2024-09-09T17:14:14-05:00 2023-10-31 273858252 DEAN DORTON ALLEN FORD PLLC 250 W MAIN STREET STE 1400 LEXINGTON KY 40507 990 2022-11-01 610523304 ROCKCASTLE HOSPITAL & RESPIRATORY CARE CENTER INC ROCK 6062562195 PO BOX 1310 MT VERNON KY 40456 CHRISTOPHER NICHOLAS BASTIN CFO 6062562195 2024-09-07 1 0 ALLISON C CARTER P01242412 8592552341 2022 2024-08-08 14:25:15Z ROCKCASTLE REGIONAL HOSPITAL AND RESPIRATORY CARE CENTER STEPHEN A ESTES PO BOX 1310 MT VERNON KY 40456 88647167 0 X WWW.ROCKCASTLEREGIONAL.ORG X 1956 KY ROCKCASTLE HOSPITAL IS ORGANIZED TO PROVIDE MEDICAL CARE TO MEMBERS OF ITS COMMUNITY. 4 0 1004 0 2018 164 2545004 335489 79300658 83673293 163877 1882132 1925141 2750591 83934680 88641505 8000 6000 0 0 44919384 49770672 0 0 0 32624404 34884379 77551788 84661051 6382892 3980454 104374386 108661680 26143576 27047916 78230810 81613764 X ROCKCASTLE HOSPITAL IS ORGANIZED TO PROVIDE MEDICAL CARE TO MEMBERS OF ITS COMMUNITY. THE HOSPITAL HAS A POLICY OF ACCEPTING ALL PATIENTS WITHIN ITS PRIMARY SERVICE AREA REGARDLESS OF ABILITY TO PAY. MISSION: ROCKCASTLE HOSPITAL AND RESPIRATORY CARE CENTER IS A FAMILY-ORIENTED TEAM OF HEALTHCARE PROFESSIONALS DEDICATED TO DELIVERING THE HIGHEST QUALITY OF CARE TO THOSE WE SERVE.VISION: ROCKCASTLE HOSPITAL AND RESPIRATORY CARE CENTER'S VISION IS TO BE THE HOSPITAL OF CHOICE FOR HEALTHCARE IN ROCKCASTLE COUNTY AND SURROUNDING AREAS AND TO BE THE FACILITY OF CHOICE NATIONWIDE IN VENTILATOR CARE. VALUES: OUR WORK WILL BE GUIDED BY OUR COMMITMENT TO QUALITY OF CARE, PATIENT SAFETY, SERVICE EXCELLENCE, CLEANLINESS, AND THE HEALTH OF OUR COMMUNITY. 0 0 68075302 6000 86281421 THE HOSPITAL PROVIDES HEALTH CARE SERVICES TO MEMBERS OF ITS COMMUNITY. THE HOSPITAL MAINTAINS A POLICY OF ACCEPTING ALL PATIENTS WITHIN ITS PRIMARY SERVICE AREA REGARDLESS OF ABILITY TO PAY. 68075302 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 90 0 1 1004 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 4 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 KY X THE ORGANIZATION 6062562195 PO BOX 1310 MT VERNON KY 40456 JOSEPH E LAMBERT CHAIR 7.00 X 24000 0 240 BIGE TOWERY JR SECRETARY/TREASURER 7.00 X 24000 0 240 DEBRA H LAMBERT MEMBER 7.00 X 24000 0 240 JEFFERY T BURDETTE MEMBER 7.00 X 24000 0 240 STEPHEN A ESTES CEO 40.00 X 395789 0 14358 CHRISTOPHER NICHOLAS BASTIN CFO 40.00 X 210217 0 5365 COREY COE CONTROLLER 40.00 X 94038 0 6187 KAREN B SAYLOR MD PHYSICIAN 40.00 X 560000 0 7997 DAVID S BULLOCK MD PHYSICIAN 40.00 X 560000 0 10068 MICHAEL KEVIN ROWE MD PHYSICIAN 40.00 X 540000 0 10502 WILLIAM BAKHOS MD PHYSICIAN 40.00 X 425000 0 9825 MARY JOENBORG PHYSICIAN 40.00 X 396923 0 9483 3277967 0 74745 35 0 1 0 ROCKCASTLE EMERGENCY GROUP LLC PO BOX 677979 DALLAS TX 75267 PHYSICIAN GROUP 759270 QUEST DIAGNOSTICS PO BOX 912512 PASADENA CA 91110 LABORATORY TESTS 349351 KMSF INC PO BOX 587 LEXINGTON KY 40588 PHYSICIAN GROUP 291009 LEXAR LABORATORIES AND ANALYSIS 112 WESTHAPTON DR LEXINGTON KY 40511 LABORATORY TESTS 151229 MCBRAYER 201 EAST MAIN STREET SUITE 900 LEXINGTON KY 40507 LEGAL SERVICES 112063 5 164241 171248 335489 PATIENT SERVICE REVENUE 623990 83673293 83673293 83673293 1882132 1882132 148125 5662 142463 142463 2018 140445 RPP 340 B DRUGS 623990 1193049 1193049 AHEC INCOME 623990 651267 651267 DAY CARE 624410 258897 258897 504915 256201 248714 2608128 88641505 85773810 2018 2530188 6000 6000 795901 795901 40537869 33829330 6708539 728752 608152 120600 4828050 4029065 798985 2880100 2403477 476623 67174 67174 63521 63521 72217 72217 1846158 1846158 178889 178889 276898 276898 1196743 903817 292926 94522 94522 1186299 895930 290369 4236706 3198305 1038401 1033435 862414 171021 SUPPLIES 14709886 14709886 EMPLOYEE MEDICAL SERVIC 4109165 4109165 REPAIRS & MAINTENANCE 2257956 2257956 PROVIDER TAX 1232682 1232682 2322128 606429 1715699 84661051 68075302 16585749 0 11405368 13043750 18616713 19047218 2152 0 7914386 10480771 4826745 5216596 737630 863102 295634 299955 106677438 56627283 51434847 50050155 4741275 4998209 4399636 4661924 104374386 108661680 2246629 3055732 426791 504827 4128695 3681662 18925252 19438543 416209 367152 26143576 27047916 X 77805615 81182578 425195 431186 78230810 81613764 104374386 108661680 3980454 -597500 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 4604 4604 0 PART II-B, LINE 1: THE HOSPITAL IS A MEMBER OF THE KENTUCKY HOSPITAL ASSOCIATION. A PERCENTAGE OF MEMBERSHIP DUES PAID TO THIS ORGANIZATION IS USED FOR LOBBYING PURPOSES. THE HOSPITAL PAID DUES OF $25,649 TO KHA, OF WHICH 11.67% WAS USED FOR LOBBYING PURPOSES. THE HOSPITAL IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION. A PERCENTAGE OF MEMBERSHIP DUES PAID TO THIS ORGANIZATION IS USED FOR LOBBYING PURPOSES. THE HOSPITAL PAID DUES OF $7,401 TO AHA, OF WHICH 21.78% WAS USED FOR LOBBYING PURPOSES. 3266536 3266536 41681474 13764545 27916929 8002328 5591112 2411216 53664562 37271626 16392936 62538 62538 50050155 CAPITAL LEASES 367152 367152 1 1 1 X 0 1 1 0 0 43333810 30525912 12807898 0.15130 43333810 30525912 12807898 0.15130 610047 610047 0.00720 6000 6000 0.00010 616047 616047 0.00730 43949857 30525912 13423945 0.15860 1 2212889 8384418 6591827 1792591 X 1 0 1 1 ROCKCASTLE HOSPITAL AND RESPIRATORY CARE CENTER INC PO BOX 1310 145 NEWCOMB AVE MT VERNON KY 40456 X X X INCLUDES PROVIDER-BASED SKILLED NURSING FACILITY AND 2 RHCS ROCKCASTLE HOSPITAL AND RESPIRATORY CARE 1 0 0 0 19 WWW.ROCKCASTLEREGIONAL.ORG 19 WWW.ROCKCASTLEREGIONAL.ORG 1 1 50000 1 X 150.000000000000 X X 1 1 X X X 1 X WWW.ROCKCASTLEREGIONAL.ORG X WWW.ROCKCASTLEREGIONAL.ORG X WWW.ROCKCASTLEREGIONAL.ORG X X X 1 0 X X 1 X 0 0 ROCKCASTLE HOSPITAL AND RESPIRATORY CARE CENTER PART V, SECTION B, LINE 7D: COPIES OF THE NEEDS ASSESSMENT WERE DISTRIBUTED THROUGHOUT CAMPUS. ROCKCASTLE HOSPITAL AND RESPIRATORY CARE CENTER PART V, SECTION B, LINE 11: THE HOSPITAL IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN THE MOST RECENTLY CONDUCTED CHNA BY DOING SECONDARY RESEARCH AND FOCUS GROUP MEETINGS TO IDENTIFY THE TOP PLANNING ISSUES AND PRIORITIES FOR THE HOSPITAL TO ADDRESS THE ISSUES FACING THE COMMUNITY, INCLUDING HEALTHCARE ACCESS AND ENHANCEMENT OF SERVICES, HEALTH EDUCATION, AND SUBSTANCE ABUSE CARE AND PREVENTION. IN ADDITION TO ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN THE MOST RECENTLY CONDUCTED CHNA, CURRENT PRIORITIES FOR THE HOSPITAL ARE ADDRESSING COVID-19, INCLUDING TESTING, MITIGATION, ADMINISTERING VACCINES, AND VACCINE EDUCATION. ROCKCASTLE HOSPITAL AND RESPIRATORY CARE CENTER PART V, SECTION B, LINE 13H: THE DSH APPLICATION IS AUTOMATICALLY PRINTED ON EVERY SELF-PAY REGISTRATION. 5 1 - ROCKCASTLE SNF 145 NEWCOMB AVE MT VERNON KY 40456 PROVIDER-BASED SNF 2 - ROCKCASTLE FAMILY WELLNESS 145 NEWCOMB AVE MT VERNON KY 40456 PROVIDER-BASED RHC 3 - ROCKCASTLE PEDIATRICS AND ADOLESCENT 145 NEWCOMB AVE MT VERNON KY 40456 PROVIDER-BASED RHC 4 - BRODHEAD FAMILY CARE 46 W MAIN ST BRODHEAD KY 40409 PROVIDER-BASED RHC 5 - QUICK CARE 46 W MAIN ST BRODHEAD KY 40409 PROVIDER-BASED RHC PART I, LINE 7: COSTS ARE DETERMINED BY MEDICARE CHARGES MULTIPLIED BY THE COST TO CHARGE RATIOS FOR EACH COST CENTER ON THE MEDICARE REPORT. PART I, LN 7 COL(F): BAD DEBT EXPENSE IS THE COST OF THE UNPAID PORTION OF PATIENT LIABILITIES. PART II, COMMUNITY BUILDING ACTIVITIES: EDUCATING THE COMMUNITY ABOUT THE IMPORTANCE OF PHYSICAL FITNESS AND OTHER TOPICS SUCH AS PATIENT SAFETY, DIABETES, COLON CANCER, CHOLESTEROL, HEART HEALTH, AND BREAST CANCER, (JUST TO NAME A FEW) ARE A PART OF OUR MISSION. COMBINED WITH EDUCATION, WE ALSO REACH OUT TO OUR COMMUNITY WITH EVENTS AND SCREENINGS TO PROMOTE WELLNESS AND PREVENTION. OUR DINNER WITH A DOCTOR PROGRAM IS A QUARTERLY, FREE EVENT FOR THE COMMUNITY IN WHICH PHYSICIANS ADDRESS A SPECIFIC HEALTH TOPIC. OUR FREE AND REDUCED-PRICED HEALTH SCREENINGS PROVIDE IMPORTANT MEDICAL FEEDBACK TO PATIENTS AND THEIR PHYSICIANS. OUR WALK/RUN EVENTS GIVE PEOPLE AN OPPORTUNITY TO EXERCISE WHILE HAVING FUN. OTHER COMMUNITY OUTREACH PROGRAMS INCLUDE: LONGEST DAY OF PLAY, RELAY FOR LIFE, FREE CHOLESTEROL SCREENINGS, FREE COLORECTAL SCREENING KITS, SMOKING CESSATION CLASSES, REDUCED PRICE MAMMOGRAMS, GO RED FOR WOMEN, BLOOD PRESSURE SCREENINGS, FIT CAMP AND CHILD SAFETY PROGRAM. PART III, LINE 4: THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE ADDRESSING BAD DEBT EXPENSE. PART III, LINE 8: A SURPLUS HAS BEEN CALCULATED USING REVENUES AND COSTS FROM THE MEDICARE COST REPORT. COSTS ARE DETERMINED BY MEDICARE CHARGES MULTIPLIED BY THE COST TO CHARGE RATIOS FOR EACH COST CENTER ON THE MEDICARE REPORT. PART III, LINE 9B: THE ORGANIZATION DOES NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS BEFORE REASONABLE EFFORTS HAVE BEEN MADE TO DETERMINE WHETHER AN INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY. PART III, LINE 2: BAD DEBT EXPENSE IS THE COST OF THE UNPAID PORTION OF PATIENT LIABILITIES. PART III, SECTION A, LINE 3: THE ORGANIZATION DOES NOT OFFER DISCOUNTED CARE OTHER THAN THE 24% DISCOUNT FROM FULL CHARGES GENERALLY OFFERED TO INDIVIDUALS WITH OTHER HEALTH INSURANCE COVERAGE. THEREFORE, THERE ARE NO BAD DEBTS RELATED TO PATIENTS UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. PART V - DISCLOSURE UNDER SECTION 7 OF REVENUE PROCEDURE 2015-21 DISCLOSURE UNDER SECTION 7 OF REVENUE PROCEDURE 2015-21SECTION 7. DISCLOSURE.01 IN GENERAL. EXCEPT AS PROVIDED IN SECTION 7.02 OF THIS REVENUE PROCEDURE, A FAILURE IS DISCLOSED FOR PURPOSES OF THIS REVENUE PROCEDURE ONLY IF THE HOSPITAL ORGANIZATION REPORTS THE FOLLOWING INFORMATION ON ITS FORM 990, PURSUANT TO THE INSTRUCTIONS FOR THAT FORM, FOR THE TAX YEAR IN WHICH THE FAILURE IS DISCOVERED:(1) A DESCRIPTION OF THE FAILURE, INCLUDING THE TYPE OF FAILURE, THE CAUSE OF THE FAILURE, THE HOSPITAL FACILITY OR FACILITIES WHERE THE FAILURE OCCURRED, THE DATE(S) OF THE FAILURE AND ITS DISCOVERY, AND THE NUMBER OF OCCURRENCES. INFORMATION ABOUT MULTIPLE ERRORS OF THE SAME TYPE SHOULD BE REPORTED IN THE AGGREGATE IN A SUMMARY THAT INCLUDES THE TIME PERIOD OVER WHICH THE ERRORS OCCURRED AND, IN THE CASE OF ERRORS INVOLVING THE OPERATIONAL REQUIREMENTS DESCRIBED IN SECTION 1.501(R)-5 OR SECTION 1.501(R)-6, AN ESTIMATE OF THE NUMBER OF INDIVIDUALS AFFECTED AND THE DOLLAR AMOUNTS INVOLVED.TYPE OF FAILURE: TAXPAYER COMPLETED AND PUBLISHED ITS PREVIOUS CHNA REPORT, AND ITS BOARD OF DIRECTORS ADOPTED THE IMPLEMENTATION STRATEGY IN 2019. SECTION 501(R)(3) AND SECTION 1.501(R)-3 REQUIRED TAXPAYER TO COMPLETE AND PUBLISH THE NEXT CHNA IN THE TAXABLE YEAR ENDED OCTOBER 31, 2023, OR IN EITHER OF THE TAXABLE YEARS PRECEDING THAT YEAR, AND REQUIRED THE BOARD OF DIRECTORS OF THE TAXPAYER TO ADOPT AN IMPLEMENTATION STRATEGY TO MEET THE HEALTH NEEDS IDENTIFIED IN THE CHNA BY THE 15TH DAY OF THE 5TH MONTH AFTER THE END OF THE TAXABLE YEAR SELECTED, OR MARCH 15. TAXPAYER FAILED TO COMPLETE A CHNA DURING THE THREE TAXABLE YEARS ENDED OCTOBER 31, 2023, BUT TAXPAYER DID COMPLETE AND PUBLISH A CHNA REPORT, AND THE BOARD OF DIRECTORS ADOPTED THE IMPLEMENTATION STRATEGY THAT CONTAINS ALL THE ELEMENTS REQUIRED BY SECTION 1.501(R)-3, BY MARCH 15, 2024. ADDITIONALLY, TAXPAYER FILED FORM 4720 AND PAID THE $50,000 OF TAX IMPOSED BY SECTION 4959 AND SECTION 501(R)(3) ON MARCH 15, 2024.CAUSE OF THE FAILURE: TAXPAYER COMPLETED A SUBSTANTIAL PORTION OF THE CHNA PRIOR TO OCTOBER 31, 2023. COMPLETION OF THE CHNA WAS SUBSTANTIALLY DELAYED BY THE RESTRICTIONS AND LIMITATIONS ON EMPLOYEE ACTIVITY AND INTERACTION WITH THE PUBLIC DURING THE COVID 19 PANDEMIC. ADDITIONALLY, A LACK OF STAFF QUALIFIED TO COMPLETE THE TASKS REQUIRED BY THE CHNA WAS ANOTHER CAUSE OF THE DELAY. FURTHERMORE, EVENTS OCCURRING IN RECENT YEARS IN THE LOCAL SCHOOL SYSTEM INVOLVING SUICIDE AND MENTAL HEALTH OF ITS STUDENTS REQUIRED TAXPAYER TO ADDRESS THIS SITUATION MORE THOROUGHLY. TAXPAYER REPRESENTATIVES MET LOCAL SCHOOL DISTRICT OFFICIALS TO DISCUSS INITIATIVES TO ADDRESS THESE CHALLENGES AND GATHER FEEDBACK. SCHOOL STAFF TRAINING WAS CONDUCTED IN AUGUST 2023 AND 391 STUDENT THERAPY SESSIONS WERE CONDUCTED THROUGH OCTOBER 2023. ADDITIONALLY, TAXPAYER COMPILED AND CREATED A COMMUNITY RESOURCE GUIDE AND PUBLISHED THIS ON ITS WEBSITE ON OCTOBER 12, 2023. THESE INITIATIVES PUT A STRAIN ON TAXPAYER'S LIMITED QUALIFIED EMPLOYEE RESOURCES AND CAUSED THE COMPLETION OF THE CHNA TO BE DELAYED.HOSPITAL FACILITY WHERE THE FAILURE OCCURRED: ROCKCASTLE REGIONAL HOSPITAL AND RESPIRATORY CARE CENTER, TAXPAYER'S ONLY HOSPITAL FACILITY.DATE(S) OF THE FAILURE AND ITS DISCOVERY: OCTOBER 31, 2023NUMBER OF OCCURRENCES: THIS IS TAXPAYER'S FIRST FAILURE TO COMPLETE THE CHNA BY THE REQUIRED DATE.(2) A DESCRIPTION OF THE CORRECTION OF THE FAILURE, INCLUDING THE METHOD OF CORRECTION, THE DATE OF CORRECTION, AND, IN THE CASE OF A FAILURE TO MEET THE REQUIREMENTS OF SECTION 501(R)(4)(A), SECTION (R)(5), OR SECTION (R)(6), A DESCRIPTION OF HOW AFFECTED INDIVIDUALS WERE RESTORED TO THE POSITION THEY WOULD HAVE BEEN IN HAD THE FAILURE NOT OCCURRED. INFORMATION ABOUT CORRECTIONS OF MULTIPLE ERRORS OF THE SAME TYPE SHOULD BE REPORTED IN THE AGGREGATE IN A SUMMARY THAT INCLUDES THE TIME PERIOD OVER WHICH THE CORRECTIONS OCCURRED. IF RESTORATION OF ONE OR MORE INDIVIDUALS AFFECTED BY A FAILURE TO MEET THE REQUIREMENTS OF SECTION 501(R)(4)(A), (R)(5), OR (R)(6) WAS NOT REASONABLY FEASIBLE, THE HOSPITAL ORGANIZATION SHOULD STATE THIS AND EXPLAIN WHY.DESCRIPTION OF THE CORRECTION OF THE FAILURE: THE FAILURE TO MEET THE REQUIREMENTS OF SECTION 501(R)(3) WAS CORRECTED BY THE COMPLETION OF THE CHNA CONTAINING ALL THE REQUIRED ELEMENTS AND THE ADOPTION OF THE IMPLEMENTATION STRATEGY BY THE BOARD OF DIRECTORS BY MARCH 15, 2024, AND BY PUBLICATION OF THE CHNA REPORT ON THE TAXPAYER'S WEBSITE ON THAT DATE IN ACCORDANCE WITH SECTION 1.501(R)-3(B)(7).(3) A DESCRIPTION OF THE PRACTICES OR PROCEDURES, IF ANY, THAT THE HOSPITAL ORGANIZATION REVISED OR NEWLY ESTABLISHED FOR ITS HOSPITAL FACILITY OR FACILITIES TO MINIMIZE THE LIKELIHOOD OF THE TYPE OF FAILURE RECURRING AND TO FACILITATE THE PROMPT IDENTIFICATION AND CORRECTION OF ANY SUCH FUTURE FAILURES THAT DO OCCUR, OR, IF THE HOSPITAL ORGANIZATION DID NOT REVISE PREVIOUSLY EXISTING PRACTICES OR PROCEDURES TO MINIMIZE SUCH LIKELIHOOD, AN EXPLANATION OF WHY NO CHANGES IN PRACTICES OR PROCEDURES WERE NECESSARY.TAXPAYER REVISED OR ADOPTED THE FOLLOWING PRACTICES AND PROCEDURES TO ENSURE THAT THE NEXT CHNA IS COMPLETED ON THE DATE REQUIRED AND TO ALERT THE BOARD OF DIRECTORS IF THE COMPLETION OF THE CHNA IS NOT PROCEEDING IN A TIMELY MANNER SO IT CAN TAKE ACTION TO ENSURE THE COMPLETION BY THE REQUIRED DATE:1. THE DIRECTOR OF COMMUNITY RELATIONS HAS BEEN ASSIGNED THE RESPONSIBILITY FOR THE COMPLETION OF THE CHNA. 2. THE DIRECTOR OF COMMUNITY RELATIONS MUST REPORT TO THE PRESIDENT / CEO AND TO THE BOARD OF DIRECTORS ON AN ANNUAL BASIS THE PROGRESS TOWARD THE COMPLETION OF THE CHNA.3. THE DIRECTOR OF COMMUNITY RELATIONS HAS BEEN ASSIGNED THE RESPONSIBILITY TO COMPLETE THE NEXT CHNA BY OCTOBER 31, 2025, AND THE DIRECTOR WILL PROVIDE THE PRESIDENT / CEO AND THE BOARD OF DIRECTORS WITH AN UPDATE OF THE PROGRESS TOWARD COMPLETION BY THE MAY 2025 BOARD OF DIRECTORS MEETING. 4. THE PRESIDENT / CEO AND THE BOARD OF DIRECTORS WILL REQUIRE THAT THE CHNA BE SUBSTANTIALLY COMPLETED BY A REASONABLE TARGET DATE BEFORE OCTOBER 31, 2025, TO ENSURE THAT THE CHNA WILL BE COMPLETED AND PUBLISHED WHEN REQUIRED. THE DIRECTOR OF COMMUNITY RELATIONS MUST PROVIDE A SUBSTANTIALLY COMPLETED DRAFT OF THE CHNA REPORT TO THE BOARD ON THAT DATE. PART VI, LINE 2: IN ADDITION TO THE CHNA, THE ORGANIZATION RELIES ON PUBLIC HEALTH STUDIES TO ASSESS THE HEALTH CARE NEEDS OF ITS COMMUNITY. ACCORDING TO THE KENTUCKY CANCER REGISTRY (2003-2007) THE INCIDENCE RATE FOR LUNG CANCER IN ROCKCASTLE COUNTY IS 124.0 COMPARED TO THE UNITED STATES RATE OF 62.5. THE INCIDENCE RATE FOR COLORECTAL CANCER IS 74.2 COMPARED TO THE UNITED STATES RATE OF 47.9. ACCORDING TO THE CENTERS FOR DISEASE CONTROL AND PREVENTION (2008), ROCKCASTLE COUNTY HAS A HIGHER PREVALENCE OF OBESITY, DIAGNOSED DIABETES, AND LOWER PHYSICAL ACTIVITY LIFESTYLE, WITH NEARLY 1 OUT OF EVERY 3 ADULTS SUFFERING FROM AT LEAST ONE OF THE PREVIOUSLY MENTIONED. ACCORDING TO A COUNTY HEALTH RANKINGS REPORT FROM THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE (2011), ROCKCASTLE COUNTY WAS RANKED 88 OUT OF 120 COUNTIES, BASED ON SOCIAL AND ECONOMIC FACTORS INCLUDING: EDUCATION, EMPLOYMENT, INCOME, FAMILY AND SOCIAL SUPPORT, AND COMMUNITY SAFETY. IN THE SAME STUDY, ROCKCASTLE COUNTY WAS RANKED 61 OUT OF 120 COUNTIES BASED ON HEALTH BEHAVIORS INCLUDING: TOBACCO, DIET, ALCOHOL USE, AND HIGH RISK SEXUAL BEHAVIOR. ALSO IN THE SAME STUDY, ROCKCASTLE WAS RANKED 77 OF 120 COUNTIES BASED ON THE HEALTH FACTORS THAT INFLUENCE THE HEALTH OF THE COUNTY. ACCORDING TO THE FOUNDATION FOR HEALTHY KENTUCKY, ROCKCASTLE COUNTY IS HIGHER THAN THE STATE'S AVERAGE FOR PREVALENCE OF DIABETES (ROCKCASTLE 13%, KY 8%), BREAST CANCER DEATHS (ROCKCASTLE 28 DEATHS, KY 23 DEATHS), AND HEART DISEASE (ROCKCASTLE 270.5, KY 224.0). A 2007 ASSESSMENT ON THE HEALTH OF KENTUCKY FROM THE KENTUCKY INSTITUTE OF MEDICINE, RANKED ROCKCASTLE COUNTY 86 OF 120 COUNTIES. THE BIGGEST OUTLIERS WERE HIGH SMOKING RATES, HIGH OBESITY RATES, AND TOTAL CANCER DEATHS. PART VI, LINE 3: BEFORE ANY SERVICE IS PERFORMED, EACH PATIENT MUST REGISTER AT THE HOSPITAL. IF THE PATIENT DOES NOT HAVE INSURANCE, THE PATIENT IS PROVIDED A DISPROPORTIONATE SHARE HOSPITAL PROGRAM APPLICATION TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE DSH PROGRAM. PART VI, LINE 4: ACCORDING TO THE US CENSUS BUREAU REPORT FROM 2022, ROCKCASTLE CO, KY HAS A POPULATION OF 16,242 OF WHICH 51% ARE FEMALE AND 49% ARE MALE. 97.6% OF THE POPULATION IS CAUCASIAN. PER CAPITA INCOME IS $24,492 FROM 2017-2021. 19.6% OF THE POPULATION IS AGE 65 OR OLDER. APPROXIMATELY 21.3% OF THE POPULATION IS LIVING IN POVERTY. PART VI, LINE 5: THE ORGANIZATION'S HOSPITAL AND OTHER HEALTH CARE FACILITIES FURTHER ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY. THE ORGANIZATION HAS AN ACTIVE COMMUNITY BASED BOARD, PARTICIPATES IN VARIOUS HEALTH FAIRS, SUPPORTS THE ROCKCASTLE COUNTY CHAMBER OF COMMERCE AND THE ROCKCASTLE COUNTY KIWANIS. 1 SCHOLARSHIPS 6 6000 PART I, LINE 2: THE HOSPITAL AWARDS A SPECIAL SCHOLARSHIP TO QUALIFIED HIGH SCHOOL SENIORS WHO PLAN TO BECOME HEALTHCARE PROFESSIONALS IN THE FOLLOWING FIELDS: DIAGNOSTIC IMAGING, LABORATORY, MEDICINE, NURSING, OCCUPATIONAL THERAPY, PHYSICAL THERAPY, PHARMACY, RESPIRATORY THERAPY, OR SPEECH PATHOLOGY. THE SCHOLARSHIP IS AWARDED IN THE AMOUNT OF $1,000 AT THE BEGINNING OF THE STUDENTS' FRESHMEN YEAR OF COLLEGE. THE STUDENT IS THEN ELIGIBLE FOR $2,000 UPON ADMITTANCE INTO THE PARTICULAR HEALTH PROFESSION PROGRAM. THE STUDENT WILL BE CONSIDERED ELIGIBLE IF HE OR SHE HAS MAINTAINED A 3.0 GRADE-POINT AVERAGE ON A 4.0 SCALE AND AGREES TO COMPLETE 4 HOURS OF JOB SHADOWING EXPERIENCE AT ROCKCASTLE REGIONAL WITHIN SIX MONTHS OF AWARDS. 1 X X 0 0 0 0 0 0 0 0 0 DAVID S BULLOCK MD PHYSICIAN 560000 0 0 0 0 0 9150 0 918 0 570068 0 0 0 KAREN B SAYLOR MD PHYSICIAN 560000 0 0 0 0 0 3958 0 4039 0 567997 0 0 0 MICHAEL KEVIN ROWE MD PHYSICIAN 540000 0 0 0 0 0 9150 0 1352 0 550502 0 0 0 WILLIAM BAKHOS MD PHYSICIAN 425000 0 0 0 0 0 9150 0 675 0 434825 0 0 0 STEPHEN A ESTES CEO 395789 0 0 0 0 0 9088 0 5270 0 410147 0 0 0 MARY JOENBORG PHYSICIAN 396923 0 0 0 0 0 9150 0 333 0 406406 0 0 0 CHRISTOPHER NICHOLAS BASTIN CFO 210217 0 0 0 0 0 5204 0 161 0 215582 0 0 0 A COUNTY OF ROCKCASTLE KENTUCKY 610953696 77288PAW5 2015-06-01 7150000 REFUND THE COUNTY OF ROCKCASTLE KY MORTGAGE HOSPITAL REVENUE BOND 10/1/05 0 0 0 A 3345000 7150000 642744 2015 1 0 1 1 A 0 0 0 0 0 0 1 A 0 0 0 1 1 0 0 0 1 A 1 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED AND DISCUSSED BY MANAGEMENT AND AT A REGULAR BOARD MEETING ONCE THE RETURN IS COMPLETED. A COMPLETE COPY IS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO REVIEW THE CONFLICT OF INTEREST POLICY AND SIGN ANNUALLY. IF A CONFLICT EXISTS, THE PERSON INVOLVED IS REQUIRED TO RECUSE THEMSELVES FROM THE DISCUSSION AND VOTE. FORM 990, PART VI, SECTION B, LINE 15 THE OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE EVALUATED ANNUALLY BY THE BOARD WITH THE KHA (KENTUCKY HOSPITAL ASSOCIATION) ANNUAL SALARY SURVEY GUIDE PROVIDING GUIDANCE. FORM 990, PART VI, SECTION C, LINE 19 COPIES OF THE FORM 1023 AND FORMS 990/990T ARE KEPT IN THE BUSINESS OFFICE AND ANYONE REQUESTING ACCESS IS GIVEN A COPY. FORM 990, PART XII, LINE 2C THE HOSPITAL HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. ROCKCASTLE VENTURES INC P O BOX 279 MT VERNON KY 40456 611064744 MEDICAL CLINIC KY ROCKCASTLE HOSPITAL & RESPIRATORY CARE CENTER INC C -264770 635199 1.00000 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 ROCKCASTLE VENTURES INC D 428989 COST ROCKCASTLE VENTURES INC A 7680 COST