KINGS DAUGHTERS MEDICAL CENTER: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- KINGS DAUGHTERS MEDICAL CENTER (EIN 64-0333594)
- Tax period
- 2018-10-01 to 2019-09-30
- Filed
- 2020-08-13
- IRS object ID
- 202032269349302708
- Schema version
- 2018v3.2
- 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 O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-08-13T16:21:45-05:00 | ReturnTs |
| Tax Period End | 2019-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 201941244 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HORNE LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 661 SUNNYBROOK ROAD STE 100 | AddressLine1Txt |
| City | RIDGELAND | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 39157 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 640333594 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KINGS DAUGHTERS MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | KING | BusinessNameControlTxt |
| Phone | 6018336011 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 948 | AddressLine1Txt |
| City | BROOKHAVEN | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 396020948 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ALVIN HOOVER | PersonNm |
| Person Title | CHIEF EXECUTIVE OFFICER | PersonTitleTxt |
| Phone | 6018336011 | PhoneNum |
| Signature | 2020-08-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMIE T WHITTINGTON CPA | PreparerPersonNm |
| PTIN | P01082167 | PTIN |
| Phone | 6013261000 | PhoneNum |
| Preparation | 2020-08-07 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 23.126.208.57 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-08-07 | IPDt |
| IP Tm | 17:50:05 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | F5A93BD5C42AC6C5209EA7E4A5E5DD2DEBBFD90D | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-11-06 18:47:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ALVIN HOOVER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 427 HWY 51 NORTH | AddressLine1Txt |
| City | BROOKHAVEN | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 39601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $104,394,794 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | KDMC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1913 | FormationYr |
| Legal Domicile State | MS | LegalDomicileStateCd |
| Activity Or Mission | KINGS DAUGHTERS MEDICAL CENTER IS AN ACUTE CARE HOSPITAL LICENSED FOR 99 BEDS ENGAGED IN (AS STATED IN OUR MISSION STATEMENT) "PROVIDING QUALITY HEALTH AND WELLNESS SERVICES IN A CHRISTIAN ENVIRONMENT". | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 755 | TotalEmployeeCnt |
| Total Volunteers | 50 | TotalVolunteersCnt |
| Total Gross UBI | $738,624 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $180,000 | PYContributionsGrantsAmt |
| CY Contributions Grants | $311,714 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $101,704,067 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $101,810,649 | CYProgramServiceRevenueAmt |
| PY Investment Income | $286,025 | PYInvestmentIncomeAmt |
| CY Investment Income | $596,188 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,715,722 | PYOtherRevenueAmt |
| CY Other Revenue | $1,388,527 | CYOtherRevenueAmt |
| PY Total Revenue | $103,885,814 | PYTotalRevenueAmt |
| CY Total Revenue | $104,107,078 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $21,708 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,500 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $41,776,181 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $43,568,314 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $60,616,706 | PYOtherExpensesAmt |
| CY Other Expenses | $59,986,338 | CYOtherExpensesAmt |
| PY Total Expenses | $102,414,595 | PYTotalExpensesAmt |
| CY Total Expenses | $103,556,152 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,471,219 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $550,926 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $74,810,950 | TotalAssetsBOYAmt |
| Total Assets EOY | $74,947,660 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $20,116,331 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $19,704,928 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $54,694,619 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $55,242,732 | NetAssetsOrFundBalancesEOYAmt |
| Mission | KINGS DAUGHTERS MEDICAL CENTER IS AN ACUTE CARE HOSPITAL LICENSED FOR 99 BEDS AND ENGAGES IN (AS STATED IN OUR MISSION STATEMENT) "PROVIDING QUALITY HEALTH AND WELLNESS SERVICES IN A CHRISTIAN ENVIRONMENT". | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $87,352,282 | ExpenseAmt |
| Grant | $1,500 | GrantAmt |
| Revenue | $102,505,742 | RevenueAmt |
| Desc | INPATIENT CARE: DURING FY 2018, KINGS DAUGHTERS MEDICAL CENTER PROVIDED HEALTHCARE SERVICES TO ALL PERSONS SEEKING CARE. TOTAL ADMISSIONS- 2,507; PATIENT DAYS- 7,156; DELIVERED 723 BABIES; PERFORMED 5,902 SURGERIES; TREATED 24,195 EMERGENCY ROOM VISITS; 25,157 MEDICAL CLINIC VISITS; 25,887 PEDIATRIC CLINIC VISITS; 10,610 ORTHO CLINIC VISITS; 18,867 SPECIALTY CLINIC VISITS; 4,891 VISION CENTER VISITS AND PROVIDED CARE TO 66,131 OUTPATIENTS. CHARITY SERVICES PROVIDED AMOUNTED TO $3,524,715 WHILE UNCOLLECTIBLE ACCOUNTS APPROXIMATED $13,905,167. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $129,329 | ExpenseAmt |
| Desc | PATIENT EDUCATION: COMMUNITY EDUCATION AND HEALTH SCREENINGS EVENTS FOR CHILDBIRTH CLASSES, CPR, DIABETES MANAGEMENT, BLOOD PRESSURE SCREENINGS, AND OTHER HEALTH SCREENINGS WERE PROVIDED FREE OR AT MINIMAL COST. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $87,481,611 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 71 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 755 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MS | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALVIN HOOVER CEO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6018336011 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 427 HWY 51 NORTH | AddressLine1Txt |
| City | BROOKHAVEN | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 39601 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| ROBYN AKER | ||||||||
| BOARD CHAIRMAN | 5.00 | Yes (X) | $0 | $0 | $0 | |||
| SYLVIA CAMPBELL | ||||||||
| BOARD SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BILL JACOBS | ||||||||
| BOARD TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DR RICHARD RUSHING | ||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DR WORTH SIMMONS | ||||||||
| TRUSTEE | 40.00 | Yes (X) | $0 | $0 | $0 | |||
| SONYA KIMBLE | ||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BETSY SMITH | ||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| PAT SMITH | ||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL TANNER | ||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| KOREY WHITE | ||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARY LU REDD | ||||||||
| BOARD VICE CHAIRMAN | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DR BILL SONES | ||||||||
| CHIEF OF STAFF - NONVOTING - PART YEAR | 40.00 | Yes (X) | $5,000 | $0 | $0 | |||
| JOSHUA ILES | ||||||||
| CHIEF OF STAFF - NONVOTING - PART YEAR | 40.00 | Yes (X) | $367,250 | $0 | $30,204 | |||
| ALVIN HOOVER | ||||||||
| CEO | 40.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| TOM HOOD | ||||||||
| COO | 40.00 | $0 | $0 | $0 | Yes (X) | |||
| WENDELL WILKES | ||||||||
| CFO-PART YEAR | 40.00 | $0 | $0 | $0 | Yes (X) | |||
| CHERI BROOKS | ||||||||
| CNO | 40.00 | $184,634 | $0 | $26,099 | Yes (X) | |||
| JOHN TURBA MD | ||||||||
| SURGEON | 40.00 | $671,603 | $0 | $18,912 | Yes (X) | |||
| TIMOTHY SHANN | ||||||||
| MD | 40.00 | $370,210 | $0 | $29,399 | Yes (X) | |||
| C MITCH HOLLAND MD | ||||||||
| PEDIATRICIAN | 40.00 | $432,435 | $0 | $42,520 | Yes (X) | |||
| MARK BARRON MD | ||||||||
| ORTHOPAEDIC SURGEON | 40.00 | $686,104 | $0 | $14,478 | Yes (X) | |||
| JEFFREY D ROSS | ||||||||
| MD | 40.00 | $347,396 | $0 | $28,818 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,064,632 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $190,430 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 56 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| BROOKHAVEN ANESTHESIA AND PAIN MANAGEMEN | |||||
| PO BOX 948 | BROOKHAVEN | MS | 39601 | PAIN MANAGEMENT | $3,601,368 |
| QUORUM HEALTH RESOURCES | |||||
| 105 CONTINENTAL PLACE | BRENTWOOD | TN | 37027 | HEALTHCARE MANAGEMENT | $1,535,116 |
| SOUTH CENTRAL UROLOGY SERVICES PLLC | |||||
| PO BOX 92301 | CHICAGO | IL | 60675 | HEALTHCARE - UROLOGY | $1,221,750 |
| ATHENA | |||||
| 1105 E CHURCH STREET | CRYSTAL SPRINGS | MS | 39059 | CLINIC BILLING SERVICES | $667,241 |
| HEALOGICS WOUND CARE | |||||
| 28525 NETWORK PLACE | CHICAGO | IL | 60673 | WOUND CARE CLINIC MANAGEMENT | $467,656 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 40 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $150,000 | RelatedOrganizationsAmt |
| All Other Contributions | $161,714 | AllOtherContributionsAmt |
| Total Contributions | $311,714 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICES | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $101,810,649 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $101,810,649 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $101,810,649 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $577,094 | TotalRevenueColumnAmt |
| Exclusion | $577,094 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $292,508 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $287,716 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,792 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,792 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $49,982 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$45,190 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $19,094 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $19,094 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,094 | TotalRevenueColumnAmt |
| Exclusion | $19,094 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| OTHER | 900099 | $1,002,383 | $313,741 | $688,642 |
| CAFETERIA | 722210 | $369,248 | $369,248 | |
| PHYSICIAN SERVICES | 621110 | $6,666 | $6,666 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,438 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,438 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,383,735 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $104,107,078 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $102,505,742 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $738,624 | UnrelatedBusinessRevenueAmt |
| Exclusion | $550,998 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,500 | TotalAmt |
| Program Services | $1,500 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $556,884 | TotalAmt |
| Program Services | $367,250 | ProgramServicesAmt |
| Management And General | $189,634 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,788,963 | TotalAmt |
| Program Services | $32,180,878 | ProgramServicesAmt |
| Management And General | $4,608,085 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $963,713 | TotalAmt |
| Program Services | $841,651 | ProgramServicesAmt |
| Management And General | $122,062 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,652,576 | TotalAmt |
| Program Services | $1,953,947 | ProgramServicesAmt |
| Management And General | $698,629 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,606,178 | TotalAmt |
| Program Services | $2,130,164 | ProgramServicesAmt |
| Management And General | $476,014 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,910,632 | TotalAmt |
| Program Services | $710,890 | ProgramServicesAmt |
| Management And General | $1,199,742 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,846 | TotalAmt |
| Management And General | $46,846 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $103,360 | TotalAmt |
| Management And General | $103,360 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,649,755 | TotalAmt |
| Program Services | $6,649,755 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $602,988 | TotalAmt |
| Program Services | $11,744 | ProgramServicesAmt |
| Management And General | $591,244 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $809,905 | TotalAmt |
| Program Services | $801,463 | ProgramServicesAmt |
| Management And General | $8,442 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $159,404 | TotalAmt |
| Program Services | $89,447 | ProgramServicesAmt |
| Management And General | $69,957 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,179 | TotalAmt |
| Program Services | $34,781 | ProgramServicesAmt |
| Management And General | $32,398 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $384,090 | TotalAmt |
| Program Services | $384,090 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,884,948 | TotalAmt |
| Program Services | $3,884,948 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $564,521 | TotalAmt |
| Program Services | $216,741 | ProgramServicesAmt |
| Management And General | $347,780 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $15,742,359 | $15,363,176 | $379,183 |
| PROVISION FOR BAD DEBT | $13,905,167 | $13,905,167 | |
| PURCHASED SERVICES | $5,516,026 | $4,629,603 | $886,423 |
| PURCHASED LABOR | $3,072,048 | $817,385 | $2,254,663 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,567,110 | TotalAmt |
| Program Services | $2,507,031 | ProgramServicesAmt |
| Management And General | $4,060,079 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $103,556,152 | TotalAmt |
| Program Services | $87,481,611 | ProgramServicesAmt |
| Management And General | $16,074,541 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,175,249 | BOYAmt |
| EOY | $7,699,193 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,835,867 | BOYAmt |
| EOY | $9,430,799 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,976,164 | BOYAmt |
| EOY | $1,893,005 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $825,573 | BOYAmt |
| EOY | $774,000 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $99,745,479 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $58,771,233 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,145,607 | BOYAmt |
| EOY | $40,974,246 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,852,490 | BOYAmt |
| EOY | $14,176,417 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,810,950 | BOYAmt |
| EOY | $74,947,660 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,727,450 | BOYAmt |
| EOY | $8,655,612 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,186,401 | BOYAmt |
| EOY | $6,950,858 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,202,480 | BOYAmt |
| EOY | $3,846,126 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $252,332 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,116,331 | BOYAmt |
| EOY | $19,704,928 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,694,619 | BOYAmt |
| EOY | $55,242,732 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,694,619 | BOYAmt |
| EOY | $55,242,732 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,810,950 | BOYAmt |
| EOY | $74,947,660 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $550,926 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$2,813 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $10,399 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $10,399 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | KING'S DAUGHTER MEDICAL CENTER PAYS DUES TO MISSISSIPPI HOSPITAL ASSOCIATION TOTALING $58,955, OF WHICH 14.59% ($8,601) IS ATTRIBUTABLE TO LOBBYING AND TO THE AMERICAN HOSPITAL ASSOCIATION TOTALING $7,909, OF WHICH 22.73% ($1,798) IS ATTRIBUTABLE TO LOBBYING. TOTAL DUES ATTRIBUTABLE TO LOBBYING ACTIVITIES IS $10,399. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,302,370 | OtherCostOrOtherBasisAmt |
| Book Value | $5,302,370 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $49,609,853 | OtherCostOrOtherBasisAmt |
| Depreciation | $24,642,587 | DepreciationAmt |
| Book Value | $24,967,266 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $44,554,905 | OtherCostOrOtherBasisAmt |
| Depreciation | $34,126,552 | DepreciationAmt |
| Book Value | $10,428,353 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $278,351 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,094 | DepreciationAmt |
| Book Value | $276,257 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $40,974,246 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ASSETS LIMITED AS TO USE - NONCURRENT | $13,180,828 |
| OTHER ASSETS | $995,589 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $14,176,417 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO THIRD PARTY | Desc |
| Amt | $252,332 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $252,332 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $90,265,217 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$2,813 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$13,617,451 | OtherRevenueAmt |
| Revenue Not Reported | -$13,620,264 | RevenueNotReportedAmt |
| Revenue Subtotal | $103,885,481 | RevenueSubtotalAmt |
| Other Revenues Not Included | $221,597 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $221,597 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $104,107,078 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $89,714,291 | TotExpnsEtcAuditedFinclStmtAmt |
| Losses Reported | -$2,813 | LossesReportedAmt |
| Other Expenses Included | $287,716 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $284,903 | ExpensesNotReportedAmt |
| Expenses Subtotal | $89,429,388 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $14,126,764 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $14,126,764 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $103,556,152 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 287,716. PROVISION FOR BAD DEBTS -13,905,167. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | REVENUE CLASSIFIED AS EXPENSE ON FORM 990 221,597. ROUNDING |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 287,716. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | REVENUE CLASSIFIED AS EXPENSE ON FORM 990 221,597. PROVISON FOR BAD DEBTS 13,905,167. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent250 | Yes (X) | Percent250Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,129,002 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,129,002 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01260 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,124,018 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,958,345 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,253,020 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,958,345 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,129,002 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01260 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $87,023 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $87,023 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $38,733 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $38,733 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $125,756 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $125,756 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,378,776 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,958,345 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,254,758 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01400 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $13,905,167 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $5,562,067 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $23,445,474 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $21,476,740 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $1,968,734 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KING'S DAUGHTERS MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 427 HWY 51 N | AddressLine1Txt |
| City | BROOKHAVEN | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 39602 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KING'S DAUGHTER MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 17 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://KDMC.ORG/KDMC/ASSETS/FILE/2018_COMMUNITY_HEALTH_NEEDS_ASSESSMENT_11 | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 17 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://KDMC.ORG/KDMC/ASSETS/FILE/2018_CHNA_IMPLEMENTATION.PDF | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 250.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTP://KDMC.ORG/INDEX.CFM/LINKSERVID/30BF903E-155D-D235-07F0C4A3E53A3FF8/SH | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTP://KDMC.ORG/INDEX.CFM/LINKSERVID/30CA95B9-155D-D235-071A3A990A3AA6D7/SH | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://KDMC.ORG/PATIENTS-AND-VISITORS/PATIENT-FINANCIAL-RESOURCE/OVERVIEW/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Permit Legal Judicial Process | Yes (X) | PermitLegalJudicialProcessInd |
| Collection Activities | Yes (1) | CollectionActivitiesInd |
| Reporting To Credit Agency | Yes (X) | ReportingToCreditAgencyInd |
| Engaged Legal Judicial Process | Yes (X) | EngagedLegalJudicialProcessInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| KING'S DAUGHTER MEDICAL CENTER | PART V, SECTION B, LINE 5: AS A PART OF THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT, COMMUNITY INPUT WAS OBTAINED THROUGH VARIOUS PRIMARY SOURCES INCLUDING HEALTHCARE PROFESSIONALS, FOCUS GROUPS WITH SENIOR CITIZENS, LOCAL HEALTH DEPARTMENT REPRESENTATIVES, SCHOOL HEALTH NURSES, REPRESENTATIVES FROM UNDERSERVED POPULATIONS, SOCIAL WORKERS, AND OTHER COMMUNITY REPRESENTATIVES THAT HAVE A BROAD UNDERSTANDING OF THE COMMUNITY'S NEEDS.THE COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE ACCESSED AT: HTTPS://KDMC.ORG/KDMC/ASSETS/FILE/2018_COMMUNITY_HEALTH_NEEDS_ASSESSMENT_11-16-18.PDFTHE IMPLEMENTATION STRATEGY CAN BE ACCESSED AT:HTTPS://KDMC.ORG/KDMC/ASSETS/FILE/2018_CHNA_IMPLEMENTATION.PDF |
| KING'S DAUGHTER MEDICAL CENTER | PART V, SECTION B, LINE 11: KDMC ADDRESSED ALL SIGNIFICANT NEEDS DURING THE RECENT CHNA. THERE WERE, HOWEVER, SOME IDENTIFIED NEEDS THAT WERE NOT ADDRESSED DURING THE CHNA PROCESS WHICH INCLUDED TRANSPORTATION, CRIME, AND THE LACK OF PARENTAL INVOLVEMENT. KDMC DID NOT ADDRESS TRANSPORTATION DUE TO THE SERVICES THAT ARE CURRENTLY AVAILABLE IN THE AREA SUCH AS THE STATE MEDICAID TRANSPORTATION SERVICE. FURTHERMORE, KDMC'S EMS SERVICE PROVIDES TRANSPORTATION HOME AT NO CHARGE FOR THE INDIGENT, AND KDMC INTERACTS WITH LOCAL CHURCHES TO PROVIDE ASSISTANCE IN PATIENT TRANSPORTS. THE OTHER IDENTIFIED NEEDS OF CRIME AND THE LACK OF PARENTAL INVOLVEMENT WERE NOT ADDRESSED BY KDMC DUE TO A LACK OF EXPERTISE AND RESOURCES TO ADEQUATELY IMPACT THE COMMUNITY.THE COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE ACCESSED AT: HTTPS://KDMC.ORG/KDMC/ASSETS/FILE/2018_COMMUNITY_HEALTH_NEEDS_ASSESSMENT_11-16-18.PDFTHE IMPLEMENTATION STRATEGY CAN BE ACCESSED AT:HTTPS://KDMC.ORG/KDMC/ASSETS/FILE/2018_CHNA_IMPLEMENTATION.PDF |
| KING'S DAUGHTER MEDICAL CENTER | PART V, SECTION B, LINE 16J: FINANCIAL BROCHURES ARE GIVEN OUT TO EACH PATIENT AT REGISTRATION. THE BROCHURES ARE PLACED IN THE WAITING ROOMS, AT PHYSICIAN OFFICES AND GIVEN OUT TO THE COMMUNITY THRU CHURCHES, SERVICE ORGANIZATIONS, AND EMPLOYEES TAKING TO FRIENDS. FINANCIAL COUNSELING IS PROVIDED UPON REGISTRATION AND/OR DISCHARGE. A MESSAGE IS ON STATEMENTS AND LETTERS LETTING PATIENTS KNOW WHERE TO CALL TO GET FINANCIAL ASSISTANCE INFORMATION. SIGNS ARE POSTED AT ALL REGISTRATION AREAS AND WAITING ROOMS TELLING PATIENTS, VISITORS, ETC. WHERE TO CALL FOR FINANCIAL ASSISTANCE.THE FAP CAN BE ACCESSED AT: HTTPS://KDMC.ORG/PATIENTS-AND-VISITORS/PATIENT-FINANCIAL-RESOURCE/FINANCIAL-ASSISTANCE-PROGRAM/THE FAP APPLICATION CAN BE ACCESSED AT:HTTPS://KDMC.ORG/PATIENTS-AND-VISITORS/PATIENT-FINANCIAL-RESOURCE/FINANCIAL-ASSISTANCE-APPLICATION-KDMC-BROOKHAVEN-MS/THE FAP PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT:HTTPS://KDMC.ORG/PATIENTS-AND-VISITORS/PATIENT-FINANCIAL-RESOURCE/OVERVIEW/ |
| KING'S DAUGHTER MEDICAL CENTER | PART V, SECTION B, LINE 20E: ALL PATIENTS ARE ASKED AT TIME OF REGISTRATION IF THEY ARE INTERESTED IN FILLING OUT A FINANCIAL ASSISTANCE APPLICATION. THEY EACH FILL OUT AN APPLICATION ACCORDING TO SIZE OF FAMILY, INCOME AND ANY OTHER INFORMATION REQUIRED. A LETTER IS SENT OUT TELLING THE PERSON IF THEY QUALIFY OR NOT OR IF ANY FURTHER INFORMATION IS NEEDED. A LETTER GOES OUT AT 240 DAYS TO INFORM THEM THAT THE TIME FOR QUALIFYING IS AT AN END. NO ONE IS TURNED OUT TO COLLECTIONS UNTIL A TIME OF 121 DAYS HAVE PASSED. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 6 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - KDMC PEDIATRIC ADOLESCENT CLINIC | ||||
| 509 BROOKMAN DRIVE | BROOKHAVEN | MS | 396012326 | PEDIATRIC CLINIC |
| 2 - KDMC ORTHOPEDIC & SPORTS MEDICINE CLINIC | ||||
| 601 BROOKMAN DRIVE | BROOKHAVEN | MS | 39601 | ORTHOPEDIC CLINIC |
| 3 - KING'S DAUGHTERS MEDICAL CLINIC | ||||
| 950 BROOKWAY BOULEVARD | BROOKHAVEN | MS | 39601 | MEDICAL CLINIC |
| 4 - KDMC SPECIALTY CLINIC | ||||
| 940 BROOKWAY BLVD | BROOKHAVEN | MS | 39601 | SPECIALTY CLINIC |
| 5 - KDMC VISION CENTER | ||||
| 624 HIGHWAY 51 N | BROOKHAVEN | MS | 39601 | VISION CENTER |
| 6 - BEHAVIORAL WELLNESS CENTER | ||||
| 439 NORTH JACKSON ST SUITE D | BROOKHAVEN | MS | 39601 | BEHAVIORAL WELLNESS |
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | MEDICARE COST-TO-CHARGE RATIO ONLY. |
| 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 $ 13,905,167. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | KDMC ENCOURAGES ALL MANAGERS TO PARTICIPATE IN AREA SERVICE ORGANIZATIONS IN ORDER TO PROVIDE COMMUNITY ACCESS POINTS AND TO SOLICIT ADDITIONAL SUGGESTIONS FOR IMPROVING OUR SERVICE TO THE COMMUNITY AND PROVIDE FOR UNMET NEEDS. KDMC SPONSORS AND ENCOURAGES STAFF TO PARTICIPATE IN A VARIETY OF COMMUNITY EVENTS - RELAY FOR LIFE, EXCHANGE CLUB FAIR, THINK PINK EVENTS, ETC. |
| PART III, LINE 4: | BAD DEBT EXPENSE IS REPORTED AS AMOUNT ON AUDITED FINANCIAL STATEMENTS. BAD DEBT THAT WOULD HAVE QUALIFIED FOR CHARITY CARE, IF FINANCIAL INFORMATION WAS AVAILABLE TO VERIFY, IS ESTIMATED AT 40%. PER NOTE 1 OF THE FINANCIAL STATEMENTS, PATIENT ACCOUNTS RECEIVABLE ARE REPORTED AT NET REALIZABLE VALUE. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE MEDICAL CENTER ANALYZES ITS HISTORICAL EXPERIENCE AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE MEDICAL CENTER ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE MEDICAL CENTER RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.THE MEDICAL CENTER'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS WAS 93.0 PERCENT AND 90.0 PERCENT OF SELF-PAY ACCOUNTS RECEIVABLE AT SEPTEMBER 30, 2019 AND 2018, RESPECTIVELY.IT IS THE POLICY OF KDMC TO PROVIDE CHARITY ADJUSTMENT RELIEF TO ALL PERSONS THAT HAVE A DOCUMENTED NEED FOR CHARITY CONSIDERATION. WE ATTEMPT, WITH EACH CONTACT TO COLLECT FROM THOSE PATIENTS WHO EXPRESS DIFFICULTY IN PAYING THEIR OBLIGATION, TO ACQUIRE DOCUMENTATION THAT WILL ALLOW US TO VERIFY THAT THEY DO, IN FACT, QUALIFY FOR CHARITY. MOST OF THESE PATIENTS WILL NOT PROVIDE ANY DOCUMENTATION THAT WILL ALLOW THAT DETERMINATION TO BE MADE. WE RESEARCH MANY OF THESE ACCOUNTS NOTING THAT THE PATIENT IS NOT EMPLOYED AND, BASED ON THAT DETERMINATION, FEEL THAT AT LEAST 40% OF OUR BAD DEBTS COULD BE CLASSIFIED AS CHARITY IF WE COULD PERSUADE THE PATIENT TO COMPLETE THE CHARITY APPLICATION AND SUBMIT SOME MINIMAL DOCUMENTATION. IT IS OUR OPINION THAT MOST OF THESE PATIENTS ARE NOT SUBMITTING APPLICATIONS OR DOCUMENTATION BECAUSE THEY ARE AWARE THAT, DUE TO THEIR LACK OF EMPLOYMENT AND/OR SIGNIFICANT ASSETS, WE WILL HAVE NO LEGAL RECOURSE FOR COLLECTING THE BALANCE DUE.IN FEBRUARY 2013 THE CHARITY POLICY WAS UPDATED TO ALLOW ACCOUNTS TO BE CLASSIFIED AS CHARITY BASED ON THE NEW SOFTWARE THAT WAS INSTALLED. THIS SOFTWARE HELPS TO IDENTIFY PATIENTS WHO MAY QUALIFY FOR ASSISTANCE. WHEN WE UPDATED THE POLICY TO ALLOW THE HOSPITAL TO TAKE A SIGNED AFFIDAVIT FOR THOSE PEOPLE WHO DO NOT WORK AND DO NOT FILE INCOME TAX IT HAS SHOWN TO QUALIFY MANY MORE PATIENTS WHO WOULD NOT OR COULD NOT BRING THE REQUIRED FINANCIAL INFORMATION BACK TO THE FACILITY. THIS IS DONE AT TIME OF SERVICE SINCE MANY OF OUR PATIENTS DO NOT HAVE THE RESOURCES TO PAY. WE HAVE BEGUN A PROGRAM TO EDUCATE THE COMMUNITY BY PUTTING THE FINANCIAL ASSISTANCE APPLICATION ON OUR WEBSITE, NOTICES OF OUR PROGRAM IN THE NEWSPAPER AND WITH OTHER COMMUNITY PROGRAMS SUCH AS OUT REACH MINISTRIES AND LOCAL CHURCHES. SIGNS ARE POSTED IN DIFFERENT AREAS OF THE FACILITY AND PAMPHLETS ARE AVAILABLE TO THE PUBLIC. |
| PART III, LINE 9B: | THE HOSPITAL PROVIDES SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES TO PATIENTS WHO MEET THE CRITERIA OF ITS CHARITY CARE POLICY. THE CRITERIA FOR CHARITY CARE CONSIDERS ITEMS SUCH AS FAMILY INCOME, NET WORTH, EXTENT OF FINANCIAL OBLIGATIONS FOR HEALTHCARE SERVICES, ETC. THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY FOR CHARITY CARE. COLLECTION PRACTICES FOR NON-CHARITY PATIENTS INCLUDES LETTERS, PHONE CALLS AND OTHER FOLLOW-UP EFFORTS. GUARANTORS WITH JOBS OR ASSETS ARE PURSUED IN JUSTICE OR CIRCUIT COURT WITH JUDGEMENTS AND GARNISHMENTS WHEN REQUIRED. |
| PART VI, LINE 2: | SURVEYS ARE CONDUCTED ON ALL DISCHARGED PATIENTS INCLUDING QUESTIONS SOLICITING FEEDBACK FROM THEM ON ADDITIONAL NEEDS NOT BEING MET BY THE HOSPITAL. CONSULTANTS ARE UTILIZED TO PROVIDE PHYSICIAN NEEDS ASSESSMENTS IN THE SERVICE AREA BASED ON DEMOGRAPHICS AND OTHER PERTINENT INFORMATION.THE COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE ACCESSED AT: HTTPS://KDMC.ORG/KDMC/ASSETS/FILE/2018_COMMUNITY_HEALTH_NEEDS_ASSESSMENT_11-16-18.PDFTHE IMPLEMENTATION STRATEGY CAN BE ACCESSED AT:HTTPS://KDMC.ORG/KDMC/ASSETS/FILE/2018_CHNA_IMPLEMENTATION.PDF |
| PART VI, LINE 3: | NOTICES RELATED TO FINANCIAL ASSISTANCE ARE POSTED IN ALL ADMISSION AREAS. A MASH (MEDICAL ASSISTANCE SERVICES FOR HEALTHCARE) COORDINATOR IS ON SITE DURING REGULAR BUSINESS HOURS TO ASSIST SELF-PAY PATIENTS IN DETERMINING THEIR ELIGIBILITY FOR GOVERNMENT ASSISTANCE AND HELP IS PROVIDED IN GETTING QUALIFIED. PATIENT ACCOUNT REPS AND COLLECTIONS STAFF ASSIST ALL PATIENTS WITH REFERRALS. |
| PART VI, LINE 4: | THE HOSPITAL SERVES ALL PERSONS WITHIN OUR SERVICE AREA, PRIMARILY LINCOLN COUNTY, BUT INCLUDING THE SURROUNDING AREAS IN FRANKLIN, LAWRENCE, COPIAH AND PIKE COUNTIES. KDMC IS THE ONLY HOSPITAL IN LINCOLN COUNTY. THE SURROUNDING COUNTIES HAVE COUNTY OWNED HOSPITAL FACILITIES WHOSE SERVICES ARE NOT AS COMPREHENSIVE AS KDMC. |
| PART VI, LINE 5: | 1) KDMC'S GOVERNING BOARD IS SELECTED BY THE WILLING HEARTS CIRCLE, A SELF-PERPETUATING GROUP OF INTERESTED COMMUNITY LEADERS, NONE OF WHICH ARE EMPLOYEES, CONTRACTORS OR FAMILY MEMBERS THEREOF AND CONSISTS OF WHC MEMBERS AND AREA BUSINESS LEADERS. 2) KDMC EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY WHO REQUEST SUCH MEMBERSHIP. 3) KDMC IS A NOT-FOR-PROFIT ORGANIZATION THAT REINVESTS ALL SURPLUS FUNDS TO NEW EQUIPMENT AND FACILITIES. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL'S ONLY GRANTS ARE SCHOLARSHIPS. THE HOSPITAL MONITORS THE GRANT FUNDS, AS FOLLOWS. EACH CHECK REQUEST INCLUDES COPY OF ORIGINAL SCHOLARSHIP AGREEMENT AND RECEIPTS THAT ARE APPLICABLE TO THAT PARTICULAR CHECK REQUEST. IN ADDITION, HR MAINTAINS AN EXCEL SPREADSHEET THAT INDICATES HOW MUCH IS PAID EACH SEMESTER TO EACH STUDENT, KEPT IN YEARS OF EXPECTED GRADUATION FORMAT. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOSHUA ILES | ||||||||||||||
| CHIEF OF STAFF - NONVOTING - PART YE | $367,250 | $0 | $0 | $0 | $0 | $0 | $13,250 | $0 | $16,954 | $0 | $397,454 | $0 | $0 | $0 |
| CHERI BROOKS | ||||||||||||||
| CNO | $184,634 | $0 | $0 | $0 | $0 | $0 | $8,987 | $0 | $17,112 | $0 | $210,733 | $0 | $0 | $0 |
| JOHN TURBA MD | ||||||||||||||
| SURGEON | $671,603 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $18,912 | $0 | $690,515 | $0 | $0 | $0 |
| TIMOTHY SHANN | ||||||||||||||
| MD | $370,210 | $0 | $0 | $0 | $0 | $0 | $7,950 | $0 | $21,449 | $0 | $399,609 | $0 | $0 | $0 |
| C MITCH HOLLAND MD | ||||||||||||||
| PEDIATRICIAN | $432,435 | $0 | $0 | $0 | $0 | $0 | $20,251 | $0 | $22,269 | $0 | $474,955 | $0 | $0 | $0 |
| MARK BARRON MD | ||||||||||||||
| ORTHOPAEDIC SURGEON | $686,104 | $0 | $0 | $0 | $0 | $0 | $7,950 | $0 | $6,528 | $0 | $700,582 | $0 | $0 | $0 |
| JEFFREY D ROSS | ||||||||||||||
| MD | $347,396 | $0 | $0 | $0 | $0 | $0 | $12,587 | $0 | $16,231 | $0 | $376,214 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LINCOLN COUNTY MISSISSIPPI | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 646000622 | BondIssuerEIN |
| Bond Issued | 2009-01-29 | BondIssuedDt |
| Issue Price | $9,000,000 | IssuePriceAmt |
| Purpose | EXPANSION AND RENOVATION OF ICU AND ER | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $9,000,000 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $40,279 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $8,959,721 | CapitalExpendituresAmt |
| Substantial Completion | 2009 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | 0 | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | QUORUM HEALTH RESOURCES HAS PROVIDED MANAGEMENT SERVICES TO KDMC SINCE 1991. THE BOARD FELT THAT A NATIONAL HEALTHCARE MANAGEMENT FIRM WOULD BE BETTER EQUIPPED TO PROVIDE/SUGGEST INDIVIDUALS FOR LEADERSHIP POSITIONS FOR THE HOSPITAL AND TO PROVIDE EXPERT GUIDANCE IN DEALING WITH THE MANY AND EVER CHANGING CHALLENGES FACING HEALTHCARE PROVIDERS IN TODAY'S ENVIRONMENT. ALVIN HOOVER IS THE CEO OF KINGS DAUGHTERS MEDICAL CENTER; HOWEVER HIS SALARY IS PAID BY QUORUM HEALTH RESOURCES. QUORUM CONTRACTS HOOVER OUT AS A CEO AND THEN THE MEDICAL CENTER PAYS QUORUM FOR HIS WORK. IN TURN, HOOVER IS PAID BY QUORUM. DURING FYE 2019, HOOVER WAS PAID $490,710.41 IN SALARY, TAXES,BENEFITS, ETC BY QUORUM FOR THE WORK HE DID FOR THE MEDICAL CENTER. THIS AMOUNT IS A PART OF THE TOTAL FEES PAID TO QUORUM, AS REPORTED ON PART VII, SECTION B. WENDELL WILKES IS THE PART YEAR CFO OF KINGS DAUGHTERS MEDICAL CENTER; HOWEVER HIS SALARY IS PAID BY QUORUM HEALTH RESOURCES. QUORUM CONTRACTS WILKES OUT AS A CFO AND THEN THE MEDICAL CENTER PAYS QUORUM FOR HIS WORK. IN TURN, WILKES IS PAID BY QUORUM. DURING FYE 2019, WILKES WAS PAID $264,982.39 IN SALARY, TAXES, BENEFITS, ETC BY QUORUM FOR THE WORK HE DID FOR THE MEDICAL CENTER. THIS AMOUNT IS A PART OF THE TOTAL FEES PAID TO QUORUM, AS REPORTED PART VII, SECTION B. TOM HOOD IS THE COO OF KINGS DAUGHTERS MEDICAL CENTER; HOWEVER HIS SALARY IS PAID BY QUORUM HEALTH RESOURCES. QUORUM CONTRACTS HOOD OUT AS A COO AND THEN THE MEDICAL CENTER PAYS QUORUM FOR HIS WORK. IN TURN, HOOD IS PAID BY QUORUM. DURING FYE 2019, HOOD WAS PAID $322,861.56 IN SALARY, TAXES,BENEFITS, ETC BY QUORUM FOR THE WORK HE DID FOR THE MEDICAL CENTER. THIS AMOUNT IS A PART OF THE TOTAL FEES PAID TO QUORUM, AS REPORTED ON PART VII, SECTION B. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS REVIEWED WITH THE FINANCE COMMITTEE OF THE BOARD AND MADE AVAILABLE TO ALL BOARD MEMBERS AT THE NEXT SCHEDULED MEETING OF EACH GROUP AS SOON AS THE COMPLETED 990 IS PREPARED. |
| FORM 990, PART VI, SECTION B, LINE 12C | KDMC MAINTAINS CURRENT LISTINGS OF EMPLOYEES AND DIRECTORS WHICH ARE REVIEWED BY MANAGEMENT UPON CONTRACTING FOR GOODS OR SERVICES TO ASSURE THAT NO CONFLICTS EXIST OR OCCUR. ALL CONTRACTS FOR GREATER THAN $25,000 TOTAL VALUE OR OF A DURATION OF 3 YEARS OR MORE REQUIRE BOARD APPROVAL. THE BOARD REVIEWS ALL SUCH CONTRACTS TO ASSURE THAT NO CONFLICTS EXIST. |
| FORM 990, PART VI, SECTION B, LINE 15 | QUORUM HEALTH RESOURCES RECOMMENDS COMPENSATION FOR THEIR EMPLOYEES (CEO, COO AND CFO) BASED ON THEIR NATIONWIDE EXPERIENCE IN PROVIDING SIMILAR SERVICES AND COMPENSATION PACKAGES FOR THEIR EMPLOYEES. THE KDMC BOARD APPROVES THOSE COMPENSATION ARRANGEMENTS EACH YEAR. ALL EMPLOYEES ARE EVALUATED ANNUALLY. RANGES FOR JOB CLASSIFICATIONS ARE SET USING MHA BI-ANNUAL SALARY SURVEYS OF OVER 35 MISSISSIPPI HOSPITALS. SALARY GRADES AND RANGES ARE REVIEWED ANNUALLY DURING THE BUDGET PROCESS AND ADJUSTED AS NEEDED FOLLOWING DISCUSSIONS WITH SENIOR MANAGEMENT AND APPROVAL BY THE BOARD. |
| FORM 990, PART VI, SECTION C, LINE 19 | KDMC PROVIDES COPIES OF ANY DOCUMENT NOT PROTECTED BY PRIVACY LAWS OR CONFIDENTIALITY AGREEMENTS TO ANY PARTIES WHO REQUEST SUCH DOCUMENTS BY ASKING AT THE SWITCHBOARD/RECEPTION DESK OR FROM ADMINISTRATION. |
| FORM 990, PART XII, LINE 2C | THE SELECTION AND OVERSIGHT OF THE INDEPENDENT AUDITOR HAS NOT CHANGED FROM PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KDMC PHYSICIAN CLINICS LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 948 | AddressLine1Txt |
| City | BROOKHAVEN | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 396020948 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 461590861 | EIN |
| Primary Activities | BILLING | PrimaryActivitiesTxt |
| Legal Domicile State | MS | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KINGS DAUGHTER MEDICAL CENTER | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KING'S DAUGHTER FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 948 | AddressLine1Txt |
| City | BROOKHAVEN | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 396020948 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 621373067 | EIN |
| Primary Activities | FUNDRAISING | PrimaryActivitiesTxt |
| Legal Domicile State | MS | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | 509(A)(3)(1) | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KING'S DAUGHTERS MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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