SISKIN HOSPITAL FOR PHYSICAL REHABILITATION: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- SISKIN HOSPITAL FOR PHYSICAL REHABILITATION (EIN 62-1220402)
- Tax period
- 2022-07-01 to 2023-06-30
- Filed
- 2024-05-14
- IRS object ID
- 202441359349304164
- 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 C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-05-14T11:20:20-05:00 | ReturnTs |
| Tax Period End | 2023-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 621046406 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHNSON HICKEY & MURCHISON PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2215 OLAN MILLS DRIVE | AddressLine1Txt |
| City | CHATTANOOGA | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37421 | 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 | 621220402 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SISKIN HOSPITAL FOR PHYSICAL | BusinessNameLine1Txt |
| Business Name Line2 | REHABILITATION INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SISK | BusinessNameControlTxt |
| Phone | 4236341200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 SISKIN PLAZA | AddressLine1Txt |
| City | CHATTANOOGA | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37403 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CAROL ARNHART | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 4236341200 | PhoneNum |
| Signature | 2024-05-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | CAROL | PersonFirstNm |
| Person Last | ARNHART | 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 | DIANA BOLEN | PreparerPersonNm |
| PTIN | P01425228 | PTIN |
| Phone | 4237560052 | PhoneNum |
| Preparation | 2024-05-14 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | 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 | MATTHEW GIBSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE SISKIN PLAZA | AddressLine1Txt |
| City | CHATTANOOGA | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37403 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $159,944,466 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SISKINREHAB.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1984 | FormationYr |
| Legal Domicile State | TN | LegalDomicileStateCd |
| Activity Or Mission | REHABILITATION HEALTH CARE | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 657 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $31,768 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $3,228 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,332,381 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,276,109 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $49,351,166 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $49,022,782 | CYProgramServiceRevenueAmt |
| PY Investment Income | $527,787 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,861,866 | CYInvestmentIncomeAmt |
| PY Other Revenue | $874,699 | PYOtherRevenueAmt |
| CY Other Revenue | $1,646,150 | CYOtherRevenueAmt |
| PY Total Revenue | $52,086,033 | PYTotalRevenueAmt |
| CY Total Revenue | $54,806,907 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $36,726 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $63,396 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $32,627,260 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $33,047,687 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $48,771 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $16,412,580 | PYOtherExpensesAmt |
| CY Other Expenses | $16,752,898 | CYOtherExpensesAmt |
| PY Total Expenses | $49,076,566 | PYTotalExpensesAmt |
| CY Total Expenses | $49,863,981 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,009,467 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,942,926 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $138,987,345 | TotalAssetsBOYAmt |
| Total Assets EOY | $146,934,399 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $35,185,672 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $34,491,776 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $103,801,673 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $112,442,623 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SISKIN HOSPITAL FOR PHYSICAL REHABILITATION IS COMMITTED TO PROVIDING A WIDE RANGE OF HIGH QUALITY PHYSICAL REHABILITATION SERVICES WHERE POSITIVE OUTCOMES ARE ACHIEVED THAT BENEFIT THE INDIVIDUAL SERVED, AS WELL AS THE COMMUNITY AT LARGE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $17,764,524 | ExpenseAmt |
| Revenue | $24,466,844 | RevenueAmt |
| Desc | DURING THE FYE 06/30/23 THE HOSPITAL PROVIDED QUALITY NURSING SERVICES FOR ALL CATEGORIES OF PATIENTS. 28,285 INPATIENT REHABILITATION SERVICE DAYS AND 11,982 SUBACUTE WEST REHAB SERVICE DAYS WERE PROVIDED DURING THIS PERIOD. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $8,041,095 | ExpenseAmt |
| Revenue | $11,074,894 | RevenueAmt |
| Desc | THE HOSPITAL PROVIDED 146,593 INPATIENT UNITS AND 99,123 OUTPATIENT UNITS OF PHYSICAL THERAPY SERVICE DURING FYE 06/30/23. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,610,429 | ExpenseAmt |
| Revenue | $4,972,596 | RevenueAmt |
| Desc | THE HOSPITAL PROVIDED 79,765 INPATIENT UNITS AND 20,606 OUTPATIENT UNITS OF OCCUPATIONAL THERAPY SERVICE DURING THE FYE 06/30/23. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,839,975 | ExpenseAmt |
| Grant | $63,396 | GrantAmt |
| Revenue | $9,420,608 | RevenueAmt |
| Desc | ALL OTHER ACHIEVEMENTS - SERVICES PROVIDED BY THE HOSPITAL INCLUDING SPEECH THERAPY AND OTHER SERVICES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $6,839,975 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $63,396 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $9,420,608 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $36,256,023 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | 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 | Yes (1) | 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 | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | 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 | 56 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 657 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| 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 | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 17 | 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 | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | TN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CAROL ARNHART | PersonNm |
| Phone | 4236341200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE SISKIN PLAZA | AddressLine1Txt |
| City | CHATTANOOGA | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37403 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| TRUDY A HARPER | ||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ROSE E DECOSIMO CPA CGMA | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL FILLAUER | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL G MATHIS | ||||||||
| VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| VALERIE C RUTLEDGE EDD | ||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| RICHARD P MCKENNEY | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MONIQUE P BERKE | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CHARLES L ARANT | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JONES KROGH CPA CFP | ||||||||
| CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| RUCHIR A SHAH MD | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JENNIFER L WEAVER | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ELIZABETH BETSY MCCRIGHT | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LAUREL GRAEFE | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARCUS K SHAW | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM F WILDER JR | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM E GODBOLD III | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MATTHEW A GIBSON PHD FACHE | ||||||||
| PRESIDENT AND CEO | 50.00 | Yes (X) | Yes (X) | $562,966 | $0 | $136,686 | ||
| DAVID BINDER | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CAROL E ARNHART | ||||||||
| VP FINANCE/CFO | 50.00 | Yes (X) | $267,978 | $0 | $16,369 | |||
| MICHAEL PILCHER | ||||||||
| INFO SYS DIRECTOR | 40.00 | $188,165 | $0 | $14,034 | Yes (X) | |||
| TRACY REED | ||||||||
| VP PATIENT CARE | 50.00 | $192,207 | $0 | $15,917 | Yes (X) | |||
| CURTIS POWELL | ||||||||
| VP QUALITY | 50.00 | $174,554 | $0 | $13,402 | Yes (X) | |||
| TERESA DINGER | ||||||||
| ADMIN DIR MKTG | 40.00 | $207,622 | $0 | $9,614 | Yes (X) | |||
| AARON SPINKS | ||||||||
| CHIEF OPERATING OFFICER | 40.00 | $213,212 | $0 | $5,011 | Yes (X) | |||
| JODY NIX | ||||||||
| CHIEF ADMIN OFFICER | 40.00 | $201,345 | $0 | $8,389 | Yes (X) | |||
| JOHN C YOUNG | ||||||||
| PSYCHOLOGIST | 40.00 | $159,730 | $0 | $8,227 | Yes (X) | |||
| HOLLY TROTTER | ||||||||
| PHARMACY DIRECTOR | 40.00 | $161,792 | $0 | $12,573 | Yes (X) | |||
| HERMAN GRIER | ||||||||
| PHARMACIST | 40.00 | $129,449 | $0 | $25,097 | Yes (X) | |||
| AMY BURBA | ||||||||
| THERAPY DIRECTOR | 40.00 | $131,687 | $0 | $12,827 | Yes (X) | |||
| LACY GRAY | ||||||||
| CONTROLLER | 50.00 | $136,834 | $0 | $6,302 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,727,541 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $284,448 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 26 | 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 |
|---|---|---|---|---|---|
| GENTECH CONTRUCTION | |||||
| 820 BROAD ST SUITE 400 | CHATTANOOGA | TN | 37402 | CONSTRUCTION SERVICES | $4,591,075 |
| SODEXO INC & AFFILIATES | |||||
| PO BOX 360170 | PITTSBURG | PA | 152516170 | FOOD & FOOD SERVICE | $2,261,157 |
| ERLANGER MEDICAL CENTER | |||||
| 975 E THIRD STREET | CHATTANOOGA | TN | 37403 | MEDICAL SERVICES | $823,813 |
| CHATTANOOGA SPINE & REHAB | |||||
| 1 SISKIN PLAZA SUITE 101 | CHATTANOOGA | TN | 37403 | MEDICAL SERVICES | $459,645 |
| MBI COMPANIES INC | |||||
| 299 N WEISGARBER ROAD | KNOXVILLE | TN | 37919 | ARCHITECT SERVICES | $457,661 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 10 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $82,853 | FundraisingAmt |
| All Other Contributions | $1,193,256 | AllOtherContributionsAmt |
| Noncash Contributions | $5,068 | NoncashContributionsAmt |
| Total Contributions | $1,276,109 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT REVENUE | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $49,022,782 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $49,022,782 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $49,022,782 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,141,587 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $31,768 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,109,819 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $609,085 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $609,085 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $609,085 | TotalRevenueColumnAmt |
| Exclusion | $609,085 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $106,740,967 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $104,768,683 | SecuritiesAmt |
| Other | $252,005 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,972,284 | SecuritiesAmt |
| Other | -$252,005 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,720,279 | TotalRevenueColumnAmt |
| Exclusion | $1,720,279 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $241,776 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $82,853 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $116,871 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $124,905 | TotalRevenueColumnAmt |
| Exclusion | $124,905 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MISCELLANEOUS | 621990 | $683,939 | $683,939 |
| CAFETERIA | 621990 | $217,739 | $217,739 |
| SUPPORT SERVICE CONTRACTS | 621990 | $6,559 | $6,559 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,923 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,923 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $912,160 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $54,806,907 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $49,934,942 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $31,768 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,564,088 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,396 | TotalAmt |
| Program Services | $63,396 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,144,521 | TotalAmt |
| Management And General | $2,139,909 | ManagementAndGeneralAmt |
| Fundraising | $4,612 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,935,115 | TotalAmt |
| Program Services | $21,654,817 | ProgramServicesAmt |
| Management And General | $4,247,994 | ManagementAndGeneralAmt |
| Fundraising | $32,304 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $481,076 | TotalAmt |
| Program Services | $371,430 | ProgramServicesAmt |
| Management And General | $109,646 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,513,997 | TotalAmt |
| Program Services | $1,941,010 | ProgramServicesAmt |
| Management And General | $572,987 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,972,978 | TotalAmt |
| Program Services | $1,520,334 | ProgramServicesAmt |
| Management And General | $450,646 | ManagementAndGeneralAmt |
| Fundraising | $1,998 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $469,312 | TotalAmt |
| Program Services | $253,720 | ProgramServicesAmt |
| Management And General | $215,592 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,800 | TotalAmt |
| Program Services | $45,304 | ProgramServicesAmt |
| Management And General | $38,496 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,815,175 | TotalAmt |
| Program Services | $2,062,567 | ProgramServicesAmt |
| Management And General | $1,751,278 | ManagementAndGeneralAmt |
| Fundraising | $1,330 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,783 | TotalAmt |
| Program Services | $5,289 | ProgramServicesAmt |
| Management And General | $4,494 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,481,501 | TotalAmt |
| Program Services | $1,882,175 | ProgramServicesAmt |
| Management And General | $1,596,296 | ManagementAndGeneralAmt |
| Fundraising | $3,030 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,826 | TotalAmt |
| Program Services | $33,965 | ProgramServicesAmt |
| Management And General | $28,563 | ManagementAndGeneralAmt |
| Fundraising | $298 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $106,700 | TotalAmt |
| Program Services | $57,684 | ProgramServicesAmt |
| Management And General | $45,112 | ManagementAndGeneralAmt |
| Fundraising | $3,904 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $946,824 | TotalAmt |
| Program Services | $731,025 | ProgramServicesAmt |
| Management And General | $215,799 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,217,535 | TotalAmt |
| Program Services | $2,484,198 | ProgramServicesAmt |
| Management And General | $733,337 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $624,315 | TotalAmt |
| Program Services | $482,022 | ProgramServicesAmt |
| Management And General | $142,293 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES & DRUG | $1,953,315 | $1,953,315 | ||
| BAD DEBTS | $684,136 | $684,136 | ||
| OTHER SUPPLIES | $441,669 | $280,125 | $160,524 | $1,020 |
| EQUIPMENT RENTAL | $366,027 | $197,882 | $168,145 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $489,980 | TotalAmt |
| Program Services | $235,765 | ProgramServicesAmt |
| Management And General | $253,940 | ManagementAndGeneralAmt |
| Fundraising | $275 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,863,981 | TotalAmt |
| Program Services | $36,256,023 | ProgramServicesAmt |
| Management And General | $13,559,187 | ManagementAndGeneralAmt |
| Fundraising | $48,771 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,200 | BOYAmt |
| EOY | $1,200 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,198,456 | BOYAmt |
| EOY | $16,526,864 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $175,000 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,399,512 | BOYAmt |
| EOY | $6,301,707 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $326,065 | BOYAmt |
| EOY | $916,017 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $517,383 | BOYAmt |
| EOY | $447,319 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $645,167 | BOYAmt |
| EOY | $555,071 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $91,024,223 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $49,101,967 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,088,902 | BOYAmt |
| EOY | $41,922,256 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,597,378 | BOYAmt |
| EOY | $21,888,789 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,200,736 | BOYAmt |
| EOY | $56,485,489 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,546 | BOYAmt |
| EOY | $1,714,687 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $138,987,345 | BOYAmt |
| EOY | $146,934,399 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,157,953 | BOYAmt |
| EOY | $4,665,449 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,472,146 | BOYAmt |
| EOY | $27,876,382 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $555,573 | BOYAmt |
| EOY | $1,949,945 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,185,672 | BOYAmt |
| EOY | $34,491,776 | 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 | $103,253,584 | BOYAmt |
| EOY | $110,754,381 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $548,089 | BOYAmt |
| EOY | $1,688,242 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $103,801,673 | BOYAmt |
| EOY | $112,442,623 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $138,987,345 | BOYAmt |
| EOY | $146,934,399 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $4,942,926 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $3,698,024 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $11,550 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $11,550 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | PORTION OF HOSPITAL ASSOCIATION MEMBERSHIP DUES THAT ARE USED FOR LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $21,572,465 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $2,057,921 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $23,630,386 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $25,205,505 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$3,633,040 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $21,572,465 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $18,887,151 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $6,318,354 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $25,205,505 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $18,301,418 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $585,733 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $18,887,151 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $17,758,123 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $543,295 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $18,301,418 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $260,000 | OtherCostOrOtherBasisAmt |
| Book Value | $260,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $61,148,388 | OtherCostOrOtherBasisAmt |
| Depreciation | $24,836,099 | DepreciationAmt |
| Book Value | $36,312,289 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $26,749,486 | OtherCostOrOtherBasisAmt |
| Depreciation | $22,147,237 | DepreciationAmt |
| Book Value | $4,602,249 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,866,349 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,118,631 | DepreciationAmt |
| Book Value | $747,718 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $41,922,256 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (7 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| GT EMERGING MARKETS (QP) LP | $2,807,853 | F |
| GT INTERNATIONAL EQUITY QP FUND LP | $12,618,969 | F |
| GT OFFSHORE FUND LTD CLASS A | $14,633,566 | F |
| GT OFFSHORE FUND LTD CLASS B | $13,588,431 | F |
| GT REAL ASSETS II LP | $1,946,779 | F |
| GT SPECIAL OPPORTUNITIES III LP | $2,320,430 | F |
| GT US QP FUND LP | $8,569,461 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $56,485,489 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| SWAP AGREEMENT-LIABILITY | $161,514 |
| RESIDENT TRUST FUND | $6,902 |
| ESTIMATED THIRD-PARTY SETTLEMENT | $48,603 |
| OPERATING LEASE LIABILITIES | $1,732,926 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,949,945 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $57,820,795 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $3,698,024 | OtherRevenueAmt |
| Revenue Not Reported | $3,698,024 | RevenueNotReportedAmt |
| Revenue Subtotal | $54,122,771 | RevenueSubtotalAmt |
| Other Revenues Not Included | $684,136 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $684,136 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $54,806,907 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $49,179,845 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $49,179,845 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $684,136 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $684,136 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $49,863,981 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | TO PROVIDE RESOURCES FOR VARIOUS ACTIVITIES CONSISTENT WITH THE MISSION OF THE HOSPITAL. |
| PART X, LINE 2: | THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. THE HOSPITAL ACCOUNTS FOR UNCERTAIN TAX POSITIONS WITH PROVISIONS OF FASB ASC 740-10 "ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES." ASC 740-10 PROVIDES GUIDANCE ON DERECOGNITION OF TAX BENEFITS, CLASSIFICATION ON THE BALANCE SHEET, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE AND TRANSITION. THE HOSPITAL DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2023 AND 2022. AS OF JUNE 30, 2023 AND 2022, THE HOSPITAL DID NOT RECORD ANY PENALTIES OR INTEREST ASSOCIATED WITH UNCERTAIN TAX POSITIONS. THE HOSPITAL'S FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, FOR THE YEARS 2020 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | UNREALIZED GAIN ON INTEREST RATE SWAP AGREEMENT 3,320,707. UNREALIZED GAIN ON OTHER THAN TRADING SECURITIES 377,317. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT NETTED AGAINST REVENUE 684,136. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | ROUNDING |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT NETTED AGAINST REVENUE 684,136. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF TOURNAMENT | Event1Nm |
| Gross Receipts Event1 | $120,365 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $44,453 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $75,912 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $28,938 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $14,454 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $8,708 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $4,728 | OtherDirectExpensesEvent1Amt |
| Event2 | POSSIBILITIES LUNCH | Event2Nm |
| Gross Receipts Event2 | $204,264 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $38,400 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $165,864 | GrossRevenueEvent2Amt |
| Rent Facility Costs Event2 | $9,861 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $26,455 | FoodAndBeverageEvent2Amt |
| Entertainment Event2 | $19,206 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $4,521 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $324,629 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $82,853 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $241,776 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $28,938 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $24,315 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $35,163 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $19,206 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $9,249 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $116,871 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $124,905 | 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 |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | 0 | 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 | $248,092 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $248,092 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00500 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,315,854 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $920,308 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $395,546 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00800 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,563,946 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $920,308 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $643,638 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01300 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,375,882 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $350,723 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,025,159 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02080 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,727 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,727 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,387,609 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $350,723 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,036,886 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02100 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,951,555 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,271,031 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,680,524 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03400 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $982,941 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $21,792,249 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $18,714,159 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $3,078,090 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 0 | WrittenDebtCollectionPolicyInd |
| 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 | SISKIN HOSPITAL FOR PHYSICAL REHABILITATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 SISKIN PLAZA | AddressLine1Txt |
| City | CHATTANOOGA | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37403 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.SISKINREHAB.ORG | WebsiteAddressTxt |
| State License | #67 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Other | INPATIENT REHABILITATION | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SISKIN HOSPITAL FOR PHYSICAL REHABILITAT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| 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 |
| CHNA Conducted | 20 | 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 |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.SISKINREHAB.ORG | OwnWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 20 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.SISKINREHAB.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 | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | 0 | 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 |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.SISKINREHAB.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.SISKINREHAB.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.SISKINREHAB.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 Actions On Nonpayment | 0 | FAPActionsOnNonpaymentInd |
| Collection Activities | Yes (1) | CollectionActivitiesInd |
| Reporting To Credit Agency | Yes (X) | ReportingToCreditAgencyInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Nondis Emergency Care Policy | 0 | NondisEmergencyCarePolicyInd |
| No Emergency Care | Yes (X) | NoEmergencyCareInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SISKIN HOSPITAL FOR PHYSICAL REHABILITATION | PART V, SECTION B, LINE 5: SISKIN HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO DETERMINE THE NEEDS OF OUR COMMUNITY. DATA WAS COLLECTED AND ANALYZED FORM LOCAL, REGIONAL AND STATE AGENCIES IN ORDER TO ACCURATELY AND ADEQUATELY IDENTIFY THE NEEDS OF OUR COMMUNITY THROUGH SERVICES PROVIDED BY SISKIN HOSPITAL.INCLUDED IN THE ASSESSMENT WERE THE FOLLOWING:-SURVEYS WERE SENT TO 2,284 INDIVIDUALS WHO HAD RECEIVED SERVICES WITHIN THE TWO-YEAR PERIOD PRECEDING THE SURVEY AND WHO HAD EMAIL ADDRESSES AVAILABLE FOR SURVEY DISSEMINATION.-GROUPS WHO REGULARLY INTERACT WITH SISKIN HOSPITAL INCLUDING CASE MANAGERS, PHYSICIANS, THERAPISTS, CAREGIVERS, AND SUPPORT GROUPS. |
| SISKIN HOSPITAL FOR PHYSICAL REHABILITATION | PART V, SECTION B, LINE 11: THE FOLLOWING AREAS OF CONSUMER AND COMMUNITY NEED WERE IDENTIFIED IN THE MOST RECENT CHNA:-ACCESS TO REHABILITATION SERVICES-SISKIN HOSPITAL'S OUTPATIENT THERAPY CLINIC LOCATED IN THE EAST BRAINERD AREA OF CHATTANOOGA WAS MOVED TO A LARGER, MORE CONVENIENT LOCATION TO ACCOMMODATE MORE PATIENTS.-THE "DIRECT ACCESS" PROGRAM ALLOWS FOR PATIENT SELF-REFERRAL FOR OUTPATIENT PHYSICAL THERAPY SERVICES.-A NEW OUTPATIENT THERAPY CLINIC WAS OPENED IN THE HIXSON AREA OF CHATTANOOGA TO SERVE PATIENTS IN NORTHERN HAMILTON COUNTY.-TELEHEALTH SERVICES ARE AVAILABLE FOR THOSE WHO CANNOT OR PREFER NOT TO HAVE IN-PERSON REHABILITATION.-ADDITIONAL INPATIENT REHABILITATION BEDS WERE ADDED.-QUALITY OF HEALTHCARE AND CAREGIVING-PATIENT DISCHARGE SURVEYS ARE UTILIZED WITH THE GOAL OF CONTINUOUS IMPROVEMENT IN CUSTOMER SATISFACTION.-SISKIN HOSPITAL'S SUBACUTE PROGRAM HAS BEEN DESIGNATED A CMS 5-STAR FACILITY.-NEWSWEEK (AUGUST 2020 AND AUGUST 2021) RECOGNIZED SISKIN HOSPITAL AS BEING AMONG THE NATION'S BEST PHYSICAL REHABILITATION FACILITIES.-U.S. NEWS AND WORLD REPORT (DECEMBER 2020) RECOGNIZED SISKIN AS BEING AMONG THE NATION'S TOP FIFTEEN PERCENT OF BEST-PERFORMING SHORT-TERM REHABILITATION FACILITIES.-SISKIN HOSPITAL HAS COLLABORATED WITH THE UNIVERSITY OF TENNESSEE CHATTANOOGA AND HAMILTON COUNTY SCHOOLS TO PROVIDE THE CLINICAL PORTION OF A NEW CERTIFIED NURSING ASSISTANT (CNA) COURSE. THIS EFFORT TO MEET THE GROWING NEEDS OF FRONT-LINE CAREGIVERS WILL HELP SISKIN HOSPITAL, AMONG OTHER HEALTHCARE ORGANIZATIONS, CONTINUE TO PROVIDE QUALITY CARE TO OUR PATIENTS.-KNOWLEDGE OF RESOURCES AVAILABLE-WHILE COVID-19 LIMITED SUPPORT GROUPS WHICH PREVIOUSLY MET IN PERSON AT SISKIN HOSPITAL, SOME OF THE GROUPS CONTINUED VIRTUALLY.-CONDITION-SPECIFIC PRINT AND DIGITAL EDUCATIONAL MATERIALS ARE PROVIDED TO OUR PATIENTS AND THEIR FAMILIES.-CHARITY ADMISSIONS-SISKIN HOSPITAL'S CHARITY PROGRAM SERVES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITHOUT ADEQUATE INSURANCE.-INSURANCE LIMITATIONS-SISKIN HOSPITAL WILL CONTINUE TO IDENTIFY AND SECURE CONTRACTS WITH INSURANCE PROVIDERS AND NETWORKS.THE FOLLOWING PROGRAMS BENEFIT COMMUNITIES SERVED:-TELEHEALTH THERAPY SERVICES - COVID-19 NECESSITATED THE DEVELOPMENT AND IMPLEMENTATION OF ALTERNATE DELIVERY METHODS FOR VARIOUS OUTPATIENT THERAPY SERVICES. FROM THE COMFORT AND SAFETY OF THEIR HOMES, PATIENTS MAY OPT TO CONTINUE THEIR THERAPY VIA REAL-TIME VIDEO CALLS WITH PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPISTS AS WELL AS BEHAVIORAL MEDICINE WITH PSYCHOLOGISTS.-COMMUNITY CARE PROGRAM - SISKIN HOSPITAL PROVIDES CHARITY CARE TO THOSE WHO HAVE SUSTAINED A DISABILITY THROUGH ACCIDENT, ILLNESS, OR INJURY.-CHARITABLE ASSISTANCE FOR ASSISTIVE DEVICES - SISKIN HOSPITAL'S PATIENT CARE FUND ALONG WITH COMMUNITY RESOURCES HELPS PROVIDE ASSISTIVE EQUIPMENT AND EDUCATION FOR PATIENTS BEING DISCHARGED.-PROFESSIONAL TRAINING, EDUCATION, CLINICAL RESEARCH ACTIVITIES - SISKIN HOSPITAL BELIEVES IN THE IMPORTANCE OF CONTINUING EDUCATION AND PROFESSIONAL TRAINING FOR ITS ASSOCIATES TO BETTER SERVICE THOSE WITH DISABILITIES IN THE COMMUNITY. -THE NEUROLOGIC PHYSICAL THERAPY RESIDENCY PROGRAM EQUIPS NEW PHYSICAL THERAPISTS WITH THE MOST CURRENT EVIDENCE-BASED PRACTICES TO PROVIDE NEUROLOGIC PATIENTS WITH THE HIGHEST STANDARD OF CARE.-THE TRANSITION-TO-PRACTICE NURSE RESIDENCY PROGRAM PROVIDES ANNUAL TRAINING IN A REHABILITATION SETTING FOR NEW LPN OR RN GRADUATES. THE PARTICIPANTS RECEIVE EDUCATIONAL SUPPORT IN LEADERSHIP, PATIENT OUTCOMES, AND THE ROLE AND RESPONSIBILITIES OF THE PROFESSIONAL NURSE.-SISKIN HOSPITAL PROVIDES CLINICAL ROTATIONS FOR NURSING STUDENTS FROM AREA COLLEGES AND UNIVERSITIES INCLUDING LEE UNIVERSITY, SOUTHERN ADVENTIST UNIVERSITY, UNIVERSITY OF TENNESSEE CHATTANOOGA, CLEVELAND STATE COMMUNITY COLLEGE, AND CHATTANOOGA STATE COMMUNITY COLLEGE.-SISKIN HOSPITAL COLLABORATED WITH THE UNIVERSITY OF TENNESSEE CHATTANOOGA AND HAMILTON COUNTY SCHOOLS TO DEVELOP AN ACCREDITED CERTIFIED NURSING ASSISTANT (CNA) PROGRAM TO SUPPORT CURRENT AND FUTURE DEMAND FOR FRONTLINE HEALTHCARE WORKERS.-AS OF JUNE 2023, 23% OF SISKIN HOSPITAL'S ELIGIBLE NURSING ASSOCIATES ARE CRRN (CERTIFIED REHABILITATION REGISTERED NURSE) CERTIFIED. -IN ADDITION TO CRRNS, A DIVERSE RANGE OF CERTIFICATIONS IS HELD BY SISKIN HOSPITAL ASSOCIATES. THESE INCLUDE NEUROLOGICAL CLINICAL SPECIALIST, CERTIFIED BRAIN INJURY SPECIALIST, GERIATRIC CERTIFIED SPECIALIST, ORTHOPEDIC CLINICAL SPECIALIST, LOW VISION REHABILITATION, WOUND AND OSTOMY NURSE CERTIFICATION, LSVT BIG, AND NEUROMUSCULAR ELECTRICAL STIMULATION.-A GRANT FROM THE ACADEMY OF NEUROLOGIC PHYSICAL THERAPY IS FUNDING THE SISKIN HOSPITAL KNOWLEDGE TRANSLATION PROJECT, WHICH SEEKS TO IMPLEMENT STANDARDIZED MEASUREMENT ON THE INPATIENT STROKE UNIT.-A FALLS PREVENTION PROJECT, THE "NO PASS ZONE," WAS IMPLEMENTED TO HEIGHTEN THE FOCUS ON FALL PREVENTION.-THE SISKIN HOSPITAL HEALTH AND FITNESS CENTER IS A PLACE WHERE ABLE-BODIED AND DISABLED INDIVIDUALS CAN WORK OUT SIDE BY SIDE, FOCUSING ON PERSONAL STRENGTHENING AND FITNESS GOALS. THE HEALTH AND FITNESS CENTER PROVIDES THE IDEAL TRANSITION FOR PATIENTS TO CONTINUE TO EXPAND AND STRENGTHEN THEIR FUNCTIONAL INDEPENDENCE FOLLOWING OUTPATIENT REHABILITATION. MEMBERSHIP IN THE HEALTH AND FITNESS CENTER IS AVAILABLE TO THE COMMUNITY AT LARGE.-ADVOCACY-ADVANCING CONTINUING EDUCATION-COMMUNITY SUPPORT GROUPS-COMMUNITY EDUCATION PROGRAMS-UNIQUE THERAPY PROGRAMS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 5 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - SISKIN SUBACUTE WEST | ||||
| 1 SISKIN PLAZA | CHATTANOOGA | TN | 37403 | SKILLED NURSING FACILITY |
| 2 - SISKIN HOSPITAL THERAPY SERVICES | ||||
| 1309 PANORAMA DRIVE SUITE 103 | CHATTANOOGA | TN | 37421 | OUTPATIENT THERAPY CLINIC |
| 3 - SISKIN HOSPITAL THERAPY SERVICES | ||||
| 3820 KEITH STREET | CLEVELAND | TN | 37312 | OUTPATIENT THERAPY CLINIC |
| 4 - SISKIN HOSPITAL THERAPY SERVICES | ||||
| 271 NORTHGATE MALL R0040 | CHATTANOOGA | TN | 37415 | OUTPATIENT THERAPY CLINIC |
| 5 - SISKIN HOSPITAL THERAPY SERVICES | ||||
| 4138 HIXON PIKE | CHATTANOOGA | TN | 37415 | OUTPATIENT THERAPY CLINIC |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LN 7 COL(F): | THE BAD DEBT EXPENSE INCLUDED IN FORM 990, PART IX, LINE 24D BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $684,136. |
| PART III, LINE 4: | TO DETERMINE THE AMOUNTS REPORTS IN PART III, LINE 2, SISKIN HOSPITAL REVIEWS INDIVIDUAL PATIENT ACCOUNTS ON AN ONGOING BASIS TO DETERMINE BAD DEBTS. THE AMOUNT IS ADJUSTED TO REFLECT COST USING COST TO CHARGE RATIO. BAD DEBT EXPENSE HAS NOT BEEN INCLUDED AS A COMMUNITY BENEFIT. SEE NOTE 2 OF THE ATTACHED FINANCIAL STATEMENTS WHICH DESCRIBES CHANGE IN ESTIMATES OF TRANSACTION PRICE FOR AMOUNTS DUE FROM PATIENTS. |
| PART VI, LINE 2: | HEALTHCARE NEEDS ARE ASSESSED BY SISKIN HOSPITAL FOR PHYSICAL REHABILITATION THROUGH A VARIETY OF MECHANISMS, INCLUDING SURVEYS OF THOSE SERVED BY OUR PROGRAMS, FEEDBACK FROM VARIOUS SUPPORT GROUPS, INPUT VIA SURVEYS CONDUCTED, AND THE TRIENNIAL CHNA PROCESS. THE HOSPITAL ALSO CONSIDERS COMMUNITY NEEDS THROUGH ITS STRATEGIC PLANNING PROCESS WHERE INPUT IS SOUGHT FROM A VARIETY OF STAKEHOLDERS, INCLUDING COMMUNITY LEADERS, BOARD MEMBERS, OTHER PROVIDERS, ASSOCIATES, AND PATIENTS. |
| PART VI, LINE 3: | INFORMATION TO INFORM AND EDUCATE PATIENTS REGARDING ASSISTANCE UNDER FEDERAL, STATE OR LOCAL PROGRAMS AND SISKIN HOSPITAL'S POLICIES IS AVAILABLE UPON ADMISSION AND IS POSTED IN PATIENT ROOMS. HOSPITAL BUSINESS OFFICE REPRESENTATIVES ARE AVAILABLE BEFORE, DURING AND FOLLOWING PATIENT STAYS TO DISCUSS PAYMENT ARRANGEMENTS, FINANCIAL ASSISTANCE, AND QUESTIONS ABOUT BILLING OR INSURANCE MATTERS. FOR INPATIENT AND SUBACUTE REFERRALS, THE HOSPITAL'S NURSE LIAISONS ARE THE FIRST POINT OF CONTACT FOR INFORMATION DISSEMINATION TO PROSPECTIVE PATIENTS REGARDING AVAILABILITY OF ASSISTANCE, ELIGIBILITY CRITERIA, AND APPLICATION INFORMATION. |
| PART VI, LINE 4: | SISKIN HOSPITAL FOR PHYSICAL REHABILITATION HAS A SERVICE AREA IN THE TRI-STATE AREA OF TENNESSEE, GEORGIA, AND ALABAMA. THIS INCLUDES URBAN AND RURAL AREAS OF THE CUMBERLAND PLATEAU. SISKIN HOSPITAL OPERATES SEVERAL OUTPATIENT THERAPY CLINICS IN ADDITION TO ITS MAIN FACILITY LOCATED IN DOWNTOWN CHATTANOOGA, TENNESSEE. THE POPULATIONS SERVED ENCOMPASS ALL ECONOMIC LEVELS. |
| PART VI, LINE 5: | SISKIN HOSPITAL IS AN INDEPENDENT, FREESTANDING REHABILITATION HOSPITAL WHICH IS GOVERNED BY A COMMUNITY BOARD. SISKIN HOSPITAL OFFERS A CONTINUUM OF REHABILITATION SERVICES FROM ACUTE INPATIENT REHABILITATION TO SUBACUTE AND OUTPATIENT REHABILITATION INCLUDING PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, AND PSYCHOLOGY. PROGRAMS THAT BENEFIT COMMUNITIES SERVED, SOME OF WHICH ARE UNFUNDED OR UNDERFUNDED, ARE AS FOLLOWS:-TELEHEALTH THERAPY SERVICES - COVID-19 NECESSITATED THE DEVELOPMENT AND IMPLEMENTATION OF ALTERNATE DELIVERY METHODS FOR VARIOUS OUTPATIENT THERAPY SERVICES. FROM THE COMFORT AND SAFETY OF THEIR HOMES, PATIENTS MAY OPT TO CONTINUE THEIR THERAPY VIA REAL-TIME VIDEO CALLS WITH PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPISTS AS WELL AS BEHAVIORAL MEDICINE WITH PSYCHOLOGISTS.-COMMUNITY CARE PROGRAM - SISKIN HOSPITAL PROVIDES CHARITY CARE TO THOSE WHO HAVE SUSTAINED A DISABILITY THROUGH ACCIDENT, ILLNESS, OR INJURY.-CHARITABLE ASSISTANCE FOR ASSISTIVE DEVICES - SISKIN HOSPITAL'S PATIENT CARE FUND ALONG WITH COMMUNITY RESOURCES HELPS PROVIDE ASSISTIVE EQUIPMENT AND EDUCATION FOR PATIENTS BEING DISCHARGED.-PROFESSIONAL TRAINING, EDUCATION, CLINICAL RESEARCH ACTIVITIES - SISKIN HOSPITAL BELIEVES IN THE IMPORTANCE OF CONTINUING EDUCATION AND PROFESSIONAL TRAINING FOR ITS ASSOCIATES TO BETTER SERVICE THOSE WITH DISABILITIES IN THE COMMUNITY. -THE NEUROLOGIC PHYSICAL THERAPY RESIDENCY PROGRAM EQUIPS NEW PHYSICAL THERAPISTS WITH THE MOST CURRENT EVIDENCE-BASED PRACTICES TO PROVIDE NEUROLOGIC PATIENTS WITH THE HIGHEST STANDARD OF CARE.-THE TRANSITION-TO-PRACTICE NURSE RESIDENCY PROGRAM PROVIDES ANNUAL TRAINING IN A REHABILITATION SETTING FOR NEW LPN OR RN GRADUATES. THE PARTICIPANTS RECEIVE EDUCATIONAL SUPPORT IN LEADERSHIP, PATIENT OUTCOMES, AND THE ROLE AND RESPONSIBILITIES OF THE PROFESSIONAL NURSE.-SISKIN HOSPITAL PROVIDES CLINICAL ROTATIONS FOR NURSING STUDENTS FROM AREA COLLEGES AND UNIVERSITIES INCLUDING LEE UNIVERSITY, SOUTHERN ADVENTIST UNIVERSITY, UNIVERSITY OF TENNESSEE CHATTANOOGA, CLEVELAND STATE COMMUNITY COLLEGE, AND CHATTANOOGA STATE COMMUNITY COLLEGE.-SISKIN HOSPITAL COLLABORATED WITH THE UNIVERSITY OF TENNESSEE CHATTANOOGA AND HAMILTON COUNTY SCHOOLS TO DEVELOP AN ACCREDITED CERTIFIED NURSING ASSISTANT (CNA) PROGRAM TO SUPPORT CURRENT AND FUTURE DEMAND FOR FRONTLINE HEALTHCARE WORKERS.-AS OF JUNE 2023, 23% OF SISKIN HOSPITAL'S ELIGIBLE NURSING ASSOCIATES ARE CRRN (CERTIFIED REHABILITATION REGISTERED NURSE) CERTIFIED.-IN ADDITION TO CRRNS, A DIVERSE RANGE OF CERTIFICATIONS IS HELD BY SISKIN HOSPITAL ASSOCIATES. THESE INCLUDE NEUROLOGICAL CLINICAL SPECIALIST, CERTIFIED BRAIN INJURY SPECIALIST, GERIATRIC CERTIFIED SPECIALIST, ORTHOPEDIC CLINICAL SPECIALIST, LOW VISION REHABILITATION, WOUND AND OSTOMY NURSE CERTIFICATION, LSVT BIG, AND NEUROMUSCULAR ELECTRICAL STIMULATION.-A GRANT FROM THE ACADEMY OF NEUROLOGIC PHYSICAL THERAPY IS FUNDING THE SISKIN HOSPITAL KNOWLEDGE TRANSLATION PROJECT, WHICH SEEKS TO IMPLEMENT STANDARDIZED MEASUREMENT ON THE INPATIENT STROKE UNIT.-A FALLS PREVENTION PROJECT, THE "NO PASS ZONE," WAS IMPLEMENTED TO HEIGHTEN THE FOCUS ON FALL PREVENTION.-THE SISKIN HOSPITAL HEALTH AND FITNESS CENTER IS A PLACE WHERE ABLE-BODIED AND DISABLED INDIVIDUALS CAN WORK OUT SIDE BY SIDE, FOCUSING ON PERSONAL STRENGTHENING AND FITNESS GOALS. THE HEALTH AND FITNESS CENTER PROVIDES THE IDEAL TRANSITION FOR PATIENTS TO CONTINUE TO EXPAND AND STRENGTHEN THEIR FUNCTIONAL INDEPENDENCE FOLLOWING OUTPATIENT REHABILITATION. MEMBERSHIP IN THE HEALTH AND FITNESS CENTER IS AVAILABLE TO THE COMMUNITY AT LARGE.-ADVOCACY-ADVANCING CONTINUING EDUCATION-COMMUNITY SUPPORT GROUPS-COMMUNITY EDUCATION PROGRAMS-UNIQUE THERAPY PROGRAMS |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIP/TUITION REIMBURSEMENT | GrantTypeTxt |
| Recipient | 10 | RecipientCnt |
| Cash Grant | $63,396 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | APPLICATIONS ARE FILED TO DETERMINE QUALIFICATIONS. SCHOLARSHIPS ARE AWARDED ON A NONDISCRIMATORY BASIS BASED ON NEED AND QUALIFICATIONS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| 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 (11 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MATTHEW A GIBSON PHD FACHE | ||||||||||||||
| PRESIDENT AND CEO | $444,143 | $0 | $118,823 | $0 | $0 | $0 | $26,938 | $0 | $109,748 | $0 | $699,652 | $0 | $0 | $0 |
| CAROL E ARNHART | ||||||||||||||
| VP FINANCE/CFO | $208,812 | $0 | $20,983 | $0 | $38,183 | $0 | $9,150 | $0 | $7,219 | $0 | $284,347 | $0 | $0 | $0 |
| AARON SPINKS | ||||||||||||||
| CHIEF OPERATING OFFICER | $190,330 | $0 | $15,113 | $0 | $7,769 | $0 | $5,011 | $0 | $0 | $0 | $218,223 | $0 | $0 | $0 |
| TERESA DINGER | ||||||||||||||
| ADMIN DIR MKTG | $162,889 | $0 | $21,661 | $0 | $23,072 | $0 | $9,114 | $0 | $500 | $0 | $217,236 | $0 | $0 | $0 |
| JODY NIX | ||||||||||||||
| CHIEF ADMIN OFFICER | $185,761 | $0 | $12,334 | $0 | $3,250 | $0 | $0 | $0 | $8,389 | $0 | $209,734 | $0 | $0 | $0 |
| TRACY REED | ||||||||||||||
| VP PATIENT CARE | $163,815 | $0 | $11,990 | $0 | $16,402 | $0 | $8,589 | $0 | $7,328 | $0 | $208,124 | $0 | $0 | $0 |
| MICHAEL PILCHER | ||||||||||||||
| INFO SYS DIRECTOR | $160,669 | $0 | $11,641 | $0 | $15,855 | $0 | $8,302 | $0 | $5,732 | $0 | $202,199 | $0 | $0 | $0 |
| CURTIS POWELL | ||||||||||||||
| VP QUALITY | $142,193 | $0 | $12,062 | $0 | $20,299 | $0 | $6,074 | $0 | $7,328 | $0 | $187,956 | $0 | $0 | $0 |
| HOLLY TROTTER | ||||||||||||||
| PHARMACY DIRECTOR | $143,682 | $0 | $1,769 | $0 | $16,341 | $0 | $7,441 | $0 | $5,132 | $0 | $174,365 | $0 | $0 | $0 |
| JOHN C YOUNG | ||||||||||||||
| PSYCHOLOGIST | $89,771 | $0 | $69,959 | $0 | $0 | $0 | $3,372 | $0 | $4,855 | $0 | $167,957 | $0 | $0 | $0 |
| HERMAN GRIER | ||||||||||||||
| PHARMACIST | $121,875 | $0 | $1,524 | $0 | $6,050 | $0 | $5,756 | $0 | $19,341 | $0 | $154,546 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE TAX RETURN WILL BE REVIEWED BY THE AUDIT COMMITTEE AND DISTRIBUTED TO ALL DIRECTORS BEFORE IT IS FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE HOSPITAL'S CONFLICT OF INTEREST POLICY REQUIRES ANNUAL DISCLOSURE AND COVERS ALL MEMBERS OF THE BOARD OF DIRECTORS, THOSE SERVING ON BOARD COMMITTEES, AND PERSONNEL OF SISKIN HOSPITAL WHO ARE IN A POSITION TO INFLUENCE ANY SUBSTANTIVE BUSINESS DECISION BY SISKIN HOSPITAL. DISCLOSURES BY COVERED PERSONNEL ARE REVIEWED BY THE HOSPITAL'S CHIEF COMPLIANCE OFFICER WHO DETERMINES IF A MATERIAL CONFLICT OF INTEREST EXISTS AND RECOMMENDS TO THE COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS AN APPROPRIATE COURSE OF CONDUCT OR CORRECTIVE ACTION FOR SISKIN HOSPITAL AND INVOLVED PERSONNEL. |
| FORM 990, PART VI, SECTION B, LINE 15A | COMPENSATION PROCESS FOR TOP OFFICIAL: THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS FUNCTIONS AS THE COMPENSATION COMMITTEE FOR THE PERFORMANCE REVIEW OF THE CHIEF EXECUTIVE OFFICER AND FOR ANY ADJUSTMENTS IN COMPENSATION. THE EXECUTIVE COMMITTEE UTILIZES DATA FROM SALARIES AND COMPENSATION PROGRAMS AND SELECTED BENEFIT PROGRAMS USING DATA FROM EXTERNAL COMPENSATION SURVEYS. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENTS UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | CHANGE IN NET UNREALIZED GAINS ON OTHER THAN TRADING SECURITIES 3,320,707. UNREALIZED GAIN ON INTEREST SWAP AGREEMENT 377,317. |