2025-08-14T11:19:48+00:00 2024-09-30 440160260 Forvis Mazars LLP PO Box 3667 Little Rock AR 722033667 990 2023-10-01 640333594 KINGS DAUGHTERS MEDICAL CENTER KING 6018359488 PO BOX 948 BROOKHAVEN MS 396020948 SCOTT CHRISTENSEN CHIEF EXECUTIVE OFFICER 6018359488 2025-08-14 true true Amber Sherrill P00748683 5013721040 2025-08-14 2023 2025-03-06 01:10:19Z SCOTT CHRISTENSEN PO BOX 948 BROOKHAVEN MS 396020948 118327881 false X WWW.KDMC.ORG X 1913 MS KING'S DAUGHTERS MEDICAL CENTER (KDMC), A NONPROFIT ORGANIZATION, OWNS AND OPERATES A 49-BED ACUTE CARE HOSPITAL AND RELATED OUTPATIENT CARE FACILITIES LOCATED IN BROOKHAVEN, MS. ADMITTING PHYSICIANS ARE PRIMARIY PRACTITIONERS IN THE LOCAL AREA. 12 11 812 60 0 0 1126573 3237443 95725518 112039950 579652 271655 47898 35248 97479641 115584296 23207 16500 0 0 48078771 48968889 0 0 0 47845374 47600974 95947352 96586363 1532289 18997933 88551210 114856619 19411796 23947103 69139414 90909516 KING'S DAUGHTERS MEDICAL CENTER IS AN ACUTE CARE HOSPITAL ENGAGED IN "PROVIDING QUALITY HEALTH AND WELLNESS SERVICES IN A CHRISTIAN ENVIRONMENT" (AS STATED IN OUR MISSION STATEMENT). false false 82497530 16500 112039950 DURING FY 2024, KING'S DAUGHTERS MEDICAL CENTER PROVIDED HEALTHCARE SERVICES TO ALL PERSONS SEEKING CARE. INPATIENT CARE: TOTAL ADMISSIONS = 2,125, PATIENT DAYS = 6,249, DELIVERED BABIES = 746, PERFORMED SURGERIES = 5,460, TREATED EMERGENCY ROOM VISITS = 26,464 AMBULATORY CARE: MEDICAL CLINIC VISITS = 17,551, PEDIATRIC CLINIC VISITS = 19,608, ORTHOPEDIC CLINIC VISITS = 8,670, PRIMARY CARE CLINIC VISITS = 175,100, VISION CENTER VISITS = 3,383, AND PROVIDED CARE TO 98,630 OUTPATIENTS. CHARITY CARE SERVICES PROVIDED AMOUNTED TO $2,702,457, WHILE UNCOLLECTIBLE ACCOUNTS APPROXIMATED $17,465,308. 83422 0 0 PATIENT EDUCATION: COMMUNITY EDUCATION AND HEALTH SCREENING EVENTS FOR CHILDBIRTH CLASSES, CPR, DIABETES MANAGEMENT, BLOOD PRESSURE SCREENINGS AND OTHER HEALTH SCREENINGS WERE PROVIDED FREE OR AT MINIMAL COST TO THE PUBLIC. 82580952 true true false true false false false false false true false false false true false true false false false false false false false false false true true false true true true false false false false false false false false false false false false false false true true true false false false true 57 0 true 812 true false false false false false false false false false false false false X 12 11 false false false false false false false true true false false false true true true true true true true false MS X SCOTT CHRISTENSEN CEO 6018359488 427 HWY 51 NORTH BROOKHAVEN MS 39601 CATHY DITCHARO SECRETARY 1.0 0.0 X X 0 0 0 ROBYN AKER CHAIRMAN 5.0 0.0 X X 0 0 0 SARAH FOSTER VICE CHAIRMAN 1.0 0.0 X X 0 0 0 WILLIAM JACOBS TREASURER 1.0 0.0 X X 0 0 0 JOSHUA ILES MD PEDIATRICIAN / TRUSTEE 40.0 0.0 X 346373 0 52128 KATHERINE BUMGARNER TRUSTEE 1.0 0.0 X 0 0 0 KOREY WHITE TRUSTEE 1.0 0.0 X 0 0 0 MARTHA WILBERT EX-OFFICIO 1.0 0.0 X 0 0 0 MICHAEL TANNER TRUSTEE 1.0 0.0 X 0 0 0 RYAN CASE MD TRUSTEE 1.0 0.0 X 0 0 0 SHERRA SMITH TRUSTEE 1.0 0.0 X 0 0 0 SYLVIA CAMPBELL TRUSTEE 1.0 0.0 X 0 0 0 ADAM MOORE CHIEF FINANCIAL OFFICER 40.0 0.0 X 183463 0 4238 AMY WALKER CHIEF ADMINSTRATIVE OFFICER AS OF 1/15/24 40.0 0.0 X 0 0 0 EMO CLYDE SBRAVATI CHIEF COMPLIANCE OFFICER (RETIRED 11/25/23) 40.0 0.0 X 236691 0 51127 JAMES HEARD CHIEF NURSING OFFICER 40.0 0.0 X 198139 0 25722 JEFFREY ROSS MD CHIEF MEDICAL OFFICER / CHIEF OF STAFF 40.0 0.0 X 405586 0 34720 SCOTT CHRISTENSON CHIEF EXECUTIVE OFFICER 40.0 0.0 X 461869 0 46958 BLAINE BRITT MD FAMILY MEDICINE PHYSICIAN 40.0 0.0 X 346226 0 28639 C MITCH HOLLAND MD PEDIATRICIAN 40.0 0.0 X 417708 0 40698 MATTHEW GAINES MD HOSPITALIST 40.0 0.0 X 327138 0 35402 RAMIRO MONTALVO MD SPECIALTY PHYSICIAN 40.0 0.0 X 312323 0 35773 TIMOTHY SHANN MD PEDIATRICIAN 40.0 0.0 X 348478 0 47014 3583994 0 402419 66 false true false BROOKHAVEN ANESTHESIA AND PAIN MANAGEMENT PO BOX 948 BROOKHAVEN MS 396020948 ANESTHESIA SERVICES 3368551 SOUTH CENTRAL UROLOGY SERVICES PLLC 308 CORPORATE DR RIDGELAND MS 39157 UROLOGIST 1453500 LAMBERT EMERGENCY MEDICINE SERVICES 220 HWY 84 WEST MONTICELLO MS 39654 EMERGENCY ROOM PHYSICIAN 593416 COLE T HODGES DO PLLC 606 FELDER LANE NW BROOKHAVEN MS 39601 EMERGENCY ROOM PHYSICIAN 520077 JACKSON HEART CLINIC PA 970 LAKELAND DR SUITE 61 JACKSON MS 39216 CARDIOLOGISTS 515093 18 3194970 42473 3237443 Patient Service Revenue 622110 110591940 110591940 Other Operating Income 622110 1107474 1107474 MOB Rental Income 531120 340536 340536 0 0 0 0 112039950 1432624 1432624 43178 7930 35248 0 35248 35248 1574686 2735655 -1160969 0 -1160969 -1160969 0 0 0 0 0 0 115584296 112039950 0 306903 X 16500 16500 2033890 2033890 39681246 33638661 6042585 1098399 931137 167262 3251222 2756132 495090 2904132 2461896 442236 565247 479172 86075 295114 250175 44939 192874 163504 29370 15919962 13495700 2424262 0 188120 159473 28647 3944637 3343955 600682 1430843 1212957 217886 1257707 1066186 191521 187425 158884 28541 295636 250617 45019 5071202 4298969 772233 7056 5982 1074 MEDICAL SUPPLIES 15919805 15919805 REPAIRS & MAINTENANCE 1569930 1330864 239066 FOOD 278601 236176 42425 DUES & SUBSCRIPTIONS 155914 132172 23742 320901 272035 48866 0 96586363 82580952 14005411 0 2816445 252873 3142519 16690101 8958823 12491987 0 0 0 0 1456252 1137662 2150417 2134704 895306 938396 115527497 71355949 45193498 44171548 9818143 32393902 617198 448613 10346536 3156073 4196833 88551210 114856619 7865708 9368625 5889821 5600073 0 0 4021436 7610713 1634831 1367692 19411796 23947103 X 69139414 90909516 69139414 90909516 88551210 114856619 18997933 2772169 0 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 11113 11113 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY KING'S DAUGHTERS MEDICAL CENTER PAYS DUES TO MISSISSIPPI HOSPITAL ASSOCIATION TOTALING $65,107 OF WHICH 14.0% ($9,115) IS ATTRIBUTABLE TO LOBBYING. KING'S DAUGHTERS MEDICAL CENTER PAYS DUES TO MHA MS RURAL HOSPITAL ALLIANCE TOTALING $7,500 OF WHICH 14.0% ($1,050) IS ATTRIBUTABLE TO LOBBYING. TOTAL DUES ATTRIBUTABLE TO LOBBYING ARE $11,113. 7807088 7807088 56986375 34054001 22932374 1196470 645496 550974 48563938 36656452 11907486 973626 0 973626 44171548 LEASE LIABLITY 330135 COST REPORT PAYABLE 587313 CLAIMS PAYABLE 450244 1367692 118334365 2772169 7930 2780099 115554266 30030 30030 115584296 96564263 7930 7930 96556333 30030 30030 96586363 Schedule D, Part X, Line 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 RENTAL EXPENSE - 7930 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements REVENUES INCLUDED IN EXPENSES PER AUDIT - 30030 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 RENTAL EXPENSES - 7930 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements REVENUES INCLUDED IN EXPENSES PER AUDIT - 30030 true true X true X true X true true true false true true 896135 896135 0.0093 14525685 28077379 0 0.0 0 0.0 0 0 15421820 28077379 896135 0.0093 554521 554521 0.0057 0 0.0 37176415 23850233 13326182 0.1380 0 0.0 0 0.0 0 0 37730936 23850233 13880703 0.1437 0 0 53152756 51927612 14776838 0.1530 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 14814213 5925685 21775078 16249199 5525879 X true true 1 1 KING'S DAUGHTERS MEDICAL CENTER 427 HWY 51 N BROOKHAVEN MS 39602 www.kdmc.org 16-235 X X X KING'S DAUGHTERS MEDICAL CENTER 1 false false true X X X X X X X X X 23 true false false true X https://www.kdmc.org/about/community-health-needs-assessment-chna-/ X true 23 true https://www.kdmc.org/about/community-health-needs-assessment-chna-/ false true X 150.0 250.0 X X true true X X X X true X https://www.kdmc.org/patients-visitors/billing/patient-financial-resources/ X https://www.kdmc.org/patients-visitors/billing/patient-financial-resources/ X https://www.kdmc.org/patients-visitors/billing/patient-financial-resources/ X X X X X X X true X false X X X X X true X false false Schedule H, Part V, Section B, Line 3E KDMC ADDRESSED ALL SIGNIFICANT NEEDS DURING THE RECENT CHNA. THE SIGNIFICANT NEEDS THAT THE HOSPITAL IS ADDRESSING INCLUDE THE FOLLOWING: * AFFORDABLE HEALTHCARE SERVICES * MANAGEMENT OF CHRONIC DISEASES (DIABETES, HEART DISEASE, CANCER, STROKE, KIDNEY DISEASE) * ACCESS TO MENTAL HEALTHCARE * HEALTH PREVENTION & EDUCATION (PREVENTION SERVICES, OBESITY) THE COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE ACCESSED AT: https://www.kdmc.org/documents/KDMC-CHNA-Final-Report.pdf Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - KING'S DAUGHTERS MEDICAL CENTER. AS PART OF THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT IN 2024, COMMUNITY INPUT WAS OBTAINED FROM AN ADVISORY GROUP OF 100 LOCAL RESIDENTS WITH WHOM WERE SELECTED ACCORDING TO CRITERIA REQUIRED BY THE FEDERAL GUIDELINES AND THE HOSPITAL'S DESIRE TO REPRESENT THE REGION'S GEOGRAPHICALLY AND ETHNICALLY DIVERSE POPULATION. A STANDARD PROCESS OF GATHERING COMMUNITY INPUT WAS UTILIZED. IN ADDITION TO THE 100 COMMUNITY MEMBERS NOTED ABOVE, DATA WAS OBTAINED FROM: * COUNTY HEALTH RANKINGS 2024 REPORT * CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) * CENTERS FOR DISEASE CONTROL & PREVENTION (CDC) * MISSISSIPPI STATE DEPARTMENT OF HEALTH HAVING TAKEN STEPS TO IDENTIFY POTENTIAL COMMUNITY NEEDS, THE LOCAL EXPERTS THEN PARTICIPATED IN A STRUCTURED COMMUNICATION TECHNIQUE CALLED A "WISDOM OF CROWDS" METHOD. THE PREMISE OF THIS APPROACH RELIES ON A PANEL OF EXPERTS WITH THE ASSUMPTION THAT THE COLLECTIVE WISDOM OF PARTICIPANTS IS SUPERIOR TO THE OPINION OF ANY ONE INDIVIDUAL, REGARDLESS OF THEIR PROFESSIONAL CREDENTIALS. THE 2024 COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE ACCESSED AT: https://www.kdmc.org/documents/KDMC-CHNA-Final-Report.pdf Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - KING'S DAUGHTERS MEDICAL CENTER. KDMC ADDRESSED ALL SIGNIFICANT NEEDS DURING THE 2024 CHNA. THE SIGNIFICANT NEEDS THAT THE HOSPITAL IS ADDRESSING INCLUDE THE FOLLOWING: 1) AFFORDABLE HEALTHCARE SERVICES GOAL: REDUCE COST BARRIERS AND ENHANCE ACCESS TO CARE BY CONNECTING PATIENTS TO FINANCIAL ASSISTANCE SERVICES AND PROGRAMS LOCALLY. KDMC SERVICES, PROGRAMS, AND RESOURCES AVAILABLE: - RANGE OF SPECIALTY CARE SERVICES AVAILABLE LOCALLY TO LIMIT PATIENTS' NEED TO TRAVEL FAR FOR CARE. - OFF-SITE HEALTH CLINICS PROVIDE INCREASED ACCESS TO PATIENTS CLOSE TO HOME. - ONSITE RETAIL PHARMACY TO LIMIT TRANSPORTATION AND TRAVEL COSTS. - FINANCIAL ASSISTANCE PROGRAM PROVIDES DISCOUNTED PRICING TO LOW-INCOME PATIENTS. - FINANCIAL COUNSELORS AVAILABLE TO ASSIST PATIENTS IN APPLYING FOR INSURANCE AND IDENTIFYING ADDITIONAL RESOURCES. - CARE COORDINATION SERVICES ASSIST PATIENTS IN FINDING OTHER RESROUCES UPON DISCHARGE. THE HOSPITAL PLANS TO TAKE THE FOLLOWING STEPS TO ADDRESS THIS NEED: + INCREASE COMMUNITY EDUCATION AND LITERACY AROUND HEALTH INSURANCE OPTIONS, INCLUDING MEDICARE PLANS. + CONTINUE TO ADVOCATE FOR STATE POLICIES TO INCREASE ACCESS TO HEALTH INSURANCE COVERAGE FOR LOW-INCOME INDIVIDUALS. + CONNECT PATIENTS TO COMMUNITY RESOURCES THAT ADDRESS BARRIERS TO CARE - INCLUDING TRANSPORTATION, EDUCATION & INCOME. 2) MANAGEMENT OF CHRONIC DISEASES GOAL : IMPROVE HEALTH OUTCOMES AND REDUCE DISPARITIES THROUGH THE AVAILABILITY OF HIGH-QUALITY HEALTHCARE SERVICES IN THE COMMUNITY. KDMC SERVICES, PROGRAMS, AND RESOURCES AVAILABLE: - PRIMARY CARE CLINIC PROVIDES ACCESS TO INDIVDUALIZED SERVICE, HEALTH EDUCATION, CHRONIC DISEASE MANAGEMENT AND DIABETIC TREATMENT AND EDUCATION. - SPECIALTY CARE SERVICES AVAILABLE LOCALLY - INCLUDING CANCER CARE, CARDIOLOGY, UROLOGY, CARDIOPULMONARY AND MORE. - ADVANCED AND COMPREHENSIVE IMAGING - INCLUDING CT SCAN, MRI, MAMMOGRAPHY, NUCLEAR MEDICINE BONE DENSITY SCAN AND MORE. - INFUSION CLINIC OFFERS OUTPATIENT ANTIBIOTIC AND BIOLOGIC DRUG INFUSIONS. - HEALTHY HEART PROGRAM PROVIDES LOW COST CT AND CALCIUM SCREENING. - CHRONIC CARE MANAGEMENT PROGRAM HELPS PATIENTS OPTIMIZE THEIR HEALTH THROUGH CARE PLANNING, COORDINATION AND CONNECTIONS TO RESOURCES. - REMOTE PATIENT MONITORING PROGRAM ALLOWS PATIENTS TO CONTINUOUSLY MONITOR THEIR HEALTH STATUS AND WORK WITH THEIR PROVIDERS TO DEVELOP INDIVIDUALIZED CARE PLANS. THE HOSPITAL PLANS TO TAKE THE FOLLOWING STEPS TO ADDRESS THIS NEED: + EVALUATE ADDITIONAL OPPORTUNITIES TO EXPAND ACCESS TO PRIMARY CARE AND SPECIALTY CARE SERVICES THROUGHOUT THE REGION. + IDENTIFY AND UTILIZE NEW TECHNOLOGIES TO ENHANCE THE QUALITY OF SCREENING AND TREATMENT SERVICES. 3) ACCESS TO MENTAL HEALTHCARE GOAL : IMPROVE MENTAL HEALTH BY PROVIDING ACCESS TO CONVENIENT BEHAVIORAL HEALTHCARE AND COORDINATING REFERRALS TO ADDITIONAL SERVICES. KDMC SERVICES, PROGRAMS, AND RESOURCES AVAILABLE: - BEHAVIORAL WELLNESS CENTER PROVIDES ACCESS TO THREE NURSE PRACTITIONERS AND ONE THERAPIST ONSITE. - SERVICES INCLUDE SPECIALIZED THERAPIES, REFERRALS FOR THERAPY SERVICES AND MEDICATION MANAGEMENT. - TELEPSYCHIATRY AVAILABLE FOR PATIENTS TO CONNECT WITH A PSYCHIATRIST. - PARTNERSHIP WITH REGION 8 MENTAL HEALTH TO PROVIDE ACCESS TO MENTAL HEALTH TREATMENT, CASE MANAGEMENT, EDUCATION AND CONSULTATION. - PHQ9 DEPRESSION SCREENINGS ARE ADMINISTERED FOR ALL MEDICARE ANNUAL WELLNESS VISITS. - EMERGENCY DEPARTMENT AVAILABLE FOR PATIENTS IN MENTAL HEALTH CRISIS AND THEN CONNECTED TO APPROPRIATE RESOURCES. - SAFE PRESCRIPTION DRUG DROP-OFF LOCATION AT THE HOSPITAL. THE HOSPITAL PLANS TO TAKE THE FOLLOWING STEPS TO ADDRESS THIS NEED: + CONTINUOUSLY EXPAND ACCESS TO PROVIDERS AND PROGRAMS IN BEHAVIORAL WELLNESS CENTER. + EVALUATE OPPORTUNITIES TO EXPAND MENTAL HEALTH RESOURCES FOR EMPLOYEES. + ACCESS FEASIBILITY OF EXPANDING PHQ9 DEPRESSION SCREENING FOR ALL CLINIC VISITS. 4) HEALTH PREVENTION AND EDUCATION GOAL: REDUCE THE ONSET OF ILLNESS AND DISEASE THROUGH EFFECTIVE AND EQUITABLE PREVENTION AND EDUCATION SERVICES. KDMC SERVICES, PROGRAMS, AND RESOURCES AVAILABLE: - ACCREDITED DIABETES EDUCATION PROGRAM WITH FREE DIABETIC EDUCATION CLASSES. - COMMUNITY EDUCATOR WHO PROVIDES A RANGE OF EDUCATIONAL CLASSES INCLUDING CPR, FIRST AID, HEALTH FAIRS AND MORE. - ONSITE CASE MANAGERS PROVIDE EDUCATION AND ACCESS TO SCREENING SERVICES. - WORKFORCE WELLNESS IS A FREE OCCUPATIONAL HEALTH AND WELLNESS PROGRAM THAT PROVIDES PREVENTION AND SCREENING SERVICES FOR LOCAL EMPLOYERS. - KDMC FITNESS AND PERFORMANCE CENTERS PROMOTE HEALTH LIVING THROUGH ACCESS TO AFFORDABLE INDIVIDUAL AND GROUP FITNESS PROGRAMS AND STRENGTH, CONDITIONING AND RECOVERY SERVICES FOR LOCAL ATHLETES. - MOMMY UNIVERISTY PROVIDES ON-ON-ONE EDUCATION CLASSES FOR FREE TO SOON-TO-BE MOMS. - AMERICAN CANCER SOCIETY FRESHSTART SMOKING CESSATION CLASSES OFFERED FOR FREE. - FREE WEIGHT LOSS PROGRAM OFFERS GUIDANCE FOR SUCCESSFUL AND AFFORDABLE WEIGHT MANAGEMENT. THE HOSPITAL PLANS TO TAKE THE FOLLOWING STEPS TO ADDRESS THIS NEED: + EXPLORE ADDITIONAL COMMUNITY PROGRAMMING SUCH AS HEALTH FAIRS AND AFFORDABLE SCREENINGS TO PROMOTE THE PREVENTION AND EARLY DETECTION OF CHRONIC DISEASES. + IDENTIFY OUTREACH STRATEGIES TO ENGAGE MEDICALLY UNDERSERVED COMMUNITIES IN HOSPITAL-PROVIDED EDCUATION AND SCREENING SERVICES. + EXPAND DIABETES EDUCATION PROGRMA TO INCREASE ACCESS TO FREE SUPPORT AND EDUCAITON SERVICES. THE COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE ACCESSED AT: https://www.kdmc.org/documents/KDMC-CHNA-Final-Report.pdf Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - KINGS DAUGHTERS MEDICAL CENTER. A 30% DISCOUNT (EXCLUDING MEDICARE) WILL BE GIVEN FOR FULL-TIME LICENSED OR ORDAINED MINISTERS ON THEIR PATIENT PORTION ONLY. TO QUALIFY FOR THIS DISCOUNT, THE MINISTER MUST PRESENT PROOF TO THE PATIENT FINANCIAL SERVICES DEPARTMENT THAT THEY WORK FULL-TIME AS A MINISTER AND MEET THE PAYMENT GUIDELINES WITHIN THE POLICY. THE SALARY RESULTING FROM THEIR MINISTRY POSITION MUST BE THE PRIMARY SOURCE OF INCOME FOR THE MINISTER'S QUALIFIED DEPENDENTS. MEDICAL INDIGENCY IS ASSUMED WITH MEDICAID COVERAGE. ALSO, THE FINANCIAL ASSISTANCE COMMITTEE RESERVES THE RIGHT TO MAKE DECISIONS ON A CASE-BY-CASE BASIS. Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - KING'S DAUGHTERS MEDICAL CENTER. FINANCIAL BROCHURES ARE GIVEN OUT TO EACH PATIENT AT REGISTRATION. THE BROCHURES ARE PLACED IN THE WAITING ROOMS, AT PHYSICIANS OFFICES AND GIVEN OUT TO THE COMMUNITY THROUGH CHURCHES, SERVICE ORGANIZATIONS AND EMPLOYEES TALKING 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://www.kdmc.org/images/KDMC-Financial-Assistance-Policy.pdf THE FAP APPLICATION CAN BE ACCESSED AT: https://www.kdmc.org/patients-visitors/billing/financial-assistance-application/ THE FAP PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT: https://www.kdmc.org/patients-visitors/billing/patient-financial-resources/ Schedule H, Part V, Section B, Line 20 Facility , 1 Facility , 1 - KING'S DAUGHTERS MEDICAL CENTER. 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 PATIENT IF THEY QUALIFY 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 OVER TO COLLECTION AGENCIES UNTIL A TIME OF 121 DAYS HAVE PASSED. 14 KDMC PEDIATRIC ADOLESCENT CLINIC 509 BROOKMAN DRIVE BROOKHAVEN MS 396012326 PEDIATRIC CLINIC KDMC ORTHOPEDIC & SPORTS MEDICINE CLINIC 601 BROOKMAN DRIVE BROOKHAVEN MS 396012326 ORTHOPEDIC CLINIC KING'S DAUGHTERS MEDICAL CLINIC 950 BROOKWAY BOULEVARD BROOKHAVEN MS 396012326 MEDICAL CLINIC KDMC PRIMARY CARE CLINIC 940 BROOKWAY BOULEVARD BROOKHAVEN MS 396012326 PRIMARY CARE / SPECIALTY CLINIC KDMC VISION CENTER 624 HIGHWAY 51 N BROOKHAVEN MS 39601 VISION CLINIC KDMC BEHAVIORAL WELLNESS CENTER 439 NORTH JACKSON ST SUITE D BROOKHAVEN MS 39601 BEHAVIORAL WELLNESS CLINIC JACKSON HEART CLINIC 1014 BIGLANE DRIVE BROOKHAVEN MS 39601 SPECIALTY CLINIC KDMC INFUSION CLINIC 427 HWY 51 N BROOKHAVEN MS 39601 INFUSION CLINIC KDMC PERFORMANCE CENTER 408 DRURY LANE BROOKHAVEN MS 39601 SPECIALTY CLINIC KDMC Sleep Center & Pulmonology 511 BROOKMAN DRIVE BROOKHAVEN MS 39601 SPECIALTY CLINIC KDMC Therapy Center 507 HWY 51 N BROOKHAVEN MS 39601 THERAPY CLINIC KDMC Wound Care Center 427 HWY 51 N BROOKHAVEN MS 39601 SPECIALTY CLINIC King's Daughters Wellness Clinic 427 HWY 51 N BROOKHAVEN MS 39601 SPECIALTY CLINIC The Vein Center at KDMC 1020 BIGLANE DRIVE SPECIALTY CLINIC MS 39601 SPECIALTY CLINIC Schedule H, Part III, Line 3 SCHEDULE H, PART III, LINES 2 & 3 THE MEDICAL CENTER DETERMINES ITS ESTIMATE OF BAD DEBT BASED ON HISTORICAL COLLECTION EXPERIENCE BY CLASSES OF PATIENTS AND AGES OF BALANCES DUE. ALL BALANCES OVER 180 DAYS OLD ARE ALLOWED FOR AT 99%. Schedule H, Part I, Line 3c SCHEDULE H, PART I, LINE 3C FOR INSURED PATIENTS, KDMC OFFERS A 30% PROMPT PAY DISCOUNT ON ANY OUT OF POCKET COSTS, EXCLUDING AN INSURANCE DEDUCTIBLE, PROVIDED THE PAYMENT IS MADE AT THE TIME OF SERVICE. KDMC ALSO REALIZES THERE ARE A LARGE NUMBER OF UNINSURED IN THE COMMUNITY THAT CAN OBTAIN NO INSURANCE OR HAVE CHOSEN TO HAVE NO INSURANCE. SO THAT THESE INDIVIDUALS CAN RECEIVE A DISCOUNT SIMILAR TO KDMC'S MAJOR PRIVATE INSURANCE COMPANIES, KDMC OFFERS A 30% PROMPT PAY DISCOUNT IF BALANCE DUE IS PAID IN FULL WITHIN 30 DAYS OF SERVICE. A 30% DISCOUNT (EXCLUDING MEDICARE) WILL BE GIVEN FOR FULL-TIME LICENSED OR ORDAINED MINISTERS ON THEIR PATIENT PORTION ONLY. TO QUALIFY FOR THIS DISCOUNT, THE MINISTER MUST PRESENT PROOF TO THE PATIENT FINANCIAL SERVICES DEPARTMENT THAT THEY WORK FULL-TIME AS A MINISTER AND MEET THE PAYMENT GUIDELINES WITHIN THE POLICY. THE SALARY RESULTING FROM THEIR MINISTRY POSITION MUST BE THE PRIMARY SOURCE OF INCOME FOR THE MINISTER'S QUALIFIED DEPENDENTS. Schedule H, Part I, Line 7 KINGS DAUGHTERS MEDICAL CENTER USES THE MEDICARE COST REPORT COST TO CHARGE RATIO METHODOLOGY. Schedule H, Part III, Line 8 MEDICARE COST TO CHARGE RATIO. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance MEDICARE COST-TO-CHARGE RATIO ONLY. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote BAD DEBT EXPENSE FOOTNOTE IS ON PAGE 21 OF THE AUDITED FINANCIAL STATEMENTS ATTACHED. IT IS THE POLICY OF KDMC TO PROVIDE CHARITY ADJUSTMENT RELIEF TO ALL PERSONS THAT HAVE DOCUMENTED NEED FOR CHARITY CONSIDERATION. WE ATTEMPT TO COLLECT DOCUMENTATION FROM ALL PATIENTS THAT EXPRESS DIFFICULTY IN PAYING THEIR OBLIGATIONS THAT WILL ALLOW US TO VERIFY IF THEY QUALIFY FOR CHARITY. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance 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 INCLUDE LETTERS, PHONE CALLS AND OTHER FOLLOW-UP EFFORTS. GUARANTORS WITH JOBS OR ASSETS ARE PURSUED BY COLLECTION AGENCIES AND IN JUSTICE OR CIRCUIT COURT WITH JUDGEMENTS AND GARNISHMENTS, WHEN REQUIRED. Schedule H, Part V, Section B, Line 16a FAP website - KING'S DAUGHTERS MEDICAL CENTER: Line 16a URL: https://www.kdmc.org/patients-visitors/billing/patient-financial-resources/; Schedule H, Part V, Section B, Line 16b FAP Application website - KING'S DAUGHTERS MEDICAL CENTER: Line 16b URL: https://www.kdmc.org/patients-visitors/billing/patient-financial-resources/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - KING'S DAUGHTERS MEDICAL CENTER: Line 16c URL: https://www.kdmc.org/patients-visitors/billing/patient-financial-resources/; Schedule H, Part VI, Line 2 Needs assessment 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 PERTIENT INFORMATION. THE COMMUNITY HEALTH NEEDS ASSESSMENT IS COMPLETED EVERY THREE YEARS. THE MOST RECENT ASSESSMENT FROM 2024 CAN BE ACCESSED AT:https://www.kdmc.org/documents/KDMC-CHNA-Final-Report.pdf. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance 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 REPRESENTATIVES AND COLLECTIONS STAFF ASSIST ALL PATIENTS WITH REFERRALS. THIRD PARTY COLLECTORS ENCOURAGE PATIENTS TO APPLY FOR FINANCIAL ASSISTANCE WHEN THEY MAKE COLLECTION CALLS, OR IF PATIENTS INDICATE THEY ARE UNABLE TO PAY. NOTICES OF THE FINANCIAL ASSISTANCE POLICY ARE INCLUDED ON ALL BILLING STATEMENTS WITH INFORMATION ON WHERE TO FIND THE POLICY AND APPLICATION. A FINANCIAL ASSISTANCE POLICY PLAIN LANGUAGE SUMMARY IS PROVIDED TO EVERY PATIENT EITHER UPON ADMISSION OR WHEN DISCHARGED. NOTICES OF THE FINANCIAL ASSISTANCE POLICY ARE INCLUDED ON ALL BILLING STATEMENTS WITH INFORMATION ON WHERE TO FIND THE POLICY AND APPLICATION. Schedule H, Part VI, Line 4 Community information 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 THOSE OF KDMC. THE AVERAGE HOUSEHOLD INCOME IN LINCOLN COUNTY IS $48,596 WHICH IS LOWER THAN THE STATE AVERAGE OF $52,788. THE OVERALL DEMOGRAPHICS OF LINCOLN COUNTY ARE 68% WHITE, 30% BLACK, 1% HISPANIC, AND 1% OTHER. Schedule H, Part VI, Line 5 Promotion of community health 1. KDMC'S GOVERNING BOARD IS SELECTED BY THE WILLING HEARTS CIRCLE (WHC), 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 H, Part VI, Line 7 State filing of community benefit report MS true SCHOLARSHIPS 8 16500 0 N/A N/A Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. THE HOSPITAL'S ONLY GRANTS ARE SCHOLARSHIPS. THE HOSPITAL MONITORS THE GRANT FUNDS, AS FOLLOWS. EACH CHECK REQUEST INCLUDES A COPY OF THE ORIGINAL SCHOLARSHIP 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. X X false false false false false false false true false JOSHUA ILES MD PEDIATRICIAN / TRUSTEE 308665 0 36511 0 1197 0 14824 0 37304 0 398501 0 0 0 SCOTT CHRISTENSON CHIEF EXECUTIVE OFFICER 426483 0 0 0 35386 0 25531 0 21427 0 508827 0 0 0 EMO CLYDE SBRAVATI CHIEF COMPLIANCE OFFICER (RETIRED 11/25/23) 230391 0 6300 0 0 0 31321 0 19806 0 287818 0 0 0 JAMES HEARD CHIEF NURSING OFFICER 190927 0 0 0 7212 0 4400 0 21322 0 223861 0 0 0 ADAM MOORE CHIEF FINANCIAL OFFICER 181463 0 2000 0 0 0 3527 0 711 0 187701 0 0 0 JEFFREY ROSS MD CHIEF MEDICAL OFFICER / CHIEF OF STAFF 345600 0 59768 0 218 0 11110 0 23610 0 440306 0 0 0 BLAINE BRITT MD FAMILY MEDICINE PHYSICIAN 147033 0 199139 0 54 0 7500 0 21139 0 374865 0 0 0 C MITCH HOLLAND MD PEDIATRICIAN 406424 0 11284 0 0 0 16198 0 24500 0 458406 0 0 0 MATTHEW GAINES MD HOSPITALIST 267169 0 59969 0 0 0 13952 0 21450 0 362540 0 0 0 RAMIRO MONTALVO MD SPECIALTY PHYSICIAN 301299 0 11024 0 0 0 14323 0 21450 0 348096 0 0 0 TIMOTHY SHANN MD PEDIATRICIAN 280940 0 67538 0 0 0 26890 0 20124 0 395492 0 0 0 Schedule J, Part I, Line 7 Non-fixed payments PHYSICIAN BONUSES ARE BASED ON MEETING INDIVIDUAL RVU GOALS FOR EACH QUARTER. EACH PHYSICIAN HAS A STATED GOAL IN THEIR EMPLOYMENT CONTRACT. A LINCOLN COUNTY MISSISSIPPI 646000622 2009-01-29 9000000 EXPANSION AND RENOVATION OF INTENSIVE CARE UNIT AND EMERGENCY ROOM false false false A 3389116 0 9000000 0 0 0 40279 0 0 8959721 0 0 2009 false false true true A false false false false 0.0 0.0 0.0 false false true A false false true false false false false false false A false Schedule K, Part I BOND ISSUES: ISSUER NAME - LINCOLN COUNTY, MISSISSIPPI PURPOSE - EXPANSION AND RENOVATION OF ICU AND EMERGENCY ROOM Form 990, Part VI, Line 15a 15b THE KDMC BOARD APPROVES 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, Line 11b Review of form 990 by governing body 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, Line 12c Conflict of interest policy 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, Line 19 Required documents available to the public 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 IX, Line 11g Other Fees MEDICAL DIRECTOR FEES - Total Expense: 7089698, Program Service Expense: 6010092, Management and General Expenses: 1079606, Fundraising Expenses: 0; CONSULTING FEES - Total Expense: 1165175, Program Service Expense: 987744, Management and General Expenses: 177431, Fundraising Expenses: 0; PURCHASED SERVICES - Total Expense: 7665089, Program Service Expense: 6497864, Management and General Expenses: 1167225, Fundraising Expenses: 0; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; KDMC PHYSICIAN CLINICS LLC PO BOX 948 BROOKHAVEN MS 396020948 461590861 BILLING MS 9327542 309606 KING'S DAUGHTERS MEDICAL CENTER KING'S DAUGHTERS FOUNDATION PO BOX 948 BROOKHAVEN MS 396020948 621373067 FUNDRAISING MS 501(c)(3) 8 KING'S DAUGHTERS MEDICAL CENTER true false false true false false false false false false false false false true true true false false false false