SOUTHSIDE COMMUNITY HOSPITAL INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- SOUTHSIDE COMMUNITY HOSPITAL INC (EIN 54-0555201)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-15
- IRS object ID
- 201133199349305838
- 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 I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-15T14:13:06-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 RIDGEFIELD COURT | AddressLine1 |
| City | ASHEVILLE | City |
| State | NC | State |
| ZIP Code | 28806 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 540555201 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTHSIDE COMMUNITY HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SOUT | NameControl |
| Phone | 4343152432 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 OAK STREET | AddressLine1 |
| City | FARMVILLE | City |
| State | VA | State |
| ZIP Code | 23901 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | WILLIAM L BASS JR | Name |
| Title | CFO/ASST TREASURER | Title |
| Phone | 4343152432 | Phone |
| Date Signed | 2011-11-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | AMY BIBBY | Name |
| Phone | 8282542254 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRA SOUTHSIDE COMMUNITY HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | WILLIAM L BASS JR | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 OAK STREET | AddressLine1 |
| City | FARMVILLE | City |
| State | VA | State |
| ZIP Code | 23901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 63615318 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | HTTP://SCH.CENTRAHEALTH.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1926 | YearFormation |
| State Legal Domicile | VA | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE HEALTHCARE SERVICES FOR EIGHT COUNTIES IN CENTRAL VIRGINIA. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 20 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 585 | TotalNbrEmployees |
| Total Nbr Volunteers | 138 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 25324 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 20469 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 58982629 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 63433992 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -13584 | InvestmentIncomePriorYear |
| Investment Income Current Year | 64600 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 134093 | OtherRevenuePriorYear |
| Other Revenue Current Year | 96257 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 59128462 | TotalRevenuePriorYear |
| Total Revenue Current Year | 63615318 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 34467 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 17000 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 30274385 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 32855693 | 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 | 32219656 | OtherExpensePriorYear |
| Other Expenses Current Year | 38211101 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 62528508 | TotalExpensesPriorYear |
| Total Expenses Current Year | 71083794 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -3400046 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -7468476 | RevenuesLessExpensesCY |
| Total Assets BOY | 56081652 | TotalAssetsBOY |
| Total Assets EOY | 52419468 | TotalAssetsEOY |
| Total Liabilities BOY | 26138610 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 29407837 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 29943042 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 23011631 | NetAssetsOrFundBalancesEOY |
| Mission Description | WE ARE DEDICATED TO IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES WE SERVE BY PROVIDING HIGH QUALITY HEALTHCARE WITH A PERSONAL TOUCH. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 64172959 | Expense |
| Grants | 17000 | Grants |
| Revenue | 63433992 | Revenue |
| Description | SOUTHSIDE COMMUNITY HOSPITAL IS A 501(C)(3) HOSPITAL COMMITTED TO OFFERING AFFORDABLE HEALTHCARE TO RESIDENTS OF SOUTHSIDE VIRGINIA. WE ARE DEDICATED TO IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES WE SERVE BY PROVIDING HIGH QUALITY HEALTHCARE. THE HOSPITAL HAS A LONG LIST OF PROGRAM SERVICE ACCOMPLISHMENTS FOR 2010. PLEASE SEE THE CONTINUATION ON SCHEDULE O. | Description |
| Total Program Service Expense | 64172959 | 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 | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 1 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | 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 | 0 | FinancialStmtAttached |
| Grants To Organizations | 1 | 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 | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | 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 | 1 | DisregardedEntity |
| Related Entity | 1 | 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 | 70 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 585 | 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 | 20 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | 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 | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | VA | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILLIAM BASS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4343152433 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 OAK STREET | AddressLine1 |
| City | FARMVILLE | City |
| State | VA | State |
| ZIP Code | 23901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| STEPHEN C KEITH EDD | |||||||
| CHAIRMAN | 2.00 | X | X | 0 | 0 | 0 | |
| SARAH E PUCKETT | |||||||
| VICE CHAIR | 2.00 | X | X | 0 | 0 | 0 | |
| LEROY O PFEIFFER JR | |||||||
| SECRETARY/TREASURER | 2.00 | X | X | 0 | 0 | 0 | |
| GEORGE W DAWSON | |||||||
| PRESIDENT OF CENTRA HEALTH | 2.00 | X | 0 | 1131633 | 145311 | ||
| KWABENA DONKOR MD | |||||||
| MEDICAL STAFF PRESIDENT | 2.00 | X | X | 0 | 0 | 0 | |
| LEWIS C ADDISON | |||||||
| BOARD MEMBER/CENTRA CFO | 2.00 | X | 0 | 566479 | 76508 | ||
| CALVIN GRAY | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| BARBARA DUFFER | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| RODGER W FAUBER | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| SHARON L HARRUP | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| KIRSTEN L HUBER MD | |||||||
| BOARD MEMBER/EMPLOYED PHYSICIAN | 50.00 | X | 297412 | 0 | 11740 | ||
| CARLTON LAFOON | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| RICHARD P LASH | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| EARL MOORE | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| ODESSA PRIDE | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| LARRY ROACH | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| CHARLES TAYLOR MD | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| FRANCIS WOOD JR | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| GWENDOLYN S EDDLEMAN EDD | |||||||
| PRESIDENT/CEO | 50.00 | X | X | 337415 | 0 | 40039 | |
| WILLIAM MCGUIRE CPA | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| WILLIAM L BASS | |||||||
| ASST. TREASURER/CFO | 50.00 | X | 167735 | 0 | 46032 | ||
| DAVID E JOHNSEN | |||||||
| PHYSICIAN | 50.00 | 623881 | 0 | 7350 | X | ||
| JOHN A KONA | |||||||
| PHYSICIAN | 50.00 | 475920 | 0 | 0 | X | ||
| PHILLIP M LENOACH | |||||||
| PHYSICIAN | 50.00 | 459670 | 0 | 7350 | X | ||
| JOHNATHAN R LOGAN | |||||||
| PHYSICIAN | 50.00 | 401363 | 0 | 6731 | X | ||
| PATEL G PRAVINBHAI | |||||||
| PHYSICIAN | 50.00 | 383000 | 0 | 5584 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3146396 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1698112 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 346645 | TotalOtherCompensation |
| Number Individuals GT100 K | 42 | 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 |
|---|---|---|---|---|---|
| MEDICAL ASSOCIATES OF CENTRAL VIRGINIA | |||||
| PO BOX 11889 | LYNCHBURG | VA | 24506 | PHYSICIAN SERVICES | 2252528 |
| CROTHALL FACILITIES | |||||
| 955 CHESTERBROOK BLVD300 | WAYNE | PA | 19087 | HOUSEKEEPING | 1149313 |
| ENDURACARE | |||||
| PO BOX 52524 | PHOENIX | AZ | 85072 | PHYSICAL THERAPY | 1061325 |
| MORRISON MANAGEMENT | |||||
| PO BOX 102289 | ATLANTA | GA | 30368 | DIETARY SERVICES | 955683 |
| MED 3000 | |||||
| 5 EAST ALVON ROAD STE 7 | WHITE SULPHER SPRINGS | WV | 24986 | PATIENT ACCOUNTING SERVICES | 562396 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 18 | NumberOfContractorsGT100K |
| Government Grants | 11691 | GovernmentGrants |
| All Other Contributions | 8778 | AllOtherContributions |
| Total Contributions | 20469 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERVICE RE | 621400 | 63387182 | 63387182 |
| ANCILLARY SERVICES | 900099 | 46810 | 46810 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 63433992 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 57777 | TotalRevenueColumn |
| Exclusion | $57,777 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 82324 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 82324 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 82324 | TotalRevenueColumn |
| Exclusion | $82,324 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2823 | Securities |
| Other | 4000 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2823 | Securities |
| Other | 4000 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6823 | TotalRevenueColumn |
| Exclusion | $6,823 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS REVENUES | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 13933 | TotalRevenueColumn |
| Exclusion | $13,933 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 13933 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 63615318 | TotalRevenueColumn |
| Related Or Exempt Function Income | 63433992 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $160,857 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17000 | Total |
| Program Services | 17000 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 900373 | Total |
| Program Services | 309152 | ProgramServices |
| Management And General | 591221 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26706495 | Total |
| Program Services | 24452235 | ProgramServices |
| Management And General | 2254260 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5248825 | Total |
| Program Services | 5248825 | ProgramServices |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 750000 | Total |
| Management And General | 750000 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 100214 | Total |
| Management And General | 100214 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 58559 | Total |
| Management And General | 58559 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12075633 | Total |
| Program Services | 10715034 | ProgramServices |
| Management And General | 1360599 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 311005 | Total |
| Management And General | 311005 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8273027 | Total |
| Program Services | 6995646 | ProgramServices |
| Management And General | 1277381 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 172705 | Total |
| Management And General | 172705 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1263462 | Total |
| Program Services | 1263462 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 145245 | Total |
| Program Services | 135588 | ProgramServices |
| Management And General | 9657 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 132384 | Total |
| Program Services | 107150 | ProgramServices |
| Management And General | 25234 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 457083 | Total |
| Program Services | 457083 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3785273 | Total |
| Program Services | 3785273 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 989529 | Total |
| Program Services | 989529 | ProgramServices |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| BAD DEBTS | 9448132 | 9448132 |
| COLLECTIONS EXPENSES | 248850 | 248850 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 71083794 | Total |
| Program Services | 64172959 | ProgramServices |
| Management And General | 6910835 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2204629 | BOY |
| EOY | 3929231 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2298191 | BOY |
| EOY | 1427157 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7587610 | BOY |
| EOY | 5982817 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1102310 | BOY |
| EOY | 1138703 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 472205 | BOY |
| EOY | 364849 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 57699089 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 31277089 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26437538 | BOY |
| EOY | 26422000 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2243241 | BOY |
| EOY | 1623247 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13581937 | BOY |
| EOY | 11490222 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 153991 | BOY |
| EOY | 41242 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 56081652 | BOY |
| EOY | 52419468 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4046994 | BOY |
| EOY | 5417108 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10523434 | BOY |
| EOY | 9945060 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 283964 | BOY |
| EOY | 251840 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11284218 | BOY |
| EOY | 13793829 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26138610 | BOY |
| EOY | 29407837 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29865614 | BOY |
| EOY | 22929376 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13279 | BOY |
| EOY | 18106 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64149 | BOY |
| EOY | 64149 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29943042 | BOY |
| EOY | 23011631 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 56081652 | BOY |
| EOY | 52419468 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -7468476 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 537065 | 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 | $2,997 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 2997 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF OTHER LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1I: | ReturnReference |
| Explanation | A PORTION OF THE ORGANIZATION'S HOSPITAL ASSOCIATION DUES FOR THE 2010 WERE ATTRIBUTABLE TO LOBBYING EXPENSES. THIS AMOUNT WAS $2,997 | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 64149 | BeginningOfYearBalance |
| End Of Year Balance | 64149 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 63085 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 1064 | InvestmentEarningsOrLosses |
| End Of Year Balance | 64149 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 87610 | BeginningOfYearBalance |
| Contributions | 1297 | Contributions |
| Investment Earnings Or Losses | -25822 | InvestmentEarningsOrLosses |
| End Of Year Balance | 63085 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 163194 | OtherCostOrOtherBasis |
| Book Value | 163194 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 29076732 | OtherCostOrOtherBasis |
| Depreciation | 14370813 | Depreciation |
| Book Value | 14705919 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1784776 | OtherCostOrOtherBasis |
| Depreciation | 1086576 | Depreciation |
| Book Value | 698200 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 26558456 | OtherCostOrOtherBasis |
| Depreciation | 15819700 | Depreciation |
| Book Value | 10738756 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 115931 | OtherCostOrOtherBasis |
| Book Value | 115931 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 26422000 | TotalOfBookValueLandBuildings |
Investments Program Related InvestmentsProgramRelated (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| INVESTMENT IN HEALTH NETWORK | 49995 | C |
| DUE FROM RELATED PARTIES | 11440227 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Program Related | 11490222 | TotalOfBookValueProgramRelated |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO A RELATED PARTY | $13,290,313 |
| ESTIMATED THIRD PARTY SETTLEMENTS | $503,516 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 13793829 | TotalOfAmounts |
| Total Revenue | 63615318 | TotalRevenue |
| Total Expenses | 71083794 | TotalExpenses |
| Excess Or Deficit For Year | -7468476 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 106682 | NetUnrealizedGLOnInvestments |
| Other | $430,383 | OtherAmount |
| Total Adjustments | 537065 | TotalAdjustments |
| Excess Or Deficit Per FS | -6931411 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 64152383 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 106682 | NetUnrealizedGainsInvestments |
| Other Revenues | 430383 | OtherRevenues |
| Revenue Not Rptd F990 | 537065 | RevenueNotRptdF990 |
| Revenue Subtotal | 63615318 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 63615318 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 71083794 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 71083794 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 71083794 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | THESE FUNDS WERE DONOR RESTRICTED FOR LPN NURSING SCHOLARSHIPS. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | THE HOSPITAL IS A TAX-EXEMPT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, THE ACCOMPANYING CONSOLIDATED FINANCIALS STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE HOSPITAL HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2010. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | CONTRIBUTED CAPITAL FROM AFFILIATE 430,383. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | CONTRIBUTED CAPITAL FROM AFFILATE 430,383. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| 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) |
|---|---|---|
| Total Community Benefit Expense | 2408392 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2408392 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03910 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11384877 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8414335 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2970542 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04820 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 42540 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 29108 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 13432 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 13835809 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8443443 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5392366 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08750 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 11000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 11000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 13846809 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8443443 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5403366 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08770 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 11 | NumberOfActivitiesOrPrograms |
| Persons Served | 426 | PersonsServed |
| Total Community Building Expense | 772 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 772 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 11 | NumberOfActivitiesOrPrograms |
| Persons Served | 426 | PersonsServed |
| Total Community Building Expense | 772 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 772 | NetCommunityBuildingExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $4,098,574 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 23834979 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 27245474 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -3410495 | 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 |
| 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 | SOUTHSIDE COMMUNITY HOSPITAL INC | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 OAK STREET | AddressLine1 |
| City | FARMVILLE | City |
| State | VA | State |
| ZIP Code | 23901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA FOR 2010 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 7 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (7 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| SARTORI MEDICAL CENTER | ||||
| 312 KINGS STREET | KEYSVILLE | VA | 23947 | FAMILY PRACTICE |
| CENTRA SOUTHSIDE PROF SVC FARMVILLE | ||||
| 1705 EAST THIRD STREET | FARMVILLE | VA | 23901 | FAMILY & PEDIATRIC PRACTICE |
| CENTRA SOUTHSIDE PROF SVC VICTORIA | ||||
| 1418 SIXTH STREET | VICTORIA | VA | 23974 | FAMILY PRACTICE |
| BURKEVILLE MEDICAL GROUP | ||||
| 412 NAMOZINE STREET | BURKEVILLE | VA | 23922 | FAMILY PRACTICE |
| SOUTHSIDE COMMHOSP HOMECARE SVC | ||||
| 713 OAK STREET | FARMVILLE | VA | 23901 | HOME HEALTH SERVICES |
| CUMBERLAND MEDICAL CENTER | ||||
| 1758 ANDERSON HIGHWAY | CUMBERLAND | VA | 23942 | FAMILY PRACTICE |
| FAMILY MEDICINE OF FARMVILLE | ||||
| 400 LONGWOOD AVENUE | FARMVILLE | VA | 23901 | FAMILY PRACTICE |
Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 9448132. | ||
| PART III, LINE 4: NOTE 1: "PATIENT ACCOUNTS RECEIVABLE ARE RECORDED WHEN SERVICES ARE RENDERED AND ARE PRESENTED IN THE CONSOLIDATED BALANCE SHEETS NET OF ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS AND CONTRACTUAL ADJUSTMENTS. THE HOSPITAL DOES NOT CHARGE FINANCE CHARGES ON OUTSTANDING PATIENT ACCOUNTS RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED ON THE HOSPITAL'S HISTORICAL LOSSES, THE EXISTING ECONOMIC CONDITIONS IN THE SURROUNDING REGION, AND THE ASSESSMENT OF FINANCIAL STABILITY OF ITS PATIENTS."THE ORGANIZATION USED A COST-TO-CHARGE RATIO TO DETERMINE BAD DEBT EXPENSE AT COST. | ||
| PART III, LINE 8: DURING THE BUDGET PROCESS SOUTHSIDE COMMUNITY HOSPITAL APPROPRIATES FUNDS FOR PATIENT CARE, RESEARCH, AND MEDICAL EDUCATION. ALSO, THE HOSPITAL SUPPORTS NUMEROUS HEALTH RELATED SUPPORT GROUPS WITH EDUCATIONAL MATERIALS AND PROFESSIONAL KNOWLEDGE. THROUGHOUT THE YEAR THE HOSPITAL REACHES OUT TO THE COMMUNITY THROUGH PARTICIPATION IN COMMUNITY HEALTH FAIRS OR EMPLOYER SPONSORED HEALTH FAIRS. | ||
| PART III, LINE 9B: CHARITY AND FINANCIAL ASSISTANCE IS AVAILABLE TO ALL CENTRA SOUTHSIDE PATIENTS INCLUDING ACCOUNTS PLACED IN BAD DEBT. AFTER APPLYING FOR THE PATIENT'S MULTIPLE OPPORTUNITIES TO SEEK FINANCIAL ASSISTANCE, CENTRA SOUTHSIDE USES PRESUMPTIVE SOFTWARE INTELLIGENCE TO IDENTIFY PATIENTS WHO ARE LIKELY FINANCIALLY INDIGENT PRIOR TO BAD DEBT. CHARITY DISCOUNTS ARE EXTENDED TO THESE PATIENTS DESPITE THE ABSENCE OF A FINANCIAL ASSISTANCE APPLICATION. CENTRA SOUTHSIDE'S CHARITY POLICY UNDER SECTION F, PRESUMPTIVE CHARITY, REFERENCES THIS PROCESS. ACCOUNTS WITH BALANCES GREATER THAN $2,000 ARE MANUALLY REVIEWED FOR CHARITY QUALIFICATIONS PRIOR TO BAD DEBT PLACEMENT WHICH CAN BE FOUND IN CENTRA SOUTHSIDE'S BAD DEBT POLICY UNDER PROCEDURE STEP 3. | ||
| PART VI, LINE 2: CENTRA SOUTHSIDE HAS DEVELOPED COMMUNITY ADVISORY BOARD CONSISTING OF 15 COMMUNITY MEMBERS FROM DIVERSE DEMOGRAPHIC BACKGROUNDS. THIS COMMITTEE WAS DEVELOPED FOR THE PURPOSE OF HAVING REGULAR OPEN DIALOGUE CONCERNING COMMUNITY HEALTH NEEDS WITH THE COMMUNITY IN OUR PRIMARY AND SECONDARY MARKET. THIS GROUP WILL MEET QUARTERLY.A CALL CENTER RECEIVES CALLS AND REPORTS TO THE MARKETING DEPARTMENT ADDITIONAL REQUESTS FROM THE COMMUNITY.CENTRASOUTHSIDE.COM PROVIDES CONSTANT FEEDBACK FROM THE COMMUNITY, AND IS ADDRESSED IMMEDIATELY. ALSO, EVALUATIONS ARE TAKEN AT COMMUNITY EVENTS. THIS PROVIDES NECESSARY AND VALUABLE FEEDBACK FOR FUTURE EDUCATIONAL EVENTS AND WORKSHOPS. | ||
| PART VI, LINE 3: CENTRA SOUTHSIDE TAKES A MULTIDISCIPLINARY APPROACH TO INFORMING OUR PATIENTS AND COMMUNITY ABOUT FINANCIAL ASSISTANCE. INFORMATION ABOUT FINANCIAL ASSISTANCE AND CHARITY CAN BE FOUND ON CENTRA SOUTHSIDE'S INTERNET PAGE PROVIDING FULL DISCLOSURE ABOUT QUALIFICATIONS AND THE APPLICATION PROCESS. INDIVIDUALS MAY OBTAIN INFORMATION AND AN APPLICATION FROM ANY REGISTRATION POINT OR CUSTOMER SERVICE UNIT IN PERSON OR BY PHONE. SIGNS ARE POSTED IN CONSPICUOUS LOCATIONS ALERTING INDIVIDUALS THAT FINANCIAL ASSISTANCE IS AVAILABLE AND WHERE TO OBTAIN ADDITIONAL INFORMATION. BROCHURES ABOUT FINANCIAL ASSISTANCE ARE MADE AVAILABLE IN REGISTRATION AND CUSTOMER SERVICE. WHILE PATIENTS ARE HOSPITALIZED, A FINANCIAL COUNSELOR PROVIDES FINANCIAL ASSISTANCE INFORMATION, SCREENS PATIENTS FOR FEDERAL AND STATE PROGRAMS AND GIVES AN OPPORTUNITY TO ASK QUESTIONS. ADDITIONALLY, AN INSERT ABOUT FINANCIAL ASSISTANCE IS MAILED IN EVERY UNINSURED BILL AND EVERY PATIENT BILL, WHETHER UNINSURED OR INSURED, REFERENCING AVAILABILITY OF FINANCIAL ASSISTANCE WITH CONTACT INFORMATION ON WHERE TO OBTAIN MORE INFORMATION. | ||
| PART VI, LINE 4: SOUTHSIDE COMMUNITY HOSPITAL IS LOCATED IN FARMVILLE, VIRGINIA, WHICH IS 50 MILES EAST OF LYNCHBURG AND 50 SOUTHWEST OF RICHMOND. AS A SOLE COMMUNITY HOSPITAL IT IS CENTRALLY LOCATED TO SERVE THE RESIDENTS OF AMELIA, APPOMATTOX, BUCKINGHAM, CHARLOTTE, CUMBERLAND, LUNENBURG, NOTTOWAY, AND PRINCE EDWARD COUNTIES. THE HOSPITAL WAS ESTABLISHED TO PROVIDE HEALTHCARE TO THIS MOSTLY RURAL AREA. THE COUNTIES OF BUCKINGHAM, CHARLOTTE, AND LUNENBURG HAVE BEEN DESIGNATED AS MEDICALLY UNDERSERVED AREAS. | ||
| PART VI, LINE 6: CENTRA SOUTHSIDE COMMUNITY HOSPITAL PLAYS AN IMPORTANT ROLE IN PROMOTING HEALTH IN THE COMMUNITIES IT SERVES. THE HOSPITAL HOSTS FREE WORKSHOPS AND EDUCATIONAL SEMINARS ON DIABETES, STROKE PREVENTION, HEART HEALTH AND MORE. CSCH ALSO PARTICIPATES IN APPROXIMATELY TWENTY HEALTH FAIRS ANNUALLY, PROVIDING FREE SCREENINGS TO THE PUBLIC. THE HEALTH EXPLORERS CAMP, HELD EVERY SUMMER, HOSTS MIDDLE SCHOOLS FOR A WEEK TO ALLOW THEM TO EXPLORE OPTIONS IN THE HEALTH CARE FIELD. SAFE SITTER BABYSITTING CLASSES, SIBLING CLASSES, BREAST-FEEDING CLASSES, ARE JUST A FEW OF THE CLASSES MADE AVAILABLE FOR COMMUNITY MEMBERS. CSCH ALSO HOSTS SEVEN SUPPORT GROUPS INCLUDING AA, DIABETES SUPPORT GROUP, CELIAC DISEASE SUPPORT GROUP, AND MS SUPPORT GROUP. WE HAVE A TEEN VOLUNTEER PROGRAM AND A COLLEGE VOLUNTEER PROGRAM FOR STUDENTS AT LONGWOOD UNIVERSITY, HAMPDEN-SYDNEY COLLEGE, AND SOUTHSIDE VIRGINIA COMMUNITY COLLEGE. | ||
| PART VI, LINE 7: SOUTHSIDE COMMUNITY HOSPITAL'S AFFILIATION WITH CENTRA HEALTH BEGAN JANUARY 2006. IT ONLY SEEMED NATURAL THAT SOUTHSIDE COMMUNITY HOSPITAL WOULD PARTNER WITH CENTRA HEALTH, SINCE THE OTHER CENTRA HOSPITALS ARE LOCATED TO THE WEST ONLY 50 MILES. CENTRA HEALTH HAS A NATIONAL REPUTATION FOR CLINICAL EXCELLENCE AND PATIENT SATISFACTION. SOUTHSIDE COMMUNITY HOSPITAL AND CENTRA OFFICIALS BELIEVE THE COMBINED ORGANIZATIONS WILL BE STRENGTHENED THROUGH AN EXCHANGE OF BEST PRACTICES AND ECONOMIES OF SCALE. SOUTHSIDE PATIENTS HAVE AVAILABLE BETTER ACCESS TO A BROADER RANGE OF ADVANCED CLINICAL SERVICES THAT ARE AVAILABLE AT CENTRA HEALTH'S LYNCHBURG HOSPITALS. THE AFFILIATION IS ONE IN A SERIES OF STEPS IN WHICH SOUTHSIDE'S LEADERS RECOGNIZED THE NEED TO PARTNER WITH AN ORGANIZATION THAT SHARED A MISSION OF EXCELLENT CARE. DURING THE PAST FOUR YEARS, SOUTHSIDE HAS BEEN ABLE TO MAKE STRUCTURAL IMPROVEMENTS, REPLACE MEDICAL EQUIPMENT WITH NEWER MEDICAL TECHNOLOGY, AND UPDATE COMPUTER SYSTEMS. SOUTHSIDE HAS SUCCESSFULLY RECRUITED BOARD-CERTIFIED SURGEONS AND SPECIALISTS, NEW EMERGENCY PHYSICIANS, AND EXTEND THEIR HOSPITALIST PROGRAM.SCH HAS BEEN THE HEALTHCARE CENTER OF SOUTHSIDE VIRGINIA SINCE OPENING ITS DOORS NOVEMBER 9, 1927. SINCE THEN, IT HAS OPERATED ON A NON-PROFIT BASIS WITH THE GOAL OF HELPING TO HEAL THE ILL AND INJURED. THE HOSPITAL SERVES THE RESIDENTS OF AMELIA, APPOMATTOX, BUCKINGHAM, CHARLOTTE, CUMBERLAND, LUNENBURG, NOTTOWAY, AND PRINCE EDWARD COUNTIES. | ||
| VA | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|---|---|
| MARCH OF DIMES | |||||||||
| 10128 W BROAD STREET STE A | GLEN ALLEN | VA | 23060 | 131846366 | 501(C)(3) | 10000 | N/A | N/A | GENERAL OPERATIONAL SUPPORT |
| LONGWOOD UNIVERSITY | |||||||||
| 201 HIGH STREET | FARMVILLE | VA | 23901 | 546001788 | 501(C)(3) | 7000 | N/A | N/A | GENERAL OPERATIONAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: THROUGHOUT THE YEAR, GRANT REQUESTS ARE SUBMITTED TO THE EXECUTIVE COMMITTEE FOR THEIR REVIEW AND APPROVAL. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | 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 (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GEORGE W DAWSON | |||||||||||||
| 0 | 595865 | 0 | 0 | 0 | 535768 | 0 | 129956 | 0 | 15355 | 0 | 1276944 | 0 | 0 |
| LEWIS C ADDISON | |||||||||||||
| 0 | 328394 | 0 | 0 | 0 | 238085 | 0 | 56847 | 0 | 19661 | 0 | 642987 | 0 | 29362 |
| KIRSTEN L HUBER MD | |||||||||||||
| 296445 | 0 | 0 | 0 | 967 | 0 | 7350 | 0 | 4390 | 0 | 309152 | 0 | 0 | 0 |
| GWENDOLYN S EDDLEMAN EDD | |||||||||||||
| 266924 | 0 | 30000 | 0 | 40491 | 0 | 33111 | 0 | 6928 | 0 | 377454 | 0 | 14784 | 0 |
| WILLIAM L BASS | |||||||||||||
| 157093 | 0 | 0 | 0 | 10642 | 0 | 20827 | 0 | 25205 | 0 | 213767 | 0 | 5439 | 0 |
| DAVID E JOHNSEN | |||||||||||||
| 623881 | 0 | 0 | 0 | 0 | 0 | 7350 | 0 | 0 | 0 | 631231 | 0 | 0 | 0 |
| JOHN A KONA | |||||||||||||
| 475920 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 475920 | 0 | 0 | 0 |
| PHILLIP M LENOACH | |||||||||||||
| 459670 | 0 | 0 | 0 | 0 | 0 | 7350 | 0 | 0 | 0 | 467020 | 0 | 0 | 0 |
| JOHNATHAN R LOGAN | |||||||||||||
| 401363 | 0 | 0 | 0 | 0 | 0 | 6731 | 0 | 0 | 0 | 408094 | 0 | 0 | 0 |
| PATEL G PRAVINBHAI | |||||||||||||
| 383000 | 0 | 0 | 0 | 0 | 0 | 5584 | 0 | 0 | 0 | 388584 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 4B | ReturnReference |
| Explanation | GEORGE DAWSON, PRESIDENT/CEO OF CENTRA HEALTH, INC. (A RELATED ORGANIZATION): ACCRUED FOR 2010 $501,567 IN A NONQUALIFIED RETIREMENT PLAN, INCLUDED IN HIS W-2 WAGES. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| AMANDA HAYTASINGH | |||
| FAMILY MEMBER OF OFFICER GWEN EDDLEMAN | 18851 | COMPENSATION AS EMPLOYEE OF SOUTHSIDE COMMUNITY HOSPITAL | 0 |
| HARRY ELAM | |||
| FAMILY MEMBER OF BOARD MEMBER SARAH PUCKETT | 123652 | COMPENSATION AS EMPLOYEE OF CENTRA HEALTH, INC., A RELATED ORGANIZATION | 0 |
| SHARON TAYLOR | |||
| FAMILY MEMBER OF BOARD MEMBER CHARLES TAYLOR, MD | 72198 | COMPENSATION AS EMPLOYEE OF SOUTHSIDE COMMUNITY HOSPITAL | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | BOARD MEMBERS LEWIS ADDISON, GEORGE DAWSON, AND RODGER FAUBER ALL SERVE AS DIRECTORS/OFFICERS OF PIEDMONT COMMUNITY HEALTH PLAN, A 50% JOINT VENTURE OF CENTRA HEALTH, INC. BOARD MEMBERS LEWIS ADDISON AND GEORGE DAWSON SERVE ON THE BOARDS OF DIRECTORS FOR THE BEDFORD MEMORIAL HOSPITAL AND CENTRAL VIRGINIA IMAGING, BOTH 50% JOINT VENTURES OF CENTRA HEALTH, INC. BOARD MEMBERS GWEN EDDLEMAN AND LEROY PFEFFIER SERVE ON THE BOARD OF DIRECTORS FOR THE WOODLANDS, INC, A NURSING HOME. | |
| FORM 990, PART VI, SECTION A, LINE 6 | THROUGH AN AFFILIATION AGREEMENT, SOUTHSIDE HOSPITAL'S SOLE CORPORATE MEMBER IS CENTRA HEALTH, INC. | |
| FORM 990, PART VI, SECTION A, LINE 7A | CENTRA HEALTH, INC. IS THE SOLE MEMBER CORPORATION OF SOUTHSIDE COMMUNITY HOSPITAL (SCH) AND HAS THE POWER TO ELECT/APPROVE THE BOARD OF DIRECTORS OF SCH'S GOVERNING BODY AND APPROVE DECISIONS MADE BY SCH'S BOARD. | |
| FORM 990, PART VI, SECTION A, LINE 7B | SEE RESPONSE TO PART VI, LINE 7A. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTANT WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. COPIES OF THE FORM 990 HAVE BEEN PROVIDED TO ALL VOTING MEMBERS OF THE BOARD OF DIRECTORS, AND ANY QUESTIONS RAISED BY THE BOARD OF DIRECTORS HAVE BEEN ADDRESSED. MANAGEMENT WILL ALSO REVIEW THE FORM 990 WITH THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS, WHO WILL THEN PRESENT IT TO THE BOARD OF DIRECTORS FOR THEIR APPROVAL. | |
| ALL CENTRA SOUTHSIDE OFFICERS, DIRECTORS, AND KEY EMPLOYEES, MUST COMPLETE A CONFLICT OF INTEREST QUESTIONNIARE ON AN ANNUAL BASIS, CERTIFYING THAT NEITHER THEY NOR ANY OF THEIR IMMEDIATE FAMILY MEMBERS HAVE ENGAGED IN ANY ACTIVITIES THAT COULD LEAD TO A POTENTIAL CONFLICT OF INTEREST. ADDITIONALLY, ALL OFFICERS, DIRECTORS, AND KEY EMPLOYEES MUST AGREE TO PROMPTLY REPORT ANY POTENTIAL CONFLICTS OF INTEREST THAT ARISE DURING THE YEAR TO THE PRESIDENT OR CHAIRMAN OF CENTRA SOUTHSIDE'S BOARD OF DIRECTORS. | FORM 990, PART VI, SECTION B, LINE 12C | |
| CENTRA HEALTH, INC. (SOUTHSIDE'S SOLE MEMBER ORGANIZATION) HAS ESTABLISHED AN EXECUTIVE COMPENSATION COMMITTEE, WHICH CONSISTS OF THE CHAIRMAN OF CENTRA'S BOARD OF DIRECTORS PLUS AN ADDITIONAL FOUR MEMBERS OF CENTRA'S BOARD. FOUR OF THESE FIVE MEMBERS MEET THE IRS FORM 990 INDEPENDENCE DEFINITION. MEMBERS OF THIS COMMITTEE REVIEW RELEVANT SALARY AND BENEFIT DATA FROM VARIOUS SOURCES AND MAKE RECOMMENDATIONS TO THE EXECUTIVE COMMITTEE OF CENTRA'S BOARD OF DIRECTORS WITH RESPECT TO THE SALARY RANGE AND BENEFITS FOR THE CEO. THE EXECUTIVE COMMITTEE REVIEWS AND HAS FINAL APPROVAL OF THE CEO'S COMPENSATION. THE COMMITTEE IS ALSO RESPONSIBLE FOR THE REVIEW AND APPROVAL OF SALARY RANGES AND ADJUSTMENTS FOR OTHER OFFICERS AND KEY EMPLOYEES OF CENTRA, BASED ON THE RECOMMENDATIONS MADE BY THE CEO. METHODS USED TO DETERMINE SALARY RANGES AND ADJUSTMENTS INCLUDE, BUT ARE NOT LIMITED TO, INDEPENDENT COMPENSATION CONSULTANT(S) AS WELL AS THIRD PARTY COMPENSATION SURVEYS AND/OR STUDIES. | FORM 990, PART VI, SECTION B, LINE 15 | |
| PHOTOCOPIES OF THE ORGANIZATION'S FORM 1023 AND RECENT FILINGS OF THE FORM 990 AND 990-T ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. ADDITIONALLY, FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG. | FORM 990, PART VI, SECTION C, LINE 18 | |
| THE ORGANIZATION PROVIDES PHOTOCOPIES OF ITS FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY UPON REQUEST AT IT ADMINISTRATIVE OFFICE. | FORM 990, PART VI, SECTION C, LINE 19 | |
| AVERAGE HOURS WORKED: | GEORGE DAWSON AND LEWIS ADDISON DEVOTE AN AVERAGE OF 50 HOURS PER WEEK TO CENTRA HEALTH, INC., A RELATED ORGANIZATION. | FORM 990, PART VII, LINE 1: |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED GAINS ON INVESTMENTS: 106,682. CONTRIBUTED CAPITAL FROM AFFILIATE 430,383. TOTAL TO FORM 990, PART XI, LINE 5: 537,065. | FORM 990, PART XI, LINE 5: |
| STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS: | 2010 COMMUNITY BENEFIT HIGHLIGHTS - TRADITIONAL CHARITY CARE INCLUDES HEALTH CARE SERVICES TO PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY. DURING FISCAL YEAR 2010, $5,551,884 OF CHARGES AT AN ESTIMATED COST OF $2,408,392 WAS PROVIDED TO PATIENTS OF SOUTHSIDE COMMUNITY HOSPITAL. ELIGIBILITY FOR CHARITY IS BASED ON POVERTY INCOME LEVELS SET BY THE STATE. - UNPAID COST OF MEDICAID REFLECTS THE COST NOT REIMBURSED BY MEDICAID FOR CARE RENDERED TO MEDICAID PATIENTS, $2,970,542. - COMMUNITY EDUCATION INCLUDES COMMUNITY/PATIENT HEALTH EDUCATION PROGRAMS, HEALTH SCREENINGS, COUNSELING, AND SUPPORT GROUPS. - MEDICAL EDUCATION INCLUDES CONTINUING MEDICAL EDUCATION AND SCHOLARSHIPS FOR NURSES AND OTHER HEALTH CARE PROFESSIONALS. - CASH/IN KIND DONATIONS INCLUDE CONTRIBUTIONS MADE ON BEHALF OF SOUTHSIDE COMMUNITY HOSPITAL TO THE COMMUNITY AND IN-KIND DONATIONS, $11,000. - APPROXIMATELY 5,000 PEOPLE ATTENDED SOUTHSIDE COMMUNITY HOSPITAL'S COMMUNITY HEALTH EDUCATION AND HEALTH SCREENING EVENTS. - SOUTHSIDE COMMUNITY HOSPITAL'S AUXILIARY VOLUNTEERS DONATED OVER 10,639 HOURS OF SERVICE. COMMUNITY EDUCATION & HEALTH SCREENINGS SOUTHSIDE COMMUNITY HOSPITAL EMPLOYEES CONTINUALLY OFFER PROFESSIONAL HEALTH EDUCATION PROGRAMS, CLASSES, LECTURES, HEALTH FAIRS AND HEALTH SCREENINGS THROUGHOUT SOUTHSIDE VIRGINIA. SOUTHSIDE COMMUNITY HOSPITAL HAS AVAILABLE A SPEAKER BUREAU CONSISTING OF HEALTHCARE PROFESSIONALS, WHO ARE AVAILABLE TO SPEAK TO THE PUBLIC ON UPDATED HEALTHCARE ISSUES AND TOPICS. SOUTHSIDE COMMUNITY HOSPITAL IS DEDICATED TO IMPROVING THE HEALTHCARE OF ITS COMMUNITY. THE HOSPITAL IS EAGER TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITY BY PROVIDING EDUCATIONAL MATERIALS AND HEALTH SCREENINGS. COMMUNITY EDUCATION & HEALTH SCREENINGS - BLOOD PRESSURE CHECKS - ANNUAL HEART OF VIRGINIA FESTIVAL - BREAST CANCER AWARENESS TEA PARTY - CAR SEAT SAFETY DAY - COAT AND BLANKET DRIVE - COMMUNITY DIABETES CLASSES - COMMUNITY HEART HEALTH DAY - COLORECTAL CANCER SCREENS - DIABETES AWARENESS DAY AT YMCA AND LIONS - EXPLORER CAMP - FAMILY-FOCUSED CLASSES - GEMINI HEALTH FAIR - HABITAT FOR HUMANITY FIRST AID TENT - HAMPDEN-SYDNEY COLLEGE HEALTH FAIR - HEARING SCREENINGS - LONGWOOD UNIVERSITY WELLNESS FAIR - LUNENBURG HEALTH FAIR - MARCH FOR BABIES WALK - MEALS ON WHEELS BANQUET SPONSOR - ROTC PHYSICALS AT NOTTOWAY HIGH SCHOOL - SAFE SITTER CLASS - SHRINER SCREENING - SOUTHSIDE ELECTRIC HEALTH FAIR - VIRGINIA BLOOD SERVICES BLOOD DRIVE - YMCA HEALTHY KIDS DAY SUPPORT GROUPS AT SOUTHSIDE COMMUNITY HOSPITAL - ALCOHOLICS ANONYMOUS - BRAIN INJURY SUPPORT GROUP - CELIAC SUPPORT GROUP - DIABETIC SUPPORT GROUP - FIBROMYALGIA/CFIDS SUPPORT GROUP - MULTIPLE SCLEROSIS SUPPORT GROUP - SLEEP DISORDER SUPPORT GROUP | FORM 990, PART III, LINE 4A: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|
| CENTRA SOUTHSIDE PROFESSIONAL SERVICES LLC | |||||||||
| 800 OAK STREET | FARMVILLE | VA | 23901 | 260771274 | PHYSICIAN OFFICES | VA | 8584594 | 1765416 | N/A |
| CENTRA SOUTHSIDE EMERGENCY SERVICES LLC | |||||||||
| 800 OAK STREET | FARMVILLE | VA | 23901 | 270926346 | ER PHYSICIAN OPERATION | VA | 4016208 | 1132513 | N/A |
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| CENTRA HEALTH INC | ||||||||||
| 1920 ATHERHOLT ROAD | LYNCHBURG | VA | 24501 | 540715569 | HEALTHCARE | VA | 501(C)(3) | LINE 3 | N/A | 0 |
| CENTRA HEALTH FOUNDATION INC | ||||||||||
| 1920 ATHERHOLT ROAD | LYNCHBURG | VA | 24501 | 541604094 | SUPPORTING ORGANIZATION | VA | 501(C)(3) | LINE 11A, I | N/A | 0 |
| LYNCHBURG FAMILY PRACTICE RESIDENCY PROGRAM INC | ||||||||||
| 1920 ATHERHOLT ROAD | LYNCHBURG | VA | 24501 | 541457983 | HEALTHCARE | VA | 501(C)(3) | LINE 11A, I | N/A | 0 |
| CCRC INC | ||||||||||
| 1920 ATHERHOLT ROAD | LYNCHBURG | VA | 24501 | 541929580 | CONTINUING CARE RESIDENCY | VA | 501(C)(3) | LINE 11A, I | N/A | 0 |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GENERAL BUSINESS CONCERNS INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1920 ATHERHOLT ROAD | AddressLine1 |
| City | LYNCHBURG | City |
| State | VA | State |
| ZIP Code | 24501 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 541299682 | EIN |
| Primary Activity | REAL ESTATE - PHYSICIAN OFFICES | PrimaryActivity |
| Legal Domicile State | VA | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |