUDE PROSPECTIVELY DETERMINED RATES PER DISCHARGE, REIMBURSED COSTS, DISCOUNTED CHARGES, AND FEE SCHEDULE PAYMENTS. PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT SERVICE REVENUE ARE REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYORS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD AND THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS FINAL SETTLEMENTS ARE DETERMINED.ALLOWANCES FOR PATIENT UNCOLLECTIBLE ACCOUNTS - THE HOSPITAL ESTIMATES AN ALLOWANCE FOR UNCOLLECTIBLE PATIENT ACCOUNTS RECEIVABLE BASED ON AN EVALUATION OF THE AGING OF THE ACCOUNTS, HISTORICAL LOSSES, CURRENT ECONOMIC CONDITIONS, AND OTHER FACTORS UNIQUE TO ITS SERVICE AREA AND THE HEALTHCARE INDUSTRY.THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNTS REPORTED ON LINE 2 IS APPLICATION OF THE COST-TO-CHARGE RATIO (AS COMPUTED PER WORKSHEET 2 IN 990 INSTRUCTIONS).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 8: THE HOSPITAL DETERMINED AMOUNTS FROM DATA SUBMITTED IN ITS 2010 MEDICARE COST REPORT.
PART III, LINE 9B: N/A
PART V, SECTION B, LINE 1J: 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.	KDHHS
PART V, SECTION B, LINE 3: 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 KDHHS INCLUDING BOARD, STAFF AND MEDICAL STAFF;- IN-DEPTH-INTERVIEWS BY TELEPHONE OR IN-PERSON WITH 32 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 23 SENIOR CITIZENS;- A WEB-BASED SURVEY OPEN TO THE GENERAL PUBLIC WHICH RESULTED IN 61 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 KDHHS COULD HAVE AN IMPACT.	KDHHS
PART V, SECTION B, LINE 5C: 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 AND IS ALSO AVAILABLE ON OUR WEB SITE.	KDHHS
PART V, SECTION B, LINE 7: AS A RESULT OF THE 2010 COMMUNITY NEEDS ASSESSMENT, KDHHS WAS ABLE TO IDENTIFY 'GAPS' WHICH EXIST BETWEEN THE HOSPITAL'S COMMUNITY INVOLVEMENT AND THE UNFULFILLED NEEDS OF THE COMMUNITY WHICH IT SERVES. THESE NEEDS WERE IDENTIFIED VIA INQUIRIES OF COMMUNITY MEMBERS WHICH ARE DETAILED AT PART V LINE 3. THE EXAMPLES OF THESE ARE AS FOLLOWS:- THERE DO NOT APPEAR TO BE LARGE GAPS IN THE TOPICS OR TYPES OF COMMUNITY OUTREACH PROGRAMS THAT KDHHS 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. - SOME INDIVIDUALS ALSO EXPRESSED THE IDEA THAT RESIDENTS IN THE COMMUNITY SERVED BY KDHHS 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 ADDRESSED IN A STRATEGIC, WELL-PLANNED, LONG-TERM PUBLIC RELATIONS CAMPAIGN. - THE GAPS IN THE CURRENT MEDICAL SERVICE LINES AND THE MEDICAL SPECIALTIES DESIRED ARE WORTH EXPLORING. HOWEVER, THIS ANALYSIS FOCUSES ONLY ON EXPRESSED NEEDS AND DOES NOT CONTAIN PATIENT PROJECTION INFORMATION OR FINANCIAL ANALYSIS FOR A BUSINESS CASE ANALYSIS. - 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 AND HAVE AN IMPACT ON PATIENTS SERVED BY KDHHS FACILITIES. THE MAJORITY OF COMMUNITY LEADERS EXPECT KDHHS TO TAKE A LEADERSHIP ROLE IN ADDRESSING OVERWEIGHT AND OBESITY AND TOBACCO USE. THOSE IN OUTLYING COUNTIES HAVE ASKED THAT CURRENT KDHHS 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. 1. KDHHS SHOULD CONSIDER WAYS IN WHICH IT CAN SET AN EXAMPLE AT ITS OWN FACILITIES FOR THE COMMUNITY; TOBACCO-FREE CAMPUS, HEALTHY FOOD OFFERINGS IN ITS CAFETERIA, WELLNESS PROGRAM.2. IT SHOULD CONSIDER ASKING FOR GRANTS TO OFFER COMMUNITY OUTREACH PROGRAMS TO EDUCATE INDIVIDUALS ON TOPICS SUCH AS NUTRITION, HEALTHY WEIGHT, HEALTHY EATING, AND EXERCISE.- SUBSTANCE ABUSE - PARTICULARLY NARCOTIC AND PRESCRIPTION DRUGS, WAS ANOTHER TOP MAJOR HEALTH NEED CITED BY ALL GROUPS INTERVIEWED. IT IS PREVALENT IN ALL COUNTIES SERVED BY KDHHS.1. THE LACK OF SUBSTANCE TREATMENT CENTERS AND MENTAL CARE FACILITIES TO REFER THESE TYPES OF PATIENTS TO IS A MAJOR CONCERN. 2. 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/DETOXIFICATION REQUIRED. 3. THE NEED FOR FURTHER DRUG EDUCATION IN THE SCHOOLS FROM ELEMENTARY ON UP WAS MENTIONED NUMEROUS TIMES 4. BETTER COMMUNICATION BETWEEN KDHHS 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. KDHHS PHYSICIANS MENTIONED THAT THEY WOULD LIKE TO KNOW FROM THE LEGAL SYSTEM WHEN ONE OF THE DRUGS THEY PRESCRIBED IS INVOLVED IN A CASE.5. THERE IS A NEED FOR A QUARTERLY PRESCRIPTION DRUG DISPOSAL PROGRAM WHERE SUCH DRUGS CAN BE DISPOSED WITH NO QUESTIONS ASKED. - WHILE KDHHS 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 AN ON-STAFF PSYCHIATRIST OR AN IMPROVED REFERRAL PROGRAM FOR THOSE WITH MENTAL ILLNESS. KDHHS 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 KDHHS TO DETERMINE WHAT SUPPORTING ROLE IT CAN PROVIDE TO THE COMMUNITY IN THIS AREA.- ACCESS TO HEALTH CARE WAS VIEWED AS A MAJOR ISSUE BY THOSE RESPONDENTS OF THE WEB-BASED SURVEY AND BY THE LOWER INCOME CATEGORY. THERE APPEARS TO BE A NEED TO MAKE INDIVIDUALS WITHIN THE COMMUNITY MORE AWARE OF HEALTH CARE SERVICES AVAILABLE TO THEM RATHER THEY BE INSURED OR UNINSURED. THE VAST MAJORITY OF COMMUNITY LEADERS EXPECT KDHHS TO TAKE A LEADERSHIP ROLE IN ACCESS TO HEALTH CARE. IN ADDITION TO CONCERNS ABOUT ACCESS FOR LOW-INCOME OR THE UNDERINSURED OR UNINSURED, THERE ARE SOME CONCERNS ABOUT ACCESS TO:1. GETTING AN APPOINTMENT WITH A PHYSICIAN QUICKLY WHEN NEEDED2. GETTING SEEN IN THE EMERGENCY DEPARTMENT QUICKLY3. EVENING APPOINTMENTS FOR THOSE UNABLE TO LEAVE WORK DURING THE DAY-DUE TO AN AGING WORKFORCE, IT IS ADVISABLE FOR KDHHS TO PUT A CONTINGENCY PLAN IN PLACE TO DEAL WITH ITS AGING NURSING WORKFORCE.	KDHHS
PART V, SECTION B, LINE 17E: IN ADDITION TO THE ACTIONS PREVIOUSLY LISTED, A FINANCIAL AID COUNSELOR WILL MEET WITH ANY UNINSURED INPATIENTS PRIOR TO DISCHARGE TO DISCUSS THE FINANCIAL ASSISTANCE POLICY.	KDHHS
PART V, SECTION B, LINE 19D: PATIENTS WITHOUT INSURANCE COVERAGE WILL RECEIVE A DISCOUNT BASED ON THE GREATER OF THE FOLLOWING:1) 20% DISCOUNT FROM GROSS CHARGES (WHICH IS HIGHER THAN ANY NEGOTIATED COMMERCIAL INSURANCE DISCOUNT FROM CHARGES CONTRACT)2) THE APPLICABLE SLIDING FEE SCALE ADJUSTMENT BASED ON THE PATIENT'S COMPLETED FINANCIAL ASSISTANCE APPLICATION	KDHHS
PART VI, LINE 2: KING'S DAUGHTERS' HOSPITAL AND HEALTH SERVICES CONDUCTED A COMMUNITY NEEDS ANALYSIS DURING 2010 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). THE LAST TIME A COMMUNITY NEEDS ASSESSMENT WAS CONDUCTED WAS IN 2007. THE FOCUS OF THIS ASSESSMENT WAS ON THE HEALTH NEEDS THAT COULD BE ADDRESSED BY KDHHS AND CAN BE USED BY KDHHS 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 KDHHS INCLUDING BOARD, STAFF AND MEDICAL STAFF;- IN-DEPTH-INTERVIEWS BY TELEPHONE OR IN-PERSON WITH 32 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 23 SENIOR CITIZENS;- A WEB-BASED SURVEY OPEN TO THE GENERAL PUBLIC WHICH RESULTED IN 61 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 KDHHS 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
PART VI, LINE 3: THE HOSPITAL HAS SIGNAGE WHICH ENCOURAGES PATIENTS TO CONTACT CUSTOMER SERVICE FOR INFORMATION REGARDING BILLS, ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL/STATE GOVERNMENT PROGRAMS AND THE HOSPITAL'S CHARITY CARE POLICY. SIGNS ARE POSTED IN SEVERAL AREAS FREQUENTLY ACCESSED BY PATIENTS. DISCUSSIONS REGARDING FINANCIAL ISSUES, AVAILABILITY OF FINANCIAL AID PROGRAMS, ELIGIBILITY REQUIREMENTS AND THE ASSOCIATED APPLICATION PROCESS ARE TYPICALLY DISCUSSED AT THE TIME OF REGISTRATION. THE HOSPITAL HAS A REPRESENTATIVE ON SITE TO ASSIST PATIENTS WITH THE FINANCIAL AID APPLICATION PROCESS. INFORMATION REGARDING THE HOSPITAL'S CHARITY CARE POLICY IS MADE AVAILABLE TO PATIENTS UPON REQUEST VIA A BROCHURE WHICH SUMMARIZES THE PROGRAM ELIGIBILITY REQUIREMENTS AND APPLICATION PROCESS. PATIENTS ARE REMINDED TO CONTACT CUSTOMER SERVICE REGARDING FINANCIAL AID AND FEDERAL/STATE ASSISTANCE DIRECTLY ON THE PATIENT BILL ITSELF. FURTHER, THE HOSPITAL'S WEBSITE INCLUDES LINKS TO THE FOLLOWING: "REQUEST A PRICE ESTIMATE", "ASK A BILLING QUESTION", "VIEW A SAMPLE BILL", "FINANCIAL AID APPLICATION", AND "INSURANCE PROVIDERS".
PART VI, LINE 4: THE KING'S DAUGHTERS' HOSPITAL AND HEALTH SERVICES IDENTIFIES THE FOLLOWING AREAS AS ITS PRIMARY AND SECONDARY SERVICE AREAS:JEFFERSON COUNTY, IN: POPULATION 33,010PORTIONS OF RIPLEY COUNTY, INPORTIONS OF SWITZERLAND COUNTY, INPORTIONS OF TRIMBLE AND CARROLL COUNTIES, KYJEFFERSON COUNTY- JEFFERSON COUNTY IS EXPERIENCING A SLOW GROWTH IN TOTAL POPULATION, CURRENTLY AT 33,010, AND IS EXPERIENCING AN INWARD MIGRATION. BY 2020, THE POPULATION IS EXPECTED TO BE ABOUT 34,209. IT HAS A MEDIAN AGE OF 39.6, A SOMEWHAT OLDER POPULATION THAN THE STATE AVERAGE OF 36.7. THE UNEMPLOYMENT RATE OF 10.6% IS ABOVE THE INDIANA RATE OF 10.1%. THE POPULATION IS FAIRLY HOMOGENEOUS WITH A LARGELY CAUCASIAN POPULATION, 95%. THE AVERAGE HOUSEHOLD INCOME, OF $42,646, IS LOWER THAN THAT FOR INDIANA AND THE NATION. IN JEFFERSON COUNTY, ABOUT 13.2% OF THE INDIVIDUALS, OR ABOUT 4,357, LIVE BELOW THE POVERTY LEVEL, SIMILAR TO THE 12.9% POVERTY RATE OF INDIVIDUALS IN INDIANA AND MIRRORING THE 13.2% RATE FOR THE ENTIRE U.S. 53.9% OF ALL FAMILIES IN JEFFERSON COUNTY ARE SINGLE PARENT FAMILIES WITH 27.8% OF THESE FAMILIES IN POVERTY. IN INDIANA, 32.4% OF ALL FAMILIES ARE SINGLE PARENT FAMILIES WITH 27.6% 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. 30% OF ADULTS IN JEFFERSON COUNTY USE TOBACCO COMPARED TO 23% OF ADULTS LIVING IN THE STATE OF INDIANA. AN ESTIMATED 26.9% OF THE POPULATION AGE 18+ IS UNINSURED. 6% OF INDIVIDUALS WITH INSURANCE HAVE MEDICAID, A HIGHER PERCENT THAN INDIANA/4.9% OR THE NATION/4.5%. ACCORDING TO THE INDIANA STATE DEPARTMENT OF HEALTH 2009 REPORT, JEFFERSON COUNTY WAS NOT LISTED AS A COUNTY THAT HAD A SHORTAGE OF HEALTHCARE PROFESSIONALS OR OF MENTAL HEALTH PROFESSIONALS. HOWEVER, THE 2009 REPORT LISTS MILTON, SHELBY AND SMYRNA TOWNSHIPS AS MEDICALLY UNDERSERVED. THE RATE OF ALL CANCER INCIDENCE IS HIGHER IN JEFFERSON COUNTY, AT 521.6 FOR 100,000 POPULATION, THAN FOR INDIANA, AT 479.4 FOR 100,000 POPULATION. THE RATE OF LUNG AND BRONCHUS CANCER IS HIGHER IN JEFFERSON, AT 101.6 PER 100,000 POPULATION THAN FOR INDIANA AT 79.8 PER 100,000. THE RATE OF PROSTATE CANCER IS HIGHER IN JEFFERSON, AT 166.2 PER 100,000 POPULATION THAN FOR INDIANA AT 137.5 PER 100,000. THE RATE OF BREAST CANCER IN JEFFERSON IS HIGHER, AT 126.4 PER 100,000 POPULATION THAN FOR INDIANA AT 113.8 PER 100,000 POPULATION. THE RATE OF COLORECTAL CANCER IS LOWER IN JEFFERSON, AT 50.3 PER 100,000, THAN THE RATE FOR INDIANA, AT 52.2 PER 100,000. THE RATE OF ADULT ASTHMA IN JEFFERSON COUNTY, AT 7.13%, IS HIGHER THAN THE RATE FOR INDIANA, AT 6.88%, AS IS THE RATE OF CHRONIC BRONCHITIS (3.4% FOR JEFFERSON; 3.2% FOR INDIANA) AND FOR EMPHYSEMA (1.4% FOR JEFFERSON; 1.28% FOR INDIANA.) THE PERCENT OF MOTHERS WHO SMOKED DURING PREGNANCY IN JEFFERSON COUNTY IS 25.1% COMPARED TO THE STATE OF INDIANA AVERAGE OF 18.5%. IN 2007, THE PERCENT OF LOW-WEIGHT BIRTHS FOR JEFFERSON COUNTY WAS 8.9%, ABOVE THE 8.5% FOR INDIANA. THE NUMBER OF TEEN PREGNANCIES AMONG WOMEN 15 TO 19 YEARS OLD HAS DECREASED IN JEFFERSON COUNTY FROM 2002 TO THE MOST RECENT MEASUREMENT IN 2007. IN JEFFERSON COUNTY, THERE WERE 52 TEEN PREGNANCIES IN 2002 AND 46 TEEN PREGNANCIES IN 2007. IN INDIANA, AN OPPOSITE TREND TOOK PLACE - THERE WERE 11,378 TEEN PREGNANCIES IN 2002 AND 11,683 IN 2007. JEFFERSON COUNTY REPORTED 72 NEWLY DIAGNOSED CASES OF CHLAMYDIA IN 2008, AN INCREASE FROM THE 69 REPORTED IN 2007, BUT A DECREASE FROM THE 75 REPORTED IN 2006. THERE WERE 4 CASES OF GONORRHEA AND ONE CASE OF SYPHILIS REPORTED IN JEFFERSON COUNTY IN 2008. 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 DECREASED FROM 2005 - 359.9 PER 100,000 POPULATION TO 2007 - 309.1 PER 100,000 POPULATION. HOWEVER, THE 309.1 PER 100,000 POPULATION RATE IN 2007 IS HIGHER THAN BOTH THE INDIANA RATE OF 267.2 PER 100,000 AND THE NATIONAL RATE OF 190.9 PER 100,000. THE STROKE DEATH RATE IN JEFFERSON, AT 53.3 PER 100,000 POPULATION IN 2007, WAS HIGHER THAN THE 44.5 PER 100,000 POPULATION FOR INDIANA AND THE 45.1 PER 100,000 FOR THE NATION. RIPLEY COUNTY- RIPLEY COUNTY HAS A CURRENT POPULATION OF 27,421. THERE IS A NET OUTWARD MIGRATION. BY THE YEAR 2020, THE POPULATION WILL BE ABOUT 29,855. THE POPULATION IS 96.9% CAUCASIAN. THE HOUSEHOLD INCOME IN RIPLEY IS $51,603 - LOWER THAN THE NATIONAL AVERAGE OF $52,029, BUT HIGHER THAN THE INDIANA AVERAGE OF $48,010. THE PERCENT OF FAMILIES BELOW POVERTY IN RIPLEY IS 12.2%, LOWER THAN THE INDIANA AVERAGE OF 15.9% AND THE NATIONAL AVERAGE OF 16.5%. 42.3% OF ALL FAMILIES IN RIPLEY COUNTY ARE SINGLE PARENT FAMILIES WITH 26.8% OF THESE FAMILIES IN POVERTY. IN INDIANA, 32.4% OF ALL FAMILIES ARE SINGLE PARENT FAMILIES WITH 27.6% OF THESE FAMILIES IN POVERTY. THE PERCENT OF THOSE AGE 18+ WHO ARE UNINSURED IS 26%, COMPARED TO 27% FOR INDIANA AND 27.3% FOR THE NATION. IN RIPLEY COUNTY, 2,955 CHILDREN ARE ENROLLED IN HOOSIER HEALTHWISE. THE PERCENT OF MOTHER IN RIPLEY COUNTY WHO SMOKE DURING PREGNANCY IS 26.6%, COMPARED TO 18.5% IN INDIANA. THE PERCENT OF LOW BIRTH WEIGHT IN RIPLEY COUNTY IS 6.5%, COMPARED TO 8.5% IN INDIANA. IN RIPLEY COUNTY, THE NUMBER OF TEEN PREGNANCIES (GIRLS 15 TO 19) DECREASED FROM 48 IN 2002 TO 45 IN 2007. THIS REPRESENTS A 8.9% TEEN BIRTH RATE IN RIPLEY, COMPARED TO A 20.8% TEEN BIRTH RATE 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 LUNG CANCER IN RIPLEY WAS 119.7 PER 100,000 POPULATIONS COMPARED TO 59.7 FOR INDIANA IN 2007. THE PNEUMONIA/INFLUENZA DEATH RATE IN 2007 FOR RIPLEY COUNTY WAS 22.65 PER 100,000 WHICH IS HIGHER THAN INDIANA AT 16.04 AND THE NATION AT 17.5.SWITZERLAND COUNTY- SWITZERLAND COUNTY HAS A POPULATION OF 9,675 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 11,041. THE ETHNICITY IS 97.6% WHITE. THE UNEMPLOYMENT RATE IS 7.9% IN SWITZERLAND COUNTY, LOWER THAN THE INDIANA RATE OF 10.1%. THE AVERAGE ANNUAL HOUSEHOLD INCOME IS $42,209, COMPARED TO $48,010 FOR INDIANA AND $52,029 FOR THE NATION. IN SWITZERLAND, 23.9% OF THE FAMILIES ARE BELOW THE POVERTY LEVEL, COMPARED TO 15.9% OF INDIANA FAMILIES, AND 16.5% OF FAMILIES IN THE NATION. 26.8% OF THE CHILDREN IN SWITZERLAND COUNTY ARE BELOW THE POVERTY LEVEL. IN 2007, 26.3% OF ALL ADULTS AGE 25+ HAD LESS THAN A HIGH SCHOOL DIPLOMA, WHILE 26.8% OF THOSE AGE 18+ ARE UNINSURED, COMPARED TO 27% IN INDIANA AND 27.3% IN THE NATION. 864 CHILDREN IN SWITZERLAND COUNTY ARE ENROLLED IN HOOSIER HEALTHWISE. 8.1% OF INDIVIDUALS WITH INSURANCE HAVE MEDICAID, A HIGHER PERCENT THAN INDIANA/4.9% OR THE NATION/4.5%. THE TEEN BIRTH RATE FOR SWITZERLAND COUNTY IN 2007 WAS 36.3 PER 1,000 FEMALES AGE 15-17, AND IS SIGNIFICANTLY HIGHER THAN THE INDIANA RAGE OF 22 PER 1,000. THE RATE OF MOTHERS SMOKING DURING PREGNANCY IS 29.6% IN SWITZERLAND COUNTY, COMPARED TO 18.5% IN INDIANA. IN SWITZERLAND, THERE IS A 9.6% LOW BIRTH WEIGHT, COMPARED TO 8.5% IN INDIANA. IN 2009, 30% OF ALCOHOL RELATED FATALITIES IN SWITZERLAND COUNTY HAD A BLOOD ALCOHOL CONCENTRATION (BAC) OF 0.1 OR HIGHER COMPARED TO 29% FOR INDIANA. SWITZERLAND COUNTY HAS A SHORTAGE OF HEALTH CARE PROFESSIONALS. ALL AREAS OF SWITZERLAND COUNTY ARE CONSIDERED MEDICALLY UNDERSERVED. SWITZERLAND COUNTY HAS A SHORTAGE OF MENTAL HEALTH PROFESSIONALS. THE RATE OF CHRONIC BRONCHITIS IN SWITZERLAND COUNTY, IS 3.4%, SIMILAR TO THE INDIANA RATE OF 3.2%. THE RATE OF EMPHYSEMA IN SWITZERLAND IS 1.38%, SIMILAR TO THE INDIANA RATE OF 1.28%. THERE ARE 379 ADULTS WITH SERIOUS MENTAL ILLNESS IN SWITZERLAND COUNTY AND 78 SERIOUSLY EMOTIONALLY DISTURBED CHILDREN. THE STROKE DEATH RATE PER 100,000 POPULATION IN 2007 WAS 67.9 FOR SWITZERLAND COUNTY COMPARED TO 44.5 FOR INDIANA AND 45.1 FOR THE NATION.
PART VI, LINE 6: THE MAJORITY OF THE KING'S DAUGHTERS' HOSPITAL AND HEALTH SERVICES 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, KDHHS 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, KDHHS 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. IN ADDITION, IN 2007 THE HOSPITAL COMPLETED A COMPREHENSIVE NEEDS ASSESSMENT AND HAVE ADDED: OBESITY, PHYSICIAL ACTIVITY, AND TOBACCO USE TO OUR LIST OF HEALTH INITIATIVES FOR THE COUNTIES SERVED BY THE HOSPITAL.OVERVIEW OF 2010 COMMUNITY BENEFIT ACTIVITIES1. HEALTH SCREENS74 COMMUNITY HEALTH SCREENS 21 CORPORATE HEALTH SCREENS51 SKIN CANCER SCREENS PERFORMED AT 1 EVENT30 BREAST CANCER SCREENS PERFORMED AT 1 EVENT87 COLON CANCER SCREENS PERFORMED370 STUDENTS BENEFITED FROM HIGH SCHOOL SPORTS PHYSICALS265 CORPORATE FLU SHOTS GIVEN120 FLU SHOTS SOLD TO IVY TECH FOR SELF ADMINISTRATION2. HEALTH FAIRSHEARTBEATS HEALTH FAIR IN VERSAILLESRIPLEY COUNTY 4H FAIRJEFFERSON COUNTY 4H FAIR: HOSPITAL AND CASA BOOTHSBELTERRA EMPLOYEE HEALTH FAIRHEALTHY KIDS DAY AT YMCA IN VEVAYREMC HEALTH FAIR IN VERSAILLESCOMMUNITY DAY AT WINDRIDGE/PRESIDENTIALNORTH MADISON CHRISTIAN CHURCH HEALTH FAIRECO15 DAY AT IVY TECH3. COMMUNITY EDUCATIONSPEAKERS BUREAU - 36 SPEAKING ENGAGEMENTS IN 2010SAFE SITTER CLASSES - 3 CLASSES AND 47 GRADUATESACE FIT KIDS PROGRAM - 337 STUDENTS IN 9 SCHOOLS AND 17 CLASSROOMSSMOKING CESSATION CLASSES - 14 GRADUATES IN ADULT PROGRAM, 56 YOUTH IN TAP/TEG PROGRAM COURSE PRIDE YOUTH PROGRAM - 40 YOUTH CONTRACTED TO PARTICIPATE AND REMAIN DRUG AND ALCOHOL FREECPR AND FIRST AID CLASSES - 600 GRADUATES CREATING POSITIVE RELATIONSHIPS/ABSTINENCE EDUCATION PROGRAM - 1,400 PARTICIPANTS FROM 4 SCHOOLSPRENATAL AND LAMAZE CLASSES (HELD QUARTERLY BY OB DEPARTMENT) - SERVED APPROXIMATELY 64 COUPLES AND 28 SIBLINGS GIRLS ON THE RUN PROGRAM - 60 PARTICIPANTS FROM LOCAL SCHOOLS (GRADES 3-5) AND 196 PARTICIPANTS IN A 5K RUNWELLNESS CLASSES - 8 TYPES OF CLASSES PLUS YOGA OFFERED IN 5-6 WEEKLY CLASS SESSIONSLIFESKILLS CURRICULUM (DRUG AND ALCOHOL AWARENESS PROGRAM FOR YOUTH) - OFFERED AT 4 SCHOOLS FOR 6TH THROUGH 8TH GRADERS4. EMPLOYEE HEALTHEMPLOYEE HEALTH NEWSLETTER - ON-LINE PUBLICATION THROUGHOUT THE YEAREMPLOYEE WEIGHT WATCHERS - OFFERED THROUGHOUT 2010SPECIAL EMPLOYEE WELLNESS PROGRAMS - WELLNESS COLUMN IN THE MONITOR, WELLNESS CALENDAR DISTRIBUTION, ONE LUNCH AND LEARN EDUCATION SESSION (WORKOUT WITH WATER, 28 PARTICIPANTS), 2 QUARTERLY WELLNESS CHALLENGES (BIGGEST LOSER WITH 147 PARTICIPANTS, A TO Z BACK TO BETTER HEALTH: 194 PARTICIPANTS)5. COMMUNITY SERVICE ACTIVITIESCANCER SURVIVORS DAY (IN CONJUNCTION WITH RELAY FOR LIFE) - SERVED AROUND 300 PEOPLECHAUTAUQUA - FIRST AID BOOTH (SUPPLIES ONLY)SUPPORT GROUPS - BREAST CANCER, DIABETES, SURVIVING SPOUSE, NEW MOMSACTIVE ATTENDANCE AND PARTICIPATION IN: CASA (COALITION AGAINST SUBSTANCE ABUSE, JEFFERSON COUNTY) SCAT (SWITZERLAND COUNTY AWARENESS TEAM) ITPC (INDIANA TOBACCO PREVENTION CESSATION) JEFFERSON AND SWITZERLAND COUNTIES RED RIBBON WEEK CAMPAIGN - MADISON SCHOOLS, SOUTHWESTERN, AND SWITZERLAND COUNTIES PRIDE NATIONAL CONFERENCE - 16 YOUTH ATTENDED KDH CLIFTY WALK/RUN - 248 PARTICIPANTS IN 5K AND 12 IN KIDS K PRIDE RELAY FOR LIFE TEAM6. SUCCESSFUL GRANT ACTIVITYISDH PROJECT RESPECT GRANT - FUNDS THE CPR (CREATING POSITIVE RELATIONSHIPS) PROGRAM COORDINATOR FROM OCTOBER OF 1999 UNTIL SEPTEMBER 2002. EXTENDED ONE MORE YEAR (SEPT 2003). PROGRAM LOST FUNDING IN SEPTEMBER 2003. TAUGHT BY VOLUNTEERS FROM OCTOBER 2003 UNTIL DECEMBER 2005. REAPPLIED AND FUNDED IN NOVEMBER 2005 THROUGH SEPTEMBER 2007. NEW COORDINATOR HIRED. REAPPLIED IN FEBRUARY 2007 FOR FUNDING IN OCTOBER 2007. FUNDING PULLED AT THE FEDERAL LEVEL, THEN LOST STATE FUNDING. WE HAVE BEEN OPERATING SINCE THAT TIME FROM PRIVATE DONATIONS AND SCHOOL BASED FUNDING. ITPC: INDIANA TOBACCO PREVENTION AND CESSATION:FUNDING RECEIVED FROM THE STATE FOR JEFFERSON AND SWITZERLAND COUNTIES. FULL TIME COORDINATOR IN PLACE FOR FULL YEAR OF 2010.CASA/SCAT GRANTS:TO FUND NICOTINE REPLACEMENT THERAPY FOR INDIVIDUALS WISHING TO QUIT SMOKING.INDIANA YOUTH INSTITUTE:RECEIVED A $726 GRANT FROM THE INDIANA YOUTH INSTITUTE. THIS GRANT COVERED EXPENSES ASSOCIATED WITH THE GIRLS ON THE RUN PROGRAM.7. PUBLIC RELATIONS ACTIVITIESEMS STAND-BY AT ALL COMMUNITY EVENTS:EMS PROVIDES STAND-BY COVERAGE AT ALL JEFFERSON COUNTY ACTIVITIES.
PART VI, LINE 7: NA
IN	REPORTS FILED WITH STATES	PART VI, LINE 7

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
THE KING'S DAUGHTERS' HOSPITAL FOUNDATION INC
ONE KINGS DAUGHTERS DRIVE	MADISON	IN	47250	202148950	501(C)(3)	48700	SUPPORT ORGANIZATION'S MISSION.
ECONOMIC DEVELOPMENT PARTNERSMIDCOR
PO BOX 369	MADISON	IN	47250	351695852	501(C)(4)	7500	SUPPORT ORGANIZATIONS MISSION
VARIOUS MISSIONS (NONE 5000)
							PROVIDE MEDICAL SUPPLIES AS DONATIONS	34366	PURCHASE COST	MEDICAL SUPPLIES

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	1	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: FUNDS ARE NOT GRANTED TO ORGANIZATIONS BUT ARE DONATED. DONATIONS ARE DETERMINED ON A DISCRETIONARY BASIS.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
EILEEN MCGARVEY MD
385582	0	5409	0	1584	0	17150	0	5195	0	414920	0	0	0
PAT STACK MD
149118	0	65725	0	2851	0	15584	0	16649	0	249927	0	0	0
ROGER ALLMAN
311686	0	3442	0	10302	0	17150	0	16902	0	359482	0	0	0
STEVE MEACHAM
178368	0	17070	0	1032	0	10261	0	16880	0	223611	0	0	0
MIKE BURNETT
147981	0	828	0	1584	0	10744	0	11857	0	172994	0	0	0
THOMAS ECKERT MD
421949	0	334398	0	1032	0	17150	0	16660	0	791189	0	0	0
GIL WEIZER MD
398096	0	146967	0	240	0	17150	0	16880	0	579333	0	0	0
PAUL ROSENBERG MD
480611	0	57183	0	2472	0	17150	0	16649	0	574065	0	0	0
WILLIAM SKILES MD
424228	0	105757	0	552	0	17150	0	11275	0	558962	0	0	0
ROBERT LEATHERMAN MD
420463	0	81113	0	20790	0	17150	0	17270	0	556786	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	SUPPLEMENTAL INFORMATION	Identifier
Return Reference	PART III	ReturnReference
Explanation	BOARD MEMBERS PAT STACK, MD AND EILEEN MCGARVEY, MD LISTED ABOVE ARE EMPLOYED PHYSICIANS OF THE HOSPITAL. DR. STACK AND DR. MCGARVEY DO NOT RECEIVE COMPENSATION FOR SERVICES PROVIDED AS BOARD MEMBERS. THE COMPENSATION LISTED ABOVE FOR DR. STACK AND DR. MCGARVEY IS COMPENSATION RECEIVED FOR SERVICES PROVIDED AS EMPLOYED PHYSICIANS.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	INDIANA FINANCE AUTHORITY	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	351602316	IssuerEIN
CUSIP Number	45471ACW0	CUSIPNumber
Date Issued	2010-11-03	DateIssued
Issue Price	97847058	IssuePrice
Description Of Purpose	SEE SCHEDULE O	DescriptionOfPurpose
Defeased	0	Defeased
On Behalf Of Issuer	0	OnBehalfOfIssuer
Pool Financing	0	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Total Proceeds	97847058	TotalProceeds
Amount In Reserve Fund	6756300	AmountInReserveFund
Issuance Costs From Proceeds	1749243	IssuanceCostsFromProceeds
Capital Expenditures	3079319	CapitalExpenditures
Other Spent Proceeds	259913	OtherSpentProceeds
Amount Unspent	86002283	AmountUnspent
Current Refunding	0	CurrentRefunding
Advance Refunding	0	AdvanceRefunding
Final Allocation Made	0	FinalAllocationMade
Adequate Books And Recds Maintaind	1	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	0	OwningBondFinancedProperty
Any Lease Arrangements	0	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	0	MngmentCntrctBondFinancdPrprty
Any Research Agreements	0	AnyResearchAgreements
Bond Counsel Routinely Engaged	1	BondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others	0.00000	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00000	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.00000	TotalPrivateBusinessUse
Post Issuance Compliance Procdrs	1	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	0	Form8038TFiled
Variable Rate Issue	0	VariableRateIssue
Hedge Identified In Books And Recds	0	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGIC
Gross Proceeds Invested	0	GrossProceedsInvested
Exception To Rebate	0	ExceptionToRebate

Schedule L IRS990ScheduleL

Loan Table LoanTable (3 entries)

Purpose Of LoanPurposeOfLoan	Loan From OrganizationLoanFromOrganization	Original PrincipalOriginalPrincipalAmount	Balance DueBalanceDue	DefaultDefault	Approved By BoardApprovedByBoard	Written AgreementWrittenAgreement
DR ROBERT LEATHERMAN
TUITION ASSISTANCE	X	$75,000	15000	0	1	1
DR GIL WEIZER
PAYBACK OF AMOUNTS PAID IN ERROR	X	$364,782	300828	0	1	1
DR PAUL ROSENBERG
PAYBACK OF AMOUNTS PAID IN ERROR	X	$24,175	8786	0	1	1

Field	Value	IRS element (for citing)
Total Balance Due	324614	TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	A DATTILO FRUIT COMPANY	BusinessNameLine1

Field	Value	IRS element (for citing)
Relationship	VICE PRESIDENT OF PATIENT SERVICES OF KDHHS HAS 51% OWNERSHIP INTEREST	Relationship
Amount Of Transaction	42999	AmountOfTransaction
Description Of Transaction	LISA 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.	DescriptionOfTransaction
Sharing Of Revenues	0	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 6	PER THE BYLAWS, THE MEMBERSHIP OF THE ORGANIZATION SHALL BE NON-SECTARIAN, NON-POLITICAL AND NOT CONFINED TO ANY CHRISTIAN RELIGIOUS DENOMINATION OR SECT. ANY SUCH PERSON OF GOOD REPUTE WHO HOLDS HERSELF RESPONSIBLE TO THE KING, CHRIST, OUR LORD AND SAVIOR, MAY BECOME A MEMBER OF THE ORGANIZATION. ALL MEMBERS MUST BE AND REMAIN PERMANENT RESIDENTS OF THE SERVICE AREA OF THE HOSPITAL, AS DETERMINED FROM TIME TO TIME BY THE HOSPITAL BOARD OF MANAGERS, AS A CONTINUING REQUIREMENT FOR MEMBERSHIP. FAILURE TO MAINTAIN SUCH RESIDENCY STATUS AUTOMATICALLY TERMINATES A PERSON'S MEMBERSHIP. HOSPITAL EMPLOYEES, MEMBERS OF THE MEDICAL STAFF, AND THEIR IMMEDIATE FAMILY MEMBERS SHALL NOT BE ELIGIBLE FOR MEMBERSHIP IN THE ORGANIZATION. THE IMMEDIATE FAMILY SHALL BE DEFINED AS INCLUDING THE MOTHER, FATHER, HUSBAND, WIFE, SISTER, BROTHER, DAUGHTER, SON, AND STEPCHILDREN.
FORM 990, PART VI, SECTION A, LINE 7A	THE ORGANIZATION SHALL HAVE TWO (2) CLASSES OF MEMBERS, ACTIVE AND HONORARY, AND ALL MEMBERS SHALL HAVE THE RIGHTS, PRIVILEGES, DUTIES, LIABILITIES, LIMITATIONS AND RESTRICTIONS AS SET FORTH FROM TIME TO TIME IN THE STANDING RULES. ANY ACTIVE MEMBER OF THE ORGANIZATION MAY PROPOSE ANY OTHER PERSON MEETING THE ELIGIBILITY REQUIREMENTS OUTLINED IN PART VI, 7A ABOVE FOR MEMBERSHIP. ONLY ACTIVE MEMBERS IN GOOD STANDING THAT HAVE BEEN A MEMBER FOR AT LEAST TWO ANNIVERSARY YEARS CAN PRESENT A PERSON'S NAME FOR MEMBERSHIP OR TO SERVE ON THE BOARD OF DIRECTORS. A MAJORITY VOTE OF THOSE PRESENT AND VOTING AFFIRMATIVELY AT ANY REGULAR MEETING OF THE ORGANIZATION AT WHICH A QUORUM IS PRESENT SHALL BE SUFFICIENT TO ELECT SUCH PROPOSED PERSON TO MEMBERSHIP. ONLY ACTIVE MEMBERS SHALL HAVE THE RIGHT AT EVERY MEETING OF THE MEMBERS TO CAST ONE (1) VOTE FOR HER MEMBERSHIP. THIS RIGHT TO VOTE MUST BE EXERCISED IN PERSON, OR AS THE BYLAWS MAY PROVIDE FROM TIME TO TIME.
FORM 990, PART VI, SECTION A, LINE 7B	ONLY ACTIVE MEMBERS SHALL HAVE THE RIGHT AT EVERY MEETING OF THE MEMBERS TO CAST ONE (1) VOTE FOR HIS/HER MEMBERSHIP. THIS RIGHT TO VOTE MUST BE EXERCISED IN PERSON, OR AS THE BYLAWS MAY PROVIDE FROM TIME TO TIME.
FORM 990, PART VI, SECTION B, LINE 11	THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW BY THE ORGANIZATION'S MANAGEMENT. THE BOARD OF MANAGERS RECEIVES A DRAFT COPY OF THE FORM 990 INCLUDING REQUESTED SCHEDULES PRIOR TO FILING WITH THE IRS. CHANGES OR REVISIONS ARE SUGGESTED BY THE BOARD IF NECESSARY. THE BOARD APPROVES THE DRAFT COPY OF THE 990 WITH THE CONTINGENCY THAT THE CHANGES/REVISIONS WILL BE INCORPORATED INTO THE FINAL VERSION OF THE TAX RETURN.
	BOARD 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 12C
	THE 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 B, LINE 15A
	THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST, OR FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE FOR PUBLIC INSPECTION. THE FORM 990 TAX RETURN IS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST.	FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:	NET UNREALIZED GAINS ON INVESTMENTS: 3,430,252. MEMBERS' WITHDRAWAL -67,580. TOTAL TO FORM 990, PART XI, LINE 5: 3,362,672.	FORM 990, PART XI, LINE 5:
AUDIT OVERSIGHT	THE HOSPITAL'S FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR THE SELECTION OF AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTING FIRM TO PERFORM THE ANNUAL AUDIT OF THE FINANCIAL STATEMENTS. THE FINANCE COMMITTEE ALSO IS RESPONSIBLE FOR OVERSIGHT OF THAT AUDIT PROCESS. THE TREASURER OF THE HOSPITAL'S BOARD OF MANAGERS SERVES AS THE CHAIR OF THE FINANCE COMMITTEE. THE FINANCE COMMITTEE REGULARLY MEETS EVERY OTHER MONTH, AND MEETS ONCE PER YEAR WITH THE INDEPENDENT AUDITORS.	FORM 990, PART XI, LINE 2C
DESCRIPTION OF PURPOSE	THE PURPOSE OF THE BOND ISSUANCE IS TO FINANCE, REFINANCE, OR REIMBURSE A PORTION OF THE COSTS OF ACQUIRING, CONSTRUCTING, RENOVATING AND EQUIPPING VARIOUS HEALTH CARE FACILITIES OF THE HOSPITAL, INCLUDING A REPLACEMENT ACUTE CARE HOSPITAL FACILITY AND A COMMUNITY AND MEDICAL ARTS CENTER.	SCHEDULE K, PART I, LINE A

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	THE KING'S DAUGHTERS' HOSPITAL FOUNDATION INC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	ONE KINGS DAUGHTERS DRIVE	AddressLine1
City	MADISON	City
State	IN	State
ZIP Code	47250	ZIPCode

Field	Value	IRS element (for citing)
EIN	202148950	EIN
Primary Activities	FUNDRAISING TO SUPPORT THE PROVISION OF HEALTHCARE SERVICES	PrimaryActivities
Legal Domicile State	IN	LegalDomicileState
Exempt Code Section	501(C)(3)	ExemptCodeSection
Public Charity Status	LINE 7	PublicCharityStatus
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Controlled Org	0	ControlledOrg

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	MADISON CATHETERIZATION SERVICES LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	ONE KINGS DAUGHTERS DRIVE	AddressLine1
City	MADISON	City
State	IN	State
ZIP Code	47250	ZIPCode

Field	Value	IRS element (for citing)
EIN	203391301	EIN
Primary Activity	CATHETERIZATION SERVICES	PrimaryActivity
Legal Domicile State	IN	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Predominant Income Type	RELATED	PredominantIncomeType
Share Of Total Income	51802	ShareOfTotalIncome
Share Of EOY Assets	119571	ShareOfEOYAssets
Disproportionate Allocations	0	DisproportionateAllocations
General Or Managing Partner	1	GeneralOrManagingPartner
Percentage Ownership	0.51000	PercentageOwnership

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	1	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg