2024-02-14T17:10:01-06:00 2023-06-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2022-07-01 421231996 Virginia Gay Hospital Inc VIRG 3194726255 502 N 9th Ave Vinton IA 523492254 Michele Schoonover CEO 3194726255 2024-02-14 1 Michele Schoonover 999009999 1 Kim Hunwardsen CPA P00484560 6122536500 2024-02-14 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z Michele Schoonover 502 N 9th Ave Vinton IA 523492254 36794249 0 X www.myvghinc.org X 1923 IA Provision of health care services 9 7 398 25 0 0 734726 2168486 34020155 33878946 578971 363716 0 0 35333852 36411148 12500 9000 0 0 18567174 19668926 0 0 99059 15626030 16571829 34205704 36249755 1128148 161393 40884116 40195873 4580946 3413043 36303170 36782830 X Our purpose is to provide quality health care services by using innovative, growth-oriented techniques and maintaining a sound financial base. 0 0 31353740 9000 33878946 Virginia Gay Hospital is a 25-bed acute care hospital and a 40-bed long-term care facility located in Vinton, Iowa. The Hospital leads delivery of healthcare to its region through over 300 associates (including 18 providers) who coordinate care to deliver patient care as an integrated unit. Virginia Gay Hospital and its affiliates also work seamlessly to meet the needs of the communities they serve. The Hospital provides care to patients and residents who meet certain criteria under its charity care policy without charge or at amounts less than established rates. Because the Hospital does not pursue collection of amounts determined to qualify as charity care, they are not reported as revenue. The amounts of charges foregone for services provided under the Hospital's charity care policy were $161,167 for the year ended June 30, 2023. Total direct and indirect costs related to these charges foregone were approximately $85,000 at June 30, 2023, based on an average ratio of cost to gross charges.In addition, the Hospital provides services to other patients under certain government-reimbursed public aid programs. Such programs pay providers amounts which are less than established charges for the services provided to the recipients, and for some services the payments are less than the cost of rendering the services provided.The Hospital also commits significant time and resources to endeavors and critical services which meet otherwise unfulfilled community needs. Many of these activities are sponsored with the knowledge that they will not be self-supporting or financially viable.Virginia Gay Hospital also makes medical care accessible to the entire community it serves. The Hospital operates a full-time emergency room and provides emergency care regardless of ability to pay. The Hospital provides clinical services needed to operate the emergency room and provides on-site emergency medical care and medical transportation services through an area ambulance service, van service, and an onsite helipad.The Hospital had 36,337 outpatient visits and the rural health clinics had 38,671 visits. 31353740 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 43 0 1 398 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 7 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Barry Dietsch 3194726255 502 N 9th Ave Vinton IA 52349 John Yundt Chair 0.50 1.30 X X 0 0 0 David Vermedahl Vice Chair 0.50 0.90 X X 0 0 0 Sara Stuefan Secretary 0.50 0.30 X X 0 0 0 John Mossman Treasurer 0.90 0.30 X X 0 0 0 Dr Brian Meeker DO Director 40.50 0.00 X 699672 0 23762 Marie Therese Foth Director 0.50 0.30 X 0 0 0 Dr Michelle Elgin DO Director 40.50 0.30 X 244902 0 33231 Bud Maynard Director 0.50 0.30 X 0 0 0 Kyle Koeppen Director 0.50 0.30 X 0 0 0 Michele Schoonover CEO 40.00 3.30 X 190654 0 19875 Barry Dietsch CFO 40.00 3.30 X 177052 0 5121 Dr Erica Silbernagel DO Family Medicine 40.00 0.00 X 347123 0 15059 Dr Kyle Song DO Family Medicine 40.00 0.00 X 462137 0 35192 Rita Taylor-Stewart PA-C Family Medicine 40.00 0.00 X 226031 0 12069 Michele Burnes PA-C Family Medicine 40.00 0.00 X 256509 0 24019 Matthew Wilden PA-C ER/Hospitalist 40.00 0.00 X 221445 0 33226 2825525 0 201554 28 0 1 0 Grapetree Medical Staffing PO Box 5340 Sioux Falls SD 57117 Contract Staffing 1293455 National Therapeutic Association 11623 Arbor St Omaha NE 68144 Physical/Occupational/Speech Therapy 862006 All Medical Personnel Inc PO Box 931904 Atlanta GA 31193 Contract Staffing 710883 Medical Solutions LLC PO Box 850737 Minneapolis MN 55485 Contract Staffing 679005 Iowa Anesthesia LC PO Box 1665 Cedar Rapids IA 52406 CRNA & Ultrasound 543743 12 1996898 171588 2168486 Patient & resident revenue 621110 32167286 32167286 Pharmacy Revenue 900099 1424314 1424314 287346 287346 33878946 746817 746817 383101 -383101 -383101 -383101 36411148 33878946 0 363716 X 9000 9000 1442206 1034968 407238 28083 28083 15233236 13838947 1335184 59105 192403 175564 16157 682 1678290 1485823 186880 5587 1094708 967432 123702 3574 32986 305 32681 75830 75830 7767724 6701088 1063836 2800 132234 9114 99593 23527 1302673 1014098 285268 3307 588883 123708 465175 85018 80210 4808 52139 50966 1173 5080 5080 2155785 1868286 287492 7 275103 54206 220897 Medical Supplies 3165573 3160369 5204 Repairs & maintenance 563010 456428 106582 Food 186453 186453 183338 103612 79256 470 36249755 31353740 4796956 99059 8962248 6799824 2919926 3370833 10000 366126 364349 284616 119014 36938192 22479329 16055880 14458863 11356783 13697593 580593 457033 347944 255444 0 672920 40884116 40195873 2411727 2627583 1235700 523519 410000 785460 4580946 3413043 X 36165738 36645810 137432 137020 36303170 36782830 40884116 40195873 161393 318267 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 116660 8165 8165 116660 116660 13007 13007 116660 116660 16513 16513 116660 116660 1251 1251 116660 116660 7544 7544 116660 0.00000 1.00000 0.00000 0 0 141794 141794 151876 25205161 14083133 11273904 10167382 7463719 2703663 1271979 932477 339502 14458863 Finance lease liability 308776 Operating lease liability 476684 785460 X Part V, Line 4: Income from the endowment funds is to be used for repairs and maintenance and capital improvements. Part X, Line 2: The Organization believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. The Organization would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. 1 1 X 1 X 220.000000000000 0 1 1 0 1 1 85000 85000 0.00230 7053697 6038923 1014774 0.02800 7138697 6038923 1099774 0.03030 12876585 11640776 1235809 0.03410 12876585 11640776 1235809 0.03410 20015282 17679699 2335583 0.06440 1 360885 36000 7391950 7425446 -33496 X 1 1 1 1 Virginia Gay Hospital Inc 502 N 9th Avenue Vinton IA 523492254 myvghinc.org 060178H X X X X 4 provider based rural health clinics Virginia Gay Hospital Inc 1 0 0 1 X X X X X X X X X 21 1 0 0 1 X See Part V Supplemental Info X https://www.bentoncountyia.gov/public_health/ X 1 21 1 See Part V Supplemental Info 0 1 X 220.000000000000 1 1 X X X X 1 X https://myvgh.org/financial-assistance/ X https://myvgh.org/financial-assistance/ X https://myvgh.org/financial-assistance/ X X X X X X 1 X 0 X X X X 1 X 0 0 Virginia Gay Hospital, Inc. Part V, Section B, Line 5: A strategic planning session for fiscal year 2022 was held on 2/18/22. Key members of VGH including but not limited to senior management, members of the VGH Board of Directors, and medical providers discussed the future needs and actions of the organization to ensure our service area's health needs continued to be met.Senior management meets twice monthly to discuss the current and future needs for our service area and the actions necessary to meet the needs of our communities served. The most recent meeting was held on 6/12/23. Obtaining input from key stakeholders was another crucial step in the assessment process. These stakeholders were drawn from private and public organizations that serve people in the Benton County area and were invited to identify the top health issues confronting the populations they served. The health issues these various groups and individuals identified reflected the overarching theme of social determinants/health equity. Analysis of the input received was completed to help determine the priority health needs. Meetings were held to discuss the following Public Health topics to help assess and prioritize the community health needs: -Promotion of Healthy Living-Prevent Injuries/Violence -Protect Against Environmental Hazards -Prevent Epidemics/Spread of Disease-Prepare for Respond to/Recover from Public Health Emergencies -Strengthen the Health Infrastructure. Discussions, correspondence, strategizing, and implementation continue amongst members of the above groups to address the identified health needs and concerns.VGH engaged several tactics to ensure different members of our community were contacted, including those knowledgeable of health care needs of vulnerable populations. This was completed through personal interviews, emails, surveys, and meetings that occurred between the Fall of 2020 to Spring of 2022. The following community partners were involved in the CHNA process:-Virginia Gay Hospital, Clinics, Home Health, and Nursing & Rehab-VGH Board of Directors-Benton County Board of Supervisors-Benton County Board of Health -Benton County Public Health -Benton County Environmental Health -Benton County Emergency Management -Benton County Disaster Recovery Coalition -Benton County Coalition -Benton County Social Services -Benton County Department of Human Services -Benton County Transportation-Benton County School Districts -Benton County Development Group -Benton County Wellness Coalition-Region 6 Emergency Preparedness Coalition-Vinton Unlimited -Above the Influence Coalition (Substance Abuse) -Iowa State Benton County Extension Office -Benton County Police Departments-Benton County School Districts-Better Tomorrows (Early Childhood Iowa) -Benton-Iowa Decategorization -Hawkeye Area Community Action Programs (HACAP)-Area Substance Abuse Council (ASAC)-Vinton Parks & Recreation Department-Abbe Center for Community Mental Health Virginia Gay Hospital, Inc. Part V, Section B, Line 11: Highest Priority Health NeedsA survey was conducted March 2022 resulting in 118 completed surveys. The surveys were from anonymous participants. The goal of this survey was to better help us understand the health concerns and needs in Benton County.Following the collection of statistical data and community input, each health indicator was analyzed by comparing it to the state rates to determine our county's priority health concerns.It was determined that Mental Health 78.81%, Obesity 64.41% along with Chronic Health conditions 53.35% and Substance abuse 38.14% were the top health priorities in Benton County. We will continue our current goals for Mental Health, Substance Abuse and have added Health Prevention as our top three priorities. Health prevention will encompass our previous objectives on obesity while including other chronic illness needs as identified from the Benton County 2022 CHNA survey data.1. Preventive HealthGoal 1: Promote current Health programs and provide education to residents of Benton CountyActions:-Promote current services; Diabetes program, Gifts of Hope, PT, Yoga, Childcare, Health Fair, Financial navigator/SHIP, 3D Mammograms.-VGH Diabetes prevention program 2019-present.-Continued monthly COVID 19 Vaccine Clinics coordination/scheduling. in Benton County 58.6% fully vaccinated Dec 2022, Vaccine Clinics discontinued June 2023.-Continued services to provide vaccines that prevent diseases for children. (Immunizations): VGH Hospital and Clinics serve as VFC providers.-Continued discussion: The City and Vinton Park and Recreation Department have been working on plans for a new Wellness Center that would be located adjacent to the high school and combine, indoor/outdoor pool areas, gym, walking track, meeting rooms and exercise. This is a partnership that will benefit the community as well as allow Virginia Gay to provide services: diabetes prevention/weight loss/cooking demos/ CPR-first Aide/Baby-sitting/ Coordination support groups/Mental Health peer support/ Grieving/Ministerial services.-VGH Certified Dementia Friendly Facility. Training completed 10/2022Goal 2: Increase Health prevention services to the residents of Benton CountyActions:Community events held to provide information, resources, and support in relation to preventive health. -Spotlight on Benton County and VGH Health Services: 10/26/2022 Lions Club Presentation on VGH Services-SHIIP partnership 8/2022 implementation. SHIIP clinic approx. 300 Benton County residents have been served 2022. SHIIP ongoing partnership.-Benton County Baby Shower 9/2022 event. VGH/PH had a booth and provided education on Importance of childhood vaccines and reviewed important milestone moments for growth and development. Educational materials provided.-VGH/PH Blood Pressure clinics at Vinton HACAP continued November 2022 BP's taken and education provided.-VGH/PH Sexual Health Clinic 9/2022 Partnership with LCPH to provide services in Benton County.-VGH/PH Flu Clinics 2022 approx. 80 vaccines given during our Flu shot clinics. -VGH/PH provided Community education in November 2022. Invited by the Vinton Kiwanis Club at Pizza Ranch and open to the community. The education provided was on the "Tripledemic". Education and updates provided on Flu, RSV and COVID-19 and what we can do to protect ourselves and others.-March 2023 Pink Stiletto event Belle Plaine: Education provided on Preventative Care and Health Maintenance for Women, including Benton County health system resources. Reviewed available screenings and recommendations for ages 20s-90's and provided "Taking Steps for a Healthier you" checklist based on age to individual attendees. Blood pressure screenings were performed on attendees and exhibitors. Approximately 65 in attendance.-4/1/23 Health Fair: Approximately 250 in attendance including attendees and exhibitors. Networking with 47 unique Health and Wellness Community Resources. Public Health hosted and provided /education and resources on; Preventative care and Blood pressure screenings, COVID19 information and free at home test kits, Emergency Preparedness information and free disaster home kits, Hand Hygiene education along with hands on exercise with Glitterbug program and Reach out and Read program with free book distribution.-HACAP partnership for Feeding America implementation with VGH and Clinics which began in October 2022. VGH/PH has helped strengthen, support, and mobilize communities and partnerships to improve health through this program providing food boxes with appropriate food pantry resources or referrals for assistance to those with food insecurity. Phase II implementation November 2023.-April 2023 VGH/PH met with our local Library to begin working on a monthly community health and wellness education display in collaboration with Public Health/VGH/Vinton Library. We will be working with these community partners to provide education and resources on a new health topic every month beginning in May and display the topic at the library, hoping to extend it out to all our Benton County libraries this summer. This is a great way to promote health, literacy, community engagement/partnerships and community. We are excited to kick off May with Mental Health Awareness month.-Benton County Fair booth, Promotion of Health services, and Blood Pressure screenings 06/2023-Party in Pink for Gifts of Hope Event 06/2023-Party in the Park booth, Health services promotion and Blood Pressure screenings and education 06/2023-SHIIP seminar, Senior Health benefits 4/2023-Financial Literacy Fair, assisting with youth education for career development 5/2023-Pink Basketball game, promoting mammographic services 1/2023-VGH/RT N95 FIT Testing 7/2022 at Vinton Lutheran Home-3/2023 Girl Scout Garden User Agreement-VGH Jail nursing 3/20232. Mental HealthGoal 1: Reduce intentional injuries among Benton County residents; reduce the percentage of Benton County students who have in the past 12 months seriously considered suicide by 1%. Actions:-VGH and VGH/PH representation with Benton County Suicide Prevention Coalition established in May 2023-Out of the Darkness Walk September 2023, 120 participants.-Benton County Open House was held in August 2023 to provide information, resources, and support in relation to suicide prevention. Benton County Rural Access promotion.-9/2022 VGH Employee School Supply Drive-9/2022 VGH Employee - Self Awareness presentation; Leading with Grit, Gratitude and Grace-Employee Engagement Committee established June 2023-Employee Appreciation Committee ongoing-9/2023 VGH Employee Suicide prevention and Employee Assistance EducationGoal 2: Increase mental health services for Benton County residents.-Promotion of the mental health services available in Benton County. -VGH expanding Mental Health ServicesActions:-VGH hired a full time psychiatric mental health nurse practitioner 12/2023-VGH is Recruiting a Full time ARNP or Mental Health Counselor for Behavioral Health.-Healthcare education event, CISM (Critical Incident Stress Management) training September 2023-Responder Strong Mental Health Workshop 04/2023-Collaboration with VGH, PH, Vinton Public Library 5/2023 Mental Health Awareness3. Substance AbuseGoal 1: Decrease substance abuse among Benton County Youth; Decrease the percentage of 11th graders who reported it was "easy/very easy" to have access to alcohol by 3%.Actions: -National Night Out August 2023: "Hidden in Plain Sight" trailer, VGH/PH booth.-Above the Influence Core Measurement Survey-Benton County Data collection-VGH ongoing partnership with Above the Influence Coalition-Iowa Youth Survey Data review-VGH continues to promote Quitline and MyLifeMyQuit for tobacco cessation programs, MyLifeMyQuit is designed specifically for youth.Goal 2: Decrease prescription drug abuse among Benton County residents; increase the number of pounds of prescription medications collected through drop boxes by 50 pounds. Actions:-Provide information to the community on Count, Lock-Up, Dispose campaign through various forms of media and sustainable locations. Example: Benton County Health Fair, Community events. 2022-Promote Take Back Days for prescription medications. Take Back Days for prescription medications. 2022/2023-VGH continues to work with Benton County Above the Influence Coalition for Substance prevention, Mental HealthResults:-2022: 66 pounds Virginia Gay Hospital, Inc. Part V, Section B, Line 16j: A summary of the policy and financial assistance information is posted in the emergency, admitting and waiting rooms, admissions and business offices, included with patient bills and information is available on our website. Schedule H, Part V, Section B, Line 7a and 10a: CHNA and Implementation Strategy:https://myvgh.org/community-health-needs-assessment/ 2 1 - Virginia Gay Nursing & Rehab 502 N 9th Avenue Vinton IA 52349 Intermediate care facility 2 - Virginia Gay Hosp Home Health Agency 502 N 9th Avenue Vinton IA 52349 Skilled nursing care, PT, OT, ST, home health aide, homemaker services Part I, Line 6a: The community benefit report is available upon request. Part I, Line 7: Charity care expense was converted to cost on line 7a based on an overall cost-to-charge ratio which addresses all patient segments. The cost for subsidized health services on line 7g was determined using the Medicare cost report. Part III, Line 2: The amount on line 2 represents implicit price concessions. The Organization determines its estimate of implicit price concession based on its historical collection experience with this class of patients. Part III, Line 3: Virginia Gay Hospital used the percentage of applications denied due to lack of information. Part III, Line 4: The footnote to the Organization's financial statements can be found on pages 14 and 15 of the attached audited financial statements. Part III, Line 8: There was a Medicare shortfall for the fiscal year. Even at a loss the Hospital continues to provide services to these patients because access to healthcare and individual's health is important. Therefore, the Hospital considers the Medicare shortfall a community benefit.Total revenue received from Medicare is the gross reimbursement plus settlement. Both total revenue received from Medicare and the Medicare allowable costs are reported from the Medicare Cost Report. The Medicare Cost Report is completed based on the rules and regulations set forth by the Centers for Medicare and Medicaid Services.Hospital services reimbursed on a fee schedule are not included in the Medicare calculation per the 990 instructions. Had this been reported the total loss from Medicare services would have been $372,657.Medicare fee schedule revenue $ 184,028Medicare estimated costs of care relating to payments (490,263)Net (Shortage) $ (306,235) Part III, Line 9b: Statements are sent out every 30 days. Up to four statements are sent. Accounts are sent to collections at 121 days, with all collection practices adhering to 501(r) guidelines. If an approved application is received between 122-240 days the account is cancelled from the collection agency. Part VI, Line 2: The Hospital provides staff to attend Community Coalitions and Advisory Committees which are focused on specific populations and/or community health issues. Examples of the committees include but are not limited to the Benton County (Provider) Coalition, the Benton County Disaster Recovery Coalition, Above the Influence (substance abuse) Coalition and the Benton County Wellness Coalition. These coalitions meet regularly throughout the year, gather/assess data to identify problems, and work towards resolution of the identified problems. Virginia Gay Hospital's staff participates in the community needs assessment process for public health. The target area for the 2022 Community Health Needs Assessment (CHNA) is Benton County, Iowa. Special attention was paid to recruiting diverse subsets of the population to help accurately identify the most critical issues in the area. Following the collection of all the statistical data, each health indicator was analyzed by comparing it regionally, to the state average rate, and national rates to determine the community's priority health concerns. Preventive Health, Mental Health, and Substance Abuse were identified as the highest priority health needs in Benton County. The CHNA and implementation strategy are posted on our website and can be viewed in their entirety at www.myvghinc.org . Part VI, Line 3: Virginia Gay Hospital is committed to providing charity care to persons who have healthcare needs and are uninsured, underinsured, ineligible for a government program, or otherwise unable to pay for medically necessary care based on their individual financial situation. Virginia Gay Hospital strives to ensure that the financial capacity of people who need health care services does not prevent them from seeking or receiving care. Patients are expected to cooperate with Virginia Gay Hospital's procedures for obtaining charity care or other forms of payment of financial assistance, to contribute to the cost of their care based on their individual ability to pay. The charity care policy includes all departments of the facility, including Vinton Family Medical Clinic, Urbana Family Medical Clinic, Van Horne Family Medical Clinic, Atkins Family Medical Clinic and the Nursing and Rehab. The Virginia Gay Hospital Home Health Agency has a separate financial assistance procedure, due to their Public Health role in the community. VGH has a commitment to establish/maintain effective partnerships throughout the county and work with all entities that influence community health. To improve and strengthen the local planning process multiple community partners have been involved in the CHNA process. Notification about charity care is available by the publication of notices in patient bills, posting of notices in the emergency rooms, admitting and registration departments, the Business Office, and other public places the Hospital may elect. Information is also included on the facility website, and in the patient information packets. A request for charity may be made by the patient or a family member, close friend or associate of the patient, subject to the applicable privacy laws Part VI, Line 4: The community VGH serves, as defined for the CHNA, is based on the primary service area of our hospital. The major service area is Benton County, serving an estimated population of nearly 26,000 with an area of 716.27 square miles. VGH also services several other counties and states. Per the Iowa Hospital Association Dimensions Program (2020) 82.70% of the 26,070 outpatient visits, were from residents of Benton County and of the 288 VGH inpatient discharges, 82.70% were Benton County residents.Unique to Benton County population is the presence of an AmeriCorps National Civilian Community Corps (NCCC) training campus. AmeriCorps NCCC strengthens communities and develops leaders through direct, team-based national and community service. In partnership with non-profitssecular and faith basedlocal municipalities, state governments, federal government, national and state parks, Indian tribes, and schools, members complete service projects throughout the region they are assigned. AmeriCorps NCCC is a full-time, team-based residential program for men and women ages 18-24.The closest hospitals are located 37 miles away in Cedar Rapids, Iowa. Virginia Gay Hospital currently operates four separate clinics; one clinic is located on the hospital campus in Vinton, another located in the rural town of Van Horne, Iowa which is 15 miles from Vinton, another located in the rural community of Urbana, 13 miles from Vinton, and the other located in the rural community of Atkins which is 19 miles from Vinton. The Hospital and clinics serve a large number of Medicare and Medicaid patients. The median household income for Benton County was $67,729. The 2022 unemployment rate was 5.0%. Part VI, Line 5: Virginia Gay Hospital is proudly recognized as having one of the lowest costs per stay rates in the state of Iowa. The Hospital offers twenty-five beds in an acute care setting with state of the art technology and professional services. Virginia Gay Hospital also offers 24 hour acute care, short term skilled nursing services, radiology, respiratory care, cardio-pulmonary rehabilitation, physical therapy, occupational therapy, speech therapy, laboratory services, surgical services, outpatient clinics and emergency care. In addition, our staff has contributed multiple hours providing uncompensated time in areas such as family/parenting/sibling education, medical expertise for the schools' athletic teams, health fairs, information and referrals to community services, safety classes, sports physicals and many other uncompensated services.Requirements of the IRS community benefit standard for tax-exempt organizations are integral to the Hospital's larger charitable mission of improving health and quality of life. Specifically, Virginia Gay Hospital is governed by an independent board including community leaders, physicians, consumer representatives, business experts and clinical healthcare experts who reside in our primary service area. The Board has a history of commitment to acting with the highest integrity and has been proactively evaluating opportunities to voluntarily adopt governance best practices to ensure the organization continues to operate with the highest of integrity for the benefit of the community.To meet the needs of our community, the Hospital extends privileges to medical staff that are qualified through licensure in the state of Iowa.Excess funds are reinvested and used for patient care and facility upgrades.Virginia Gay's Home Health Agency offers a variety of services to all ages in the rural population of Benton County, Including Skilled nursing, Home Care Aide and Homemaking services. The Hospital also offers such services as skilled and non-skilled service home care, blood pressure checks, and group teaching classes such as cardiopulmonary resuscitation (CPR), Advanced Life Support (ALS) and Pediatric Advanced Life Support (PALS).In addition, Virginia Gay Hospital, through its integrated network of providers, provides non-emergency services to the community it serves. It makes these services accessible to the community through participation in government programs like Medicare and Medicaid and by offering assistance through their Financial assistance program.Virginia Gay Hospital's Financial Assistance Policy provides discounted and free services to patients who lack the resources to be fully responsible for the health care they receive. The Financial Assistance Policy is designed to ensure the entire community served by the Hospital has access to needed healthcare services.Virginia Gay Hospital takes its mission to improve the health and quality of life of the people it serves a step further by reaching out to meet the broad health needs of the community. It strives to identify community needs beyond basic healthcare, respond to them, aiming to make a positive, life-enhancing difference in the community.Contributing to Community Education: The nursing staff and Home Health Agency nurses participate in several county wide events and community health fairs. These events provide information and guidelines to those in need of medical information.Preventive Care is a Priority: The Hospital has taken steps to enhance preventive care for people of all ages by ensuring that those who come here for preventive care receive the screenings and recommendations appropriate to their personal and family history. 1 High School Scholarships 9 9000 Part I, Line 2: Scholarships were awarded to high school applicants received from 3 school districts in the area. Awards were based on pursuing a career in health related studies, applicant showing a need in support, success in completion of prior class work, and participation in extracurricular activities. A scholarship committee reviewed applications and made recommendations to the VGH Board of Directors for approval to extend scholarships. X X X 0 0 0 0 0 0 0 0 0 Dr Brian Meeker DO Director 429009 0 270663 0 0 0 6360 0 17418 0 723450 0 0 0 Dr Kyle Song DO Family Medicine 345200 0 116937 0 0 0 2762 0 32446 0 497345 0 0 0 Dr Erica Silbernagel DO Family Medicine 288115 0 59008 0 0 0 3835 0 11240 0 362198 0 0 0 Michele Burnes PA-C Family Medicine 157537 0 98972 0 0 0 3350 0 20684 0 280543 0 0 0 Dr Michelle Elgin DO Director 167976 0 76926 0 0 0 1935 0 31311 0 278148 0 0 0 Matthew Wilden PA-C ER/Hospitalist 221445 0 0 0 0 0 3825 0 29416 0 254686 0 0 0 Rita Taylor-Stewart PA-C Family Medicine 161518 0 64513 0 0 0 3291 0 8793 0 238115 0 0 0 Michele Schoonover CEO 190654 0 0 0 0 0 3886 0 16005 0 210545 0 0 0 Barry Dietsch CFO 177052 0 0 0 0 0 3321 0 1816 0 182189 0 0 0 Shannon Maynard Spouse of Director, Bud Maynard 28083 Compensation as an employee 0 Form 990, Part VI, Section A, line 1a The Executive Committee consists of the officers of the Board of Directors. The Executive Committee has the power to transact all regular business of the Hospital during the period between the meetings of the Governing Board, subject to any prior limitation imposed by the Governing Board and with the understanding that all matters of major importance will be referred to the Governing Board. The Executive Committee must submit to the Governing Board at its last meeting before the end of the fiscal year, a budget showing the expected receipts, income, and expense for the coming year. Minutes of the Executive Committee meetings must be submitted to the Board, and its actions are subject to approval or disapproval at the next regular board meeting. Form 990, Part VI, Section A, line 7a One of the Directors of the Board is the Mayor of the city of Vinton, Iowa. Two Directors are appointed by the Mayor and approved by the City Council of the City of Vinton for such terms as the City Council determines. One of these appointments is a physician in active practice and a resident of Benton County, Iowa. The second Director appointed by the City of Vinton is a resident of Benton County, Iowa. Form 990, Part VI, Section B, line 11b The Form 990 is distributed to the Board members prior to filing. The 990 is reviewed by the Hospital's CEO and CFO. Form 990, Part VI, Section B, line 12c Any director, officer, key employee, Medical Staff member or committee member having an existing or potential interest in a contract or other transaction presented to the Board of Directors for deliberation, authorization, approval, or ratification, or any such person who reasonably believes such an interest exists in another person should make a prompt disclosure of the interest to the Board or committee prior to its acting on such contract or transaction. The interested party is required to disclose the nature and extent of his/her interest and any relevant and material facts known to him/her about the contract or transaction which might reasonably be construed to be adverse to the organization's interest. The Board requires annual statements from officers, directors, key employees, and key members of the Medical Staff. The body to which such disclosure is made determines, by majority vote, whether the disclosure shows that the non-voting and non-participation provisions below must be observed. If so, such persons should not vote on, nor use his/her personal influence on, nor participate (other than to present factual information or to respond to questions) in the discussions or deliberations with respect to such contract or transaction. Such persons may not be counted in determining the existence of a quorum at any meeting where the contract or transaction is under discussion or is being voted upon. The minutes of the meeting reflect the disclosure made and, where applicable, the abstention from voting and participation and whether a quorum was present. Form 990, Part VI, Section B, line 15 The Board Wage & Salary Committee and full board reviews compensation increases for the CEO based on annual evaluations and the IHA Salary Survey. Comparisons to state averages are used. Substantiation of the deliberation and decision is documented in the Board minutes. The process is completed annually. The CEO determines compensation for the CFO with approval from the Board Wage & Salary committee and full Board, based on annual performance evaluations and the IHA Salary Survey. Contemporaneous substantiation of the deliberation and decision is provided for any actions taken regarding compensation. The process is completed annually. Form 990, Part VI, Section C, line 19 The Organization's governing documents, conflict of interest policy, and financial statements are not available to the public. Financial information is available through the public disclosure copy of the 990. Form 990, Part IX, line 11g Purchased services: Program service expenses 6,701,088. Management and general expenses 1,043,775. Fundraising expenses 2,800. Total expenses 7,747,663. Recruitment: Program service expenses 0. Management and general expenses 20,061. Fundraising expenses 0. Total expenses 20,061. Virginia Gay Trust 502 N 9th Avenue Vinton IA 52349 426367590 Provide financial support for Virginia Gay Hospital, Inc. IA 501(c)(3) Line 12c, III-FI Virginia Gay Hospital Inc 1 Cedar View Retirement Community Inc 502 N 9th Avenue Vinton IA 52349 421398570 Provide an 18-unit housing alternative for the elderly IA Virginia Gay Hospital Inc C 315534 496441 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0