2024-11-06T12:59:04-06:00 2023-12-31 540504608 BROWN EDWARDS & COMPANY LLP 1909 FINANCIAL DRIVE HARRISONBURG VA 22801 990 2023-01-01 540505913 BATH COMMUNITY HOSPITAL BATH 5408397000 POST OFFICE DRAWER Z HOT SPRINGS VA 24445 TOM VANDENHOVEN CFO 5408397000 2024-11-04 1 1 JAMES R FRIES P01320612 5404346736 2024-11-04 2023 2024-10-15 13:58:12Z TOM VANDENHOVEN POST OFFICE DRAWER Z HOT SPRINGS VA 24445 31182622 0 X WWW.BATHHOSPITAL.ORG X 1925 VA 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. 15 15 231 0 0 0 6654387 9065058 20290746 21268396 34451 287062 91005 551909 27070589 31172425 1600 2000105 0 0 14418870 15155614 0 0 0 10350158 11317071 24770628 28472790 2299961 2699635 32123433 35471734 3010058 3658724 29113375 31813010 X TO TAKE PRIMARY RESPONSIBILITY FOR IMPROVING THE HEALTH OF OUR AREA BY PROVIDING HIGH QUALITY, COMPASSIONATE AND AFFORDABLE HEALTH CARE TO OUR REGION. 0 0 23311597 2000105 21820305 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. 23311597 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 22 0 1 231 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X X THE ORGANIZATION 5408397000 106 PARK DR HOT SPRINGS VA 24445 JOHN LOEFFLER DIRECTOR 1.00 0.50 X 0 0 0 NORM BRINKMAN DIRECTOR 1.00 0.50 X 0 0 0 STEPHEN MILLS MD DIRECTOR 1.00 0.50 X 0 0 0 INGRID BARBER DIRECTOR 1.00 0.50 X 0 0 0 DASTGIR QURESHI MD DIRECTOR 1.00 0.50 X 0 0 0 DAVID COWDEN DIRECTOR 1.00 0.50 X 0 0 0 AMELA HODZIC MORGAN DIRECTOR 1.00 0.50 X 0 0 0 JOHN SEDOVY MD DIRECTOR/SURGEON 40.00 0.50 X 406550 0 30603 L TRAYWICK DUFFIE CHAIR 1.00 0.50 X X 0 0 0 R MEADE SNYDER SECRETARY 1.00 0.50 X X 0 0 0 JEFF LINGERFELT PRESIDENT/CEO 40.00 0.50 X X 392400 0 26175 TIM PISTELL VICE CHAIR 1.00 0.50 X X 0 0 0 MICHAEL M COLLINS DIRECTOR 1.00 0.50 X 0 0 0 SCOTT ROBERTSON DIRECTOR 1.00 0.50 X 0 0 0 MARK SPADONI DIRECTOR 1.00 0.50 X 0 0 0 CHRISTINE WORSHAM DIRECTOR 1.00 0.50 X 0 0 0 TOM VANDENHOVEN TREASURER/CFO 40.00 0.50 X 192645 0 21800 JEFFREY MCCRAY PHYSICIAN 45.66 X 316464 0 32408 GREGORY BENBOW PHYSICIAN 36.57 X 305758 0 24974 SCOTT CROSBY PHYSICIAN 39.85 X 359113 0 9900 RANDY GALLAGHER PHYSICIAN 39.50 X 298733 0 16685 EDUARD NEMIROVSKY PHYSICIAN 40.00 X 344723 0 25615 2616386 0 188160 23 0 1 0 CPSI PO BOX 850309 MOBILE AL 36685 BILLING/COLLECTION/EMR 901631 MEDICAL INFORMATION TECHNOLOGY 7 BLUE HILL RIVER ROAD CANTON MA 02021 EMR 501269 AUGUSTA HEALTH PO BOX 1000 FISHERVILLE VA 22939 RADIOLOGY READS/BIOMEDICAL SERVICES 426414 HURON CONSULTING SERVICES INC 3005 MOMENTUM PLACE CHICAGO IL 60689 MEDITECH IMPLEMENTATION CONSULTING 356922 ERX LLC 9724 KINGSTON PIKE KNOXVILLE TN 37922 EMERGENCY DEPT PHYSICIAN COVERAGE 140760 9 2948328 6116730 9065058 OTHER PROFESSIONAL SERVICES 621300 25699096 25699096 OTHER NURSING SERVICES 621300 3732921 3732921 DAILY PATIENT SERVICES 621300 2498653 2498653 CHARITY CARE 621300 -180495 -180495 CONTRACTUAL ADJUSTMENTS 621300 -10481779 -10481779 21268396 287062 287062 16350 10197 6153 6153 6153 INSURANCE PROCEEDS 621300 420000 420000 MISC CAFETERIA AND DIETARY REVENU 621300 122758 122758 MEDICAL TRANSCRIPTS 621300 2963 2963 35 35 545756 31172425 21820305 0 287062 X 2000105 2000105 1070173 437153 633020 11268583 9755123 1513460 460707 411977 48730 1535823 1321955 213868 820328 706095 114233 85984 85984 92415 92415 906 906 2920817 1675071 1245746 135684 13862 121822 58841 46392 12449 93713 16274 77439 470410 441250 29160 54344 52455 1889 35286 35286 1289058 1157276 131782 406867 14993 391874 PHARMACEUTICALS 1821067 1821067 SUPPLIES 1659268 1624008 35260 PROVISION FOR BAD DEBTS 829190 829190 EQUIPMENT RENTAL & MAIN 662143 662143 701078 289922 411156 28472790 23311597 5161193 0 1116802 1539837 5461182 7313472 3372781 4083595 622080 693396 323567 444231 40897168 19499965 21227021 21397203 32123433 35471734 2400376 2932076 141188 609682 585460 3010058 3658724 X 27718556 30418191 1394819 1394819 0 0 29113375 31813010 32123433 35471734 2699635 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 667592 667592 29357907 12081504 17276403 425141 416540 8601 9333800 6538953 2794847 1112728 462968 649760 21397203 31178647 10197 10197 31168450 906 3069 3975 31172425 28479013 10197 10197 28468816 906 3068 3974 28472790 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 1 1 1 X 1 X 1 1 1 0 1 1 148289 148289 0.00540 1 10567 4014123 1740375 2273748 0.08220 1 10567 4162412 1740375 2422037 0.08760 3 28288 8445294 6025634 2419660 0.08750 3 28288 8445294 6025634 2419660 0.08750 4 38855 12607706 7766009 4841697 0.17510 1 825884 9125436 10264084 -1138648 X 1 1 1 1 BATH COMMUNITY HOSPITAL 106 PARK DR HOT SPRINGS VA 24445 WWW.BATHHOSPITAL.ORG H1827 VA X X X X BATH COMMUNITY HOSPITAL 1 0 0 1 X X X X X X X X X 21 1 0 1 1 X WWW.BATHHOSPITAL.ORG/COMMUNITY-OUTREACH/ X X 1 21 1 HTTP://BATHHOSPITAL.HEALTHFORECAST.NET/INDEX-3.HTML 0 1 X 200.000000000000 250.000000000000 X X X 0 1 X X X 1 X WWW.BATHHOSPITAL.ORG X WWW.BATHHOSPITAL.ORG X X X X X X 1 0 X X 1 X 0 0 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. 1 1 - BATH COMMUNITY REHAB & WELLNESS CENTER PO DRAWER Z HOT SPRINGS VA 24445 WELLNESS SERVICES, WHICH ARE COHOUSED WITH LICENSED REHAB SERVICES 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. 1 BATH COMMUNITY HOSPITAL FOUNDATION POST OFFICE DRAWER Z HOT SPRINGS VA 24445 571137401 501(C)(3) 2000000 0 FOUNDATION OPERATIONS 1 X X X 0 0 0 0 0 0 0 0 0 JOHN SEDOVY MD DIRECTOR/SURGEON 406550 0 0 0 0 0 7096 0 23507 0 437153 0 0 0 JEFF LINGERFELT PRESIDENT/CEO 334388 0 58012 0 0 0 9900 0 16275 0 418575 0 0 0 EDUARD NEMIROVSKY PHYSICIAN 314723 0 30000 0 0 0 9340 0 16275 0 370338 0 0 0 SCOTT CROSBY PHYSICIAN 339572 0 19541 0 0 0 9900 0 0 0 369013 0 0 0 JEFFREY MCCRAY PHYSICIAN 300060 0 16404 0 0 0 8901 0 23507 0 348872 0 0 0 GREGORY BENBOW PHYSICIAN 292192 0 13566 0 0 0 8699 0 16275 0 330732 0 0 0 RANDY GALLAGHER PHYSICIAN 275792 0 22941 0 0 0 8137 0 8548 0 315418 0 0 0 TOM VANDENHOVEN TREASURER/CFO 185915 0 6730 0 0 0 5525 0 16275 0 214445 0 0 0 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. BATH COMMUNITY HOSPITAL FOUNDATION PO DRAWER Z HOT SPRINGS VA 24445 571137401 SUPPORT FUNDRAISING EFFORTS OF BATH COMMUNITY HOSPITAL VA 501(C)(3) LINE 12C, III-FI BATH COMMUNITY HOSPITAL 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 BATH COMMUNITY HOSPITAL FOUNDATION B 2000000