GRANT MEMORIAL HOSPITAL: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- GRANT MEMORIAL HOSPITAL (EIN 55-0562976)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-16
- IRS object ID
- 201121369349303717
- Schema version
- 2009v1.7
- 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 | 2011-05-16T12:15:59-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | 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 | 2009-07-01 | 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 | 2011-05-16 | 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 | 2009 | 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 | 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 | 28462544 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| 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 | To provide healthcare services to residents of Grant, Hardy and Pendleton Counties of West Virginia | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 417 | TotalNbrEmployees |
| Total Nbr Volunteers | 62 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 411553 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 382679 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 23188580 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 26066213 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 0 | InvestmentIncomePriorYear |
| Investment Income Current Year | 272559 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 770663 | OtherRevenuePriorYear |
| Other Revenue Current Year | 437591 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 24370796 | TotalRevenuePriorYear |
| Total Revenue Current Year | 27159042 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 12287519 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 12357460 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 14105910 | OtherExpensePriorYear |
| Other Expenses Current Year | 14819029 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 26393429 | TotalExpensesPriorYear |
| Total Expenses Current Year | 27176489 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -2022633 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -17447 | RevenuesLessExpensesCY |
| Total Assets BOY | 21793558 | TotalAssetsBOY |
| Total Assets EOY | 21018739 | TotalAssetsEOY |
| Total Liabilities BOY | 6771459 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 5784584 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 15022099 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 15234155 | NetAssetsOrFundBalancesEOY |
| 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, 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 | 23738686 | Expense |
| Grants | 0 | Grants |
| Revenue | 26066213 | 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. in september 2009, the medicare and medicaid programs designated the hospital to be a critial access hospital. during the year the hospital had 4,767 patient days, 712 obsteric patient days, 549 special care days, 540 nursery patient days, 2,788 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 | 23738686 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | 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 |
| 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 |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 62 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 417 | 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 |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | 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 (21 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 |
|---|---|---|---|---|---|---|---|
| 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 | ||
| bruce leslie md | |||||||
| 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 | ||
| gary kitzmiller | |||||||
| trustee | 1.00 | X | 0 | 0 | 0 | ||
| mark wright | |||||||
| trustee | 1.00 | X | 0 | 0 | 0 | ||
| robert l harman | |||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | 169567 | 0 | 17643 | X | ||
| mary beth barr | |||||||
| CHIEF OPERATING OFFICER | 40.00 | 107350 | 0 | 11377 | X | ||
| joe a barnes | |||||||
| chief financial officer | 40.00 | 0 | 0 | 0 | X | ||
| john l hahn md | |||||||
| PHYSICIAN | 40.00 | 592885 | 0 | 8317 | X | ||
| susan a schmitt md | |||||||
| PHYSICIAN | 40.00 | 172571 | 0 | 8512 | X | ||
| brenton r harman | |||||||
| pharmACY depARtMENT manager | 40.00 | 103841 | 0 | 18139 | X | ||
| david w brosh | |||||||
| pharmacist | 40.00 | 101287 | 0 | 17828 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1247501 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 81816 | TotalOtherCompensation |
| Number Individuals GT100 K | 6 | NumberIndividualsGT100K |
| Formers Listed | 0 | 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 | 1417456 |
| us mobile imaging llc | |||||
| PO Box 808 | cumberland | MD | 21501 | mri | 711996 |
| pulmonary associates inc | |||||
| 2862 US Highway 2205 | moorefield | WV | 26836 | respiratory therapy | 437747 |
| aureus radiology llc | |||||
| po box 3037 | omaha | NE | 68154 | radiology | 221764 |
| jeffrey swingholm crna | |||||
| po box 536 | petersburg | WV | 26847 | crna | 192000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Government Grants | 379104 | GovernmentGrants |
| All Other Contributions | 3575 | AllOtherContributions |
| Total Contributions | 382679 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT REVENUE | Description |
| Business Code | 621400 | BusinessCode |
| Total Revenue Column | 26066213 | TotalRevenueColumn |
| Related Or Exempt Function Income | 26066213 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 26066213 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7795 | TotalRevenueColumn |
| Exclusion | $7,795 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 187091 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 98949 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 88142 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 88142 | TotalRevenueColumn |
| Exclusion | $88,142 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1206557 | Securities |
| Other | 262760 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1146257 | Securities |
| Other | 58296 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 60300 | Securities |
| Other | 204464 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 264764 | TotalRevenueColumn |
| Exclusion | $264,764 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| medical supplies | 900099 | 155734 | $155,734 |
| cafeteria | 722210 | 148691 | $148,691 |
| ADMINISTRATIVE CASE MA | 900099 | 24716 | $24,716 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 20308 | TotalRevenueColumn |
| Exclusion | $20,308 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 349449 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 27159042 | TotalRevenueColumn |
| Related Or Exempt Function Income | 26066213 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $710,150 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 305937 | Total |
| Management And General | 305937 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9119594 | Total |
| Program Services | 9119594 | ProgramServices |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 236383 | Total |
| Program Services | 193064 | ProgramServices |
| Management And General | 43319 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2052935 | Total |
| Program Services | 1676720 | ProgramServices |
| Management And General | 376215 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 642611 | Total |
| Program Services | 524848 | ProgramServices |
| Management And General | 117763 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30260 | Total |
| Management And General | 30260 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 98820 | Total |
| Management And General | 98820 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5148535 | Total |
| Program Services | 4205028 | ProgramServices |
| Management And General | 943507 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44663 | Total |
| Program Services | 36478 | ProgramServices |
| Management And General | 8185 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 296098 | Total |
| Program Services | 241836 | ProgramServices |
| Management And General | 54262 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 742132 | Total |
| Program Services | 606131 | ProgramServices |
| Management And General | 136001 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14910 | Total |
| Program Services | 12178 | ProgramServices |
| Management And General | 2732 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30426 | Total |
| Program Services | 24850 | ProgramServices |
| Management And General | 5576 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 175849 | Total |
| Program Services | 143623 | ProgramServices |
| Management And General | 32226 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1268668 | Total |
| Program Services | 1036175 | ProgramServices |
| Management And General | 232493 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 744309 | Total |
| Program Services | 744309 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| supplies | 4450650 | 3635036 | 815614 | 0 |
| repairs and maintenance | 629211 | 513903 | 115308 | 0 |
| licenses and taxes | 491946 | 491946 | 0 | 0 |
| food | 214892 | 175511 | 39381 | 0 |
| dues and subscriptions | 111909 | 91401 | 20508 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 325751 | Total |
| Program Services | 266055 | ProgramServices |
| Management And General | 59696 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27176489 | Total |
| Program Services | 23738686 | ProgramServices |
| Management And General | 3437803 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2154377 | BOY |
| EOY | 960029 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1170693 | BOY |
| EOY | 783283 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4368335 | BOY |
| EOY | 5150442 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 267949 | BOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 530098 | BOY |
| EOY | 623595 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 508001 | BOY |
| EOY | 257899 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 28425445 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 20494537 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8593245 | BOY |
| EOY | 7930908 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4031253 | BOY |
| EOY | 4495647 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 169607 | BOY |
| EOY | 112242 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 704694 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21793558 | BOY |
| EOY | 21018739 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2583442 | BOY |
| EOY | 2730197 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30213 | BOY |
| EOY | 8853 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2095000 | BOY |
| EOY | 1940000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1908294 | BOY |
| EOY | 992478 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 154510 | BOY |
| EOY | 113056 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6771459 | BOY |
| EOY | 5784584 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15022099 | BOY |
| EOY | 15234155 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15022099 | BOY |
| EOY | 15234155 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21793558 | BOY |
| EOY | 21018739 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| 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 | $3,844 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 3844 | 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 | 9461409 | Depreciation |
| Book Value | 5839744 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 12592536 | OtherCostOrOtherBasis |
| Depreciation | 10658665 | Depreciation |
| Book Value | 1933871 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 461072 | OtherCostOrOtherBasis |
| Depreciation | 374463 | Depreciation |
| Book Value | 86609 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 7930908 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Investments | Description |
| Book Value | 4495647 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 4495647 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | estimated malpractice insurance cost | Description |
| Amount | $113,056 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 113056 | TotalOfAmounts |
| Total Revenue | 27159042 | TotalRevenue |
| Total Expenses | 27176489 | TotalExpenses |
| Excess Or Deficit For Year | -17447 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 229503 | NetUnrealizedGLOnInvestments |
| Total Adjustments | 229503 | TotalAdjustments |
| Excess Or Deficit Per FS | 212056 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 27487494 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 229503 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | 229503 | RevenueNotRptdF990 |
| Revenue Subtotal | 27257991 | RevenueSubtotal |
| Other Revenues Not Included | -98949 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -98949 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 27159042 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 27275438 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 98949 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 98949 | ExpensesNotRptdF990 |
| Expenses Subtotal | 27176489 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 27176489 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Part XII, Line 4b - Other Adjustments: | rental expenses: -98949. |
| Part XIII, Line 2d - Other Adjustments: | rental expenses: 98949. |
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 |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | 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 | 780225 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 780225 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02870 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4622315 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3616677 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1005638 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03700 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 5402540 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3616677 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1785863 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06570 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 5402540 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3616677 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1785863 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06570 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $670,334 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 7208869 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 7431165 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -222296 | 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 | 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 |
Form990 Schedule H Part V Form990ScheduleHPartV
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 | 20 bed skilled/nf | Other |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Footnote | Part III, Line 4: cost-to-charge ratio. The amount of bad debt expense is net of any discounts or payments received. | BadDebtFootnote |
| Shortfall As Community Benefit | Part III, Line 8: Grant Memorial Hospital provides 24/7 ER coverage and also has an OB/GYN Doctor on staff. The closest medical facility providing similar services is located 1 1/2 hours away if traveling by vehicle and road conditions are clear. These are much needed services for the community as such; there is no discrimination for patients' ability to pay. Additionally, services that are provided to elderly residents in Grant, Hardy and Pendleton Counties of West Virginia that have limited resources and access to adequate transportation to seek medical care elsewhere.The organization used the Medicare principles of reimbursement and reported the amounts on lines 5 and 6 as taken directly off the Medicare costs report. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | Part III, Line 9b: Income guidelines are developed by the Health Resources and Services Administration. Patients who qualify for charity care are evaluated based upon their ability to pay and liquidate their outstanding balance in one year. Payments are monitored monthly and followed up with normal collection procedures. Account balances over 120 days are referred to a collection agency and written off. | DebtCollectionPolicy |
| General Explanation | PART I, LINE 6A: THE COMMUNITY BENEFIT REPORT IS PREPARED BY GRANT MEMORIAL HOSPITAL. | GeneralExplanation |
| Needs Assessment | Part VI, Line 2: During the process of becoming certified as a Critical Access Hospital, 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. | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: Information on eligibility for assistance is provided for those services that require pre-registration and once patients are identified as not having commercial insurance, these patients are interviewed by customer service representatives to ascertain what resources, including charity, to liquate the balance.Customer Service Representatives conduct interviews with patients who may qualify for charity assistance. During this time, documented income information must be provided by the patient to determine eligibility. Based upon this information, a determination is made if and how much charity the patient may qualify. | PatientEducationAssistance |
| Community Information | Part VI, Line 4: The Hospital is located in the Potomac Highlands (Mountains) of eastern 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. There are no four-lane highways that individuals can travel 100% to other hospitals. | CommunityInformation |
| Other Information | Part VI, Line 6: The Hospital sponsors health fairs, conducts blood screenings and provides other health information at various times throughout Grant, Hardy and Pendleton counties. Due to the distance to other hospitals, the Hospital provides obstetrical care at a financial loss. The Hospital provides 24/7 emergency room coverage where a physician is present twenty-four hours per day even though the Hospital does not have the volume or patient mix to provide these services without incurring a financial loss. Members of the governing board must be residents of Grant, Hardy or Pendleton Counties. Members are selected from each magisterial district in every county to insure that there is proper represention on the board. In addition, it is required in WV that there is a broad representation on the board including educators, bankers, and members with union affilitation. Physicians seeking medical privileges have their qualifications review by the existing members of the medical staff with the medical staff making recommendations to the governing board as to whether medical privileges are granted. However, it is the governing board's decision as to whether physicians are granted privileges. Due to the small population of the Hospital's service area (less than 30,000 residents), it is difficult to find qualified board members. From time to time there are members of the board who may be related to employees of the hospital. All board members must sign a conflict of interest statement every year. Many times, board members have abstained on voting on certain issues due to these types of conflicts. Any surplus funds are used to provide much needed services as OB/GYN, 24/7 emergency room services, to provide skilled nursing services. During the last three years the Hospital has incurred capital purchases of $615,607 in 2010, $735,524 in 2009 and $824,428 in 2008. During FY 2009 and FY 2008, the Hospital incurred losses of approximately $2.0 million for each year. In spite of these losses, the Hospital continued to provide much needed services to the residents of the Tri-County area. | OtherInformation |
| Reports Filed With States | WV | ReportsFiledWithStates |
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 (3 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| robert l harman | |||||||||||||
| 169567 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 17643 | 0 | 187210 | 0 | 0 | 0 |
| john l hahn md | |||||||||||||
| 325497 | 0 | 267388 | 0 | 0 | 0 | 0 | 0 | 8317 | 0 | 601202 | 0 | 0 | 0 |
| susan a schmitt md | |||||||||||||
| 172571 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 8512 | 0 | 181083 | 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 | $30,000 | OriginalPrincipalAmount |
| Balance Due | 30000 | BalanceDue |
| Default | 0 | Default |
| Approved By Board | 0 | ApprovedByBoard |
| Written Agreement | 1 | WrittenAgreement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 30000 | TotalBalanceDue |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section A, line 7a | THE COUNTY COMMISSION IN GRANT, HARDY AND PENDLETON COUNTIES APPOINT MEMBERS TO THE BOARD. 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. |
| Form 990, Part VI, Section B, line 12c | 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 KNOW 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 15a | Compensation committee does an annual evaluation of the CEO. The Salary is determined based upon the West Virginia Health Care Authority annual report. The board performs an annual evaluation prior to setting compensation for the following year. |
| Form 990, Part VI, Section C, line 19 | It is required by West Virginia law that all hospitals file financial statements, Medicare/Medicaid cost reports tax returns and other finanical information to the West Virginia Health Care Authority. In addition, financial statements are also required to be published in local newspapers. Information submitted to the West Virginia Health Care Authority may be obtained under the Freedom of Information Act. |
| FORM 990, PART VI, LINE 14: | GRANT MEMORIAL HOSPITAL IS IN THE PROCESS OF DEVELOPING A DOCUMENT RETENTION AND DESTRUCTION POLICY. |