2020-05-22T09:55:58-05:00 2019-09-30 621046406 JOHNSON HICKEY & MURCHISON PC 2215 OLAN MILLS DRIVE CHATTANOOGA TN 37421 990 2018-10-01 311131099 OHIO COUNTY HOSPITAL CORPORATION OHIO 2702987411 1211 OLD MAIN STREET HARTFORD KY 42347 SHELLIE SHOUSE CFO 2702987411 2020-05-22 1 BARRY R HUGGINS P00627334 4237560052 64.88.174.3 2020-05-22 09:42:53 ED P 4D2F6FA112CA0D83A1A5F4FC7ED964A6D0BC4DD5 3272C60C25DFB1EC93670E56C0D89454EDAEBC1D 2018 2020-09-22 18:59:49Z OHIO COUNTY HEALTHCARE SHELLIE SHOUSE 1211 OLD MAIN STREET HARTFORD KY 42347 44899777 0 X WWW.OHIOCOUNTYHOSPITAL.COM X 1984 KY OHIO COUNTY HEALTHCARE EXISTS TO HELP MAKE A DIFFERENCE BY CARING,SERVING AND EDUCATING INDIVIDUALS RELATIVE TO THEIR SPECIFIC HEALTH NEEDS. THROUGH THESE ACTIONS,THE GENERAL HEALTH OF OHIO COUNTY AND SURROUNDING AREAS WILL IMPROVE. 9 8 578 35 0 0 29141 30554 38777218 40295632 22435 128158 3660513 4445433 42489307 44899777 0 0 0 0 22759129 23257860 0 0 0 19337387 21207407 42096516 44465267 392791 434510 18710091 19116076 9001787 8973262 9708304 10142814 X OHIO COUNTY HEALTHCARE EXISTS TO HELP MAKE A DIFFERENCE BY CARING,SERVING AND EDUCATING INDIVIDUALS RELATIVE TO THEIR SPECIFIC HEALTH NEEDS. THROUGH THESE ACTIONS,THE GENERAL HEALTH OF OHIO COUNTY AND SURROUNDING AREAS WILL IMPROVE. 0 0 40767414 44741065 THE MISSION OF OHIO COUNTY IS TO MAKE A DIFFERENCE IN THE LIVES OF OTHERS BY CARING, SERVING, AND EDUCATING INDIVIDUALS RELATIVE TO THEIR SPECIFIC HEALTH NEEDS. WE BELIEVE THAT THROUGH THESE ACTIONS, THE GENERAL HEALTH OF OHIO COUNTY HOSPITAL IS THE FRONTLINE OF COMMUNITY HEALTHCARE, PROVIDING A SAFETY NET 24 HOURS A DAY THROUGH OUR INPATIENT, OUTPATIENT AND EMERGENCY SERVICES. IN ORDER TO MEET THE CHANGING NEEDS OF THE COMMUNITY AND IMPROVE THE ACCESS TO HEALTH CARE, WE HAVE EXPANDED OUR SERVICES TO INCLUDE PRIMARY CARE AND SPECIALTY PHYSICIAN PRACTICES. AND WHILE PATIENTS BENEFIT FROM OUR BEING CLOSE BY, ULTIMATELY IT IS THE WHOLE COMMUNITY THAT PROSPERS FROM OUR PRESENCE. THE HOSPITAL'S POSITIVE IMPACT ON THE COMMUNITY EXTENDS WELL BEYOND THE FOUR WALLS OF THE FACILITY. OUR COMMUNITY BENEFIT INCLUDES NOT ONLY THE COST OF PROVIDING CARE TO THE UNINSURED AND INDIGENT BUT ALSO BY IDENTIFYING UNMET COMMUNITY OR PUBLIC HEALTH NEEDS AND SEEKING TO ADDRESS THEM. EXAMPLES OF SUCH EFFORTS INCLUDING SUPPLYING CHILDHOOD IMMUNIZATION VACCINES TO OUR LOCAL HEALTH DEPARTMENT AT NO CHARGE. BECOMING A SMOKE-FREE FACILITY, AND OFFERING FREE SMOKING CESSATION COURSES SEVERAL TIMES A YEAR TO ALL COMMUNITY MEMBERS. OHIO COUNTY HOSPITAL WAS THE FOUNDING MEMBER OF A LOCAL HEALTH COALITION WHOSE FOCUS IS TO IMPLEMENT PREVENTATIVE HEALTH ACTIVITIES TO COMBAT THE LACK OF PHYSICAL ACTIVITY AND THE PREVELENCE OF OBESITY IN OUR AREA. WHETHER IT'S THROUGH THE PEOPLE WE EMPLOY, THE LOCAL BUSINESSES WE USE, OR THE CHARITIES AND COMMUNITY ACTIVITIES WE SUPPORT, WE ARE COMMITTED TO MAKING THE OHIO COUNTY AREA A HEALTHIER PLACE TO LIVE AND WORK. DURING THE FISCAL YEAR 2019, THE HOSPITAL PROVIDED HEALTH CARE SERVICES TO OHIO COUNTY KENTUCKY AND SURROUNDING AREAS, INCLUDING INPATIENT, OUTPATIENT, AND EMERGENCY SERVICES. OHIO COUNTY HOSPITAL PROVIDED $429,686 OF CHARITY CARE THROUGH ITS CHARITY CARE PROGRAM. 40767414 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 43 0 578 1 0 0 0 0 0 0 0 0 0 0 X 9 8 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 KY X SHELLIE SHOUSE 2702985495 1211 OLD MAIN STREET HARTFORD KY 42347 JONATHAN SHREWSBURY OD PRESIDENT 2.00 X X 0 0 0 JIM DUKE SECRETARY/TREASURER 2.00 X X 0 0 0 KELLY ROE DIRECTOR 2.00 X 0 0 0 CARLA WALLACE DIRECTOR 2.00 X 0 0 0 GERALD WESTERFIELD DIRECTOR 2.00 X 0 0 0 LLOYD SPIVEY VICE PRESIDENT 2.00 X 0 0 0 KEVIN GREGORY MD MEDICAL STAFF REPRESENTATI 2.00 X 0 0 0 MARY COOK DIRECTOR 2.00 X 0 0 0 BAILEY PHELPS MD MEDICAL STAFF REPRESENTATI 2.00 X 271978 0 12157 JOSHUA SKIBBA CARDIOLOGIST/CMO 40.00 X 408102 0 38831 ATHENA MINOR CHIEF CLINICAL OFFICER 40.00 X 78768 0 9025 MUKESH DESAI UROLOGIST 40.00 X 601000 0 48138 CHARLES RICCIO GASTROENTEROLOGIST 40.00 X 553099 0 55780 STEVEN MILLS PHYSICIAN 40.00 X 321258 0 19639 JOEL JOHNSTON PHYSICIAN ER 40.00 X 317626 0 17455 BRUCE DURHAM PHYSICIAN 40.00 X 264772 0 21201 2816603 0 222226 7 0 1 0 ORTHAPAEDICS AND SPORTS MEDICINE 2831 NEW HARTFORD RD OWENSBORO KY 42303 ORTHOPEDIC SURGERIES 940772 EMCARE PHYSICIAN SERVICES 7032 COLLECTION CENTER DRIVE CHICAGO IL 60693 ER PHYSICIANS 319067 QUOROM HEALTH RESOURCES 105 CONTINENTAL PLACE BRENTWOOD TN 37027 MANAGEMENT FEES 284328 GEORGE GILLIAM MD 2100 SOUTH STRATFORD DRIVE OWENSBORO KY 42301 PHYSICIAN SURGICAL 281369 EXCEL ANESTHESIA PSC 1020 N MAIN STREET BEAVER DAM KY 42320 ANESTHESIA 169688 7 30554 30554 NET PATIENT SERVICES 621300 40295632 40295632 40295632 128158 128158 MISCELLANEOUS REVENUE 611430 3428468 3428468 PAIN MANAGEMENT CENTER 621400 589952 589952 CLINIC REVENUE 621400 298375 298375 128638 128638 4445433 44899777 44741065 0 128158 X 534726 534726 19893950 18637565 1256385 201670 178377 23293 1201311 1062560 138751 1426203 1342156 84047 284328 284328 30000 30000 114789 114789 5282869 4317544 965325 87342 87342 147337 101472 45865 2035096 1615667 419429 93776 72309 21467 37723 33765 3958 158433 140131 18302 797012 704940 92072 576616 531431 45185 MEDICAL SUPPLIES AND DR 7307243 7307243 BAD DEBT 3289223 3289223 TAXES AND LICENSES 478912 478912 DUES AND SUBSCRIPTIONS 215571 155740 59831 271137 176311 94826 44465267 40767414 3697853 0 4269402 5789216 381050 381800 4496536 4012334 93271 1356375 497901 942520 934184 164075 248115 26062257 19637408 6497892 6424849 602241 734406 18710091 19116076 3940921 3499198 2545000 2340381 1461125 1515221 1054741 1618462 9001787 8973262 X 9708304 10142814 9708304 10142814 18710091 19116076 434510 0 X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 3626 3626 0 PART II-B, LINE 1: THE HOSPITAL PAYS DUES TO THE KENTUCKY HOSPITAL ASSSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THESE DUES ARE USED FOR LOBBYING. 530032 530032 8641381 5114808 3526573 16403639 14089924 2313715 487205 432676 54529 6424849 THIRD PARTY SETTLEMENTS 968008 RETIREMENT BENEFITS 650454 1618462 X 44899777 0 44899777 0 44899777 44465267 0 44465267 0 44465267 PART X, LINE 2: THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. THE HOSPITAL ACCOUNTS FOR UNCERTAIN TAX POSITIONS WITH PROVISIONS OF FASB ASC 740-10 "ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES" WHICH PROVIDES A FRAMEWORK FOR HOW COMPANIES SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE UNCERTAIN TAX POSITIONS WITHIN THE FINANCIAL STATEMENTS. THE HOSPITAL MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE HOSPITAL DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AS OF SEPTEMBER 30, 2019 AND 2018. AS OF SEPTEMBER 30, 2019 AND 2018, THE HOSPITAL DID NOT RECORD ANY PENALTIES OR INTEREST ASSOCIATED WITH UNCERTAIN TAX POSITIONS. THE HOSPITAL FILES TAX RETURNS IN THE U.S. FEDERAL JURISDICTIONS. WITH A FEW EXCEPTIONS, THE HOSPITAL IS NO LONGER SUBJECT TO U.S. FEDERAL EXAMINATIONS BY TAX AUTHORITIES FOR THE YEARS BEFORE 2016. 1 1 1 X 1 X 1 1 0 0 636798 636798 0.01550 8087796 6221132 1866664 0.04530 8724594 6221132 2503462 0.06080 33554 33554 0.00080 33554 33554 0.00080 8758148 6221132 2537016 0.06160 1 1400494 182953 25554892 25426920 127972 X 1 1 1 1 OHIO COUNTY HOSPITAL CORPORATION 1211 OLD MAIN STREET HARTFORD KY 42347 1629007430 X X X OHIO COUNTY HOSPITAL CORPORATION 1 0 0 1 X X X X X X X X 16 1 0 1 1 X WWW.OHIOCOUNTYHOSPITAL.COM X 1 16 1 WWW.OHIOCOUNTYHOSPITAL.COM 0 1 X 100.000000000000 100.000000000000 X 1 1 X X X X 1 X WWW.OHIOCOUNTYHOSPITAL.COM X WWW.OHIOCOUNTYHOSPITAL.COM X WWW.OHIOCOUNTYHOSPITAL.COM X X X X X X 1 X 0 X X X X 1 X 0 0 OHIO COUNTY HOSPITAL CORPORATION PART V, SECTION B, LINE 5: GREEN RIVER DISTRICT UTILIZED MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) TO CONDUCT THE 2015-2018 COMMUNITY HEALTH ASSESSMENT/COMMUNITY HEALTH IMPROVEMENT PLAN (CHA/CHIP). MAPP IS A COMMUNITY DRIVEN STRATEGIC PLANNING PROCESS DEVELOPED BY NACCHO AND THE CDC TO ASSIST COMMUNITIES IN ORGANIZING PARTNERS, COLLECTING COMPREHENSIVE DATA AND IMPLEMENTING AN ACTION PLAN. THE MAPP PROCESS INCLUDES SIX PHASES INCLUDING PARTNERSHIP DEVELOPMENT, VISIONING, ASSESSMENT,IDENTIFYING PRIORITY ISSUES, FORMULATING GOALS AND STRATEGIES AND TAKING ACTION.THE ASSESSMENT PORTION OF THE MAPP PROCESS INCLUDES FOUR DIFFERENT ASSESSMENTS; THEMES AND STRENGTHS ASSESSMENT, FORCES OF CHANGE ASSESSMENT, LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT, AND THE COMMUNITY HEALTH STATUS ASSESSMENT. PERCEPTIONS ABOUT QUALITY OF LIFE, LOCAL ASSETS AND ISSUES THAT INTEREST THE COMMUNITY CONTRIBUTED TO THE THEMES AND STRENGTHS ASSESSMENT. THE FORCES OF CHANGE ASSESSMENT IDENTIFIED TRENDS AND OTHER ISSUES THAT COULD IMPACT THE COMMUNITY. TO MEASURE PARTNERSHIP INVOLVEMENT AND DELIVERY OF SERVICES, THE LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT WAS CONDUCTED. THE COMMUNITY HEALTH STATUS ASSESSMENT PROVIDED PRIMARY AND SECONDARY DATA ON THE COMMUNITY'S HEALTH CONDITIONS. OHIO COUNTY HOSPITAL CORPORATION PART V, SECTION B, LINE 6B: GREEN RIVER COMMUNITY DISTRICT HEALTH DEPARTMENT (DAVIESS, HANCOCK, HENDERSON, MCLEAN, OHIO, UNION,AND WEBSTER COUNTIES) OHIO COUNTY HOSPITAL CORPORATION PART V, SECTION B, LINE 13H: PATIENTS WHOSE FAMILY INCOME EXCEEDS 200% BUT NOT MORE THAN 400% OF THE FPL MAY BE ELIGIBLE TO RECEIVE DISCOUNTED RATES ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE, AT THE DISCRETION OF OHIO COUNTY HOSPITAL; HOWEVER THE DISCOUNTED RATES SHALL NOT BE GREATER THE THE AMOUNTS GENERALLY BILLED TO (RECEIVED BY THE HOSPITAL FOR)COMMERCIALLY INSURED [OR MEDICARE]PATIENTS. OHIO COUNTY HOSPITAL CORPORATION PART V, SECTION B, LINE 18E: THE HOSPITAL USES AN OUTSIDE COMPANY-DMC WHO DETERMINES IF ALL OF THE PRIVATE PAY PATIENTS FIRST ARE ELIGIBLE FOR MEDICAID AND IF THEY ARE NOT THEY DETERMINE IF THEY ARE ELIGIBLE FOR THE STATE INDIGENT PROGRAM. IF THEY ARE ELIGIBLE FOR THE STATE PROGRAM THE ENTIRE BALANCE IS WRITTEN OFF. IF THE PRIVATE PAY PATIENTS ARE ELIGIBLE FOR EITHER OF THE TWO PROGRAMS, THE HOSPITAL HAVE BEGAN OFFERING (OCTOBER 2011), A PRIVATE PAY DISCOUNT WHICH INITIALLY DISCOUNTS 50% OFF THE PATIENT'S ACCOUNT BALANCE. ALL OF THE PRIVATE PAY PATIENTS RECEIVE 3 STATEMENTS, 2 LETTERS AND SOMETIMES ANOTHER LETTER BEFORE BEING SENT TO THE COLLECTIONS AGENCY. THE COLLECTION AGENCY THEN DETERMINES THE ABILITY TO PAY, AND THEY TAKE ACTIONS BASED ON THE RESULTS OF THEIR FINDINGS. OHIO COUNTY HOSPITAL CORPORATION PART V, SECTION B, LINE 20E: ADMITTING CLERKS PROVIDE EACH UNINSURED PATIENT A CHARITY CARE APPLICATION AND ENCOURAGE HER TO COMPLETE THE FORM. IT MUST BE DOCUMENTED THAT THE PATIENT HAS NO CURRENT VALID INSURANCE COVERAGE AND IS NOT ELIGIBLE TO APPLY FOR PUBLIC ASSISTANCE OR OTHER INSURANCE. THE PATIENT MUST MEET THE CRITERIA ESTABLISHED BY THE STATE TO QUALIFY FOR THE CHARITY CARE PROGRAM.THE ECA IS ON OUR LETTERS THAT GOES OUT TO THE PATIENT.THE DMC CHECKS ALL PRIVATE PAY FOR ANY MEDICAID THAT THEY MAY BE ELGIBLE FOR.IF WE HAD ANY OPEN APPLICATIONS THEY MAY BE CONSIDERED BEFORE ECA. 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 $ 3,289,223. PART III, LINE 4: EXPLANATION FOR HOW BAD DEBT IS CALCULATED IS PROVIDED IN THE FOOTNOTE OF THE FINANICIALS.ACCOUNTS RECEIVABLE ARE STATED AT THE AMOUNT THE HOSPITAL EXPECTS TO COLLECT. THE HOSPITAL MAINTAINS ALLOWANCES FOR DOUBTFUL ACCOUNTS FOR ESTIMATED LOSSES RESULTING FROM THE INABILITY OF ITS PATIENTS TO MAKE REQUIRED PAYMENTS. MANAGEMENT CONSIDERS THE FOLLOWING FACTORS WHEN DETERMINING THE COLLECTABILITY OF PATIENT ACCOUNTS: PAYOR CREDIT-WORTHINESS, PAST TRANSACTION HISTORY WITH THE PAYOR, CURRENT ECONOMIC INDUSTRY TRENDS, AND CHANGES IN PAYOR PAYMENT TERMS. IF THE FINANCIAL CONDITION OF THE HOSPITAL'S PAYORS OR PATIENTS WERE TO DETERIORATE, ADVERSELY AFFECTING THEIR ABILITY TO MAKE PAYMENTS, ADDITIONAL ALLOWANCES WOULD BE REQUIRED. BASED ON MANAGEMENT'S ASSESSMENT, THE HOSPITAL PROVIDES FOR ESTIMATED UNCOLLECTIBLE AMOUNTS THROUGH A CHARGE TO EARNINGS AND A CREDIT TO ALLOWANCE. BALANCES THAT REMAIN OUTSTANDING AFTER THE HOSPITAL HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO ALLOWANCE AND A CREDIT TO ACCOUNTS RECEIVABLE. PART III, LINE 8: THE METHODOLOGY USED TO DETERMINE THE AMOUNT IN LINE 7 WAS THE COST TO CHARGE RATIO. PART III, LINE 9B: ALL ACCOUNTS MOVE THROUGH THE REGISTRATION, MEDICAL CODING AND INSURANCE BILLING PROCESS. IF THE PATIENT HAS AN INSURANCE OR GOVERNMENT PLAN THAT PAYER WILL BE BILLED. ONCE THEY PAY, THE ACCOUNT IS REVIEWED FOR CORRECT BALANCE. THEN CPSI ASSIGNS A CYCLE CODE TO EACH ACCOUNT WHICH DRIVES WHEN A STATEMENT WILL BE ISSUED. THE STATEMENTS THEN FOLLOW IN 28 DAY CYCLES. EACH PATIENT SHOULD RECEIVE AT LEAST 3 STATEMENTS AND 2 LETTERS. WITH THIS CYCLE EVERY PATIENT WILL RECEIVE STATEMENTS FOR GREATER THAN 120 DAY PERIOD. IN THE EVENT THE PATIENT MAKES A PAYMENT SATISFYING PAYMENT TERMS ON THE ACCOUNT, THE STATEMENT CYCLE IS SET BACK TO THE BEGINNING. A PATIENT WITH NO INSURANCE GOES THROUGH REGISTRATION, A REVIEW FOR ANY POSSIBLE PAYER AND KENTUCKY DSH PROGRAM. ONCE IT HAS BEEN DETERMINED THAT THERE IS NO OTHER PAYER SOURCE, THE DSH APPLICATIONS ARE SENT TO DMS CONSULTANTS FOR REVIEW OF POTENTIAL MEDICAID OR DSH APPROVAL. DMC NOTIFIES OHIO COUNTY HOSPITAL IF THE PATIENT HAS EITHER INSURANCE, MEDICAID OR HAS BEEN APPROVED FOR THE DSH PROGRAM. ADJUSTMENTS ARE MADE ACCORDINGLY FROM THESE FINDINGS. IF NO INSURANCE AND NOT QUALIFIED FOR ANY PROGRAMS A DENIAL IS SENT TO THE PATIENT.THE PRIVATE PAY PATIENTS ARE ALSO RECEIVING THE SAME BILLING CYCLE AS ALL OTHER PAYERS. DURING THIS CYCLE WE ALSO RECEIVE INCOMING CALLS AND PATIENT WALK IN'S, AS WELL AS MAKING PHONE CALLS AS TIME PERMITS FOR ADDITIONAL ATTEMPTS TO COLLECT. ALL ACCOUNTS ARE DOCUMENTS AS STATEMENTS, LETTERS AND PHONE CALL ATTEMPTS ARE MADE AT THE ATTEMPT TO COLLECT THE BALANCE OF THE ACCOUNT. IN THE EVENT THAT OHIO COUNTY HOSPITAL STAFF HAS BEEN UNABLE TO COLLECT THE OUTSTANDING DEBT, ACCOUNTS ARE TURNED OVER TO AN OUTSIDE COLLECTION AGENCY. THE AGENCY THEN FOLLOWS AS DIRECTED BY OCH TO ATTEMPT FOR AN ADDITIONAL 120 DAYS OR NO PAYMENT WITHIN THE LAST 12 MONTHS. THEIR ATTEMPTS ALSO INCLUDES LETTERS, PHONE CALLS AND PLACED ON CREDIT REPORTING SYSTEMS. IN THE EVENT THAT THE COLLECTION AGENCY HAS BEEN UNSUCCESSFUL AT THE COLLECTION, THE ACCOUNTS WILL BE DEEMED UNCOLLECTIBLE, CLOSED AND RETURNED FROM CREDIT REPORTING AND THEN CANCELED BACK TO HOSPITAL. HOSPITAL STAFF THEN PLACES A NOTE ON THAT ACCOUNT THAT IT HAS BEEN DEEMED UNCOLLECTIBLE. HOSPITAL OR COLLECTION AGENCY MAKES NO FURTHER ATTEMPTS AT COLLECTION AT THIS POINT. HOSPITAL COMPILES A REPORT FOR THE UNCOLLECTIBLE DEDUCTIBLE AND CO INSURANCE THAT HAVE BEEN DEEMED IN THE SAME COST REPORTING FISCAL YEAR PERIOD. THIS REPORT IS PROVIDED TO CMS WHEN EVER NECESSARY. MOST COMMONLY ATTACHED TO THE COST REPORT. PART VI, LINE 2: GREEN RIVER DISTRICT UTILIZED MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) TO CONDUCT THE 2015-2018 COMMUNITY HEALTH ASSESSMENT/COMMUNITY HEALTH IMPROVEMENT PLAN (CHA/CHIP). MAPP IS A COMMUNITY DRIVEN STRATEGIC PLANNING PROCESS DEVELOPED BY NACCHO AND THE CDC TO ASSIST COMMUNITIES IN ORGANIZING PARTNERS, COLLECTING COMPREHENSIVE DATA AND IMPLEMENTING AN ACTION PLAN.THE MAPP PROCESS INCLUDES SIX PHASES INCLUDING PARTNERSHIP DEVELOPMENT, VISIONING, ASSESSMENT, IDENTIFYING PRIORITY ISSUES, FORMULATING GOALS AND STRATEGIES AND TAKING ACTION.1. PARTNERSHIPS: DRAWING ON THE BROAD PARTICIPATION OF PARTNERS DURING THE PREVIOUS CYCLE (2012-2015), REPRESENTATIVES FROM LOCAL COALITIONS, HOSPITALS, HEALTHCARE PROVIDERS, GOVERNANCE AND EDUCATION AS WELL AS CONCERNED CITIZENS CAME TOGETHER TO PARTICIPATE IN THE MAPP PROCESS. IN ADDITION, PARTNER AGENCIES FROM THE PREPAREDNESS SECTOR FOCUSED ON BUILDING COMMUNITY RESILIENCE THROUGH MAPP.2. VISIONING: EACH COUNTY SELECTED A VISION STATEMENT TO GUIDE COMMUNITY HEALTH IMPROVEMENT PLAN DECISIONS. VISIONS WERE CREATED THROUGH CONSIDERATION OF MAPP ASSESSMENTS AND THE FOUR PERSPECTIVES; THESE VISIONS DESCRIBE AN IDYLLIC COMMUNITY.3. ASSESSMENT: THE ASSESSMENT PORTION OF THE MAPP PROCESS INCLUDES FOUR DIFFERENT ASSESSMENTS; THEMES AND STRENGTHS ASSESSMENT, FORCES OF CHANGE ASSESSMENT, LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT, AND THE COMMUNITY HEALTH STATUS ASSESSMENT. PERCEPTIONS ABOUT QUALITY OF LIFE,LOCAL ASSETS AND ISSUES THAT INTEREST THE COMMUNITY CONTRIBUTED TO THE THEMES AND STRENGTHS ASSESSMENT. THE FORCES OF CHANGE ASSESSMENT IDENTIFIED TRENDS AND OTHER ISSUES THAT COULD IMPACT THE COMMUNITY. TO MEASURE PARTNERSHIP INVOLVEMENT AND DELIVERY OF SERVICES, THE LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT WAS CONDUCTED. THE COMMUNITY HEALTH STATUS ASSESSMENT PROVIDED PRIMARY AND SECONDARY DATA ON THE COMMUNITY'S HEALTH CONDITIONS. GREEN RIVER DISTRICT CONSIDERED FOUR PERSPECTIVES IN ASSESSING THE HEALTH OF OUR COMMUNITIES: DATA PERSPECTIVE: QUANTITATIVE DATA WAS USED TO DEVELOP A SOCIAL, ECONOMIC AND HEALTH PORTRAIT FOR EACH COUNTY. DATA WERE DRAWN FROM STATE, COUNTY AND LOCAL SOURCES INCLUDING KENTUCKY HEALTH FACTS, US CENSUS BUREAU DATA, COUNTY HEALTH RANKINGS, KENTUCKY DEPARTMENTFOR PUBLIC HEALTH AND THE KENTUCKY HEALTH BENEFIT EXCHANGE. FOR CURRENT HEALTH STATUS DETAILS,PLEASE SEE THE GRDHD 2015 COMMUNITY HEALTH ASSESSMENT AVAILABLE THROUGH WWW.HEALTHDEPARTMENT.ORG.ORGANIZATIONAL PERSPECTIVE: QUALITATIVE DATA WAS DERIVED FROM FORUMS AND FOCUS GROUPS CONDUCTED IN EACH COUNTY THROUGHOUT THE DISTRICT. A WIDE RANGE OF ORGANIZATIONS, COMMUNITY STAKEHOLDERS AND RESIDENTS SHARED THEIR PERCEPTIONS OF COMMUNITY, HEALTH CONCERNS, AND SERVICES, PROGRAMS AND EVENTS NECESSARY TO ADDRESS THOSE CONCERNS. DURING EACH OF THE FORUMS, LOCAL HEALTH INDICATORS WERE PRESENTED ALONG WITH THE COMMUNITY SURVEY AND PREVIOUS CYCLE INITIATIVES; ATTENDEES PARTICIPATED IN A DIALOGUE AROUND THE HEALTH AND THEIR COMMUNITY. THE ORGANIZATIONAL PERSPECTIVE EXPLORED CURRENT HEALTH PRIORITIES, IDENTIFIED STRENGTHS AND LOCAL RESOURCES, NOTED POTENTIAL FORCES OF CHANGE AND GAPS IN SERVICES. THE ORGANIZATIONAL PERSPECTIVE IS KEY TO INFORMING FUNDING AND PROGRAM PRIORITIES.INDIVIDUAL/HOUSEHOLD PERSPECTIVE: TO GATHER INFORMATION ABOUT ITS POPULATION, GRDHD CONDUCTED A COMMUNITY ASSESSMENT FOR PUBLIC HEALTH EMERGENCY RESPONSE (CASPER). THIS COMMUNITY SURVEY SUPPLIED ANSWERS TO QUESTIONS REGARDING PERCEIVED HEALTH OF THE COMMUNITY, STRENGTHS, WEAKNESSES, SPECIFIC HEALTH DIAGNOSES, ENVIRONMENTAL ISSUES AND LEVEL OF "PREPAREDNESS" IN THE CASE OF AN EMERGENCY OR NATURAL DISASTER. FOR MORE INFO SEE THE CASPER(COMMUNITY SURVEY) DATA SHEET AVAILABLE AT WWW.HEALTHDEPARTMENT.ORGFOCUS GROUPS AND SURVEYS: ALTHOUGH THE COMMUNITY SURVEY CAPTURED OPINIONS FROM A REPRESENTATIVE SAMPLE, THE NEEDS OF DISPARATE POPULATIONS MAY NOT HAVE BEEN ADEQUATELY COVERED. FOCUS GROUPS WERE SCHEDULED FOR EACH OF THE SEVEN COUNTIES TO ELICIT INPUT FROM LOW INCOME, TRANSIENT AND MINORITY POPULATIONS. A LACK OF INTEREST AND PARTICIPATION CONFINED THE RESULTS TO DAVIESS COUNTY. DISCUSSIONS EXPLORED PARTICIPANTS' PERCEPTIONS OF THEIR COMMUNITIES, PRIORITY HEALTH CONCERNS AND PERCEPTIONS OF HEALTH, PREVENTION AND HEALTHCARE SERVICES AS WELL AS SUGGESTIONS FOR SERVICES AND PROGRAMMING TO ADDRESS THESE ISSUES. PLEASE SEE THE (DAVIESS COUNTY SPECIAL POPULATIONS ADDENDUM TO THE GREEN RIVER COMMUNITY HEALTH ASSESSMENT) FOR MORE INFORMATION.HISTORICAL PERSPECTIVE / 2012-2015 CHA/CHIP: GREEN RIVER DISTRICT INITIATED THE MAPP PROCESS IN JANUARY 2012. LOCAL PARTNERS IN EACH OF THE SEVEN COUNTIES CAME TOGETHER TO ASSESS THEIR RESPECTIVE COMMUNITY'S HEALTH USING INPUT GATHERED USING A THREE PRONG APPROACH OF HEALTH DATA,PUBLIC OPINION (COMMUNITY SURVEY) AND PARTNERSHIP CONTRIBUTIONS (IN-DEPTH CONVERSATION IN COUNTY-SPECIFIC FOCUS GROUPS). THISINFORMATION WAS USED TO DEVELOP THE 2012-2015 CHIP. EACH COUNTY SELECTED THREE-FOUR STRATEGIC INITIATIVES TO ADDRESS OVER THE THREEYEAR CYCLE. LOCAL PARTNERS MET MONTHLY AND PURSUED OBJECTIVES TO IMPACT THEIR COMMUNITIES DIRECTLY. DISTRICT WIDE REPORTS WERECOMPLETED SEMI-ANNUALLY; A PUBLIC HEALTH FORUM EACH SPRING AND ANNUAL SUMMARY DOCUMENT EACH FALL. THE CHA IS AVAILABLE AT WWW.HEALTHDEPARTMENT.ORG. FLASH DRIVES WITH 2012-2015 INFORMATION AS WELL AS THE 2015 CHA WAS MADE AVAILABLE TO PUBLIC AND COMMUNITY PARTNERS THROUGHOUT THE CYCLE. POSTCARDS ANNOUNCING AVAILABILITY OF CHA RESULTS THROUGH THE HEALTH DEPARTMENT WEBSITE WERE PROVIDED TO LOCAL BUSINESSES THROUGHOUT THE DISTRICT. PART VI, LINE 3: OHIO COUNTY HOSPITAL'S ADMITTING AND BUSINESS OFFICE STAFF PROVIDES CHARITY CARE APPLICATIONS TO ANY PATIENT THAT DOESN'T HAVE INSURANCE DURING THE REGISTRATION PROCESS. IF THE PATIENT DOESN'T COMPLETE THE APPLICATION AT THAT TIME, THEIR DEMOGRAPHIC INFORMATION IS THEN SENT TO AN OUTSIDE COMPANY, DMC, INC, AND THEY DETERMINE IF THE PATIENT IS ELIGIBLE FOR EITHER MEDICAID OR CHARITY CARE. DMC WILL FOLLOW-UP WITH THE PATIENT TO GET ADDITIONAL INFORMATION AS NEEDED. ONCE THE ACCOUNT IS BILLED AND IS IN THE COLLECTION PROCESS, OUR PRIVATE PAY COUNSELORS CHECK EACH ACCOUNT TO MAKE SURE THAT IT HAS BEEN CHECKED FOR INDIGENT CARE ELIGIBILITY. PART VI, LINE 4: HISTORICALLY 90% OF ALL ADMISSIONS AND 95% OF ALL OUTPATIENT SERVICES PERFORMED AT OHIO COUNTY HOSPITAL ARE PROVIDED TO RESIDENTS OF OHIO COUNTY; 94% OF ALL MEDICARE INPATIENT ADMISSIONS ARE GENERATED FROM THE OHIO COUNTY AREA. THE HOSPITAL'S PRIMARY SERVICE AREA INCLUDES THE RESIDENTS OF THE INCORPORATED CITIES OF HARTFORD, BEAVER DAM, ROSINE, FORDSVILLE, HORSE BRANCH AND CROMWELL. OHIO COUNTY IS GEOGRAPHICALLY THE FIFTH LARGEST COUNTY IN KENTUCKY. TOTAL POPULATION AS OF 2015 WAS 21,488.OHIO COUNTY IS A DESIGNATED A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) AND A MEDICALLY UNDERSERVICED AREA / POPULATION (MUA/P). IN 2015, THE PERCENTAGE OF OHIO COUNTY'S POPULATION LIVING BELOW THE POVERTY LEVEL DECREASED TO 19.70%. ACCORDING TO KENTUCKY HEALTH FACTS, THE RATE FOR UNINSURED ADULTS (UNDER 65 YEARS) IS 12.5%. PART VI, LINE 5: OHIO COUNTY HOSPITAL'S BOARD OF DIRECTORS IS COMPRISED OF COMMUNITY VOLUNTEERS WHO ARE COMMITTED TO THE HEALTH AND WELFARE OF THE COMMUNITY AND DEDICATED TO ENSURING THE VIABILITY OF THE HOSPITAL FOR YEARS TO COME. THE BOARD EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE SERVICE AREA. SURPLUS FUNDS PROVIDE FOR CONTINUITY OF HEALTHCARE SERVICES DURING PERIODS OF ECONOMIC DOWNTURN, RECRUITMENT OF ADDITIONAL PROVIDERS TO IMPROVE THE ACCESS TO HEALTHCARE, AND ARE REINVESTED IN NEW TECHNOLOGY AND EQUIPMENT AS NEEDED. THE HOSPITAL OPERATES AN EMERGENCY DEPARTMENT THAT IS STAFFED 24 HOURS A DAY/7 DAYS A WEEK AND SERVES ALL CITIZENS REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL PROVIDES REPRESENTATION AND SUPPORT TO THE OHIO COUNTY CHAMBER BOARD OF DIRECTORS, OHIO COUNTY TOURISM, OHIO COUNTY INDUSTRIAL FOUNDATION, AND LEADERSHIP OHIO COUNTY PROGRAM, WHICH ARE ORGANIZATIONS WORKING TOWARDS THE ECONOMIC GROWTH OF OUR AREA. PART VI, LINE 7, REPORTS FILED WITH STATES KY X X 0 0 0 0 0 0 0 0 0 BAILEY PHELPS MD MEDICAL STAFF REPRESENTATI 224964 0 47014 0 0 0 6215 0 5942 0 284135 0 0 0 JOSHUA SKIBBA CARDIOLOGIST/CMO 408102 0 0 0 0 0 33792 0 5039 0 446933 0 0 0 MUKESH DESAI UROLOGIST 601000 0 0 0 0 0 42000 0 6138 0 649138 0 0 0 CHARLES RICCIO GASTROENTEROLOGIST 520872 0 32227 0 0 0 50077 0 5703 0 608879 0 0 0 STEVEN MILLS PHYSICIAN 233285 0 87973 0 0 0 16309 0 3330 0 340897 0 0 0 JOEL JOHNSTON PHYSICIAN ER 317626 0 0 0 0 0 9441 0 8014 0 335081 0 0 0 BRUCE DURHAM PHYSICIAN 215744 0 49028 0 0 0 18000 0 3201 0 285973 0 0 0 A OHIO COUNTY PUBLIC FACILITIES CORPORATION 616000805 2010-09-29 3620000 MEDICAL OFFICE BUILDING CONSTRUCTION 0 0 0 A 3015000 271800 70000 2011 0 0 1 1 A 0 0 0 0 1 0 0 A 1 1 0 0 0 0 A 0 MICHELLE OSBORNE PHYSICIAN SIGNON BONUS X 5309 4129 0 1 1 NICOLE AKERS PHYSICIAN SIGNON BONUS X 25000 25000 0 1 1 BAILEY PHELPS PHYSICIAN SIGNON BONUS X 7500 7500 0 1 1 ENTERPRISE MEDICAL RECRUITING PHYSICIAN SIGNON BONUS X 21000 21000 0 1 1 JOHN JEFFRIES PHYSICIAN SIGNON BONUS X 30000 30000 0 1 1 ARGOTTE MALPRACTICE PREMIUMS PHYSICIAN SIGNON BONUS X 5642 5642 0 1 1 93271 FORM 990, PART VI, SECTION A, LINE 3 THE HOSPITAL CONTRACTS WITH QUORUM HEALTH RESOURCES, INC (QHR) TO PROVIDE MANAGEMENT SERVICES UNDER AN AGREEMENT WHICH EXPIRES IN 2024. THE CONTRACT REQUIRES QHR TO SUPPLY A CHIEF EXECUTIVE OFFICER AND A CHEIF FINANCIAL OFFICER WHOSE SALARY AND BENEFITS COST ARE PASSED DIRECTLY THROUGH TO THE HOSPITAL. THE HOSPITAL'S EXPENSE FOR THE MANAGEMENT FEE TOTALED APPOXIMATELY $284,328 FOR THIS YEAR. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 IS PROVIDED TO THE FULL BOARD. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS ARE COVERED UNDER THIS POLICY AND ANY CONFLICTS ARE RESOLVED AT MONTHLY BOARD MEETINGS. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS RECEIVED A COMPENSATION REVIEW BY QHR AND THE GOVERNING BOARD. OTHER OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION RECEIVE ANNUAL REVIEWS BASED ON CURRENT MARKET DATA. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,314,261. MANAGEMENT AND GENERAL EXPENSES 444,060. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,758,321. ER PHYSICIANS: PROGRAM SERVICE EXPENSES 1,003,283. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,003,283. PURCHASED SERVICES ADMINISTRATION: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 521,265. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 521,265. OHIO COUNTY PAIN MANAGEMENT LLC 1211 OLD MAIN STREET HARTFORD KY 42347 815391477 MEDICAL SERVICES PAIN MANAGEMENT KY OHIO COUNTY HOSPITAL CORPORATION RELATED 138417 200386 0 0 0.51000 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 OHIO COUNTY HOSPITAL PAIN MANAGEMENT LLC Q 959328 CASH OHIO COUNTY HOSPITAL PAIN MANAGEMENT LLC C 230171 CASH OHIO COUNTY HOSPITAL PAIN MANAGEMENT LLC D 58135 CASH