Totals
- Total revenue
- $235,818,662
- Total expenses
- $234,211,513
- Contributions and grants received
- $5,677,313
- Grants paid
- $9,000
- Program service revenue
- $219,643,670
- Investment income
- $5,969,338
- Other revenue
- $4,528,341
- Total assets, end of year
- $265,134,406
- Total liabilities, end of year
- $81,402,029
- Net assets or fund balances, end of year
- $183,732,377
- Program services expenses (Part IX)
- $178,578,120
- Management and general expenses
- $55,633,393
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $178,578,120
Program services were 76.2% 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)
$4,781,926
-
1f · All other contributions, gifts and grants
$895,387
-
1g · Noncash contributions included above
$3,662
-
2a · Program service revenue: PATIENT SERVICE REVENU
total $212,019,640 · related or exempt $212,019,640
-
2b · Program service revenue: 340B PHARMACY REVENUE
total $7,624,030 · related or exempt $7,624,030
-
3 · Investment income
total $2,130,591 · excluded $2,130,591
-
6a · Gross rents
real property $42,709
-
6b · Less rental expenses
real property $0
-
6c · Rental income or loss
real property $42,709
-
6d · Net rental income or loss
total $42,709 · excluded $42,709
-
7a · Gross sales of assets other than inventory
securities $52,136,917
-
7b · Less cost or other basis and sales expenses
securities $48,017,806 · other assets $280,364
-
7c · Gain or loss
securities $4,119,111 · other assets -$280,364
-
7d · Net gain or loss
total $3,838,747 · excluded $3,838,747
-
11a · Other revenue: OPTICAL REVENUE
total $1,115,845 · related or exempt $1,115,845
-
11b · Other revenue: FOOD AND NUTRITION
total $575,335 · excluded $575,335
-
11c · Other revenue: JOINT VENTURES
total $574,191 · related or exempt $574,191
-
11d · All other revenue
total $2,220,261 · related or exempt $1,691,052 · unrelated business $38,741 · excluded $490,468
-
11e · Other revenue, total
$4,485,632
Functional expenses
Part IX, the statement of functional expenses.
-
2 · Grants to domestic individuals
total $9,000 · program services $9,000
-
5 · Compensation of officers, directors and key employees
total $3,574,781 · program services $2,859,825 · management and general $714,956
-
7 · Other salaries and wages
total $97,778,970 · program services $78,223,176 · management and general $19,555,794
-
8 · Pension plan contributions
total $8,442,483 · program services $6,753,986 · management and general $1,688,497
-
9 · Other employee benefits
total $26,160,615 · program services $20,928,492 · management and general $5,232,123
-
11b · Fees: legal
total $401,705 · management and general $401,705
-
11c · Fees: accounting
total $91,752 · management and general $91,752
-
11f · Fees: investment management
total $250,996 · management and general $250,996
-
11g · Fees: other
total $24,802,895 · program services $14,633,708 · management and general $10,169,187
-
12 · Advertising and promotion
total $690,497 · management and general $690,497
-
13 · Office expenses
total $2,216,833 · program services $2,061,655 · management and general $155,178
-
14 · Information technology
total $3,715,641 · management and general $3,715,641
-
16 · Occupancy
total $3,616,553 · program services $506,317 · management and general $3,110,236
-
17 · Travel
total $169,942 · program services $62,879 · management and general $107,063
-
19 · Conferences, conventions and meetings
total $161,171 · program services $59,633 · management and general $101,538
-
20 · Interest
total $3,418,900 · management and general $3,418,900
-
22 · Depreciation, depletion and amortization
total $7,826,993 · program services $3,678,687 · management and general $4,148,306
-
23 · Insurance
total $1,453,763 · program services $130,839 · management and general $1,322,924
-
24a · Other expenses: DRUGS AND SUPPLIES
total $38,081,058 · program services $38,081,058
-
24b · Other expenses: MEDICAL PROFESSIONAL FE
total $5,029,465 · program services $5,029,465
-
24c · Other expenses: MEDICAID FRANCHISE FEE
total $4,416,673 · program services $3,886,672 · management and general $530,001
-
24d · Other expenses: BOOKS & SUBSCRIPTIONS
total $498,357 · program services $438,554 · management and general $59,803
-
24e · All other expenses
total $1,402,470 · program services $1,234,174 · management and general $168,296
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $17,844 · end of year $36,041
-
2 · Savings and temporary cash investments
beginning of year $3,514,135 · end of year $4,804,936
-
4 · Accounts receivable
beginning of year $31,941,214 · end of year $38,306,133
-
8 · Inventories for sale or use
beginning of year $2,710,979 · end of year $3,212,485
-
9 · Prepaid expenses and deferred charges
beginning of year $4,144,980 · end of year $4,793,505
-
10a · Land, buildings and equipment: cost or other basis
$201,556,113
-
10b · Land, buildings and equipment: accumulated depreciation
$89,599,367
-
10c · Land, buildings and equipment, net
beginning of year $115,665,188 · end of year $111,956,746
-
11 · Investments: publicly traded securities
beginning of year $92,153,769 · end of year $94,935,263
-
14 · Intangible assets
beginning of year $181,295 · end of year $133,589
-
15 · Other assets
beginning of year $10,358,177 · end of year $6,955,708
-
17 · Accounts payable and accrued expenses
beginning of year $20,326,577 · end of year $20,043,028
-
23 · Secured mortgages and notes payable
beginning of year $61,845,138 · end of year $59,466,982
-
25 · Other liabilities
beginning of year $2,795,424 · end of year $1,892,019
-
27 · Net assets without donor restrictions
beginning of year $173,912,658 · end of year $182,053,067
-
28 · Net assets with donor restrictions
beginning of year $1,807,784 · end of year $1,679,310
Mission and programs · 2023
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 HEALTH CARE. FOR 2023, THE HOSPITAL HAD 3,346 INPATIENT ADMISSIONS, 24,776 ER VISITS, 155,485 OUTPATIENT VISITS, 80,612 RADIOLOGY PROCEDURES, AND 5,837 INPATIENTS & OUTPATIENT SURGERIES (INCLUDING ENDOSCOPIES). DURING 2023, THE HOSPITAL HAD 57 EMPLOYED PHYSICIANS WITH 172,153 OFFICE CLINIC VISITS. IN 2023, KNOX COMMUNITY HOSPITAL PROVIDED A BROAD ARRAY OF HEALTH EDUCATION AND AWARENESS RESOURCES AS WELL AS PREVENTION INFORMATION AND SERVICES/SCREENINGS FREE OF CHARGE TO SUPPORT THE HEALTH AND WELLBEING OF THE KNOX AREA COMMUNITY. COMMUNITY EVENTS HAVE INCREASED WITHIN THE LAST YEAR AS MANY NON-PROFIT ORGANIZATIONS ARE HOLDING FIRST-TIME EVENTS, OR RETURNING EVENTS THEY HAD CEASED DURING COVID. KCH WAS ABLE TO PROVIDE PROGRAMS AND SERVICES FOR THE COMMUNITY BENEFIT THROUGH A NUMBER OF DIFFERENT METHODS.
Expenses $178,578,120 · Grants $9,000 · Revenue $223,024,758
-
VOLUNTEERS REMAINED ACTIVE IN SPECIFIC AREAS OF THE HOSPITAL, PROVIDING NEEDED SERVICES SUCH ASSISTING VISITORS AT THE FRONT DESKS OF THE HOSPITAL'S THREE MAIN BUILDINGS, ASSISTING PATIENTS IN SURGERY WAITING, MANAGING THE TWO GIFT SHOPS AND ASSISTING IN THE CENTER FOR CANCER CARE. FUNDS RAISED THROUGH THE GIFT SHOPS PROVIDE HEALTH CARE SCHOLARSHIPS TO LOCAL STUDENTS. A TOTAL OF 53 VOLUNTEERS SERVED 7,616 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 2023 WAS 5,139, WITH ADDITIONAL 1,390 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 HAS REACHED 10% OF THE TOTAL POPULATION OF APPROXIMATELY 62,700. KNOX COMMUNITY HOSPITAL CONDUCTED MONTHLY DIABETES SUPPORT GROUP CLASSES FOR OVER 20 PARTICIPANTS FROM THE COMMUNITY. TOPICS VARY BUT INCLUDE MANAGING YOUR CONDITION, HEALTHY DIET, PROTEIN SUPPLEMENTS, AND OTHER PREVENTIVE MEASURES WITH AN ADVANCED PRACTITIONER. AS WELL, CLINICAL STAFF FROM BOTH DIABETES EDUCATION AND STROKE PREVENTION PROGRAMS SHARED EDUCATIONAL RESOURCES WITH 130+ SENIOR CITIZENS AT THE SENIOR RESOURCE DAY HELD IN SEPT. 2023. THE HALF-DAY COMMUNITY EVENT WAS SPONSORED BY KNOX COUNTY TASK FORCE FOR OLDER ADULTS. 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, STREETLAMP BANNERS IN DOWNTOWN MOUNT VERNON. 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 2023 FOR A NOMINAL FEE PER MONTH AT DANVILLE, UTICA, FREDERICKTOWN, EAST KNOX AND CENTERBURG WHILE ALSO DONATING $ 216,344 WORTH OF OUR TRAINERS' TIME. IN THE FALL OF 2023, KCH ALSO DONATED $5,000 TOWARD THE PURCHASE OF EXERCISE BALLS FOR THE "CRUNCH OUT OBESITY" PROGRAM BENEFITING 500+ ELEMENTARY SCHOOL STUDENTS, IN PARTNERSHIP WITH UNITED WAY OF KNOX COUNTY. THE PHYSICAL EDUCATION TEACHERS DISTRIBUTED THESE EXERCISE BALLS TO GRADE SCHOOL STUDENTS VIA HANDS ON ACTIVITIES. AS WELL, A SEPARATE EVENT WAS HELD IN AUGUST WITH A FOCUS ON WEIGHT LOSS, AND 26 PEOPLE ATTENDED THE PRESENTATION BY KCH DIETITIAN ABOUT PROTEIN SUPPLEMENTS AND HEALTHY DIET. IN NOVEMBER, A DOC TALK FEATURING A CNP FROM THE CENTER FOR WEIGHT MANAGEMENT SERVED 36 COMMUNITY MEMBERS. THE DISCUSSION WAS FOCUSED ON OBESITY AS A CHRONIC CONDITION AND DIFFERENT TREATMENT METHODS. MENTAL HEALTH AND SUBSTANCE ABUSE CONTINUE TO BE A TOP PRIORITY CONCERNS IDENTIFIED THROUGH THE COMMUNITY HEALTH ASSESSMENT. WHEN KCH SEE PATIENTS WITH A MENTAL HEALTH OR BEHAVIORAL HEALTH CONDITION AND/OR DIAGNOSIS, WE OFTEN COLLABORATE WITH OTHER ORGANIZATIONS 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 SUCH AS BEHAVIORAL HEALTH PARTNERS, TO DETERMINE THE NEXT STEPS. IN ADDITION, SUBSTANCE ABUSE IS SOMETIMES FOUND ALONG WITH MENTAL HEALTH CONCERNS, AND IN THOSE CASES, KCH MAY REFER TO NEW VISION (MEDICALLY STABILIZED WITHDRAWAL TREATMENT) 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 AUGUST 2023, AN ADDICTS COMEDY SHOW WAS HOSTED BY MOUNT VERNON ARTS CONSORTIUM AT THE KNOX MEMORIAL THEATRE AND KCH SPONSORED THIS EVENT. AN ESTIMATED 150 PEOPLE ATTENDED, AND THE HOSPITAL'S ER DIRECTOR CHRIS WHITE AND NEW VISION DIRECTOR CHRIS DRAKE PROVIDED INFORMATIONAL BROCHURES/FLYERS ABOUT ADDICTION RECOVERY SERVICES, SEXUAL ASSAULT, HUMAN TRAFFICKING, AND OTHER ISSUES THAT CAN BE INTERTWINED WITH AND AFFECT BOTH MENTAL HEALTH AND SUBSTANCE ABUSE.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 LACTATION SUPPORT FOR NEW PARENTS, TO NAME A FEW. IN THE LATTER PART OF 2023, ATTENDANCE AT THESE CLASSES INCREASED. THE CHILDBIRTH EDUCATION CLASSES ARE CRITICAL FOR OUR RURAL POPULATION DUE TO 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 39 PEOPLE PARTICIPATED IN THE CHILDBIRTH CLASSES. STAFF HOURS TO PREPARE AND DELIVER THIS MATERIAL TOTALED ABOUT 11 HOURS FOR THE YEAR. EXPENSES FOR THESE CLASSES AVERAGED $471 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 2023 THROUGH NINE BLOOD DRIVES HOSTED IN THE EDUCATION RESOURCE ROOM AT KCH, A TOTAL OF 305+ UNITS OF BLOOD* WAS COLLECTED FROM 305 PEOPLE. THIS SPACE IS RENT-FREE TO THE RED CROSS, AMOUNTING TO 72 HOURS OF FREE SPACE USAGE DURING THE YEAR. *THIS ESTIMATED NUMBER OF UNITS IS BASED ON ONE UNIT PER PERSON, WHILE WE KNOW THAT SOME DO "POWER RED" DONATION WHICH MAY COUNT FOR MORE UNITS. THIS IS CONSERVATIVE ESTIMATE ONLY.HEART HEALTH IS A CRITICAL CONCERN THROUGHOUT THE KNOX COUNTY COMMUNITY, AND KCH PROVIDES A CARDIOVASCULAR DEPARTMENT THAT IS AN ACCREDITED CHEST PAIN CENTER. SINCE HEART FAILURE AND HEART ATTACKS ARE OFTEN RELATED TO OTHER CHRONIC CONDITIONS SUCH AS OBESITY AND SUBSTANCE ABUSE (PREVALENT PER THE COMMUNITY HEALTH NEEDS ASSESSMENT), KCH PROVIDES RELATED EDUCATION AT AREA EVENTS THROUGHOUT THE YEAR. OUR STROKE PREVENTION COORDINATOR, AMANDA WELLS, LEADS THE HOSPITAL'S NATIONALLY RECOGNIZED STROKE PREVENTION PROGRAM, AND PARTICIPATED IN THE HEALTH & SAFETY EVENT FOR AMISH IN SEPTEMBER 2023, SERVING UP TO 150 PEOPLE WITH STROKE PREVENTION AND AWARENESS RESOURCES. HELD ANNUALLY IN JULY, THE KNOX COUNTY FAIR IS VERY POPULAR AND WELL ATTENDED. KCH SPONSORED A DAY AT THE FAIR ON MONDAY, JULY 24TH, WITH STAFF AT EACH OF THE SIX ENTRANCE GATES GREETING VISITORS AND HANDING OUT HEALTH INFORMATION AND BRANDED GIVEAWAY ITEMS TO APPROXIMATELY 1,000 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 TOTALED APPROXIMATELY $300.DURING 2023, 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.KCH PUBLISHES A NEWSLETTER, KNOX WISE, DEVELOPED IN HOUSE, PRINTED PROFESSIONALLY AND MAILED OUT TO 25,945 RESIDENTS IN THE COUNTY. THIS NEWSLETTER IS AN 8-PAGE RESOURCE THAT HIGHLIGHTS COMMON MEDICAL CONDITIONS AND TREATMENT OPTIONS. IN 2023, THREE ISSUES WERE PUBLISHED FOR TOTAL TIME INVESTMENT OF 90 STAFF HOURS. THE TOTAL COST FOR FINAL DESIGN AND PRINTING PER ISSUE IS $16,000. HIGHLIGHTS FROM 2023 INCLUDED SUMMER SAFETY TIPS FOR FAMILIES, PRENATAL CARE, EARLY HEART ATTACK CARE, AND RADIOLOGY FOR CANCER PATIENTS. UNDER THE DIRECTION OF MID-OHIO CORPORATE CARE, WHICH IS A PARTNERSHIP WITH AREA EMPLOYERS, KCH PROVIDED WELLNESS ACTIVITIES AND RESOURCES TO 1,147 LOCAL EMPLOYEES REPRESENTING AT LEAST 12 DIFFERENT KNOX COUNTY EMPLOYERS. THESE ACTIVITIES AND RESOURCES INCLUDED FLU CLINICS, ERGONOMICS TRAINING, WALKING CHALLENGE, HEALTHY EATING PRESENTATIONS, WELLNESS TIPS VIA NEWSLETTER, AND MORE.
As filed on the 2023 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
-
Mark RamserMARK RAMSER
SECRETARY
- 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
- $1,006,033
- From this org
- $942,975
- From related orgs
- $0
- Other
- $63,058
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $940,270
- Bonus
- $0
- Other
- $2,705
- Deferred
- $22,500
- Nontaxable benefits
- $40,558
- Filer's total
- $1,006,033
-
Judy GreggJUDY GREGG
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1.5
-
Korey KidwellKOREY KIDWELL
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1.5
-
Amy D Murnen MDAMY D MURNEN MD
TRUSTEE/FAMILY MEDICINE
- Total calculated
- $275,350
- From this org
- $240,079
- From related orgs
- $0
- Other
- $35,271
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $219,518
- Bonus
- $19,968
- Other
- $593
- Deferred
- $22,500
- Nontaxable benefits
- $12,771
- Filer's total
- $275,350
-
Vickie SantVICKIE SANT
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1.5
-
Christopher E SmithCHRISTOPHER E SMITH
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1.5
-
Michael Sullivan MDMICHAEL SULLIVAN MD
TRUSTEE/OBGYN
- Total calculated
- $558,185
- From this org
- $521,591
- From related orgs
- $0
- Other
- $36,594
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $519,205
- Bonus
- $0
- Other
- $2,386
- Deferred
- $22,500
- Nontaxable benefits
- $14,094
- Filer's total
- $558,185
-
Jan ThomasJAN THOMAS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1.5
-
Julie MillerJULIE MILLER
TRUSTEE PARTIAL TERM
- Total calculated
- $0
- Hours/week
- 1.5
-
Bruce WhiteBRUCE WHITE
CEO
- Total calculated
- $669,684
- From this org
- $532,340
- From related orgs
- $0
- Other
- $137,344
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $525,080
- Bonus
- $0
- Other
- $7,260
- Deferred
- $0
- Nontaxable benefits
- $137,344
- Filer's total
- $669,684
-
Michael AmbrosianiMICHAEL AMBROSIANI
CFO
- Total calculated
- $411,766
- From this org
- $327,318
- From related orgs
- $0
- Other
- $84,448
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $327,318
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $84,448
- Filer's total
- $411,766
-
Bruce BehnerBRUCE BEHNER
COO
- Total calculated
- $411,766
- From this org
- $327,318
- From related orgs
- $0
- Other
- $84,448
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $327,318
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $84,448
- Filer's total
- $411,766
-
Carol N EmeryCAROL N EMERY
CHIEF NURSING OFFICER
- Total calculated
- $241,997
- From this org
- $219,570
- From related orgs
- $0
- Other
- $22,427
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $219,330
- Bonus
- $0
- Other
- $240
- Deferred
- $7,374
- Nontaxable benefits
- $15,053
- Filer's total
- $241,997
-
Gregory CushGREGORY CUSH
ORTHOPAEDIC SURGEON
- Total calculated
- $1,269,463
- From this org
- $1,206,203
- From related orgs
- $0
- Other
- $63,260
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $1,095,632
- Bonus
- $108,175
- Other
- $2,396
- Deferred
- $22,500
- Nontaxable benefits
- $40,760
- Filer's total
- $1,269,463
-
Jarrett B HelmingJARRETT B HELMING
ORTHOPAEDIC SURGEON
- Total calculated
- $1,139,440
- From this org
- $1,076,180
- From related orgs
- $0
- Other
- $63,260
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $842,347
- Bonus
- $233,473
- Other
- $360
- Deferred
- $22,500
- Nontaxable benefits
- $40,760
- Filer's total
- $1,139,440
-
Alix TerciusALIX TERCIUS
CARDIOLOGIST
- Total calculated
- $1,026,754
- From this org
- $964,639
- From related orgs
- $0
- Other
- $62,115
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $924,057
- Bonus
- $40,000
- Other
- $582
- Deferred
- $22,500
- Nontaxable benefits
- $39,615
- Filer's total
- $1,026,754
-
Kenneth H Doolittle IIKENNETH H DOOLITTLE II
ORTHOPAEDIC SURGEON
- Total calculated
- $919,488
- From this org
- $875,757
- From related orgs
- $0
- Other
- $43,731
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $789,331
- Bonus
- $84,050
- Other
- $2,376
- Deferred
- $22,500
- Nontaxable benefits
- $21,231
- Filer's total
- $919,488
-
Gangaram RasaGANGARAM RASA
CARDIOLOGIST
- Total calculated
- $944,811
- From this org
- $901,281
- From related orgs
- $0
- Other
- $43,530
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $898,576
- Bonus
- $0
- Other
- $2,705
- Deferred
- $22,500
- Nontaxable benefits
- $21,030
- Filer's total
- $944,811
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 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. ALIX TERCIUS IS PAID BASED ON WORK RVU ("WRVU" - RELATIVE VALUE UNIT) 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 AN 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 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) 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 QUARTERLY. AT THE END OF EACH QUARTER, 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 $571,115 · share of assets $363,445 · general or managing partner
-
KNOX DIAGNOSTIC IMAGING CENTER LLC
RELATED · MEDICAL SERVICES/ ECHOCARDIOLOGY SERVICES · OH · share of income $8,687 · general or managing partner
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 29 October 2024
- IRS schema version
- 2023v5.1
- Source object
- 202403039349300900
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