Totals
- Total revenue
- $211,616,390
- Total expenses
- $229,064,544
- Contributions and grants received
- $3,104,936
- Grants paid
- $7,000
- Program service revenue
- $201,559,526
- Investment income
- $2,809,964
- Other revenue
- $4,141,964
- Total assets, end of year
- $260,687,581
- Total liabilities, end of year
- $84,967,139
- Net assets or fund balances, end of year
- $175,720,442
- Program services expenses (Part IX)
- $169,535,717
- Management and general expenses
- $59,528,827
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $169,535,717
Program services were 74.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1e · Government grants (contributions)
$1,803,727
-
1f · All other contributions, gifts and grants
$1,301,209
-
1g · Noncash contributions included above
$1,209
-
2a · Program service revenue: PATIENT SERVICE REVENU
total $196,019,040 · related or exempt $196,019,040
-
2b · Program service revenue: 340B PHARMACY REVENUE
total $5,540,486 · related or exempt $5,540,486
-
3 · Investment income
total $2,008,764 · excluded $2,008,764
-
6a · Gross rents
real property $36,964
-
6b · Less rental expenses
real property $0
-
6c · Rental income or loss
real property $36,964
-
6d · Net rental income or loss
total $36,964 · excluded $36,964
-
7a · Gross sales of assets other than inventory
securities $50,618,959
-
7b · Less cost or other basis and sales expenses
securities $49,789,122 · other assets $28,637
-
7c · Gain or loss
securities $829,837 · other assets -$28,637
-
7d · Net gain or loss
total $801,200 · excluded $801,200
-
8a · Fundraising events: gross income
$11,336
-
8b · Fundraising events: direct expenses
$0
-
8c · Net income from fundraising events
total $11,336 · excluded $11,336
-
10a · Gross sales of inventory
$63,261
-
10b · Cost of goods sold
$66,841
-
10c · Net income from sales of inventory
total -$3,580 · excluded -$3,580
-
11a · Other revenue: OPTICAL REVENUE
total $936,556 · related or exempt $936,556
-
11b · Other revenue: FOOD AND NUTRITION
total $538,063 · excluded $538,063
-
11c · Other revenue: JOINT VENTURES
total -$537,420 · related or exempt -$537,420
-
11d · All other revenue
total $3,160,045 · related or exempt $2,775,797 · unrelated business $42,564 · excluded $341,684
-
11e · Other revenue, total
$4,097,244
Functional expenses
Part IX, the statement of functional expenses.
-
2 · Grants to domestic individuals
total $7,000 · program services $7,000
-
5 · Compensation of officers, directors and key employees
total $3,929,513 · management and general $3,929,513
-
7 · Other salaries and wages
total $90,502,501 · program services $73,325,126 · management and general $17,177,375
-
8 · Pension plan contributions
total $7,954,917 · program services $6,445,074 · management and general $1,509,843
-
9 · Other employee benefits
total $23,665,379 · program services $19,173,690 · management and general $4,491,689
-
11b · Fees: legal
total $383,605 · management and general $383,605
-
11c · Fees: accounting
total $67,637 · management and general $67,637
-
11f · Fees: investment management
total $720,923 · management and general $720,923
-
11g · Fees: other
total $31,318,089 · program services $18,480,806 · management and general $12,837,283
-
12 · Advertising and promotion
total $755,441 · management and general $755,441
-
13 · Office expenses
total $2,076,013 · program services $1,912,008 · management and general $164,005
-
14 · Information technology
total $3,452,435 · management and general $3,452,435
-
16 · Occupancy
total $3,865,384 · program services $487,811 · management and general $3,377,573
-
17 · Travel
total $118,183 · program services $70,945 · management and general $47,238
-
19 · Conferences, conventions and meetings
total $85,135 · program services $51,107 · management and general $34,028
-
20 · Interest
total $3,309,101 · management and general $3,309,101
-
22 · Depreciation, depletion and amortization
total $10,271,731 · program services $4,600,708 · management and general $5,671,023
-
23 · Insurance
total $1,265,602 · program services $124,535 · management and general $1,141,067
-
24a · Other expenses: DRUGS AND SUPPLIES
total $34,955,743 · program services $34,955,743
-
24b · Other expenses: MEDICAL PROFESSIONAL FE
total $4,741,546 · program services $4,741,546
-
24c · Other expenses: BOOKS & SUBSCRIPTIONS
total $502,902 · program services $461,815 · management and general $41,087
-
24d · Other expenses: DUES AND LICENSES
total $149,976 · program services $137,723 · management and general $12,253
-
24e · All other expenses
total $4,965,788 · program services $4,560,080 · management and general $405,708
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $22,232 · end of year $17,844
-
2 · Savings and temporary cash investments
beginning of year $10,048,446 · end of year $3,514,135
-
4 · Accounts receivable
beginning of year $34,091,579 · end of year $31,941,214
-
8 · Inventories for sale or use
beginning of year $2,357,081 · end of year $2,710,979
-
9 · Prepaid expenses and deferred charges
beginning of year $6,180,792 · end of year $4,144,980
-
10a · Land, buildings and equipment: cost or other basis
$213,204,779
-
10b · Land, buildings and equipment: accumulated depreciation
$97,539,591
-
10c · Land, buildings and equipment, net
beginning of year $115,908,273 · end of year $115,665,188
-
11 · Investments: publicly traded securities
beginning of year $134,438,981 · end of year $92,153,769
-
14 · Intangible assets
beginning of year $229,001 · end of year $181,295
-
15 · Other assets
beginning of year $6,799,739 · end of year $10,358,177
-
17 · Accounts payable and accrued expenses
beginning of year $23,035,468 · end of year $20,326,577
-
23 · Secured mortgages and notes payable
beginning of year $63,074,399 · end of year $61,845,138
-
25 · Other liabilities
beginning of year $11,310,780 · end of year $2,795,424
-
27 · Net assets without donor restrictions
beginning of year $210,362,802 · end of year $173,912,658
-
28 · Net assets with donor restrictions
beginning of year $2,292,675 · end of year $1,807,784
Mission and programs · 2022
Mission
THE MISSION OF KNOX COMMUNITY HOSPITAL IS TO PROVIDE COMPASSIONATE HEALTHCARE SERVICE THAT EXCEEDS THE EXPECTATIONS OF OUR COMMUNITY. AS THE ONLY HOSPITAL IN KNOX COUNTY, WE OFFER A WIDE SPECTRUM OF HEALTHCARE SERVICES TO EVERY PERSON WHO NEEDS US, REGARDLESS OF THEIR ABILITY TO PAY.
Activities or mission (Part I)
TO PROVIDE COMPASSIONATE HEALTHCARE SERVICE THAT EXCEEDS THE EXPECTATIONS OF OUR COMMUNITY
-
OUR ASSISTANCE TO OUR COMMUNITY GOES BEYOND OFFERING PRIMARY SERVICES AND IMPACTS OUR COMMUNITY'S HEALTH AND QUALITY OF LIFE. KNOX COMMUNITY HOSPITAL IS AN ACUTE CARE HOSPITAL SERVING KNOX COUNTY IN OHIO AND SURROUNDING AREAS. THE HOSPITAL OFFERS A WIDE SPECTRUM OF HEALTHCARE SERVICES INCLUDING: INPATIENT AND OUTPATIENT HEATLH CARE. FOR 2022, THE HOSPITAL HAD 3,292 INPATIENT ADMISSIONS, 23,485 ER VISITS, 153,042 OUTPATIENT VISITS, 76,867 RADIOLOGY PROCEDURES, AND 5,850 INPATIENT & OUTPATIENT SURGERIES (INCLUDING ENDOSCOPIES). DURING 2022, THE HOSPITAL HAD 51 EMPLOYED PHYSICIANS WITH 174,663 OFFICE CLINIC VISITS.IN 2022, KNOX COMMUNITY HOSPITAL PROVIDED A RANGE OF HEALTH AWARENESS AND PREVENTION PROGRAMS, AS WELL AS SERVICES FREE OF CHARGE TO SUPPORT THE HEALTH AND WELLBEING OF THE KNOX AREA COMMUNITY. IN-PERSON EVENTS HAVE BEGUN RAMPING BACK UP POST COVID, KCH WAS ABLE TO PROVIDE PROGRAMS AND SERVICES FOR THE COMMUNITY BENEFIT BY A NUMBER OF METHODS.
Expenses $169,535,717 · Grants $7,000 · Revenue $204,734,459
-
VOLUNTEERS REMAINED ACTIVE IN SPECIFIC AREAS OF THE HOSPITAL, PROVIDING NEEDED SERVICES SUCH AS TOYS FOR PATIENTS WAITING WITH YOUNG CHILDREN, ASSISTING THE MARKETING DEPARTMENT WITH VARIOUS PROJECTS, AND STAFFING TWO GIFT SHOPS WHICH HELPS TO PROVIDE FUNDS FOR SCHOLARSHIPS BENEFITTING AREA STUDENTS ENTERING THE HEALTH CARE FIELD. A TOTAL OF 43 VOLUNTEERS SERVED 4,567 HOURS DURING THE YEAR.
-
KCH HAS STRONG PARTNERSHIPS WITH THE NURSING SCHOOLS IN THE AREA COLLEGES/UNIVERSITIES, AND TOWARD THAT END, PROVIDED CLINICAL SUPERVISION AND PRECEPTING FOR STUDENTS. THE TOTAL NUMBER OF STUDENTS' CLINICAL HOURS IN 2022 WAS OVER 7,459, WITH ADDITIONAL 1,154 HOURS OF JOB SHADOWING, AS WELL. SINCE KCH IS THE ONLY HOSPITAL IN THE COUNTY, THIS IS CRITICAL TO HELP SUPPORT THESE STUDENTS' GOALS AND TO HELP MEET THE SHORTAGE OF NURSING STAFF THAT IS EVIDENT BOTH LOCALLY AND ACROSS THE COUNTRY.
-
ACCORDING TO THE COMMUNITY HEALTH ASSESSMENT CONDUCTED IN 2021, THE PREVALENCE OF DIABETES AMONG OUR SERVICE POPULATION CONTINUES TO INCREASE AND HAS REACHED 10%. KNOX COMMUNITY HOSPITAL RECOGNIZED THE NEED TO EXPAND OUR DIABETES EDUCATION PROGRAM. KCH CONDUCTED DIABETES SUPPORT GROUP CLASSES FOR OVER 20 PARTICIPANTS FROM THE COMMUNITY. THE GROUPS DISCUSS DIABETES CONDITION, TREATMENTS AND PREVENTIVE MEASURES, WITH AN ADVANCED PRACTITIONER. DIABETES PREVENTION INFORMATION WAS ALSO DISTRIBUTED DURING THE CITY OF MOUNT VERNON'S "FIRST FRIDAY" EVENTS (HELD DURING JUNE THROUGH SEPTEMBER, MONTHLY). DURING NOVEMBER, DIABETES AWARENESS MONTH, THE FOLLOWING METHODS WERE USED TO INCREASE AWARENESS AND EDUCATE OUR COMMUNITY: SOCIAL MEDIA POSTS, PRESS RELEASE SENT TO MEDIA AND PUBLISHED ON WEBSITE, STREET LAMP BANNERS IN DOWNTOWN MOUNT VERNON, NEWSLETTER ARTICLE.THAT SAME COMMUNITY HEALTH ASSESSMENT IS CONDUCTED EVERY 3 YEARS THROUGH A PARTNERSHIP BETWEEN KCH AND KNOX PUBLIC HEALTH DEPARTMENT. WE ALSO PARTNER WITH KNOX PUBLIC HEALTH DEPARTMENT AND OTHER SERVICE ORGANIZATIONS TO DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) WHICH WILL ADDRESS THE NEEDS IDENTIFIED WITHIN THE CHA. FOR EXAMPLE, ONE OF THE WORK GROUPS DEVELOPED IS THE ACCESS TO (HEALTH) CARE WORK GROUP, WHICH IS REVIEWING THE BARRIERS FACED BY MANY LOCAL RESIDENTS SUCH AS LACK OF INSURANCE, INADEQUATE TRANSPORTATION, OR SIMPLY LACK OF KNOWLEDGE ABOUT HOW TO ESTABLISH A PRIMARY CARE PROVIDER. BOTH THE CHA AND THE CHIP DOCUMENTS ARE LINKED FROM THE HOSPITAL'S WEBSITE. TRANSPORTATION IS OFTEN A BARRIOR TO ACCESS, FOR EXAMPLE. KCH HAS A STRONG PARTNERSHIP WITH KNOX AREA TRANSIT, A PUBLIC TRANSPORTATION ORGANIZATION THAT OFFERS FREE OR REDUCED-FEE TRANSPORTATION TO/FROM MEDICAL APPOINTMENTS FOR AREA RESIDENTS. IN 2023, WE WILL BEGIN OFFERING OPPORTUNITIES FOR A KAT REPRESENTATIVE TO PROVIDE ON-SITE INFORMATION AT COMMUNITY PRESENTATIONS OR "DOC TALKS" HELD AT KCH. IN TERMS OF PARTICIPATION IN CHA AND CHIP ACTIVIITES DURING 2022, STAFF TIME TOTALLED APPROXIMATELY 32 HOURS, BETWEEN MARKETING AND QUALITY DEPARTMENT STAFF. MENTAL HEALTH CONTINUES TO BE A TOP PRIORITY CONCERN IDENTIFIED THROUGH THE COMMUNITY HEALTH ASSESSMENT. WHILE KCH DOES SEE PATIENTS WITH A MENTAL HEALTH OR BEHAVORIAL HEALTH CONDITION AND/OR DIAGNOSIS, WE COLLABORATE WITH APPROPRIATE AGENCIES TO SERVE THIS POPULATION. FOR EXAMPLE, THROUGH OUR EMERGENCY DEPARTMENT, ONCE A PATIENT HAS COMPLETED THE NECESSARY MEDICAL SCREENINGS, CRISIS ASSESSMENT MAY BE HANDLED BY A PARTNERING ORGANIZATION, BEHAVIORAL HEALTH PARTNERS, TO DETERMINE THE NEXT STEPS FOR THAT PATIENT. IN ADDITION, SUBSTANCE ABUSE IS SOMETIMES FOUND ALONG WITH MENTAL HEALTH CONCERNS, AND IN THOSE CASES, KCH MAY REFER TO NEW VISION OR THE FREEDOM CENTER FOR ADDITIONAL TREATMENT, IF APPROPRIATE. IN SHORT, KCH WORKS CLOSELY WITH OTHER LOCAL SERVICES TO SUPPORT THE NEEDS OF BEHAVIORAL HEALTH PATIENTS. IN 2023, A COLLABORATIVE EVENT WILL BE HELD IN DOWNTOWN MOUNT VERNON TO INCREASE AWARENESS OF ADDICTIONS/RECOVERY FROM SUBSTANCE ABUSE, AND KCH WILL BE A SPONSOR.CLASSES / SUPPORT GROUPS WERE HELD TO SUPPORT THE NEED FOR PATIENTS AND THEIR FAMILIES TO BE INVOLVED IN THEIR CARE AND UNDERSTAND THE NUANCES OF CERTAIN CONDITIONS. SOME OF THOSE CLASSES INCLUDED BARIATRICS (WEIGHT MANAGEMENT), CHILDBIRTH EDUCATION CLASSES, AND DIABETES EDUCATION, TO NAME A FEW. IN THE LATTER PART OF 2022, ATTENDANCE AT THESE CLASSES INCREASED AS COVID NUMBERS WANED. FOR THE CHILDBIRTH EDUCATION CLASSSES, THESE ARE IMPORTANT DUE TO OUR RURAL POPULATION AND THE LACK OF EDUCATION FOR MANY. THESE FREE CLASSES OFFER EXPECTANT PARENTS INFORMATION ABOUT LABOR AND CHILDBIRTH, AS WELL AS BASICS OF CARING FOR A NEWBORN. APPROXIMATELY 15-20 PEOPLE PARTICIPATED IN THE CHILDBIRTH CLASSES EACH MONTH, FOR A TOTAL OF 180 SERVED. STAFF HOURS TO PREPARE AND DELIVER THIS MATERIAL TOTALLED ABOUT 60 HOURS FOR THE YEAR. EXPENSES FOR THESE CLASSES AVERAGED $280 PER CLASS. THE AMERICAN RED CROSS RELIES UPON KNOX COMMUNITY HOSPITAL TO HOST BLOOD DRIVES REGULARLY TO SUPPORT ITS EFFORTS TO MAINTAIN ADEQUATE BLOOD SUPPLIES. DURING 2022 THROUGH 7 BLOOD DRIVES HOSTED IN THE EDUCATION RESOURCE ROOM AT KCH, A TOTAL OF 174 UNITS OF BLOOD WAS COLLECTED FROM 242 PEOPLE. THIS SPACE IS RENT-FREE TO THE RED CROSS, AMOUNTING TO 56 HOURS OF FREE SPACE USAGE DURING THE YEAR.THE KNOX COUNTY FAIR WAS HELD AND OPEN TO THE PUBLIC JULY 24 THROUGH 30, 2022, AND KCH HAD A BOOTH IN THE MERCHANT'S BUILDING WITH HEALTH EDUCATION INFORMATION PROVIDED ALONG WITH FREE BLOOD PRESSURE CHECKS. SIXTY-EIGHT (68) KCH STAFF WERE ON HAND AT THE EVENT FOR A TOTAL OF 136 VOLUNTEER HOURS. THE AVERAGE GATE ATTENDANCE EACH DAY OF THE FAIR IS NEARLY 10,000 MEMBERS OF THE COMMUNITY. EDUCATIONAL MATERIALS HANDED OUT INCLUDED WEIGHT MANAGEMENT, WOMEN'S HEALTH, DIABETES PREVENTION/AWARENESS, HOW TO FIND A PRIMARY CARE DOCTOR, SUBSTANCE ABUSE AWARENESS, AND MORE. SUPPLIES FOR THE FAIR TOTALLED APPROXIMATELY $3,000. OBESITY IS AN ONGOING PROBLEM FOR 37 PERCENT OF OUR COUNTY'S ADULT RESIDENTS, ACCORDING TO THE HEALTH NEEDS ASSESSMENT. IN AN EFFORT TO REDUCE THIS NUMBER AND SUPPORT THE LOCAL SCHOOLS' ATHLETIC PROGRAMS, KCH PROVIDED ATHLETIC TRAINING DURING THE SCHOOL YEAR IN 2022 FOR A NOMINAL FEE PER MONTH AT DANVILLE, UTICA, FREDERICKTOWN, EAST KNOX AND CENTERBURG WHILE ALSO DONATING $118K WORTH OF OUR TRAINERS' TIME. IN THE FALL OF 2022, KCH ALSO DONATED $7,500 TOWARD THE PURCHASE OF EXERCISE BALLS FOR THE "CRUNCH OUT OBESITY" PROGRAM BENFITING 500+ ELEMENTARY SCHOOL STUDENTS, IN PARTNERSHIP WITH UNITED WAY OF KNOX COUNTY. THESE EXERCISE BALLS WERE DISTRIBUTED IN HANDS-ON ACTIVITES TO GRADE SCHOOL STUDENTS, BY THE PHYSICAL EDUCATION TEACHERS.DURING 2022, IN PARTNERSHIP WITH WCLT-T-100 FM RADIO STATION, WE SPONSORED A "HEALTH MINUTE" PROGRAM FEATURING VARIOUS MEDICAL EXPERTS FROM KCH, PROVIDING HEALTH-RELATED INFORMATION TO THE COMMUNITY THROUGH A TWO-MINUTE RECORDED RADIO INTERVIEW. THE STATION HAS A WIDE LISTENING AREA AMONG ADULTS OVER AGE 35, AND TOPICS INCLUDED: WOMEN'S HEALTH, CONCUSSION AWARENESS, ROBOTIC SURGERY, SUBSTANCE ABUSE PREVENTION & TREATMENT, INPATIENT ACUTE REHABILITATION THERAPY, PHYSICAL THERAPY, AND HOME HEALTH. WE THEN POST THE RECORDED MESSAGE ON THE KCH WEBSITE.ANNUALLY, KCH RECOGNIZES "DONATE LIFE" MONTH IN APRIL BY USING RESOURCES TO BRING AWARENESS TO THE NEED FOR ORGAN, EYE AND TISSUE DONATIONS, AND TO ENCOURAGE PEOPLE TO BECOME REGISTERED DONORS. IN 2022, THE FOLLOWING METHODS WERE USED TO EDUCATE THE COMMUNITY ON THIS TOPIC: PRESS RELEASE PUBLISHED IN AREA NEWSPAPERS AND ON KCH WEBSITE; POSTS ON SOCIAL MEDIA OUTLETS; NEWSLETTER ARTICLE; KCH EMAIL; RADIO PUBLIC SERVICE ANNOUNCEMENTS.
As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Sam BaroneSAM BARONE
PRESIDENT
- Total calculated
- $0
- Hours/week
- 5
-
Marc OdenwellerMARC ODENWELLER
VICE PRESIDENT
- Total calculated
- $0
- Hours/week
- 2
-
Ian WatsonIAN WATSON
TREASURER
- Total calculated
- $0
- Hours/week
- 2
-
Jeffery BoucherJEFFERY BOUCHER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1.5
-
Charles BrennemanCHARLES BRENNEMAN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1.5
-
Cheri ButcherCHERI BUTCHER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1.5
-
Barry S George MDBARRY S GEORGE MD
TRUSTEE/CARDIOLOGIST
- Total calculated
- $1,017,566
- From this org
- $956,508
- From related orgs
- $0
- Other
- $61,058
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $898,175
- Bonus
- $58,333
- Other
- $0
- Deferred
- $20,500
- Nontaxable benefits
- $40,558
- Filer's total
- $1,017,566
-
Korey KidwellKOREY KIDWELL
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1.5
-
Julie MillerJULIE MILLER
TRUSTEE TERM BEGAN
- Total calculated
- $0
- Hours/week
- 1.5
-
Amy D Murnen MDAMY D MURNEN MD
TRUSTEE/FAMILY MEDICINE
- Total calculated
- $248,766
- From this org
- $215,495
- From related orgs
- $0
- Other
- $33,271
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $213,060
- Bonus
- $2,435
- Other
- $0
- Deferred
- $20,500
- Nontaxable benefits
- $12,771
- Filer's total
- $248,766
-
Mark RamserMARK RAMSER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1.5
-
Vickie SantVICKIE SANT
SECRETARY
- Total calculated
- $0
- Hours/week
- 2
-
Christopher E SmithCHRISTOPHER E SMITH
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1.5
-
Michael Sullivan MDMICHAEL SULLIVAN MD
TRUSTEE/OBGYN
- Total calculated
- $548,915
- From this org
- $514,321
- From related orgs
- $0
- Other
- $34,594
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $514,321
- Bonus
- $0
- Other
- $0
- Deferred
- $20,500
- Nontaxable benefits
- $14,094
- Filer's total
- $548,915
-
Jan ThomasJAN THOMAS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1.5
-
Carol DoroughCAROL DOROUGH
TRUSTEE PARTIAL YEAR
- Total calculated
- $0
- Hours/week
- 2
-
Bruce WhiteBRUCE WHITE
CEO
- Total calculated
- $641,411
- From this org
- $517,228
- From related orgs
- $0
- Other
- $124,183
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $474,069
- Bonus
- $35,899
- Other
- $7,260
- Deferred
- $0
- Nontaxable benefits
- $124,183
- Filer's total
- $641,411
-
Michael AmbrosianiMICHAEL AMBROSIANI
CFO
- Total calculated
- $408,703
- From this org
- $329,867
- From related orgs
- $0
- Other
- $78,836
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $305,567
- Bonus
- $24,300
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $78,836
- Filer's total
- $408,703
-
Bruce BehnerBRUCE BEHNER
COO
- Total calculated
- $406,968
- From this org
- $328,132
- From related orgs
- $0
- Other
- $78,836
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $305,567
- Bonus
- $22,565
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $78,836
- Filer's total
- $406,968
-
John HallJOHN HALL
CMO
- Total calculated
- $389,720
- From this org
- $366,510
- From related orgs
- $0
- Other
- $23,210
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $366,510
- Bonus
- $0
- Other
- $0
- Deferred
- $3,643
- Nontaxable benefits
- $19,567
- Filer's total
- $389,720
-
Carol N EmeryCAROL N EMERY
CHIEF NURSING OFFICER
- Total calculated
- $267,464
- From this org
- $222,064
- From related orgs
- $0
- Other
- $45,400
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $206,854
- Bonus
- $15,210
- Other
- $0
- Deferred
- $10,369
- Nontaxable benefits
- $35,031
- Filer's total
- $267,464
-
Gregory CushGREGORY CUSH
ORTHOPAEDIC SURGEON
- Total calculated
- $1,215,802
- From this org
- $1,154,542
- From related orgs
- $0
- Other
- $61,260
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $1,089,713
- Bonus
- $64,829
- Other
- $0
- Deferred
- $20,500
- Nontaxable benefits
- $40,760
- Filer's total
- $1,215,802
-
Jarrett B HelmingJARRETT B HELMING
ORTHOPAEDIC SURGEON
- Total calculated
- $1,145,728
- From this org
- $1,084,468
- From related orgs
- $0
- Other
- $61,260
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $780,370
- Bonus
- $304,098
- Other
- $0
- Deferred
- $20,500
- Nontaxable benefits
- $40,760
- Filer's total
- $1,145,728
-
Kenneth H Doolittle IIKENNETH H DOOLITTLE II
ORTHOPAEDIC SURGEON
- Total calculated
- $920,561
- From this org
- $878,830
- From related orgs
- $0
- Other
- $41,731
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $789,457
- Bonus
- $89,373
- Other
- $0
- Deferred
- $20,500
- Nontaxable benefits
- $21,231
- Filer's total
- $920,561
-
Alix TerciusALIX TERCIUS
CARDIOLOGIST
- Total calculated
- $924,924
- From this org
- $863,664
- From related orgs
- $0
- Other
- $61,260
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $811,581
- Bonus
- $52,083
- Other
- $0
- Deferred
- $20,500
- Nontaxable benefits
- $40,760
- Filer's total
- $924,924
-
Gangaram RasaGANGARAM RASA
CARDIOLOGIST
- Total calculated
- $858,813
- From this org
- $817,283
- From related orgs
- $0
- Other
- $41,530
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $817,283
- Bonus
- $0
- Other
- $0
- Deferred
- $20,500
- Nontaxable benefits
- $21,030
- Filer's total
- $858,813
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 1a · Health or social club dues or initiation fees
- 1b · Written policy on the line-1a expenses
- 2 · Substantiation required before reimbursing expenses
- 3 · Compensation committee
- 3 · Form 990 of other organizations
- 3 · Compensation survey or study
- 3 · Approval by the board or compensation committee
- 7 · Other non-fixed payments
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINE 1A
- HOSPITAL PURCHASES AN ANNUAL MEMBERSHIP TO LOCAL COUNTRY CLUB FOR RECRUITING AND FUNDRAISING ACTIVITIES FOR THE CEO, CFO, AND COO. THIS BENEFIT IS NOT INCLUDED IN THE INDIVIDUALS' COMPENSATION.
- PART I, LINE 7
- SCHEDULE J, PART II: THE CEO, COO, AND CFO OF THE HOSPITAL ARE PAID BY AN UNRELATED ORGANIZATION FOR SERVICES RENDERED TO THE ORGANIZATION THROUGH A MANAGEMENT AGREEMENT WITH OVATION HEALTHCARE. DR. GREGORY CUSH IS PAID BASED ON WORK RVU ("WRVU" RELATIVE VALUE UNIT) PROGRAM. HIS SALARY IS BASED ON THE AGGREGATE NUMBER OF WRVU'S HE PRODUCES MULTIPLIED BY THE COMPENSATION/WORK RVU CONVERSION FACTOR AS PUBLISHED IN THE MGMA PHYSICIAN COMPENSATION FOR A GENERAL ORTHOPEDIC SURGEON. HE IS PAID AN ESTIMATED SALARY IN EQUAL BIWEEKLY INSTALLMENTS AND HIS WRVU'S ARE REVIEWED QUARTERLY. AT THE END OF EACH QUARTER, IF HIS EARNED INCOME (WRVU'S X CONVERSION FACTOR) EXCEEDS HIS ESTIMATED SALARY, PAYMENT IS MADE TO HIM FOR THE EXCESS AMOUNT. DR. JARRETT B. HELMING IS PAID BASED ON WORK RVU ("WRVU" RELATIVE VALUE UNIT) PROGRAM. HIS SALARY IS BASED ON THE AGGREGATE NUMBER OF WRVU'S HE PRODUCES MULTIPLIED BY THE COMPENSATION/WORK RVU CONVERSION FACTOR AS PUBLISHED IN THE MGMA PHYSICIAN COMPENSATION FOR AN ORTHOPEDIC SURGEON. HE IS PAID AN ESTIMATED SALARY IN EQUAL BIWEEKLY INSTALLMENTS AND HIS WRVU'S ARE REVIEWED QUARTERLY. AT THE END OF EACH QUARTER, IF HIS EARNED INCOME (WRVU'S X CONVERSION FACTOR) EXCEEDS HIS ESTIMATED SALARY, PAYMENT IS MADE TO HIM FOR THE EXCESS AMOUNT. DR. KENNETH DOOLITTLE IS PAID BASED ON WORK RVU ("WRVU" RELATIVE VALUE UNIT) PROGRAM. HIS SALARY IS BASED ON THE AGGREGATE NUMBER OF WRVU'S HE PRODUCES MULTIPLIED BY THE COMPENSATION/WORK RVU CONVERSION FACTOR AS PUBLISHED IN THE MGMA PHYSICIAN COMPENSATION FOR A GENERAL ORTHOPEDIC SURGEON. HE IS PAID AN ESTIMATED SALARY IN EQUAL BIWEEKLY INSTALLMENTS AND HIS WRVU'S ARE REVIEWED SEMIANNUALLY. AT THE END OF EACH SIX MONTH PERIOD, IF HIS EARNED INCOME (WRVU'S X CONVERSION FACTOR) EXCEEDS HIS ESTIMATED SALARY, PAYMENT IS MADE TO HIM FOR THE EXCESS AMOUNT. DR. ALIX TERCIUS IS PAID BASED ON WORK RVU ("WRVU" - RELATIVE VALUE UNIT) PROGRAM. HIS SALARY IS BASED ON THE AGGREGATE NUMBER OF WRVU'S HE PRODUCES MULTIPLIED BY THE COMPENSATION/WORK RVU CONVERSION FACTOR AS PUBLISHED IN THE MGMA PHYSICIAN COMPENSATION FOR AN INVASIVE-INTERVENTIONAL CARDIOLOGIST. HE IS PAID AN ESTIMATED SALARY IN EQUAL BIWEEKLY INSTALLMENTS AND HIS WRVU'S ARE REVIEWED QUARTERLY. AT THE END OF EACH QUARTER, IF HIS EARNED INCOME (WRVU'S X CONVERSION FACTOR) EXCEEDS HIS ESTIMATED SALARY, PAYMENT IS MADE TO HIM FOR THE EXCESS AMOUNT. DR. GANGARAM RASA IS PAID BASED ON WORK RVU ("WRVU" - RELATIVE VALUE UNIT) PROGRAM. HIS SALARY IS BASED ON THE AGGREGATE NUMBER OF WRVU'S HE PRODUCES MULTIPLIED BY THE COMPENSATION/WORK RVU CONVERSION FACTOR AS PUBLISHED IN THE MGMA PHYSICIAN COMPENSATION FOR AN INVASIVE-INTERVENTIONAL CARDIOLOGIST. HE IS PAID AN ESTIMATED SALARY IN EQUAL BIWEEKLY INSTALLMENTS AND HIS WRVU'S ARE REVIEWED QUARTERLY. AT THE END OF EACH QUARTER, IF HIS EARNED INCOME (WRVU'S X CONVERSION FACTOR) EXCEEDS HIS ESTIMATED SALARY, PAYMENT IS MADE TO HIM FOR THE EXCESS AMOUNT. DR. MICHAEL SULLIVAN IS PAID BASED ON WORK RVU ("WRVU" - RELATIVE VALUE UNIT) PROGRAM. HIS SALARY IS BASED ON THE AGGREGATE NUMBER OF WRVU'S HE PRODUCES MULTIPLIED BY THE COMPENSATION/WORK RVU CONVERSION FACTOR AS PUBLISHED IN THE MGMA PHYSICIAN COMPENSATION FOR A OBGYN. HE IS PAID AN ESTIMATED SALARY IN EQUAL BIWEEKLY INSTALLMENTS AND HIS WRVU'S ARE REVIEWED QUARTERLY. AT THE END OF EACH QUARTER, IF HIS EARNED INCOME (WRVU'S X CONVERSION FACTOR) EXCEEDS HIS ESTIMATED SALARY, PAYMENT IS MADE TO HIM FOR THE EXCESS AMOUNT. DR. BARRY GEORGE IS PAID BASED ON WORK RVU ("WRVU" - RELATIVE VALUE UNIT) PROGRAM. HIS SALARY IS BASED ON THE AGGREGATE NUMBER OF WRVU'S HE PRODUCES MULTIPLIED BY THE COMPENSATION/WORK RVU CONVERSION FACTOR AS PUBLISHED IN THE MGMA PHYSICIAN COMPENSATION FOR AN INVASIVE-INTERVENTIONAL CARDIOLOGIST. HE IS PAID AN ESTIMATED SALARY IN EQUAL BIWEEKLY INSTALLMENTS AND HIS WRVU'S ARE REVIEWED QUARTERLY. AT THE END OF EACH QUARTER, IF HIS EARNED INCOME (WRVU'S X CONVERSION FACTOR) EXCEEDS HIS ESTIMATED SALARY, PAYMENT IS MADE TO HIM FOR THE EXCESS AMOUNT. DR. AMY MURNEN IS PAID BASED ON WORK RVU ("WRVU" - RELATIVE VALUE UNIT) PROGRAM. HER SALARY IS BASED ON THE AGGREGATE NUMBER OF WRVU'S SHE PRODUCES MULTIPLIED BY THE COMPENSATION/WORK RVU CONVERSION FACTOR AS PUBLISHED IN THE MGMA PHYSICIAN COMPENSATION FOR A FAMILY MEDICINE PHYSICIAN. SHE IS PAID AN ESTIMATED SALARY IN EQUAL BIWEEKLY INSTALLMENTS AND HER WRVU'S ARE REVIEWED SEMIANNUALLY. AT THE END OF EACH SIX MONTH PERIOD, IF HER EARNED INCOME (WRVU'S X CONVERSION FACTOR) EXCEEDS HER ESTIMATED SALARY, PAYMENT IS MADE TO HER FOR THE EXCESS AMOUNT.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Related partnerships
Part III: related organizations taxable as a partnership, with the filer's share.
-
KNOX COMMUNITY PAIN MANAGEMENT LLC
RELATED · PAIN MANAGEMENT SERVICES · OH · 51% owned · share of income $285,290 · share of assets $166,138 · general or managing partner
-
KNOX DIAGNOSTIC IMAGING CENTER LLC
RELATED · MEDICAL SERVICES/ ECHOCARDIOLOGY SERVICES · OH · 50% owned · share of income -$36,759 · share of assets $428,340 · general or managing partner
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
KCH DEVELOPMENT
C · MEDICAL BUILDING · OH · 100% owned · share of income $127,840 · controlled entity
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 13 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202333179349308998
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