2015-08-13T15:51:08-05:00 2014-09-30 640394922 WATKINS WARD AND STAFFORD PLLC PO BOX 311 EUPORA MS 39744 990 2013-10-01 640844470 KING'S DAUGHTERS HOSPITAL OF YAZOO COUNTY INC KING 6627518150 823 GRAND AVE YAZOO CITY MS 39194 SEAN JOHNSON ADMINISTRATOR 6627518150 2015-08-12 true ANITA C GOODRUM CPA P00634142 6622582331 2015-08-13 2013 2016-02-25 16:41:14Z X SEAN JOHNSON 823 GRAND AVE YAZOO CITY MS 39194 15507583 false X WWW.KDHYAZOO.COM X KINGS'S DAUGHTERS HOSPITAL'S PRIMARY PURPOSE IS TO PROVIDE HEALTHCARE TO THE RESIDENTS OF YAZOO COUNTY, MISSISSIPPI AND THE SURROUNDING AREAS INCLUDING THOSE WHOM LACK THE ABILITY TO PAY FOR SERVICES. 9 9 290 10 0 25000 10000 17151956 14483877 3201 5386 1263330 1008320 18443487 15507583 0 0 9593263 8333909 0 0 9225550 10417310 18818813 18751219 -375326 -3243636 12839005 9760307 5278968 5863843 7560037 3896464 KINGS'S DAUGHTERS HOSPITAL'S PRIMARY PURPOSE IS TO PROVIDE HEALTHCARE TO THE RESIDENTS OF YAZOO COUNTY, MISSISSIPPI AND THE SURROUNDING AREAS INCLUDING THOSE WHOM LACK THE ABILITY TO PAY FOR SERVICES. false false 16347250 KING'S DAUGHTERS HOSPITAL OF YAZOO COUNTY, INC. PROVIDES INPATIENT, OUTPATIENT, EMERGENCY AND CLINICAL HEALTHCARE SERVICES TO THE RESIDENTS OF YAZOO COUNTY, MISSISSIPPI AND SURROUNDING AREAS. 16347250 true true false false false false false false false false true false false false false false true false false false false false false false false false true true false false true false false false false false false false false false false false false false false false false false true 22 0 true 290 true false false false false false false X 9 9 false true false false false false false true true false false true true true true true true true true false X SEAN JOHNSON 6627462261 823 GRAND AVE YAZOO CITY MS 39194 X MRS JULIE HOFFMAN VICE-CHAIRMA X X 0 0 0 JOHN KANE DITTO TRUSTEE X 0 0 0 VAN RAY CHAIRMAN X X 0 0 0 WILLIAM B GRETE TRUSTEE X 0 0 0 KURT W METZNER TRUSTEE X 0 0 0 KENNETH T SMITH JR TRUSTEE X 0 0 0 MARION SIGREST CHIEF STAFF/ 40.00 X 0 0 0 BEVERLY KING SECRETARY X X 0 0 0 MARIETTA WILKINSON TRUSTEE X 0 0 0 GARY AUSTIN PHARMACY DIR 40.00 X 151454 0 0 BRIAN BAIN PHARMACIST 40.00 X 113393 0 0 THOMAS GEE PHYSICAL THE 40.00 X 113370 0 0 CELESTE WILLIAMSON PHYSICAL THE 40.00 X 112739 0 0 MARSHA JONES NURSING DIRE 40.00 X 104765 0 0 595721 6 false true false CORRECT CARE CORRECT CARE 17438 HARD HAT DRIVE 17438 HARD HAT DRIVE COVINGTON LA 70435 ER PHY COVERAGE 1535427 RADIOLOGICAL GROUP RADIOLOGICAL GROUP 1405 N STATE STREET SUITE 200 1045 N STATE STREET SUITE 200 JACKSON MS 39202 RADIOLOGY SERVI 558093 STEPPING STONES HEALTHCARE LLC STEPPING STONES HEALTHCARE LLC 1821 LA CIMA DR 1821 LA CIMA DR MCKINNEY TX 75071 IOP SERVICES 465258 CCP WOUND CARE CCP WOUD CARE 3445 N CAUSEWAY BLVD 3445 N CAUSEWAY BLVD METAIRIE LA 70435 WOUND CARE SRVC 306650 SUPERIOR MRI SERVICES INC SUPERIOR MRI SERVICES INC PO BOX 1592 PO BOX 1592 BATESVILLE MS 38606 MOBILE MRI SRVC 140075 6 10000 10000 EMERGENCY ROOM OP 6337639 6337639 CT SCAN OP 4682333 4682333 LABORATORY OP 4586428 4586428 RADIOLOGY PC OP 2514307 2514307 PHYSICAL THERAPY OP 2032365 2032365 -5669195 -5669195 14483877 5386 5386 UPL PROGRAM 551638 551638 FITNESS CENTER DUES/ASSESSMEN 183623 183623 CAFETERIA SALES 126819 126819 146240 146240 1008320 15507583 15497583 X 7087573 6822024 265549 132811 132811 586847 586847 526678 526678 777045 20000 757045 35154 35154 46895 46895 61562 61562 27522 27522 55929 25853 30076 28154 28154 695976 695976 234940 234940 ER PRO FEE 1593033 1593033 OUTSIDE SERVICES 1501584 1144215 357369 CONSULTING FEES 1266380 542073 724307 PHYSICIAN FEE 506456 506456 3586680 3399106 187574 18751219 16347250 2403969 0 764906 582081 1459225 994932 6631014 5161796 288056 274535 29870 56919 15628767 13156576 3448079 2472191 217855 217853 12839005 9760307 3619217 4403082 1659751 1460761 5278968 5863843 X 7560037 3896464 7560037 3896464 12839005 9760307 -3243636 -419937 X false true X true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 378995 378995 6925846 6743605 182241 88203 83356 4847 8050450 5471970 2578480 3144563 15507583 15507583 15507583 18751219 18751219 18751219 true true true X true X true true false false 49554 49554 0.00260 1682371 1304505 377866 0.02020 1731925 1304505 427420 0.02280 1731925 1304505 427420 0.02280 true 2997316 1064047 7090685 9621160 -2530475 X true true MS BAPTIST HEALTH SY TO PROVIDE HEALTHCARE SERVICES 1 1 KING'S DAUGHTERS HOSPITAL OF YAZOO COUNTY INC 823 GRAND AVENUE YAZOO CITY MS 39194 16-203 X X X X PRIMARY CARE CLINIC KING'S DAUGHTERS HOSPITAL 1 true X X X X 12 true false true X WWW.KDHYAZOO.COM X X X true false true true 100.000000000000 true 100.000000000000 true X X true true X X true X true X X X true X false false FACILITY 1, KING'S DAUGHTERS HOSPITAL - PART V, LINE 3 THE HOSPITAL COLLABORATED WITH STROUDWATER ASSOCIATES TO PRESENT KEY FINDINGS FROM THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND TO IDENTIFY POTENTIAL COMMUNITY RESOURCES AND PRIORITIES FOR HEALTH IMPROVEMENT. THIS WAS ACCOMPLISHED THROUGH A SERIES OF ACTIVITIES THAT PROVIDE A MUTUAL EXCHANGE OF INFORMATION, IDEAS, AND RESOURCES AMONG COMMUNITY MEMBERS, THE HOSPITAL, AND CONSULTANTS. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY THE ORGANIZATION RESERVES ACCOUNTS RECEIVABLE OVER 180 DAYS FROM DISCHARGE DATE AS BAD DEBT EXPENSE. PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE ACCORDING TO THE CENSUS BUREAU 35.5% OF THE POPULATION IN YAZOO COUNTY LIVE BELOW THE FEDERAL POVERTY LEVEL. KDH'S FINANCIAL ASSISTANCE POLICY STARTS AT 100% OF THE FEDERAL POVERTY GUIDELINES THEREFORE AT LEAST 35.5% OF OUR BAD DEBT EXPENSE COULD BE ATTRIBUTABLE TO INDIVIDUALS LIVING UNDER THE FEDERAL POVERTY GUIDELINES AND BE ELIGIBLE FOR FINANCIAL ASSISTANCE. PART III, LINE 8 - MEDICARE EXPLANATION THE SHORTFALL WILL BE ABSORBED BY THE ORGANIZATION'S OVERALL FINANCIAL CONDITION. AS SUCH, THIS WILL BE CONSIDERED A COMMUNITY BENEFIT. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION ONCE A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE PURSUANT TO THE ORGANIZATION'S FINCNIAL ASSISTANCE POLICY, THE ORGANIZATION CANCELS ALL COLLECTION PRACTICES TOWARDS THAT PATIENT'S BILL. X false true X X false false false false false false false false false GARY AUSTIN PHARMACY DIRECTOR 151454 151454 SCHEDULE J, PAGE 1, PART I, LINE 1A THE ORGANIZATION DOES NOT HAVE A WRITTEN POLICY REGARDING HEALTH AND SOCIAL CLUB DUES. THE ORGANIZATION PAYS THE DUES FOR ALL EMPLOYEES THAT UTILIZE THE KDH FITNESS CENTER. SCHEDULE J, PAGE 1, PART I, LINE 1B THE ORGANIZATION DOES NOT HAVE A WRITTEN POLICY REGARDING HEALTH AND SOCIAL CLUB DUES. FORM 990, PAGE 1, ITEM B THIS RETURN IS BEING AMENDED TO CORRECT AMOUNTS REPORTED ON SCHEDULE H RELATED TO THE HOSPITAL'S FINANCIAL ASSISTANCE COST (PART I) AND MEDICARE COLLECTIONS (PART III). SCHEDULE H, PART I, LINE 7, COLUMN D: AS ORIGINALLY FILED - 1,761,187; AMENDED - 1,304,505. SCHEDULE H, PART I, LINE 7, COLUMN E: AS ORIGINALLY FILED - -29,262; AMENDED - 427,420. SCHEDULE H, PART I, LINE 7, COLUMN F: AS ORIGINALLY FILED - 0.26%; AMENDED - 2.28%. SCHEDULE H, PART III, LINE 3: AS ORIGINALLY FILED - 119,873; AMENDED - 1,064,047. SCHEDULE H, PART III, LINE 6: AS ORIGINALLY FILED - 6,201,829; AMENDED - 9,621,160. SCHEDULE H, PART III, LINE 7: AS ORIGINALLY FILED - 888,856; AMENDED - - 2,530,475. FORM 990, PAGE 6, PART VI, LINE 3 KING'S DAUGHTERS HOSPITAL OF YAZOO COUNTY, INC. ENTERED INTO A MANAGEMENT SUPPORT SERVICES AGREEMENT WITH MISSISSIPPI BAPTIST HEALTH SYSTEMS, INC., EFFECTIVE OCTOBER 1, 2010, TO ASSIST IN DAY-TO-DAY OPERATIONS OF THE HOSPITAL AND TO PROVIDE MANAGEMENT SUPPORT. FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 WAS REVIEWED BY THE GOVERNING BODY AND MANAGEMENT AT THEIR JULY 2015 BOARD MEETING, PRIOR TO THE RETURN BEING FILLED. FORM 990, PAGE 6, PART VI, LINE 12C EVERY YEAR, THE ORGANIZATION'S BOARD OF DIRECTORS IS PROVIDED A COPY OF THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND SIGNS AN ACKNOWLEDGMENT CERTIFYING EACH DIRECTOR'S COMPLIANCE WITH SUCH POLICY. FORM 990, PAGE 6, PART VI, LINE 15A THE ORGANIZATION DOES PERIODIC SURVEYS TO DETERMINE THE MARKET RATES FOR COMPENSATION. FORM 990, PAGE 6, PART VI, LINE 15B THE ORGANIZATION DOES PERIODIC SURVEYS TO DETERMINE THE MARKET RATES FOR COMPENSATION. FORM 990, PAGE 6, PART VI, LINE 19 NO DOCUMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 24E SUPPLIES 463,810 39,558 0 LEASES 321,571 119,296 0 MEDICAID ASSESSMENT 350,534 0 0 COST OF DRUGS 349,648 0 0 FOOD COST 225,949 0 0 ELECTRICITY 198,080 0 0 LAB REAGENTS 180,650 0 0 HOSPITALIST PRO FEE 166,533 0 0 SALARIES 146,303 0 0 MAINTENANCE SERVICES 130,746 0 0 OUTSIDE SERVICES PROGRAMM 125,608 0 0 C O G S 115,007 0 0 PHYSICIANS FEE 101,052 0 0 LEASED EQUIPMENT 81,518 0 0 TELEPHONE 72,883 0 0 CREDIT & COLLECTIONS 63,681 0 0 GAS 57,443 0 0 COST OF BLOOD 42,530 0 0 WASTE DISPOSAL 36,604 0 0 MINOR CAPITAL EXP 31,540 0 0 NUCLEAR SERVICES 21,250 0 0 VENDING 0 20,731 0 RADIOLOGICAL DRUGS 19,485 0 0 OUTSIDE SERVICE 17,409 0 0 SPECIAL SUPPLIES 17,381 0 0 ANES PROF FEE 17,136 0 0 PHARMACY 12,815 0 0 MISCELLANEOUS EXPENSE 0 6,779 0 PHONE 6,628 0 0 ELECTRIC 5,394 0 0 UTILITIES-OTHER 4,077 0 0 EDUCATION 3,907 125 0 UTILITIES OTHER 3,808 0 0 WATER 1,819 0 0 AUTOMOBILE TAG/TITLE/TAX 1,628 0 0 COMMUNITY EDUCATION 1,124 0 0 PHYSICIAN RECRUITMENT 0 1,085 0 FREIGHT 1,077 0 0 LEASE & RENTALS 1,036 0 0 UTILITIES/OTHER 1,024 0 0 SPECIAL SUPPPIES 331 0 0 MAINTENANCE 268 0 0 PROPERTY TAXES 30 0 0 DUES & TRAVEL 26 0 0 POSTAGE -45 0 0 OVER & SHORT -192 0 0