2025-05-15T13:33:44-05:00 2024-06-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2023-07-01 421231996 Virginia Gay Hospital Inc VIRG 3194726255 502 N 9th Ave Vinton IA 523492254 Tina Eden CNO/Co-CEO 3194726255 2025-05-14 1 1 Kim Hunwardsen CPA P00484560 6122536500 2025-05-14 2023 2025-03-06 01:10:19Z Tina Eden 502 N 9th Ave Vinton IA 523492254 47921225 0 X www.myvghinc.org X 1923 IA Provision of health care services 9 7 375 9 0 0 2168486 5126882 33878946 41945747 363716 830596 0 18000 36411148 47921225 9000 6000 0 0 19668926 21645633 0 0 109786 16571829 16549483 36249755 38201116 161393 9720109 40195873 52314320 3413043 4837897 36782830 47476423 X Our purpose is to provide quality health care services by using innovative, growth-oriented techniques and maintaining a sound financial base. 0 0 31899162 6000 41945747 Virginia Gay Hospital is a 25-bed acute care hospital and a 40-bed long-term care facility located in Vinton, Iowa. The Hospital leads delivery of healthcare to its region through over 300 associates (including 19 providers) who coordinate care to deliver patient care as an integrated unit. Virginia Gay Hospital and its affiliates also work seamlessly to meet the needs of the communities they serve. The Hospital provides care to patients and residents who meet certain criteria under its charity care policy without charge or at amounts less than established rates. Because the Hospital does not pursue collection of amounts determined to qualify as charity care, they are not reported as revenue. The amounts of charges foregone for services provided under the Hospital's charity care policy were $188,296 for the year ended June 30, 2024. Total direct and indirect costs related to these charges foregone were approximately $75,000 at June 30, 2024, based on an average ratio of cost to gross charges.In addition, the Hospital provides services to other patients under certain government-reimbursed public aid programs. Such programs pay providers amounts which are less than established charges for the services provided to the recipients, and for some services the payments are less than the cost of rendering the services provided.The Hospital also commits significant time and resources to endeavors and critical services which meet otherwise unfulfilled community needs. Many of these activities are sponsored with the knowledge that they will not be self-supporting or financially viable.Virginia Gay Hospital also makes medical care accessible to the entire community it serves. The Hospital operates a full-time emergency room and provides emergency care regardless of ability to pay. The Hospital provides clinical services needed to operate the emergency room and provides on-site emergency medical care and medical transportation services, van service, and an onsite helipad.The Hospital had 35,676 outpatient visits and the rural health clinics had 37,910 visits. 31899162 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 0 1 45 0 1 375 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 7 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Barry Dietsch 3194726255 502 N 9th Ave Vinton IA 52349 John Yundt Chair 0.50 1.30 X X 0 0 0 David Vermedahl Vice Chair 0.50 0.90 X X 0 0 0 Sara Stuefan Secretary 0.50 0.30 X X 0 0 0 John Mossman Treasurer 0.90 0.30 X X 0 0 0 Dr Brian Meeker DO Director 40.50 0.30 X 617899 0 25168 Marie Therese Foth Director 0.50 0.30 X 0 0 0 Dr Michelle Elgin DO Director 40.50 0.30 X 252440 0 35970 Bud Maynard Director 0.50 0.30 X 0 0 0 Kyle Koeppen Director 0.50 0.30 X 0 0 0 Michele Schoonover CEO (Until June 15) 40.00 3.30 X 205701 0 16043 Barry Dietsch CFO 40.00 3.30 X 193994 0 5287 Euan MacGregor-COO Until June 15)/CEO (June 15-June 30) 40.00 3.30 X 110282 0 29019 Dr Erica Silbernagel DO Family Medicine 40.00 0.00 X 301913 0 15619 Dr Kyle Song DO Family Medicine 40.00 0.00 X 442834 0 38210 Tammy Madsen PA-C ER/Hospitalist 40.00 0.00 X 278632 0 15437 Michele Burnes PA-C Family Medicine 40.00 0.00 X 244485 0 22096 Matthew Wilden PA-C ER/Hospitalist 40.00 0.00 X 238795 0 35426 2886975 0 238275 28 0 1 0 National Therapeutic Association 11623 Arbor St Omaha NE 68144 Physical/Occupational/Speech Therapy 1006712 Medical Solutions LLC PO Box 850737 Minneapolis MN 55485 Contract Staffing (RN, LPN, CNA) 708868 Iowa Anesthesia LC PO Box 1665 Cedar Rapids IA 52406 CRNA & Ultrasound 507489 Grapetree Medical Staffing PO Box 5340 Sioux Falls SD 57117 Contract Staffing (RN, LPN, CNA) 313434 Health Enterprises of Iowa PO Box 1635 Cedar Rapids IA 524061635 Echo Doppler 219267 11 4944023 182859 5126882 Patient & resident revenue 621110 38992388 38992388 Pharmacy Revenue 900099 1665254 1665254 1288105 1288105 41945747 693839 693839 18000 0 18000 18000 18000 129259 7498 0 0 129259 7498 136757 136757 47921225 41945747 0 848596 X 6000 6000 1535902 909049 626853 30634 30634 16729400 15362361 1295448 71591 198100 181587 15764 749 1918988 1721538 190571 6879 1232609 1092728 135587 4294 28660 28660 74574 74574 6334945 4809186 1522859 2900 114279 8257 88027 17995 2514620 1245570 1264795 4255 566792 188418 378374 74709 71862 2847 57553 56288 1265 2449 2449 2148359 2022302 125634 423 279696 59773 219923 Medical Supplies 3285411 3283960 1451 Repairs and maintenance 648285 507845 140440 Food 215354 215354 203797 124001 79096 700 38201116 31899162 6192168 109786 6799824 12048822 3370833 9119700 364349 410075 119014 118840 37058925 24118696 14458863 12940229 13697593 15555869 457033 444008 255444 345902 672920 1330875 40195873 52314320 2627583 3652469 785460 1185428 3413043 4837897 X 36645810 47330873 137020 145550 36782830 47476423 40195873 52314320 9720109 973484 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 116660 16282 16282 116660 116660 8165 8165 116660 116660 13007 13007 116660 116660 16513 16513 116660 116660 1251 1251 116660 0.00000 1.00000 0.00000 0 0 141794 141794 151876 25349572 15289814 10211634 10143704 7842255 2301449 1271979 986627 285352 12940229 Estimated Third Party Payor 700000 Operating Lease Liability 361307 Finance Lease Liability 124121 1185428 X Part V, Line 4: Income from the endowment funds is to be used for repairs and maintenance and capital improvements. Part X, Line 2: The Organization believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. The Organization would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. 1 1 X 1 X 220.000000000000 0 1 1 1 0 1 1 75000 75000 0.00200 75000 75000 0.00200 9003439 8627059 376380 0.00990 9003439 8627059 376380 0.00990 9078439 8627059 451380 0.01190 1 288172 188296 9039656 9025101 14555 X 1 1 1 1 Virginia Gay Hospital Inc 502 N 9th Avenue Vinton IA 523492254 myvghinc.org 060178H X X X X 4 provider based rural health clinics Virginia Gay Hospital Inc 1 0 0 1 X X X X X X X X X 21 1 0 0 1 X See Part V Supplemental Info X https://www.bentoncountyia.gov/public_health/ X 1 21 1 See Part V Supplemental Info 0 1 X 220.000000000000 1 1 X X X X 1 X https://myvgh.org/financial-assistance/ X https://myvgh.org/financial-assistance/ X https://myvgh.org/financial-assistance/ X X X X X X 1 X 0 X X X X 1 X 0 0 Virginia Gay Hospital, Inc. Part V, Section B, Line 5: Virginia Gay Hospital (VGH) In conjunction with Benton County Public Health (BCPH), has a commitment to establishing and maintaining effective partnerships throughout the county and works with all entities that influence community health. The Community Health Improvement Plan (CHIP) 2022-2025 is a dedicated plan to improve and strengthen the local planning process by working with multiple community partners involved in the Community Health Needs Assessment (CHNA) process. The Community Health Need Assessment (CHNA) done in 2022 identified these three health priorities: Mental Health Substance Abuse Health Prevention Collaborative workgroups are formed, with multiple community partners. To ensure progress on the CHIP, community partners select objectives based on these priorities and identified strategies to achieve these objectives individually and collaboratively. VGH collaborates with different members of our community and has multiple community partnerships involved in the CHNA and CHIP processes. Local health departments in Iowa are required by state statutes to systematically collect data and make it available to the public as a Community Health Needs Assessment (CHNA). CHNA was last released in December 2019. It is also required to create and enact a CHIP to address the health priorities affecting their community by engaging the public and community partners. The CHNA collects data, while the CHIP works to address the health disparities identified in the CHNA. CHNA/CHIP is a living document that is reviewed and revised annually to review current goals and objectives and document progress. This is a tool to provide opportunities for health where the people of Benton County live, learn, work, and play.A special thank you to all our community partners for their time, insights, and continued collaboration. Virginia Gay Hospital, Clinics, Home Health, and Nursing & Rehab VGH Board of Directors Benton County Suicide Coalition Benton County Board of Supervisors Benton County Board of Health Benton County Public Health Benton County Environmental Health Benton County Emergency Management Benton County Disaster Recovery Coalition Benton County Stepping up Coalition Benton County Department of Health and Human Services Benton County Transportation Benton County School Districts Benton County Development Group Benton County Wellness Coalition Benton County Rural Access Center Region 6 Emergency Preparedness Coalition Vinton Unlimited Above the Influence Coalition (Substance Abuse) Iowa State Benton County Extension Office Benton County Police Departments Better Tomorrows (Early Childhood Iowa) Benton-Iowa Decategorization Hawkeye Area Community Action Programs (HACAP) Area Substance Abuse Council (ASAC) Vinton Parks & Recreation Department Abbe Center for Community Mental Health Virginia Gay Hospital, Inc. Part V, Section B, Line 11: Highest Priority Health NeedsA survey was conducted March 2022 resulting in 118 completed surveys. The surveys were from anonymous participants. The goal of this survey was to better help us understand the health concerns and needs in Benton County.Following the collection of statistical data and community input, each health indicator was analyzed by comparing it to the state rates to determine our county's priority health concerns.It was determined that Mental Health 78.81%, Obesity 64.41% along with Chronic Health conditions 53.35% and Substance abuse 38.14% were the top health priorities in Benton County. We will continue our current goals for Mental Health, Substance Abuse and have added Health Prevention as our top three priorities. Health prevention will encompass our previous objectives on obesity while including other chronic illness needs as identified from the Benton County 2022 CHNA survey data.1.Preventive HealthGoal 1: Promote current Health programs and provide education to residents of Benton CountyActions Completed:* Community events held to provide information, resources, and support in relation to preventive health. * Promotion of current VGH services; Diabetes program, Gifts of Hope, PT, Yoga, Childcare, Health Fair, Financial navigator/SHIP, 3D Mammograms and Party in Pink. Pink Basketball game, promoting mammographic services 2022/2023* Benton County Fair booth 2022/2023/2024 VGH/PH provided information on current Health programs and provided education. Blood pressure checks provided.* VGH/PH Blood Pressure clinics at Vinton HACAP resumed November 2022 BP's taken and education provided. Ongoing 2023/2024.* Continued discussion with the City and Vinton Park and Recreation Department, have been working on plans for a new Wellness Center that would be located adjacent to the high school and combine indoor/outdoor pool areas, gym, walking track, meeting rooms and exercise. This is a partnership that will benefit the community as well as allow Virginia Gay to provide services: diabetes prevention/weight loss/cooking demos/ CPR-first Aide/Baby-sitting/ Coordination support groups/Mental Health peer support/ Grieving/Ministerial services.* Environmental Health: Completed water samples for bacteria and nitrate forty-three in Benton County 2023* Environmental Health: Completed 47 Animal bite investigations and follow up.* Environmental Health attended the Iowa Conference and Water Well Conference.* Continued monthly COVID 19 Vaccine Clinics coordination/scheduling. in Benton County 58.6% fully vaccinated Dec 2022, Vaccine Clinics discontinued June 2023.* Continued services to provide vaccines that prevent diseases for children. (Immunizations): VGH Hospital and Clinics/ UP serve as VFC providers.* VGH Certified Dementia Friendly Facility. Training completed 10/2022* HACAP: Provided screening, fluoride varnish, oral health instruction and sealants to Tilford, Longfellow and Shellsburg Elementary Schools* HACAP became the WIC Contractor on October 1, 2022, and currently provides WIC clinics twice per month in Benton County; will be increasing to three times per month within the next 3-4 months.* HACAP: The 1st Five program has seven participating medical practices in Benton County; during FY 2023, has received referrals for children with suspected delays/family stress from three of them.* HACAP's Childcare Nurse Consultant has provided twelve on-site visits and 105 technical assistance contacts to fifteen early childhood programs in Benton CountyGoal 2: Increase Health prevention services to the residents of Benton CountyActions Completed:Community events held to provide information, resources, and support in relation to preventive health.* VGH/PH provided Community education in November 2022. Invited by the Vinton Kiwanis Club at Pizza Ranch and open to the community. The education provided was on the "Tripledemic". Education and updates provided on Flu, RSV and COVID-19 and what we can do to protect ourselves and others.* VGH/PH: March 2023 Pink Stiletto event Belle Plaine: Education provided on Preventative Care and Health Maintenance for Women, including Benton County health system resources. Reviewed available screenings and recommendations for ages 20s-90's and provided "Taking Steps for a Healthier you" checklist based on age to individual attendees. Blood pressure screenings were performed on attendees and exhibitors. Approximately sixty-five were in attendance.* 4/1/23 Health Fair: Approximately 250 in attendance including attendees and exhibitors. Networking with forty-seven unique Health and Wellness Community Resources. Public Health hosted and provided /education and resources on; Preventative care and Blood pressure screenings, COVID19 information and free at home test kits, Emergency Preparedness information and free disaster home kits, Hand Hygiene education along with hands on exercise with Glitterbug program and Reach out and Read program with free book distribution. * 5/2/2024 VGH Health Fair: 9th Annual Benton County Health and Wellness Fair. Partnered with Vinton Kiwanis Pancake Breakfast on March 2, 2023, from 8am to noon: Approximately 470 in attendance including attendees and exhibitors. Blood pressure screenings 35, and 45 Food boxes dispensed.* HACAP partnership for Feeding America implementation with VGH and Clinics which began in October 2022. VGH/PH has helped strengthen, support, and mobilize communities and partnerships to improve health through this program providing food boxes with appropriate food pantry resources or referrals for assistance to those with food insecurity. Phase II implementation November 2023 and ongoing 2024* VGH Flu Clinics: VGH/PH Flu Clinics 2022 approx. eighty vaccines given. Flu shot Clinics continue in 2023: sixty-six, 2024: Fifty-five.* VGH: SHIIP partnership 8/2022 implementation. SHIIP clinic approx. three hundred Benton County residents served 2022. SHIIP informational seminar 4/2023 and ongoing. 1,532 client contacts as of May 2024.* Benton County Extension: April 2023 Open House and Information Fair* Spotlight on Benton County and VGH Health Services: 10/26/2022 Lions Club Presentation on VGH Services* Benton County Baby Shower 9/2022 event. VGH/PH had a booth and provided education on Importance of childhood vaccines and reviewed important milestone moments for growth and development. Educational materials provided.* VGH/PH Sexual Health Clinic 9/2022 Partnership with LCPH to provide services in Benton County.* April 2023 VGH/PH collaboration with Vinton Public Library for monthly community health and wellness education display. * VGH/PH: Party in the Park booth, Health services promotion and Blood Pressure screenings and education 06/2023 and 6/2024* PH: 2023 Stop the Bleed program to Benton County Schools* VGH: Financial Literacy Fair, assisting with youth education for career development 5/2023* VGH/RT N95 FIT Testing 7/2022 at Vinton Lutheran Home* VGH: 3/2023 Girl Scout Garden User Agreement produce was donated to Atkins food program for distribution in community.* VGH/Benton County to provide Jail nursing 3/2023 10/2024* VGH: Iowa Cancer Consortium Grant Sun Safety Program provided sunscreen accessibility at outdoor public events.* VGH Medical Clinics: Reach Out and Read Program promoting literacy in the community. Youth from birth to age 5 receive a book at child wellness visits. Providers read with the children, helping to assess development progress and encourage families to read at home. By age 5 children will have built up a home library of fifteen books.* Benton County Transportation: Providing reliable transportation to the citizens of Benton County. FY 22-23 we provided 18,657 rides for Benton County residents and traveled 217,114 miles. Providing transportation to medical visits, pharmacies, grocery stores, day habs, shopping venues, etc. Partnership with HACAP to deliver hot meals at lunch in both Vinton and Belle Plaine. Now providing transport to VA in Iowa City to transport disabled Vets to medical appointments.* FY23 Benton County Child Care Nurse Consultant Hawkeye Area Community Action Program (HACAP): Child Care Nurse Consultant (CCNC) services to Early Learning Environments serving children aged six weeks to six years in Benton performed 20 Consultation visits to early childhood programs, 19 Children with special health care needs served, 15 Early Childhood programs served.* FY23 Benton County Head Start Hawkeye Area Community Action Program (HACAP): Head Start serves 3-5 year-old children. Services will be offered to Benton County families five days a week, ten hours a day for up to two hundred days. 24 Children enrolled in Head Start, 17% of Children were screened for developmental delays and referred for follow up services/treatment.(Continued) Virginia Gay Hospital, Inc. Part V, Section B, Line 16j: A summary of the policy and financial assistance information is posted in the emergency, admitting and waiting rooms, admissions and business offices, included with patient bills and information is available on our website. Schedule H, Part V, Section B, Line 7a and 10a: CHNA and Implementation Strategy:https://myvgh.org/community-health-needs-assessment/ Part V, Section B, Line 11: (Continued)* Literacy Initiatives: Our bookshelf from ISU extension. Provided weekly virtual classes teaching a reading technique called dialogic reading, prereading skills in children aged three to six. The Dolly Parton Imagination Library mails an age-appropriate book to enrolled children each month, free of charge. The program also provides pre and early literacy tips. 384 Families served - Our Bookshelf. 446 Families served - Dolly Parton Imagination Library* Better Tomorrows: Over fifty childcare professionals completed the Early Childhood Positive Behavioral Supports and Interventions training. 19 childcare programs utilized our behavioral support program which provided over 120 onsite consultations and technical assistance contacts. Forty-one childcare professionals completed professional development classes related to early childhood behavior and positively managing behaviors in the classroom.* Better Tomorrows: Recent data for early literacy screening has 66% of kindergarten students in Benton County and 58% in Tama County meeting the fall benchmark. To help address this need, we have introduced a variety of early literacy initiatives serving 500 children, resulting in: 100% of families report an increase in reading to their child each day, 77% of families report an increase in talking with their child about new words,100% of families that reported increasing the amount of time they talk, sing, and play with their child.2.Mental HealthGoal 1: Reduce intentional injuries among Benton County residents; reduce percent of Benton County students who have in the past 12 months seriously considered suicide by 1%. Actions Completed:* 9/2022 VGH Employee - Self Awareness presentation; Leading with Grit, Gratitude and Grace* VGH/ Flash motorsports display on Suicide Prevention and Mental Health Awareness Month. * 9/2023 VGH Employee Suicide prevention and Employee Assistance Education* Benton County Suicide Prevention Coalition established in May 2023* Out of the Darkness Walk September 2023, 120 participants.* Benton County Open House was held in August 2023 to provide information, resources, and support in relation to suicide prevention. * An Applied Suicide Intervention Skills Training was held in Benton County, ten people attended. * Youth Mental Health First Aid Training July 2023. Five people attended.* The 4-H Mindful Teen: From Surviving to THRIVING program is a statewide partnership with county 4-H programs. The goal of the program is to establish long-term self-care and mindfulness practices that help young people navigate daily experiences and plan for the future. 2022 Benton County 4-H partnership with Vinton-Shellsburg High School.* 2023 Mental Health First Aid training for two staff at Vinton Public Library. QPR for professionals that work with youth (suicide prevention training) one staff completed.* Vinton Public Library Received a $10,000 grant from the American Library Association for providing library services to patrons with intellectual disabilities.* Abbe Center for Community Health ServicesGoal 2: Increase mental health services for Benton County residentsActions Completed:* Promotion of the mental health services available in Benton County. * VGH expanding Mental Health Services. VGH hired a full time psychiatric mental health nurse practitioner starting12/2023.* VGH recruitment of ARNP o for Behavioral Health October 2024.* Collaboration with VGH, PH, Vinton Public Library 5/2023 Mental Health Awareness* Healthcare education event, CISM (Critical Incident Stress Management) training September 2023* Responder Strong Mental Health Workshop 04/2023* Benton County CISM Pre-incident educational training for Benton County Emergency Services: sixteen classes given in 2023.* Rural Access Center Program: "Zen Den," assessment and screening for brain health, physical health conditions, suicide risk, brain injury and substance abuse.* Foundation 2 Crisis Services/ Benton County Sheriff's Office: Crisis intervention and follow up, FY22, 182 contacts. FY23, 354 contacts. 3.Substance AbuseGoal 1: Decrease substance abuse among Benton County Youth; Decrease the percentage of 11th graders who reported it was "easy/very easy" to have access to alcohol by 3%.Actions Completed: * Above the Influence Core Measurement Survey-Benton County Data collection* VGH ongoing partnership with Above the Influence Coalition* Iowa Youth Survey Data review* Continued promotion for Quitline and MyLifeMyQuit for tobacco cessation programs, MyLifeMyQuit is designed specifically for youth.* Community event: National Night Out August 2023: "Hidden in Plain Sight" trailer, * Community event: Garrison Fun Day October 2023 "Hidden in Plain Sight" trailer.* Public Health and community Opioid Task Force * Training on Narcan, Current drug trends and Trauma Informed Care provided by ASAC to Van Horne EMS, Access Hub, Foster parents at Four Oaks, Benton Community Schools, and patients in treatment.* ASAC has worked with Benton Community Schools to train how to use Narcan, assisted with a Narcan policy and provided them with appropriate paperwork to get Narcan delivered to them. * ASAC has provided one hundred businesses and reached over 150 people providing them with education on substance abuse. Education provided on vaping/tobacco education to patients in treatment.* ASAC: TIPS (Training for Intervention Procedures) training for those who hold a class C liquor license. There were twelve people total who were trained. This training helps servers learn skills for responsible beverage serving.* ASAC: provided education to four different classes at Vinton Shellsburg High School approx. one hundred students. The education was on drug trends and vaping/tobacco.* ISTEP (Iowa Students for Tobacco Education Prevention) group at Vinton Shellsburg High School. This group is led by students who want to step up and take action against tobacco and mental health.* LifeSkills to Vinton Shellsburg High School Freshman Health Class. This class has twenty-three students. LifeSkills is designed to promote positive health and personal development.* Rural Access center: Coordination of health services. Average of fifteen client referrals/engagements each month and to maintain a follow up schedule of 1 week, 1 month, 6 month and yearly wellness checks.Goal 2: Decrease prescription drug abuse among Benton County residents; increase the number of pounds of prescription medications collected through drop boxes by 50 pounds. Actions Completed:* August 2024: VGH Opioid Settlement Funding involvement; Proposal designed to significantly enhance opioid misuse prevention and treatment services, contributing to the health and well-being of Benton County residents.* Posters/fliers distributed to the health care locations throughout the county, including medical clinics and pharmacies. Take Back Days for prescription medications. October 2023* Promotion provided by VGH, Benton County Above the Influence Coalition, and ASAC. * Provide information to the community on Count, Lock-Up, Dispose campaign through various forms of media and sustainable locations. Example: Benton County Health Fair, Community events. 2022/2023Promote Take Back Days for prescription medications. Take Back Days for prescription medications. Social media 2022/2023/2024 2 1 - Virginia Gay Nursing & Rehab 502 N 9th Avenue Vinton IA 52349 Intermediate care facility 2 - Virginia Gay Hosp Home Health Agency 502 N 9th Avenue Vinton IA 52349 Skilled nursing care, PT, OT, ST, home health aide, homemaker services Part I, Line 6a: The community benefit report is available upon request. Part I, Line 7: Charity care expense was converted to cost on line 7a based on an overall cost-to-charge ratio which addresses all patient segments. The cost for subsidized health services on line 7g was determined using the Medicare cost report. Part III, Line 2: The amount on line 2 represents implicit price concessions. The Organization determines its estimate of implicit price concession based on its historical collection experience with this class of patients. Part III, Line 3: Virginia Gay Hospital used the percentage of applications denied due to lack of information. Part III, Line 4: The footnote to the Organization's financial statements can be found on pages 14 and 15 of the attached audited financial statements. Part III, Line 8: There was a Medicare shortfall for the fiscal year. Even at a loss the Hospital continues to provide services to these patients because access to healthcare and individual's health is important. Therefore, the Hospital considers the Medicare shortfall a community benefit.Total revenue received from Medicare is the gross reimbursement plus settlement. Both total revenue received from Medicare and the Medicare allowable costs are reported from the Medicare Cost Report. The Medicare Cost Report is completed based on the rules and regulations set forth by the Centers for Medicare and Medicaid Services.Hospital services reimbursed on a fee schedule are not included in the Medicare calculation per the 990 instructions. Had this been reported the total loss from Medicare services would have increased by $294,861.Medicare fee schedule revenue $ 205,827Medicare estimated costs of care relating to payments (500,688)Net (Shortage) $ (294,861) Part III, Line 9b: Statements are sent out every 30 days. Up to four statements are sent. Accounts are sent to collections at 121 days, with all collection practices adhering to 501(r) guidelines. If an approved application is received between 122-240 days the account is cancelled from the collection agency. Part VI, Line 2: The Hospital provides staff to attend Community Coalitions and Advisory Committees which are focused on specific populations and/or community health issues. Examples of the committees include but are not limited to the Benton County (Provider) Coalition, the Benton County Disaster Recovery Coalition, Above the Influence (substance abuse) Coalition and the Benton County Wellness Coalition. These coalitions meet regularly throughout the year, gather/assess data to identify problems, and work towards resolution of the identified problems. Virginia Gay Hospital's staff participates in the community needs assessment process for public health. The target area for the 2022 Community Health Needs Assessment (CHNA) is Benton County, Iowa. Special attention was paid to recruiting diverse subsets of the population to help accurately identify the most critical issues in the area. Following the collection of all the statistical data, each health indicator was analyzed by comparing it regionally, to the state average rate, and national rates to determine the community's priority health concerns. Preventive Health, Mental Health, and Substance Abuse were identified as the highest priority health needs in Benton County. The CHNA and implementation strategy are posted on our website and can be viewed in their entirety at www.myvghinc.org . Part VI, Line 3: Virginia Gay Hospital is committed to providing charity care to persons who have healthcare needs and are uninsured, underinsured, ineligible for a government program, or otherwise unable to pay for medically necessary care based on their individual financial situation. Virginia Gay Hospital strives to ensure that the financial capacity of people who need health care services does not prevent them from seeking or receiving care. Patients are expected to cooperate with Virginia Gay Hospital's procedures for obtaining charity care or other forms of payment of financial assistance, to contribute to the cost of their care based on their individual ability to pay. The charity care policy includes all departments of the facility, including Vinton Family Medical Clinic, Urbana Family Medical Clinic, Van Horne Family Medical Clinic, Atkins Family Medical Clinic and the Nursing and Rehab. The Virginia Gay Hospital Home Health Agency has a separate financial assistance procedure, due to their Public Health role in the community. VGH has a commitment to establish/maintain effective partnerships throughout the county and work with all entities that influence community health. To improve and strengthen the local planning process multiple community partners have been involved in the CHNA process. Notification about charity care is available by the publication of notices in patient bills, posting of notices in the emergency rooms, admitting and registration departments, the Business Office, and other public places the Hospital may elect. Information is also included on the facility website, and in the patient information packets. A request for charity may be made by the patient or a family member, close friend or associate of the patient, subject to the applicable privacy laws Part VI, Line 4: The community VGH serves, as defined for the CHNA, is based on the primary service area of our hospital. The major service area is Benton County, with an area of 716.27 square miles. VGH also services several other counties and states. Per the Iowa Hospital Association Dimensions Program (2022) 82.70% of the 22,340 outpatient visits were from residents of Benton County. Benton County population is estimated at 26,000.According to the most recent data available from the Centers for Disease Control and Prevention, the death rate for the entire U.S. population increased by 5.3% from 835.4 deaths per 100,000 population in 2020 to 879.7 in 2021. As a result, life expectancy at birth for the U.S. population decreased from 77 years in 2020 to 76.4 years in 2021.Affordable, high-quality health care is essential to improving our health. But where we live can have an even greater impact. Improving health and longevity in communities starts with ensuring access to healthy food, good schools, affordable housing, and jobs that provide us with the resources necessary to care for ourselves and our families. In essence, the types of conditions that can help keep us from getting sick in the first place.Benton County, IA borders Black Hawk County, IA, Buchanan County, IA, Iowa County, IA, Johnson County, IA, Linn County, IA, Poweshiek County, IA, and Tama County, IA.Benton County is the 25th largest county in Iowa. The Benton County estimated population is 25,705 with a growth rate of 0.08% in the past year according to the most recent United States census data. Part VI, Line 5: Virginia Gay Hospital is proudly recognized as having one of the lowest costs per stay rates in the state of Iowa. The Hospital offers twenty-five beds in an acute care setting with state of the art technology and professional services. Virginia Gay Hospital also offers 24 hour acute care, short term skilled nursing services, radiology, respiratory care, cardio-pulmonary rehabilitation, physical therapy, occupational therapy, speech therapy, laboratory services, surgical services, outpatient clinics and emergency care. In addition, our staff has contributed multiple hours providing uncompensated time in areas such as family/parenting/sibling education, medical expertise for the schools' athletic teams, health fairs, information and referrals to community services, safety classes, sports physicals and many other uncompensated services.Requirements of the IRS community benefit standard for tax-exempt organizations are integral to the Hospital's larger charitable mission of improving health and quality of life. Specifically, Virginia Gay Hospital is governed by an independent board including community leaders, physicians, consumer representatives, business experts and clinical healthcare experts who reside in our primary service area. The Board has a history of commitment to acting with the highest integrity and has been proactively evaluating opportunities to voluntarily adopt governance best practices to ensure the organization continues to operate with the highest of integrity for the benefit of the community.To meet the needs of our community, the Hospital extends privileges to medical staff that are qualified through licensure in the state of Iowa.Excess funds are reinvested and used for patient care and facility upgrades.Virginia Gay's Home Health Agency offers a variety of services to all ages in the rural population of Benton County, Including Skilled nursing, Home Care Aide and Homemaking services. The Hospital also offers such services as skilled and non-skilled service home care, blood pressure checks, and group teaching classes such as cardiopulmonary resuscitation (CPR), Advanced Life Support (ALS) and Pediatric Advanced Life Support (PALS).In addition, Virginia Gay Hospital, through its integrated network of providers, provides non-emergency services to the community it serves. It makes these services accessible to the community through participation in government programs like Medicare and Medicaid and by offering assistance through their Financial assistance program.Virginia Gay Hospital's Financial Assistance Policy provides discounted and free services to patients who lack the resources to be fully responsible for the health care they receive. The Financial Assistance Policy is designed to ensure the entire community served by the Hospital has access to needed healthcare services.Virginia Gay Hospital takes its mission to improve the health and quality of life of the people it serves a step further by reaching out to meet the broad health needs of the community. It strives to identify community needs beyond basic healthcare, respond to them, aiming to make a positive, life-enhancing difference in the community.Contributing to Community Education: The nursing staff and Home Health Agency nurses participate in several county wide events and community health fairs. These events provide information and guidelines to those in need of medical information.Preventive Care is a Priority: The Hospital has taken steps to enhance preventive care for people of all ages by ensuring that those who come here for preventive care receive the screenings and recommendations appropriate to their personal and family history. 1 High School Scholarships 6 6000 Part I, Line 2: $6000 in scholarships were awarded to six (6) high school applicants received from employed high school staff and 3 school districts in the area. Awards were based on pursuing a career in health related studies, applicant showing a need in support, success in completion of prior class work, and participation in extracurricular activities. A scholarship committee reviewed applications and made recommendations to the VGH Board of Directors for approval to extend scholarships. X X X 0 0 0 0 0 0 0 0 0 Dr Brian Meeker DO Director 420782 0 197117 0 0 0 6461 0 18722 0 643082 0 0 0 Dr Kyle Song DO Family Medicine 357904 0 84930 0 0 0 5150 0 33075 0 481059 0 0 0 Dr Erica Silbernagel DO Family Medicine 260544 0 41369 0 0 0 3249 0 12385 0 317547 0 0 0 Tammy Madsen PA-C ER/Hospitalist 278632 0 0 0 0 0 4426 0 11026 0 294084 0 0 0 Dr Michelle Elgin DO Director 163895 0 88545 0 0 0 1957 0 34028 0 288425 0 0 0 Matthew Wilden PA-C ER/Hospitalist 238795 0 0 0 0 0 4072 0 31370 0 274237 0 0 0 Michele Burnes PA-C Family Medicine 162790 0 81695 0 0 0 3390 0 18722 0 266597 0 0 0 Michele Schoonover CEO (Until June 15) 205701 0 0 0 0 0 4141 0 11918 0 221760 0 0 0 Barry Dietsch CFO 193994 0 0 0 0 0 3487 0 1816 0 199297 0 0 0 Shannon Maynard Spouse of Director, Bud Maynard 30634 Compensation as an employee 0 Form 990, Part VI, Section A, line 1a The Executive Committee consists of the officers of the Board of Directors. The Executive Committee has the power to transact all regular business of the Hospital during the period between the meetings of the Governing Board, subject to any prior limitation imposed by the Governing Board and with the understanding that all matters of major importance will be referred to the Governing Board. The Executive Committee must submit to the Governing Board at its last meeting before the end of the fiscal year, a budget showing the expected receipts, income, and expense for the coming year. Minutes of the Executive Committee meetings must be submitted to the Board, and its actions are subject to approval or disapproval at the next regular board meeting. Form 990, Part VI, Section A, line 7a One of the Directors of the Board is the Mayor of the city of Vinton, Iowa. Two Directors are appointed by the Mayor and approved by the City Council of the City of Vinton for such terms as the City Council determines. One of these appointments is a physician in active practice and a resident of Benton County, Iowa. The second Director appointed by the City of Vinton is a resident of Benton County, Iowa. Form 990, Part VI, Section B, line 11b The Form 990 is distributed to the Board members prior to filing. The 990 is reviewed by the Hospital's CEO and CFO. Form 990, Part VI, Section B, line 12c Any director, officer, key employee, Medical Staff member or committee member having an existing or potential interest in a contract or other transaction presented to the Board of Directors for deliberation, authorization, approval, or ratification, or any such person who reasonably believes such an interest exists in another person should make a prompt disclosure of the interest to the Board or committee prior to its acting on such contract or transaction. The interested party is required to disclose the nature and extent of his/her interest and any relevant and material facts known to him/her about the contract or transaction which might reasonably be construed to be adverse to the organization's interest. The Board requires annual statements from officers, directors, key employees, and key members of the Medical Staff. The body to which such disclosure is made determines, by majority vote, whether the disclosure shows that the non-voting and non-participation provisions below must be observed. If so, such persons should not vote on, nor use his/her personal influence on, nor participate (other than to present factual information or to respond to questions) in the discussions or deliberations with respect to such contract or transaction. Such persons may not be counted in determining the existence of a quorum at any meeting where the contract or transaction is under discussion or is being voted upon. The minutes of the meeting reflect the disclosure made and, where applicable, the abstention from voting and participation and whether a quorum was present. Form 990, Part VI, Section B, line 15 The Board Wage & Salary Committee and full board reviews compensation increases for the CEO based on annual evaluations and the IHA Salary Survey. Comparisons to state averages are used. Substantiation of the deliberation and decision is documented in the Board minutes. The process is completed annually. The CEO determines compensation for the CFO with approval from the Board Wage & Salary committee and full Board, based on annual performance evaluations and the IHA Salary Survey. Contemporaneous substantiation of the deliberation and decision is provided for any actions taken regarding compensation. The process is completed annually. Form 990, Part VI, Section C, line 19 The Organization's governing documents, conflict of interest policy, and financial statements are not available to the public. Financial information is available through the public disclosure copy of the 990. Form 990, Part IX, line 11g Purchased services: Program service expenses 4,805,041. Management and general expenses 1,484,671. Fundraising expenses 2,900. Total expenses 6,292,612. Recruitment: Program service expenses 4,145. Management and general expenses 38,188. Fundraising expenses 0. Total expenses 42,333. Virginia Gay Nursing & Rehab LLC 502 N 9th Avenue Vinton IA 52349 923901900 Provide our residents with quality care IA 4043713 550226 Virginia Gay Hospital Inc Virginia Gay Trust 502 N 9th Avenue Vinton IA 52349 426367590 Provide financial support for Virginia Gay Hospital, Inc. IA 501(c)(3) Line 12c, III-FI Virginia Gay Hospital Inc 1 Cedar View Retirement Community Inc 502 N 9th Avenue Vinton IA 52349 421398570 Provide an 18-unit housing alternative for the elderly IA Virginia Gay Hospital Inc C 16154 422476 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0