PORTSMOUTH HOSPITAL CORPORATION: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- PORTSMOUTH HOSPITAL CORPORATION (EIN 45-3215312)
- Tax period
- 2014-10-01 to 2015-09-30
- Filed
- 2016-08-15
- IRS object ID
- 201642289349301024
- Schema version
- 2014v6.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-08-15T08:14:31-05:00 | ReturnTs |
| Tax Period End | 2015-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390859910 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER TILLY VIRCHOW KRAUSE LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1650 MARKET STREET SUITE 4500 | AddressLine1Txt |
| City | PHILADELPHIA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19103 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 453215312 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PORTSMOUTH HOSPITAL CORPORATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PORT | BusinessNameControlTxt |
| Phone | 7409914000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 ARGONNE AVENUE | AddressLine1Txt |
| City | PORTSMOUTH | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45662 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | AUTUMN MCFANN | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 7409914000 | PhoneNum |
| Signature | 2016-08-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JULIUS C GREEN CPA | PreparerPersonNm |
| PTIN | P00350393 | PTIN |
| Phone | 2159720701 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-09-27 15:27:22Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KING'S DAUGHTERS MEDICAL CENTER OHIO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KRISTIE WHITLATCH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2201 LEXINGTON AVENUE | AddressLine1Txt |
| City | ASHLAND | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 41101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $21,565,797 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.KDMCOHIO.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2010 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | TO CARE. TO SERVE. TO HEAL. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 3 | VotingMembersIndependentCnt |
| Total Employee | 231 | TotalEmployeeCnt |
| Total Volunteers | 3 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $20,880,988 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $21,458,473 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,485 | PYInvestmentIncomeAmt |
| CY Investment Income | -$34,468 | CYInvestmentIncomeAmt |
| PY Other Revenue | $53 | PYOtherRevenueAmt |
| CY Other Revenue | $100,125 | CYOtherRevenueAmt |
| PY Total Revenue | $20,883,526 | PYTotalRevenueAmt |
| CY Total Revenue | $21,524,130 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $32,676 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $3,832 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $8,822,748 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $8,324,704 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $16,216,960 | PYOtherExpensesAmt |
| CY Other Expenses | $15,174,505 | CYOtherExpensesAmt |
| PY Total Expenses | $25,072,384 | PYTotalExpensesAmt |
| CY Total Expenses | $23,503,041 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$4,188,858 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,978,911 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $37,545,737 | TotalAssetsBOYAmt |
| Total Assets EOY | $31,708,025 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $45,910,981 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $42,052,180 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$8,365,244 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$10,344,155 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | KINGS 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 76,000. ADDITIONAL COUNTIES WE SERVE ARE LAWRENCE, ADAMS AND JACKSON IN OHIO AND GREENUP AND LEWIS IN KENTUCKY. MORE THAN 17% 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 MORTALITY AND 86 OUT OF 88 IN MORBIDITY, WITH LAWRENCE COUNTY RANKING LAST. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $21,401,650 | ExpenseAmt |
| Grant | $3,832 | GrantAmt |
| Revenue | $21,458,473 | RevenueAmt |
| Desc | PORTSMOUTH 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 76,000 RESIDENTS, WITH 20,326 PEOPLE RESIDING IN PORTSMOUTH, SCIOTO COUNTY'S LARGEST CITY. THE SCIOTO COUNTY POPULATION IS PREDOMINANTLY WHITE-94.60%; WITH 2.7% BLACK AND ALL OTHER RACES MAKING UP 2.7%. THE PER CAPITA INCOME FOR THE COUNTY IS $20,045 AND MORE THAN 27% 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 OUT OF 88 IN THE STATE OF OHIO FOR HEALTH OUTCOMES, 86 OUT OF 88 FOR QUALITY OF LIFE AND LAST FOR HEALTH BEHAVIORS. | Desc |
| Total Program Service Expenses | $21,401,650 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 20 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 231 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 3 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | 0 | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OH | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREG WHITLOCK CONTROLLER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6064080160 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2201 LEXINGTON AVENUE | AddressLine1Txt |
| City | ASHLAND | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 41101 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| CASSIDY DAN | |||||||||
| CHAIRMAN, BOARD OF DIRECTO | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| FIORET PHILIP MD | |||||||||
| DIRECTOR | 0.30 | Yes (X) | $0 | $737,497 | $32,408 | 45.00 | |||
| HATCHER NEAL | |||||||||
| DIRECTOR | 0.30 | Yes (X) | $0 | $0 | $0 | ||||
| JONES DAVID | |||||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | 5.70 | |||
| SCHMIDT CHRIS DO | |||||||||
| DIRECTOR/MEDICAL STAFF PRE | 0.30 | Yes (X) | $0 | $77,000 | $0 | 10.00 | |||
| WHITLATCH KRISTIE | |||||||||
| PRESIDENT | 1.30 | Yes (X) | Yes (X) | $0 | $538,322 | $23,500 | 60.00 | ||
| MAHANEY SHERYL | |||||||||
| SECRETARY | 1.30 | Yes (X) | $0 | $356,877 | $22,330 | 60.00 | |||
| MCFANN AUTUMN | |||||||||
| TREASURER | 1.30 | Yes (X) | $0 | $197,929 | $40,747 | 60.00 | |||
| GROOMS KIMBERLY | |||||||||
| ADMINSTRATOR | 50.00 | $127,232 | $0 | $26,753 | Yes (X) | ||||
| BAKER ANNE | |||||||||
| PHARMACIST | 40.00 | $140,645 | $0 | $17,110 | Yes (X) | ||||
| TACKETT CATHY | |||||||||
| APRN | 40.00 | $14,349 | $137,605 | $4,812 | Yes (X) | ||||
| JACKSON FRED | |||||||||
| FORMER PRESIDENT | 0.00 | $0 | $863,956 | $6,606 | 0.00 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $282,226 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,909,186 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $174,266 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| OHIO VALLEY PHYSICIANS INC | |||||
| PO BOX 390 | HUNTINGTON | WV | 25708 | EMERGENCY DEPARTMENT PHYSICIANS | $1,395,718 |
| MAYO COLLABORATIVE SERVICES INC | |||||
| PO BOX 9146 | MINNEAPOLIS | MN | 554809146 | REFERENCE LAB | $185,426 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT REVENUE | Desc |
| Business | 622310 | BusinessCd |
| Total Revenue Column | $21,458,473 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $21,458,473 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $21,458,473 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,199 | TotalRevenueColumnAmt |
| Exclusion | $7,199 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $41,667 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$41,667 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$41,667 | TotalRevenueColumnAmt |
| Exclusion | -$41,667 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| LEGAL SETTLEMENT | 900099 | $100,000 | $100,000 |
| MISC | 900099 | $125 | $125 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $100,125 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,524,130 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $21,458,473 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $65,657 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,832 | TotalAmt |
| Program Services | $3,832 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $156,379 | TotalAmt |
| Management And General | $156,379 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,140,888 | TotalAmt |
| Program Services | $5,651,239 | ProgramServicesAmt |
| Management And General | $489,649 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,718 | TotalAmt |
| Program Services | $25,884 | ProgramServicesAmt |
| Management And General | $2,834 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,513,589 | TotalAmt |
| Program Services | $1,388,685 | ProgramServicesAmt |
| Management And General | $124,904 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $485,130 | TotalAmt |
| Program Services | $425,750 | ProgramServicesAmt |
| Management And General | $59,380 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $241,740 | TotalAmt |
| Management And General | $241,740 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,144 | TotalAmt |
| Management And General | $1,144 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,705,869 | TotalAmt |
| Program Services | $2,581,487 | ProgramServicesAmt |
| Management And General | $124,382 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,945 | TotalAmt |
| Management And General | $1,945 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $381,681 | TotalAmt |
| Program Services | $299,772 | ProgramServicesAmt |
| Management And General | $81,909 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $609,704 | TotalAmt |
| Management And General | $609,704 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,340 | TotalAmt |
| Program Services | $31,366 | ProgramServicesAmt |
| Management And General | $2,974 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,439 | TotalAmt |
| Program Services | $5,720 | ProgramServicesAmt |
| Management And General | $5,719 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,052 | TotalAmt |
| Management And General | $18,052 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,655,599 | TotalAmt |
| Program Services | $3,655,599 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $722 | TotalAmt |
| Management And General | $722 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $3,995,609 | $3,906,107 | $89,502 |
| BAD DEBT EXPENSE | $2,215,555 | $2,215,555 | |
| REPAIRS AND MAINTENANCE | $828,087 | $789,995 | $38,092 |
| RENTAL FEES | $227,409 | $216,948 | $10,461 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $245,610 | TotalAmt |
| Program Services | $203,711 | ProgramServicesAmt |
| Management And General | $41,899 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,503,041 | TotalAmt |
| Program Services | $21,401,650 | ProgramServicesAmt |
| Management And General | $2,101,391 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,201,052 | BOYAmt |
| EOY | $1,822,153 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,887,667 | BOYAmt |
| EOY | $3,228,567 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,155,322 | BOYAmt |
| EOY | $930,839 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $133,594 | BOYAmt |
| EOY | $62,734 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $35,290,578 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $9,626,846 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,168,102 | BOYAmt |
| EOY | $25,663,732 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,545,737 | BOYAmt |
| EOY | $31,708,025 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,651,241 | BOYAmt |
| EOY | $1,434,467 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,259,740 | BOYAmt |
| EOY | $40,617,713 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,910,981 | BOYAmt |
| EOY | $42,052,180 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$8,365,244 | BOYAmt |
| EOY | -$10,344,155 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$8,365,244 | BOYAmt |
| EOY | -$10,344,155 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,545,737 | BOYAmt |
| EOY | $31,708,025 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,978,911 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $1,144 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1,144 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | A PORTION OF DUES PAID TO THE OHIO HOSPITAL ASSOCIATION ($345) AND THE COLLEGE OF AMER PAT ($799) IS ATTRIBUTABLE TO LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,088,830 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,366,317 | DepreciationAmt |
| Book Value | $14,722,513 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,359,621 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,041,692 | DepreciationAmt |
| Book Value | $9,317,929 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,842,127 | OtherCostOrOtherBasisAmt |
| Depreciation | $218,837 | DepreciationAmt |
| Book Value | $1,623,290 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $25,663,732 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO AFFILIATES | Desc |
| Amt | $40,617,713 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $40,617,713 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $19,308,575 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$2,215,555 | OtherRevenueAmt |
| Revenue Not Reported | -$2,215,555 | RevenueNotReportedAmt |
| Revenue Subtotal | $21,524,130 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $21,524,130 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $21,287,486 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $21,287,486 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $2,215,555 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $2,215,555 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $23,503,041 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE 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. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE NETTED AGAINST REVENUE ON F/S -2,215,555. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE NETTED AGAINST REVENUE ON F/S 2,215,555. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $112,459 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $112,459 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00530 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,497,416 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,604,542 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,892,874 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13590 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,609,875 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,604,542 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,005,333 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14120 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $37,535 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $37,535 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,355 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $20,355 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $57,890 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $57,890 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00280 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,667,765 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,604,542 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,063,223 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14400 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $807,567 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $4,489,185 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $5,490,128 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,000,943 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PORTSMOUTH HOSPITAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 ARGONNE RD | AddressLine1Txt |
| City | PORTSMOUTH | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45662 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.KDMCOHIO.COM | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | URGENT CARE - 24 HOURS | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PORTSMOUTH HOSPITAL CORP DBA KDMC OHIO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | KDMCOHIO.COM/ABOUTUS/COMMUNITYOUTREACH | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 12 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | KDMCOHIO.COM/ABOUTUS/COMMUNITYOUTREACH | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.KDMCOHIO.COM/FINANCIALRESOURCECENTER | FAPAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.KDMCOHIO.COM/FINANCIALRESOURCECENTER | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PORTSMOUTH HOSPITAL CORP DBA KDMC OHIO | PART V, SECTION B, LINE 5: A WIDE RANGE OF COMMUNITY PARTNERS ACTIVELY PARTICIPATED IN THE CHNA THROUGH EIGHT FOCUS GROUPS CONDUCTED TO BETTER ASSESS THE HEALTH NEEDS OF THE REGION. A TOTAL OF 39 SCHOOLS, SOCIAL SERVICE AGENCIES AND/OR BUSINESSES WERE REPRESENTED. PARTICIPANTS INCLUDED LIBRARIES, LOCAL HEALTH DEPARTMENTS, SENIOR CITIZENS CENTERS, YOUTH SERVICES, MENTAL HEALTH AGENCIES, CITY ADMINISTRATORS, MEDIA, HOSPICE, AMERICAN RED CROSS, STATE GOVERNMENT REPRESENTATIVES AND A VARIETY OF BUSINESSES. |
| PORTSMOUTH HOSPITAL CORP DBA KDMC OHIO | PART V, SECTION B, LINE 6A: KINGS DAUGHTERS MEDICAL CENTER |
| PORTSMOUTH HOSPITAL CORP DBA KDMC OHIO | PART V, SECTION B, LINE 11: THE COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED BY KING'S DAUGHTERS IN FISCAL YEAR 2013, COMBINED WITH THE SUPPLEMENTAL DATA THAT WAS ANALYZED, REVEALED THE PRIMARY HEALTH CONCERNS OF THE COMMUNITY THAT THE HOSPITAL CAN CONTINUE TO REASONABLY AND REALISTICALLY ADDRESS.THESE HEALTH NEEDS WERE PRIORITIZED BASED ON FIVE FACTORS:1.THE ABILITY OF KING'S DAUGHTERS TO MEASURE OUTCOMES2.THE PREVALENCE OF THE ISSUE THROUGHOUT KING'S DAUGHTERS SERVICE AREAS3.EXISTING PROGRAMS AND PARTNERSHIPS THAT ADDRESS THE SPECIFIC NEEDS4.THE DEGREE TO WHICH KING'S DAUGHTERS CAN INFLUENCE LONG-TERM CHANGE5.ALIGNMENT WITH KING'S DAUGHTERS STRATEGIC PLANTHE TOP IDENTIFIED NEEDS THAT COULD BE ADDRESSED BY KING'S DAUGHTERS WERE OBESITY/DIABETES, CARDIOVASCULAR DISEASE, CANCER AND FINANCIAL ASSISTANCE/CHARITY CARE. KING'S DAUGHTERS PROVIDED REGULAR HEALTH SCREENINGS FOR SKIN CANCER, HEIGHTS AND WEIGHTS, PROSTATE CANCER, GENERAL HEALTH, HEALTHY HEART (INCLUDING CHOLESTEROL, BLOOD PRESSURE, GLUCOSE & EKG) PLUS OTHERS. HEALTH EDUCATION WAS ALSO PROVIDED FOCUSING ON THE FOLLOWING: BREAST, CANCER, HEART, COLON CANCER, DIABETES, EXERCISE PLUS MORE. THERE ARE THREE MOBILE HEALTH UNITS TAKEN INTO THE COMMUNITY TO MAKE HEALTHCARE ACCESS EASIER. WE HOSTED A LARGE WELLNESS BACK TO SCHOOL EVENT FOR FAMILIES, PARTNERED WITH THE AMERICAN CANCER SOCIETY ON EVENTS AS WELL AS THE AMERICAN HEART ASSOCIATION. KING'S DAUGHTERS SCREENED MORE THE 7,900 ADULTS/CHILDREN AND EDUCATED MORE THAN 29,000 PEOPLE.SOME NEEDS IDENTIFIED BY KING'S DAUGHTERS' COMMUNITY HEALTH NEEDS ASSESSMENT ARE NOT ADDRESSED IN THIS PLAN. THESE INCLUDE: MENTAL HEALTH, SUBSTANCE ABUSE, ENVIRONMENTAL CONCERNS, LOW BIRTH WEIGHTS, UNEMPLOYMENT, POOR PARENTING, ETC. THESE NEEDS EITHER A) ARE BEING ADDRESSED THROUGH OTHER AGENCIES/SERVICES, OR B) EXCEED THE SCOPE OF RESOURCES OR EXPERTISE FOR KING'S DAUGHTERS FEASIBLY TO ADDRESS. |
| PORTSMOUTH HOSPITAL CORP DBA KDMC OHIO | PART 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. |
| PART V, SECTION B, LINE 16 | FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY |
| PORTSMOUTH HOSPITAL CORP DBA KDMC OHIO PART V, SECTION B, LINE 16A WEBSITE: | WWW.KDMCOHIO.COM/FINANCIALRESOURCECENTER |
| PORTSMOUTH HOSPITAL CORP DBA KDMC OHIO PART V, SECTION B, LINE 16C WEBSITE: | WWW.KDMCOHIO.COM/FINANCIALRESOURCECENTER |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 $2,215,555. |
| PART III, LINE 2: | 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 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 2015 COST REPORT DATA AND PROVIDER SUMMARY REPORT (PSR) WAS USED TO COMPUTE THE INFORMATION. |
| PART III, LINE 9B: | THE HOSPITAL HAS A WRITTEN POLICY ON BAD DEBT. IT IS A SYSTEM PROGRESSION WITH FOUR PATIENT STATEMENTS, ALONG WITH AN OUTBOUND CALLING PROCESS, AND IF NO PAYMENT ARRANGEMENTS ARE MADE DURING THIS TIME THERE IS AUTOMATION TO THE COLLECTION AGENCY. EACH BILL THAT A PATIENT RECEIVES HAS A STATEMENT STATING IF THEY ARE UNABLE TO PAY THEIR BILL TO CONTACT THE HOSPITAL FINANCIAL ASSISTANCE TEAM WITH A DIRECT LINE NUMBER. ALSO, EACH SELF PAY PATIENT IS CONTACTED BY THE HOSPITALS MEDICAID ELIGIBILITY VENDOR AS WELL AS RECEIVING A FINANCIAL ASSISTANCE APPLICATION.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: | IN SPRING OF 2013, IN PARTNERSHIP WITH KING'S DAUGHTERS MEDICAL CENTER KENTUCKY, KDOH CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT. THE ASSESSMENT WAS CONDUCTED FOR KDOH'S PRIMARY MARKET OF SCIOTO COUNTY. THE ASSESSMENT SHOWED: 1)LEADING CAUSES OF DEATH (AGE ADJUSTED) ARE HEART DISEASE, CANCER, COPD AND UNINTENTIONAL INJURY. THESE RATES ARE HIGHER IN SCIOTO COUNTY THAN THE NATION. 2) 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. 3) 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: 1) POOR PARENTING CONTRIBUTING TO CHILDREN HAVING BAD EATING AND SLEEP HABITS 2) UNHEALTHY LIFESTYLES 3) DRUGS AND CRIME RELATED TO DRUGS 4) LACK OF JOBS. RESPONDENTS TO THE HEALTH SURVEY CITED THE FOLLOWING TOP ISSUES IN THE COUNTY: 1) SUBSTANCE ABUSE 2) OBESITY 3) CHRONIC DISEASES - CANCER, HEART DISEASE AND DIABETES. |
| 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 KDOH. 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. THE FINANCIAL ASSISTANCE PROGRAM IS ON THE KDOH WEBSITE AND THE PHONE NUMBER TO ACCESS INFORMATION IS PROVIDED TO PATIENTS THROUGH THE PATIENT INFORMATION GUIDE AT ADMITTANCE TO THE HOSPITAL. KDOH WORKS TO IDENTIFY PATIENTS THAT MAY HAVE LIMITED RESOURCES AND OFFERS FINANCIAL ASSISTANCE WHEN APPROPRIATE. 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 76,825 RESIDENTS, WITH 20,409 PEOPLE RESIDING IN PORTSMOUTH, SCIOTO COUNTY'S LARGEST CITY. THE SCIOTO COUNTY POPULATION IS PREDOMINANTLY WHITE - 94.60%; WITH 2.7% BLACK AND ALL OTHER RACES MAKING UP 2.7%. THE PER CAPITA INCOME FOR THE COUNTY IS $20,045. MORE THAN 27% OF THE POPULATION IS BELOW THE POVERTY LINE. |
| PART VI, LINE 5: | AS PART OF OUR COMMUNITY BENEFIT, KDOH OFFERS FREE HEALTH SCREENINGS AND EDUCATIONAL OPPORTUNITIES IN THE COMMUNITY. DURING FISCAL YEAR 2015, KDOH PROVIDED THE FOLLOWING HEALTH SCREENINGS IN SCIOTO COUNTY: CARPAL TUNNEL - 20 ADULTS SERVED, PROSTATE CANCER - 192 ADULTS SERVED,GENERAL HEALTH (TOTAL CHOLESTEROL, BLOOD PRESSURE, BLOOD SUGAR) - 5,983 ADULTS SERVED, HEART - (TOTAL CHOLESTEROL, BLOOD PRESSURE, BLOOD SUGAR AND EKG) - 970 ADULTS SERVED, MOBILE MAMMOGRAPHY - 918 ADULTS, DERMA SCAN - 168 ADULTS; 51 CHILDREN, PROSTATE CANCER- 14 ADULTS, SKIN CANCER- 19 ADULTS, SPORTS PHYSICALS - 127 ADULTS, 143 CHILDREN. HELPING PEOPLE LEARN THEIR RISK FOR DISEASE AND HOW TO TAKE PREVENTITIVE MEASURES TO MINIMIZE RISK IS ALSO IMPORTANT. KDOH PROVIDED HEALTH EDUCATION TO THE FOLLOWING: ALCOHOL AND OTHER DRUGS- 2 ADULTS; 58 CHILDREN, BICYCLE SAFETY- 259 ADULTS; 627 CHILDREN, BRAIN HEALTH - 20 ADULTS; BREAST CANCER - 330 ADULTS SERVED; BREASTFEEDING- 100 ADULTS; HEART - 1,689 ADULTS, 74 CHILDREN, IMMUNIZATION- 301 ADULTS; 627 CHILDREN; CHF - CONGESTIVE HEART FAILURE - 475 ADULTS SERVED, HAND WASHING - 413 ADULTS, 686 CHILDREN, NUTRITION - 2,270 ADULTS; 657 CHILDREN; SKIN CANCER - 271 ADULTS SERVED, 51 CHILDREN, COLON CANCER - 89 ADULTS, DIABETES - 1,717 ADULTS, 47 CHILDREN/YOUTH SERVED, EXERCISE - 534 ADULTS, 226 CHILDREN, FIRST AID - 16 ADULTS, 60 CHILDREN; FLU- 349 ADULTS, 32 CHILDREN; PROSTATE - 192 ADULTS; SAFETY, OTHER - 1,066 ADULTS, 1,223 CHILDREN, SCHOOL BUS SAFETY - 27 CHILDREN, STROKE- 789 ADULTS, 34 CHILDREN; SUMMER SAFETY - 420 ADULTS 60 CHILDREN, TESTICULAR CANCER - 110 ADULTS, TOBACCO - 620 ADULTS, 66 CHILDREN SERVED, MISCELLANEOUS HEALTH - 895 ADULTS, 2 CHILDREN. A VARIETY OF HEALTH TOPICS MAY BE OFFERED ONLY ONCE OR TWICE A YEAR. THOSE TOPICS ARE CONSIDERED MISCELLANEOUS IN NATURE. INDIVIDUALS ATTENDING HEALTH SCREENINGS ARE PROVIDED COUNSELING ON THEIR PERSONAL RESULTS AT THE TIME OF THE EVENT.IN ADDITION, KDOH IN PARTNERSHIP WITH KING'S DAUGHTERS KENTUCKY, 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 STROES AND MORE. AS PART OF THE MOBILE OUTREACH, WE PROVIDED NUMEROUS MAMMOGRAMS AND HEALTHY HEART SCREENINGS REACHING MULTIPLE COMMUNITIES IN SCIOTO COUNTY.KDOH IS AN ACTIVE PARTNER WITH THE SCIOTO COUNTY HEALTH COALITION (SCHC). THIS COALITION WAS CALLED TOGETHER IN THE SPRING OF 2012 BY STATE REPRESENTATIVE, TERRY JOHNSON, MD. KDOH 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. WE HAVE PARTICIPATED IN COMMUNITY CLEAN-UP ACTIVITIES SPONSORED BY THE COALITION. THE SCHC 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 INCLUDE: LOCAL GOVERNMENTS, LOCAL CHAMBER OF COMMERCE, LOCAL EMS SERVICES, NON-PROFITS (RED CROSS, AMERICAN HEART ASSOCIATION, SUSAN G. KOMEN, UNITED WAY, SALVATION ARMY, PORTSMOUTH METROPOLITAN THE COUNSELING CENTER, PLUS MORE); CIVIC ORGANIZATIONS, SCHOOLS, LAW ENFORCEMENT, SENIOR CENTERS AND GIRL SCOUTS.THE BOARD OF DIRECTORS INCLUDES UNCOMPENSATED COMMUNITY MEMBERS WHO ARE VOLUNTARILY PROVIDING GUIDANCE TO THE HOSPITAL. ANY SURPLUS FUNDS ARE REINVESTED IN THE CAPITAL AND OPERATIONS OF THE HOSPITAL. |
| 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. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FIORET PHILIP MD | ||||||||||||||
| DIRECTOR | $0 | $567,016 | $0 | $0 | $0 | $170,481 | $0 | $7,800 | $0 | $24,608 | $0 | $769,905 | $0 | $141,524 |
| WHITLATCH KRISTIE | ||||||||||||||
| PRESIDENT | $0 | $450,644 | $0 | $0 | $0 | $87,678 | $0 | $7,800 | $0 | $15,700 | $0 | $561,822 | $0 | $76,717 |
| MAHANEY SHERYL | ||||||||||||||
| SECRETARY | $0 | $280,712 | $0 | $0 | $0 | $76,165 | $0 | $7,800 | $0 | $14,530 | $0 | $379,207 | $0 | $72,093 |
| MCFANN AUTUMN | ||||||||||||||
| TREASURER | $0 | $196,685 | $0 | $0 | $0 | $1,244 | $0 | $27,087 | $0 | $13,660 | $0 | $238,676 | $0 | $0 |
| GROOMS KIMBERLY | ||||||||||||||
| ADMINSTRATOR | $127,172 | $0 | $0 | $0 | $60 | $0 | $3,875 | $0 | $22,878 | $0 | $153,985 | $0 | $0 | $0 |
| BAKER ANNE | ||||||||||||||
| PHARMACIST | $140,585 | $0 | $0 | $0 | $60 | $0 | $4,239 | $0 | $12,871 | $0 | $157,755 | $0 | $0 | $0 |
| TACKETT CATHY | ||||||||||||||
| APRN | $14,349 | $137,605 | $0 | $0 | $0 | $0 | $0 | $4,559 | $0 | $253 | $14,349 | $142,417 | $0 | $0 |
| JACKSON FRED | ||||||||||||||
| FORMER PRESIDENT | $0 | $23,221 | $0 | $0 | $0 | $840,735 | $0 | $0 | $0 | $6,606 | $0 | $870,562 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | COMPENSATION 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-B | FRED JACKSON RECEIVED A SEVERANCE PAYMENT OF $833,252. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS: SHERYL MAHANEY - $72,093 PHILIP FIORET - $141,524 KRISTIE WHITLATCH - $76,717 SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN CONTRIBUTIONS/DEFERRALS: AUTUMN MCFANN - $21,090 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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4A | NEEDS 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), 27% 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. THE FOLLOWING COMMUNITY ACTIVITIES WERE PLANNED AND EXECUTED WHILE KEEPING IN MIND THE ASSESSMENT'S TOP PRIORITIES. COMMUNITY BUILDING ACTIVITIES: AS PART OF OUR COMMUNITY BENEFIT, KDOH OFFERS FREE HEALTH SCREENINGS AND EDUCATIONAL OPPORTUNITIES IN THE COMMUNITY. DURING FISCAL YEAR 2015, KDOH PROVIDED THE FOLLOWING HEALTH SCREENINGS IN SCIOTO COUNTY: -CARPAL TUNNEL- 20 ADULTS SERVED -PROSTATE CANCER - 192 ADULTS SERVED -GENERAL HEALTH (TOTAL CHOLESTEROL, BLOOD PRESSURE, BLOOD SUGAR) - 5,983 ADULTS SERVED -HEART - (TOTAL CHOLESTEROL, BLOOD PRESSURE, BLOOD SUGAR AND EKG) - 970 ADULTS SERVED -MOBILE MAMMOGRAPHY- 918 ADULTS -DERMA SCAN- 168 ADULTS; 51 CHILDREN -PROSTATE CANCER- 14 ADULTS -SKIN CANCER- 19 ADULTS -SPORTS PHYSICALS- 127 ADULTS, 143 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: -ALCOHOL AND OTHER DRUGS- 2 ADULTS; 58 CHILDREN -BICYCLE SAFETY-259 ADULTS; 627 CHILDREN -BRAIN HEALTH- 20 ADULTS -BREAST CANCER - 330 ADULTS SERVED -BREASTFEEDING- 100 ADULTS -HEART- 1,689 ADULTS, 74 CHILDREN -IMMUNIZATION- 301 ADULTS, 627 CHILDREN -CHF-CONGESTIVE HEART FAILURE- 475 ADULTS SERVED -HAND WASHING- 413 ADULTS, 686 CHILDREN -NUTRITION- 2,270 ADULTS, 657 CHILDREN -SKIN CANCER - 271 ADULTS SERVED, 51 CHILDREN -COLON CANCER - 89 ADULTS -DIABETES - 1,717 ADULTS, 47 CHILDREN/YOUTH SERVED -EXERCISE- 534 ADULTS, 226 CHILDREN -FIRST AID- 16 ADULTS, 60 CHILDREN -FLU- 349 ADULTS, 32 CHILDREN -PROSTATE- 192 ADULTS -SAFETY, OTHER- 1,066 ADULTS, 1,223 CHILDREN -SCHOOL BUS SAFETY- 27 CHILDREN -STROKE - 789 ADULTS, 34 CHILDREN -SUMMER SAFETY- 420 ADULTS, 60 CHILDREN -TESTICULAR CANCER- 110 ADULTS -TOBACCO - 620 ADULTS, 66 CHILDREN SERVED -MISCELLANEOUS HEALTH- 895 ADULTS, 2 CHILDREN -A VARIETY OF HEALTH TOPICS MAY BE OFFERED ONLY ONCE OR TWICE A YEAR. THOSE TOPICS ARE CONSIDERED MISCELLANEOUS IN NATURE 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. PATIENTS WITH ABNORMAL RESULTS FROM OUR HEALTH SCREENINGS ALSO RECEIVE A FOLLOW-UP LETTER REMINDING THEM OF THE IMPORTANCE OF SHARING THE RESULTS WITH THEIR HEALTHCARE PROVIDER. 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. KING'S DAUGHTERS OHIO IS CURRENTLY WORKING ON THEIR COMMUNITY HEALTH NEEDS ASSESSMENT FOR 2016. 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 STRENGTHENED 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 2015, 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 760 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 2015 IN HONOR OF AMERICAN HEART MONTH. FUNDED BY KING'S DAUGHTERS, GIRLS HAD THE OPPORTUNITY TO EXPLORE EXERCISE TECHNIQUES SUCH AS ZUMBA, SAVOR EXOTIC FRUITS SUCH AS PASSION FRUIT AND STAR FRUIT, AND 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 40 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. BLOOD DRIVES: KDOH PARTNERED WITH THE AMERICAN RED CROSS TO HOST A BLOOD DRIVE. A TOTAL OF 20 COMMUNITY MEMBERS AND TEAM MEMBERS DONATED BLOOD. COAT DRIVE: KDOH TEAM MEMBERS, IN PARTNERSHIP WITH THE COMMUNITY AND PORTSMOUTH HIGH SCHOOL, DONATED COATS, HATS AND GLOVES TO THE SALVATION ARMY FOR THOSE IN NEED. 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 HEALTHY FOODS. IN RETURN, PARTICIPANTS ARE GIVEN HEALTH BUCKS TO PURCHASE FRESH FRUITS AND VEGETABLES. APPROXIMATELY 300 CHILDREN AND ADULTS WERE SERVED THROUGH THIS PROGRAM. FOOD DRIVE FOR VETERANS: KDOH CONDUCTED A FOOD DRIVE FOR AREA VETERANS IN NOVEMBER. 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. THE GROUP IS LED BY A KDOH DIETICIAN AND THE MEETINGS ARE HELD BI-MONTHLY AT KDOH. BLANKET AND COAT DRIVE: A BLANKET AND COAT DRIVE WAS HELD IN PARTNERSHIP WITH THE BROKEN NEED - A HEALING MINISTRY. |
| FORM 990, PART III, LINE 4A | 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. CANCER SURVIVOR'S DAY CELEBRATION: HELD IN CONJUNCTION WITH PORTSMOUTH CANCER CARE ASSOCIATES. PORTSMOUTH RIVER DAYS: PARTICIPATED IN A COMMUNITY FESTIVAL AND PARADE WITH BATMAN AND HIS BAT MOBILE WITH SUPER HERO FRIENDS AND KDOH HEROES OF HEALTHCARE. 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 1,536 SPORTS PHYSICALS WERE COMPLETED FOR HIGH SCHOOLS IN KY, OH AND FOR KENTUCKY CHRISTIAN UNIVERSITY. |
| FORM 990, PART VI, SECTION A, LINE 6 | ASHLAND 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 7A | ASHLAND 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 11 | THE 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 12C | KING'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 15 | AT 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 19 | ON 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 11G | PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 1,934,781. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,934,781. OTHER FEES: PROGRAM SERVICE EXPENSES 646,706. MANAGEMENT AND GENERAL EXPENSES 124,382. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 771,088. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ASHLAND NURSING HOME CORP | |||||||||||
| 2500 STATE ROUTE 5 | ASHLAND | KY | 41102 | 611386016 | HEALTHCARE | KY | 501(C)(3) | 9 | ASHLAND HOSPITAL COPORATION | 0 | |
| CHILD DEVELOPMENT CENTER CORP | |||||||||||
| 2201 LEXINGTON AVE | ASHLAND | KY | 41101 | 010560598 | DAYCARE | KY | 501(C)(3) | 9 | ASHLAND HOSPITAL COPORATION | 0 | |
| KENTUCKY HEART INSTITUTE | |||||||||||
| 2201 LEXINGTON AVE | ASHLAND | KY | 41101 | 611255904 | PHYSICIANS | KY | 501(C)(3) | 9 | ASHLAND HOSPITAL COPORATION | 0 | |
| KENTUCKY HEART FOUNDATION | |||||||||||
| 2201 LEXINGTON AVE | ASHLAND | KY | 41101 | 260791997 | MEDICAL RESEARCH | KY | 501(C)(3) | 7 | ASHLAND HOSPITAL COPORATION | 0 | |
| KENTUCKY MEDICAL LOGISTICS INC | |||||||||||
| 425 22ND STREET | ASHLAND | KY | 41101 | 264736971 | MEDICAL TRANSPORT | KY | 501(C)(3) | 9 | ASHLAND HOSPITAL COPORATION | 0 | |
| KING'S DAUGHTERS HEALTH FOUNDATION INC | |||||||||||
| 2201 LEXINGTON AVE | ASHLAND | KY | 41101 | 611035701 | FUNDRAISING | KY | 501(C)(3) | 11-III-FI | ASHLAND HOSPITAL COPORATION | 0 | |
| KING'S DAUGHTERS HEALTH SYSTEM INC | |||||||||||
| 2201 LEXINGTON AVE | ASHLAND | KY | 41101 | 274553836 | HEALTHCARE | KY | 501(C)(3) | 11-II | 0 | N/A | |
| KING'S DAUGHTERS MEDICAL SPECIALTIES INC | |||||||||||
| 2201 LEXINGTON AVE | ASHLAND | KY | 41101 | 264183569 | PHYSICIANS | KY | 501(C)(3) | 9 | ASHLAND HOSPITAL COPORATION | 0 | |
| ASHLAND HOSPITAL CORPORATION | |||||||||||
| 2201 LEXINGTON AVE | ASHLAND | KY | 41101 | 610444716 | HEALTHCARE | KY | 501(C)(3) | 3 | KING'S DAUGHTERS HEALTH SYSTEM INC | 0 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ASHLAND MEDICAL PROPERTIES INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2201 LEXINGTON AVE | AddressLine1Txt |
| City | ASHLAND | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 41101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 611079090 | EIN |
| Primary Activities | RENTALS | PrimaryActivitiesTxt |
| Legal Domicile State | KY | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |