BUCKTAIL MEDICAL CENTER: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- BUCKTAIL MEDICAL CENTER (EIN 24-0701920)
- Tax period
- 2022-07-01 to 2023-06-30
- Filed
- 2024-05-15
- IRS object ID
- 202411369349310081
- Schema version
- 2022v5.0
- 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 D
- Schedule G
- Schedule H
- Schedule J
- Schedule L
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-05-15T13:23:36-05:00 | ReturnTs |
| Tax Period End | 2023-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 161131146 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BONADIO & CO LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 171 SULLYS TRAIL | AddressLine1Txt |
| City | PITTSFORD | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14534 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 240701920 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BUCKTAIL MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BUCK | BusinessNameControlTxt |
| Phone | 5709231000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1001 PINE STREET | AddressLine1Txt |
| City | RENOVO | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17764 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LAURA MURNYACK | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 5709231000 | PhoneNum |
| Signature | 2024-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | LAURA | PersonFirstNm |
| Person Last | MURNYACK | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AIMEE JOZIC | PreparerPersonNm |
| PTIN | P01329472 | PTIN |
| Phone | 5853811000 | PhoneNum |
| Preparation | 2024-05-15 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LAURA MURNYACK | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1001 PINE STREET | AddressLine1Txt |
| City | RENOVO | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17764 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $7,103,196 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | BUCKTAILMEDICALCENTER.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1909 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE A COMMUNITY HOSPITAL, INCLUDING AN EMERGENCY ROOM, CLINIC AND NURSING HOME SERVING A RURAL POPULATION WITH A COMMITMENT TO A BETTER QUALITY OF LIFE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 99 | TotalEmployeeCnt |
| Total Volunteers | 14 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,972,936 | PYContributionsGrantsAmt |
| CY Contributions Grants | $156,538 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $6,230,892 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $6,885,112 | CYProgramServiceRevenueAmt |
| PY Investment Income | $207 | PYInvestmentIncomeAmt |
| CY Investment Income | $276 | CYInvestmentIncomeAmt |
| PY Other Revenue | $35,455 | PYOtherRevenueAmt |
| CY Other Revenue | $49,144 | CYOtherRevenueAmt |
| PY Total Revenue | $9,239,490 | PYTotalRevenueAmt |
| CY Total Revenue | $7,091,070 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,485,025 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,462,235 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,825,924 | PYOtherExpensesAmt |
| CY Other Expenses | $3,741,306 | CYOtherExpensesAmt |
| PY Total Expenses | $8,310,949 | PYTotalExpensesAmt |
| CY Total Expenses | $9,203,541 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $928,541 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,112,471 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,181,870 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,750,938 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,129,254 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,268,366 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,052,616 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$1,517,428 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE A COMMUNITY HOSPITAL, INCLUDING AN EMERGENCY ROOM, CLINIC AND NURSING HOME SERVING A RURAL POPULATION WITH A COMMITMENT TO A BETTER QUALITY OF LIFE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $7,292,161 | ExpenseAmt |
| Revenue | $6,885,112 | RevenueAmt |
| Desc | BUCKTAIL MEDICAL CENTER (BMC) IS COMPRISED OF A 16-BED CRITICAL ACCESS HOSPITAL, A 43-BED NURSING HOME FACILITY AND A COMMUNITY CLINIC SERVING THE HEALTHCARE NEEDS OF WESTERN CLINTON COUNTY, PA. BMC PROVIDES THE FOLLOWING SERVICES: MEDICAL LABORATORY, RADIOLOGY (LIMITED TO XRAYS), BASIC LIFE SUPPORT (BLS) AMBULANCE SERVICE, A RURAL COMMUNITY HEALTH CLINIC, OCCUPATIONAL THERAPY, PHYSICAL THERAPY, AND SPEECH THERAPY. THE CENTER PROVIDED 365 DAYS OF INPATIENT ACUTE CARE SERVICES, 2,663 CLINIC VISITS, AND 1,200 EMERGENCY ROOM VISITS. THE NURSING HOME PROVIDED 7,891 DAYS OF LONG TERM CARE SERVICES FOR THE YEAR. | Desc |
| Total Program Service Expenses | $7,292,161 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | Yes (1) | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (1) | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 30 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 99 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAURA MURNYACK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5709231000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1001 PINE STREET | AddressLine1Txt |
| City | RENOVO | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17764 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| TIMOTHY REEVES | |||||||
| CHIEF EXECUTIVE OFFICER, CEO | 40.00 | Yes (X) | $130,691 | $0 | $30,810 | ||
| JOHN LUGG | |||||||
| PRESIDENT OF THE BOARD | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| TRACY BRUNO | |||||||
| VICE PRESIDENT | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| MARTHA SYKES | |||||||
| SECRETARY/TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| WILLIAM FORNWALT | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| DAVID BUNSWICK SR | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| ANN SANFORD | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| CARLA FLACK | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| PATRICIA WILSON | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| RICHARD GRENELL JR | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| DEBBIE WOODEL | |||||||
| RN | 40.00 | $155,647 | $0 | $0 | Yes (X) | ||
| LAURA MURNYACK | |||||||
| CHIEF NURSING OFFICER, CNO | 40.00 | Yes (X) | $154,535 | $0 | $8,750 | ||
| TRACEY LISI | |||||||
| RN | 48.00 | $150,540 | $0 | $15,659 | Yes (X) | ||
| MICHELLE REEVES | |||||||
| DIRECTOR OF NURSING/RN | 40.00 | $142,646 | $0 | $0 | Yes (X) | ||
| LESA ECKERT | |||||||
| RN | 48.00 | $136,998 | $0 | $1,055 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $871,057 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $56,274 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ALAN E EDWARDS MD | |||||
| 10406 TOWNEY COURT | AURORA | OH | 44202 | PHYSICIAN SERVICES | $263,163 |
| BENCHMARK THERAPIES INC | |||||
| 403 6TH STREET | HUNTINGDON | PA | 16652 | THERAPY SERVICES | $222,482 |
| EMCARE INC | |||||
| 1011 E 2ND ST | COUDERSPORT | PA | 16915 | PHYSICIAN SERVICES | $213,414 |
| GEORGE SNICER MD | |||||
| 11 CHERRY HILL ROAD | STAR LAKE | NY | 13690 | PHYSICIAN SERVICES | $209,300 |
| PLEXSUM STAFFING SOLUTIONS INC | |||||
| 1375 MARTIN ST | STATE COLLEGE | PA | 16803 | STAFFING SERVICES | $157,181 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 8 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $22,270 | FundraisingAmt |
| All Other Contributions | $134,268 | AllOtherContributionsAmt |
| Total Contributions | $156,538 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENU | 624100 | $6,808,139 | $6,808,139 |
| 340B PHARM | 624100 | $76,973 | $76,973 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $6,885,112 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $276 | TotalRevenueColumnAmt |
| Exclusion | $276 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $22,270 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $12,126 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$12,126 | TotalRevenueColumnAmt |
| Exclusion | -$12,126 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| OTHER | 900099 | $44,500 | $44,500 |
| CAFETERIA REVENUE | 722514 | $16,770 | $16,770 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $61,270 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,091,070 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,885,112 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $49,420 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $171,644 | TotalAmt |
| Management And General | $171,644 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,138,306 | TotalAmt |
| Program Services | $3,102,145 | ProgramServicesAmt |
| Management And General | $1,036,161 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,268 | TotalAmt |
| Program Services | $14,444 | ProgramServicesAmt |
| Management And General | $4,824 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $820,224 | TotalAmt |
| Program Services | $614,854 | ProgramServicesAmt |
| Management And General | $205,370 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $312,793 | TotalAmt |
| Program Services | $234,475 | ProgramServicesAmt |
| Management And General | $78,318 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,339 | TotalAmt |
| Management And General | $7,339 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,000 | TotalAmt |
| Management And General | $24,000 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,077,893 | TotalAmt |
| Program Services | $1,932,693 | ProgramServicesAmt |
| Management And General | $145,200 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $236,599 | TotalAmt |
| Program Services | $189,279 | ProgramServicesAmt |
| Management And General | $47,320 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,399 | TotalAmt |
| Program Services | $81,119 | ProgramServicesAmt |
| Management And General | $20,280 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $305,062 | TotalAmt |
| Program Services | $244,050 | ProgramServicesAmt |
| Management And General | $61,012 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $145,473 | TotalAmt |
| Program Services | $116,378 | ProgramServicesAmt |
| Management And General | $29,095 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,761 | TotalAmt |
| Program Services | $64,609 | ProgramServicesAmt |
| Management And General | $16,152 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $212,382 | TotalAmt |
| Program Services | $169,906 | ProgramServicesAmt |
| Management And General | $42,476 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES & DRUG | $212,913 | $212,913 | |
| SUPPLIES - NON-MEDICAL | $173,408 | $173,408 | |
| ALL OTHER EXPENSES | $164,077 | $141,888 | $22,189 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,203,541 | TotalAmt |
| Program Services | $7,292,161 | ProgramServicesAmt |
| Management And General | $1,911,380 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,488,830 | BOYAmt |
| EOY | $596,681 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,034,458 | BOYAmt |
| EOY | $1,552,718 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,587 | BOYAmt |
| EOY | $94,071 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,914 | BOYAmt |
| EOY | $101,198 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $8,916,475 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,686,041 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $928,238 | BOYAmt |
| EOY | $1,230,434 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,009 | BOYAmt |
| EOY | $9,009 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $11,857 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,595,834 | BOYAmt |
| EOY | $154,970 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,181,870 | BOYAmt |
| EOY | $3,750,938 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,904,194 | BOYAmt |
| EOY | $2,609,460 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $50,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,225,060 | BOYAmt |
| EOY | $2,608,906 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,129,254 | BOYAmt |
| EOY | $5,268,366 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,052,616 | BOYAmt |
| EOY | -$1,517,428 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,052,616 | BOYAmt |
| EOY | -$1,517,428 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,181,870 | BOYAmt |
| EOY | $3,750,938 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$2,112,471 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$457,573 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | 0 | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Protection Natural Habitat | Yes (X) | ProtectionNaturalHabitatInd |
| Preservation Open Space | Yes (X) | PreservationOpenSpaceInd |
| Total Easements | 2 | TotalEasementsCnt |
| Total Acreage | 685.00 | TotalAcreageCnt |
| States Easements Held | 1 | StatesEasementsHeldCnt |
| Written Policy Monitoring | 0 | WrittenPolicyMonitoringInd |
| Agent Trustee Etc | Yes (1) | AgentTrusteeEtcInd |
| Beginning Balance | $25,248 | BeginningBalanceAmt |
| Additions During Year | $6,565 | AdditionsDuringYearAmt |
| Distributions During Year | $11,480 | DistributionsDuringYearAmt |
| Ending Balance | $20,333 | EndingBalanceAmt |
| Incl Escrow Custodial Acct Liab | 0 | InclEscrowCustodialAcctLiabInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $144,218 | OtherCostOrOtherBasisAmt |
| Book Value | $144,218 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,468,377 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,064,287 | DepreciationAmt |
| Book Value | $404,090 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,383,039 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,282,589 | DepreciationAmt |
| Book Value | $100,450 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $920,841 | OtherCostOrOtherBasisAmt |
| Depreciation | $339,165 | DepreciationAmt |
| Book Value | $581,676 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,230,434 | TotalBookValueLandBuildingsAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART IV, LINE 1B: | FormAndLineReferenceDesc |
| Explanation | BMC HAS AN AUXILIARY THAT OPERATES USING THE EIN OF BMC. THE INCOME AND EXPENSES OF THE AUXILIARY ARE EXLUCDED FROM THE 990, PART VIII AND IX. THE ASSETS, LIABILITIES AND EQUITIES ARE ALSO EXCLUDED FROM THE 990, PART X. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF TOURNAMENT | Event1Nm |
| Gross Receipts Event1 | $22,270 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $22,270 | CharitableContriEvent1Amt |
| Cash Prizes Event1 | $350 | CashPrizesEvent1Amt |
| Non Cash Prizes Event1 | $1,365 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $7,428 | RentFacilityCostsEvent1Amt |
| Other Direct Expenses Event1 | $2,983 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $22,270 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $22,270 | CharitableContributionsTotAmt |
| Cash Prizes Total Events | $350 | CashPrizesTotalEventsAmt |
| Non Cash Prizes Total Events | $1,365 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $7,428 | RentFcltyCostsTotalEventsAmt |
| Oth Direct Expnss Total Events | $2,983 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $12,126 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$12,126 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 399.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,258 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $19,258 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00210 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,758,704 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,892,037 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $866,667 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09420 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,777,962 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,892,037 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $885,925 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09630 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $55,433 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $55,433 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00600 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,064,768 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,686,483 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $378,285 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04110 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,120,201 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,686,483 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $433,718 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04710 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,898,163 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,578,520 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,319,643 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14340 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $403,311 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $347,937 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $1,486,860 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $1,473,837 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $13,023 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BUCKTAIL MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1001 PINE STREET | AddressLine1Txt |
| City | RENOVO | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17764 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| State License | 549601 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BUCKTAIL MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Own Website URL | BUCKTAILMEDICALCENTER.ORG | OwnWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | BUCKTAILMEDICALCENTER.ORG | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 399.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://BUCKTAILMEDICALCENTER.ORG/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://BUCKTAILMEDICALCENTER.ORG/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://BUCKTAILMEDICALCENTER.ORG/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | 0 | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| BUCKTAIL MEDICAL CENTER | PART V, SECTION B, LINE 5: THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM REPRESENTATIVES OF THE COMMUNITY BY COLLECTING DATA FROM VARIOUS COMMUNITY RESOURCES, INCLUDING PRR (PRESERVE, RENEW, REVITALIZE) AND THE CTA (CLINTON TRADESMANS ASSOCIATION). |
| BUCKTAIL MEDICAL CENTER | PART V, SECTION B, LINE 11: THE HOSPITAL WAS NOT ABLE TO ADDRESS ALL HEALTH NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA DUE NOT CURRENTLY HAVING THE STAFF OR FINANCIAL RESOURCES TO DEVOTE TO THE NEED. THE HOSPITAL IS ADDRESSING WHAT NEEDS THEY CAN USING THE FOLLOWING STRATEGIES: TRANSPORTATION AND SPECIALTY SERVICES REPRESENT TWO IDENTIFIED CONCERNS IN PROVIDING HEALTHCARE TO THE COMMUNITY. TO BETTER SERVE THE NEEDS OF THE COMMUNITY, BMC IS WORKING WITH TWO LOCAL HEALTH SYSTEMS TO ACCOMMODATE SPECIALTY PHYSICIAN SERVICES AT THE MEDICAL CENTER. AN OFFICE SUITE HAS BEEN ESTABLISHED WITHIN THE HOSPITAL TO PROVIDE AN EFFICIENT SETTING FOR OFFICE VISITS. WE ARE STILL EXPLORING OPTIONS TO ACCESS THESE SERVICES. THE MOST LIKELY COURSE WILL BE TELEHEALTH SERVICES TO ACCESS MOST OF THE SPECIALTIES. BMC HAS BEEN WORKING WITH THE CLINTON COUNTY DEPARTMENT OF EMERGENCY SERVICES (CCDES) AND THE PENNSYLVANIA DEPARTMENT OF HEALTH (PADOH) TO DEVELOP A COUNTYWIDE RESPONSE PLAN WHICH SPECIFICALLY ADDRESSES THE CHALLENGES FACED IN WESTERN CLINTON COUNTY. TWO KEY ELEMENTS WILL ENHANCE THE DIAGNOSTIC CAPABILITIES OF THE MEDICAL CENTER. OUR CONTINUED FOCUS HAS BEEN ON THE MEDICAL LABORATORY. WE HAVE DEPLOYED SEVERAL POINT OF CARE (POC) ANALYZERS CAPABLE OF PERFORMING MANY CRITICAL TESTS, ENHANCING OUR PHYSICIANS' ABILITY TO BETTER DIAGNOSE. THE SECOND DIAGNOSTIC CHALLENGE FOR BMC IS MEDICAL IMAGING. CURRENTLY THERE IS ONE (1) DR QUALITY X-RAY MACHINE. HAVING A CT SCANNER ONSITE WILL ALSO BE A DRAW FOR SPECIALTY PHYSICIANS AND SHOULD INCREASE OUTPATIENT SCANS, AGAIN PROVIDING ADDITIONAL REVENUE FOR THE FACILITY. A PLAN WAS DEVELOPED TO BEGIN THE PROCESS OF ACQUIRING A CT SCANNER FOR THE FACILITY. WE ARE CONTINUALLY ASSESSING THE HEALTH NEEDS OF OUR COMMUNITY AND DECIDING HOW WE CAN BETTER SERVE OUR COMMUNITY BASED ON NEED. |
| BUCKTAIL MEDICAL CENTER | PART V, SECTION B, LINE 13B: FAMILY SIZE AND ESTIMATED EXPENSES. |
| BUCKTAIL MEDICAL CENTER | PART V, SECTION B, LINE 20E: FAP APPLICATION(S) AND ASSISTANCE, FAP MAILING(S), FOLLOW-UP LETTERS AND/OR PHONE CALLS, SUBSEQUENT BILLING(S), PROMPT PAYMENT DISCOUNT, PAYMENT PLAN, ASSIST PATIENT IN EXPLORING ALTERNATIVE SOURCES OF COVERAGE AND PAYMENT. |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | BMC APPLIES THE RATIO OF PATIENT CARE COST TO-CHARGES FOR AMOUNTS REPORTED IN THE TABLE (TOTAL OPERATING EXPENSES LESS NON-PATIENT CARE ACTIVITIES, PROVIDER TAXES, TOTAL COMMUNITY BENEFIT AND TOTAL COMMUNITY BUILDING EXPENSES). |
| PART I, LINE 7G: | BMC PERSONNEL REGULARLY MEETS WITH ALL OF THE LOCAL AMBULANCE SERVICES, FIRE DEPARTMENTS, COUNTY ALS PROVIDERS, CLINTON COUNTY DEPARTMENT OF EMERGENCY SERVICES, AND SEVEN MOUNTAINS, THE EMS COUNCIL. THERE IS A MONTHLY MEETING AND QUARTERLY BOARD MEETING WITH SEVEN MOUNTAINS EMS COUNCIL. WE HAVE ESTABLISHED A HOPSITAL EMS PROGRAM AT BUCKTAIL MEDICAL CENTER AND ARE LICENSED TO RUN BLS CALLS. |
| PART III, LINE 2: | BMC UTILIZES A MONTHLY CALCULATION TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE UTILIZING AGED ACCOUNTS RECEIVABLE BY FINANCIAL CLASS, SERVICE TYPE, AND CURRENT REIMBURSEMENT RATE(S) TO CALCULATE AN ESTIMATED AMOUNT OF COLLECTIBLE REVENUE BASED ON UNDER/OVER 120 DAYS, LESS ANY CONTRACTUAL ADJUSTMENT(S). |
| PART III, LINE 3: | BMC USES THE FOLLOWING TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS POTENTIALLY ELIGIBLE UNDER THE FAP DETAILED PATIENT BILLING AND SERVICES RECORDS THAT WOULD HAVE BEEN DESIGNATED PATIENT CRITERIA ELIGIBLE TO APPLY FOR FAP THIS WOULD INCLUDE, BUT NOT BE LIMITED TO STANDARD CHARGES, CO-PAYS, DEDUCTIBLES, NON-COVERED OR LIMITED COVERED SERVICES, BILLING CYCLES FAP APPLICATIONS/COMPLETION, FAP DENIAL, POTENTIAL INCLUSION IN PREVIOUS CHARITY CARE PROGRAM. |
| PART III, LINE 8: | ANY MEDICARE ALLOWABLE COSTS OF PATIENT CARE SHORTFALLS SHOULD BE COUNTED AS COMMUNITY BENEFIT. THESE ALLOWABLE COSTS ARE OBTAINED FROM THE MEDICARE COST REPORTS FOR THE YEAR. |
| PART III, LINE 9B: | BMC MAKES REASONABLE ATTEMPTS TO ASSIST A PATIENT WHO IS UNINSURED, UNDERINSURED OR WHO MAY BE UNIDENTIFIED RESOURCES AVAILABLE INCLUDING FINANCIAL ASSISTANCE APPLICATION(S) AND ASSISTANCE, MAILING(S), FOLLOW-UP LETTERS AND/OR PHONE CALLS, SUBSEQUENT BILLING(S), PROMPT PAYMENT DISCOUNT, PAYMENT PLAN. PATIENT/APPLICANT FAP APPLICATIONS MAY BE SUBMITTED TO BMC UP TO AND INCLUDING THE 240TH DAY AFTER THE PATIENT/APPLICANT RECEIVES THE 1ST BILLING STATEMENT. PAYMENT PLANS WILL BE COORDINATED BETWEEN THE BILLING OFFICE SUPERVISOR AND THE PATIENT/APPLICANT. ALL NECESSARY APPROVAL(S) MUST BE OBTAINED. THE APPLICATIONS ARE REVIEWED AND EVALUATED FOR CHARITY CARE STATUS AND WRITTEN OFF WHEN APPROPRIATE. ALL CHARITY APPLICATIONS ARE REVIEWED AND APPROVED BY THE CFO. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TIMOTHY REEVES | ||||||||||||||
| CHIEF EXECUTIVE OFFICER, CEO | $130,691 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $30,810 | $0 | $161,501 | $0 | $0 | $0 |
| DEBBIE WOODEL | ||||||||||||||
| RN | $155,647 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $155,647 | $0 | $0 | $0 |
| LAURA MURNYACK | ||||||||||||||
| CHIEF NURSING OFFICER, CNO | $154,535 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $8,750 | $0 | $163,285 | $0 | $0 | $0 |
| TRACEY LISI | ||||||||||||||
| RN | $150,540 | $0 | $0 | $0 | $0 | $0 | $5,200 | $0 | $10,459 | $0 | $166,199 | $0 | $0 | $0 |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TIMOTHY REEVES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship With Org | CEO | RelationshipWithOrgTxt |
| Loan Purpose | LOAN TO ORGANIZATION | LoanPurposeTxt |
| Loan To Organization | Yes (X) | LoanToOrganizationInd |
| Original Principal | $50,000 | OriginalPrincipalAmt |
| Balance Due | $50,000 | BalanceDueAmt |
| Default | 0 | DefaultInd |
| Board Or Committee Approval | Yes (1) | BoardOrCommitteeApprovalInd |
| Written Agreement | Yes (1) | WrittenAgreementInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $50,000 | TotalBalanceDueAmt |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| EMILY REEVES | |||
| FAMILY OF OFFICER | $37,765 | EMPLOYMENT | 0 |
| MICHELLE REEVES | |||
| FAMILY OF OFFICER | $142,646 | EMPLOYMENT | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | A COPY OF THE 990 IS PROVIDED TO THE CEO WHO REVIEWS THE FORM, SCHEDULES AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A DRAFT IS PROVIDED TO THE BOARD OF DIRECTORS. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CEO SIGNS THE FORM 8879TE AUTHORIZING THE PREPARER TO EFILE THE RETURN. |
| FORM 990, PART VI, SECTION B, LINE 12C | A CONFLICT OF INTEREST SURVEY IS ISSUED TO ALL BOARD MEMBERS ANNUALLY AND ANY TIME THERE IS A BOARD MEMBER CHANGE. IF A POTENTIAL CONFLICT EXISTS, THE MEMBER(S) OF THE BOARD AFFECTED SHALL RECUSE THEMSELVES FROM VOTING ON THE MATTER. THE CONFLICT OF INTEREST SURVEYS ARE MONITORED BY THE CEO. |
| FORM 990, PART VI, SECTION B, LINE 15 | SALARY DETERMINATION FOR TOP MANAGEMENT AND KEY EMPLOYEES IS SET AFTER COMPARISON TO MARKET REQUIREMENTS AND PEER GROUP BENCHMARKS. RECOMMENDATIONS ARE PRESENTED FOR REVIEW AND APPROVAL BY THE BOARD. |
| FORM 990, PART VI, SECTION C, LINE 19 | BMC MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,932,693. MANAGEMENT AND GENERAL EXPENSES 145,200. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,077,893. |
| FORM 990, PART XII, LINE 2C: | NO CHANGES SINCE PRIOR YEAR. |
| FORM 990 PART XI LINE 3B | THE ORGANIZATION HAS NOT COMPLETED ITS AUDIT FOR THE YEAR ENDED JUNE 30, 2023, HOWEVER IS IN THE PROCESS OF COMPLETING THE AUDIT. |