GRANT MEMORIAL HOSPITAL: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- GRANT MEMORIAL HOSPITAL (EIN 55-0562976)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-04-30
- IRS object ID
- 201201219349300430
- Schema version
- 2010v3.4
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-04-30T14:26:03-05:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARENTEBEARD LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1650 MARKET STREET SUITE 4500 | AddressLine1 |
| City | PHILADELPHIA | City |
| State | PA | State |
| ZIP Code | 19103 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550562976 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRANT MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | GRAN | NameControl |
| Phone | 3042575802 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1019 | AddressLine1 |
| City | PETERSBURG | City |
| State | WV | State |
| ZIP Code | 26847 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOE A BARNES | Name |
| Title | CHIEF FINANCIAL OFFICER | Title |
| Phone | 3042575802 | Phone |
| Date Signed | 2012-04-25 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JULIUS GREEN CPA | Name |
| Phone | 2159720701 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JOE A BARNES CPA | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1019 | AddressLine1 |
| City | PETERSBURG | City |
| State | WV | State |
| ZIP Code | 26847 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 28201386 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.GRANTMEMORIAL.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1957 | YearFormation |
| State Legal Domicile | WV | StateLegalDomicile |
| Activity Or Mission Description | TAX-EXEMPT HOSPITAL DEDICATED TO SERVICING THE COUNTIES OF GRANT, HARDY & PENDLETON IN WEST VIRGINIA. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 401 | TotalNbrEmployees |
| Total Nbr Volunteers | 30 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 382679 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 446476 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 26066213 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 26867329 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 272559 | InvestmentIncomePriorYear |
| Investment Income Current Year | 247966 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 437591 | OtherRevenuePriorYear |
| Other Revenue Current Year | 541224 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 27159042 | TotalRevenuePriorYear |
| Total Revenue Current Year | 28102995 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 12357460 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 12850724 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 14819029 | OtherExpensePriorYear |
| Other Expenses Current Year | 15529958 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 27176489 | TotalExpensesPriorYear |
| Total Expenses Current Year | 28380682 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -17447 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -277687 | RevenuesLessExpensesCY |
| Total Assets BOY | 21018739 | TotalAssetsBOY |
| Total Assets EOY | 21029038 | TotalAssetsEOY |
| Total Liabilities BOY | 5784584 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 6072570 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 15234155 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 14956468 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | GRANT MEMORIAL HOSPITAL IS A REGIONAL PROVIDER OF QUALITY, COST EFFECTIVE HEALTH CARE SERVICE RESPONSIVE TO THE COMMUNITY NEED AND SUPPORTED BY INNOVATIVE EFFORTS WITH OTHERS. THE VISION OF GRANT MEMORIAL HOSPITAL, BASED UPON DEFINED OBJECTIVES OF PATIENT AND COMMUNITY SERVICE, IT IS TO BE THE LEADER IN PROVIDING THE HIGHEST QUALITY SERVICE AS EFFICIENTLY AS POSSIBLE BASED ON ASSESSED NEEDS. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 24687608 | Expense |
| Grants | 0 | Grants |
| Revenue | 26867329 | Revenue |
| Description | INPATIENT ACUTE SERVICES INCLUDING OBSTETRICS, SPECIAL CARE, NURSING FACILITY AND OUTPATIENT SERVICES TO THE RESIDENTS OF THE RURAL COUNTIES OF GRANT, HARDY AND PENDLETON COUNTIES LOCATED IN EASTERN WEST VIRGINIA. THE CLOSEST HOSPITALS ARE APPROXIMATELY 1.25 TO 1.5 HOURS FROM GRANT MEMORIAL HOSPITAL. DURING THE YEAR THE HOSPITAL HAD 4,813 PATIENT DAYS, 572 OBSTETRIC PATIENT DAYS, 539 SPECIAL CARE DAYS, 472 NURSERY PATIENT DAYS, 2,776 NURSING FACILITY PATIENT DAYS AND 54,841 OUTPATIENT VISITS EXCLUDING EMERGENCY ROOM.24/7 EMERGENCY ROOM COVERAGE AS MENTIONED ABOVE, OTHER AREA HOSPITALS ARE LOCATED SIGNIFICANT DISTANCES FROM GRANT MEMORIAL HOSPITAL. THE HOSPITAL IS LOCATED IN THE MOUNTAINS OF EASTERN WEST VIRGINIA, SO DRIVING TIMES CAN BE SIGNIFICANTLY LONGER DURING WINTER MONTHS. THE HOSPITAL'S EMERGENCY DEPARTMENT TREATED 12,588 PATIENTS DURING THE YEAR. | Description |
| Total Program Service Expense | 24687608 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 1 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 116 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 401 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 0 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | WV | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JOE A BARNES CHIEF FINANCIAL OFFI | NamePerson |
| Telephone Number | 3042575802 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE HOSPITAL DRIVE | AddressLine1 |
| City | PETERSBURG | City |
| State | WV | State |
| ZIP Code | 26847 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (20 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| JANIE BERG | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| REV LARRY CANTU | ||||||||
| CHAIRPERSON | 1.00 | X | 0 | 0 | 0 | X | ||
| ROBERT CHEHI | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| JIM COLE | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| CYNTHIA HARMAN | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| MATT HARPER | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| STEPHEN THOMPSON DO | ||||||||
| CHIEF OF STAFF | 1.00 | X | 0 | 0 | 0 | |||
| ALAN KILE SR | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| TOM KIMBLE | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| RALPH SITES | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| JASON SITES | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| JANET FRYE | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| MARK WRIGHT | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| MARY BETH BARR | ||||||||
| CHIEF OPERATING OFFICER (1/1/11 - 6/30/11) | 40.00 | X | 105160 | 0 | 18501 | X | ||
| JOE A BARNES | ||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | 115477 | 0 | 22540 | X | |||
| JOHN L HAHN MD | ||||||||
| PHYSICIAN | 40.00 | 721587 | 0 | 33319 | X | |||
| SUSAN A SCHMITT MD | ||||||||
| PHYSICIAN | 40.00 | 105972 | 0 | 18762 | X | |||
| BRENTON R HARMAN | ||||||||
| PHARMACIST | 40.00 | 105649 | 0 | 33808 | X | |||
| DAVID W BROSH | ||||||||
| PHARMACIST | 40.00 | 102950 | 0 | 33275 | X | |||
| ROBERT L HARMAN | ||||||||
| CHIEF EXECUTIVE OFFICER - FORMER (7/1/10-12/31/10) | 40.00 | 166194 | 0 | 25306 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1422989 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 185511 | TotalOtherCompensation |
| Number Individuals GT100 K | 7 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| RELIABLE HEALTHCARE LLC | |||||
| 3120 UNIVERSITY AVENUE | MORGANTOWN | WV | 26505 | ER PHYSICIAN | 1690000 |
| US MOBILE IMAGING LLC | |||||
| PO BOX 808 | CUMBERLAND | MD | 21501 | MRI | 715835 |
| PULMONARY ASSOCIATES INC | |||||
| 96 WEST MAIN STREET | ROMNEY | WV | 26757 | RESPIRATORY THERAPY | 439156 |
| JAMES F PEET | |||||
| PO BOX 10 | PETERSBURG | WV | 26847 | CRNA | 237950 |
| AUREUS RADIOLOGY LLC | |||||
| PO BOX 3037 | OMAHA | NE | 68103 | RADIOLOGY | 221764 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 7 | NumberOfContractorsGT100K |
| All Other Contributions | 446476 | AllOtherContributions |
| Total Contributions | 446476 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT REVENUE | Description |
| Business Code | 621400 | BusinessCode |
| Total Revenue Column | 26867329 | TotalRevenueColumn |
| Related Or Exempt Function Income | 26867329 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 26867329 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 243491 | TotalRevenueColumn |
| Exclusion | $243,491 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 246953 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 97361 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 149592 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 149592 | TotalRevenueColumn |
| Exclusion | $149,592 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 5505 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1030 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 4475 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4475 | TotalRevenueColumn |
| Exclusion | $4,475 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| MEDICAL SUPPLIES | 900099 | 161466 | $161,466 |
| CAFETERIA | 722210 | 144571 | $144,571 |
| ADMINISTRATIVE CASE MA | 900099 | 49168 | $49,168 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 36427 | TotalRevenueColumn |
| Exclusion | $36,427 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 391632 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 28102995 | TotalRevenueColumn |
| Related Or Exempt Function Income | 26867329 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $789,190 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 453178 | Total |
| Management And General | 453178 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9277015 | Total |
| Program Services | 9277015 | ProgramServices |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 456910 | Total |
| Program Services | 373178 | ProgramServices |
| Management And General | 83732 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1972242 | Total |
| Program Services | 1665003 | ProgramServices |
| Management And General | 307239 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 691379 | Total |
| Program Services | 564679 | ProgramServices |
| Management And General | 126700 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6403 | Total |
| Management And General | 6403 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 97158 | Total |
| Management And General | 97158 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5660757 | Total |
| Program Services | 4623382 | ProgramServices |
| Management And General | 1037375 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46812 | Total |
| Program Services | 38233 | ProgramServices |
| Management And General | 8579 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 372877 | Total |
| Program Services | 304545 | ProgramServices |
| Management And General | 68332 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 814521 | Total |
| Program Services | 665254 | ProgramServices |
| Management And General | 149267 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13430 | Total |
| Program Services | 10969 | ProgramServices |
| Management And General | 2461 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 47260 | Total |
| Program Services | 38599 | ProgramServices |
| Management And General | 8661 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 110696 | Total |
| Program Services | 90410 | ProgramServices |
| Management And General | 20286 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1250635 | Total |
| Program Services | 1021447 | ProgramServices |
| Management And General | 229188 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 511758 | Total |
| Program Services | 511758 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| SUPPLIES | 4607921 | 3763486 | 844435 | 0 |
| REPAIRS AND MAINTENANCE | 833246 | 680548 | 152698 | 0 |
| LICENSES AND TAXES | 625086 | 625086 | 0 | 0 |
| FOOD | 232911 | 190228 | 42683 | 0 |
| EQUIPMENT RENTAL | 89574 | 73159 | 16415 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 208913 | Total |
| Program Services | 170629 | ProgramServices |
| Management And General | 38284 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28380682 | Total |
| Program Services | 24687608 | ProgramServices |
| Management And General | 3693074 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 960029 | BOY |
| EOY | 19334 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 783283 | BOY |
| EOY | 2798853 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5150442 | BOY |
| EOY | 5421051 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 623595 | BOY |
| EOY | 658636 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 257899 | BOY |
| EOY | 282133 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 29744475 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 21666429 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7930908 | BOY |
| EOY | 8078046 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4495647 | BOY |
| EOY | 3439537 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 112242 | BOY |
| EOY | 112242 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 704694 | BOY |
| EOY | 219206 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21018739 | BOY |
| EOY | 21029038 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2730197 | BOY |
| EOY | 2733468 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8853 | BOY |
| EOY | 2153 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1940000 | BOY |
| EOY | 1785000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 992478 | BOY |
| EOY | 813400 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 113056 | BOY |
| EOY | 738549 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5784584 | BOY |
| EOY | 6072570 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15234155 | BOY |
| EOY | 14956468 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15234155 | BOY |
| EOY | 14956468 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21018739 | BOY |
| EOY | 21029038 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -277687 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $5,152 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 5152 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART IV, SUPPLEMENTAL INFORMATION: | Identifier |
| Explanation | GRANT MEMORIAL HOSPITAL PAYS MEMBERSHIP DUES TO AMERICAN HOSPITAL ASSOCIATION, WEST VIRGINIA HOSPITAL ASSOCIATION AND AMERICAN HEALTH CARE ASSOCIATION WHERE A PERCENTAGE OF THE DUES PAID ARE USED FOR LOBBYING EXPENSES. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 70684 | OtherCostOrOtherBasis |
| Book Value | 70684 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 15301153 | OtherCostOrOtherBasis |
| Depreciation | 10143225 | Depreciation |
| Book Value | 5157928 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 12890368 | OtherCostOrOtherBasis |
| Depreciation | 11135984 | Depreciation |
| Book Value | 1754384 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1482270 | OtherCostOrOtherBasis |
| Depreciation | 387220 | Depreciation |
| Book Value | 1095050 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 8078046 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | INVESTMENTS | Description |
| Book Value | 3439537 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 3439537 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ESTIMATED MALPRACTICE INSURANCE | $100,000 |
| ESTIMATED THIRD PARTY SETTLEMENTS | $638,549 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 738549 | TotalOfAmounts |
| Total Revenue | 28102995 | TotalRevenue |
| Total Expenses | 28380682 | TotalExpenses |
| Excess Or Deficit For Year | -277687 | ExcessOrDeficitForYear |
| Total Adjustments | 0 | TotalAdjustments |
| Excess Or Deficit Per FS | -277687 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 28061992 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | -138365 | OtherRevenues |
| Revenue Not Rptd F990 | -138365 | RevenueNotRptdF990 |
| Revenue Subtotal | 28200357 | RevenueSubtotal |
| Other Revenues Not Included | -97362 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -97362 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 28102995 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 28339679 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 97362 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 97362 | ExpensesNotRptdF990 |
| Expenses Subtotal | 28242317 | ExpensesSubtotal |
| Other Expenses Not Included | 138365 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 138365 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 28380682 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | INTEREST EXPENSE -138,365. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | RENTAL EXPENSES -97,362. |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 97,362. |
| PART XIII, LINE 4B - OTHER ADJUSTMENTS: | INTEREST EXPENSE 138,365. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 1 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 1062525 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1062525 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03740 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2818902 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3550497 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -731595 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 3881427 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3550497 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 330930 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03740 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 3881427 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3550497 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 330930 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03740 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 731870 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 83970 | DirectOffsettingRevenue |
| Net Community Building Expense | 647900 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.02280 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 731870 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 83970 | DirectOffsettingRevenue |
| Net Community Building Expense | 647900 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.02280 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $1,272,586 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 9575572 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 10417153 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -841581 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 LHC GROUP | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | PROVIDES HOME CARE AND HOSPICE SERVICES | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.33000 | OrganizationProfitOrOwnership |
| Officers Etc Profit Or Ownership | 0.00000 | OfficersEtcProfitOrOwnership |
| Physicans Profit Or Ownership | 0.00000 | PhysicansProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRANT MEMORIAL HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1019 | AddressLine1 |
| City | PETERSBURG | City |
| State | WV | State |
| ZIP Code | 26847 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Critical Access Hospital | X | CriticalAccessHospital |
| Er24 Hours | X | Er24Hours |
| Other | 25 BED ACUTE & 20 BED SKILLED/NF | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRANT MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Needs Assessment Conducted | 09 | NeedsAssessmentConducted |
| Take Into Account | 0 | TakeIntoAccount |
| Other Facilities | 0 | OtherFacilities |
| CHNA Widely Available | 0 | CHNAWidelyAvailable |
| All Needs Addressed | 1 | AllNeedsAddressed |
| Eligibility Criteria Explained | 0 | EligibilityCriteriaExplained |
| Uses FPG Free | 0 | UsesFPGFree |
| Uses FPG Discounted | 0 | UsesFPGDiscounted |
| Explains Basis | 0 | ExplainsBasis |
| Explains Application Method | 0 | ExplainsApplicationMethod |
| Includes Publicity Measures | 0 | IncludesPublicityMeasures |
| Actions On Nonpayment | 0 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 0 | NondiscrimEmergencyCarePolicy |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART III, LINE 4: PATIENT ACCOUNTS RECEIVABLE ARE CARRIED AT THE ORIGINAL CHARGE LESS AN ESTIMATE MADE FOR DOUBTFUL OR UNCOLLECTIBLE ACCOUNTS. THE ALLOWANCE IS BASED UPON A REVIEW OF THE OUTSTANDING BALANCES AGED BY FINANCIAL CLASS. MANAGEMENT USES COLLECTION PERCENTAGES BASED UPON HISTORICAL COLLECTION EXPERIENCE TO DETERMINE COLLECTABILITY. MANAGEMENT ALSO REVIEWS TROUBLED, AGED ACCOUNTS TO DETERMINE COLLECTION POTENTIAL. PATIENT ACCOUNTS RECEIVABLE ARE WRITTEN OFF WHEN DEEMED UNCOLLECTIBLE. RECOVERIES OF ACCOUNTS PREVIOUSLY WRITTEN OFF ARE RECORDED AS A REDUCTION OF BAD DEBT EXPENSE WHEN RECEIVED. INTEREST IS NOT CHARGED ON PATIENT ACCOUNTS RECEIVABLE AND COLLATERAL IS NOT REQUIRED. THE COST OF THE PROVISION FOR BAD DEBTS WAS ESTIMATED BY A COST-TO-CHARGE RATIO THAT IS DETERMINED BASED UPON MEDICARE PRINCIPLES OF REIMBURSEMENT. CHARITY CARE IS IDENTIFIED ON THE FRONT-END PROVIDED THE PATIENT SUPPLIES THE HOSPITAL WITH NECESSARY INFORMATION TO MAKE THE DETERMINATION THAT HE/SHE WILL QUALIFY FOR CHARITY CARE. ONCE A PATIENT HAS BEEN IDENTIFIED AS QUALIFYING FOR CHARITY CARE, ALL COLLECTION ACTIVITIES CEASE. | ||
| PART III, LINE 8: GRANT MEMORIAL HOSPITAL HAS BEEN CERTIFIED BY THE MEDICARE/MEDICAID PROGRAMS AS A CRITICAL ACCESS HOSPITAL (CAHS). WHEN THIS CERTIFICATION IS GIVEN TO A HOSPITAL, THE MEDICARE/MEDICAID PROGRAMS HAVE DEEMED THAT A SMALL/RURAL HOSPITAL IS ESSENTIAL TO SERVE THE HEALTH NEEDS OF CAHS SERVICE AREA. DUE TO THE RURAL NATURE WHERE CAHS ARE LOCATED, CAHS ARE NOT REQUIRED TO PROVIDES 24/7 EMERGENCY ROOM PHYSICIAN COVERAGE. IT IS ONLY REQUIRED TO BE STAFFED BY PHYSICIANS WHO ARE ON "CALL". HOWEVER, TO BETTER MEET THE HEALTHCARE NEEDS OF THE HOSPITAL'S SERVICE AREA, THE HOSPITAL HAS ELECTED TO PROVIDE 24/7 EMERGENCY ROOM COVERAGE. DUE TO THE LOW VOLUME OF PATIENTS THAT ARE SEEN IN THE EMERGENCY ROOM (APPROXIMATELY 12,000 PER YEAR), THE HOSPITAL HAS BEEN UNABLE TO LOCATE PHYSICIANS WHO WILL PROVIDE THIS COVERAGE BASED SOLELY ON PATIENT BILLINGS. CONSQUENTLY, THE HOSPITAL HAS TO SUBSIDIZE THIS COST AT THE RATE OF $195 PER HOUR. IN ADDITION, THE VAST MAJORITY OF THE VISITS RENDERED ARE NOT EMERGENT TYPE VISITS BUT ARE CLINICAL VISITS THAT THE HOSPITAL IS PROVIDING BECAUSE MANY OF THE AREA PHYSICIAN PRACTICES ARE CLOSED. | ||
| PART III, LINE 9B: AS HAS BEEN DESCRIBED ABOVE, THE HOSPITAL'S COLLECTION POLICY STATES THAT PATIENTS THAT CAN QUALIFY AS CHARITY ARE IDENTIFIED AS SOON AS POSSIBLE, AND IF THEY DO QUALIFY, ALL COLLECTION ACTIVITIES CEASE. IT IS THE BOARD'S FEELING, THAT IF PATIENTS DO NOT HAVE THE ABILITY TO PAY FOR SERVICES, THEN NO COLLECTION ACTIVITIES SHOULD BE CONDUCTED. THIS MANDATE IS CLEARLY EVIDENT IN THE HOSPITAL'S COLLECTION POLICY. | ||
| PART I, LINE 6A: THE COMMUNITY BENEFIT REPORT IS PREPARED BY GRANT MEMORIAL HOSPITAL. | ||
| PART VI, LINE 2: DURING THE PROCESS OF BECOMING CERTIFIED AS A CRITICAL ACCESS HOSPITAL IN 2009, THE HOSPITAL CONDUCTED A FORMAL "COMMUNITY NEEDS ASSESSMENT". DURING THIS PROCESS, NOT ONLY WAS DEMOGRAPHIC INFORMATION OBTAINED TO IDENTIFY UNMET MEDICAL NEEDS, BUT LOCAL PROVIDERS OF HEALTHCARE SERVICES AND COMMUNITY LEADERS WERE INTERVIEWED AS TO WHAT THEIR PERCEPTION WAS REGARDING UNMET NEEDS IN THE AREA THAT INCLUDED GRANT, HARDY AND PENDLETON COUNTIES IN WEST VIRGINIA. IN ACCORDANCE WITH RECENT REGULATIONS, THE HOSPITAL WILL BE CONDUCTING THESE ASSESSMENTS EVERY THREE YEARS. THIS ASSESSMENT IS AVAILABLE TO THE PUBLIC. | ||
| PART VI, LINE 3: WHENEVER A PATIENT PRESENTS THEMSELVES FOR SERVICE WHO DO NOT HAVE INSURANCE COVERAGE, THE HOSPITAL REQUESTS THAT A CHARITY CARE APPLICATION BE COMPLETED AND RETURNED TO THE HOSPITAL ALONG WITH ALL DOCUMENTATION NEEDED TO SUPPORT INCOME AMOUNTS THAT WILL BE USED TO DETERMINE IF AND HOW MUCH CHARITY ASSISTANCE THE PATIENT MAY QUALIFY. THE HOSPITAL USES THE CURRENT FEDERAL POVERTY GUIDELINES TO MAKE THIS DETERMINATION. IF THE PATIENT DOES QUALIFY FOR COMPLETE OR PARTIAL CHARITY ASSISTANCE, ALL COLLECTION ACTIVITIES CEASE ON THOSE AMOUNTS THAT HAVE BEEN DEEMED TO BE CHARITY. IF THE PATIENT IS RESPONSIBLE FOR A PORTION OF THE BALANCE, THE HOSPITAL DOES HAVE PAYMENT SCHEDULES TO ASSIST THE PATIENT IN MEETING HIS/HER FINANCIAL OBLIGATIONS. AT THE TIME THE CHARITY APPLICATION IS BEING PREPARED, THE HOSPITAL REQUIRES THAT THE PATIENT APPLY FOR MEDICAID COVERAGE AT THE LOCAL WELFARE OFFICE.IN CONNECTION FOR SERVICES PROVIDED IN THE HOSPITAL'S EMERGENCY ROOM, NO FINANCIAL INFORMATION IS OBTAINED UNTIL AFTER THE PATIENT HAS BEEN TRIAGED BY AN RN AND SEEN BY A PHYSICIAN. ACCORDING TO EMTALA, A FEDERAL LAW REGARDING TREATMENT IN EMERGENCY ROOMS, FINANCIAL INFORMATION COULD BE OBTAINED AFTER BEING TRIAGED BY AN RN. CONSEQUENTLY, THE HOSPITAL'S POLICY FOLLOWS A MORE RESTRICTIVE POLICY THAN IS MANDATED BY EMTALA. IN A TRUE EMERGENCY SITUATION, NO FINANCIAL INFORMATION IS REQUESTED UNTIL AFTER THE PATIENT HAS BEEN STABILIZED. | ||
| PART VI, LINE 4: THE HOSPITAL IS LOCATED IN THE POTOMAC HIGHLANDS IN THE MOUNTAINS OF THE EASTERN PANHANDLE OF WEST VIRGINIA. THE CLOSEST HOSPITALS ARE LOCATED APPROXIMATELY 1 1/2 HOURS AWAY DURING GOOD WEATHER. DURING THE WINTER, IT TYPICALLY WILL TAKE MUCH LONGER DEPENDING ON WEATHER CONDITIONS. THE HOSPITAL'S PRIMARY SERVICE AREA IS COMPOSED OF THE WEST VIRGINIA COUNTIES OF GRANT, HARDY AND PENDLETON. THE TOTAL POPULATION OF THE THREE COUNTIES COMBINED IS APPROXIMATELY 30,000. DUE TO THE DISTANCE FROM OTHER AREA HOSPITAL, THE HOSPITAL DOES PROVIDE OB/GYN SERVICES EVEN THOUGH THE NUMBER OF DELIVERIES WERE 255 WITH THE VAST MAJORITY OF THESE BEING FROM WOMEN COVERED UNDER THE MEDICAID PROGRAM. IN ADDITION, DUE TO THE LACK OF MOBILITY OF THE AGED AND THE FACT THAT FAMILY MEMBERS NO LONGER LIVE IN THE AREA, THE ELDERLY POPULATION IS DEPENDENT UPON THE HOSPITAL FOR THE PROVISION OF HEALTHCARE SERVICES.THE ECONOMY IS PRIMARILY AGRICULTURAL, HARDWOOD MANUFACTURING AND POULTRY PROCESSING. THE MAJOR EMPLOYERS ARE (POULTRY PROCESSING PLANTS) AND TWO HARDWOOD COMPANIES, THE VARIOUS BOARDS OF EDUCATION AND THE HOSPITAL. DURING THE LAST COUPLE OF YEARS THERE HAVE BEEN SIGNIFICANT REDUCTIONS IN STAFF AT BOTH HARDWOOD COMPANIES.SINCE THE HOSPITAL IS A POLITICAL SUB-DIVISION OF GRANT COUNTY, THE BOARD MEMBERS ARE APPOINTED BY THE GRANT COUNTY COMMISSION FOR ALL THREE COUNTIES. EACH OF THE BOARD MEMBERS LIVE IN EACH OF THE MAGISTERIAL DISTRICTS FOR EACH OF THE THREE COUNTIES. A FEW YEARS AGO, IT WAS DECIDED THAT BOARD REPRESENTATION SHOULD INCLUDE HARDY AND PENDLETON COUNTIES AS WELL AS GRANT COUNTY. UNDER WEST VIRGINIA LAW, THE COMPOSITION OF THE BOARD MUST REPRESENT A BROAD SECTION OF HOSPITAL'S SERVICE AREA. AS A RESULT, OCCUPATIONS OF THE BOARD MEMBERS ARE BANKERS, LAWYERS, EDUCATORS, SMALL BUSINESS, PASTORS AND UNION MEMBERS. | ||
| PART VI, LINE 6: THE HOSPITAL HAS PARTICIPATED IN A PROGRAM WHERE MEDICAL STUDENTS BOTH PHYSICIANS AND OTHER HEALTH PROFESSIONALS DO RURAL ROTATIONS AT THE HOSPITAL. THIS PROVIDES NOT ONLY TRAINING FOR THESE MEDICAL STUDENTS BUT THE GOAL IS THAT THE STUDENTS WILL ELECT TO RELOCATE TO THE TRI-COUNTY AREA.AS HAS BEEN STATED ELSEWHERE, THE HOSPITAL DOES CONDUCT BLOOD SCREENINGS THROUGHOUT THE TRI-COUNTY AREA AT EITHER A REDUCED OR NO COST TO THE RESIDENTS. THIS IS ONE OF THE MAJOR PROCEDURES THAT CAN BE USED TO IDENTIFY HEALTH PROBLEMS. | ||
| PART VI, LINE 7: ALTHOUGH NOT ACTUALLY OWNED BY VALLEY HEALTH SYSTEM LOCATED IN WINCHESTER, VIRGINIA, AS PART OF BECOMING CERTIFIED AS A CAH, THERE IS A FORMAL NETWORK BETWEEN THE TWO HOSPITALS. THE VAST MAJORITY OF THE MEDICAL SERVICES THAT CANNOT BE PROVIDED BY THE HOSPITAL ARE TRANSFERRED TO VALLEY HEALTH SYSTEM. OTHER HOSPITALS IN WHICH PATIENTS ARE TRANSFERRED TO ARE WEST VIRGINIA UNIVERSITY LOCATED IN MORGANTOWN, WEST VIRGINIA, ROCKINGHAM MEMORIAL HOSPITAL LOCATED IN HARRISONBURG, VIRGINIA AND THE UNIVERSITY OF VIRGINIA MEDICAL CENTER LOCATED IN CHARLOTTESVILLE, VIRGINIA. | ||
| WV | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 1 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN L HAHN MD | |||||||||||||
| 325497 | 0 | 396090 | 0 | 0 | 0 | 0 | 0 | 33319 | 0 | 754906 | 0 | 0 | 0 |
| ROBERT L HARMAN | |||||||||||||
| 166194 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 25306 | 0 | 191500 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 5 | ReturnReference |
| Explanation | THE OB/GYNS COMPENSATION IS BASED UPON THE CASH BASIS PROFIT OF THE PRACTICE. | Explanation |
Schedule L IRS990ScheduleL
Loan Table LoanTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JOHN L HAHN MD | NamePerson |
| Purpose Of Loan | PHYSICIAN OWED AMOUNT-ADVANCE WITH NO TAXES AT THE TIME | PurposeOfLoan |
| Loan From Organization | X | LoanFromOrganization |
| Original Principal | $78,508 | OriginalPrincipalAmount |
| Balance Due | 78508 | BalanceDue |
| Default | 0 | Default |
| Approved By Board | 0 | ApprovedByBoard |
| Written Agreement | 1 | WrittenAgreement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 78508 | TotalBalanceDue |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 7A | THE GRANT COUNTY COMMISSION APPOINTS BOARD MEMBERS WHO RESIDE IN GRANT, HARDY AND PENDLETON COUNTIES. THE HOSPITAL IS A POLITICAL SUB-DIVISION OF GRANT COUNTY (COUNTY HOSPITAL). | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE TAX RETURN WILL BE AVAILABLE FOR REVIEW BY THE FINANCE COMMITTEE FOR ITS APPROVAL BEFORE THE TAX RETURN IS FILED. EVERY MEMBER OF THE BOARD WILL RECEIVE A COPY OF THE RETURN. | |
| TRUSTEES AND ADMINISTRATION OFFICIALS SHALL BE REQUIRED TO COMPLETE A WRITTEN CONFLICT OF INTEREST STATEMENT ANNUALLY WHICH SHALL DISCLOSE THE EXTENT OF FINANCIAL DEALINGS WITH THE ORGANIZATION BY ALL BUSINESSES OR OTHER ORGANIZATIONS IN WHICH THEY, OR MEMBERS OF THEIR IMMEDIATE FAMILIES, HAVE A BENEFICIAL INTEREST. A BENEFICIAL INTEREST WITH AN ORGANIZATION WILL BE CONSIDERED TO EXIST WHEN A TRUSTEE OR ADMINISTRATION OFFICIAL OR A MEMBER OF HIS IMMEDIATE FAMILY IS AN OFFICER, DIRECTOR, TRUSTEE, PARTNER, EMPLOYEE OR AGENT OF THE ORGANIZATION, OR OWNS FIVE PERCENT OF THE VOTING STOCK OR CONTROLLING INTEREST IN THAT ORGANIZATION, OR HAS ANY OTHER SUBSTANTIAL INTEREST OR DEALINGS WITH THE ORGANIZATION. AT SUCH TIME, IF ANY MATTER SHOULD COME BEFORE THE BOARD OF TRUSTEES IN SUCH A WAY AS TO GIVE RISE TO A CONFLICT OF INTEREST, THE AFFECTED MEMBER OF THE BOARD SHALL MAKE KNOWN THE POTENTIAL CONFLICT AND, IF ADVISABLE, WITHDRAW FROM THE MEETING FOR SO LONG AS THE MATTER SHALL CONTINUE UNDER DISCUSSION. SHOULD THE MATTER BE BROUGHT TO VOTE, THE AFFECTED MEMBER SHALL NOT VOTE, NOR BE COUNTED IN ESTABLISHING A QUORUM FOR THE VOTE ON THAT MATTER. PROCEEDINGS RELATED TO THE CONFLICT OF INTEREST MATTERS BEFORE THE BOARD OF TRUSTEES SHALL BE DOCUMENTED IN THE MINUTES OF THAT MEETING. | FORM 990, PART VI, SECTION B, LINE 12C | |
| SALARY SURVEYS FROM STATE HOSPITALS ARE OBTAINED TO DETERMINE THE LEVEL OF COMPENSATION. THE BOARD PERFORMS AN ANNUAL EVALUATION PRIOR TO SETTING COMPENSATION FOR THE FOLLOWING YEAR. | FORM 990, PART VI, SECTION B, LINE 15A | |
| AVAILABLE UPON REQUEST | FORM 990, PART VI, SECTION C, LINE 19 |