OHIO COUNTY HOSPITAL CORPORATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- OHIO COUNTY HOSPITAL CORPORATION (EIN 31-1131099)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-05-28
- IRS object ID
- 201401489349300430
- Schema version
- 2012v2.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-28T15:15:43-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 621046406 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHNSON HICKEY & MURCHISON PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 651 E FOURTH ST STE 200 | AddressLine1 |
| City | CHATTANOOGA | City |
| State | TN | State |
| ZIP Code | 37403 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311131099 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OHIO COUNTY HOSPITAL CORPORATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | OHIO | NameControl |
| Phone | 2702987411 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1211 OLD MAIN STREET | AddressLine1 |
| City | HARTFORD | City |
| State | KY | State |
| ZIP Code | 42347 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOHN TICHENOR | Name |
| Title | CFO | Title |
| Phone | 2702987411 | Phone |
| Date Signed | 2014-05-27 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BARRY R HUGGINS | Name |
| PTIN | P00627334 | PTIN |
| Phone | 4237560052 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | BLAINE PIEPER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1211 OLD MAIN STREET | AddressLine1 |
| City | HARTFORD | City |
| State | KY | State |
| ZIP Code | 42347 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 34250113 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.OHIOCOUNTYHOSPITAL.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1984 | YearFormation |
| State Legal Domicile | KY | StateLegalDomicile |
| Activity Or Mission Description | THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES, MAKING A DIFFERENCE IN THE LIVES OF THE PEOPLE WE SERVE BY PROVIDING POSITIVE LIFE-CHANGING EXPERIENCES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 8 | NbrIndependentVotingMembers |
| Total Nbr Employees | 460 | TotalNbrEmployees |
| Total Nbr Volunteers | 50 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 116998 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 74136 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 29944255 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 31955727 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 5589 | InvestmentIncomePriorYear |
| Investment Income Current Year | 8697 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1475519 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2211553 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 31542361 | TotalRevenuePriorYear |
| Total Revenue Current Year | 34250113 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 16535223 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 17932868 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 14970911 | OtherExpensePriorYear |
| Other Expenses Current Year | 15840514 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 31506134 | TotalExpensesPriorYear |
| Total Expenses Current Year | 33773382 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 36227 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 476731 | RevenuesLessExpensesCY |
| Total Assets BOY | 17467563 | TotalAssetsBOY |
| Total Assets EOY | 18564946 | TotalAssetsEOY |
| Total Liabilities BOY | 8690346 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 9310998 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 8777217 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 9253948 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES, MAKING A DIFFERENCE IN THE LIVES OF THE PEOPLE WE SERVE BY PROVIDING POSITIVE LIFE-CHANGING EXPERIENCES. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 30261459 | Expense |
| Revenue | 34123104 | Revenue |
| Description | THE MISSION OF OHIO COUNTY IS TO MAKE A DIFFERENCE IN THE LIVES OF OTHERS BY CARING, SERVING, AND EDUCATING INDIVIDUALS RELATIVE TO THEIR SPECIFIC HEALTH NEEDS. WE BELIEVE THAT THROUGH THESE ACTIONS, THE GENERAL HEALTH OF OHIO COUNTY HOSPITAL IS THE FRONTLINE OF COMMUNITY HEALTHCARE, PROVIDING A SAFETY NET 24 HOURS A DAY THROUGH OUR INPATIENT, OUTPATIENT AND EMERGENCY SERVICES. IN ORDER TO MEET THE CHANGING NEEDS OF THE COMMUNITY AND IMPROVE THE ACCESS TO HEALTH CARE, WE HAVE EXPANDED OUR SERVICES TO INCLUDE PRIMARY CARE AND SPECIALTY PHYSICIAN PRACTICES. AND WHILE PATIENTS BENEFIT FROM OUR BEING CLOSE BY, ULTIMATELY IT IS THE WHOLE COMMUNITY THAT PROSPERS FROM OUR PRESENCE. THE HOSPITAL'S POSITIVE IMPACT ON THE COMMUNITY EXTENDS WELL BEYOND THE FOUR WALLS OF THE FACILITY. OUR COMMUNITY BENEFIT INCLUDES NOT ONLY THE COST OF PROVIDING CARE TO THE UNINSURED AND INDIGENT BUT ALSO BY IDENTIFYING UNMET COMMUNITY OR PUBLIC HEALTH NEEDS AND SEEKING TO ADDRESS THEM. EXAMPLES OF SUCH EFFORTS INCLUDING SUPPLYING CHILDHOOD IMMUNIZATION VACCINES TO OUR LOCAL HEALTH DEPARTMENT AT NO CHARGE. BECOMING A SMOKE-FREE FACILITY, AND OFFERING FREE SMOKING CESSATION COURSES SEVERAL TIMES A YEAR TO ALL COMMUNITY MEMBERS. OHIO COUNTY HOSPITAL WAS THE FOUNDING MEMBER OF A LOCAL HEALTH COALITION WHOSE FOCUS IS TO IMPLEMENT PREVENTATIVE HEALTH ACTIVITIES TO COMBAT THE LACK OF PHYSICAL ACTIVITY AND THE PREVELENCE OF OBESITY IN OUR AREA. WHETHER IT'S THROUGH THE PEOPLE WE EMPLOY, THE LOCAL BUSINESSES WE USE, OR THE CHARITIES AND COMMUNITY ACTIVITIES WE SUPPORT, WE ARE COMMITTED TO MAKING THE OHIO COUNTY ARE A HEALTHIER PLACE TO LIVE AND WORK. DURING 2012, THE HOSPITAL PROVIDED HEALTH CARE SERVICES TO OHIO COUNTY KENTUCKY AND SURROUNDING AREAS, INCLUDING INPATIENT, OUTPATIENT, AND EMERGENCY SERVICES. OHIO COUNTY HOSPITAL PROVIDED $1,538,124 OF CHARITY CARE THROUGH ITS CHARITY CARE PROGRAM. IN ADDITION, THEY PROVIDED $67,188 WORTH OF PROFESSIONAL FEES AND $41,092.52 OF HOSPITAL/PHYSICIAN CLINIC SERVICES THAT WERE NOT REIMBURSED BY ANY STATE PROGRAMS. | Description |
| Total Program Service Expense | 30261459 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 1 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 28 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 460 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | KY | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JOHN TICHENOR | NamePerson |
| Telephone Number | 2702985495 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1211 OLD MAIN STREET | AddressLine1 |
| City | HARTFORD | City |
| State | KY | State |
| ZIP Code | 42347 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (16 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| JUANITA PARK | |||||||
| PRESIDENT | 2.00 | X | X | 0 | 0 | 0 | |
| JANE CANARY | |||||||
| VICE PRESIDENT | 2.00 | X | X | 0 | 0 | 0 | |
| JONATHAN SHREWBURY OD | |||||||
| SECRETARY/TREASURER | 2.00 | X | X | 0 | 0 | 0 | |
| WAYNE HUNSAKER | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| KELLY ROE | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| CARLA WALLACE | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| GERALD WESTERFIELD | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| LLOYD SPIVEY | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| DONALD K GREGORY | |||||||
| ER PHYSICIAN/HOSPITALIST | 40.00 | X | 318563 | 0 | 25565 | ||
| BRENDA NEWCOM | |||||||
| CHIEF NURSING OFFICER | 40.00 | X | 84870 | 0 | 24432 | ||
| JANNA PATHI | |||||||
| CMO/SURGEON | 40.00 | X | 292763 | 0 | 18353 | ||
| MUKESH DESAI | |||||||
| UROLOGIST | 40.00 | 590759 | 0 | 34770 | X | ||
| JOSHUA SKIBBA | |||||||
| CARDIOLOGIST | 40.00 | 423401 | 0 | 18669 | X | ||
| CHARLES RICCIO | |||||||
| GASTROENTEROLOGIST | 40.00 | 643121 | 0 | 33388 | X | ||
| JOEL JOHNSTON | |||||||
| PHYSICIAN ER | 40.00 | 331806 | 0 | 44113 | X | ||
| CHARLES JARBOE | |||||||
| PHYSICIAN ER | 40.00 | 300605 | 0 | 33348 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2985888 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 232638 | TotalOtherCompensation |
| Number Individuals GT100 K | 18 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| EMCARE PHYSICIAN SERVICES | |||||
| 105 CONTINENTAL PLACE | BRENTWOOD | TN | 37027 | ER PHYSICIANS | 357826 |
| QUOROM HEALTH RESOURCES | |||||
| 7032 COLLECTION CENTER PLACE | CHICAGO | IL | 60693 | MANAGEMENT FEES | 258462 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
| Government Grants | 41745 | GovernmentGrants |
| All Other Contributions | 32391 | AllOtherContributions |
| Total Contributions | 74136 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT SERVICES | Description |
| Business Code | 621300 | BusinessCode |
| Total Revenue Column | 31955727 | TotalRevenueColumn |
| Related Or Exempt Function Income | 31955727 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 31955727 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8697 | TotalRevenueColumn |
| Exclusion | $8,697 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 44176 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 44176 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 44176 | TotalRevenueColumn |
| Exclusion | $44,176 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PHARMACY SALES | 446110 | 1719851 | 1719851 |
| MISCELLANEOUS INCOME | 621300 | 312608 | 312608 |
| WELLNESS PROGRAM | 900099 | 71477 | 71477 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 63441 | TotalRevenueColumn |
| Related Or Exempt Function Income | 63441 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2167377 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 34250113 | TotalRevenueColumn |
| Related Or Exempt Function Income | 34123104 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $52,873 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 966246 | Total |
| Program Services | 966246 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14236283 | Total |
| Program Services | 13335076 | ProgramServices |
| Management And General | 901207 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 296322 | Total |
| Program Services | 278756 | ProgramServices |
| Management And General | 17566 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1433108 | Total |
| Program Services | 1348153 | ProgramServices |
| Management And General | 84955 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1000909 | Total |
| Program Services | 941575 | ProgramServices |
| Management And General | 59334 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 258462 | Total |
| Management And General | 258462 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54873 | Total |
| Management And General | 54873 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 59595 | Total |
| Management And General | 59595 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2366093 | Total |
| Program Services | 1695961 | ProgramServices |
| Management And General | 670132 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 86383 | Total |
| Program Services | 86383 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 104399 | Total |
| Program Services | 86800 | ProgramServices |
| Management And General | 17599 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2216312 | Total |
| Program Services | 1883896 | ProgramServices |
| Management And General | 332416 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 159614 | Total |
| Program Services | 115552 | ProgramServices |
| Management And General | 44062 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 212006 | Total |
| Program Services | 212006 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 954947 | Total |
| Program Services | 954947 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 393579 | Total |
| Program Services | 14656 | ProgramServices |
| Management And General | 378923 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES AND DR | 5346132 | 5346132 | |
| BAD DEBT | 2602981 | 2602981 | |
| TAXES AND LICENSES | 492621 | 492621 | |
| OTHER SUPPLIES | 336364 | 280954 | 55410 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 196153 | Total |
| Program Services | 111385 | ProgramServices |
| Management And General | 84768 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33773382 | Total |
| Program Services | 30261459 | ProgramServices |
| Management And General | 3511923 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1733210 | BOY |
| EOY | 2603474 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1064120 | BOY |
| EOY | 1073592 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4417612 | BOY |
| EOY | 4699005 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 775893 | BOY |
| EOY | 817332 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 833134 | BOY |
| EOY | 882180 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 171589 | BOY |
| EOY | 162984 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 24241976 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 16311306 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8180599 | BOY |
| EOY | 7930670 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 291406 | BOY |
| EOY | 395709 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17467563 | BOY |
| EOY | 18564946 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2196201 | BOY |
| EOY | 2448095 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 357694 | BOY |
| EOY | 356535 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4880000 | BOY |
| EOY | 4280000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 599378 | BOY |
| EOY | 615668 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 657073 | BOY |
| EOY | 1610700 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8690346 | BOY |
| EOY | 9310998 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8777217 | BOY |
| EOY | 9253948 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8777217 | BOY |
| EOY | 9253948 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17467563 | BOY |
| EOY | 18564946 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 476731 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $3,137 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 3137 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | THE HOSPITAL PAYS DUES TO THE KENTUCKY HOSPITAL ASSSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THESE DUES ARE USED FOR LOBBYING. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 441841 | OtherCostOrOtherBasis |
| Book Value | 441841 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8358602 | OtherCostOrOtherBasis |
| Depreciation | 3905498 | Depreciation |
| Book Value | 4453104 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 14822480 | OtherCostOrOtherBasis |
| Depreciation | 12088030 | Depreciation |
| Book Value | 2734450 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 619053 | OtherCostOrOtherBasis |
| Depreciation | 317778 | Depreciation |
| Book Value | 301275 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 7930670 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| THIRD PARTY SETTLEMENTS | $1,407,316 |
| RETIREMENT BENEFITS | $203,384 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1610700 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 34250113 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 34250113 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 34250113 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 33773382 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 33773382 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 33773382 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X, LINE 2: | ReturnReference |
| Explanation | THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. THE HOSPITAL ACCOUNTS FOR UNCERTAIN TAX POSITIONS WITH PROVISIONS OF FASB ASC 740-10 "ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES" WHICH PROVIDES A FRAMEWORK FOR HOW COMPANIES SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE UNCERTAIN TAX POSITIONS WITHIN THE FINANCIAL STATEMENTS. THE HOSPITAL MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE HOSPITAL DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AS OF SEPTEMBER 30, 2013 AND 2012. AS OF SEPTEMBER 30, 2013 AND 2012, THE HOSPITAL DID NOT RECORD ANY PENALTIES OR INTEREST ASSOCIATED WITH UNCERTAIN TAX POSITIONS. THE HOSPITAL FILES TAX RETURNS IN THE U.S. FEDERAL JURISDICTIONS. WITH A FEW EXCEPTIONS, THE HOSPITAL IS NO LONGER SUBJECT TO U.S. FEDERAL EXAMINATIONS BY TAX AUTHORITIES FOR THE YEARS BEFORE 2010. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1219086 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 478757 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 740329 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02380 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3929410 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3002634 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 926776 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02970 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5148496 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3481391 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1667105 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05350 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 50139 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 50139 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00160 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 50139 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 50139 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00160 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5198635 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3481391 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1717244 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05510 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $1,294,983 | BadDebtExpenseAmount |
| Amount Attributable To | 762217 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 8711237 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 8684595 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 26642 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 0 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OHIO COUNTY HOSPITAL CORPORATION | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1211 OLD MAIN STREET | AddressLine1 |
| City | HARTFORD | City |
| State | KY | State |
| ZIP Code | 42347 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| Critical Access Hospital | X | CriticalAccessHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OHIO HOSPITAL CORPORATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 0 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Participate Community Plan | X | ParticipateCommunityPlan |
| Include Operational Plans | X | IncludeOperationalPlans |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 1 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 100.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 0 | UsesFPGDiscounted |
| Explains Basis | 1 | ExplainsBasis |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Other Actions | X | PermitOtherActions |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Average Negotiated Rates | X | AverageNegotiatedRates |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 2602981. | |
| PART II: OHIO COUNTY HOSPITAL USED THE INFORMATION COLLECTED FROM THE MAPPS SURVEY PROCESS TO DETERMINE WHICH HEALTH NEEDS COULD BE IMPACTED BY COLLABORATION BETWEEN OUR FACILITY AND THE OHIO COUNTY HEALTH COALITION. THESE KEY HEALTH-CARE ISSUES WERE ALIGNED WITH THE MISSION AND PRIORITIES OF OHIO COUNTY HOSPITAL AND WERE INCORPORATED INTOTHE 2013 STRATEGIC PLAN. IT WAS DETERMINED THAT OHIO COUNTY HOSPITAL HAD THE RESOURCES AND ABILITY TO IMPACT EACH OF THE THREE KEY AREAS OF FOCUS:IMPROVE COMMUNITY LIFESTYLE CHOICESOHIO COUNTY HOSPITAL IS THE LEADER IN PROMOTING HEALTH AND WELLNESS IN THE COMMUNITY. THE HOSPITAL PROVIDES FINANCIAL SPONSORSHIP, AS WELL AS COORDINATES AND PROVIDES EMPLOYEE VOLUNTEERS, FOR THE MAJORITY OF THE HEALTH OUTREACH INITIATIVES IN OHIO COUNTY. EXAMPLES OF THESE PROGRAMS INCLUDE: RELAY FOR LIFE, GO RED HEART EDUCATION LUNCH & LEARN, SENIOR HEALTH FAIR, COMMUNITY-WIDE HEALTH FAIR, HEALTHY EATING FOOD DEMONSTRATIONS HOSTED AT LOCAL GROCERY STORES, BREAST CANCER AWARENESS EVENTS, GRIEF SUPPORT GROUP THROUGH HOSPICE, GO BLUE PROSTRATE CANCER EDUCATION EVENTS, ANNUAL OCH FALL INTO FITNESS 5K AND OCH SUMMER SIZZLE 5K. OHIO COUNTY HOSPITAL ALSO PROVIDES MEETING SPACE FOR RETIRED TEACHERS ASSOCIATION,FREE SMOKING CESSATION PROGRAM, HOSPITAL EMPLOYEE UNITED WAY FUND-DRIVE, HABITAT FOR HUMANITY FALL FESTIVAL, AND HEALTH STUDENTS CAREER DAY. HOSPITAL STAFF PARTICIPATES IN THE COMMUNITY SCHOOL SYSTEM BACK TO SCHOOL BASHES TO DISTRIBUTE INFORMATION ON CHILDHOOD IMMUNIZATIONS AND WELL-CHILD VISITS. ADDITIONALLY,HOSPITAL STAFF ARE VOLUNTEERS IN THE 4-H BODY WALK AN INTERACTIVE DISPLAY TO TEACH MIDDLE SCHOOL STUDENTS ABOUT THE HUMAN BODY; OHIO COUNTY HOSPITAL ALSO PROVIDES OVER 100 HEALTHY MEALS TO THE VOLUNTEERS WHO WORK AT THE BODYWALK EVENT.CELEBRATE THE CHILD AN EVENT THAT DRAWS THOUSANDS OF COMMUNITY MEMBERS ANNUALLY AND FOCUS ON COMMUNITY ASSET BUILDING, AS WELL AS SAFETY AND HEALTH ISSUES. OCHS DIRECTOR OF COMMUNITY RELATIONS IS ACTIVE ON THE EVENT PLANNING COMMITTEE. OHIO COUNTY HOSPITAL SUBSIDIZES THE ADVERTISEMENT AND SUPPLIES FOR THE EVENT. IN ADDITION, SEVERAL STAFF PARTICIPATE IN A HOSPITAL BOOTH WHICH FOCUS ON CHILDREN MAKING HEALTHY FOOD AND EXERCISE CHOICES.LONGEST DAY OF PLAY - AN ANNUAL SUMMER EVENT WHERE FAMILIES CAN PARTICIPATE IN OVER 30 OUTDOOR PHYSICAL ACTIVITIES AT THE OHIO COUNTY PARK. IN 2013, OVER 1500 COMMUNITY MEMBERS AND VOLUNTEERS ATTENDED THE EVENT. HOSPITAL EMPLOYEES AND MEMBERS OF THE MEDICAL STAFF MAKE UP 25% OF THE VOLUNTEERS AT LONGEST DAY OF PLAY. THE HOSPITAL SUBSIDIZES THE ADVERTISEMENT AND SUPPLIES FOR THE EVENT, AS WELL PROVIDES FOOD FOR THE FREE HEALTHY PICNIC LUNCH.NEW YEARS NOON DANCE A FREE COMMUNITY DANCE PARTY HELD FOR FAMILIES AT NOON ON NEW YEARS EVE. THE EVENT WAS HELD AT THE OHIO COUNTY FAMILY WELLNESS CENTER. OHIO COUNTY HOSPITAL COORDINATED THE EVENT, PAID FOR ALL SUPPLIES, ADVERTISING, DJ SERVICES AND HEALTHY SNACKS. FAMILIES WERE PROVIDED INFORMATION ABOUT HEALTHY FOOD CHOICES AND THE BENEFITS OF EXERCISE.OHIO COUNTY HEALTH COALITION - A GROUP OF HEALTH-CARE FACILITIES, CIVIC GROUPS, INDUSTRY LEADERS AND COMMUNITY MEMBERS THAT MEET ON A MONTHLY BASIS REGARDING LOCAL HEALTH CARE ISSUES. OHIO COUNTY HEALTH COALITION IS A PART OF A REGIONAL HEALTH COALITION UNDER THE DIRECTION OF GREEN RIVER AREA DEVELOPMENT DISTRICT (GRADD). OHIO COUNTY HOSPITAL PROVIDES A FINANCIAL CONTRIBUTION TO GRADD TO HELP OFFSET THE EXPENSES OF THE HEALTH COALITIONS. MRS. ROBINSON, DIRECTOR OF COMMUNITY RELATIONS WITH OCH, SERVES AS CHAIR FOR EXECUTIVE COMMITTEE AND REPRESENTS OHIO COUNTY ON BOTH A LOCAL AND REGIONAL LEVEL. SEVERAL HOSPITAL EMPLOYEES ARE PART OF THE MEMBERSHIP BODY AND OCH PROVIDES THE MEAL AT EACH MEETING, AS WELL AS, THE MONTHLY MEAL FOR THE MCLEAN COUNTY HEALTH COALITION. MCLEAN COUNTY IS A NEIGHBORING COUNTY THAT DOES NOT HAVE A HOSPITAL IN ITS COMMUNITY. OHIO COUNTY HOSPITAL WILL CONTINUE TO ACTIVELY PARTICIPATE IN PROGRAMS AND EFFORTS SPONSOREDBY GRADD HEALTH COUNCIL AND OHIO COUNTY HEALTH COALITION TO IMPROVE THE HEALTH OF THE COMMUNITY.INCREASE ACCESS TO HEALTHCAREOHIO COUNTY HOSPITAL TREATS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY.OCH WILL CONTINUE TO COOPERATE AND WORK WITH ALL MEDICAID MANAGED CARE PROVIDERS TO IMPROVE SERVICES FOR COVERED INDIVIDUALS.OCH WILL REVIEW AND UPDATE ITS CHARITY CARE POLICY TO PROVIDE EXPANDED FINANCIAL ASSISTANCE TO PATIENTS WHO ARE UNABLE TO QUALIFY FOR INSURANCE.DURING THE 2013 FISCAL YEAR, OCH RECRUITED ONE FAMILY MEDICINE PHYSICIAN AND TWO ADDITIONAL FAMILY MEDICINE NURSE PRACTITIONERS.OCH WILL FURTHER EXPAND QUICK CARE SERVICES WHICH PROVIDE A LOWER-COST ALTERNATIVE TO NON-EMERGENCY ER VISITS. STAFF OF PRIMARY CARE OFFICES WILL IDENTIFY REPEAT QUICK CARE PATIENTS WITH CHRONIC ILLNESSES, WHO DO NOT HAVE AN ESTABLISHED MEDICAL HOME, AND HELP TO FACILITATE AN APPOINTMENT WITH AN OHIO COUNTY FAMILY CARE PROVIDER.OCH WILL CONTINUE TO DEVELOP THE HOSPITALS HEALTH IMPROVEMENT PROGRAM, BENEFITING UNINSURED AND/OR UNDER-INSURED MEMBERS OF OUR COMMUNITY. THIS PROGRAM OFFERS ACCESS TO PRIMARY CARE SERVICES, PREVENTIVE SCREENINGS, NUTRITIONAL AND PHYSICAL ACTIVITY COUNSELING, SMOKING CESSATION ASSISTANCE, AS WELL AS SUBSIDIZED MEMBERSHIPS INTO A LOCAL FITNESS FACILITIES. PROGRAM ELIGIBILITY IS BASED ON THE FEDERAL POVERTY LEVEL GUIDELINES. THE COST OF THE SERVICES THAT PARTICIPANTS RECEIVE IS SUBSIDIZED BY OHIO COUNTY HOSPITAL.REDUCE SUBSTANCE ABUSEOCH WILL PROVIDE THE MEETING PLACE, TRAINED FACILITATORS, AND SUPPLIES FOR COOPER-CLAYTON SMOKING CESSATION COURSE OFFERED FREE TO COMMUNITY, AND WILL OFFER THESE AT LEAST TWICE PER YEAR.OCH WILL WORK IN CONJUNCTION WITH COMMUNITY PARTNERS TO SEEK IMPLEMENTATION OF SMOKE FREE PUBLIC ENVIRONMENTS THROUGHOUT THE COMMUNITY. THIS WILL INCLUDE FACILITATING DIALOGUE WITH LOCAL AND STATE LEVEL OFFICIALS REGARDING THE HEALTH BENEFITS OF ADOPTING A COMMUNITY-WIDE SMOKE FREE ORDINANCE.OCH AND ASSOCIATED PROVIDER OFFICES WILL FOLLOW A CONTROLLED SUBSTANCE PRESCRIPTION POLICY WHICH INCLUDES ROUTINE DRUG TESTING TO ASSURE PROPER UTILIZATION OF NARCOTIC SUBSTANCES.OCH WILL FULLY UTILIZE THE STATE KASPER REPORT SYSTEM TO ASSIST IN MONITORING CONTROLLED SUBSTANCE PRESCRIPTION DRUG USE BY PATIENTS.OCH STAFF WILL PROVIDE INSTRUCTIONS REGARDING PRESCRIBED MEDICATIONS AND THEIR PROPER USE FOR ALL PATIENTS UPON DISCHARGE FROM THE HOSPITAL.OHIO COUNTY HOSPITAL WILL ALSO CONTINUE TO SUPPORT THE OHIO COUNTY HEALTH COALITIONS AND LOCAL CIVIC GROUP "TOGETHER WE CARE" EFFORTS IN THIS AREA BY PROVIDING LEADERSHIP OVERSIGHT, MONETARY SUPPORT AND ATTENDANCE AT MONTHLY MEETINGS BY VARIOUS HOSPITAL PERSONNEL.SPECIFICALLY IN REGARDS TO PRESCRIPTION ABUSE / MISUSE. | |
| PART III, LINE 4: LINE 2 PART III EXPLANATION FOR HOW BAD DEBT IS CALCULATED IS PROVIDED IN THE FOOTNOTE OF THE FINANICIALS.ACCOUNTS RECEIVABLE ARE STATED AT THE AMOUNT THE HOSPITAL EXPECTS TO COLLECT. THE HOSPITAL MAINTAINS ALLOWANCES FOR DOUBTFUL ACCOUNTS FOR ESTIMATED LOSSES RESULTING FROM THE INABILITY OF ITS PATIENTS TO MAKE REQUIRED PAYMENTS. MANAGEMENT CONSIDERS THE FOLLOWING FACTORS WHEN DETERMINING THE COLLECTABILITY OF PATIENT ACCOUNTS: PAYOR CREDIT-WORTHINESS, PAST TRANSACTION HISTORY WITH THE PAYOR, CURRENT ECONOMIC INDUSTRY TRENDS, AND CHANGES IN PAYOR PAYMENT TERMS. IF THE FINANCIAL CONDITION OF THE HOSPITAL'S PAYORS OR PATIENTS WERE TO DETERIORATE, ADVERSELY AFFECTING THEIR ABILITY TO MAKE PAYMENTS, ADDITIONAL ALLOWANCES WOULD BE REQUIRED. BASED ON MANAGEMENT'S ASSESSMENT, THE HOSPITAL PROVIDES FOR ESTIMATED UNCOLLECTIBLE AMOUNTS THROUGH A CHARGE TO EARNINGS AND A CREDIT TO ALLOWANCE. BALANCES THAT REMAIN OUTSTANDING AFTER THE HOSPITAL HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO ALLOWANCE AND A CREDIT TO ACCOUNTS RECEIVABLE. | |
| PART III, LINE 8: THE METHODOLOGY USED TO DETERMINE THE AMOUNT IN BOX 51 WAS THE COST TO CHARGE RATIO. | |
| PART III, LINE 9B: IF A PATIENT HAS BEEN APPROVED BY THE CHARITY CARE PROGRAM WITHIN A SIX MONTH TIME FRAME, THE ACCOUNT IS WRITTEN OFF AS A CHARITY CARE ADJUSTMENT. THE FINANCIAL COUNSELORS CHECK EACH PRIVATE PAY ACCOUNT AND WILL FOLLOW UP TO MAKE SURE THAT THEY HAVE RECEIVED AND ARE GOING TO COMPLETE THEIR PAPERWORK. THE HOSPITAL CONTRACTS WITH DMC, INC, AND THEY WILL ASSIST PATIENTS WITH CHARITY CARE PAPERWORK IF THEY DO NOT QUALIFY FOR MEDICAID. | |
| PART V, SECTION B, LINE 3: GREEN RIVER DISTRICT HEALTH DEPARTMENT (GRDHD) PARTNERED WITH UNIVERSITY OF KENTUCKY'S APPALACHIA PUBLIC HEALTH TRAINING CENTER TO PERFORM COMMUNITY HEALTH NEED ASSESSMENTS IN OHIO COUNTY USING THE MAPP PROCESS. THE MAPP PROCESS INCLUDED IDENTIFYING COMMUNITY PARTNERS. A COMPLETED SEARCH OF EXISTING HEALTHCARE RELATED INFORMATION AND DATA FROM PUBLIC INFORMATION SOURCES. PARTNERS MET IN AN INITIAL PUBLIC HEALTH FORUM DESIGNED TO REVIEW KEY HEALTH RELATED STATISTICS AND ANALYSIS FOR THE COUNTY, COMPLETED A PAPER SURVEY THAT WAS DISTRIBUTED IN LOCAL HEALTH DEPARTMENT CLINICS AND HAD AN ONLINE SURVEY, HELD A SECOND MEETING OF COMMUNITY PARTNERS TO EVALUATE ANALYSIS PREVIOUSLY COMPLETED AND CONSIDER RESULTS OF SURVEYS. | OHIO HOSPITAL CORPORATION |
| PART V, SECTION B, LINE 10: OHIO COUNTY HOSPITAL PROVIDES SERVICES WITHOUT CHARGE TO PATIENTS WHO MEET THE CRITERIA OF ITS CHARITY CARE POLICY.ADMITTING CLERKS PROVIDE EACH UNINSURED PATIENT A CHARITY CARE APPLICATION AND ENCOURAGE HIM OR HER TO COMPLETE IT. THE APPLICATION CONTAINS DEMOGRAPHIC AND FINANCIAL INFORMATION USED IN DETERMINING IF SOMEONE IS ELIGIBLE FOR CHARITY CARE. ALL COMPLETED APPLICATIONS ARE FORWARDED TO DISABILITY & MEDICAL CONSULTANTS, INC. (DMC). DMC USES THE INFORMATION ON THE APPLICATION TO DETERMINE IF THE PATIENT MEETS THE STATE CRITERIA FOR CHARITY CARE.IT MUST BE DOCUMENTED THAT THE PATIENT:1.HAS NO CURRENT VALID INSURANCE COVERAGE AND IS NOT ELIGIBLE TO APPLY FOR PUBLIC ASSISTANCE OR OTHER INSURANCE. PERSONS WITH EXHAUSTED MEDICARE AND MEDICAID BENEFITS WOULD BE CONSIDERED WITHOUT VALID INSURANCE, UNLESS THEY ARE ELIGIBLE TO APPLY FOR ADDITIONAL DAYS. 2.THE PATIENT MUST MEET THE CRITERIA ESTABLISHED BY THE STATE TO QUALIFY FOR THE CHARITY CARE PROGRAM. THE STATE REQUIRES THAT FINANCIAL PROOF FOR CHARITY (SUCH AS TAX RETURNS, PAY STUBS, ECT.) BE PROVIDED FOR ALL INPATIENT PROCEDURES AND MAJOR OUTPATIENT PROCEDURES, WITH MAJOR BEING DEFINED BY THE HOSPITAL. OHIO COUNTY HOSPITAL DESIGNATES THAT OUTPATIENT SURGERIES BE CONSIDERED MAJOR AND WILL REQUIRE PROOF FOR THE SAME.THOSE ACCOUNTS MEETING STATE INDIGENT CARE GUIDELINES, AS DETERMINED BY DMC, WILL BE SO DESIGNATED IN THE COMPUTER SYSTEM. A COLLECTIONS REPORT WILL BE GENERATED AND FORWARDED TO DATA PROCESSING FOR ACCOUNT WRITE-OFF. THE CONTROLLER PERFORMS A MONTHLY REVIEW OF CHARITY CARE WRITE-OFFS FOR REASONABLENESS. THE DOCUMENTATION AND CHARITY LIST IS FORWARDED TO THE BUSINESS OFFICE MANAGER, WHO WILL PREPARE OR DESIGNATE SOMEONE TO PREPARE, THE REPORT TO BE SENT TO THE STATE. | OHIO HOSPITAL CORPORATION |
| PART V, SECTION B, LINE 16E: THE ONLY FINANCIAL AID PROGRAM IS WHAT THE STATE OFFERS AS THE "DSH" PROGRAM. THE HOSPITAL USE AND OUTSIDE COMPANY-DMC WHO DETERMINES IF ALL OF THE PRIVATE PAY PATIENTS FIRST ARE ELIGIBLE FOR MEDICAID AND IF THEY ARE NOT THEY DETERMINE IF THEY ARE ELIGIBLE FOR THE STATE INDIGENT PROGRAM. IF THEY ARE ELIGIBLE FOR THE STATE PROGRAM THE ENTIRE BALANCE IS WRITTEN OFF. THE HOSPITAL DOES NOT HAVE ANY KIND OF OTHER FAP OR SEPARATE CHARITY CARE POLICY. IF THE PRIVATE PAY PATIENTS ARE ELIGIBLE FOR EITHER OF THE TWO PROGRAMS, THE HOSPITAL HAVE BEGAN OFFERING (OCTOBER 2011), A PRIVATE PAY DISCOUNT WHICH INITIALLY DISCOUNTS 40% OFF THE PATIENT'S ACCOUNT BALANCE. ALL OF THE PRIVATE PAY PATIENTS RECEIVE 3 STATEMENTS, 2 LETTERS AND SOMETIMES A OTHER LETTER BEFORE BEING SENT TO OUR COLLECTIONS AGENCY. THE COLLECTION AGENCY THEN DETERMINES THE ABILITY TO PAY AND THEY TAKE ACTIONS BASED ON THE RESULTS OF THEIR FINDINGS. | OHIO HOSPITAL CORPORATION |
| PART VI, LINE 2: IN DECEMBER 2012, OHIO COUNTY HOSPITAL, IN CONJUNCTION WITH THE OHIO COUNTY HEALTH COALITION, GREEN RIVER DISTRICT HEALTH DEPARTMENT AND OTHER KEY COMMUNITY STAKEHOLDERS, CONDUCTED A PLANNING RETREAT TO REVIEW THE GREEN RIVER COMMUNITY HEALTH ASSESSMENT HEALTH IMPROVEMENT PLAN. THIS DOCUMENT IS A COMPREHENSIVE COLLECTION AND ANALYSIS OF DATA REGARDING HEALTH ISSUES AND NEEDS BROKEN DOWN BY COUNTY FOR GREEN RIVER DEVELOPMENT DISTRICT (GRADD). THE INFORMATION FOR THE REPORT WAS OBTAINED BY UTILIZATION OF A COMMUNITY HEALTH ASSESSMENT PROCESS BASED ON MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP).IN OHIO COUNTY, THE MAPP PROCESS INCLUDED THE FOLLOWING KEY STEPS: COMMUNITY PARTNERS WERE IDENTIFIED FROM THE OHIO COUNTY HEALTH COALITION, OTHER HEALTH CARE AGENCIES, LOCAL GOVERNMENT, SCHOOLS, BUSINESSES, CIVIC ORGANIZATIONS, AND VOLUNTEERS FROM THE GENERAL PUBLIC.COMPLETED A SEARCH OF EXISTING HEALTH CARE-RELATED INFORMATION AND DATA FROM PUBLIC INFORMATION SOURCES;THE PARTNERS MET IN AN INITIAL PUBLIC HEALTH FORUM DESIGNED TO REVIEW KEY HEALTH-RELATED STATISTICS FOR THE COUNTY AND TO COMPLETE A STRENGTHS, WEAKNESSES, OPPORTUNITIES AND THREATS (SWOT) ANALYSIS FOR THE COUNTY;COMPLETED A PAPER SURVEY, DISTRIBUTED IN LOCAL HEALTH DEPARTMENT CLINICS, AND AN ON-LINE SURVEY, TO OBTAIN WIDER INPUT FROM INDIVIDUALS INTO THE COMMUNITYS HEALTH NEEDS.HELD A SECOND MEETING OF COMMUNITY PARTNERS TO EVALUATE THE SWOT ANALYSIS PREVIOUSLY COMPLETED AND TO CONSIDER RESULTS FROM THE COMPLETED SURVEYS. THIS FORUM WORKED TO IDENTIFY AND GROUP SIMILAR HEALTH RELATED CONCERNS FOR THE COUNTY AS FOLLOWS: 1) IMPROVE COMMUNITY LIFESTYLE CHOICES; 2) INCREASE HEALTH CARE ACCESS; AND3) REDUCE SUBSTANCE ABUSE. THE OHIO COUNTY HEALTH COALITION WAS DETERMINED TO BE THE ORGANIZATION WITH PRIME RESPONSIBILITY FOR ADDRESSING THESE STRATEGIC HEALTH CARE INITIATIVES ON AN ON-GOING BASIS.A GREEN RIVER COMMUNITY HEALTH ASSESSMENT HEALTH IMPROVEMENT PLAN WAS DEVELOPED FOR THE REGION AND EACH OF THE DISTRICTS COUNTIES. THIS PLAN WAS REVIEWED WITH THE OHIO COUNTY HEALTH COALITION AND OTHER COMMUNITY PARTNERS.OHIO COUNTY HOSPITAL USED THE INFORMATION COLLECTED FROM THE MAPPS SURVEY PROCESS TO DETERMINE WHICH HEALTH NEEDS COULD BE MOST IMPACTED BY COLLABORATION BETWEEN OUR FACILITY AND THE OHIO COUNTY HEALTH COALITION. IT WAS DETERMINED THAT THE OHIO COUNTY HOSPITAL HAD THE NECESSARY RESOURCES AND ABILITY TO IMPACT THE FOLLOWING HEALTH NEEDS: IMPROVING COMMUNITY LIFESTYLE CHOICES, INCREASE ACCESS TO HEALTHCARE, AND REDUCE SUBSTANCE ABUSE. THESE KEY HEALTHCARE ISSUES ALIGNED WITH THE MISSION AND PRIORITIES OF OHIO COUNTY HOSPITAL AND WERE INCORPORATED INTO THE2013 STRATEGIC PLAN.THE GREEN RIVER ASSESSMENT COMMUNITY PLAN AND OHIO COUNTY HOSPITALS STRATEGIC IMPLEMENTATION PLAN WERE ADOPTED BY BOARD RESOLUTION FROM OHIO COUNTY HOSPITALS TRUSTEES ON JUNE 13, 2013. THE HEALTH IMPROVEMENT PLAN WAS MADE WIDELY AVAILABLE TO THE COMMUNITY VIA THE HOSPITALS WEBSITE, AS WELL AS THROUGH HARD COPIES LOCATED AT THE HOSPITALS FRONT DESK. | |
| PART VI, LINE 3: OHIO COUNTY HOSPITAL'S ADMITTING AND BUSINESS OFFICE STAFF PROVIDES CHARITY CARE APPLICATIONS TO ANY PATIENT THAT DOESN'T HAVE INSURANCE DURING THE REGISTRATION PROCESS. IF THE PATIENT DOESN'T COMPLETE THE APPLICATION AT THAT TIME, THEIR DEMOGRAPHIC INFORMATION IS THEN SENT TO AN OUTSIDE COMPANY, DMC, INC, AND THEY DETERMINE IF THE PATIENT IS ELIGIBLE FOR EITHER MEDICAID OR CHARITY CARE. DMC WILL FOLLOW-UP WITH THE PATIENT TO GET ADDITIONAL INFORMATION AS NEEDED. ONCE THE ACCOUNT IS BILLED AND IS IN THE COLLECTION PROCESS, OUR PRIVATE PAY COUNSELORS CHECK EACH ACCOUNT TO MAKE SURE THAT IT HAS BEEN CHECKED FOR INDIGENT CARE ELIGIBILITY. | |
| PART VI, LINE 4: HISTORICALLY 90% OF ALL ADMISSIONS AND 95% OF ALL OUTPATIENT SERVICES PERFORMED AT OHIO COUNTY HOSPITAL ARE PROVIDED TO RESIDENTS OF OHIO COUNTY; 94% OF ALL MEDICARE INPATIENT ADMISSIONS ARE GENERATED FROM THE OHIO COUNTY AREA. THE HOSPITALS PRIMARY SERVICE AREA INCLUDES THE RESIDENTS OF THE INCORPORATED CITIES OF HARTFORD, BEAVER DAM, ROSINE, FORDSVILLE, HORSE BRANCH AND CROMWELL. OHIO COUNTY IS GEOGRAPHICALLY THE FIFTH LARGEST COUNTY IN KENTUCKY. TOTAL POPULATION AS OF 2013 WAS 23,988.THE PER CAPITA INCOME (MEAN INCOME FOR EVERY MAN, WOMAN, AND CHILD IN A PARTICULAR GROUP) HAS DECREASED FROM THE PREVIOUS YEAR TO $18,409.00 COMPARED TO THE KENTUCKY AVERAGE OF $23,210. OHIO COUNTY IS A DESIGNATED A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) AND A MEDICALLY UNDERSERVICED AREA / POPULATION (MUA/P). IN 2013, THE PERCENTAGE OF OHIO COUNTYS POPULATION LIVING BELOW THE POVERTY LEVEL INCREASED TO 20.89%. ACCORDING TO KENTUCKY HEALTH FACTS, THE RATE FOR UNINSURED ADULTS (UNDER 65 YEARS) IS 22%, WHICH IS SECOND HIGHEST IN THE GRADD REGION, AND THE RATE FOR UNINSURED CHILDREN (UNDER 19 YEARS) IS 7%. STATISTICS ALSO REPORT THAT 20% OF ADULTS IN THE OHIO COUNTY EXPERIENCED A TIME IN THE PAST YEAR NEEDED TO SEE A DOCTOR BUT DID NOT BECAUSE OF THE COST. | |
| PART VI, LINE 5: OHIO COUNTY HOSPITAL'S BOARD OF DIRECTORS IS COMPRISED OF COMMUNITY VOLUNTEERS WHO ARE COMMITTED TO THE HEALTH AND WELFARE OF THE COMMUNITY AND DEDICATED TO ENSURING THE VIABILITY OF THE HOSPITAL FOR YEARS TO COME. THE BOARD EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE SERVICE AREA. SURPLUS FUNDS PROVIDE FOR CONTINUITY OF HEALTHCARE SERVICES DURING PERIODS OF ECONOMIC DOWNTURN, RECRUITMENT OF ADDITIONAL PROVIDERS TO IMPROVE THE ACCESS TO HEALTHCARE, AND ARE REINVESTED IN NEW TECHNOLOGY AND EQUIPMENT AS NEEDED. THE HOSPITAL OPERATES AN EMERGENCY DEPARTMENT THAT IS STAFFED 24 HOURS A DAY/7 DAYS A WEEK AND SERVES ALL CITIZENS REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL PROVIDES REPRESENTATION AND SUPPORT TO THE OHIO COUNTY CHAMBER BOARD OF DIRECTORS, OHIO COUNTY TOURISM, OHIO COUNTY INDUSTRIAL FOUNDATION, AND LEADERSHIP OHIO COUNTY PROGRAM, WHICH ARE ORGANIZATIONS WORKING TOWARDS THE ECONOMIC GROWTH OF OUR AREA. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DONALD K GREGORY | ||||||||||||||
| ER PHYSICIAN/HOSPITALIST | 303374 | 0 | 13863 | 0 | 1326 | 0 | 6864 | 0 | 18701 | 0 | 344128 | 0 | 0 | 0 |
| JANNA PATHI | ||||||||||||||
| CMO/SURGEON | 272293 | 0 | 0 | 0 | 20470 | 0 | 10560 | 0 | 7793 | 0 | 311116 | 0 | 0 | 0 |
| MUKESH DESAI | ||||||||||||||
| UROLOGIST | 573259 | 0 | 0 | 0 | 17500 | 0 | 12488 | 0 | 22282 | 0 | 625529 | 0 | 0 | 0 |
| JOSHUA SKIBBA | ||||||||||||||
| CARDIOLOGIST | 405361 | 0 | 0 | 0 | 18040 | 0 | 10298 | 0 | 8371 | 0 | 442070 | 0 | 0 | 0 |
| CHARLES RICCIO | ||||||||||||||
| GASTROENTEROLOGIST | 493467 | 0 | 128590 | 0 | 21064 | 0 | 5775 | 0 | 27613 | 0 | 676509 | 0 | 0 | 0 |
| JOEL JOHNSTON | ||||||||||||||
| PHYSICIAN ER | 329892 | 0 | 0 | 0 | 1914 | 0 | 8465 | 0 | 35648 | 0 | 375919 | 0 | 0 | 0 |
| CHARLES JARBOE | ||||||||||||||
| PHYSICIAN ER | 298691 | 0 | 0 | 0 | 1914 | 0 | 5543 | 0 | 27805 | 0 | 333953 | 0 | 0 | 0 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| OHIO COUNTY PUBLIC FACILITIES CORPORATION | ||||||||
| A | 616000805 | 000677292 | 2005-08-01 | 4240000 | HOSPITAL CONSTRUCTION | 0 | 0 | 0 |
| OHIO COUNTY PUBLIC FACILITIES CORPORATION | ||||||||
| B | 616000805 | 2010-09-29 | 3620000 | MEDICAL OFFICE BUILDING CONSTRUCTION | 0 | 0 | 0 | |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|
| A | 980000 | 424000 | 74823 | 2006 | 1 | 0 | 1 | 1 |
| B | 3300000 | 273400 | 70000 | 2011 | 0 | 0 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 1 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 1 | 0 | 0 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|
| A | 1 | 1 | 0 | 0 | 0 | 0 |
| B | 1 | 1 | 0 | 0 | 0 | 0 |
Schedule L IRS990ScheduleL
Loan Table LoanTable (2 entries)
| Purpose Of LoanPurposeOfLoan | Loan From OrganizationLoanFromOrganization | Original PrincipalOriginalPrincipalAmount | Balance DueBalanceDue | DefaultDefault | Approved By BoardApprovedByBoard | Written AgreementWrittenAgreement |
|---|---|---|---|---|---|---|
| DR DESAI | ||||||
| SIGNON BONUS | X | $145,737 | 77726 | 0 | 1 | 1 |
| DR BRUCE DURHAM | ||||||
| SIGNON BONUS | X | $20,000 | 20000 | 0 | 1 | 1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 97726 | TotalBalanceDue |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | THE HOSPITAL CONTRACTS WITH QUORUM HEALTH RESOURCES, INC (QHR)TO PROVIDE MANAGEMENT SERVICES UNDER AN AGREEMENT WHICH EXPIRES IN 2013. THE CONTRACT REQUIRED QHR TO SUPPLY A CHIEF EXECUTIVE OFFICER, JOHN TICHENOR AND A CHIEF FINANCIAL OFFICER, BLAIN PIEPER WHOSE SALARY AND BENEFITS COST ARE PASSED DIRECTLY THROUGH TO THE HOSPITAL. THE HOSPITAL'S EXPENSE FOR THE MANAGEMENT FEE TOTALED APPOXIMATELY $258,462 FOR THIS YEAR. | |
| FORM 990, PART VI, SECTION B, LINE 11 | A COPY OF THE FORM 990 IS PROVIDED TO THE FULL BOARD. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARD OF DIRECTORS ARE COVERED UNDER THIS POLICY AND ANY CONFLICTS ARE RESOLVED AT MONTHLY BOARD MEETINGS. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS RECEIVED A COMPENSATION REVIEW BY QHR AND THE GOVERNING BOARD.OTHER OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION RECEIVE ANNUAL REVIEWS BASED ON CURRENT MARKET DATA. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. | |
| DR. DONALD K GREGORY HOSPITALIST WAGE $157,692 ER PHYSICIAN WAGES $160,871 | ALLOCATION OF WAGES FOR ER PHYSICIAN AND HOSPITALIST | |
| CMO WAGES $142,475 SURGEON WAGES $150288 | ALLOCATION OF WAGES FOR CMO AND SURGEON DR. JANNA PATHI |