OHIO COUNTY HOSPITAL CORPORATION: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- OHIO COUNTY HOSPITAL CORPORATION (EIN 31-1131099)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-08-05
- IRS object ID
- 201102179349300445
- Schema version
- 2009v1.7
- 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 | 2011-08-05T16:00:22-04:00 | Timestamp |
| Tax Period End Date | 2010-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 E MAIN ST STE 200 PO BOX 1196 | AddressLine1 |
| City | BOWLING GREEN | City |
| State | KY | State |
| ZIP Code | 421021196 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-10-01 | 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 | 423471619 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOHN TICHENOR | Name |
| Title | CFO | Title |
| Date Signed | 2011-06-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KIM SCIFRES | Name |
| Phone | 2707810111 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | BLAINE PIEPER CEO | 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 | 26437439 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| 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 | 370 | TotalNbrEmployees |
| Total Nbr Volunteers | 9 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 33534 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 68772 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 26187981 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 26083425 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 42367 | InvestmentIncomePriorYear |
| Investment Income Current Year | 20583 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 302801 | OtherRevenuePriorYear |
| Other Revenue Current Year | 264659 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 26566683 | TotalRevenuePriorYear |
| Total Revenue Current Year | 26437439 | 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 | 12202130 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 12580933 | 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 | 13134549 | OtherExpensePriorYear |
| Other Expenses Current Year | 13498995 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 25336679 | TotalExpensesPriorYear |
| Total Expenses Current Year | 26079928 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1230004 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 357511 | RevenuesLessExpensesCY |
| Total Assets BOY | 14286395 | TotalAssetsBOY |
| Total Assets EOY | 18096786 | TotalAssetsEOY |
| Total Liabilities BOY | 5695169 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 9148049 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 8591226 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 8948737 | NetAssetsOrFundBalancesEOY |
| 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 | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 22546426 | Expense |
| Revenue | 26100854 | Revenue |
| Description | SEE SCHEDULE O | Description |
| Total Program Service Expense | 22546426 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | true | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 24 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 370 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | true | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | false | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | 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 |
Form990 Part VII Section A Form990PartVIISectionA (17 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 | 2.0 | X | X | 0 | 0 | 0 | |
| JANE CANARY | |||||||
| VICE PRESIDENT | 2.0 | X | X | 0 | 0 | 0 | |
| JONATHAN SHREWBURY OD | |||||||
| SECRETARY/TREASURER | 2.0 | X | X | 0 | 0 | 0 | |
| RUTH FIELDS | |||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | ||
| WAYNE HUNSAKER | |||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | ||
| KELLY ROE | |||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | ||
| CARLA WALLACE | |||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | ||
| GERALD WESTERFIELD | |||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | ||
| ANDERSON ROWLAND | |||||||
| PHYSICIAN/MEDICAL STAFF PRES | 40.0 | X | 222039 | 0 | 25656 | ||
| BLAINE PIEPER | |||||||
| CEO | 40.0 | X | 138897 | 0 | 15973 | ||
| JOHN TICHENOR | |||||||
| CFO | 40.0 | X | 103280 | 0 | 11159 | ||
| Brenda Newcom | |||||||
| Chief Nursing Officer | 40.0 | X | 80225 | 0 | 18786 | ||
| DONALD K GREGORY | |||||||
| ER PHYSICIAN/HOSPITALIST | 40.0 | 399924 | 0 | 7253 | X | ||
| SONGMIN CAI | |||||||
| ER PHYSICIAN | 40.0 | 242698 | 0 | 6110 | X | ||
| HEATHER GARRETT | |||||||
| PHYSICIAN | 40.0 | 208622 | 0 | 22779 | X | ||
| JANNA PATHI | |||||||
| CMO/SURGEON | 55.0 | 491834 | 0 | 14949 | X | ||
| STEVEN MILLS | |||||||
| PHYSICIAN | 40.0 | 212378 | 0 | 11889 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2099897 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 134554 | TotalOtherCompensation |
| Number Individuals GT100 K | 9 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | true | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| QUOROM HEALTH RESOURCES | |||||
| 105 CONTINENTAL PLACE | BRENTWOOD | TN | 37027 | MANAGEMENT FEES | 225213 |
| EMCARE PHYSICIAN SERVICES | |||||
| 7032 COLLECTION CENTER PLACE | CHICAGO | IL | 60693 | ER PHYSICIANS | 410426 |
| DMC INC | |||||
| 1131 FAIRWAY STREET | BOWLING GREEN | KY | 42103 | MEDICAID ELIGIBILITY | 111192 |
| SLEEP SOLUTIONS INC | |||||
| 3087 HALLS CREEK STREET | OLATON | KY | 42361 | SLEEP LAB MAINTENANC | 101873 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
| Government Grants | 45603 | GovernmentGrants |
| All Other Contributions | 23169 | AllOtherContributions |
| Total Contributions | 68772 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT SERVICES | Description |
| Business Code | 621300 | BusinessCode |
| Total Revenue Column | 26083425 | TotalRevenueColumn |
| Related Or Exempt Function Income | 26083425 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 26083425 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 20583 | TotalRevenueColumn |
| Exclusion | $20,583 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 47727 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 47727 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 47727 | TotalRevenueColumn |
| Exclusion | $47,727 | ExclusionAmount |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| CAFETERIA INCOME | 722210 | 55405 | $55,405 | |
| WELLNESS PROGRAM | 900099 | 17429 | 17429 | |
| PHARMACY SALES | 446110 | 5899 | $5,899 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 138199 | TotalRevenueColumn |
| Exclusion | $138,199 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 216932 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 26437439 | TotalRevenueColumn |
| Related Or Exempt Function Income | 26100854 | RelatedOrExemptFunctionIncome |
| Exclusion | $267,813 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 616015 | Total |
| Management And General | 616015 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9968737 | Total |
| Program Services | 9431862 | ProgramServices |
| Management And General | 536875 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 191989 | Total |
| Program Services | 171078 | ProgramServices |
| Management And General | 20911 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1041978 | Total |
| Program Services | 928486 | ProgramServices |
| Management And General | 113492 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 762214 | Total |
| Program Services | 679194 | ProgramServices |
| Management And General | 83020 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 225213 | Total |
| Management And General | 225213 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42687 | Total |
| Management And General | 42687 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 75791 | Total |
| Management And General | 75791 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2061976 | Total |
| Program Services | 1484440 | ProgramServices |
| Management And General | 577536 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54341 | Total |
| Program Services | 54341 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5609841 | Total |
| Program Services | 5362935 | ProgramServices |
| Management And General | 246906 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1077053 | Total |
| Program Services | 1010268 | ProgramServices |
| Management And General | 66785 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 108807 | Total |
| Program Services | 91880 | ProgramServices |
| Management And General | 16927 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 159903 | Total |
| Program Services | 159903 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 948011 | Total |
| Program Services | 948011 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 373977 | Total |
| Program Services | 13013 | ProgramServices |
| Management And General | 360964 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| BAD DEBTS | 2147366 | 2147366 | ||
| PROVIDER TAX | 482216 | 482216 | ||
| DUES & SUBSCRIPTIONS | 78531 | 63218 | 15313 | |
| RECRUITING | 21939 | 21939 | ||
| MISCELLANEOUS | 31343 | 431 | 30912 | 0 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26079928 | Total |
| Program Services | 22546426 | ProgramServices |
| Management And General | 3533502 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2099547 | BOY |
| EOY | 3894312 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1832746 | BOY |
| EOY | 4079930 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4049571 | BOY |
| EOY | 3388052 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 93049 | BOY |
| EOY | 86073 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 604449 | BOY |
| EOY | 659701 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 201589 | BOY |
| EOY | 194835 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 19406936 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 13773786 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5246877 | BOY |
| EOY | 5633150 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 158567 | BOY |
| EOY | 160733 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14286395 | BOY |
| EOY | 18096786 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1801523 | BOY |
| EOY | 1915589 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 360075 | BOY |
| EOY | 281750 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2720000 | BOY |
| EOY | 5930000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 460087 | BOY |
| EOY | 620710 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 353484 | BOY |
| EOY | 400000 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5695169 | BOY |
| EOY | 9148049 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8591226 | BOY |
| EOY | 8948737 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8591226 | BOY |
| EOY | 8948737 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14286395 | BOY |
| EOY | 18096786 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | false | 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) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $2,384 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 2384 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | LOBBYING EXPENDITURES | Identifier |
| Return Reference | SCH. C, PART II-B, LINE 1I | ReturnReference |
| Explanation | THE HOSPITAL PAYS DUES TO THE KENTUCKY HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THESE DUES ARE USED FOR LOBBYING. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 416987 | OtherCostOrOtherBasis |
| Book Value | 416987 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5583636 | OtherCostOrOtherBasis |
| Depreciation | 3278000 | Depreciation |
| Book Value | 2305636 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 12880318 | OtherCostOrOtherBasis |
| Depreciation | 10258204 | Depreciation |
| Book Value | 2622114 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 525995 | OtherCostOrOtherBasis |
| Depreciation | 237582 | Depreciation |
| Book Value | 288413 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 5633150 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | THIRD PARTY SETTLEMENTS | Description |
| Amount | $400,000 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 400000 | TotalOfAmounts |
| Total Revenue | 26437439 | TotalRevenue |
| Total Expenses | 26079928 | TotalExpenses |
| Excess Or Deficit For Year | 357511 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 357511 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 26437439 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 26437439 | RevenueSubtotal |
| Total Revenue Per Form990 | 26437439 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 26079928 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 26079928 | ExpensesSubtotal |
| Total Expenses Per Form990 | 26079928 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | INCOME TAXES | Identifier |
| Return Reference | SCH D, PART X, LINE 2 | ReturnReference |
| Explanation | 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 HOSPITAL FILES TAX RETURNS IN THE U.S. FEDERAL JURISDICTION. WITH A FEW EXCEPTIONS, THE HOSPITAL IS NO LONGER SUBJECT TO U.S. FEDERAL EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2007. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | false | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1306264 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 431303 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 874961 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03660 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3811780 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3259782 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 551998 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02310 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5118044 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3691085 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1426959 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05970 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 102098 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 102098 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00430 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 102098 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 102098 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00430 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5220142 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3691085 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1529057 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06400 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $1,164,302 | BadDebtExpenseAmount |
| Amount Attributable To | 322105 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 8970502 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 8569721 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 400781 | MedicareSurplusOrShortfall |
| Costing Methodology Used | CostingMethodologyUsed | |
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | false | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV
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 VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Footnote | The audited financial statements do not contain a footnote which describes bad debt. | BadDebtFootnote |
| Debt Collection Policy | 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. | DebtCollectionPolicy |
| Needs Assessment | OHIO COUNTY HOSPITAL (OCH) PARTICIPATES 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 COMMUNITY. 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 DISEASE 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. | NeedsAssessment |
| Patient Education Assistance | 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. | PatientEducationAssistance |
| Community Information | OHIO COUNTY IS A RURAL COMMUNITY LOCATED IN WESTERN KENTUCKY WITH A PRIMARY SERVICE AREA 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. | CommunityInformation |
| Community Building Activities | 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 FOR 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 PROSTRATE 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. | CommunityBuildingActivities |
| Other Information | 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 REINVESTED IN NEW TECHNOLOGY AND EQUIPMENT AS NEEDED. THE HOSPITAL OPERATES AN EMERGENCY DEPARTMENT THAT IS STAFF 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. | OtherInformation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BLAINE PIEPER | |||||||||||||
| 138897 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 15973 | 0 | 154870 | 0 | 0 | 0 |
| DONALD K GREGORY | |||||||||||||
| 398986 | 0 | 0 | 0 | 938 | 0 | 0 | 0 | 7253 | 0 | 407177 | 0 | 0 | 0 |
| SONGMIN CAI | |||||||||||||
| 242086 | 0 | 0 | 0 | 612 | 0 | 2919 | 0 | 3191 | 0 | 248808 | 0 | 0 | 0 |
| ANDERSON ROWLAND | |||||||||||||
| 151081 | 0 | 44140 | 0 | 26818 | 0 | 5979 | 0 | 19677 | 0 | 247695 | 0 | 0 | 0 |
| HEATHER GARRETT | |||||||||||||
| 205423 | 0 | 2995 | 0 | 204 | 0 | 0 | 0 | 22779 | 0 | 231401 | 0 | 0 | 0 |
| JANNA PATHI | |||||||||||||
| 489512 | 0 | 0 | 0 | 2322 | 0 | 7350 | 0 | 7599 | 0 | 506783 | 0 | 0 | 0 |
| STEVEN MILLS | |||||||||||||
| 182875 | 0 | 0 | 0 | 29503 | 0 | 4211 | 0 | 7678 | 0 | 224267 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | COMPENSATION FROM AN UNRELATED ORGANIZATION | Identifier |
| Return Reference | FORM 990, PART VII, LINE 5 | ReturnReference |
| Explanation | JOHN TICHENOR AND BLAINE PIEPER ARE CONTRACTED THROUGH QUORUM HEALTH RESOURCES, INC. FOR THEIR MANAGEMENT SERVICES. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer |
|---|---|---|---|---|---|---|
| OHIO COUNTY PUBLIC FACILITIES CORPORATION | ||||||
| 616000805 | 000677292 | 2005-08-01 | 4240000 | HOSPITAL CONSTRUCTION | false | false |
| OHIO COUNTY PUBLIC FACILITIES CORPORATION | ||||||
| 616000805 | 2010-09-29 | 3620000 | MEDICAL OFFICE BUILDING CONSTRUCTI | false | false | |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|
| 4240000 | 424000 | 74823 | 3741177 | 2006 | true | false | true | true |
| 3620000 | 70000 | 3550000 | 2011 | false | false | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|---|
| false | false | false | false | true | 0.00000 | 0.00000 | 0.00000 | true |
| false | false | false | false | true | 0.00000 | 0.00000 | 0.00000 | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| true | true | false | false | false | false |
| true | true | false | false | false | false |
Schedule L IRS990ScheduleL
Loan Table LoanTable (3 entries)
| Purpose Of LoanPurposeOfLoan | Loan From OrganizationLoanFromOrganization | Original PrincipalOriginalPrincipalAmount | Balance DueBalanceDue | DefaultDefault | Approved By BoardApprovedByBoard | Written AgreementWrittenAgreement |
|---|---|---|---|---|---|---|
| DR STEVEN MILLS | ||||||
| STUDENT LOAN/BONUS | X | $117,224 | 53728 | false | true | true |
| DR RAY ROWLAND | ||||||
| STUDENT LOAN/BONUS | X | $128,010 | 24410 | false | true | true |
| DR HEATHER GARRETT | ||||||
| STUDENT LOAN/BONUS | X | $159,007 | 7935 | false | true | true |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 86073 | TotalBalanceDue |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PROGRAM SERVICE ACCOMPLISHMENTS | FORM 990, PART III, LINE 4A | THE 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 HOSPITAL IS THE FRONTLINE OF COMMUNITY HEALTH CARE, 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 INCLUD SUPPLYING CHILDHOOD IMMUNIZATION VACCINES TO OUR LOCAL PUBLIC 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 PREVENTIVE HEALTH ACTIVITIES 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 BUSINESS 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 2009, THE HOSPITAL PROVIDED HEALTH CARE SERVICES TO OHIO COUNTY, KENTUCKY AND SURROUNDING AREAS, INCLUDING INPATIENT, OUTPATIENT, AND EMERGENCY SERVICES. THE HOSPITAL SERVED APPROXIMATELY 2,875 PEOPLE THROUGH ITS CHARITY CARE PROGRAM, PROVIDING $1,140,727 WORTH OF CHARITY CARE. |
| REVIEW OF FORM 990 | FORM 990, PART VI, SECTION B, LINE 11 | A COPY OF THE FORM 990 IS PROVIDED TO THE FULL BOARD. |
| MONITORING THE CONFLICT OF INTEREST POLICY | FORM 990, PART VI, SECTION B, LINE 12B AND 12C | THE BOARD OF DIRECTORS IS COVERED UNDER THE CONFLICT OF INTEREST POLICY AND ANY CONFLICTS ARE RESOLVED AT MONTHLY BOARD MEETINGS. |
| PROCESS FOR DETERMINING COMPENSATION | FORM 990, PART VI, SECTION B, LINE 15A AND 15B | THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS RECEIVED A COMPENSATION REVIEW IN APRIL 2010 BY QHR AND THE GOVERNING BOARD. OTHER OFFICERS AND KEY EMPLOYEES RECEIVE ANNUAL REVIEWS BASED ON CURRENT MARKET DATA. |
| MAKING FORMS AVAILABLE TO THE PUBLIC | 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. |
| COMPENSATION OF OFFICERS,DIRECTORS,KEY EMPLOYEES & HIGHEST PAID EMPLOYEES | FORM 990, PART VII, LINE 1 | SOME 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. |
| DELEGATION OF MANAGEMENT DUTIES | 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 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 APPROXIMATELY $225,000 FOR 2010. |