SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
PORTSMOUTH HOSPITAL CORPORATION
 
Employer identification number

45-3215312
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . .
    78,491   78,491 0.400 %
b Medicaid (from Worksheet 3, column a) . . . . .     5,632,119 3,891,918 1,740,201 8.920 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     5,710,610 3,891,918 1,818,692 9.320 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     70,024   70,024 0.360 %
f Health professions education (from Worksheet 5) . . .            
g Subsidized health services (from Worksheet 6) . . . .            
h Research (from Worksheet 7) .            
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     4,328   4,328 0.020 %
j Total. Other Benefits . .     74,352   74,352 0.380 %
k Total. Add lines 7d and 7j .     5,784,962 3,891,918 1,893,044 9.700 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and
training for community members
           
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
646,276
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
 
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
3,977,644
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
5,355,910
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-1,378,266
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 PORTSMOUTH HOSPITAL CORPORATION
1901 ARGONNE RD
PORTSMOUTH,OH45662
WWW.KDMCOHIO.COM
X X         X   URGENT CARE - 24 HOURS  
Schedule H (Form 990) 2019
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Schedule H (Form 990) 2019
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Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
PORTSMOUTH HOSPITAL CORP DBA KDMC OHIO
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 18
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): KINGSDAUGHTERSHEALTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2019
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Schedule H (Form 990) 2019
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Part VFacility Information (continued)

Financial Assistance Policy (FAP)
PORTSMOUTH HOSPITAL CORP DBA KDMC OHIO
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
KINGSDAUGHTERSHEALTH.COM/PATIENT-VISITORS/FINANCIAL-SERVICES-RESOURCES/
b
KINGSDAUGHTERSHEALTH.COM/PATIENT-VISITORS/FINANCIAL-SERVICES-RESOURCES/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
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Schedule H (Form 990) 2019
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Part VFacility Information (continued)

Billing and Collections
PORTSMOUTH HOSPITAL CORP DBA KDMC OHIO
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
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Schedule H (Form 990) 2019
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Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
PORTSMOUTH HOSPITAL CORP DBA KDMC OHIO
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24 Yes  
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
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Schedule H (Form 990) 2019
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Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
PORTSMOUTH HOSPITAL CORP DBA KDMC OHIO PART V, SECTION B, LINE 5: THE NEED ASSESSMENT WAS CONDUCTED WITH INPUT FROM THE BROAD COMMUNITY THROUGH AN ASSESSMENT CONDUCTED BY PRC FOR SCIOTO COUNTY MEDICAL CENTER, KING'S DAUGHTERS OHIO (KDOH) AND THE SCIOTO COUNTY AND PORTSMOUTH CITY HEALTH DEPARTMENTS. INPUT WAS GATHERED FROM A BROAD COMMUNITY QUESTIONNAIRE, A KEY INFORMANT QUESTIONNAIRE AND FOCUS GROUPS. WHILE KDOH ONLY USED THE SCIOTO COUNTY INFORMATION, THE ASSESSMENT PROVIDED ADDITIONAL INFORMATION ABOUT COUNTIES AND COMMUNITIES BEYOND KDOH'S SERVICE AREA. KDOH SUPPLEMENTED THE PRC REPORT WITH ADDITIONAL INFORMATION TO PREPARE ITS COMMUNITY HEALTH NEED ASSESSMENT AND DEVELOP THE IMPLEMENTATION PLAN.
PORTSMOUTH HOSPITAL CORP DBA KDMC OHIO PART V, SECTION B, LINE 6A: SOUTHERN OHIO MEDICAL CENTER (SOMC)
PORTSMOUTH HOSPITAL CORP DBA KDMC OHIO PART V, SECTION B, LINE 11: IN 2019, KDOH CONDUCTED A NEW CHNA, THROUGH WHICH FIVE PRIMARY NEEDS WERE IDENTIFIED OBESITY, TOBACCO USE/SMOKING, CARDIOVASCULAR DISEASE, CANCER, AND DIABETES. THE HOSPITAL DEVELOPED AN IMPLEMENTATION PLAN, WHICH COVERS TWO YEARS, TO ADDRESS THESE NEEDS. EACH NEED WAS ADDRESSED USING MULTIPLE APPROACHES, AS FOLLOWS:- OBESITY/NUTRITION: KDOH IS ADDRESSING OBESITY/NUTRITION THROUGH EDUCATION PROGRAMS AT SCHOOLS, COMMUNITY EVENTS, COUNTY FAIRS AND THE LOCAL FARMER'S MARKET. DUE TO COVID-19, KDOH TOOK THEIR NUTRITION PROGRAMS MOBILE THROUGH A MOBILE MARKET THAT PROVIDED EDUCATION AND HEALTHY FOODS. KDOH ALSO IS ADDRESSING FOOD INSECURITY THROUGH PROGRAMS THAT HELP FEED PEOPLE INCLUDING FOOD DRIVES AND DONATIONS. IN ADDITION TO ADDRESS OBESITY, KDOH IS SUPPORTING PHYSICAL OPPORTUNITIES IN THE COUNTY.- HEART DISEASE: HEART DISEASE IS THE NUMBER ONE CAUSE OF DEATH IN THE COUNTY. TO ADDRESS HEART DISEASE, KDOH IS PROVIDING FREE HEALTHY HEART SCREENINGS (INCLUDES CHOLESTEROL, BLOOD SUGAR, AND BLOOD PRESSURE SCREENINGS). IN ADDITION, HEART EDUCATION IS BEING PROVIDED WHICH FOCUSES ON PREVENTION AND THE SIGNS AND SYMPTOMS OF A HEART ATTACK.- CANCER PREVENTION/EARLY DETECTION (INCLUDING TOBACCO USE): KDOH ADOPTED STRATEGIES TO HELP REDUCE THE OVERALL CANCER DEATH RATE IN THE COUNTY. USING AN EARLY DETECTION THROUGH SCREENING APPROACH, KDOH IS WORKING TO INCREASE SCREENINGS FOR LUNG, COLON, AND BREAST CANCERS. IN ADDITION, KDOH IS WORKING TO REDUCE TOBACCO USE THROUGH EDUCATION, PREVENTION, AND CESSATION PROGRAMS.KDOH ADDRESSED ALL OF THE SIGNIFICANT NEEDS IDENTIFIED THROUGH THE CHNA.
PORTSMOUTH HOSPITAL CORP DBA KDMC OHIO PART V, SECTION B, LINE 24: FAP ELIGIBLE PATIENTS ARE CHARGED THE GROSS CHARGE FOR ANY SERVICES EXCLUDED FROM ELIGIBILITY AS DEFINED WITHIN THE FAP, WHICH ARE DEFINED AS ELECTIVE SERVICES AND THEREFORE NOT MEDICALLY NECESSARY.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2019
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Schedule H (Form 990) 2019
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?  
Name and address Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2019
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Schedule H (Form 990) 2019
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
PART I, LINE 7: KDOH USED WORKSHEET 2 PROVIDED IN THE SCHEDULE H INSTRUCTIONS (FORM 990) TO CALCULATE A COST TO CHARGE RATIO. THIS RATIO WAS USED TO CALCULATE CHARITY CARE AT COST (A. ABOVE). TO CALCULATE THE UNPAID COSTS OF MEDICAID (B), THE HOSPITAL'S COST ACCOUNTING SYSTEM WAS USED. REMAINING ITEMS WERE REPORTED AT NET EXPENSE.
PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $2,133,555.
PART III, LINE 2: BAD DEBT EXPENSE IS RECORDED AFTER ANY DISCOUNTS AND PAYMENTS ARE MADE ON PATIENT ACCOUNTS. KDOH USED WORKSHEET 2 PROVIDED IN THE SCHEDULE H INSTRUCTIONS (FORM 990) TO CALCULATE A COST OF CHARGE RATIO. THIS RATIO WAS USED TO CALCULATE BAD DEBT EXPENSE AT COST.
PART III, LINE 3: BAD DEBT EXPENSE IS RECORDED AFTER ANY DISCOUNTS AND PAYMENTS ARE MADE ON PATIENT ACCOUNTS. THE BUSINESS OFFICE DOES NOT KEEP TRACK OF "NO-RESPONSE" APPLICATIONS ANNUALLY AND DOES NOT FEEL THAT THE PORTION CONSIDERED TO BE A COMMUNITY BENEFIT IS MATERIAL.
PART III, LINE 4: PATIENT ACCOUNTS RECEIVABLE ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THE MEDICAL CENTER ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SERVICE PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE MEDICAL CENTER ANALYZES CONTRACTUAL AMOUNTS DUE AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND INSURED PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES), THE MEDICAL CENTER RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE BILLED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
PART III, LINE 8: THE HOSPITAL CONTINUES TO PROVIDE CARE TO ALL PRESENTING AND ADMITTED PATIENTS, REGARDLESS OF ABILITY TO PAY. NOTWITHSTANDING THE COSTS TO PROVIDE CARE, RECEIVING "LESS" THAN WHAT IT COSTS TO PROVIDE ADEQUATE CARE TO MEDICARE COVERED LIVES DOES THE HOSPITAL A DISSERVICE. THE SHORTFALL SHOULD COUNT AS A COMMUNITY BENEFIT. THE HOSPITAL USES ALLOWABLE COSTS PER THE MEDICARE COST REPORT, FY2020 COST REPORT DATA, AND PROVIDER SUMMARY REPORT (PSR) WAS USED TO COMPUTE THE INFORMATION.
PART III, LINE 9B: THE HOSPITAL HAS A WRITTEN POLICY FOR BAD DEBT. UNINSURED PATIENTS ARE SCREENED FOR ELIGIBILITY FOR MEDICARE, MEDICAID, AND OTHER SUCH PROGRAMS BY A CONTRACTED VENDOR. ALL PATIENTS, INSURED AND UNINSURED, WITH VALID MAILING ADDRESSES RECEIVE POST-DISCHARGE BILLING STATEMENTS OVER THE COURSE OF A 120 DAY PERIOD. IF THERE ARE NO ACTIVE DISPUTES OR OTHER PAYMENT SOURCES AVAILABLE, AND THE BALANCE IS UNPAID AT THE END OF THE STATEMENT PERIOD, THE ACCOUNT WILL BE PLACED WITH A COLLECTION AGENCY TO REPORT AS A BAD DEBT. EACH STATEMENT INCLUDES INFORMATION REGARDING THE AVAILABILITY OF THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM ALONG WITH A NUMBER WHERE REPRESENTATIVES CAN BE REACHED FOR ASSISTANCE.
PART VI, LINE 2: IN 2019 THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED AS A COLLABORATIVE EFFORT BETWEEN KDOH, SOUTHERN OHIO MEDICAL CENTER, LOCAL HEALTH DEPARTMENTS, THE SCIOTO COUNTY HEALTH COALITION, OTHER NON-PROFITS, AND THE CHNA ADVISORY GROUP. THE ASSESSMENT WAS CONDUCTED FOR KDOH'S PRIMARY MARKET OF SCIOTO COUNTY. PRIMARY DATA WAS COLLECTED THROUGH PRC FROM FOCUS GROUPS, A COMMUNITY QUESTIONNAIRE, KEY INFORMANT SURVEY AND BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM RESULTS. THE PRIMARY DATA WAS COMPARED TO SECONDARY DATA COLLECTED USING LOCAL, STATE, AND NATIONAL STATISTICS FOR SCIOTO COUNTY. FROM THESE MULTIPLE DATA SOURCES, THE KDOH LEADERSHIP TEAM ADOPTED THE NEEDS TO BE MET.THE CHNA HELPED KDOH DETERMINE WHAT AGENCIES WERE DOING TO MEET AND OR IMPROVE HEALTHCARE NEEDS IN THE COUNTY; LEARN WHAT HEALTHCARE NEEDS WERE NOT BEING MET AND WHY; DETERMINE THE STRENGTHS AND WEAKNESSES OF CURRENT RESOURCES AND TO INVESTIGATE WHAT CAN BE DONE TO IMPROVE THE HEALTH OF THE COMMUNITY.ALL PRIMARY NEEDS THE 2019 CHNA IDENTIFIED ARE BEING ADDRESSED IN THE IMPLEMENTATION PLAN.
PART VI, LINE 3: THE MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY PROVIDES DIRECTION FOR FREE OR DISCOUNTED SERVICES TO RESIDENTS OF THE COMMUNITY WHO HAVE INADEQUATE FINANCIAL RESOURCES TO PAY FOR NECESSARY HEALTHCARE SERVICES PROVIDED BY KING'S DAUGHTERS. THE POLICY STATES THAT THE MEDICAL CENTER WILL NOT DENY CARE TO ANY PATIENT REQUIRING CARE DUE TO THEIR INABILITY TO PAY. THE FINANCIAL ASSISTANCE POLICY PROVIDES GUIDANCE TO PROVIDING ASSISTANCE BASED ON SLIDING SCALE METHODOLOGY AND THE FEDERAL POVERTY GUIDELINES ESTABLISHED BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES. PATIENTS REQUIRING CARE WITH INCOME BELOW 300% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR FREE OR REDUCED COST SERVICES. KING'S DAUGHTERS ALSO CONTRACTS WITH OUTSIDE VENDORS TO ASSIST PATIENTS IN GOVERNMENT ENROLLMENT PROGRAMS. THERE ARE SIGNS POSTED IN VARIOUS REGISTRATION AREAS INFORMING PATIENTS OF THE PHONE NUMBER TO CALL IF THEY NEED FINANCIAL ASSISTANCE. ON EACH PATIENT STATEMENT THE INFORMATION IS ALSO PRINTED WITH THE PHONE NUMBER. ALL SELF-PAY PATIENTS RECEIVE CORRESPONDENCE AND PHONES CALLS AND INPATIENTS RECEIVE VISITS FROM OUR MEDICAID ELIGIBILITY VENDOR IN REFERENCE TO GOVERNMENT PROGRAMS.
PART VI, LINE 4: THE SERVICE AREA FOR KING'S DAUGHTERS OHIO IS SCIOTO COUNTY, OHIO. ACCORDING TO THE US CENSUS BUREAU, ESTIMATES AVAILABLE AS OF APRIL 26, 2021, A TOTAL OF 75,314 PEOPLE LIVE IN THE COUNTY, WHICH COVERS 610.2 SQUARE MILES. THE POPULATION DENSITY IS APPROXIMATELY 123 PERSONS PER SQUARE MILE. THE AREA IS PREDOMINANTLY RURAL (47.19%), WITH AN URBAN POPULATION AT 35.3% AND SUBURBAN (17.5%). OF THE POPULATION, 94.4% ARE WHITE, 2.7% ARE BLACK, 1.4% HISPANIC/LATINO AND 1.5% MAKE UP ALL OTHER RACES. THERE ARE MORE FEMALES (50.8%) THAN MALES (49.2%) IN THE AREA. THE MEDIAN FAMILY INCOME IS $41,530, COMPARED TO OHIO ($56,602). PER CAPITA INCOME IS $23,719, COMPARED TO OHIO ($31,552). APPROXIMATELY 21.9% OF THE POPULATION LIVES IN POVERTY. NEARLY SEVEN-PERCENT (6.8%) OF THE POPULATION UNDER THE AGE OF 65 IS WITHOUT ANY FORM OF HEALTHCARE COVERAGE. AS OF APRIL 2021, THE UNEMPLOYMENT RATE FOR THE FOUR-COUNTY AREA IS 5.9%.
PART VI, LINE 5: KDOH PROVIDES FREE EDUCATIONAL AND SCREENING SERVICES IN SCIOTO COUNTY, THE PRIMARY MARKET. KDOH WORKS WITH CHURCHES, SCHOOLS, BUSINESSES, AND COMMUNITY GROUPS TO HELP IMPROVE HEALTH THROUGHOUT THE COUNTY. THE FOLLOWING ACTIVITIES, WHICH CONTRIBUTE TO COMMUNITY HEALTH, BUT ARE NOT SPECIFIC TO THE IMPLEMENTATION PLAN GOALS AND OBJECTIVES WERE PROVIDED:1) COVID RESPONSE: COVID-19 HIT THE AREA IN MARCH OF 2020. IN RESPONSE TO THE PANDEMIC, KDOH PROVIDED ACCESS TO COVID-19 SCREENING USING LABS OUTSIDE THE HEALTH SYSTEM FOR THE RESULTS. THIS PROCESS WAS VERY SLOW, WITH RESULTS OFTEN TAKING DAYS TO BE RECEIVED; SO KDOH PARTNERED WITH SISTER HOSPITAL KDMC WHO PURCHASED NEW LAB EQUIPMENT THAT COULD PROVIDE RESULTS IN A MORE-TIMELY MANNER. BEGINNING IN MAY 2020, KDMC'S LAB STARTED PROCESSING THE TESTS FOR COVID-19; PROVIDING THE RESULTS TO PATIENTS IN LESS THAN 24 HOURS. DURING THE FISCAL YEAR, KDOH PROVIDED MORE THAN 58,300 COVID-19 SCREENING TESTS AND 652 SARS COV-2 IGG ANTIBODY TESTS. 2) OTHER SCREENING AND HEALTH EDUCATION ACTIVITIES:SCREENINGS, IMMUNIZATIONS AND PHYSICALS:- SPORTS PHYSICALS- 90 YOUTH SERVED- LOW-COST BLOOD PROFILES 334 SERVED- LOW-COST A1C TESTS 255 SERVEDHEALTH EDUCATION:- FLU 3 ADULTS; 10 CHILDREN/YOUTH SERVED- HANDWASHING 3,058 ADULTS; 10 CHILDREN/YOUTH SERVED- HYPERTENSION 100 ADULTS SERVED- PROSTATE CANCER 2,085 ADULTS SERVED- SKIN CANCER 457 ADULTS SERVED- STROKE 1,102 ADULTS SERVED- CHRONIC PAIN SUPPORT GROUP 60 ADULTS SERVEDOTHER COMMUNITY ACTIVITIES:- BLOOD DRIVES: KDOH PARTNERED WITH THE KENTUCKY BLOOD BANK TO INCREASE BLOOD DONATIONS BY ENCOURAGING TEAM MEMBERS TO PARTICIPATE IN LOCAL BLOOD DRIVES DURING WORK HOURS.- COAT DRIVE: KDOH TEAM MEMBERS, DONATED COATS, HATS, AND GLOVES TO THE SALVATION ARMY FOR THOSE IN NEED. THIRTY (30) NEW COATS WERE COLLECTED, INCLUDING PROVIDING WINTER GEAR FOR A PATIENT AND FAMILY IN NEED.- BACKPACK PROGRAM: TEAM MEMBERS DONATED OVER 100 ITEMS OF SCHOOL SUPPLIES, DISINFECTING, AND MASKS TO PORTSMOUTH EAST ELEMENTARY SCHOOL CHILDREN TO ENSURE STUDENTS START THE YEAR WITH THE NECESSARY SCHOOL SUPPLIES.- ADOPT-A-FAMILY: TEAM MEMBERS ADOPTED ONE FAMILY WITH A TOTAL OF FIVE FAMILY MEMBERS AT CHRISTMAS PROVIDING GIFTS AND FOOD.- SALVATION ARMY: COVID-19 PREVENTED KDOH TEAM MEMBERS FROM DONATING TIME AT THE SALVATION ARMY CHRISTMAS EVENT, BUT FOOD AND GIFTS WERE PROVIDED.
PART VI, LINE 6: KING'S DAUGHTERS MEDICAL CENTER OHIO IS PART OF AN AFFILIATED HEALTH CARE DELIVERY SYSTEM. THE SYSTEM OPERATES ANOTHER HOSPITAL, KING'S DAUGHTERS MEDICAL CENTER (KDMC) IN ASHLAND, KY. KDOH HAS BEEN SPECIFICALLY DESIGNED TO MEETING THE HEALTHCARE NEEDS OF PORTSMOUTH AND ITS SURROUNDING AREAS. KDOH OFFERS SURGICAL AND URGENT CARE SERVICES. KDOH PROVIDES CHARITY CARE AND PARTICIPATES IN GOVERNMENT PROGRAMS. THE SYSTEM PROVIDES PHYSICIAN SERVICES THROUGH KING'S DAUGHTERS MEDICAL SPECIALTIES, INC. ("KDMS"). KDMS PROVIDES CHARITY CARE AND PARTICIPATES IN GOVERNMENT PROGRAMS. KING'S DAUGHTERS ALSO INCLUDES TWO OTHER AFFILIATES - KING'S DAUGHTERS MEDICAL TRANSPORT, WHICH SEEKS TO CONTINUOUSLY IMPROVE THE PRE- AND POST-HOSPITAL HEALTHCARE PROVIDED IN ALL OF ITS SERVICES AREAS WHILE ENSURING THAT EMERGENCY AND NON-EMERGENCY AMBULANCE SERVICE WILL BE AVAILABLE TO ALL THOSE IN NEED; AND KINGSBROOK NURSING HOME, WHICH PROVIDES QUALITY CARE TO PATIENTS, MEETING THE NEEDS AND DESIRES OF RESIDENTS AT VARIOUS LEVELS OF CARE, INCLUDING SHORT-TERM AND LONG-TERM CARE.
Schedule H (Form 990) 2019
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