2024-08-15T14:16:24-05:00 2023-09-30 351178661 BLUE & CO LLC 2650 EASTPOINT PKWY SUITE 300 LOUISVILLE KY 40223 990 2022-10-01 610420440 HARRISON MEMORIAL HOSPITAL INC HARR 8592353502 1210 KY HWY 36 EAST CYNTHIANA KY 41031 KATHY TUSSEY CEO CEO 8592353502 2024-08-15 1 0 EMILIE M KNIERIEM CPA P01330194 5029923500 2024-08-15 2022 2024-08-08 14:25:15Z KATHY TUSSEY 1210 KY HWY 36 EAST CYNTHIANA KY 41031 87625794 0 X HARRISONMEMHOSP.COM X 1906 KY HARRISON MEMORIAL HOSPITAL EXISTS FOR THE PURPOSE OF PROVIDING HIGH QUALITY HEALTH AND MEDICAL CARE SERVICES TO THE PEOPLE OF HARRISON AND SURROUNDING COUNTIES OF OUT REGION WITHIN THE CAPABILITIES OF OUR RESOURCES. IN FULFILLING THIS MISSION, WE STRIVE FOR EXCELLENCE IN: THE CARE WE DELIVER; IN PATIENT SAFETY; IN THE FACILITIES WE PROVIDE; IN THE RECRUITMENT, RETENTION, AND DEVELOPMENT OF DEDICATED PHYSICIANS AND PERSONNEL; IN FACILITATING, COORDINATING AND PROVIDING ACCESS TO GENERAL AND SPECIALIZED HEALTH SERVICES THROUGH OUR OWN RESOURCES AND IN COLLABORATION WITH THE RESOURCES OF OTHERS. 10 9 670 9 0 0 4947136 574837 67267319 84028168 39669 81810 1564749 2863316 73818873 87548131 22250 87040 0 0 38576504 41623755 0 0 0 34458082 41577707 73056836 83288502 762037 4259629 73787957 81037572 45489452 47437387 28298505 33600185 X HARRISON MEMORIAL HOSPITAL EXISTS FOR THE PURPOSE OF PROVIDING HIGH QUALITY HEALTH AND MEDICAL CARE SERVICES TO THE PEOPLE OF HARRISON AND SURROUNDING COUNTIES OF OUT REGION WITHIN THE CAPABILITIES OF OUR RESOURCES. IN FULFILLING THIS MISSION, WE STRIVE FOR EXCELLENCE IN: THE CARE WE DELIVER; IN PATIENT SAFETY; IN THE FACILITIES WE PROVIDE; IN THE RECRUITMENT, RETENTION, AND DEVELOPMENT OF DEDICATED PHYSICIANS AND PERSONNEL; IN FACILITATING, COORDINATING AND PROVIDING ACCESS TO GENERAL AND SPECIALIZED HEALTH SERVICES THROUGH OUR OWN RESOURCES AND IN COLLABORATION WITH THE RESOURCES OF OTHERS. 0 0 74648156 87040 86891484 THE HOSPITAL PROVIDED HEALTHCARE TO 1,226 IN-PATIENTS, 194 NURSERY PATIENTS, AND 162,398 OUT-PATIENTS. THE HOSPITAL HAS A HIGH VOLUME OF MEDICARE AND MEDICAID PATIENTS. THE HOSPITAL TREATS ALL PATIENTS REGARDLESS OF ABILITY TO PAY. HARRISON MEMORIAL HOSPITAL PROVIDED APPROXIMATELY $1,240,388 OF CHARITY CARE AT COST. 74648156 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 139 0 1 670 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 9 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 KY X THE ORGANIZATION 8592353502 1210 KY HWY 36 EAST CYNTHIANA KY 41031 DR MATTHEW K SHOTWELL CARDIOLOGY PHYSICIAN 40.00 X 2033524 0 35751 DR SRINADH ANNANGI PULMONOLOGY PHYSICIAN 40.00 X 505164 0 26639 DR MARIA ALEJAN PAVEZ NEUROLOGY PHYSICIAN 40.00 X 464018 0 53209 DR MADAN MOHAN REDDY ORTHOPEDIC PHYSICIAN 40.00 X 449665 0 14690 DR BAL KRI SRIVASTAVA CARDIOLOGY PHYSICIAN 40.00 X 420499 0 12200 DR STEPHEN TOADVINE CEO/SECRETARY 40.00 0.50 X 350473 0 51755 TODD BRADEN REID MD CHIEF OF STAFF 40.00 X 301620 0 17762 PEGGY LAIR CFO/TREASURER 40.00 0.50 X 166730 0 22986 TRACI TAYLOR CNO (END 10/22) 40.00 X 164696 0 22544 KATHY TUSSEY COO 40.00 X 85833 0 17773 HARLAND HATTER CHAIRMAN 1.00 X 0 0 0 WAYNE CONNOR CHAIRMAN-ELECT 1.00 X 0 0 0 JACQUELINE BURRELL DIRECTOR 1.00 X 0 0 0 PATRICK PHILLIPS DIRECTOR 1.00 X 0 0 0 GREGORY WILLS DIRECTOR 1.00 X 0 0 0 PATRICK DARNELL DIRECTOR 1.00 0.50 X 0 0 0 MARIBETH MIDDEN DIRECTOR 1.00 X 0 0 0 JANELLE GARDENER-COX DIRECTOR (BEG 01/23) 1.00 X 0 0 0 ANGELA GRAY DIRECTOR (BEG 01/23) 1.00 X 0 0 0 ALEX BARNETT DIRECTOR (END 12/22) 1.00 X 0 0 0 JAMES SMITH DIRECTOR (END 12/22) 1.00 X 0 0 0 DR BRIAN MULBERRY CHIEF OF STAFF (END 12/22) 1.00 X 0 0 0 4942222 0 275309 40 0 1 0 COMMUNITY ANESTHESIA OF THE BLUEGRASS 1210 KY HIGHWAY 36 EAST CYNTHIANA KY 41031 NURSE ANESTHESIA SERVICES 1362000 MEDYCUS 102 REDDING ROAD GEORGETOWN KY 40324 ER PHYSICIAN STAFFING 1001000 NEW LEXINGTON CLINIC LLC 12221 S BROADWAY LEXINGTON KY 40504 GASTRO AND ENT SERVICES 571300 CHRISTY SAPP M D 775 WATCH POING DRIVE CINCINNATI OH 45230 ONCOLOGY PHYSICIAN SERVICES 360000 ORTHO KENTUCKY PLLC 216 FOUNTAIN COURT STE 250 LEXINGTON KY 40509 ORTHO SERVICES 337880 12 333050 241787 574837 NET PATIENT REVENUE 621999 83616798 83616798 340B PHARMACY REVENUE 621399 873165 873165 NET RESIDENTIAL RENTAL FEES 623990 -461795 -461795 84028168 56810 56810 25000 0 25000 25000 25000 695202 77663 617539 617539 KIDTOWN CHILD CARE FEES 624410 903445 903445 CAFETERIA REVENUE 722310 428951 428951 PURCHASE DISCOUNTS/SUBSIDY 900099 339147 339147 574234 574234 2245777 87548131 86891484 0 81810 X 75000 75000 12040 12040 1116444 1009637 106807 113661 102787 10874 32734168 29602588 3131580 760132 687412 72720 4631558 4188471 443087 2267792 2050839 216953 48212 43600 4612 1024768 1024768 14784584 13370187 1414397 204114 184587 19527 884275 799679 84596 106112 95961 10151 1084719 980945 103774 51660 46718 4942 51610 46673 4937 792138 792138 3725862 3369420 356442 1256704 1136478 120226 MEDICAL SUPPLIES AND DR 13749270 12433918 1315352 PROVIDER TAXES 1779534 1779534 FOOD 677640 612812 64828 DUES AND SUBSCRIPTIONS 439344 397313 42031 917161 829419 87742 83288502 74648156 8640346 0 2692 219008 11078939 11973684 6705353 7625251 463279 342649 1907624 2066457 1316055 1251463 92090787 49574320 45089540 42516467 6446079 5769458 51000 806170 325000 1150907 402396 7316058 73787957 81037572 5629302 7058901 215447 199837 29721096 29130374 8170384 8926758 1753223 2121517 45489452 47437387 X 28219009 33517994 79496 82191 28298505 33600185 73787957 81037572 X 4259629 187814 129902 724335 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 3830 3830 0 PART II-B, LINE 1: HMH PAID KHA AND AHA DURING FYE 2023 FOR MEMBERSHIP DUES, OF WHICH A PORTION OF EACH IS ATTRIBUTABLE TOWARDS LOBBYING ACTIVITIES. 2148679 2148679 43183366 18146845 25036521 5085324 2420630 2664694 38570402 26108823 12461579 3103016 2898022 204994 42516467 INTERCOMPANY RECEIVABLES 951631 PHYSICIAN RECRUITMENT 171965 DEPOSITS 52000 ROU ASSET - FINANCE LEASE 223537 ROU ASSET - OPERATING LEASE 788217 ESTIMATED THIRD PARTY SETTLEMENTS 5102136 LIFE INSURANCE POLICY 26572 7316058 PHYSICIAN COMMITTMENTS 49394 DUE FROM PHARMACY 924184 ROU LIABILITY - FINANCE LEASE 359722 ROU LIABILITY - OPERATING LEASE 788217 2121517 X PART X, LINE 2: HMH, THE FOUNDATION, EMS, AND THE PHARMACY ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. AS SUCH, THESE ENTITIES ARE GENERALLY EXEMPT FROM INCOME TAXES. HOWEVER, THESE ENTITIES ARE REQUIRED TO FILE FEDERAL FORM 990 RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX WHICH IS AN INFORMATIONAL RETURN ONLY. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE HOSPITAL AND RECOGNIZE A TAX LIABILITY IF THE HOSPITAL HAS TAKEN AN UNCERTAIN TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE HOSPITAL, AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2023 AND 2022, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE HOSPITAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PAIN MANAGEMENT IS A LIMITED PARTNERSHIP AND IS NOT SUBJECT TO INCOME TAX. PAIN MANAGEMENT'S INCOME, LOSS AND OTHER TAX ATTRIBUTES ARE PASSED TO THE INDIVIDUAL PARTNERS ON A PRO RATA BASIS AND REPORTED ON THE PARTNERS' RESPECTIVE TAX RETURNS. ACCORDINGLY, NO CURRENT OR DEFERRED PROVISION FOR INCOME TAXES HAS BEEN MADE FOR THE YEARS ENDED SEPTEMBER 30, 2023 AND 2022, RESPECTIVELY. PAIN MANAGEMENT WOULD BE REQUIRED TO RECOGNIZE A TAX LIABILITY IF IT HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2023 AND 2022, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS. PAIN MANAGEMENT HAS FILED ITS FEDERAL AND STATE INCOME TAX RETURNS FOR PERIODS THROUGH SEPTEMBER 30, 2023, AND IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS. HOWEVER, AS OF THE DATE THE FINANCIAL STATEMENTS WERE AVAILABLE TO BE ISSUED, THERE WERE NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THESE INCOME TAX RETURNS ARE GENERALLY OPEN TO EXAMINATION BY THE RELEVANT TAXING AUTHORITIES FOR A PERIOD OF THREE YEARS FROM THE LATER OF THE DATE THE RETURN WAS FILED OR ITS DUE DATE (INCLUDING APPROVED EXTENSIONS). 1 1 1 X 1 X 150.000000000000 1 1 0 1 1 542073 542073 0.00650 18617029 25199510 0 0.00000 19159102 25199510 542073 0.00650 75000 75000 0.00090 75000 75000 0.00090 19234102 25199510 617073 0.00740 502 12708 12708 0.00020 665 35653 35653 0.00040 1167 48361 48361 0.00060 1 5486966 9035164 13243405 -4208241 X 1 1 1 1 HARRISON MEMORIAL HOSPITAL INC 1210 KY HWY 36 EAST CYNTHIANA KY 41031 100167 X X X HARRISON MEMORIAL HOSPITAL INC 1 0 0 1 X X X X X X X X X 21 1 0 0 1 X WWW.HARRISONMEMHOSP.COM X 1 21 1 WWW.HARRISONMEMHOSP.COM 0 1 X 150.000000000000 150.000000000000 X X X X 1 1 X X X 1 X WWW.HARRISONMEMHOSP.COM X 1 0 X X X X 1 0 0 HARRISON MEMORIAL HOSPITAL, INC. PART V, SECTION B, LINE 5: INDIVIDUALS THAT REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH WERE INTERVIEWED DURING THE COURSE OF PREPARINGTHE COMMUNITY NEEDS ASSESSMENT. THESE INDIVIDUALS INCLUDED BOTH FAMILY SPECIALTY PHYSICIANS AND DIRECTORS OF LOCAL HEALTH DEPARTMENTS OF HARRISON COUNTY AND THE SURROUNDING COUNTIES AND THE MAYOR OF CYNTHIANA. HARRISON MEMORIAL HOSPITAL, INC. PART V, SECTION B, LINE 11: A. SIGNIFICANT HEALTH NEEDS OR CONCERNS OF LOCAL POPULATION:1. DIABETES IS COMMON AND POORLY MANAGED AS A WHOLE IN THE COMMUNITY. PLAN: IN 2020, HMH ADDED A CLINICAL DIABETES EDUCATOR TO THE STAFF. THE CDE SEES NEW PATIENTS WITH DIABETES AND PROVIDES EDUCATION ON MANAGING THE DISEASE. IN 2021, HMH WAS AWARDED FUNDS TO PARTICIPATE IN THE UNIVERSITY OF KENTUCKY DIABETES COLLABORATION. THE COLLABORATION PROVIDES OPPORTUNITIES FOR SEVERAL SPECIALTIES TO WORK TOGETHER TO ASSIST DIABETIC PATIENTS WITH EDUCATION AND MANAGEMENT. ALSO, HMH WILL INVESTIGATE THE AVAILABILITY OF AN ENDOCRINOLOGIST FOR A CLINIC AT HMH. IN ADDITION, HMH WILL WORK WITH THE HARRISON COUNTY DIABETES COALITION AND THE CYNTHIANA LION'S CLUB TO PROVIDE AN EVENT OFFERING DIABETES SCREENINGS AND EDUCATION. ONCE COVID-19 PANDEMIC IS MORE STABLE, HMH WILL HOST AN ANNUAL HEALTH FAIR THAT PROVIDES BLOOD TESTS FOR GLUCOSE AND DIABETES RISK ASSESSMENTS FOR PARTICIPANTS.2. MENTAL HEALTH AND WELLNESS, LACK OF ACCESS TO BEHAVIORAL HEALTH. PLAN: IN NOVEMBER 2018, HMH HIRED A FULL-TIME BEHAVIORAL HEALTH NURSE PRACTITIONER. IN OCTOBER 2020, HMH ADDED A LICENSED COUNSELOR TO THE BEHAVIORAL HEALTH CLINIC. HMH WILL MONITOR THE CLINIC'S VOLUMES AND POTENTIAL NEEDS. IN ADDITION, UK ADOLESCENT MEDICINE HAS A CLINIC AT HMH TWICE A MONTH.3. HIGH BLOOD PRESSURE, HEART DISEASE, AND COPD ARE COMMON. PLAN: HMH WILL CONTINUE TO PROMOTE A TOBACCO-FREE LIFESTYLE AND PROVIDE SCREENING OPPORTUNITIES FOR HIGH BLOOD PRESSURE AND HEART DISEASE AT EVENTS, ONCE COVID-19 PANDEMIC IS MORE STABLE. THE SCREENINGS ALSO PROVIDE PARTICIPANTS WITH EDUCATION FROM HMH STAFF MEMBERS. IN ADDITION, HMH WILL CONTINUE TO PROVIDE STROKE RISK SCREENINGS FOR COMMUNITY MEMBERS AT SEVERAL DIFFERENT EVENTS. THESE SCREENINGS DESIGNED BY THE UK STROKE AFFILIATION HELP TO EDUCATE INDIVIDUALS ABOUT HIGH BLOOD PRESSURE AND THEEFFECTS OF STROKE. HMH SUPPORTS COMMUNITY EDUCATION AND RESOURCES TO INCREASE AWARENESS OF HEART RELATED DISEASES. HMH WILL CONTINUE TO HOST THE GO RED CAMPAIGN EACH FEBRUARY. THIS CAMPAIGN DEDICATES THE ENTIRE MONTH TO HEART DISEASE AWARENESS. WITH THE CAMPAIGN, HMH PROVIDES EDUCATION THROUGH SEMINARS, ARTICLES AND SOCIAL MEDIA POSTS. HMH CURRENTLY HAS TWO FULL-TIME CARDIOLOGISTS AND THREE ADVANCED PRACTITIONERS FOR THE CARDIOLOGY CLINIC. THE CLINIC PROVIDES CARE, AS WELL AS EDUCATION, FOR OUR PATIENTS. REGARDING LUNG CANCER/CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), HMH WILL CONTINUE TO ENCOURAGE A TOBACCO-FREE LIFESTYLE AND PROVIDE SCREENING OPPORTUNITIES AT EVENTS. THE SCREENINGS INCLUDE PULSE OXIMETRY AND PULMONARY FUNCTION TESTING, AS WELL AS EDUCATION ON LUNG DISORDERS. IN ADDITION, HMH WILL PROVIDE PULMONARY SERVICES, WHICH INCLUDES A FULL-TIME PULMONOLOGY CLINIC AND A PULMONARY REHABILITATION PROGRAM. HMH ALSO WORKS IN CONJUNCTION WITH WEDCO DISTRICT HEALTH DEPARTMENT TO PROVIDE SMOKING CESSATION CLASSES TO THE AREA. HMH PROVIDES EDUCATION THROUGH SOCIAL MEDIA SITES AS WELL.4. SUBSTANCE ABUSE TREATMENT FACILITY. PLAN: BEHAVIORAL HEALTH CARE BEDS ARE BASED ON STATE HEALTH PLAN REVIEW CRITERIA AND MUST SATISFY THE KENTUCKY ANNUAL HOSPITAL UTILIZATION AND SERVICES REPORT. ESTABLISHING A NEW UNIT CANNOT BE APPROVED UNLESS THE AREA EXCEEDS TARGETED OCCUPANCY RATES. NEW BEDS HAVE BEEN OPENED IN THE HMH SERVICE AREA; THEREFORE, NEED CANNOT BE DEMONSTRATED AT THIS TIME. AN ADDITIONAL BARRIER WOULD ALSO BE RECRUITING A BOARD-ELIGIBLE OR BOARD-CERTIFIED PSYCHIATRIST FOR ADMISSION AND TREATMENT OF THE PATIENTS. HMH HAS LONG ESTABLISHED TRANSFER RELATIONSHIPS WITH SEVERAL INPATIENT OPTIONS, BUT ACCEPTING A TRANSFER REMAINS AT THE DISCRETION OF THE RECEIVING FACILITY.5. OVERWEIGHT & OBESITY COMMON - LACK OF FITNESS (HIGH IN CHILDREN). PLAN: HMH WILL CONTINUE TO SUPPORT THE CHP WELLNESS COMMITTEE'S OBJECTIVE OF CHILDHOOD OBESITY. WHEN COVID-19 PANDEMIC IS MORE STABLE, THE COMMITTEE WILL HOST TWO EVENTS EACH YEAR TO PROMOTE PHYSICAL ACTIVITY FOR CHILDREN. IN ADDITION, HMH WILL FOCUS TWO SOCIAL MEDIA CAMPAIGNS IN MARCH AND NOVEMBER FOR HEALTHIER EATING OPTIONS. HMH WILL ALSO EDUCATE THE PHYSICIAN STAFF ABOUT THE NUTRITIONAL COUNSELING SERVICES OFFERED AT HMH. ALSO, DIETITIANS AND FITNESS TRAINERS WILL PARTICIPATE IN THE 21ST CENTURY PROGRAMS AT EACH ELEMENTARY SCHOOL IN HARRISON AND NICHOLAS COUNTY, TO PROVIDE EDUCATION TO THE STUDENTS ON PROPER NUTRITION AND THE IMPORTANCE OF EXERCISE.6. POOR NUTRITION IS PREVALENT AND ACCESS TO PROPER DIETARY FOOD IS LACKING. PLAN: HMH WILL FOCUS TWO SOCIAL MEDIA CAMPAIGNS IN MARCH AND NOVEMBER ON HEALTHIER EATING OPTIONS. HMH WILL ALSO EDUCATE THE PHYSICIAN STAFF ABOUT THE NUTRITIONAL COUNSELING SERVICES OFFERED AT HMH. HMH DIETITIANS WILL PARTICIPATE IN THE 21ST CENTURY PROGRAMS AT EACH ELEMENTARY SCHOOL IN HARRISON AND NICHOLAS COUNTY, TO PROVIDE EDUCATION TO THE STUDENTS ON PROPER NUTRITION. HMH WILL ALSO WORK WITH THE LOCAL FARMER'S MARKET TO PROMOTE FRESH FRUITS AND VEGETABLES. IN ADDITION, HMH WILL CONTINUE TO PROMOTE THE NUTRITION COUNSELING SERVICES.7. PATIENTS VISITING THE URGENT TREATMENT CENTER VS. PRIMARY CARE PHYSICIAN. PLAN: HMH WILL CONTINUE TO PROMOTE THE IMPORTANCE OF PRIMARY CARE PHYSICIANS IN REGARD TO YOUR OVERALL HEALTH. ALL THE PROVIDERS ARE INVITED TO EVENTS IN THE COMMUNITY TO PROMOTE SERVICES IN THE OFFICE. PART V, SECTION B, LINE 11 (CONTINUED)B. SERVICE, COVERAGE, AND INFORMATION GAPS IN THE HEALTHCARE DELIVERY SYSTEM: 1. MENTAL HEALTH SERVICES. PLAN: IN NOVEMBER 2018, HMH HIRED A FULL-TIME BEHAVIORAL HEALTH NURSE PRACTITIONER. IN OCTOBER 2020, HMH ADDED A LICENSED COUNSELOR TO THE BEHAVIORAL HEALTH CLINIC. HMH WILL MONITOR THE CLINIC'S VOLUMES AND POTENTIAL NEEDS. IN ADDITION, UK ADOLESCENT MEDICINE HAS A CLINIC AT HMH TWICE A MONTH.2. NEED FOR AN ADDITIONAL OB/GYN. PLAN: HMH ADMINISTRATION WILL CONTINUE TO RECRUIT THE NEED FOR TWO OB/GYNS. HMH HAS HIRED AN OUTSIDE AGENCY TO ASSIST WITH THE RECRUITMENT PROCESS.3. NEED FOR A FULL-TIME GASTROENTEROLOGIST. PLAN: HMH ADMINISTRATION WILL CONTINUE TO RECRUIT THE NEED FOR A GASTROENTEROLOGIST. HMH HAS HIRED AN OUTSIDE AGENCY TO ASSIST WITH THE RECRUITMENT PROCESS. ALSO, THE CURRENT GENERAL SURGEONS HAVE AGREED TO OFFER MORE HOURS FOR SCOPES.4. HEALTH AND WELLNESS INITIATIVES TO MAKE THE COMMUNITY MORE AWARE OF HOW TO LIVE A HEALTHY LIFESTYLE. PLAN: HMH WILL CONTINUE TO SPONSOR EVENTS IN OUR COMMUNITY, WHICH PROMOTE A HEALTHY LIFESTYLE. THESE PROMOTIONS WILL INCLUDE EVENTS, SOCIAL MEDIA POSTS, ADVERTISEMENTS, AND OTHER AVENUES. ONCE THE COVID-19 PANDEMIC IS MORE STABLE, HMH PLANS TO RESTART EVENTS LIKE HEALTH FAIRS, HEALTH SEMINARS AND OTHER PROMOTIONAL EVENTS. CURRENTLY, HMH IS UTILIZING SOCIAL MEDIA PLATFORMS TO EDUCATE INDIVIDUALS ON HEALTHY LIFESTYLES. IN ADDITION, HMH HAS DIETITIANS AND FITNESS TRAINERS TEACH CLASSES TO LOCAL ELEMENTARY SCHOOL STUDENTS.5. NEED FOR AN ENDOCRINOLOGIST. PLAN: HMH WILL INVESTIGATE THE AVAILABILITY AND NEED FOR AN ENDOCRINOLOGY CLINIC AT HMH.6. NEED FOR AN ADDITIONAL PODIATRIST. PLAN: HMH PLANS TO HIRE AN ADDITIONAL NURSE PRACTITIONER FOR THE CURRENT FOOT AND ANKLE CLINIC. ONCE THE POSITION IS FILLED, HMH WILL PROMOTE THE NEW PROVIDER.7. AVAILABILITY AND PRICING OF MEDICATIONS FOR CHRONIC CONDITIONS DIABETES IN PARTICULAR. PLAN: HMH WILL DISCUSS WITH HARRISON COUNTY DIABETES COALITION THE NEED FOR EMERGENCY FUNDING FOR PATIENTS OUTSIDE OF THE LOCAL HEALTH DEPARTMENT.8. HEALTHY EATING OPTIONS AND FOOD INSECURITY SOLUTIONS. PLAN: HMH WILL PROMOTE THE NUTRITIONAL COUNSELING SERVICES TO TEACH INDIVIDUALS HEALTHY FOOD OPTIONS. IN ADDITION, HMH WILL PROVIDE CLASSES FOR ADULTS AND CHILDREN TO LEARN ABOUT HEALTHY FOOD OPTIONS. HMH ALSO HOLDS FOOD DRIVES AND REQUESTS HEALTHY FOOD DONATIONS FOR THE LOCAL FOOD PANTRY AND CONTINUE TO PROMOTE THE LOCAL FARMER'S MARKET.9. POOR ENVIRONMENT, LIFESTYLE, CHOICES, HABITS, AND SELF-MEDICAL FOLLOW-UP. PLAN: HMH WILL CONTINUE TO PROMOTE A HEALTHY LIFESTYLE AND ROUTINE SCREENINGS IN OUR COMMUNITY. THOSE PROMOTIONS WILL INCLUDE EVENTS, SOCIAL MEDIA POSTS, ADVERTISEMENTS, AND OTHER AVENUES.10. RELIABLE INTERNET FOR THE COMMUNITY. PLAN: HMH PROVIDES FREE WIFI FOR STUDENTS AND PATIENTS THAT IS ACCESSIBLE FROM THE PARKING LOT. HMH WILL ALSO SUPPORT EFFECTS BY LOCAL AND STATE OFFICIALS FOR BETTER INTERNET ACCESS.11. POPULATION LACKS MOTIVATION AND FINANCIAL ABILITY TO PRIORITIZE HEALTH. PLAN: HMH WILL CONTINUE TO PROMOTE A HEALTHY LIFESTYLE AND ROUTINE SCREENINGS IN THE COMMUNITY. THOSE PROMOTIONS WILL INCLUDE EVENTS, SOCIAL MEDIA POSTS, ADVERTISEMENTS, AND OTHER AVENUES. REGARDING FINANCIAL ABILITY, HMH HAS A FINANCIAL COUNSELOR ONSITE AND AVAILABLE TO PATIENTS.C. BARRIERS TO ACCESS TO HEALTHCARE IN THE COMMUNITY: 1. DIFFICULTY RECRUITING PROVIDERS. PLAN: EACH YEAR, HMH COMPLETES A MEDICAL STAFF NEEDS ASSESSMENT. THIS ASSESSMENT SHOWS THE POTENTIAL PHYSICIAN NEEDS, BASED ON POPULATION. IN THE UPCOMING YEARS, HMH'S GOAL IS TO RECRUIT ADDITIONAL PRIMARY CARE PHYSICIANS; TWO FULL-TIME OB/GYNS, A FULL-TIME GASTROENTEROLOGIST AND A FULL-TIMEONCOLOGIST. HMH WILL CONTINUE TO WORK WITH THE MEDICAL STAFF DEVELOPMENT COMMITTEE AND THE HMH MEDICAL STAFF ON RECRUITMENT. ALSO, ADDITIONAL RECRUITMENT AGENCIES WERE HIRED TO ASSIST, AS WELL AS AN ADDITIONAL PHYSICIAN RECRUITER.2. THE LACK OF TRANSPORTATION IN THE COMMUNITY. PLAN: HMH WILL CONTINUE TO WORK WITH LOCAL TRANSPORTATION GROUPS TO ASSIST WITH PATIENT NEEDS.3. "DAY OF" APPOINTMENT AVAILABILITY. PLAN: HMH WILL REVIEW THE CURRENT OFFICES AND SEE THE AVAILABILITY OF "DAY OF" APPOINTMENTS. SEVERAL OF THE CLINICS ARE REVIEWING SCHEDULING TO MAXIMIZE THE APPOINTMENT TIMES.4. COST OF CARE. PLAN: EACH YEAR, HMH REVIEWS THE CHARGES FOR CARE AND COMPARES THOSE CHARGES TO THOSE OF OTHER FACILITIES. ALSO, HMH PROVIDES A PRICE TRANSPARENCY LISTING THROUGH THE WEBSITE.5. DOCTORS' OFFICE HOURS OF OPERATION. PLAN: HMH WILL CONTINUE TO REVIEW EACH PHYSICIAN OFFICE REGARDING HOURS OF OPERATIONS AND ACCESS TO APPOINTMENTS.6. FRACTURED MEDIA ENVIRONMENT IN THE COMMUNITY. PLAN: HMH WILL CONTINUE TO PROVIDE INFORMATION ON HEALTH EDUCATION AND THE ENTITY THROUGH THE LOCAL NEWSPAPERS, SOCIAL MEDIA SITES, AND LOCAL RADIO STATIONS. 9 1 - PRIMARY CARE PLEASANT 439 EAST PLEASANT STREET CYNTHIANA KY 41031 RURAL HEALTH CLINIC 2 - PRIMARY CARE CARLISLE 254 EAST MAIN STREET CARLISLE KY 40311 RURAL HEALTH CLINIC 3 - PRIMARY CARE FALMOUTH 1120 WEST SHELBY STREET FALMOUTH KY 41040 RURAL HEALTH CLINIC 4 - PRIMARY CARE SOUTH 809 US HWY 27 S CYNTHIANA KY 41031 RURAL HEALTH CLINIC 5 - PRIMARY CARE MAIN 1210 KY HWY 36 EAST CARLISLE KY 41031 RURAL HEALTH CLINIC 6 - PT CLINIC 2300 CONCRETE DRIVE CARLISLE KY 40311 PT SATELLITE OFFICE 7 - HARRISON COUNTY EMS 101 RODGERS PARK CYNTHIANA KY 41031 AMBULANCE SERVICE 8 - CLINIC PHARMACY 1210 KY HWY 36 EAST CYNTHIANA KY 41031 RETAIL PHARMACY 9 - COTTAGES AT FLAT RUN KY HWY 36 EAST CYNTHIANA KY 41031 SENIOR RENTAL COTTAGES PART I, LINE 7: AMOUNTS WERE DETERMINED USING A COST-TO-CHARGE RATIO DERIVED FROM THE WORKSHEETS IN THE INSTRUCTIONS TO SCHEDULE H. PART II, COMMUNITY BUILDING ACTIVITIES: HARRISON MEMORIAL HOSPITAL IS VERY ACTIVE IN THE COMMUNITY WITH PROMOTING HEALTH EDUCATION. HMH PARTNERS WITH SEVERAL COMMUNITY ORGANIZATIONS TO REACH THE LARGEST AUDIENCE. IN MOST RECENT YEARS, HMH HAS PROVIDED HEALTH FAIRS AND SEMINARS IN SEVERAL COUNTIES LIKE PENDLETON, BRACKEN AND ROBERTSON. BY PROVIDING THESE EVENTS, HMH IS ABLE TO PROVIDE EDUCATION AND SCREENINGS MORE LOCALLY FOR THE RESIDENTS. IN ADDITION, THE EVENTS AID IN BUILDING RELATIONSHIPS WITH COMMUNITY LEADERS AND RESIDENTS. THE EVENTS LIKE HEALTH FAIRS PROVIDE FREE TESTS AND SCREENINGS, WHICH WOULD NORMALLY COST $1,200 PER PERSON. THE HEALTH FAIRS PROVIDE AN OPPORTUNITY FOR THE UNDERINSURED AND UNINSURED TO RECEIVE MEDICAL CARE. THE EVENTS ALSO HAVE SEVERAL OPPORTUNITIES TO MEET WITH HEALTH CARE PROFESSIONALS TO DISCUSS HEALTH ISSUES. THE HMH SPONSORED EDUCATIONAL SEMINARS PROVIDE AN OPPORTUNITY FOR INDIVIDUALS TO MEET HEALTH CARE PROFESSIONALS AND DISCUSS MAJOR HEALTH TOPICS. COMMUNITY EVENTS WERE LIMITED DURING THE FISCAL YEAR DUE TO COVID. PART III, LINE 2: BAD DEBT COST REPRESENTS THE EXPENSE THE HOSPITAL INCURRED DUE TO NONPAYMENT OF HOSPITAL CHARGES INCLUDING, BUT NOT LIMITED TO, NONPAYMENT OF MEDICARE COINSURANCE AND DEDUCTIBLE AMOUNTS. THIS EXPENSE IS LISTED AS CONTRA-REVENUE IN THE FINANCIAL STATEMENTS. BAD DEBT COST IS CALCULATED BY MULTIPLYING THE BAD DEBT EXPENSE LISTED ON THE FINANCIAL STATEMENTS BY THE COST TO CHARGE RATIO COMPUTED ON WORKSHEET 2. PART III, LINE 4: SEE AUDITED FINANCIAL STATEMENTS PAGES 10 AND 11. PART III, LINE 8: THE SHORTFALL REPORTED ON LINE 7 SHOULD BE TREATED AS COMMUNITY BENEFIT. LINE 6 WAS COMPUTED USING REVENUE AMOUNTS LISTED ON THE SETTLEMENT WORKSHEETS ON THE AS-FILED MEDICARE COST REPORT FOR FYE 2023. PART III, LINE 9B: THE HOSPITAL PROVIDES FINANCIAL ASSISTANCE BASED ON FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR PROVIDING FREE CARE AND DISCOUNTED CARE. FOR PATIENTS QUALIFYING FOR FINANCIAL ASSISTANCE WITH DISCOUNTED CARE, COLLECTION PURSUITS FOR THE DISCOUNTED CHARGES ARE FOLLOWED AS STATED IN OUR PROMPT PAYMENT ON SELF-PAY ACCOUNTS POLICY. PART VI, LINE 2: THE HOSPITAL COMPLETED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT AS REQUIRED BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT. IN ADDITION, HARRISON MEMORIAL HOSPITAL ASSESSES THE COMMUNITY THROUGH SEVERAL METHODS. THE HMH COMMUNITY CONSISTS OF A SEVEN-COUNTY AREA. HMH HAS TWO BOARD LEVEL COMMITTEES WHO PROVIDE RECOMMENDATIONS TO THE HMH BOARD OF DIRECTORS. PLANNING: MARKET SHARE ENHANCEMENT COMMITTEE IS COMPRISED OF HMH BOARD MEMBERS AND HMH PHYSICIAN STAFF MEMBERS. THE COMMITTEE IS PRESENTED WITH MARKET SHARE DATA OF THE INPATIENT ACTIVITY OF THE HOSPITAL AND OF MAJOR SERVICE LINES LIKE CARDIOLOGY, ORTHOPEDICS. THE DATA INFORMS THE COMMITTEE WHERE PATIENTS IN THE HMH SERVICE AREA CHOOSE TO RECEIVE HEALTHCARE. THE DATA IS EXTRACTED FROM KENTUCKY INFOSUITE EACH QUARTER. THE REPORTS AID THE COMMITTEE IN MAKING DECISIONS IN REGARDS TO THE NEEDS OF THE COMMUNITY. EACH YEAR THE PMSE COMMITTEE HOSTS A STRATEGIC RETREAT INVITING HMH BOARD MEMBERS, PHYSICIAN STAFF MEMBERS AND SENIOR MANAGEMENT TO DISCUSS COMMUNITY NEEDS AND PLANS FOR THE FUTURE. ANOTHER BOARD LEVEL COMMITTEE IS CALLED MEDICAL STAFF DEVELOPMENT. THE COMMITTEE IS COMPRISED OF HMH BOARD MEMBERS, HMH PHYSICIAN STAFF MEMBERS AND COMMUNITY VOLUNTEERS. EACH YEAR THE MEDICAL STAFF DEVELOPMENT COMMITTEE COMPLETES A PHYSICIAN NEEDS ASSESSMENT. THE ASSESSMENT DEMONSTRATES THE PHYSICIAN NEED IN THE AREA BASED ON POPULATION. THE ASSESSMENT IS USED TO FORM A PHYSICIAN RECRUITING PLAN FOR THE FUTURE AND IS RECOMMENDED TO THE BOARD FOR APPROVAL. FINALLY, THE HMH MEDICAL STAFF MEETINGS ARE HELD ONCE A MONTH WHERE MEMBERS OF THE HMH SENIOR MANAGEMENT ALSO ATTEND. WITHIN THESE MEETINGS, THE STAFF MEMBERS DISCUSS PATIENT NEEDS. THE INFORMATION GATHERED AT THESE MEETINGS AID IN THE DECISIONS OF SERVICE LINE ENHANCEMENT. PART VI, LINE 3: NOTIFICATION ABOUT CHARITY AVAILABLE FROM HARRISON MEMORIAL HOSPITAL, WHICH SHALL INCLUDE A CONTACT NUMBER, SHALL BE DISSEMINATED BY HARRISON MEMORIAL HOSPITAL BY VARIOUS MEANS, WHICH MAY INCLUDE, BUT ARE NOT LIMITED TO, THE PUBLICATION OF NOTICES IN PATIENT BILLS AND BY POSTING NOTICES IN EMERGENCY ROOMS, SPECIALTY PHYSICIAN CLINICS, ADMITTING AND REGISTRATIONDEPARTMENTS, HOSPITAL BUSINESS OFFICES, AND PATIENT FINANCIAL SERVICES OFFICES THAT ARE LOCATED ON FACILITY CAMPUSES, AND AT OTHER PUBLIC PLACES AS HARRISON MEMORIAL HOSPITAL MAY ELECT. SUCH INFORMATION SHALL BE PROVIDED IN THE PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY HARRISON MEMORIAL HOSPITAL. REFERRAL OF PATIENTS FOR CHARITY MAY BE MADE BY ANY MEMBER OF THE HARRISON MEMORIAL HOSPITAL STAFF OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL COUNSELORS, SOCIAL WORKERS, CASE MANAGERS, CHAPLAINS, AND RELIGIOUS SPONSORS. A REQUEST FOR CHARITY MAY BE MADE BY THE PATIENT OR A FAMILY MEMBER, CLOSE FRIEND, OR ASSOCIATE OF THE PATIENT, SUBJECT TO APPLICABLE PRIVACY LAWS. PART VI, LINE 4: HARRISON MEMORIAL HOSPITAL SERVES SEVEN COUNTIES IN THE CENTRAL KENTUCKY AREA MAKING IT A REGIONAL FACILITY. THOSE COUNTIES ARE HARRISON, PENDLETON, ROBERTSON, BRACKEN, NICHOLAS, BOURBON AND SCOTT. HMH COMMUNITY IS CONSIDERED IN MOST PARTS RURAL WITH CYNTHIANA BEING ITS LARGEST TOWN IT SERVES WITH A POPULATION AROUND 7,000. THE AREA IS ALSO DESCRIBED AS A BEDROOM COMMUNITY OF LEXINGTON. THE AREA IS A FARMING COMMUNITY WITH SEVERAL STRONG INDUSTRIES BASED IN THE AREA. HMH CONSIDERS ITS SERVICE AREA POPULATION TO BE 35,000. THE DEMOGRAPHIC OF THE COMMUNITIES IS PREDOMINANTLY CAUCASIAN WITH AN AGING POPULATION. PART VI, LINE 5: THE ORGANIZATION'S HOSPITAL FACILITY FURTHERS ITS EXEMPT PURPOSE BY ACTIVELY PROMOTING THE HEALTH OF THE COMMUNITY THROUGH SEVERAL KEY INITIATIVES. THE HOSPITAL MAINTAINS A MEDICAL STAFF WHO PROVIDES SPECIALIZED CARE TO ALL THE PATIENT POPULATION, ENSURING ACCESS TO A BROAD RANGE OF MEDICAL EXPERTISE. THE HOSPITAL PROVIDES SEVERAL RURAL HEALTH CLINICS OFFERING PRIMARY CARE SERVICES TO OUR PATIENTS. A VOLUNTEER COMMUNITY BOARD, COMPRISING LOCAL LEADERS AND STAKEHOLDERS, GUIDES HOSPITAL POLICIES AND PROGRAMS TO ADDRESS SPECIFIC HEALTH NEEDS AND PRIORITIES OF THE AREA. THE HOSPITAL HAS A SIGNIFICANT PRESENCE IN THE COMMUNITY OFFERING FREE HEALTH SCREENINGS, EDUCATIONAL SEMINARS, AND WELLNESS INITIATIVES, AIMED AT PREVENTING DISEASE AND FOSTERING A HEALTHIER POPULATION. THESE EFFORTS UNDERSCORE THE HOSPITAL'S COMMITMENT TO ENHANCING COMMUNITY HEALTH AND WELLBEING, ALIGNING WITH ITS MISSION TO SERVE AND SUPPORT THE LOCAL POPULATION. 0 UNIVERSITY OF LOUISVILLE 2301 S 3RD STREET LOUISVILLE KY 40292 611014882 GOVERNMENT 0 75000 CARDIOLOGY RESEARCH SUPPORT 1 HUMAN RESOURCE SCHOLARSHIPS 4 12040 X X X 0 0 0 0 0 0 0 0 0 DR MATTHEW K SHOTWELL CARDIOLOGY PHYSICIAN 2033524 0 0 0 0 0 12200 0 23551 0 2069275 0 0 0 DR SRINADH ANNANGI PULMONOLOGY PHYSICIAN 505164 0 0 0 0 0 12200 0 14439 0 531803 0 0 0 DR MARIA ALEJAN PAVEZ NEUROLOGY PHYSICIAN 464018 0 0 0 0 0 12200 0 41009 0 517227 0 0 0 DR MADAN MOHAN REDDY ORTHOPEDIC PHYSICIAN 449665 0 0 0 0 0 12200 0 2490 0 464355 0 0 0 DR BAL KRI SRIVASTAVA CARDIOLOGY PHYSICIAN 420499 0 0 0 0 0 12200 0 0 0 432699 0 0 0 DR STEPHEN TOADVINE CEO/SECRETARY 350473 0 0 0 0 0 12200 0 39555 0 402228 0 0 0 TODD BRADEN REID MD CHIEF OF STAFF 301620 0 0 0 0 0 12200 0 5562 0 319382 0 0 0 PEGGY LAIR CFO/TREASURER 166730 0 0 0 0 0 6797 0 16189 0 189716 0 0 0 TRACI TAYLOR CNO (END 10/22) 149001 0 0 0 15695 0 6701 0 15843 0 187240 0 0 0 A COUNTY OF HARRISON KENTUCKY 616000746 415005AA5 2015-12-03 32065000 FINANCE CAPITAL EXPENDITURES AND REFUND PREVIOUS BONDS 0 0 0 A 1691205 32065000 15299328 557081 16208591 2015 1 0 1 1 A 0 0 0 0 0 0 1 A 0 0 1 0 0 0 0 0 1 A 1 TRACY LAIR DAUGHTER OF CFO 68458 COMPENSATION 0 LANCE LEIGH SON-IN-LAW OF CFO 45203 COMPENSATION 0 FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE BOARD CHAIRMAN, BOARD CHAIRMAN-ELECT, FINANCE COMMITTEE CHAIRMAN, BOARD MEMBER AND CEO (WHEN APPROPRIATE AND AS AN EX-OFFICIO MEMBER WITHOUT VOTE). IT SHALL HAVE THE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE HOSPITAL DURING THE INTERIM BETWEEN THE MEETINGS OF THE BOARD OF DIRECTORS, PROVIDED ANY ACTION WHICH IT MAY TAKE SHALL NOT CONFLICT WITH THE POLICIES AND EXPRESSED WISHES OF THE BOARD OF DIRECTORS, AND IT SHALL REFER ALL MATTERS OF MAJOR IMPORTANCE TO THE BOARD OF DIRECTORS. SHOULD ANY MATTERS OF EXTREME URGENCY ARISE BETWEEN THE REGULAR MEETINGS OF THE BOARD OF DIRECTORS, IT SHALL BE THE DUTY OF THE EXECUTIVE COMMITTEE TO REQUEST THE BOARD CHAIRMAN TO CALL A SPECIAL MEETING OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 4 HARRISON MEMORIAL HOSPITAL AMENDED ITS BYLAWS IN OCTOBER OF 2022. THE AMENDMENT STATES THAT THE ORGANIZATION MAY AMEND THE BYLAWS OR REPEAL THE BYLAWS ADOPTED BY A MAJORITY VOTE OF THE BOARD OF DIRECTORS THEN IN OFFICE AT ANY REGULAR OR SPECIAL MEETING, IF AT LEAST TEN-DAY WRITTEN NOTICE IS GIVEN OF THE INTERVENTION TO TAKE SUCH ACTION. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE 990 IS PROVIDED TO THE BOARD THROUGH THE HMH BOARD PORTAL PRIOR TO FILING. THE 990 IS REVIEWED IN DETAIL AT THE FINANCE COMMITTEE MEETING WITH BOARD MEMBERS PRESENT. THEY ARE ENCOURAGED TO PERSONALLY VISIT WITH THE CFO TO COVER ANY TOPICS NECESSARY. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, ALL APPLICABLE PERSONNEL SIGN A CONFLICT OF INTEREST STATEMENT AND WHEN NEEDED, IT IS INCORPORATED INTO POLICIES. IF THE CEO OR HIS/HER DESIGNEE HAS REASONABLE CAUSE TO BELIEVE THAT AN INTERESTED PERSON HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICT OF INTEREST, HE/SHE SHALL INFORM THE MANAGER/DIRECTOR OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MANAGER/DIRECTOR AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. WHEN IT IS DEEMED THAT A CONFLICT HAS IN FACT ARISEN, THE INDIVIDUAL SHALL ABSTAIN FROM ANY VOTING MATTERS. FORM 990, PART VI, SECTION B, LINE 15 LINE 15A: THE BYLAWS OF THE HARRISON MEMORIAL BOARD OF DIRECTORS SET OUT THE REQUIREMENTS FOR CEO EVALUATION AND COMPENSATION. THE BOARD EXECUTIVE COMMITTEE HAS THE SPECIFIC RESPONSIBILITY TO ANNUALLY EVALUATE THE CEO AND RECOMMEND TO THE BOARD OF DIRECTORS THE SALARY AND BENEFITS OF THE CEO. THE BOARD OF DIRECTORS DISCUSSES THE RESULTS AND RECOMMENDATIONS OF THE EXECUTIVE COMMITTEE AND APPROVE ANY SALARY ADJUSTMENT. LINE 15B: THE BOARD CHAIR AND EXECUTIVE COMMITTEE REVIEW AND THE BOARD APPROVES COMPENSATION ANNUALLY DURING THE BUDGET PROCESS. MANAGEMENT USES THE AHA SALARY SURVEY AND THE BOARD APPROVES ANY INCREASES IN COMPENSATION. THIS PROCESS IS DOCUMENTED AND COMPLETED BY INDEPENDENT INDIVIDUALS FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE ALL MADE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 5,834,771. MANAGEMENT AND GENERAL EXPENSES 617,245. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,452,016. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 6,295,044. MANAGEMENT AND GENERAL EXPENSES 665,937. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,960,981. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,240,372. MANAGEMENT AND GENERAL EXPENSES 131,215. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,371,587. FORM 990, PART XI, LINE 9: BUSINESS ACQUISITION OF HMH PHARMACY 724,335. HARRISON MEMORIAL HOSPITAL FOUNDATION 1210 KY HWY 36 EAST CYNTHIANA KY 41031 610420440 HOLD REAL ESTATE KY -449810 332121 HARRISON MEMORIAL HOSPITAL INC CLINIC PHARMACY LLC 1210 KY HWY 36 EAST CYNTHIANA KY 41031 611395931 PHARMACY SERVICES KY 20544 1732115 HARRISON MEMORIAL HOSPITAL INC HARRISON COUNTY EMS LLC 1210 KY HWY 36 EAST CYNTHIANA KY 41031 884390894 AMBULANCE SERVICES KY -122146 259568 HARRISON MEMORIAL HOSPITAL INC HARRISON MEMORIAL PAIN MANAGEMENT LLC 1210 KY HWY 36 EAST CYNTHIANA KY 41031 472547452 PAIN MANAGEMENT SERVICES KY HARRISON MEMORIAL HOSPITAL INC RELATED 335061 235305 0 0 0.51000 COMMUNITY HEALTH PARTNERSHIP LLC 1210 KY HWY 36 EAST CYNTHIANA KY 41031 611348611 HEALTH CARE PROMOTION KY HARRISON MEMORIAL HOSPITAL INC C -371 562 0.80000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1