BATH COUNTY COMMUNITY HOSPITAL: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- BATH COUNTY COMMUNITY HOSPITAL (EIN 54-0505913)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-06
- IRS object ID
- 202443119349302804
- Schema version
- 2023v5.1
- 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 H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-06T12:59:04-06:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 540504608 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BROWN EDWARDS & COMPANY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1909 FINANCIAL DRIVE | AddressLine1Txt |
| City | HARRISONBURG | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 540505913 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BATH COMMUNITY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BATH | BusinessNameControlTxt |
| Phone | 5408397000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | POST OFFICE DRAWER Z | AddressLine1Txt |
| City | HOT SPRINGS | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24445 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TOM VANDENHOVEN | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5408397000 | PhoneNum |
| Signature | 2024-11-04 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JAMES R FRIES | PreparerPersonNm |
| PTIN | P01320612 | PTIN |
| Phone | 5404346736 | PhoneNum |
| Preparation | 2024-11-04 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TOM VANDENHOVEN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | POST OFFICE DRAWER Z | AddressLine1Txt |
| City | HOT SPRINGS | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24445 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $31,182,622 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BATHHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1925 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | BATH COMMUNITY HOSPITAL ACCEPTS PRIMARY RESPONSIBILITY FOR IMPROVING THE HEALTH OF OUR AREA BY PROVIDING HIGH QUALITY, COMPASSIONATE, AND AFFORDABLE HEALTH CARE TO OUR REGION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 231 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,654,387 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,065,058 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $20,290,746 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $21,268,396 | CYProgramServiceRevenueAmt |
| PY Investment Income | $34,451 | PYInvestmentIncomeAmt |
| CY Investment Income | $287,062 | CYInvestmentIncomeAmt |
| PY Other Revenue | $91,005 | PYOtherRevenueAmt |
| CY Other Revenue | $551,909 | CYOtherRevenueAmt |
| PY Total Revenue | $27,070,589 | PYTotalRevenueAmt |
| CY Total Revenue | $31,172,425 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,600 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,000,105 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $14,418,870 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $15,155,614 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $10,350,158 | PYOtherExpensesAmt |
| CY Other Expenses | $11,317,071 | CYOtherExpensesAmt |
| PY Total Expenses | $24,770,628 | PYTotalExpensesAmt |
| CY Total Expenses | $28,472,790 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,299,961 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,699,635 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $32,123,433 | TotalAssetsBOYAmt |
| Total Assets EOY | $35,471,734 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,010,058 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,658,724 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $29,113,375 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $31,813,010 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO TAKE PRIMARY RESPONSIBILITY FOR IMPROVING THE HEALTH OF OUR AREA BY PROVIDING HIGH QUALITY, COMPASSIONATE AND AFFORDABLE HEALTH CARE TO OUR REGION. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $23,311,597 | ExpenseAmt |
| Grant | $2,000,105 | GrantAmt |
| Revenue | $21,820,305 | RevenueAmt |
| Desc | BATH COUNTY COMMUNITY HOSPITAL (BCCH) OPERATES A 25-BED CRITICAL ACCESS HOSPITAL, TWENTY-FOUR-HOUR EMERGENCY SERVICES, PRIMARY CARE, AND A SELECT RANGE OF DIAGNOSTIC SERVICES, REHABILITATIVE SERVICES, WELLNESS CENTER GYMNASIUM, AND SPECIALTY CLINICS. IN ADDITION, BATH COMMUNITY HOSPITAL HOLDS VARIOUS EVENTS, FREE OF CHARGE, THROUGHOUT THE YEAR THAT BENEFIT THE HEALTH AND WELLNESS OF THE COMMUNITY. IN 2023, BATH COUNTY COMMUNITY HOSPITAL (BCCH) HAD TOTAL ADMISSIONS OF 188 WITH TOTAL INPATIENT DAYS OF 1,282, WHICH INCLUDES SWING BEDS. BCCH ALSO HAD 3,076 EMERGENCY DEPARTMENT VISITS AND 11,106 HOSPITAL OUTPATIENT VISITS. OUTPATIENT CLINIC VISITS TOTALED 24,832, OF WHICH, 4,748 WERE IN HOT SPRINGS, 16,199 IN COVINGTON, 1,412 IN MILLBORO, AND BEHAVIORAL HEALTH SERVICES WHICH INCLUDED 2,473 CLINIC VISITS. BCCH SERVED A TOTAL OF 143 PATIENTS THROUGH ITS CHARITY CARE/FINANCIAL ASSISTANCE PROGRAM.BATH COUNTY COMMUNITY HOSPITAL (BCCH) PROVIDES FREE HEALTH CARE SERVICES THROUGH CLINICS, HEALTH FAIRS, AND OTHER ORGANIZED EVENTS. BENEFITS INCLUDE HEALTH EDUCATION ON DIABETES, PULMONARY AND RESPIRATORY ENCOUNTERS, AND BLOOD PRESSURE SCREENINGS. BCCH PARTNERS WITH THE LARGEST EMPLOYERS IN THE AREA TO PROVIDE ANNUAL COMMUNITY AND COMPANY HEALTH FAIRS THAT PROVIDES FLU, RSV, AND COVID-19 VACCINATIONS, CHOLESTEROL & BLOOD SUGAR PANELS, AND PROSTATE TESTS FOR MINIMAL TO NO COSTS. EDUCATIONAL HANDOUTS AND ON-SITE BLOOD PRESSURE CHECKS ARE PROVIDED BY THE HOSPITAL STAFF'S PARTICIPATION IN ORGANIZED ACTIVITIES COMMUNITY WIDE. EXAMPLES INCLUDE FREE YOUTH SPORTS PHYSICALS IN AREA SCHOOLS 7TH 12TH GRADES, FOOD BANK DISTRIBUTION IN ALLEGHANY HIGHLANDS, AND BATH COUNTIES, ANNUAL LOCAL LAW ENFORCEMENT'S ANNUAL "NIGHT OUT AGAINST CRIME, AND DISTRIBUTES PROTECTIVE GEAR SUCH AS FREE HELMETS AND REFLECTORS AT AN ANNUAL BIKE RODEO ALSO HOSTED BY LOCAL LAW ENFORCEMENT AND DEPARTMENT OF PARKS AND RECREATION. BCCH PARTNERS WITH, COLLABORATES WITH, AND SUPPORTS THOSE ORGANIZATIONS THAT SHARE THE SAME MISSION OF IMPROVING THE HEALTH AND WELLNESS OF THE COMMUNITY. BCCH PARTNERS AND SUPPORTS MANY COMMUNITY AGENCIES IN A JOINT MISSION TO IMPROVE HEALTH AND WELLNESS, PARTICULARLY THOSE NEEDS THAT SURFACED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) STUDY. SOME ORGANIZATIONS INCLUDE BATH, HIGHLAND, AND ALLEGHANY HIGHLANDS PUBLIC SCHOOLS; DSS; LOCAL HEALTH DEPARTMENTS, LAW ENFORCEMENT, SAFEHOME SYSTEMS, INC., BOYS HOME; UNITE VA; COMMUNITY ACTION FOR POSITIVE PREVENTION (CAPP); LIVE WELL ALLEGHANY HIGHLANDS; ROCKBRIDGE AREA COMMUNITY SERVICES (RACS); VALLEY PROGRAM FOR AGING SERVICES (VPAS); VIRGINIA DEPARTMENT OF HEALTH AND REGIONAL DISTRICTS TO INCLUDE CENTRAL SHENANDOAH, AND ROANOKE ALLEGHANY; AUGUSTA HEALTH'S EVERY WOMAN'S HEALTH (EWH); ALLEGHANY HIGHLANDS YMCA, CARILION HEALTH HEARTNET, AND NEWLY FORMED BCH STOP BULLYING TASK FORCE WHICH EDUCATES THE COMMUNITY IN UNDERSTANDING AND PREVENTING BULLYING BEHAVIOR. | Desc |
| Total Program Service Expenses | $23,311,597 | 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 | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | 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 | 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 | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | 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 | 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 | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 22 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 231 | 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 | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | 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 |
| Own Website | Yes (X) | OwnWebsiteInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5408397000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 106 PARK DR | AddressLine1Txt |
| City | HOT SPRINGS | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24445 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| JOHN LOEFFLER | ||||||||
| DIRECTOR | 1.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| NORM BRINKMAN | ||||||||
| DIRECTOR | 1.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| STEPHEN MILLS MD | ||||||||
| DIRECTOR | 1.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| INGRID BARBER | ||||||||
| DIRECTOR | 1.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| DASTGIR QURESHI MD | ||||||||
| DIRECTOR | 1.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| DAVID COWDEN | ||||||||
| DIRECTOR | 1.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| AMELA HODZIC MORGAN | ||||||||
| DIRECTOR | 1.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| JOHN SEDOVY MD | ||||||||
| DIRECTOR/SURGEON | 40.00 | 0.50 | Yes (X) | $406,550 | $0 | $30,603 | ||
| L TRAYWICK DUFFIE | ||||||||
| CHAIR | 1.00 | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| R MEADE SNYDER | ||||||||
| SECRETARY | 1.00 | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JEFF LINGERFELT | ||||||||
| PRESIDENT/CEO | 40.00 | 0.50 | Yes (X) | $392,400 | $0 | $26,175 | Yes (X) | |
| TIM PISTELL | ||||||||
| VICE CHAIR | 1.00 | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| MICHAEL M COLLINS | ||||||||
| DIRECTOR | 1.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| SCOTT ROBERTSON | ||||||||
| DIRECTOR | 1.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| MARK SPADONI | ||||||||
| DIRECTOR | 1.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| CHRISTINE WORSHAM | ||||||||
| DIRECTOR | 1.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| TOM VANDENHOVEN | ||||||||
| TREASURER/CFO | 40.00 | 0.50 | $192,645 | $0 | $21,800 | Yes (X) | ||
| JEFFREY MCCRAY | ||||||||
| PHYSICIAN | 45.66 | $316,464 | $0 | $32,408 | Yes (X) | |||
| GREGORY BENBOW | ||||||||
| PHYSICIAN | 36.57 | $305,758 | $0 | $24,974 | Yes (X) | |||
| SCOTT CROSBY | ||||||||
| PHYSICIAN | 39.85 | $359,113 | $0 | $9,900 | Yes (X) | |||
| RANDY GALLAGHER | ||||||||
| PHYSICIAN | 39.50 | $298,733 | $0 | $16,685 | Yes (X) | |||
| EDUARD NEMIROVSKY | ||||||||
| PHYSICIAN | 40.00 | $344,723 | $0 | $25,615 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,616,386 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $188,160 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 23 | 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 |
|---|---|---|---|---|---|
| CPSI | |||||
| PO BOX 850309 | MOBILE | AL | 36685 | BILLING/COLLECTION/EMR | $901,631 |
| MEDICAL INFORMATION TECHNOLOGY | |||||
| 7 BLUE HILL RIVER ROAD | CANTON | MA | 02021 | EMR | $501,269 |
| AUGUSTA HEALTH | |||||
| PO BOX 1000 | FISHERVILLE | VA | 22939 | RADIOLOGY READS/BIOMEDICAL SERVICES | $426,414 |
| HURON CONSULTING SERVICES INC | |||||
| 3005 MOMENTUM PLACE | CHICAGO | IL | 60689 | MEDITECH IMPLEMENTATION CONSULTING | $356,922 |
| ERX LLC | |||||
| 9724 KINGSTON PIKE | KNOXVILLE | TN | 37922 | EMERGENCY DEPT PHYSICIAN COVERAGE | $140,760 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 9 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $2,948,328 | GovernmentGrantsAmt |
| All Other Contributions | $6,116,730 | AllOtherContributionsAmt |
| Total Contributions | $9,065,058 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| OTHER PROFESSIONAL SERVICES | 621300 | $25,699,096 | $25,699,096 |
| OTHER NURSING SERVICES | 621300 | $3,732,921 | $3,732,921 |
| DAILY PATIENT SERVICES | 621300 | $2,498,653 | $2,498,653 |
| CHARITY CARE | 621300 | -$180,495 | -$180,495 |
| CONTRACTUAL ADJUSTMENTS | 621300 | -$10,481,779 | -$10,481,779 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $21,268,396 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $287,062 | TotalRevenueColumnAmt |
| Exclusion | $287,062 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $16,350 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $10,197 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $6,153 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,153 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,153 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| INSURANCE PROCEEDS | 621300 | $420,000 | $420,000 |
| MISC CAFETERIA AND DIETARY REVENU | 621300 | $122,758 | $122,758 |
| MEDICAL TRANSCRIPTS | 621300 | $2,963 | $2,963 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $35 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $35 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $545,756 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $31,172,425 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $21,820,305 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $287,062 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,000,105 | TotalAmt |
| Program Services | $2,000,105 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,070,173 | TotalAmt |
| Program Services | $437,153 | ProgramServicesAmt |
| Management And General | $633,020 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,268,583 | TotalAmt |
| Program Services | $9,755,123 | ProgramServicesAmt |
| Management And General | $1,513,460 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $460,707 | TotalAmt |
| Program Services | $411,977 | ProgramServicesAmt |
| Management And General | $48,730 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,535,823 | TotalAmt |
| Program Services | $1,321,955 | ProgramServicesAmt |
| Management And General | $213,868 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $820,328 | TotalAmt |
| Program Services | $706,095 | ProgramServicesAmt |
| Management And General | $114,233 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,984 | TotalAmt |
| Management And General | $85,984 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,415 | TotalAmt |
| Management And General | $92,415 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $906 | TotalAmt |
| Management And General | $906 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,920,817 | TotalAmt |
| Program Services | $1,675,071 | ProgramServicesAmt |
| Management And General | $1,245,746 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $135,684 | TotalAmt |
| Program Services | $13,862 | ProgramServicesAmt |
| Management And General | $121,822 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,841 | TotalAmt |
| Program Services | $46,392 | ProgramServicesAmt |
| Management And General | $12,449 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,713 | TotalAmt |
| Program Services | $16,274 | ProgramServicesAmt |
| Management And General | $77,439 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $470,410 | TotalAmt |
| Program Services | $441,250 | ProgramServicesAmt |
| Management And General | $29,160 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,344 | TotalAmt |
| Program Services | $52,455 | ProgramServicesAmt |
| Management And General | $1,889 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,286 | TotalAmt |
| Program Services | $35,286 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,289,058 | TotalAmt |
| Program Services | $1,157,276 | ProgramServicesAmt |
| Management And General | $131,782 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $406,867 | TotalAmt |
| Program Services | $14,993 | ProgramServicesAmt |
| Management And General | $391,874 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PHARMACEUTICALS | $1,821,067 | $1,821,067 | |
| SUPPLIES | $1,659,268 | $1,624,008 | $35,260 |
| PROVISION FOR BAD DEBTS | $829,190 | $829,190 | |
| EQUIPMENT RENTAL & MAIN | $662,143 | $662,143 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $701,078 | TotalAmt |
| Program Services | $289,922 | ProgramServicesAmt |
| Management And General | $411,156 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,472,790 | TotalAmt |
| Program Services | $23,311,597 | ProgramServicesAmt |
| Management And General | $5,161,193 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,116,802 | BOYAmt |
| EOY | $1,539,837 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,461,182 | BOYAmt |
| EOY | $7,313,472 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,372,781 | BOYAmt |
| EOY | $4,083,595 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $622,080 | BOYAmt |
| EOY | $693,396 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $323,567 | BOYAmt |
| EOY | $444,231 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $40,897,168 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $19,499,965 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,227,021 | BOYAmt |
| EOY | $21,397,203 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,123,433 | BOYAmt |
| EOY | $35,471,734 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,400,376 | BOYAmt |
| EOY | $2,932,076 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $141,188 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $609,682 | BOYAmt |
| EOY | $585,460 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,010,058 | BOYAmt |
| EOY | $3,658,724 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,718,556 | BOYAmt |
| EOY | $30,418,191 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,394,819 | BOYAmt |
| EOY | $1,394,819 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,113,375 | BOYAmt |
| EOY | $31,813,010 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,123,433 | BOYAmt |
| EOY | $35,471,734 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,699,635 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Other | Yes (X) | MethodOfAccountingOtherInd |
| 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 D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $667,592 | OtherCostOrOtherBasisAmt |
| Book Value | $667,592 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $29,357,907 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,081,504 | DepreciationAmt |
| Book Value | $17,276,403 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $425,141 | OtherCostOrOtherBasisAmt |
| Depreciation | $416,540 | DepreciationAmt |
| Book Value | $8,601 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,333,800 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,538,953 | DepreciationAmt |
| Book Value | $2,794,847 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,112,728 | OtherCostOrOtherBasisAmt |
| Depreciation | $462,968 | DepreciationAmt |
| Book Value | $649,760 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $21,397,203 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $31,178,647 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $10,197 | OtherRevenueAmt |
| Revenue Not Reported | $10,197 | RevenueNotReportedAmt |
| Revenue Subtotal | $31,168,450 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $906 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $3,069 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $3,975 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $31,172,425 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $28,479,013 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $10,197 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $10,197 | ExpensesNotReportedAmt |
| Expenses Subtotal | $28,468,816 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $906 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $3,068 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $3,974 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $28,472,790 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES NETTED AGAINST RECEIPTS 10,197. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | OTHER AMOUNTS NETTED ON FINANCIAL STATEMENTS 3,068. ROUNDING 1. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES NETTED AGAINST RECEIPTS 10,197. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | OTHER AMOUNTS NETTED ON FINANCIAL STATEMENTS 3,068. ROUNDING |
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 |
| Percent250 | Yes (X) | Percent250Ind |
| 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 | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $148,289 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $148,289 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00540 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 10567 | PersonsServedCnt |
| Total Community Benefit Expns | $4,014,123 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,740,375 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,273,748 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08220 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 10567 | PersonsServedCnt |
| Total Community Benefit Expns | $4,162,412 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,740,375 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,422,037 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08760 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 28288 | PersonsServedCnt |
| Total Community Benefit Expns | $8,445,294 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,025,634 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,419,660 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08750 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 28288 | PersonsServedCnt |
| Total Community Benefit Expns | $8,445,294 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,025,634 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,419,660 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08750 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 38855 | PersonsServedCnt |
| Total Community Benefit Expns | $12,607,706 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,766,009 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,841,697 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.17510 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $825,884 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $9,125,436 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $10,264,084 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,138,648 | 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 | 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 | BATH COMMUNITY HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 106 PARK DR | AddressLine1Txt |
| City | HOT SPRINGS | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24445 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.BATHHOSPITAL.ORG | WebsiteAddressTxt |
| State License | H1827 VA | 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 | BATH COMMUNITY HOSPITAL | 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 | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.BATHHOSPITAL.ORG/COMMUNITY-OUTREACH/ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTP://BATHHOSPITAL.HEALTHFORECAST.NET/INDEX-3.HTML | 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 | 250.000000000000 | 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.BATHHOSPITAL.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.BATHHOSPITAL.ORG | FAPAppAvailableOnWebsiteURLTxt |
| 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 |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| 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 |
|---|---|
| BATH COMMUNITY HOSPITAL | PART V, SECTION B, LINE 5: IN THE SUMMER OF 2021, BATH COUNTY COMMUNITY HOSPITAL (BCCH) CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR THE RESIDENTS (APPROXIMATELY 21,000) OF BATH, HIGHLAND AND ALLEGHANY COUNTIES. THE CHNA WAS CONDUCTED WITH ASSISTANCE FROM EIDE BAILLY LLP, AN ACCOUNTING AND CONSULTING FIRM SPECIALIZING IN FINANCIAL, OPERATIONAL, AND HEALTH-NEED CONSULTING WITH HEALTHCARE ORGANIZATIONS.TO ENSURE INPUT FROM PERSONS WITH BROAD KNOWLEDGEE OF THE COMMUNITY, A FOCUS GROUP MEETING WAS HELD ON JULY 29, 2021. INVITATIONS WERE SENT TO INDIVIDUALS REPRESENTING VARIOUS COMMUNITY, BUSINESS, AND EDUCATIONAL ORGANIZATIONS. REPRESENTATIVES FROM LOCAL HEALTHCARE PROVIDERS AND THE COMMUNITY HEALTH DEPARTMENTS WERE INCLUDED TO BRING ADDITIONAL PROFESSIONAL PERSPECTIVES. FOR INVITEES UNABLE TO ATTEND THE FOCUS GROUP SESSIONS, INPUT WAS GATHERED VIA THE COMMUNITY SURVEY.COMMUNITY REPRESENTATION AT THE JULY 29, 2021 FOCUS GROUP INCLUDE THE FOLLOWING ORGANIZATIONS:O NEW RIVER VALLEY COMMUNITY SERVICES - BLACKSBURG, VAO MOUNTAIN GATEWAY COMMUNITY COLLEGE - CLIFTON FORGE, VAO BATH COUNTY PUBLIC SCHOOLS - WARM SPRINGS, VAO ALLEGHANY HIGHLANDS KIWANIS CLUB - COVINGTON, VAO FEEDING SOUTHWEST VA - SALEM, VAO GOODWILL - COVINGTON, VAO BATH COMMUNITY HOSPITAL STAFF - HOT SPRINGS, VAO ALLEGHANY COUNTY/COVINGTON HEALTH DEPARTMENT - COVINGTON, VATHE INDIVIDUALS IDENTIFIED TO PARTICIPATE IN THE PROCESS HAVE DIRECT ASSESS TO INDIVIDUALS ACROSS ALL SUBSECTIONS OF THE COMMUNITY AND THEREFORE CAN ADDRESS NEEDS THAT MAY IMPACT THOSE POPULATIONS THAT ARE MEDICALLY UNDERSERVED OR MOST IN NEED.IN ORDER TO OBTAIN INPUT FROM THE BROADER COMMUNITY, AS SURVEY WAS CREATED WITH QUESTIONS TO IDENTIFY HEALTH NEEDS AND CONCERNS IN THE COMMUNITY. THE SURVEY WAS ADMINISTERED FROM JULY 7 TO JULY 16, 2021. THE ONLINE SURVEY LINK WAS MAILED OUT AND MADE AVAILABLE ON THE BCCH WEBSITE, AND POSTED AT:- LOCAL PRINT AND ONLINE NEWSPAPERS AND THEIR SOCIAL MEDIA PAGES- THE ALLEGHANY JOURNAL (REGIONAL ELECTRONIC JOURNAL)- RADIO STATION SOCIAL MEDIA PAGES (WXCF, WKEY, AMR 1370- BCCH WEBSITE AND SOCIAL MEDIA PAGES FOR ALL ENTITIES: BATH COMMUNITY PHYSICIANS GROUP, BATH COMMUNITY REHAB AND WELLNESS, AND THE BISTRO (HOSPITAL CAFETERIA)- PATIENTPOINT SCREENS IN ALL PATIENT WAITING ROOMS THROUGHOUT THE HOSPITAL AND CLINICS- SIGNAGE POSTED THROUGOUT ALL BCCH OUTLETS- PAPER COPIES WERE ALSO MADE AVAILABLE AT BCCH, BATH COMMUNITY PHARMACY, AND ALL BATH COMMUNITY PHYSICIAN GROUP CLINIC LOCATIONS, INCLUDING MILLBORO, COVINGTON AND HOT SPRINGS.- EMAILS WERE SENT TO COMMUNITY ALTERNATIVES FOR POSITIVE PREVENTION (CAPP) MEMBERS WITH REQUEST TO SHARE THE SURVEY LINK.THERE WERE 115 SURVEY RESPONSES. BCCH ACKNOWLEDGES THAT HIGHLAND COUNTY WAS (UNINTENDEDLY) UNDER-REPRESENTED IN THE SURVEY. BCCH WILL MAKE GREATER EFFORTS TO ATTRACT SURVEY RESPONSES FROM HIGHLAND COUNTY RESIDENTS IN THE NEXT CHNA PROCESS. |
| BATH COMMUNITY HOSPITAL | PART V, SECTION B, LINE 6B: O NEW RIVER VALLEY COMMUNITY SERVICES - BLACKSBURG, VAO MOUNTAIN GATEWAY COMMUNITY COLLEGE - CLIFTON FORGE, VAO BATH COUNTY PUBLIC SCHOOLS - WARM SPRINGS, VAO ALLEGHANY HIGHLANDS KIWANIS CLUB - COVINGTON, VAO FEEDING SOUTHWEST VA - SALEM, VAO GOODWILL - COVINGTON, VAO BATH COMMUNITY HOSPITAL STAFF - HOT SPRINGS, VAO ALLEGHANY COUNTY/COVINGTON HEALTH DEPARTMENT - COVINGTON, VA |
| BATH COMMUNITY HOSPITAL | PART V, SECTION B, LINE 7D: FOCUS GROUPS |
| BATH COMMUNITY HOSPITAL | PART V, SECTION B, LINE 11: SIGNIFICANT NEEDSNUTRITION; PHYSICAL ACTIVITY; OBESITY; DIABETES:LEAD BY EXAMPLE - OFFER HEALTHIER CHOICES TO HOSPITAL STAFF AND THE PUBLIC IN THE HOSPITAL DINING AREA. EDUCATE THE PUBLIC THROUGH 45-MINUTE HEALTH EDUCATION PRESENTATIONS AND INCLUDE PROVIDERS. SHARE MESSAGING PROVIDED THROUGH REGIONAL PREVENTION COALITION FACILITIES, TO SUPPORT THE IMPLEMENTATION OF EXSISTING AND PROVEN SUCCESSFUL PROGRAMS SUCH AS "TOO GOOD FOR DRUGS; AND "ALLEGHANY HIGHLANDS HEALTH YOUTH COALITION". PROMOTE CHRONIC DISEASE MANAGEMENT AVAILABLE TO PATIENTS, INTERNALLY.SUBSTANCE ABUSE:SUPPORT AND PROMOTE EXISTING TREATMENT PROGRAMS AND RESOURCES. BE AN EXTENSION OR ARM FOR DELIVERY OF INFORMATION EXCHANGED. SPONSOR RECOVER FEST IN COVINGTON AND HOST "ARRIVE ALIVE, DRUNK DRIVING AND DISTRACTED DRIVING SIMULATOR". GIVE OUT DRUG DEACTIVATION POUCHES AND LOCKBOXES IN PARTNERSHIP WITH CSB. JOIN THE NARRATIVE; NETWORK WITH COMMUNITY GROUPS SHARING A COMMON GOAL TO IMPROVE ALIGNMENT AND COHESIVENESS.TOBACCO USE/VAPING:DISTRIBUTE AND SHARE EXISTING MATERIALS THROUGH ALL OUTLETS AVAILABLE TO US. SPONSOR EXISTING SCHOOL HEALTH PROGRAMS AND PRESENTATIONS FOR PARENTS AND STUDENTS TO KNOW THE SIGNS OF VAPING AND ASSOCIATED ILLNESS.BEHAVIORAL HEALTH:GROW BEHAVIORAL HEALTH TEAM IN ORDER TO BEST MEET THE NEEDS OF THE COMMUNITY CONTINUE TO OFFER TELEHEALTH OPPORTUNITIES. RECONFIGURE OFFICE LOCATION TO ENSURE PATIENT CONFIDENTIALITY DUE TO STIGMA SURROUNDING MENTAL ILLNESS. EDUCATE THE COMMUNTIY ON AVAILABILITY AND EFFECTIVENESS OF SERVICES. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 - BATH COMMUNITY REHAB & WELLNESS CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO DRAWER Z | AddressLine1Txt |
| City | HOT SPRINGS | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24445 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | WELLNESS SERVICES, WHICH ARE COHOUSED WITH LICENSED REHAB SERVICES | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | WE ALSO CONSIDER ASSETS SUCH AS MONEY IN THE BANK AND ASSETS THAT COULD BE LIQUIDATED INTO CASH, AND WE REVIEW BANK STATEMENTS TO SEE IF MONEY IS FREQUENTLY SPENT ON LUXURY ITEMS INSTEAD OF NEEDED ITEMS. |
| PART I, LINE 7: | ALL FIGURES ARE DERIVED FROM THE FINANCIAL STATEMENTS, WHICH ARE PREPARED ON THE INCOME TAX BASIS. THE COST TO CHARGE RATIO FROM WORKSHEET 2 IS USED. |
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 825,884. |
| PART III, LINE 4: | ACCOUNTS RECEIVABLE ARE REPORTED AT NET REALIZABLE VALUE. BALANCES ARE CONSIDERED DELINQUENT WHEN THEY ARE OUTSTANDING FOR 120 DAYS WITH NO ACTIVITY AT WHICH TIME THE BALANCES ARE TRANSFERRED TO A COLLECTION AGENCY AND THE BALANCE IS MOVED TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. BALANCES ARE WRITTEN OFF AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN MADE. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED ON HISTORICAL BAD DEBT EXPERIENCE AND MANAGEMENT'S EVALUATION OF THE ACCOUNTS RECEIVABLE. THE BAD DEBT EXPENSE REPORTED ON SCH H, PART III, LINE 2 IS THE ESTIMATED BAD DEBT ATTRIBUTABLE TO CHARGES ON PATIENT ACCOUNTS. |
| PART III, LINE 8: | NONE SHOULD BE TREATED AS A COMMUNITY BENEFIT. MEDICARE ALLOWABLE COSTS AS DETERMINED BY FILING OF THE CMS 2552-10 COST REPORT. |
| PART III, LINE 9B: | ONCE ELIGIBILITY FOR FINANCIAL ASSISTANCE HAS BEEN DETERMINED, THE BILLS ARE ADJUSTED FOR PATIENTS WHO QUALIFY. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BATH COMMUNITY HOSPITAL FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | POST OFFICE DRAWER Z | AddressLine1Txt |
| City | HOT SPRINGS | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24445 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 571137401 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $2,000,000 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Purpose Of Grant | FOUNDATION OPERATIONS | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| 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 (8 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN SEDOVY MD | ||||||||||||||
| DIRECTOR/SURGEON | $406,550 | $0 | $0 | $0 | $0 | $0 | $7,096 | $0 | $23,507 | $0 | $437,153 | $0 | $0 | $0 |
| JEFF LINGERFELT | ||||||||||||||
| PRESIDENT/CEO | $334,388 | $0 | $58,012 | $0 | $0 | $0 | $9,900 | $0 | $16,275 | $0 | $418,575 | $0 | $0 | $0 |
| EDUARD NEMIROVSKY | ||||||||||||||
| PHYSICIAN | $314,723 | $0 | $30,000 | $0 | $0 | $0 | $9,340 | $0 | $16,275 | $0 | $370,338 | $0 | $0 | $0 |
| SCOTT CROSBY | ||||||||||||||
| PHYSICIAN | $339,572 | $0 | $19,541 | $0 | $0 | $0 | $9,900 | $0 | $0 | $0 | $369,013 | $0 | $0 | $0 |
| JEFFREY MCCRAY | ||||||||||||||
| PHYSICIAN | $300,060 | $0 | $16,404 | $0 | $0 | $0 | $8,901 | $0 | $23,507 | $0 | $348,872 | $0 | $0 | $0 |
| GREGORY BENBOW | ||||||||||||||
| PHYSICIAN | $292,192 | $0 | $13,566 | $0 | $0 | $0 | $8,699 | $0 | $16,275 | $0 | $330,732 | $0 | $0 | $0 |
| RANDY GALLAGHER | ||||||||||||||
| PHYSICIAN | $275,792 | $0 | $22,941 | $0 | $0 | $0 | $8,137 | $0 | $8,548 | $0 | $315,418 | $0 | $0 | $0 |
| TOM VANDENHOVEN | ||||||||||||||
| TREASURER/CFO | $185,915 | $0 | $6,730 | $0 | $0 | $0 | $5,525 | $0 | $16,275 | $0 | $214,445 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1A | THE BYLAWS GIVE THE EXECUTIVE COMMITTEE FULL AUTHORITY TO OPERATE AND ADMINISTER THE CORPORATION BETWEEN MEETINGS OF THE BOARD OF DIRECTORS AND TO ACT IN ALL SITUATIONS EXCEPT AS SPECIFIED IN THE CORPORATION'S BYLAWS. |
| FORM 990, PART VI, SECTION B, LINE 11B | ALL MEMBERS OF THE BOARD REVIEW A COPY OF THE 990 BEFORE IT IS FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | A CONFLICT OF INTEREST POLICY AND DISCLOSURE FORM IS SIGNED ANNUALLY BY ALL MEMBERS OF THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE EXECUTIVE DIRECTOR OF HUMAN RESOURCES USES YAFFE & COMPANY TO ASSIST WITH EXECUTIVE COMPENSATION QUESTIONS FROM THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS ALSO USE THE VASHHRA REPORT FOR SALARY SURVEY PURPOSES. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE ALL AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PHYSICIANS AND MEDICAL PROFESSIONAL: PROGRAM SERVICE EXPENSES 223,980. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 223,980. BILLING AND CODING SERVICES: PROGRAM SERVICE EXPENSES 3,527. MANAGEMENT AND GENERAL EXPENSES 161,706. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 165,233. OTHER OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 1,439,479. MANAGEMENT AND GENERAL EXPENSES 805,614. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,245,093. CONSULTING FEES: PROGRAM SERVICE EXPENSES 8,085. MANAGEMENT AND GENERAL EXPENSES 278,426. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 286,511. |
| FORM 990, PART XII, LINE 1 | THE ORGANIZATION USES INCOME TAX BASIS OF ACCOUNTING. THAT BASIS DIFFERS FROM GENERALLY ACCEPTED ACCOUNTING PRINCIPLES PRIMARILY BECAUSE THE HOSPITAL DOES NOT RECORD, AS A PERMANENTLY RESTRICTED ASSET, FUNDS HELD IN TRUST BY OTHERS. THE HOSPITAL ALSO DOES NOT RECORD ITS LONG-TERM INVESTMENTS AND BENEFICIAL INTERESTS AT FAIR VALUE AS REQUIRED BY GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. THE ORGANIZATION DID NOT CHANGE ITS ACCOUNTING METHOD IN CURRENT YEAR. |
| FORM 990, PART XII, LINE 2C | THE BOARD OF DIRECTORS IS RESPONSIBLE FOR SELECTION OF AN AUDIT COMMITTEE THAT OVERSEES PREPARATION OF FINANCIAL STATEMENTS AND AUDIT PROCESS. THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT OR SELECTION PROCESS IN CURRENT YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BATH COMMUNITY HOSPITAL FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO DRAWER Z | AddressLine1Txt |
| City | HOT SPRINGS | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24445 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 571137401 | EIN |
| Primary Activities | SUPPORT FUNDRAISING EFFORTS OF BATH COMMUNITY HOSPITAL | PrimaryActivitiesTxt |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 12C, III-FI | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BATH COMMUNITY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BATH COMMUNITY HOSPITAL FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | B | TransactionTypeTxt |
| Involved | $2,000,000 | InvolvedAmt |