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PORTSMOUTH HOSPITAL CORPORATION: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
PORTSMOUTH HOSPITAL CORPORATION (EIN 45-3215312)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-08-15
IRS object ID
201702279349302400
Schema version
2015v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-08-15T11:42:45-05:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390859910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAKER TILLY VIRCHOW KRAUSE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11650 MARKET STREET SUITE 4500AddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19103ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN453215312EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PORTSMOUTH HOSPITAL CORPORATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPORTBusinessNameControlTxt
Phone7409914000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11901 ARGONNE AVENUEAddressLine1Txt
CityPORTSMOUTHCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45662ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAUTUMN MCFANNPersonNm
Person TitleTREASURERPersonTitleTxt
Phone7409914000PhoneNum
Signature2017-08-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJULIUS C GREEN CPAPreparerPersonNm
PTINP00350393PTIN
Phone2159720701PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1KING'S DAUGHTERS MEDICAL CENTER OHIOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerKRISTIE WHITLATCHPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12201 LEXINGTON AVENUEAddressLine1Txt
CityASHLANDCityNm
State AbbreviationKYStateAbbreviationCd
ZIP41101ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$24,938,378GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.KDMCOHIO.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2010FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionTO CARE. TO SERVE. TO HEAL.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee188TotalEmployeeCnt
Total Volunteers3TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$21,458,473PYProgramServiceRevenueAmt
CY Program Service Revenue$24,924,070CYProgramServiceRevenueAmt
PY Investment Income-$34,468PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$100,125PYOtherRevenueAmt
CY Other Revenue$14,308CYOtherRevenueAmt
PY Total Revenue$21,524,130PYTotalRevenueAmt
CY Total Revenue$24,938,378CYTotalRevenueAmt
PY Grants And Similar Paid$3,832PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$12,595CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,324,704PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,226,232CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$15,174,505PYOtherExpensesAmt
CY Other Expenses$14,341,332CYOtherExpensesAmt
PY Total Expenses$23,503,041PYTotalExpensesAmt
CY Total Expenses$22,580,159CYTotalExpensesAmt
PY Revenues Less Expenses-$1,978,911PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,358,219CYRevenuesLessExpensesAmt
Total Assets BOY$31,708,025TotalAssetsBOYAmt
Total Assets EOY$31,441,482TotalAssetsEOYAmt
Total Liabilities BOY$42,052,180TotalLiabilitiesBOYAmt
Total Liabilities EOY$39,427,418TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$10,344,155NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$7,985,936NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionKINGS DAUGHTERS MEDICAL CENTER OHIO IS LOCATED IN THE HISTORIC TOWN OF PORTSMOUTH, OH AT THE CONFLUENCE OF THE OHIO, SCIOTO, AND LITTLE SCIOTO RIVERS. WE HAVE BEEN SPECIFICALLY DESIGNED TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITY. OUR PRIMARY SERVICE AREA IS THE COUNTY OF SCIOTO WITH A POPULATION OF 78,000. ADDITIONAL COUNTIES WE SERVE ARE LAWRENCE, ADAMS AND JACKSON IN OHIO AND GREENUP AND LEWIS IN KENTUCKY. MORE THAN 25% OF OUR SERVICE MARKET IS BELOW THE POVERTY LEVEL INCLUDING 37% OF THOSE UNDER AGE 18 AND 14.5% OF RESIDENTS 65 OR OVER. SCIOTO COUNTY IS RANKED 83 OUT OF 88 IN OHIO FOR HEALTH OUTCOMES AND QUALITY OF LIFE AND 87 OUT OF 88 FOR HEALTH FACTORS LIKE SOCIOECONOMIC STATUS AND PHYSICAL ENVIRONMENT.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$19,812,652ExpenseAmt
Grant$12,595GrantAmt
Revenue$24,924,070RevenueAmt
DescPORTSMOUTH HOSPITAL CORPORATION DBA KING'S DAUGHTERS MEDICAL CENTER OHIO (KDOH) OPENED FOR BUSINESS IN FEBRUARY 2013. KDOH IS LOCATED IN THE HISTORIC RIVER TOWN, PORTSMOUTH, OHIO. PORTSMOUTH SITS AT THE CONFLUENCE OF THE OHIO, SCIOTO AND LITTLE SCIOTO RIVERS. KDOH HAS BEEN SPECIALLY DESIGNED TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITY. WITH SERVICES RANGING FROM PHYSICIAN VISITS TO SURGERY, URGENT CARE, CARDIAC CATHETERIZATION AND INPATIENT STAYS, KING'S DAUGHTERS MEDICAL CENTER OHIO OFFERS RESIDENTS A CHOICE FOR WORLD-CLASS HEALTHCARE IN PORTSMOUTH AND SCIOTO COUNTY. KDOH SERVICES INCLUDE: -24/7/365 URGENT CARE CENTER -SURGICAL CARE IN ORTHOPEDICS, EAR, NOSE AND THROAT, UROLOGY AND OPHTHALMOLOGY -DIAGNOSTIC CARDIAC CATHETERIZATION-HYBRID OPERATING ROOM-INPATIENT SERVICES-DIAGNOSIS AND TREATMENT OF DIGESTIVE DISEASES / ENDOSCOPIC PROCEDURES -SPECIALLY DESIGNED AND DEDICATED UROLOGY PROCEDURE ROOM -PRIMARY CARE SERVICES -ADVANCED IMAGING TECHNOLOGY, INCLUDING MRI, CT, NUCLEAR MEDICINE, DIGITAL MAMMOGRAPHY AND X-RAY -FULL-SERVICE LAB -FAMILY PHARMACY ACCORDING TO THE U.S. CENSUS BUREAU, SCIOTO COUNTY HAS MORE THAN 78,000 RESIDENTS, WITH 20,226 PEOPLE RESIDING IN PORTSMOUTH, SCIOTO COUNTY'S LARGEST CITY. THE SCIOTO COUNTY POPULATION IS PREDOMINANTLY WHITE-94.4%; WITH 2.6% BLACK AND ALL OTHER RACES MAKING UP 3%. THE PER CAPITA INCOME FOR THE COUNTY IS $19,769 AND MORE THAN 25% OF THE POPULATION IS IN POVERTY.SCIOTO COUNTY IS THE PRIMARY MARKET SERVED BY KDOH. ADDITIONAL COUNTIES WHERE KDOH SERVES PATIENTS ARE LAWRENCE, ADAMS AND JACKSON COUNTIES IN OHIO, AND GREENUP AND LEWIS COUNTIES IN KENTUCKY. ACCORDING TO THE COUNTY HEALTH RANKINGS AND ROADMAPS, SPONSORED BY THE ROBERT WOOD JOHNSON FOUNDATION, SCIOTO COUNTY IS RANKED 83/88 IN THE STATE OF OHIO FOR HEALTH OUTCOMES AND QUALITY OF LIFE AND 87/88 FOR HEALTH FACTORS LIKE SOCIOECONOMIC STATUS AND PHYSICAL ENVIRONMENT.Desc
Total Program Service Expenses$19,812,652TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee188EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn0AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GREG WHITLOCK CONTROLLERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6064080160PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12201 LEXINGTON AVENUEAddressLine1Txt
CityASHLANDCityNm
State AbbreviationKYStateAbbreviationCd
ZIP41101ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CASSIDY DAN
BOARD CHAIRMAN2.00Yes (X)Yes (X)$0$0$0
HATCHER NEAL
DIRECTOR0.25Yes (X)$0$0$0
JONES DAVID
DIRECTOR0.50Yes (X)$0$0$06.00
SCHMIDT CHRIS DO
DIRECTOR10.25Yes (X)$0$86,975$0
WHITLATCH KRISTIE
PRESIDENT1.25Yes (X)Yes (X)$0$623,142$13,72161.25
MCFANN AUTUMN
TREASURER1.25Yes (X)$0$257,682$13,66061.25
MAHANEY SHERYL
SECRETARY1.25Yes (X)$0$404,207$14,22361.25
GROOMS KIMBERLY
ADMINSTRATOR50.00$139,627$0$23,496Yes (X)
BAKER ANNE
PHARMACIST40.00$141,500$0$13,086Yes (X)
JACKSON FRED
FORMER PRESIDENT0.00$0$855,151$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$281,127TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,227,157TotReportableCompRltdOrgAmt
Total Other Compensation$78,186TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
OHIO VALLEY PHYSICIANS INC
PO BOX 390HUNTINGTONWV25708EMERGENCY DEPARTMENT PHYSICIANS$1,436,962
MAYO COLLABORATIVE SERVICES INC
PO BOX 9146MINNEAPOLISMN554809146REFERENCE LAB$278,702
ABUL-KHOUDOUD HASSAN MD
108 WINDEMERE DRIVERUSSELLKY41169PHYSICIAN SERVICES$213,070
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE622310$24,394,968$24,394,968
MEANINGFUL USE REVENUE622310$529,102$529,102
FieldValueIRS element (for citing)
Total Program Service Revenue$24,924,070TotalProgramServiceRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescINTEREST ON CLAIMSDesc
Business900099BusinessCd
Total Revenue Column$14,308TotalRevenueColumnAmt
Exclusion$14,308ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$14,308OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,938,378TotalRevenueColumnAmt
Related Or Exempt Func Income$24,924,070RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$14,308ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$12,595TotalAmt
Program Services$12,595ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$186,750TotalAmt
Management And General$186,750ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,111,525TotalAmt
Program Services$5,417,473ProgramServicesAmt
Management And General$694,052ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,468,875TotalAmt
Program Services$1,327,436ProgramServicesAmt
Management And General$141,439ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$459,082TotalAmt
Program Services$399,034ProgramServicesAmt
Management And General$60,048ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$241,740TotalAmt
Management And General$241,740ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$5,802TotalAmt
Management And General$5,802ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,096,766TotalAmt
Program Services$2,600,698ProgramServicesAmt
Management And General$496,068ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$210,840TotalAmt
Program Services$157,490ProgramServicesAmt
Management And General$53,350ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$711,345TotalAmt
Management And General$711,345ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$91,946TotalAmt
Program Services$91,017ProgramServicesAmt
Management And General$929ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$17,683TotalAmt
Program Services$17,651ProgramServicesAmt
Management And General$32ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,924TotalAmt
Management And General$1,924ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,949,277TotalAmt
Program Services$2,949,277ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$4,089,865$3,994,323$95,542
BAD DEBT EXPENSE$1,566,474$1,566,474
REPAIRS AND MAINTENANCE$874,491$832,377$42,114
RENTAL FEES$248,432$248,432

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$234,747TotalAmt
Program Services$198,375ProgramServicesAmt
Management And General$36,372ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$22,580,159TotalAmt
Program Services$19,812,652ProgramServicesAmt
Management And General$2,767,507ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,822,153BOYAmt
EOY$3,302,349EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,228,567BOYAmt
EOY$3,537,422EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$930,839BOYAmt
EOY$1,325,378EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$62,734BOYAmt
EOY$88,698EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$35,763,758LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$12,576,123LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$25,663,732BOYAmt
EOY$23,187,635EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$31,708,025BOYAmt
EOY$31,441,482EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,434,467BOYAmt
EOY$676,088EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$40,617,713BOYAmt
EOY$38,751,330EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$42,052,180BOYAmt
EOY$39,427,418EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$10,344,155BOYAmt
EOY-$7,985,936EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$10,344,155BOYAmt
EOY-$7,985,936EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$31,708,025BOYAmt
EOY$31,441,482EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,358,219ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$5,802OtherActivitiesAmt
Total Lobbying Expenditures$5,802TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationA PORTION OF DUES PAID TO THE OHIO HOSPITAL ASSOCIATION ($994) AND THE COLLEGE OF AMER PAT ($4,808) IS ATTRIBUTABLE TO LOBBYING.ExplanationTxt

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,094,962OtherCostOrOtherBasisAmt
Depreciation$2,745,517DepreciationAmt
Book Value$14,349,445BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,826,669OtherCostOrOtherBasisAmt
Depreciation$9,529,869DepreciationAmt
Book Value$7,296,800BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,842,127OtherCostOrOtherBasisAmt
Depreciation$300,737DepreciationAmt
Book Value$1,541,390BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$23,187,635TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO AFFILIATESDesc
Amt$38,751,330Amt
FieldValueIRS element (for citing)
Total Liability$38,751,330TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE MEDICAL CENTER, KHF, KBNH, CDC, KHI, KDMT, KDMS, KDHF, AND KDOH HAVE BEEN RECOGNIZED BY THE IRS AS SECTION 501(C)(3) CHARITABLE ORGANIZATIONS. SECTION 501(C)(3) ORGANIZATIONS ARE EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME. THESE ORGANIZATIONS DO NOT ENGAGE IN SIGNIFICANT UNRELATED ACTIVITIES; THEREFORE, NO TAX IS RECORDED.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$177,850TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$177,850NetCommunityBenefitExpnsAmt
Total Expense0.00850TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,314,393TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,608,606DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,705,787NetCommunityBenefitExpnsAmt
Total Expense0.12880TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,492,243TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,608,606DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,883,637NetCommunityBenefitExpnsAmt
Total Expense0.13730TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$174,628TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$174,628NetCommunityBenefitExpnsAmt
Total Expense0.00830TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$26,555TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$26,555NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$201,183TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$201,183NetCommunityBenefitExpnsAmt
Total Expense0.00960TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,693,426TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,608,606DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,084,820NetCommunityBenefitExpnsAmt
Total Expense0.14690TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$511,922BadDebtExpenseAmt
Reimbursed By Medicare$4,281,143ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$5,576,245CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$1,295,102MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PORTSMOUTH HOSPITAL HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11901 ARGONNE RDAddressLine1Txt
CityPORTSMOUTHCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45662ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.KDMCOHIO.COMWebsiteAddressTxt
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherURGENT CARE - 24 HOURSOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1PORTSMOUTH HOSPITAL CORP DBA KDMC OHIOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.KDMCOHIO.COM/ABOUTUS/COMMUNITYOUTREACHOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.KDMCOHIO.COM/ABOUTUS/COMMUNITYOUTREACHStrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.KDMCOHIO.COM/FINANCIALRESOURCECENTERFAPAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.KDMCOHIO.COM/FINANCIALRESOURCECENTERFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross ChargesYes (1)GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PORTSMOUTH HOSPITAL CORP DBA KDMC OHIOPART V, SECTION B, LINE 5: KDOH USED TWO TYPES OF DATA COLLECTION. PRIMARY (QUALITATIVE) DATA WAS COLLECTED USING FOCUS GROUPS, DATA COLLECTED FROM A COMMUNITY HEALTH SURVEY BY THE PORTSMOUTH CITY AND SCIOTO COUNTY HEALTH DEPARTMENTS AND A KEY INFORMANT SURVEY CONDUCTED BY KDOH WITH COMMUNITY LEADERS. SECONDARY (QUANTITATIVE) DATA WAS COLLECTED BY USING COMMUNITY COMMONS WEBSITE'S TOOL TO CREATE THE COMMUNITY HEALTH NEED ASSESSMENT. KDOH WILL WORK IN PARTNERSHIP WITH THE SCIOTO COUNTY HEALTH COALITION AND ITS MEMBERS; OTHER HEALTHCARE PROVIDERS; EDUCATIONAL INSTITUTIONS; GOVERNMENT AGENCIES AND BUSINESS TO HELP PROVIDE SERVICES AND RESOURCES TO IMPROVE THE HEALTH OF SCIOTO COUNTY.
PORTSMOUTH HOSPITAL CORP DBA KDMC OHIOPART V, SECTION B, LINE 11: WE OFFER A VARIETY OF SCREENINGS AND EDUCATIONAL PROGRAMS ON DOZENS OF TOPICS THROUGHOUT THE YEAR. WE MAKE SURE TO ALIGN SCREENING AND EDUCATION EFFORTS WITH THE RESULTS OF OUR HEALTH NEEDS ASSESSMENT. WE ALSO MAKE SURE THAT OUR SPONSORSHIPS AND DONATIONS ALIGN WITH OUR MOST RECENT HEALTH NEEDS. IN ADDITION, WE KNOW THAT COLLABORATION WITH COMMUNITY PARTNERS IS VERY IMPORTANT AND PLAN TO UTILIZE PARTNERSHIPS FOR IMPLEMENTATION. SUBSTANCE ABUSE DID SURFACE AS A NEED BUT KING'S DAUGHTERS OHIO NEITHER HAS THE EXPERTISE OR RESOURCES TO SIGNIFICANTLY IMPACT THIS ISSUES. KING'S DAUGHTERS OHIO WILL, HOWEVER, SUPPORT OTHER ORGANIZATIONS IN THE COMMUNITY WORKING ON THESE ISSUES.
PORTSMOUTH HOSPITAL CORP DBA KDMC OHIOPART V, SECTION B, LINE 20E: SIGNAGE POSTED AT REGISTRATION LOCATIONS INDICATING FAP AVAILABILITY AND CONTACT INFO.
PORTSMOUTH HOSPITAL CORP DBA KDMC OHIOPART V, SECTION B, LINE 22D: THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS IS BASED ON THE AVERAGE OVERALL COMMERCIAL RATE WITH A 50% SELF PAY DISCOUNT.
PORTSMOUTH HOSPITAL CORP DBA KDMC OHIOPART V, SECTION B, LINE 24: FAP ELIGIBLE PATIENTS ARE CHARGED THE GROSS CHARGE FOR ANY SERVICES EXCLUDED FROM ELIGIBILITY AS DEFINED WITHIN THE FAP, WHICH ARE DEFINED AS ELECTIVE SERVICES AND THEREFORE NOT MEDICALLY NECESSARY.

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7:KDOH USED WORKSHEET 2 PROVIDED IN THE SCHEDULE H INSTRUCTIONS (FORM 990) TO CALCULATE A COST TO CHARGE RATIO. THIS RATIO WAS USED TO CALCULATE CHARITY CARE AT COST (A. ABOVE). TO CALCULATE THE UNPAID COSTS OF MEDICAID (B), THE HOSPITAL'S COST ACCOUNTING SYSTEM WAS USED. REMAINING ITEMS WERE REPORTED AT NET EXPENSE.
PART I, LN 7 COL(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 $1,566,474.
PART III, LINE 2:KDOH USED WORKSHEET 2 PROVIDED IN THE SCHEDULE H INSTRUCTIONS (FORM 990) TO CALCULATE A COST OF CHARGE RATIO. THIS RATIO WAS USED TO CALCULATE BAD DEBT EXPENSE AT COST.
PART III, LINE 3:BAD DEBT EXPENSE IS RECORDED AFTER ANY DISCOUNTS AND PAYMENTS ARE MADE ON PATIENT ACCOUNTS. HOWEVER, SINCE THE RECENT CHANGE IN THE FINANCIAL ASSISTANCE POLICY, THE BUSINESS OFFICE NO LONGER KEEPS TRACK OF "NO-RESPONSE" APPLICATIONS ANNUALLY AND DOES NOT FEEL THAT THE PORTION CONSIDERED TO BE A COMMUNITY BENEFIT IS MATERIAL.
PART III, LINE 4:PATIENT ACCOUNTS RECEIVABLE ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, KDOH ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS.KDOH RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE BILLED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
PART III, LINE 8:THE HOSPITAL CONTINUES TO PROVIDE CARE TO ALL PRESENTING AND ADMITTED PATIENTS, REGARDLESS OF ABILITY TO PAY. NOTWITHSTANDING THE COSTS TO PROVIDE CARE, RECEIVING "LESS" THAN WHAT IT COSTS TO PROVIDE ADEQUATE CARE TO MEDICARE COVERED LIVES DOES THE HOSPITAL A DISSERVICE. THE SHORTFALL SHOULD COUNT AS A COMMUNITY BENEFIT. THE HOSPITAL USES ALLOWABLE COSTS PER THE MEDICARE COST REPORT. THE 2016 COST REPORT DATA AND PROVIDER SUMMARY REPORT (PSR) WAS USED TO COMPUTE THE INFORMATION.
PART III, LINE 9B:THE HOSPITAL HAS A WRITTEN POLICY FOR BAD DEBT. UNINSURED PATIENTS ARE SCREENED FOR ELIGIBILITY FOR MEDICARE, MEDICAID AND OTHER SUCH PROGRAMS BY A CONTRACTED VENDOR. ALL PATIENTS, INSURED AND UNINSURED, WITH VALID MAILING ADDRESSES RECEIVE POST-DISCHARGE BILLING STATEMENTS OVER THE COURSE OF A 120 DAY PERIOD. IF THERE ARE NO ACTIVE DISPUTES OR OTHER PAYMENT SOURCES AVAILABLE, AND THE BALANCE IS UNPAID AT THE END OF THE STATEMENT PERIOD, THE ACCOUNT WILL BE PLACED WITH A COLLECTION AGENCY TO REPORT AS A BAD DEBT. EACH STATEMENT INCLUDES INFORMATION REGARDING THE AVAILABILITY OF THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM ALONG WITH A NUMBER WHERE REPRESENTATIVES CAN BE REACHED FOR ASSISTANCE.ACCORDING TO OUR F/A POLICY KDOH WILL FOREGO EXTRAORDINARY COLLECTION ACTIONS AGAINST AN INDIVIDUAL INCLUDING, WITHOUT LIMITATION, LAWSUITS, LIENS ON RESIDENCES, ARRESTS, BODILY ATTACHMENTS OR SIMILAR PROCESSES, UNTIL A REASONABLE EFFORT HAS BEEN MADE TO DETERMINE WHETHER THE INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE UNDER THIS FINANCIAL ASSISTANCE POLICY.
PART VI, LINE 2:WE USE A VARIETY OF RESOURCES TO HELP MAKE DECISIONS ON HOW TO BEST TARGET OUR ACTIVITIES, INCLUDING INFORMATION FROM OUR COMMUNITY HEALTH NEEDS ASSESSMENT, STATE AND COUNTY MORTALITY DATA AND HOSPITAL DATA. WE ARE ACTIVELY INVOLVED IN THE COMMUNITY PARTICIPATING ON THE SCIOTO CO. HEALTH COALITION, NON-PROFITS BOARDS, ATTENDING COMMUNITY PROGRAMS/MEETINGS AND OTHER ACTIVITIES TO HELP KEEP US INFORMED OF NEEDS, CONCERNS AND ISSUES. ONCE WE KNOW WHAT ISSUES WE WANT TO TARGET, OUR COMMUNITY HEALTH INITIATIVES ARE BUILT INTO THE MEDICAL CENTER'S STRATEGIC PLAN.
PART VI, LINE 3:THE MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY PROVIDES DIRECTION FOR FREE OR DISCOUNTED SERVICES TO RESIDENTS OF THE COMMUNITY WHO HAVE INADEQUATE FINANCIAL RESOURCES TO PAY FOR NECESSARY HEALTHCARE SERVICES PROVIDED BY KING'S DAUGHTERS. THE POLICY STATES THAT THE MEDICAL CENTER WILL NOT DENY CARE TO ANY PATIENT REQUIRING CARE DUE TO THEIR INABILITY TO PAY. THE FINANCIAL ASSISTANCE POLICY PROVIDES GUIDANCE TO PROVIDING ASSISTANCE BASED ON SLIDING SCALE METHODOLOGY AND THE FEDERAL POVERTY GUIDELINES ESTABLISHED BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES. PATIENTS REQUIRING CARE WITH INCOME BELOW 300% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR FREE OR REDUCED COST SERVICES. KING'S DAUGHTERS ALSO CONTRACTS WITH CARDON OUTREACH TO ASSIST PATIENTS IN GOVERNMENT ENROLLMENT PROGRAMS. THERE ARE SIGNS POSTED IN VARIOUS REGISTRATION AREAS INFORMING PATIENTS OF THE PHONE NUMBER TO CALL IF THEY NEED FINANCIAL ASSISTANCE. ON EACH PATIENT STATEMENT THE INFORMATION IS ALSO PRINTED WITH THE PHONE NUMBER. ALL SELF-PAY PATIENTS RECEIVE CORRESPONDENCE AND PHONES CALLS AND INPATIENTS RECEIVE VISITS FROM OUR MEDICAID ELIGIBILITY VENDOR IN REFERENCE TO GOVERNMENT PROGRAMS.
PART VI, LINE 4:KING'S DAUGHTERS MEDICAL CENTER OHIO (KDOH) IS LOCATED IN THE HISTORIC RIVER TOWN PORTSMOUTH, OH. PORTSMOUTH SITS AT THE CONFLUENCE OF THE OHIO, SCIOTO AND LITTLE SCIOTO RIVERS. ACCORDING TO THE U.S. CENSUS BUREAU, SCIOTO COUNTY HAS MORE THAN 78,000 RESIDENTS WITH 20,226 PEOPLE RESIDING IN PORTSMOUTH, SCIOTO COUNTY'S LARGEST CITY. THE SCIOTO COUNTY POPULATION IS PREDOMINANTLY WHITE - 94.4%; WITH 2.6% BLACK AND ALL OTHER RACES MAKING UP 3%. THE PER CAPITA INCOME FOR THE COUNTY IS $19,769 AND MORE THAN 25% OF THE POPULATION IS IN POVERTY.
PART VI, LINE 5:TO REACH OUR COMMUNITIES AND TO PROVIDE THE BEST OUTREACH SERVICES POSSIBLE, WE PARTNER WITH A DIVERSE GROUP OF BOTH PUBLIC AND PRIVATE ENTITIES. WE HAVE ESTABLISHED PARTNERSHIPS WITH AREA RETAILERS, HEALTH DEPARTMENTS, FACTORIES, CITY OFFICIALS, SCHOOLS, SCIOTO COUNTY HEALTH COALITION, SALVATION ARMY, PLUS MORE. WE SEND OUR OUTREACH TEAMS OUT INTO THE COMMUNITY TO MEET PEOPLE ON THEIR TIME AND IN THE PLACES THAT ARE COMFORTABLE FOR THEM- SCHOOLS, MALLS, CHURCHES, LIBRARIES, WORKSITES, GROCERY STORES AND MORE. WE WORK WITH KING'S DAUGHTERS IN ASHLAND TO PROVIDE INCLUDE MORE THAN 50 SCREENING AND EDUCATIONAL EVENTS EACH MONTH AND MOBILE HEALTH SERVICES.
PART VI, LINE 6:KING'S DAUGHTERS MEDICAL CENTER OHIO (KDOH) IS PART OF AN AFFILIATED HEALTH CARE DELIVERY SYSTEM.THE SYSTEM OPERATES ANOTHER HOSPITAL, KING'S DAUGHTERS MEDICAL CENTER (KDMC) IN ASHLAND, KY. KDMC'S PRIMARY SERVICE AREA ENCOMPASSES SIX COUNTIES IN TWO STATES: BOYD, CARTER, GREENUP AND LAWRENCE IN KENTUCKY AND LAWRENCE AND SCIOTO IN OHIO. KDMC OFFERS SERVICES RANGING FROM SURGERY, CARDIAC CARE AND EMERGENCY CARE. KDMC PROVIDES CHARITY CARE AND PARTICIPATES IN GOVERNMENT PROGRAMS.THE SYSTEM PROVIDES PHYSICIAN SERVICES THROUGH KING'S DAUGHTERS MEDICAL SPECIALTIES, INC. ("KDMS"). KDMS PROVIDES CHARITY CARE AND PARTICIPATES IN GOVERNMENT PROGRAMS. KING'S DAUGHTERS ALSO INCLUDES TWO OTHER AFFILIATES - KING'S DAUGHTERS MEDICAL TRANSPORT, WHICH SEEKS TO CONTINUOUSLY IMPROVE THE PRE- AND POST-HOSPITAL HEALTHCARE PROVIDED IN ALL OF ITS SERVICE AREAS WHILE ENSURING THAT EMERGENCY AND NON-EMERGENCY AMBULANCE SERVICE WILL BE AVAILABLE TO ALL THOSE IN NEED; AND KINGSBROOK NURSING HOME, WHICH PROVIDES QUALITY CARE TO PATIENTS, MEETING THE NEEDS AND DESIRES OF RESIDENTS AT VARIOUS LEVELS OF CARE, INCLUDING SHORT-TERM AND LONG-TERM CARE.
PART VI, LINE 7, REPORTS FILED WITH STATESKY,OH

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
WHITLATCH KRISTIE
PRESIDENT$0$452,763$0$0$0$170,379$0$0$0$13,721$0$636,863$0$89,713
MCFANN AUTUMN
TREASURER$0$212,480$0$0$0$45,202$0$0$0$13,660$0$271,342$0$0
MAHANEY SHERYL
SECRETARY$0$281,136$0$0$0$123,071$0$0$0$14,223$0$418,430$0$75,383
GROOMS KIMBERLY
ADMINSTRATOR$126,580$0$0$0$13,047$0$0$0$23,496$0$163,123$0$0$0
BAKER ANNE
PHARMACIST$139,684$0$0$0$1,816$0$0$0$13,086$0$154,586$0$0$0
JACKSON FRED
FORMER PRESIDENT$0$0$0$0$0$855,151$0$0$0$0$0$855,151$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3COMPENSATION FOR THE CEO IS DETERMINED BY ASHLAND HOSPITAL CORPORATION (RELATED ORGANIZATION) USING THE FOLLOWING METHODS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY/STUDY AND APPROVAL BY THE BOARD/COMPENSATION COMMITTEE.
PART I, LINES 4A-BFRED JACKSON RECEIVED A SEVERANCE PAYMENT OF $854,833. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS: SHERYL MAHANEY - $75,383 KRISTIE WHITLATCH - $89,713 THERE WERE NO SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN CONTRIBUTIONS/DEFERRALS IN 2015. THE CEO AND VICE PRESIDENTS ARE ELIGIBLE TO RECEIVE DISCRETIONARY INCENTIVES BASED ON CERTAIN METRICS (QUALITY MEASURES, INDIVIDUAL GOALS, ETC.). THESE AWARDS ARE DETERMINED BY THE BOARD AND VESTED OVER 5-10 YEAR PERIOD IF THE INDIVIDUAL REMAINS WITH THE ORGANIZATION. THE CEO AND CERTAIN VICE PRESIDENTS, WHOSE BENEFIT IN THE QUALIFIED TAX SHELTERED ANNUITY PLAN IS LIMITED DUE TO THE IRS COMPENSATION AND BENEFIT LIMITS, RECEIVE A BENEFIT RESTORATION CONTRIBUTION UNDER THE DEFERRED ANNUITY PLAN THAT IS PAID AS A TAXABLE DISTRIBUTION TO THE PARTICIPANT ANNUALLY.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4ANEEDS ASSESSMENT: IN SPRING 2013, IN PARTNERSHIP WITH ASHLAND HOSPITAL CORPORATION, KDOH CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT. THE ASSESSMENT WAS CONDUCTED FOR KDOH'S PRIMARY MARKET OF SCIOTO COUNTY. THE ASSESSMENT SHOWED: - LEADING CAUSES OF DEATH (AGE ADJUSTED) ARE HEART DISEASE, CANCER, COPD AND UNINTENTIONAL INJURY. THESE RATES ARE HIGHER IN SCIOTO COUNTY THAN THE NATION. - PEOPLE LIVING IN SCIOTO COUNTY LIVE UNHEALTHY LIFESTYLES WITH 33% OF ADULTS SMOKING, 34% OBESE AND 31% PHYSICALLY INACTIVE. THESE RATES ARE ALL WELL ABOVE THE NATIONAL AVERAGE. - SCIOTO COUNTY HAS A HIGH NUMBER OF VULNERABLE POPULATIONS, WITH A HIGH LOW BIRTH WEIGHT RATE OF 9.4% (8.6% NATIONALLY), 17% OF THE POPULATION UNINSURED AND 37% OF CHILDREN LIVING IN POVERTY. - ENVIRONMENTAL FACTORS OFTEN CONTRIBUTE TO THE HEALTH OF THE COMMUNITY. IN SCIOTO COUNTY THERE ARE BARRIERS TO LIVING HEALTHY, INCLUDING LOW ACCESS TO RECREATIONAL FACILITIES, LIMITED ACCESS TO HEALTHY FOODS AND A HIGHER THAN AVERAGE NUMBER OF FAST FOOD RESTAURANTS. COMMUNITY INPUT WAS SOUGHT THROUGH FOCUS GROUPS AND SURVEYS, WITH THE FOLLOWING FINDINGS: - FOCUS GROUP PARTICIPANTS CITED, AS BARRIERS TO GOOD HEALTH, IN SCIOTO COUNTY THE FOLLOWING: POOR PARENTING CONTRIBUTING TO CHILDREN HAVING BAD EATING AND SLEEP HABITS UNHEALTHY LIFESTYLES DRUGS AND CRIME RELATED TO DRUGS LACK OF JOBS - RESPONDENTS TO THE HEALTH SURVEY CITED THE FOLLOWING TOP ISSUES IN THE COUNTY: SUBSTANCE ABUSE OBESITY CHRONIC DISEASES - CANCER, HEART DISEASE AND DIABETES IN PARTNERSHIP WITH THE ASHLAND HOSPITAL CORPORATION, AN IMPLEMENTATION PLAN WAS DEVELOPED AND APPROVED BY THE BOARD OF DIRECTORS, AND IMPLEMENTATION BEGAN IN 2014-2016. THE FOLLOWING COMMUNITY ACTIVITIES WERE PLANNED AND EXECUTED WHILE KEEPING IN MIND THE ASSESSMENT'S TOP PRIORITIES. KING'S DAUGHTERS OHIO DID RECENTLY COMPLETE THEIR COMMUNITY HEALTH NEEDS ASSESSMENT FOR FISCAL YEAR 2016 AND THE BOARD OF DIRECTORS APPROVED THE NEW IMPLEMENTATION PLAN FOR FISCAL YEARS 2017-2019. THE NEW IMPLEMENTATION PLAN WILL BE REPORTED ON NEXT FISCAL YEAR. COMMUNITY BUILDING ACTIVITIES: AS PART OF OUR COMMUNITY BENEFIT, KDOH OFFERS FREE HEALTH SCREENINGS AND EDUCATIONAL OPPORTUNITIES IN THE COMMUNITY. DURING FISCAL YEAR 2016, KDOH PROVIDED THE FOLLOWING HEALTH SCREENINGS IN SCIOTO COUNTY: - CARPAL TUNNEL- 15 ADULTS SERVED - PROSTATE CANCER - 18 ADULTS SERVED - GENERAL HEALTH (TOTAL CHOLESTEROL, BLOOD PRESSURE, BLOOD SUGAR) - 1,442 ADULTS SERVED - HEART - (TOTAL CHOLESTEROL, BLOOD PRESSURE, BLOOD SUGAR AND EKG) - 550 ADULTS SERVED - MOBILE MAMMOGRAPHY- 934 ADULTS - DERMA SCAN- 45 ADULTS; 16 CHILDREN - SKIN CANCER- 54 ADULTS - SPORTS PHYSICALS- 0 ADULTS, 565 CHILDREN - FIRST AID STATION- 42 CHILDREN HELPING PEOPLE LEARN THEIR RISK FOR DISEASE AND HOW TO TAKE PREVENTIVE MEASURES TO MINIMIZE RISK IS ALSO IMPORTANT. KDOH PROVIDED HEALTH EDUCATION TO THE FOLLOWING: - BONE HEALTH- 48 ADULTS; 40 CHILDREN - BREAST CANCER - 148 ADULTS; 40 CHILDREN - COLON CANCER- 130 ADULTS - HEART- 962 ADULTS, 50 CHILDREN - CHF-CONGESTIVE HEART FAILURE- 134 ADULTS SERVED - HAND WASHING- 15 ADULTS, 100 CHILDREN - NUTRITION- 3,257 ADULTS, 507 CHILDREN - SKIN CANCER - 138 ADULTS SERVED - DIABETES - 954 ADULTS, 74 CHILDREN - EXERCISE- 539 ADULTS, 229 CHILDREN - FIRST AID- 12 ADULTS, 50 CHILDREN - FLU- 643 ADULTS, 5 CHILDREN - POISON- 120 ADULTS; 75 CHILDREN - PREGNANCY- 22 ADULTS; 10 CHILDREN - SAFETY, OTHER- 36 ADULTS - STROKE - 214 ADULTS - SUMMER SAFETY- 295 ADULTS, 60 CHILDREN - TOBACCO - 219 ADULTS, 194 CHILDREN - WHEEL OF HEALTH- 10 ADULTS - MOSQUITO/ZIKA VIRUS- 3,000 ADULTS - MISCELLANEOUS HEALTH- 78 ADULTS; 28 CHILDREN - A VARIETY OF HEALTH TOPICS MAY BE OFFERED ONLY ONCE OR TWICE A YEAR. THOSE TOPICS ARE CONSIDERED MISCELLANEOUS IN NATURE AND ARE INCLUDED AS SUCH. IN ADDITION, KDOH, IN PARTNERSHIP WITH ASHLAND HOSPITAL CORPORATION, SENT OUT HEALTH TEAMS INTO THE COMMUNITY TO MEET PEOPLE ON THEIR TIME AND IN THE PLACES THAT ARE COMFORTABLE FOR THEM- SCHOOLS, LIBRARIES, WORKSITES, HOUSING COMPLEXES, GROCERY STORES AND MORE. INDIVIDUALS ATTENDING HEALTH SCREENINGS ARE PROVIDED COUNSELING ON THEIR PERSONAL RESULTS AT THE TIME OF THE EVENT. IDENTIFYING THOSE AT RISK FOR HEART AND VASCULAR DISEASE, EDUCATING THE PUBLIC ABOUT HEART ATTACK AND STROKE SIGNS AND SYMPTOMS AND REDUCING TOBACCO USE ARE THREE OF OUR FOCUS AREAS. SCIOTO COUNTY HEALTH COALITION: KING'S DAUGHTERS MEDICAL CENTER OHIO IS AN ACTIVE PARTNER WITH THE SCIOTO COUNTY HEALTH COALITION. THIS COALITION WAS CALLED TOGETHER IN THE SPRING OF 2012 BY STATE REPRESENTATIVE, TERRY JOHNSON, MD. KING'S DAUGHTERS MEDICAL CENTER OHIO HAS PARTICIPATED IN THEIR MONTHLY MEETINGS, PROVIDED MOBILE UNITS FOR COALITION SCREENING EVENTS AND TAKEN A LEADERSHIP ROLE ON THE SUBCOMMITTEES FOR HEALTH AND WELLNESS. THE SCIOTO COUNTY HEALTH COALITION HAS HELPED STRENGTHEN KDOH'S RELATIONSHIP WITH OTHER HEALTH ORGANIZATIONS AND COMMUNITY LEADERS, INCLUDING: SOUTHERN OHIO MEDICAL CENTER, PORTSMOUTH CITY HEALTH DEPARTMENT, COMPASS COMMUNITY HEALTH, THE CITY OF PORTSMOUTH, YOST ENGINEERING, SHAWNEE STATE UNIVERSITY, COUNTY COMMISSIONERS, LOCAL SCHOOL BOARDS, SHAWNEE MENTAL HEALTH, THE CENTER FOR APPALACHIAN DEVELOPMENT, THE PORT AUTHORITY, ETC. OTHER KDOH PARTNERSHIPS: KDOH KNOWS THE POWER OF PARTNERSHIPS. IN 2016, KDOH PARTNERED WITH THE FOLLOWING: -CITY OF PORTSMOUTH AND OTHER LOCAL GOVERNMENTS -LOCAL CHAMBER OF COMMERCE -LOCAL EMS SERVICES -NON-PROFITS- AMERICAN RED CROSS, AMERICAN HEART ASSOCIATION, SUSAN G. KOMEN COLUMBUS, UNITED WAY, SALVATION ARMY, PORTSMOUTH METROPOLITAN HOUSING AUTHORITY, SCIOTO COUNTY HEALTH COALITION, THE COUNSELING CENTER, PLUS MORE -CIVIC ORGANIZATIONS - I.E. ROTARY CLUB -SEVERAL SCHOOL DISTRICTS AND NEARBY COLLEGES AND UNIVERSITIES, -OHIO LAW ENFORCEMENT -AREA SENIOR CENTERS -GIRL SCOUTS -NUMEROUS CHURCHES TO DELIVER HEALTH SERVICES AND EDUCATION TO RESIDENTS. OTHER SERVICES: FLU SHOTS: DURING THE FISCAL YEAR, KDOH PROVIDED 648 FREE FLU SHOTS THROUGHOUT THE COMMUNITY. FLU SHOTS ARE DELIVERED THROUGH A VARIETY OF SETTINGS AND IN MULTIPLE COUNTIES SERVED BY THE MEDICAL CENTER. GO RED FOR GIRL SCOUTS OHIO: GO RED FOR GIRL SCOUTS IS A PROGRAM THAT TOOK PLACE IN FEBRUARY 2016 IN HONOR OF AMERICAN HEART MONTH. FUNDED BY KING'S DAUGHTERS, GIRLS HAD THE OPPORTUNITY TO EXPLORE EXERCISE TECHNIQUES SUCH AS ZUMBA, MAKE THEIR OWN HEALTHY BANANA SPLITS WITH YOGURT AND VARIETIES OF COLORFUL FRUITS, HOW TO PROPERLY WASH THEIR HANDS TO PREVENT SPREADING GERMS WITH THE HELP OF GLO-GERM AND A BLACK LIGHT, A LEARN HOW EVERYDAY ACTIVITIES SUCH AS BRUSHING THEIR TEETH CAN HELP THEIR HEARTS. KING'S DAUGHTERS, ITS COMMUNITY RELATIONS TEAM AND THE GIRL SCOUTS ALL AIM TO TEACH GIRLS HEALTHY CHOICES AT AN EARLIER AGE. GIRLS WHO PARTICIPATED IN THE PROGRAM RECEIVED MATERIALS TO SHARE WHAT THEY HAD LEARNED WITH THEIR FAMILIES. THERE WERE APPROXIMATELY 50 GIRLS IN ATTENDANCE. MY CHART: KDOH PROVIDES A FREE TOOL TO PATIENTS TO HELP THEM MANAGE THEIR OWN HEALTH. MY CHART GIVES PATIENTS PERSONALIZED ACCESS TO PARTS OF THEIR MEDICAL RECORD. PATIENTS CAN VIEW THEIR HEALTH SUMMARY, TRACK HEALTH OVER TIME AND SCHEDULE APPOINTMENTS AS NEEDED. HEALTHY BUCKS PROGRAM- A PROGRAM SPONSORED BY KDOH AT THE PORTSMOUTH FARMER'S MARKET. AN EMPLOYEE OF KDOH SETS UP A FEATURED TABLE AND INVITES COMMUNITY MEMBERS TO TASTE TEST DIFFERENT HEALTHY FOODS EACH WEEK, EACH RECIPE IS FEATURED ON THE KDOH FACEBOOK PAGE. IN RETURN, PARTICIPANTS ARE GIVEN HEALTH BUCKS TO PURCHASE FRESH FRUITS AND VEGETABLES. APPROXIMATELY 300 CHILDREN AND ADULTS WERE SERVED THROUGH THIS PROGRAM. SHAWNEE LODGE CHRISTMAS OPEN HOUSE- TIPS FOR HEALTHY EATING DURING THE HOLIDAYS WAS PROVIDED BY THE KDOH REGISTERED DIETITIAN. FUEL UP TO PLAY 60- KDOH PARTNERED WITH WHEELERSBURG TO BRING IN FUEL UP TO PLAY 60 FUNDS FOR BETTER NUTRITION AND PHYSICAL ACTIVITY. POSITIVELY PORTSMOUTH SHOW- A KDOH REGISTERED DIETITIAN APPEARED ON THE SHOW TO DISCUSS HEALTH EATING AND LIVING. NATIONAL NUTRITION MONTH- THE KDOH TEAM HOSTED A HEALTHY RECIPE COOK-OFF TO RAISE MONEY FOR THE STEVEN HUNTER POWER PACK PROGRAM WHICH PROVIDES FOOD TO UNDER NOURISHED CHILDREN IN SCIOTO COUNTY. SUPPORT GROUPS- KDOH ESTABLISHED A TYPE 1 DIABETES SUPPORT GROUP DURING FY15 AND CONTINUED IN FY16. THE GROUP IS LED BY A KDOH DIETITIAN AND THE MEETINGS ARE HELD BI-MONTHLY AT KDOH. THE SUPPORT GROUP SERVED 71 ADULTS AND 20 CHILDREN IN FY16. CELEBRITY CHEF- AN EVENT IN PARTNERSHIP WITH THE COUNSELING CENTER. FUNDS RAISED SUPPORT THEIR SUMMER OUTREACH PROGRAM FOR CHILDREN IN SCIOTO COUNTY. DANCING WITH OUR STARS- A KDOH EMPLOYEE PARTICIPATED IN DANCING WITH OUR STARS TO BENEFIT AND SUPPORT THE OHIO RIVER VALLEY CHAPTER OF THE RED CROSS. CHILI COOK-OFF FOR A CURE- HELD IN PARTNERSHIP WITH THE SUSAN G. KOMEN FOUNDATION.
FORM 990, PART III, LINE 4APORTSMOUTH RIVER DAYS- PARTICIPATED IN A COMMUNITY FESTIVAL AND PARADE WITH BATMAN AND HIS BAT MOBILE WITH SUPER HERO FRIENDS AND KDOH HEROES OF HEALTHCARE. PORTSMOUTH AREA JAYCEES- PARTICIPATED IN COMMUNITY PARADE AND DONATION OF TOYS FOR THE JAYCEES AREA TOY DRIVE. DONATIONS - DONATED MORE THAN 30 BUSINESS DRESS BLAZERS TO THE COUNSELING CENTER'S DRESS FOR SUCCESS PROGRAM THAT HELPS RECOVERING ADDICTS GET BACK INTO THE WORKFORCE, BY PROVIDING RESOURCES FOR INTERVIEWS. KDOH ALSO DONATED OVER 150 USED TONERS TO A LOCAL CATHOLIC SCHOOL. KING'S DAUGHTERS OHIO PARTNERS WITH KING'S DAUGHTERS IN KENTUCKY ON THE FOLLOWING ACTIVITIES: BUILD-A-BED: EACH YEAR KDOH TEAM MEMBERS PARTNER WITH KDMC TEAM MEMBERS ON MAKING GENEROUS DONATIONS OF BLANKETS, COMFORTERS, PILLOWS, BOOKS, HYGIENE ITEMS AND STUFFED ANIMALS FOR BUILD-A-BED MOREHEAD, AN AGENCY THAT MAKES A DIFFERENCE IN CHILDREN'S LIVES. MANY KENTUCKY CHILDREN GO TO BED EACH NIGHT IN MAKESHIFT CIRCUMSTANCES - SLEEPING ON THE FLOOR, COUCH, WITH PARENTS OR SIBLINGS. BACKPACK PROGRAM: TEAM MEMBERS MADE BACKPACKS FOR ELEMENTARY AGED CHILDREN TO ENSURE STUDENTS START THE YEAR WITH THE NECESSARY SCHOOL SUPPLIES AND AT LEAST ONE NEW OUTFIT. KDOH FILLED 25 FOR SCIOTO COUNTY IN CONJUNCTION WITH THE PORTSMOUTH METROPOLITAN HOUSING AUTHORITY. ADOPT-A-FAMILY: TEAM MEMBERS ADOPTED FAMILIES AT CHRISTMAS TIME WHERE THEY PROVIDED GIFTS AND FOOD TO THOSE IN NEED. SPORTS PHYSICALS- MORE THAN 1,521 SPORTS PHYSICALS WERE COMPLETED FOR HIGH SCHOOLS IN KY, OH AND FOR KENTUCKY CHRISTIAN UNIVERSITY.
FORM 990, PART VI, SECTION A, LINE 6ASHLAND HOSPITAL CORPORATION IS THE SOLE CORPORATE MEMBER OF PORTSMOUTH HOSPITAL CORPORATION. ASHLAND HOSPITAL CORPORATION, A 501(C)(3) ENTITY, IS THE PARENT ORGANIZATION OF AN INTERGRATED HEALTHCARE DELIVERY SYSTEM.
FORM 990, PART VI, SECTION A, LINE 7AASHLAND HOSPITAL CORPORATION ELECTS THE BOARD MEMBERS OF PORTSMOUTH HOSPITAL CORPORATION ON AN ANNUAL BASIS OR UNTIL A SUCCESSOR IS NAMED.
FORM 990, PART VI, SECTION B, LINE 11THE 990 WILL BE REVIEWED BY THE CFO/TREASURER AND CONTROLLER OF ASHLAND HOSPITAL CORPORATION. AFTER THIS REVIEW, BUT BEFORE IT IS FILED WITH THE IRS, THE FINAL 990 WILL BE PROVIDED TO THE FULL BOARD OF DIRECTORS USING BOARD EFFECTS SOFTWARE. AN E-MAIL WITH A LINK TO THE POSTING WILL BE SENT TO EACH BOARD MEMBER ONCE THE REPORT HAS BEEN POSTED.
FORM 990, PART VI, SECTION B, LINE 12CKING'S DAUGHTERS MEDICAL CENTER OHIO (KDOH) REQUIRES ALL DIRECTORS AND OFFICERS TO COMPLY WITH ITS CONFLICTS OF INTEREST POLICY, WHICH TRACKS THE IRS'S RECOMMENDED POLICY WITH RESPECT TO SUCH OFFICERS AND DIRECTORS. MEMBERS OF THE KDOH'S BOARD OF DIRECTORS MUST ANNUALLY IDENTIFY, IN WRITING, ANY INTEREST THAT COULD GIVE RISE TO A CONFLICT, SUCH AS A LEADERSHIP POSITION IN A CONFLICTING ORGANIZATION; DISCLOSURE IS NOT LIMITED TO FINANCIAL CONFLICTS. IN ADDITION, EMPLOYEES OF KDOH CERTIFY THAT NO CONFLICTS OF INTEREST EXIST OR OBTAIN AN ADVANCE WAIVER OF ANY CONFLICTS. KDOH'S GENERAL COUNSEL OBTAINS ALL RELEVANT DISCLOSURES AND SIGNATURES. IF A CONFLICT OF INTEREST IS REPORTED, THE VICE PRESIDENT TO WHOM THE REPORTING EMPLOYEE DIRECTLY OR INDIRECTLY REPORTS, TOGETHER WITH THE CEO, DETERMINES IF A CONFLICT EXISTS. IF THE REPORTING EMPLOYEE IS A VICE PRESIDENT, THE CEO, IN CONSULTATION WITH THE GENERAL COUNSEL, DETERMINES IF A CONFLICT EXISTS. A MEMBER OF KDOH'S BOARD OF DIRECTORS REPORTS ANY CONFLICT OR POTENTIAL CONFLICT TO THE CHAIRMAN OF THE BOARD, THE CEO AND/OR THE GENERAL COUNSEL, AS APPROPRIATE. IF IT IS DETERMINED THAT A CONFLICT EXISTS, THE EMPLOYEE OR BOARD MEMBER IS REMOVED FROM ANY PART OF THE DECISION-MAKING PROCESS, AND HAS NO ROLE IN THE INSTANCE IN WHICH THE CONFLICT EXISTS. A BOARD MEMBER WHO REPORTS A POTENTIAL OR ACTUAL CONFLICT OF INTEREST MUST ABSTAIN FROM ANY RELEVANT DISCUSSION OR VOTE. IF A CONFLICT OF INTEREST IS DISCOVERED AFTER THE FACT, THE CEO AND VICE PRESIDENT, TOGETHER WITH THE GENERAL COUNSEL, IF APPROPRIATE, REVIEWS THE INSTANCE IN WHICH THE CONFLICT OCCURRED. THOSE LEADERS ENSURE THAT THE CONFLICTED INDIVIDUAL DID NOT INFLUENCE DECISIONMAKING OR PROFIT FROM THE CONFLICT. THE CONFLICTED INDIVIDUAL IS REMOVED FROM ANY FURTHER INVOLVEMENT. IN ADDITION, ANY FAILURE TO REPORT CONFLICTS OF INTEREST VIOLATES THE POLICY AND COULD RESULT IN DISCIPLINARY ACTION, UP TO AND INCLUDING TERMINATION OF EMPLOYMENT OR REMOVAL FROM THE MEDICAL CENTER'S BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15AT THE DIRECTION OF THE HUMAN RESOURCES & COMPENSATION COMMITTEE OF THE BOARD OF KING'S DAUGHTERS HEALTH SYSTEM, KDHS ENGAGED SULLIVAN COTTER AND ASSOCIATES, INC., A LEADING INDEPENDENT COMPENSATION CONSULTING COMPANY SPECIALIZING IN EXECUTIVE, EMPLOYEE AND PHYSICIAN COMPENSATION AND BENEFITS FOR THE HEALTH CARE AND NOT-FOR-PROFIT INDUSTRY, TO ASSIST IN DETERMINING COMPENSATION OF THE CEO,VICE PRESIDENTS, AND CHIEF MEDICAL OFFICERS. THIS IS AN ANNUAL PROCESS AND SULLIVAN COTTER'S MOST RECENT EXECUTIVE COMPENSATION REVIEW WAS PERFORMED IN 2015 AND REMAINS IN PROCESS. THE PRINCIPLE OBJECTIVE OF THIS STUDY WAS TO ASSEMBLE A DETAILED PROFILE OF THE CURRENT COMPENSATION LEVELS AVAILABLE TO EXECUTIVES MANAGING SIMILAR TASKS AND RESPONSIBILITIES AS MEMBERS OF THE KDHS EXECUTIVE TEAM. MOREOVER, THE OBJECTIVE WAS TO COMPILE MARKET DATA FOR EACH POSITION THAT WAS REFLECTIVE OF THE PAY LEVELS OFFERED BY INDEPENDENT, NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS OF COMPARABLE SIZE WITH OPERATIONS IN THE UNITED STATES. THE SULLIVAN COTTER DATA COUPLED WITH THE PERFORMANCE OF THE ORGANIZATION AS WELL AS THE PERSONAL PERFORMANCE OF EACH EXECUTIVE IS THE BASIS FOR KDHS'S HUMAN RESOURCE & COMPENSATION COMMITTEE'S REVIEW AND RECOMMENDATIONS, AND THE BOARD'S REVIEW AND APPROVAL OF ANNUAL COMPENSATION INCREASES. THE PROCESS INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THIS PROCESS WAS USED TO DETERMINE COMPENSATION FOR THE FOLLOWING POSITIONS: PRESIDENT/CEO VP, CHIEF COMPLIANCE OFFICER VP, CHIEF FINANCIAL OFFICER VP, CHIEF LEGAL & REGULATORY OFFICER/GENERAL COUNSEL CHIEF MEDICAL OFFICERS VP, CHIEF STRATEGY/INFORMATION SERVICES & TECHNOLOGY OFFICER VP, EXECUTIVE DIRECTOR KING'S DAUGHTERS INTEGRATED PHYSICIANS VP, PATIENT SERVICES/CHIEF NURSING OFFICER
FORM 990, PART VI, SECTION C, LINE 19ON A QUARTERLY BASIS, THE FINANCIAL STATEMENTS ARE REPORTED TO EMMA (ELECTRONIC MUNICIPAL MARKET ACCESS) AND MADE AVAILABLE ON THEIR WEBSITE. GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11GPHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 2,106,041. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,106,041. OTHER FEES: PROGRAM SERVICE EXPENSES 494,657. MANAGEMENT AND GENERAL EXPENSES 496,068. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 990,725.

Schedule R IRS990ScheduleR

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KING'S DAUGHTERS MEDICAL SPECIALTIES INC
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ASHLAND HOSPITAL CORPORATION
2201 LEXINGTON AVEASHLANDKY41101610444716HEALTHCAREKY501(C)(3)3KING'S DAUGHTERS HEALTH SYSTEM INC0

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