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OHIO COUNTY HOSPITAL CORPORATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
OHIO COUNTY HOSPITAL CORPORATION (EIN 31-1131099)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-05-21
IRS object ID
201201429349300430
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-05-21T15:44:11-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1JOHNSON HICKEY & MURCHISON PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1651 E FOURTH ST STE 200AddressLine1
CityCHATTANOOGACity
StateTNState
ZIP Code37403ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN311131099EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1OHIO COUNTY HOSPITAL CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlOHIONameControl
Phone2702987411Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11211 OLD MAIN STREETAddressLine1
CityHARTFORDCity
StateKYState
ZIP Code423471619ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN TICHENORName
TitleCFOTitle
Phone2702987411Phone
Date Signed2012-05-16DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBARRY R HUGGINSName
Phone4237560052Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBLAINE PIEPERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11211 OLD MAIN STREETAddressLine1
CityHARTFORDCity
StateKYState
ZIP Code423471619ZIPCode
FieldValueIRS element (for citing)
Gross Receipts27776414GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.OHIOCOUNTYHOSPITAL.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileKYStateLegalDomicile
Activity Or Mission DescriptionTHE 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 Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees408TotalNbrEmployees
Total Nbr Volunteers50TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year68772ContributionsGrantsPriorYear
Contributions Grants Current Year221615ContributionsGrantsCurrentYear
Program Service Revenue Prior Year26083425ProgramServiceRevenuePriorYear
Program Service Revenue CY26949560ProgramServiceRevenueCY
Investment Income Prior Year20583InvestmentIncomePriorYear
Investment Income Current Year8525InvestmentIncomeCurrentYear
Other Revenue Prior Year264659OtherRevenuePriorYear
Other Revenue Current Year596714OtherRevenueCurrentYear
Total Revenue Prior Year26437439TotalRevenuePriorYear
Total Revenue Current Year27776414TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year12580933SalariesEtcPriorYear
Salaries Etc Current Year13809777SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year13498995OtherExpensePriorYear
Other Expenses Current Year14174384OtherExpensesCurrentYear
Total Expenses Prior Year26079928TotalExpensesPriorYear
Total Expenses Current Year27984161TotalExpensesCurrentYear
Revenues Less Expenses Prior Year357511RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-207747RevenuesLessExpensesCY
Total Assets BOY18096786TotalAssetsBOY
Total Assets EOY17061058TotalAssetsEOY
Total Liabilities BOY9148049TotalLiabilitiesBOY
Total Liabilities EOY8320068TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY8948737NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY8740990NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE 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 Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense24701508Expense
Revenue27501086Revenue
DescriptionTHE MISSION OF OHIO COUNTY HOSPITAL 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 AND SURROUNDING AREAS WILL IMPROVE. LOCATED IN A RURAL AREA, OHIO COUNTY HOSIPTAL 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 INCLUDE SUPPLYING CHILDHOOD IMMUNIZATION VACCINES TO OUR LOCAL PUBLIC HEALTH DEPARMENT 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 ACTIVITES TO COMBAT THE LACK OF PHYSICAL ACTIVITY AND THE PREVALENCE OF OBESITY IN OUR AREA. WHETHER IT'S THROUGH THE PEOPLE WE EMPLOY, THE LOCAL BUSINESSES WE USE, OR THE CHARITIES AND COMMUNITY ACTIVITIES WE SUPPORT, WE ARE COMMITTED TO MAKING THE OHIO COUNTY AREA A HEALTHIER PLACE TO LIVE AND WORK.DURING 2010, THE HOSPITAL PROVIDED HEALTH CARE SERVICES TO OHIO COUNTY, KENTUCKY AND SURROUNDING AREAS, INCLUDING INPATENT, OUTPATIENT, AND EMERGENCY SERVICES THE HOSPITAL SERVED APPROXIMATELY 2,679 PEOPLE THROUGH ITS CHARITY CARE PROGRAM, PROVIDING 1,319,324 WORTH OF CHARITY CARE.Description
Total Program Service Expense24701508TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP1LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109630NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees408NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledKYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJOHN TICHENORNamePerson
Telephone Number2702985495TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11211 OLD MAIN STREETAddressLine1
CityHARTFORDCity
StateKYState
ZIP Code42347ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
JUANITA PARK
PRESIDENT2.00XX000
JANE CANARY
VICE PRESIDENT2.00XX000
JONATHAN SHREWBURY OD
SECRETARY/TREASURER2.00XX000
RUTH FIELDS
DIRECTOR2.00X000
WAYNE HUNSAKER
DIRECTOR2.00X000
KELLY ROE
DIRECTOR2.00X000
CARLA WALLACE
DIRECTOR2.00X000
GERALD WESTERFIELD
DIRECTOR2.00X000
DRANDERSON ROWLAND
MEDICAL STAFF PRESIDENT40.00XX223593012363
BLAIN PIEPER
CEO40.00X143064016452
JOHN TICHENOR
CFO40.00X106378011494
BRENDA NEWCOM
CHIEF NURSING OFFICER40.00X8072508852
JANNA PATHI
CMO/SURGEON40.00X489155011384
DONALD K GREGORY
ER PHYSICIAN/HOSPITALIST40.00411794011074X
HEATHER GARRETT
PHYSICIAN40.0025954007678X
STEVEN MILLS DO
PHYSICIAN40.00221934010119X
MUKESH DESAI
UROLOGIST40.0035298005918X
JOEL JOHNSTON
PHYSICIAN - ER40.0021438808789X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2503551TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation104123TotalOtherCompensation
Number Individuals GT100 K15NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources1CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
EMCARE PHYSICIAN SERVICES
7032 COLLECTION CENTER PLACECHICAGOIL60693ER PHYSICIANS312643
QUOROM HEALTH RESOURCES
105 CONTINENTAL PLACEBRENTWOODTN37027MANAGEMENT FEES236743
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Government Grants192481GovernmentGrants
All Other Contributions29134AllOtherContributions
Total Contributions221615TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT SERVICESDescription
Business Code621300BusinessCode
Total Revenue Column26949560TotalRevenueColumn
Related Or Exempt Function Income26949560RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue26949560TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column8525TotalRevenueColumn
Exclusion$8,525ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real45188Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real45188Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column45188TotalRevenueColumn
Exclusion$45,188ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MISCELLANEOUS INCOME621300470393470393
CAFETERIA INCOME7222105457954579
WELLNESS PROGRAM9000991724317243

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column9311TotalRevenueColumn
Related Or Exempt Function Income9311RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue551526TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column27776414TotalRevenueColumn
Related Or Exempt Function Income27501086RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$53,713ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1095381Total
Program Services826072ProgramServices
Management And General269309ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total10474293Total
Program Services9927972ProgramServices
Management And General546321ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total221414Total
Program Services205804ProgramServices
Management And General15610ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1190681Total
Program Services1106738ProgramServices
Management And General83943ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total828008Total
Program Services769633ProgramServices
Management And General58375ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total236743Total
Management And General236743ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total43705Total
Management And General43705ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total76455Total
Management And General76455ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2085822Total
Program Services1507701ProgramServices
Management And General578121ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total75550Total
Program Services75550ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total81922Total
Program Services73079ProgramServices
Management And General8843ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2078516Total
Program Services1747787ProgramServices
Management And General330729ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total131058Total
Program Services118568ProgramServices
Management And General12490ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total131723Total
Program Services131723ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total945870Total
Program Services945870ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total412879Total
Program Services17491ProgramServices
Management And General395388ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES AND DR45583114558311
BAD DEBT23619472361947
TAXES AND LICENSES491499491499
OTHER SUPPLIES29794523186866077
DUES AND SUBSCRIPTIONS871426286524277

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total77297Total
Program Services32529ProgramServices
Management And General44768ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total27984161Total
Program Services24701508ProgramServices
Management And General3282653ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3894312BOY
EOY2015945EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4079930BOY
EOY1455516EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3388052BOY
EOY4209202EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY86073BOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY659701BOY
EOY739514EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY194835BOY
EOY150562EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis22858227LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec14599884LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5633150BOY
EOY8258343EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY160733BOY
EOY231976EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY18096786BOY
EOY17061058EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1915589BOY
EOY1602919EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY281750BOY
EOY262927EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY5930000BOY
EOY5455000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY620710BOY
EOY404221EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY400000BOY
EOY595001EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY9148049BOY
EOY8320068EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY8948737BOY
EOY8740990EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8948737BOY
EOY8740990EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18096786BOY
EOY17061058EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-207747ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$1,934OtherActivitiesAmount
Total Lobbying Expenditures IIB1934TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I:ReturnReference
ExplanationTHE 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

FieldValueIRS element (for citing)
Other Cost Or Other Basis416987OtherCostOrOtherBasis
Book Value416987BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7877025OtherCostOrOtherBasis
Depreciation3434028Depreciation
Book Value4442997BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis13687380OtherCostOrOtherBasis
Depreciation10910175Depreciation
Book Value2777205BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis876835OtherCostOrOtherBasis
Depreciation255681Depreciation
Book Value621154BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings8258343TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionTHIRD PARTY SETTLEMENTSDescription
Amount$595,001Amount
FieldValueIRS element (for citing)
Total Of Amounts595001TotalOfAmounts
Total Revenue27776414TotalRevenue
Total Expenses27984161TotalExpenses
Excess Or Deficit For Year-207747ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS-207747ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt27776414TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal27776414RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99027776414TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt27984155TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal27984155ExpensesSubtotal
Other Expenses Not Included6OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt6ExpensesNotRptdOnFinStmt
Total Expenses Per Form99027984161TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:PART X, LINE 2: THE HOSPITAL HAS BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW, HOWEVER, THE HOSPITAL IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE HOSPTAL FILES TAX RETURNS IN THE US FEDERAL JURISDICTION WITH A FEW EXCEPTIONS. THE HOSPITAL IS NO LONGER SUBJECT TO US FEDERAL EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2008.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:ROUNDING 6.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted Care0FPGReferenceDiscountedCare
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report0AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1413560TotalCommunityBenefitExpense
Direct Offsetting Revenue333891DirectOffsettingRevenue
Net Community Benefit Expense1079669NetCommunityBenefitExpense
Percent Of Total Expense0.04210PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense4607431TotalCommunityBenefitExpense
Direct Offsetting Revenue3901004DirectOffsettingRevenue
Net Community Benefit Expense706427NetCommunityBenefitExpense
Percent Of Total Expense0.02760PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense6020991TotalCommunityBenefitExpense
Direct Offsetting Revenue4234895DirectOffsettingRevenue
Net Community Benefit Expense1786096NetCommunityBenefitExpense
Percent Of Total Expense0.06970PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense21207TotalCommunityBenefitExpense
Net Community Benefit Expense21207NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense21207TotalCommunityBenefitExpense
Net Community Benefit Expense21207NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense6042198TotalCommunityBenefitExpense
Direct Offsetting Revenue4234895DirectOffsettingRevenue
Net Community Benefit Expense1807303NetCommunityBenefitExpense
Percent Of Total Expense0.07050PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense$2,285,808BadDebtExpenseAmount
Amount Attributable To342871AmountAttributableTo
Amount Reimbursed By Medicare8721962AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare8635606CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall86356MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care0ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1OHIO COUNTY HOSPITAL CORPORATIONBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11211 OLD MAIN STREETAddressLine1
CityHARTFORDCity
StateKYState
ZIP Code42347ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
Critical Access HospitalXCriticalAccessHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1OHIO HOSPITAL CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent100.000000000000FPGFreePercent
Uses FPG Discounted0UsesFPGDiscounted
Explains Basis1ExplainsBasis
State RegulationXStateRegulation
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Permit Other ActionsXPermitOtherActions
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Average Negotiated RatesXAverageNegotiatedRates
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (9 entries)

ExplanationExplanationIdentifierIdentifier
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 $ 2361947.
PART II: OHIO COUNTY HOSPITAL IS A MAJOR FINANCIAL CONTRIBUTOR, AND ALSO PROVIDES STAFF TO COORDINATE LONGEST DAY OF PLAY AND CELEBRATE THE CHILD, TWO OF THE LARGEST COMMUNITY OUTREACHES TARGETED TO CHILDREN. BOTH OF THESE EVENTS ARE PROVIDED FREE TO THE YOUTH OF THE COMMUNITY. CELEBRATE THE CHILD DRAWS THOUSANDS OF COMMUNITY MEMBERS ANNUALLY AND FOCUSES ON COMMUNITY ASSET BUILDING. OHIO COUNTY HOSPITAL SUBSIDIZES THE ADVERTISEMENT AND SUPPLIES FOR THE EVENT AND OUR STAFF PARTICIPATES IN A HOSPITAL BOOTH WHICH FOCUSES ON CHILDREN MAKING HEALTH FOOD CHOICES. LONGEST DAY OF PLAY IS AN ANNUAL SUMMER EVENT WHERE FAMILIES CAN PARTICIPATE IN OVER 30 OUTDOOR PHYSICAL ACTIVITIES. OVER 500 COMMUNITY MEMBERS ATTEND IN ADDITION TO THE HUNDRED PLUS COMMUNITY VOLUNTEERS. 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 TO THE EVENT, AS WELL AS PROVIDING FOOD FOR THE FREE HEALTHY PICNIC LUNCH. OHIO 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, BREAST CANCER AWARENESS EVENTS, OHIO COUNTY CANCER COALITION, DIABETES SUPPORT GROUP, GRIEF SUPPORT GROUP THROUGH HOSPICE, GO BLUE PROSTATE CANCER SCREENING LUNCH AND LEARN, OCH FALL INTO FITNESS 5K, COMMUNITY FITNESS CHALLENGE, SENIOR DAY AT THE MALL, PROVIDE MEETING SPACE FOR RETIRED TEACHERS ASSOCIATION, FREE SMOKING CESSATION PROGRAM, HOSPITAL EMPLOYEE UNITED WAY FUND DRIVE, HABITAT FOR HUMANITY FALL FESTIVAL, HEALTH STUDENTS CAREER DAY, BACK TO SCHOOL BASHES TO PROVIDE IMMUNIZATION AND HEALTHCARE PROVIDERS INFORMATION. ADDITIONALLY, HOSPITAL STAFF IS INVOLVED IN COMMUNITY READER DAYS, LEADERSHIP OHIO COUNTY REALITY STORE, STUDENT MENTORING PROGRAM THROUGHOUT THE SCHOOL SYSTEM, AND THE 4-H BODY WALK - AN INTERACTIVE DISPLAY TO TEACH MIDDLE SCHOOL STUDENTS ABOUT THE HUMAN BODY.
PART III, LINE 4: 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 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 PAPERORK IF THEY DO NOT QUALIFY FOR MEDICAID.
PART V, SECTION B, LINE 15E: 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: OHIO COUNTY HOSPITAL (OCH) PARTICPATES IN THE OHIO COUNTY HEALTH COALITION, ALONG WITH NUMEROUS OTHER HEALTH-RELATED ORGANIZATIONS, LOCAL BUSINESSES, AND CIVIC GROUPS. THE FOCUS OF THE COALITION, WHICH MEETS MONTHLY, IS TO SPEARHEAD INITIATIVES THAT ADDRESS THE HEALTH STATUS OF OUR COMMNUNITY. THE COALITION UTILIZES A YEARLY HEALTH REPORT CARD TO IDENTIFY PERTINENT HEALTH INITIATIVES AND FORM COMMITTEES TO ADDRESS THESE CONCERNS. MEMBERS OF THE HOSPITAL'S ADMINISTRATIVE TEAM AND HOSPITAL CLINICAL PERSONNEL SERVE ON THE HEALTH COALITION'S EXECUTIVE COUNCIL AND CHAIR SEVERAL SUB-COMMITTEES TO PROVIDE OVERSIGHT AND GUIDANCE ON LOCAL HEALTH INITIATIVES AND OUTREACH PROGRAMS. THE HOSPITAL ALSO SPONSORS SEVERAL OF THE COMMUNITY EVENTS THAT ARE ORGANIZED BY THE HEALTH COALITION AND COORDINATES FOR MEMBERS OF THE MEDICAL STAFF TO PROVIDE INFORMATIVE HEALTH TALKS. OHIO COUNTY HEALTH COALITION HEALTH REPORT CARD IS A YEARLY ASSESSMENT OF THE HEALTH STATUS OF OHIO COUNTIANS. THIS ASSESSMENT TOOL IS ORGANIZED AROUND A SET OF RISK FACTORS AND DIESEASE OUTCOMES GROUPED INTO THE FOLLOWING CATEGORIES: BEHAVIORAL/SOCIAL FACTORS, DEMOGRAPHICS, AND HEALTH ACCESS AND HEALTH OUTCOMES. IN ADDITION, RATES ARE MONITORED FOR FOUR TYPES OF CANCERS. THE HEALTH REPORT CARD IS PRODUCED THROUGH THE GREEN RIVER REGIONAL HEALTH COUNCIL FOR OHIO COUNTY AND OUR NEIGHBORING COMMUNITIES. IT BENCHMARKS EACH COMMUNITY'S HEALTH STATUS TO PREVIOUS YEAR'S OUTCOMES, AS WELL AS STATE AND NATIONAL AVERAGE.
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 INFORMAITON 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: OHIO COUNTY IS A RURAL COMMUNITY LOCATED IN WESTERN KENTUKY WITH A PRIMARY SERVICE ARE THAT INCLUDES A POPULATION ESTIMATED AS 21,488. OHIO COUNTY HAS SIX (6) INCORPORATED CITIES. BEAVER DAM IS THE LARGEST AND HARTFORD IS THE COUNTY SEAT. OTHER CITIES INCLUDE: CENTERTOWN, FORDSVILLE, MCHENRY, AND ROCKPORT. IT IS THE FIFTH LARGEST OF THE 120 COUNTIES IN KENTUCKY COVERING 596.73 SQUARE MILES. OHIO COUNTY HAS BEEN DESIGNATED AS A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) AND A MEDICALLY UNDERSERVED AREA/POPULATION (MUA/P). THE PER CAPITA INCOME PER HOUSEHOLD IS $20,401 WHICH IS SIGNIFICANTLY BELOW THE STATE AVERAGE OF $27,625 AND NATIONAL AVERAGE OF $30,689. OHIO COUNTY ALSO FALLS BELOW STATE AND NATIONAL AVERAGE OF PERCENTAGE OF ADULTS AGE 25 OR OVER WITH A HIGH SCHOOL DIPLOMA. THE SENIOR POPULATION OF CITIZENS 65 PLUS YEARS OF AGE ACCOUNTS FOR 15.8% OF THE TOTAL POPULATION COMPARED TO THE NATIONAL AVERAGE OF 12.9%. FINALLY, APPROXIMATELY 25% OF OHIO COUNTIAN'S HEALTH INSURANCE IS COVERED THROUGH KENTUCKY MEDICAID AND APPROXIMATELY 19% ARE UNINSURED.
PART VI, LINE 6: 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 PRIVELEGES 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 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 EVERYONE REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL RESEARCHES AND COMPLETES NUMEROUS GRANT APPLICATIONS APPLICABLE TO PROMOTING THE HEALTH OF OUR COMMUNITY. THE HOSPITAL PROVIDES REPRESENTATION AND SUPPORT TO THE OHIO COUNTY CHAMBER BOARD OF DIRECTORS, OHIO COUNTY TOURISM, AND LEADERSHIP OHIO COUNTY PROGRAM, WHICH ARE ORGANIZATIONS WORKING TOWARDS THE ECONOMIC GROWTH OF OUR AREA.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DRANDERSON ROWLAND
17714604625201950591206451023595602476950
BLAIN PIEPER
143064000000016452015951601548700
JANNA PATHI
48915500000735004034050053905067830
DONALD K GREGORY
40839402462093800011074042286804071770
HEATHER GARRETT
21653104280002090007678026721802314010
STEVEN MILLS DO
201805094240107050600504114023205302242670
MUKESH DESAI
35239900058100059180358898000
JOEL JOHNSTON
213365000102300087890223177000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceIdentifierIdentifierExplanationExplanation
PART I, LINE 1A
PART IIISUPPLEMENTAL INFORMATIONJOHN TECHENOR AND BLAINE PIEPER ARE CONTRACTED THROUGH QUORUM HEALTH RESOURCES, INC FOR THEIR MANAGEMENT SERVICES.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
OHIO COUNTY PUBLIC FACILITIES CORPORATION
6160008050006772922005-08-014240000HOSPITAL CONSTRUCTION000
OHIO COUNTY PUBLIC FACILITIES CORPORATION
6160008052010-09-293620000MEDICAL OFFICE BUILDING CONSTRUCTION000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
189000042400074823374117720061011
356500027340070000355000020110011

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
000011
000011

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
110000
110000

Schedule L IRS990ScheduleL

Loan Table LoanTable (3 entries)

Purpose Of LoanPurposeOfLoanLoan From OrganizationLoanFromOrganizationOriginal PrincipalOriginalPrincipalAmountBalance DueBalanceDueDefaultDefaultApproved By BoardApprovedByBoardWritten AgreementWrittenAgreement
DR STEVEN MILLS
STUDENT LOAN/BONUSX$117,22424422011
DR DAVID RZIK
STUDENT LOAN/BONUSX$76,50068906011
DR DESAI
SIGNON BONUSX$25,00023333011
FieldValueIRS element (for citing)
Total Balance Due116661TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 3THE 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 AND A CHIEF FINANCIAL OFFICER WHOSE SALARY AND BENEFITS COST ARE PASSED DIRECTLY THROUGH TO THE HOSPITAL. THE HOSPITAL'S EXPENSE FOR THE MANAGEMENT FEE TOTALED APPOXIMATELY $236,743 FOR THIS YEAR.
FORM 990, PART VI, SECTION B, LINE 11A COPY OF THE FORM 990 IS PROVIDED TO THE FULL BOARD.
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 12C
THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS RECEIVED A COMPENSATION REVIEW IN APRIL 2011 BY QHR AND THE COVERNING BOARD. OTHER OFFICERS AND KEY EMPLOYEES RECEIVE ANNUAL REVIEWS BASED ON CURRENT MARKET DATA.FORM 990, PART VI, SECTION B, LINE 15
THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC.FORM 990, PART VI, SECTION C, LINE 19
COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES & HIGHEST PAID EMPLOYEESSOME OFFICERS, DIRECTORS, KEY EMPLOYEES, AND HIGHEST PAID EMPLOYEES ARE COMPENSATED BY THE ORGANIZATION IN MORE THAN ONE CAPACITY. JANNA PATHI IS COMPENSATED AS A SURGEON AND ALSO AS THE CMO. DONALD GREGORY IS COMPENSATED AS AN ER PHYSICIAN AND ALSO AS THE HOSPITALIST.FORM 990, PART VII, SECTION B, LINE 1