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BRADLEY COUNTY MEDICAL CENTER: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
BRADLEY COUNTY MEDICAL CENTER (EIN 71-0797499)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-03-11
IRS object ID
201140709349300609
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-03-11T07:51:57-08:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Hughes Welch & MilliganCPASLTDBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 2094AddressLine1
CityBatesvilleCity
StateARState
ZIP Code725032094ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN710797499EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BRADLEY COUNTY MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBRADNameControl
Phone8702263731Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1404 SOUTH BRADLEYAddressLine1
CityWARRENCity
StateARState
ZIP Code71671ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameHAROLD MITCHELLName
TitleCEOTitle
Date Signed2011-03-11DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameWILLIAM T COUCHName
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonHAROLD MITCHELLNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11540 PINEWOODAddressLine1
CityMONTICELLOCity
StateARState
ZIP Code71671ZIPCode
FieldValueIRS element (for citing)
Gross Receipts19159876GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501cXOrganization501c
Web Sitehttp://bradleycountymedicalcenter.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1996YearFormation
State Legal DomicileARStateLegalDomicile
Activity Or Mission DescriptionTO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR THE RESIDENTS OF BRADLEY AND SURROUNDING COUNTIESActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees274TotalNbrEmployees
Total Nbr Volunteers22TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year81807ContributionsGrantsPriorYear
Contributions Grants Current Year81454ContributionsGrantsCurrentYear
Program Service Revenue Prior Year17085489ProgramServiceRevenuePriorYear
Program Service Revenue CY18723063ProgramServiceRevenueCY
Investment Income Prior Year89489InvestmentIncomePriorYear
Investment Income Current Year60096InvestmentIncomeCurrentYear
Other Revenue Prior Year287232OtherRevenuePriorYear
Other Revenue Current Year295263OtherRevenueCurrentYear
Total Revenue Prior Year17544017TotalRevenuePriorYear
Total Revenue Current Year19159876TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year9340126SalariesEtcPriorYear
Salaries Etc Current Year9254015SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year8052609OtherExpensePriorYear
Other Expenses Current Year8236043OtherExpensesCurrentYear
Total Expenses Prior Year17392735TotalExpensesPriorYear
Total Expenses Current Year17490058TotalExpensesCurrentYear
Revenues Less Expenses Prior Year151282RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1669818RevenuesLessExpensesCY
Total Assets BOY16930119TotalAssetsBOY
Total Assets EOY18232393TotalAssetsEOY
Total Liabilities BOY4017410TotalLiabilitiesBOY
Total Liabilities EOY3649866TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY12912709NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY14582527NetAssetsOrFundBalancesEOY
Mission DescriptionTO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR THE RESIDENTS OF BRADLEY AND SURROUNDING COUNTIESMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense10654428Expense
DescriptionBRADLEY COUNTY MEDICAL CENTER IS A 25-BED ACUTE CARE AND 10-BED PSYCHIATRIC CARE FACILITY.Description
Total Program Service Expense10654428TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109610NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees274NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonHAROLD MITCHELLNamePerson
Telephone Number8702263731TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1404 SOUTH BRADLEYAddressLine1
CityWARRENCity
StateARState
ZIP Code71671ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeOfficerOfficer
WR ROWELL
BOARD MEMBER1.00X000
TERRI GRIMES
DIR-PHYSICAL THER40.0011211400X
TAMMY HENSLEY
DIR-HOME HEALTH40.0014231800X
LATHAN HAIRSTON
Vice CHAIRMAN1.00X000X
KENNETH MCDOUGALD
Treasurer1.00X000X
KEITH NEELY
BOARD MEMBER1.00X000
JOE HANK WHARTON MD
BOARD MEMBER1.00X000
JOE DON GREENWOOD
BOARD MEMBER1.00X000
JAN GORMAN
CRNA40.0016001400X
JAMES W MARSH MD
BOARD MEMBER1.00X000
HAROLD MITCHELL
CEO40.0012156209750X
GINGY CUTHBERTSON
Secretary1.00X000X
FREDDIE MOBLEY
Chairman1.00X000X
DAVID KILCREASE
PHYSICAL THERAPIST40.0010014200X
ARTHUR NIETO
PHYSICIAN0.25001600X
FieldValueIRS element (for citing)
Total Reportable Comp From Org886166TotalReportableCompFromOrg
Total Other Compensation9750TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonMICHELLE WEAVER MDNamePerson

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1219 E CENTRALAddressLine1
CityWARRENCity
StateARState
ZIP Code71671ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesPHYSICIANDescriptionOfServices
Compensation163680Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions81454AllOtherContributions
Total Contributions81454TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUEDescription
Total Revenue Column18723063TotalRevenueColumn
Related Or Exempt Function Income18723063RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue18723063TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column60096TotalRevenueColumn
Exclusion$60,096ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real177275Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real177275Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column177275TotalRevenueColumn
Exclusion$177,275ExclusionAmount

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PHY THER CONTRACT5249552495
OTHER REV - MISC1137711377
MEAL SALES4102041020

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column13096TotalRevenueColumn
Related Or Exempt Function Income13096RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue117988TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column19159876TotalRevenueColumn
Related Or Exempt Function Income18841051RelatedOrExemptFunctionIncome
Exclusion$237,371ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total131312Total
Management And General131312ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7468704Total
Program Services5552059ProgramServices
Management And General1916645ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total102821Total
Program Services75059ProgramServices
Management And General27762ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total970541Total
Program Services708494ProgramServices
Management And General262047ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total580637Total
Program Services423865ProgramServices
Management And General156772ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total22981Total
Management And General22981ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total48907Total
Program Services8029ProgramServices
Management And General40878ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total14690Total
Program Services785ProgramServices
Management And General13905ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total24840Total
Management And General24840ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total365941Total
Program Services36667ProgramServices
Management And General329274ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total210973Total
Program Services210973ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total29869Total
Program Services17123ProgramServices
Management And General12746ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total149149Total
Management And General149149ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1030990Total
Management And General1030990ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES25347732014420520353
REPAIRS AND MAINT659266407377251889
PURCHASED SERVICES290513210129821892150
MISC493218243108
EQUIP RENTAL OR LEASE23360018477148829

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total17490058Total
Program Services10654428ProgramServices
Management And General6835630ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY519078BOY
EOY2745754EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3465043BOY
EOY2854284EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5058664BOY
EOY4934665EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY622547BOY
EOY548865EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY88619BOY
EOY58260EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis21702680LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec14612115LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7176168BOY
EOY7090565EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY16930119BOY
EOY18232393EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1430486BOY
EOY1428319EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2586924BOY
EOY2221547EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4017410BOY
EOY3649866EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY12912709BOY
EOY14582527EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12912709BOY
EOY14582527EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16930119BOY
EOY18232393EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis276852OtherCostOrOtherBasis
Book Value276852BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis10282125OtherCostOrOtherBasis
Depreciation5948119Depreciation
Book Value4334006BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis60212OtherCostOrOtherBasis
Depreciation53797Depreciation
Book Value6415BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis11083491OtherCostOrOtherBasis
Depreciation8610199Depreciation
Book Value2473292BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7090565TotalOfBookValueLandBuildings
Total Revenue19159876TotalRevenue
Total Expenses17490058TotalExpenses
Excess Or Deficit For Year1669818ExcessOrDeficitForYear
Excess Or Deficit Per FS1669818ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt19625442TotRevenueEtcAuditedFinclStmt
Revenue Subtotal19625442RevenueSubtotal
Other Revenues Not Included-465566OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-465566RevenueNotRptdOnFinStmt
Total Revenue Per Form99019159876TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt17955624TotExpensesEtcAuditedFinclStmt
Other Expenses Included465566OtherExpensesIncluded
Expenses Not Rptd F990465566ExpensesNotRptdF990
Expenses Subtotal17490058ExpensesSubtotal
Total Expenses Per Form99017490058TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart XIII, Line 2dIdentifier
Return ReferencePart XIII, Line 2d: Other expenses and losses per audited F/SReturnReference
ExplanationPROVISION FOR BAD DEBTS $465566Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport
Report Publically AvailablefalseReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense765196TotalCommunityBenefitExpense
Net Community Benefit Expense765196NetCommunityBenefitExpense
Percent Of Total Expense0.04380PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense1604892TotalCommunityBenefitExpense
Net Community Benefit Expense1604892NetCommunityBenefitExpense
Percent Of Total Expense0.09180PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense2370088TotalCommunityBenefitExpense
Net Community Benefit Expense2370088NetCommunityBenefitExpense
Percent Of Total Expense0.13550PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1846TotalCommunityBenefitExpense
Net Community Benefit Expense1846NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense5541TotalCommunityBenefitExpense
Net Community Benefit Expense5541NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense7387TotalCommunityBenefitExpense
Net Community Benefit Expense7387NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense2377475TotalCommunityBenefitExpense
Net Community Benefit Expense2377475NetCommunityBenefitExpense
Percent Of Total Expense0.13590PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$465,566BadDebtExpenseAmount
Amount Reimbursed By Medicare10544330AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare10544330CostOfCareReimbursedByMedicare

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

FieldValueIRS element (for citing)
Business Name Line1BRADLEY COUNTY MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1404 SOUTH BRADLEY STREETAddressLine1
CityWARRENCity
StateARState
ZIP Code71671ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Critical Access HospitalXCriticalAccessHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Income Based Criteria225% OF FPGIncomeBasedCriteria
Bad Debt FootnoteTHE HOSPITAL HAS ESTABLISHED ALLOWANCES FOR BAD DEBTS AND CONTRACTUAL ADJUSTEMENTS ON MEDICARE - MEDICAID ACCOUNTSBadDebtFootnote
Shortfall As Community BenefitTHE FACILITY IS A CRITICAL ACCESS HOSPITAL AND ALL MEDICARE ALLOWABLE COSTS ARE REIMBURSED THROUGH THE COST REPORT PORCESSShortfallAsCommunityBenefit
Debt Collection PolicyPATIENTS ARE INFORMED OF THE CHARITY CARE PROGRAMDebtCollectionPolicy
Number Of Facility Type Expln1-RURAL HOSPITAL, 1-HOME HEALTH AGENCY, 1-CLINICNumberOfFacilityTypeExpln
Needs AssessmentUTILIZES ANNUAL STATISTICAL REPORT WITH DEMOGRAPHIC INFORMATION FROM DHS AS WELL AS REPORTS SHOWING PERCENT OF ACTIVITY OF COMMUNITY BY PAYOR SOURCENeedsAssessment
Patient Education AssistanceINFORMS PATIENTS UPON ADMISSION AND POSTS NOTICES IN CONSPICUOUS AREASPatientEducationAssistance
Community InformationRURAL SETTING, PREDOMINANTLY AGRICULATURAL BASE. AVERAGE INCOME AT OR BELOW FEDERAL POVERTY GUIDELINES. PREDOMINANTLY CAUCASIAN, HIGH SCHOOL EDUCATED AND GERIATRIC IN NATURE.CommunityInformation
Other InformationBRADLEY COUNTY MEDICAL CENTER PROVIDES GENERAL MEDICAL AND SURGICAL CARE FOR INPATIENT, OUTPATIENT, AND EMERGENCEY ROOM PATIENTS, AND PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS. BCMC SUPPORTS COMMUNITY GROUPS WITH VOLUNTEERS AND DONATIONS FROM THE HOSPITAL. BCMC ALSO SERVES AS A FACILTIY FOR VARIOUS HEALTH AND WELLNESS SUPPORT GROUPS.OtherInformation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
JAN GORMAN
160014160014
ARTHUR NIETO
250016250016

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableDOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE PROVIDED UPON REQUEST.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesANNUAL INCREASES IN COMPENSATION ARE DETERMINED BY GOVERNING BOARD BASED ON PERFORMANCE EVALUATIONS
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsBOARD MEMBERS AND EMPLOYESS ARE EXPECTED TO REPORT CONFLICTS OF INTEREST WHEN THEY ARISE TO MANAGEMENT AND OTHER MEMBERS OF THE BOARD.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessFORM 990 REVIEWED PRIOR TO E-FILING. PROVIDED TO BOARD MEMBERS UPON REQUEST.