2022-11-14T15:50:54-05:00 2021-12-31 990 2021-01-01 311674981 HIGHLAND DISTRICT HOSPITAL PROFESSIONAL SERVICES CORP HIGH 3973936100 1275 N HIGH STREET HILLSBORO OH 45133 MEGHANN ACKLEY VP FINANCE 3973936100 2022-11-11 MEGHANN ACKLEY XXX-XX-XXXX 2021 2022-09-23 18:48:47Z RANDAL LENNARTZ 2753801 false X N/A X 2000 OH THE MISSION OF HIGHLAND DISTRICT HOSPITAL PROFESSIONAL SERVICES CORPORATION IS TO SERVCE THE COMMUNITY BY PROVIDING ACCESSIBLE, EFFICIENT, QUALITY HEALTH CARE IN AN ATMOSPERE OF SAFETY, COMPASSION, AND EXCELLENCE. 10 10 15 10 0 2087630 1109991 1255522 1619659 0 4700 7555 3347852 2737205 0 0 2471073 2242483 0 0 391300 886780 2862373 3129263 485479 -392058 1506888 862661 553455 301286 953433 561375 THE MISSION OF HIGHLAND DISTRICT HOSPITAL PROFESSIONAL SERVICES CORPORATION IS TO SERVE THE COMMUNITY BY PROVIDING ACCESSIBLE, EFFICIENT, QUALITY HEALTHCARE IN AN ATMOSPHERE OF SAFETY, COMPASSION, AND EXCELLENCE. false false 3109524 1621402 HIGHLAND DISTRICT HOSPITAL PROFESSIONAL SERVICES CORPORATION ENGAGES IN THE PRACTICE AND PROFESSIONAL SERVICES OF MEDICINE. HIGHLAND DISTRICT HOSPITAL PROFESSIONAL SERVICES CORPORATION SAW 9703 VISITS IN 2021. 3109524 true true false false false false false false false false true false false false false false false true false false false false false false false false false false false true false false false false false false false false false false false false false true false true false true 8 0 true 15 true false false false false false false false false false false false false X 10 10 true false false false true true false true false false false true true true true true true false true false X MEGHANN ACKLEY 9373936100 1275 N HIGH STREET HILLSBORO OH 45133 X LARRY PARKER PRESIDENT 0.25 0.25 X X 0 0 0 PHILLIP WILSON PHD TREASURER 0.25 1.25 X X 0 0 0 DWIGHT CREEK SECRETARY 0.25 0.25 X X 0 0 0 WENDEL HAREWOOD DIRECTOR 0.25 X 0 0 0 STEVE THOMPSON DIRECTOR 0.25 X 0 0 0 GINA EARLEY DIRECTOR 0.25 0.25 X 0 0 0 BILL COUCH DIRECTOR 0.25 1.25 X 0 0 0 LARRY BURNS DIRECTOR 0.25 2.25 X 0 0 0 RINDY MATTHEWS DC DIRECTOR 0.25 1.25 X 0 0 0 BRIAN SETTY DIRECTOR 0.25 1.25 X 0 0 0 RANDAL LENNARTZ CEO X 0 0 0 MEGHANN ACKLEY VP FINANCE X 0 0 0 VINAYAK KULKARNI PHYSICIAN 20.00 0.00 X 360201 0 16536 CRAIG MCKINNEY PHYSICIAN 40.00 0.00 X 297979 0 28858 STEVEN BATTAGLIA PHYSICIAN 40.00 0.00 X 180386 0 41313 RANGA BRAHMAMDAM PHYSICIAN 40.00 0.00 X 409313 0 9883 ALEX RENSHAW PHYSICIAN 40.00 0.00 X 638408 0 26965 1886287 123555 5 false true false DAYTON CENTER FOR NEUROLOGICAL DISORDERS 1975 MIAMISBURG-CENTERVILLE RD CENTERVILLE OH 45459 PHYSICIAN 266286 STAFF CARE INC PO BOX 281923 ATLANTA GA 30384 PHYSICIAN 259095 NOBILITY LLC PO BOX 310843 DES MOINES IA 50331 BILLING 114204 3 1109991 1109991 NET PATIENT SERVICE REVENUE 621110 1619659 1619659 1619659 22408 16596 5812 5812 5812 OTHER REVENUE 1743 1743 1743 2737205 1621402 5812 X 2033841 2033841 30862 30862 72976 72976 104804 104804 487963 487963 2750 2750 23840 4101 19739 139828 139828 16846 16846 3700 3700 64451 64451 MEDICAL SUPPLIES 63304 63304 REPAIRS & MAINTENANCE 55777 55777 HOUSEKEEPING 13262 13262 COLLECTION FEES 4711 4711 10348 10348 3129263 3109524 19739 0 793877 146844 198768 284489 188689 124356 35691 34415 415368 142811 289863 272557 1506888 862661 297157 245307 256298 55979 553455 301286 X 953433 561375 953433 561375 1506888 862661 -392058 X false true X true true true X X 1 HIGHLAND DISTRICT HOSPITAL HIGHLAND DISTRICT HOSPITAL 310653685 6 true 0 1619659 1 1619659 true false false false false false false false false false false false false false false true false RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 15200 15200 329805 85040 244765 70363 57771 12592 272557 false false false false false false false false false VINAYAK KULKARNI PHYSICIAN 261736 98465 11600 4936 376737 CRAIG MCKINNEY PHYSICIAN 297979 11600 17258 326837 STEVEN BATTAGLIA PHYSICIAN 180386 7671 33642 221699 RANGA BRAHMAMDAM PHYSICIAN 395842 13471 9883 419196 ALEX RENSHAW PHYSICIAN 638408 11600 15365 665373 FORM 990, PAGE 6, PART VI, LINE 2 RANDAL LENNARTZ MEGHANN ACKLEY OFFICER OFFICER BUSINESS RELATIONSHIP FORM 990, PAGE 6, PART VI, LINE 6 HIGHLAND DISTRICT HOSPITAL FOUNDATION IS THE SOLE MEMBER OF HIGHLAND DISTRICT HOSPITAL PROFESSIONAL SERVICES CORPORATION. FORM 990, PAGE 6, PART VI, LINE 7A AS THE SOLE MEMBER OF HIGHLAND DISTRICT HOSPITAL PROFESSIONAL SERVICES CORPORATION, HIGHLAND DISTRICT HOSPITAL FOUNDATION APPOINTS THE BOARD OF DIRECTORS. FORM 990, PAGE 6, PART VI, LINE 8B HIGHLAND DISTRICT HOSPITAL PROFESSIONAL SERVICES CORPORATION DOES NOT HAVE COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PAGE 6, PART VI, LINE 11B THE INITIAL DRAFT OF THE RETURN IS PREPARED DBY THE ACCOUNTING DEPARTMENT AND THEN FORWARDED TO THE VP FINANCE FOR REVIEW AND COMMENT. ONCE A FINAL DRAFT IS COMPLETED, THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE FINAL VERSION. THE BOARD APPROVED FORM 990 IS THEN FILED WITH THE IRS. FORM 990, PAGE 6, PART VI, LINE 12C THE CONFLICT OF ITNEREST STATEMENTS COVERS ALL INTERESTED PERSONS OF THE ORGANIZATION. THIS INCLUDES ANY DIRECTOR, OFFICER, OR MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS. THESE INDIVIDUALS MUST AFFIRM THAT THEY HAVE RECEIVED A COPY OF THE CONFLICT OF INTEREST STATEMENT, HAVE READY AND UNDERSTAND THE POLICY AND AGREE TO COMPLY WITH THE POLICY. IN THE EVEN OF AN ACTUAL OR POSSIBLE CONFLICT OF INTERST, THE INTERESTED INDIVIDUAL MUST DISCLOSE THE ESISTENCE AS SOON AS IT IS KNOWN. UPON DISCLOSURE, THE REMAINING BOARD MEMBERS DISCUSS AND VOTE TO DETERMINE IF A CONFLICT EXISTS. IN THE EVENT OF A CONFLICT, THE INTERESTED PERSON WILL ABSTAIN FROM ANY PART OF ANY BUSINESS DECISION RELATED TO THE CONFLICT. IF IT IS DETERMINED THAT AN INDIVIDUAL HAS VIOLATED THE CONFLICT OF INTEREST POLICY , APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION WILL BE TAKEN. FORM 990, PAGE 6, PART VI, LINE 15B THE COMPENSATION OF KEY EMPLOYEES IS BASED UPON INFORMATION OBTAINED REGARDING COMPENSATION LEVELS OF INDIVIDUALS IN SIMILAR POSITIONS AT A SIMILARLY SIZED HEALTH CARE FACILITIES COMPARED TO THE NATIONAL AVERAGE. FORM 990, PAGE 6, PART VI, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. A NOTICE IS PLACED IN THE NEWSPAPER AFTER THE AUDIT IS COMPLETED AND APPROVED BY THE STATE OF OHIO AUDITOR. FORM 990, PART IX, LINE 11G 487,963 0 0 HIGHLAND DISTRICT HOSPITAL 1275 N HIGH STREET HILLSBORO OH 45133 310653685 HOSPITAL OH 6 NA false HIGHLAND DISTRICT HOSPITAL FOUNDATI 1275 N HIGH STREET HILLSBORO OH 45133 311666318 FOUNDATION OH 3 11 HDH false false false true false false false false false false false false false false false false false false false false HIGHLAND DISTRICT HOSPITAL FDN C 900000 FMV