BUCKTAIL MEDICAL CENTER: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
BUCKTAIL MEDICAL CENTER (EIN 24-0701920)
Tax period
2021-07-01 to 2022-06-30
Filed
2023-05-15
IRS object ID
202331359349308768
Schema version
2021v4.0
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)
Return2023-05-15T13:34:56-04:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN200079326PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DINGUS ZARECOR & ASSOCIATES PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line112015 E MAIN AVEAddressLine1Txt
CitySPOKANE VALLEYCityNm
State AbbreviationWAStateAbbreviationCd
ZIP99206ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN240701920EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BUCKTAIL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBUCKBusinessNameControlTxt
Phone5709231000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11001 PINE STREETAddressLine1Txt
CityRENOVOCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17764ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTIMOTHY REEVESPersonNm
Person TitleCEOPersonTitleTxt
Phone5709231000PhoneNum
Signature2023-05-08SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstTIMOTHYPersonFirstNm
Person LastREEVESPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTHOMAS DINGUSPreparerPersonNm
PTINP00951009PTIN
Phone5092420874PhoneNum
Preparation2023-05-15PreparationDt
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTIMOTHY REEVESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11001 PINE STREETAddressLine1Txt
CityRENOVOCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17764ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$9,239,490GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressBUCKTAILMEDICALCENTER.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1909FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionTO PROVIDE A COMMUNITY HOSPITAL, INCLUDING AN EMERGENCY ROOM, CLINIC AND NURSING HOME SERVING A RURAL POPULATION WITH A COMMITMENT TO A BETTER QUALITY OF LIFE.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee94TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$2,526,792PYContributionsGrantsAmt
CY Contributions Grants$2,972,936CYContributionsGrantsAmt
PY Program Service Revenue$5,019,879PYProgramServiceRevenueAmt
CY Program Service Revenue$6,230,892CYProgramServiceRevenueAmt
PY Investment Income$92PYInvestmentIncomeAmt
CY Investment Income$207CYInvestmentIncomeAmt
CY Other Revenue$35,455CYOtherRevenueAmt
PY Total Revenue$7,546,763PYTotalRevenueAmt
CY Total Revenue$9,239,490CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,435,125PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,485,025CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,285,102PYOtherExpensesAmt
CY Other Expenses$3,825,924CYOtherExpensesAmt
PY Total Expenses$8,720,227PYTotalExpensesAmt
CY Total Expenses$8,310,949CYTotalExpensesAmt
PY Revenues Less Expenses-$1,173,464PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$928,541CYRevenuesLessExpensesAmt
Total Assets BOY$4,714,893TotalAssetsBOYAmt
Total Assets EOY$5,181,870TotalAssetsEOYAmt
Total Liabilities BOY$4,589,410TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,129,254TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$125,483NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,052,616NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE A COMMUNITY HOSPITAL, INCLUDING AN EMERGENCY ROOM, CLINIC AND NURSING HOME SERVING A RURAL POPULATION WITH A COMMITMENT TO A BETTER QUALITY OF LIFE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$7,316,949ExpenseAmt
Revenue$6,230,892RevenueAmt
DescBUCKTAIL MEDICAL CENTER (BMC) IS COMPRISED OF A 16-BED CRITICAL ACCESS HOSPITAL, A 43-BED NURSING HOME FACILITY AND A COMMUNITY CLINIC SERVING THE HEALTHCARE NEEDS OF WESTERN CLINTON COUNTY, PA. BMC PROVIDES THE FOLLOWING SERVICES: MEDICAL LABORATORY, RADIOLOGY (LIMITED TO X-RAYS), BASIC LIFE SUPPORT (BLS) AMBULANCE SERVICE, A RURAL COMMUNITY HEALTH CLINIC, OCCUPATIONAL THERAPY, PHYSICAL THERAPY, AND SPEECH THERAPY. THE CENTER PROVIDED 339 DAYS OF INPATIENT ACUTE CARE SERVICES, 3,480 CLINIC VISITS, AND 1,213 EMERGENCY ROOM VISITS. THE NURSING HOME PROVIDED 9,210 DAYS OF LONG-TERM CARE SERVICES FOR THE YEAR.Desc
Total Program Service Expenses$7,316,949TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsYes (true)ConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingYes (true)CreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document18IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee94EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMICHAEL DAIKENPersonNm
Phone5709231000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11001 PINE STREETAddressLine1Txt
CityRENOVOCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17764ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
JOHN LUGG
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
TRACY BRUNO
VICE PRESIDE1.00Yes (X)Yes (X)$0$0$0
MARTHA SYKES
SECRETARY/TR1.00Yes (X)Yes (X)$0$0$0
WILLIAM FORNWALT
DIRECTOR1.00Yes (X)$0$0$0
ANN SANFORD
DIRECTOR1.00Yes (X)$0$0$0
CARLA FLACK
DIRECTOR1.00Yes (X)$0$0$0
JOHN KURUTZ
DIRECTOR1.00Yes (X)$0$0$0
CONSTANCE LINGERG
DIRECTOR1.00Yes (X)$0$0$0
TIMOTHY REEVES
CEO40.00Yes (X)$110,257$0$27,622
MICHAEL DAIKEN
CFO40.00Yes (X)$34,952$0$91
DEBBIE WOODEL
RN40.00$208,048$0$0Yes (X)
NICOLE WERTS
RN40.00$152,625$0$9,005Yes (X)
TRACEY LISI
RN40.00$150,825$0$15,018Yes (X)
MICHELL REEVES
DIRECTOR OF40.00$140,818$0$114Yes (X)
ALRED DIXIN
DIRECTOR OF40.00$136,567$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$934,092TotalReportableCompFromOrgAmt
Total Other Compensation$51,850TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K10IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
EMCARE INC
7032 COLLECTION CENTER DRCHICAGOIL60693PHYSICIAN SVS$911,534
BENCHMARK THERAPIES INC
PO BOX 870HUNTINGDONPA16652THERAPY SVS$414,184
PLEXSUM STAFFING SOLUTIONS INC
PO BOX 568REEDSVILLEPA17084STAFFING$278,686
ALLIED RESOURCES STAFFING SOLUTIONS
135 DOWLIN FORGE ROADEXTONPA19341STAFFING$228,482
HEALTHLAND INC
PO BOX 11407BIRMINGHAMAL35246IT SUPPORT$131,925
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
Government Grants$2,902,731GovernmentGrantsAmt
All Other Contributions$70,205AllOtherContributionsAmt
Total Contributions$2,972,936TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT SERVICE REVENUEDesc
Business624100BusinessCd
Total Revenue Column$6,230,892TotalRevenueColumnAmt
Related Or Exempt Func Income$6,230,892RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$6,230,892TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$207TotalRevenueColumnAmt
Exclusion$207ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
MEALS ON WHEELS722514$18,022$18,022
CAFETERIA722514$14,085$14,085
OTHER900099$3,348$3,348
FieldValueIRS element (for citing)
Other Revenue Total$35,455OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,239,490TotalRevenueColumnAmt
Related Or Exempt Func Income$6,230,892RelatedOrExemptFuncIncomeAmt
Exclusion$35,662ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$135,685TotalAmt
Management And General$135,685ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,622,525TotalAmt
Program Services$3,298,938ProgramServicesAmt
Management And General$323,587ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$18,296TotalAmt
Program Services$16,183ProgramServicesAmt
Management And General$2,113ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$392,814TotalAmt
Program Services$372,656ProgramServicesAmt
Management And General$20,158ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$315,705TotalAmt
Program Services$279,242ProgramServicesAmt
Management And General$36,463ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$104,038TotalAmt
Management And General$104,038ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,229,744TotalAmt
Program Services$2,100,033ProgramServicesAmt
Management And General$129,711ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$243,001TotalAmt
Program Services$209,150ProgramServicesAmt
Management And General$33,851ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$171,908TotalAmt
Program Services$150,869ProgramServicesAmt
Management And General$21,039ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$109,602TotalAmt
Program Services$96,188ProgramServicesAmt
Management And General$13,414ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$4,500TotalAmt
Program Services$4,500ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$112,987TotalAmt
Program Services$76,988ProgramServicesAmt
Management And General$35,999ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$101,460TotalAmt
Program Services$93,934ProgramServicesAmt
Management And General$7,526ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$139,155TotalAmt
Program Services$68,515ProgramServicesAmt
Management And General$70,640ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescMEDICAL SUPPLIES & DRUGSDesc
Total$490,613TotalAmt
Program Services$490,613ProgramServicesAmt

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$118,916TotalAmt
Program Services$59,140ProgramServicesAmt
Management And General$59,776ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$8,310,949TotalAmt
Program Services$7,316,949ProgramServicesAmt
Management And General$994,000ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,831,959BOYAmt
EOY$1,488,830EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$530,673BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,157,935BOYAmt
EOY$1,034,458EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$89,539BOYAmt
EOY$86,587EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$79,619BOYAmt
EOY$38,914EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,540,265LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$7,612,027LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$928,976BOYAmt
EOY$928,238EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$10,417BOYAmt
EOY$9,009EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$11,857BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$73,918BOYAmt
EOY$1,595,834EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,714,893BOYAmt
EOY$5,181,870EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,653,708BOYAmt
EOY$1,904,194EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,759,435BOYAmt
EOY$2,225,060EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,176,267BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,589,410BOYAmt
EOY$4,129,254EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$49,101BOYAmt
EOY$1,052,616EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$76,382BOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$125,483BOYAmt
EOY$1,052,616EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,714,893BOYAmt
EOY$5,181,870EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$928,541ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,408NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Protection Natural HabitatYes (X)ProtectionNaturalHabitatInd
Preservation Open SpaceYes (X)PreservationOpenSpaceInd
Total Easements2TotalEasementsCnt
Total Acreage685.00TotalAcreageCnt
States Easements Held1StatesEasementsHeldCnt
Written Policy MonitoringfalseWrittenPolicyMonitoringInd
Agent Trustee EtcYes (true)AgentTrusteeEtcInd
Beginning Balance$25,983BeginningBalanceAmt
Additions During Year$15,132AdditionsDuringYearAmt
Distributions During Year-$15,866DistributionsDuringYearAmt
Ending Balance$25,248EndingBalanceAmt
Incl Escrow Custodial Acct LiabfalseInclEscrowCustodialAcctLiabInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$144,218OtherCostOrOtherBasisAmt
Book Value$144,218BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,438,388OtherCostOrOtherBasisAmt
Depreciation$3,038,685DepreciationAmt
Book Value$399,703BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$352,958OtherCostOrOtherBasisAmt
Depreciation$335,311DepreciationAmt
Book Value$17,647BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,502,349OtherCostOrOtherBasisAmt
Depreciation$4,238,031DepreciationAmt
Book Value$264,318BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$102,352OtherCostOrOtherBasisAmt
Book Value$102,352BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$928,238TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
OTHER RECEIVABLES$1,592,530
ESTIMATED THIRD-PARTY SETTLEMENTS$3,304
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,595,834TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$9,238,082TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$1,408NetUnrealizedGainsInvstAmt
Revenue Not Reported-$1,408RevenueNotReportedAmt
Revenue Subtotal$9,239,490RevenueSubtotalAmt
Total Revenue Per Form990$9,239,490TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$8,310,949TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$8,310,949ExpensesSubtotalAmt
Total Expenses Per Form990$8,310,949TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PAGE 2, PART IV, LINE 1BBMC HAS AN AUXILIARY THAT OPERATES USING THE EIN OF BMC. THE INCOME AND EXPENSES OF THE AUXILIARY ARE EXCLUDED FROM THE 990, PART VIII AND IX. THE ASSETS, LIABILITIES, AND EQUITIES ARE ALSO EXCLUDED FROM THE 990, PART X.
SCHEDULE D, PAGE 3, PART XTHE CENTER IS ORGANIZED AS A NONPROFIT CORPORATION AND HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). THE CENTER IS REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS ON AN ANNUAL BASIS. IN ADDITION, THEY ARE SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE. SIMILARLY, THE CENTER IS EXEMPT FROM STATE INCOME TAXES UNDER SIMILAR PROVISIONS OF STATE LAWS. THE CENTER BELIEVES THEY HAVE APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING THEIR ANNUAL FILING REQUIREMENTS, AND AS SUCH, DO NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other3.990000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportfalseAnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,591TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,591NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,454,213TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,290,935DirectOffsettingRevenueAmt
Net Community Benefit Expns$163,278NetCommunityBenefitExpnsAmt
Total Expense0.01960TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,456,804TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,290,935DirectOffsettingRevenueAmt
Net Community Benefit Expns$165,869NetCommunityBenefitExpnsAmt
Total Expense0.02000TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,202TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$460DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,742NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$662,545TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$492,617DirectOffsettingRevenueAmt
Net Community Benefit Expns$169,928NetCommunityBenefitExpnsAmt
Total Expense0.02040TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$45,020TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,422DirectOffsettingRevenueAmt
Net Community Benefit Expns$27,598NetCommunityBenefitExpnsAmt
Total Expense0.00330TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$712,767TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$510,499DirectOffsettingRevenueAmt
Net Community Benefit Expns$202,268NetCommunityBenefitExpnsAmt
Total Expense0.02430TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,169,571TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,801,434DirectOffsettingRevenueAmt
Net Community Benefit Expns$368,137NetCommunityBenefitExpnsAmt
Total Expense0.04430TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$700TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$700NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$700TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$700NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$409,577BadDebtExpenseAmt
Bad Debt Expense Attributable$132BadDebtExpenseAttributableAmt
Reimbursed By Medicare$1,538,813ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$1,527,984CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$10,829MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BUCKTAIL MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11001 PINE STREETAddressLine1Txt
CityRENOVOCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17764ZIPCd
FieldValueIRS element (for citing)
State License549601StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1BUCKTAIL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
OtherYes (X)OtherInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLBUCKTAILMEDICALCENTER.ORGOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLBUCKTAILMEDICALCENTER.ORGStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care399.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART VIFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART VIFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART VIFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentfalseFAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FACILITY 1, BUCKTAIL MEDICAL CENTER - PART V, LINE 3EIDENTIFICATION AND PRIORITIZATION OF HEALTH NEEDS BEGIN ON PAGE 11 OF THE CHNA LOCATED ON THE HOSPITAL'S WEBSITE.
FACILITY 1, BUCKTAIL MEDICAL CENTER - PART V, LINE 5THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM REPRESENTATIVES OF THE COMMUNITY BY COLLECTING DATA FROM VARIOUS COMMUNITY RESOURCES, INCLUDING PRR (PRESERVE, RENEW, REVITALIZE) AND THE CTA (CLINTON TRADESMANS ASSOCIATION).
FACILITY 1, BUCKTAIL MEDICAL CENTER - PART V, LINE 11THE HOSPITAL WAS NOT ABLE TO ADDRESS ALL HEALTH NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA DUE TO NOT CURRENTLY HAVING THE STAFF OR FINANCIAL RESOURCES TO DEVOTE TO THE NEED. THE HOSPITAL IS ADDRESSING WHAT NEEDS THEY CAN USING THE FOLLOWING STRATEGIES: TRANSPORTATION AND SPECIALTY SERVICES REPRESENT TWO IDENTIFIED CONCERNS IN PROVIDING HEALTHCARE TO THE COMMUNITY. TO BETTER SERVE THE NEEDS OF THE COMMUNITY, BMC IS WORKING WITH TWO LOCAL HEALTH SYSTEMS TO ACCOMMODATE SPECIALTY PHYSICIAN SERVICES AT THE MEDICAL CENTER. AN OFFICE SUITE HAS BEEN ESTABLISHED WITHIN THE HOSPITAL TO PROVIDE AN EFFICIENT SETTING FOR OFFICE VISITS. WE ARE STILL EXPLORING OPTIONS TO ACCESS THESE SERVICES. THE MOST LIKELY COURSE WILL BE TELEHEALTH SERVICES TO ACCESS MOST OF THE SPECIALTIES. BMC HAS BEEN WORKING WITH THE CLINTON COUNTY DEPARTMENT OF EMERGENCY SERVICES (CCDES) AND THE PENNSYLVANIA DEPARTMENT OF HEALTH (PA DOH) TO DEVELOP A COUNTY WIDE RESPONSE PLAN WHICH SPECIFICALLY ADDRESSES THE CHALLENGES FACED IN WESTERN CLINTON COUNTY. TWO KEY ELEMENTS WILL ENHANCE THE DIAGNOSTIC CAPABILITIES OF THE MEDICAL CENTER. OUR CONTINUED FOCUS HAS BEEN ON THE MEDICAL LABORATORY. WE HAVE DEPLOYED SEVERAL POINT OF CARE (POC) ANALYZERS CAPABLE OF PERFORMING MANY CRITICAL TESTS, ENHANCING OUR PHYSICIANS ABILITY TO BETTER DIAGNOSE. THE SECOND DIAGNOSTIC CHALLENGE FOR BMC IS MEDICAL IMAGING. CURRENTLY THERE IS ONE (1) CR QUALITY X-RAY MACHINE. HAVING A CT SCANNER ON SITE WILL ALSO BE A DRAW FOR SPECIALTY PHYSICIANS AND SHOULD INCREASE OUTPATIENT SCANS, AGAIN PROVIDING ADDITIONAL REVENUE FOR THE FACILITY. A PLAN WAS DEVISED TO BEGIN THE PROCESS OF ACQUIRING A CT SCANNER FOR THE FACILITY. WE ARE CONTINUALLY ASSESSING THE HEALTH NEEDS OF OUR COMMUNITY AND DECIDING HOW WE CAN BETTER SERVE OUR COMMUNITY BASED ON NEED.
FACILITY 1, BUCKTAIL MEDICAL CENTER - PART V, LINE 13HFAMILY SIZE AND ESTIMATED EXPENSES.
FACILITY 1, BUCKTAIL MEDICAL CENTER - PART V, LINE 20EFAP APPLICATION(S) AND ASSISTANCE, FAP MAILING(S), FOLLOW-UP LETTERS AND/OR PHONE CALLS, SUBSEQUENT BILLING(S), PROMPT PAYMENT DISCOUNT, PAYMENT PLAN, ASSIST PATIENT IN EXPLORING ALTERNATIVE SOURCES OF COVERAGE AND PAYMENT.
FieldValueIRS element (for citing)
Facility3FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
BUCKTAIL MEDICAL CENTER
1001 PINE STREETRENOVOPA17764LONG-TERM CARE
BUCKTAIL MEDICAL CENTER
1001 PINE STREETRENOVOPA17764AMBULANCE
BUCKTAIL MEDICAL CENTER COMMUNITY
1001 PINE STREETRENOVOPA17764COMMUNITY CLINIC

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 7BMC APPLIES THE RATIO OF PATIENT CARE COST-TO-CHARGES FOR AMOUNTS REPORTED IN THE TABLE (TOTAL OPERATING EXPENSES LESS NON-PATIENT CARE ACTIVITIES, PROVIDER TAXES, TOTAL COMMUNITY BENEFIT AND TOTAL COMMUNITY BUILDING EXPENSES).
SCHEDULE H, PART IIBMC PERSONNEL REGULARLY MEET WITH ALL OF THE LOCAL AMBULANCE SERVICES, FIRE DEPARTMENTS, BOTH COUNTY ALS PROVIDERS, CLINTON COUNTY DEPARTMENT OF EMERGENCY SERVICES, AND SEVEN MOUNTAINS, THE EMS COUNCIL AND HAVE HAD SEVERAL COMMUNITY MEETINGS SINCE THE SOLE AMBULANCE PROVIDER ANNOUNCED THEY WILL DISCONTINUE AMBULANCE SERVICES IN THE AREA.
SCHEDULE H, PART III, LINE 2BMC UTILIZES A MONTHLY CALCULATION TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE UTILIZING AGED ACCOUNTS RECEIVABLE BY FINANCIAL CLASS, SERVICE TYPE, AND CURRENT REIMBURSEMENT RATE(S) TO CALCULATE AN ESTIMATED AMOUNT OF COLLECTIBLE REVENUE BASED ON UNDER/OVER 120 DAYS, LESS ANY CONTRACTUAL ADJUSTMENT(S).
SCHEDULE H, PART III, LINE 3BMC USES THE FOLLOWING TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS POTENTIALLY ELIGIBLE UNDER THE FAP DETAILED PATIENT BILLING AND SERVICES RECORDS THAT WOULD HAVE BEEN DESIGNATED PATIENT CRITERIA ELIGIBLE TO APPLY FOR FAP THIS WOULD INCLUDE, BUT NOT BE LIMITED TO STANDARD CHARGES, CO-PAYS, DEDUCTIBLES, NON-COVERED OR LIMITED COVERED SERVICES, BILLING CYCLES, FAP APPLICATIONS/COMPLETION, FAP DENIAL, POTENTIAL INCLUSION IN PREVIOUS CHARITY CARE PROGRAM.
SCHEDULE H, PART III, LINE 4THE PATIENT ACCOUNTS RECEIVABLE FOOTNOTE OF THE AUDITED FINANCIAL STATEMENTS IS FOUND IN FOOTNOTE 3, ON PAGE 14, OF THE AUDITED FINANCIAL STATEMENTS. THE PROVISION FOR BAD DEBTS IS INCLUDED IN FOOTNOTE 8 BEGINNING ON PAGE 18 OF THE AUDITED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, LINE 8ANY MEDICARE ALLOWABLE COSTS OF PATIENT CARE SHORTFALLS SHOUULD BE COUNTED AS COMMUNITY BENEFIT. THESE ALLOWABLE COSTS ARE OBTAINED FROM THE MEDICARE COST REPORT FOR THE YEAR.
SCHEDULE H, PART III, LINE 9BBMC MAKES REASONABLE ATTEMPTS TO ASSIST A PATIENT WHO IS UNINSURED, UNDERINSURED OR WHO MAY HAVE UNIDENTIFIED RESOURCES AVAILABLE INCLUDING FINANCIAL ASSISTANCE APPLICATION(S) AND ASSISTANCE, MAILING(S), FOLLOW-UP LETTERS AND/OR PHONE CALLS, SUBSEQUENT BILLING(S), PROMPT PAYMENT DISCOUNT, PAYMENT PLAN. PATIENT/APPLICANT FAP APPLICATIONS MAY BE SUBMITTED TO BMC UP TO AND INCLUDING THE 240TH DAY AFTER THE PATIENT/APPLICANT RECEIVES THE 1ST BILLING STATEMENT. PAYMENT PLANS WILL BE COORDINATED BETWEEN THE BILLING OFFICE SUPERVISOR AND THE PATIENT/ APPLICANT. ALL NECESSARY APPROVAL(S) MUST BE OBTAINED. THE APPLICATIONS ARE REVIEWED AND EVALUATED FOR CHARITY CARE STATUS AND WRITTEN OFF WHEN APPROPRIATE. ALL CHARITY APPLICATIONS ARE REVIEWED AND APPROVED BY THE CFO.
SCHEDULE H, PART VI, LINE 2BMC ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES WITH THE ASSISTANCE OF VARIOUS COMMUNITY ORGANIZATIONS. WE HAVE WORKED TO DEVELOP A LONG TERM PLAN TO MEET THE ONGOING HEALTHCARE NEEDS OF OUR COMMUNITIES. WE ARE CONTINUALLY TAKING IN INFORMATION AND DECIDING HOW WE CAN BETTER SERVE OUR COMMUNITY BASED ON NEED. A COPY OF THE MOST RECENTLY ADOPTED COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY ARE AVAILABLE AT THE HOSPITAL UPON REQUEST OR CAN BE FOUND ON THE HOSPITAL'S WEBSITE AT THE FOLLOWING URL: HTTPS://BUCKTAILMEDICALCENTER.ORG/COMMUNITY-NEEDS-HEALTH-ASSESSMENT/
SCHEDULE H, PART VI, LINE 3BMC INCLUDES A BROCHURE DEFINING THE FINANCIAL ASSISTANCE PROGRAM IN THE FINANCIAL ASSISTANCE APPLICATION AND ALSO INCLUDES A COPY WHEN THE FINAL NOTICE IS SENT. EVERY PATIENT IS PROVIDED A BROCHURE AND DOCUMENT UPON DOCTOR VISIT, UPON ADMITTING, AND DISCHARGE. IN ADDITION, THE POLICY IS PROMINENTLY POSTED IN ALL REGISTRATION/SERVICE AREAS INCLUDING WAITING ROOMS, ADMITTING, ONLINE AND ALSO AVAILABLE UPON REQUEST. THE LATEST FINANCIAL ASSISTANCE POLICY IS AVAILABLE AT THE FOLLOWING URL: HTTPS://BUCKTAILMEDICALCENTER.ORG/FINANCIAL-ASSISTANCE-PROGRAM-FAP/
SCHEDULE H, PART VI, LINE 4BMC SERVICES A MEDICALLY UNDERSERVED AREA (MUA) AND A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) LOCATED IN AN ISOLATED AREA IN NORTHCENTRAL PENNSYLVANIA SURROUNDED BY STATE PARKS AND GAME LAND. THE GEOGRAPHIC AREA IS CHALLENGING WITH MOUNTAINOUS TERRAIN AND THE CLIENTS SERVED VARIES DUE TO SEASONAL ACTIVITIES IN THE POPULATION. THE POPULATION OF THE AREA IT SERVES IS APPROXIMATELY 3,100, WITH A SQUARE MILE AREA OF 338. BMC IS A CRITICAL ACCESS HOSPITAL THAT SERVES THE COMMUNITIES OF RENOVO, SOUTH RENOVO, CHAPMAN TOWNSHIP, EAST KEATING TOWNSHIP, GRUGAN TOWNSHIP, LEIDY TOWNSHIP, AND NOYES TOWNSHIP. THE BMC SERVICE AREA IS COMPRISED OF MORE THAN 87.7% MEDICARE (MC) AND MEDICAID (MA) INSUREDS, MAKING IT THE SECOND HIGHEST COMBINED TOTAL IN THE STATE OF PENNSYLVANIA. CLINTON COUNTYS UNEMPLOYMENT RATE HAS FLUCTUATED BETWEEN 5.5% AND 7.7% SINCE JUNE 2015. APPROXIMATELY 3.6% OF CITIZENS IN CLINTON COUNTY RECEIVE PUBLIC ASSISTANCE. IN THE SAME TIME PERIOD, 23.7% OF CHILDREN, 7.2% OF SENIORS, AND 15.8% OF PEOPLE OVERALL WERE LIVING BELOW THE POVERTY LEVEL IN WHICH THE PER CAPITA INCOME WAS 20,803.
SCHEDULE H, PART VI, LINE 5BMC'S BOARD MEMBERS RESIDE IN THE PRIMARY SERVICE AREA RANGING FROM BUSINESS OWNERS TO RETIREES REPRESENTING THE COMMUNITY IT SERVES. THIS VOLUNTEER BOARD DEDICATES TIME TO ENSURING THEY UNDERSTAND THE HEALTH AND WELFARE NEEDS OF OUR COMMUNITY. MEDICAL STAFF PRIVILEGES AT THE HOSPITAL ARE OPEN TO ALL MEDICAL PROVIDERS WITH ACTIVE LICENSURE. WHILE THE CREDENTIALING PROCESS ENSURES PRACTITIONERS OF THE HIGHEST CALIBER ARE PRIVILEGED, PRACTITIONERS FROM NUMEROUS SPECIALTIES ARE ENCOURAGED TO MEET THE EVER EXPANDING HEALTHCARE NEEDS OF THE COMMUNITY. ANY SURPLUS FUNDS ARE REINVESTED INTO THE FACILITY, EQUIPMENT, AND EMPLOYEE EDUCATION AND ALLOWS THE HOSPITAL TO FOCUS ON MEETING THE HEALTH AND WELFARE NEEDS OF THE COMMUNITY WE SERVE. BMC PARTICIPATES IN MULTIPLE ACTIVITIES WITHIN ITS COMMUNITY TO PROMOTE THE HEALTH OF THE COMMUNITY IT SERVES INCLUDING THE FOLLOWING: COORDINATING AMBULANCE SERVICES - COORDINATING ROUTINE AMBULANCE SERVICE MEETINGS FOR THREE BASIC LIFE SUPPORT (BLS) AMBULANCE SERVICES LOCATED IN WESTERN CLINTON COUNTY TO HELP REDUCE RESPONSE TIME. BMC HAS ALSO GAINED CERTIFICATION TO PROVIDE CEUS FOR LOCAL EMTS, ALLOWING FOR INTERACTIVE, IN-PERSON TRAINING FOR PRE-HOSPITAL SERVICE PROVIDERS.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmt
DEBBIE WOODEL
RN$208,048$208,048
NICOLE WERTS
RN$152,625$161,630$9,005
TRACEY LISI
RN$150,825$165,843$15,018

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
EMILY REEVES
FAMILY$25,869EMPLOYMENTfalse
MICHELLE REEVES
FAMILY$140,818EMPLOYMENTfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART IIIBMC PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED CHARGES OF PROVIDING CARE TO THESE PATIENTS WAS 3,280 FOR CHARITY CARE, 1,263,119 FOR MEDICARE, 783,890 FOR MEDICAID, AND 1,500,413 FOR OTHER THIRD-PARTY PAYORS DURING THE YEAR.
FORM 990, PAGE 6, PART VI, LINE 11BA COPY OF THE 990 IS PROVIDED TO THE CEO AND CFO WHO REVIEWS THE FORM, SCHEDULES AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A DRAFT IS PROVIDED TO THE BOARD OF DIRECTORS. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CEO SIGNS THE FORM 8879-TE AUTHORIZING THE PREPARER TO E-FILE THE RETURN.
FORM 990, PAGE 6, PART VI, LINE 12CA CONFLICT OF INTEREST SURVEY IS ISSUED TO ALL BOARD MEMBERS ANNUALLY AND ANY TIME THERE IS A BOARD MEMBER CHANGE. IF A POTENTIAL CONFLICT EXISTS, THE MEMBER(S) OF THE BOARD AFFECTED SHALL RECUSE THEMSELVES FROM VOTING ON THE MATTER. THE CONFLICT OF INTEREST SURVEYS ARE MONITORED BY THE CEO.
FORM 990, PAGE 6, PART VI, LINE 15ASALARY DETERMINATION FOR TOP MANAGEMENT AND KEY EMPLOYEES IS SET AFTER COMPARISON TO MARKET REQUIREMENTS AND PEER GROUP BENCHMARKS. RECOMMENDATIONS ARE PRESENTED FOR REVIEW AND APPROVAL BY THE BOARD.
FORM 990, PAGE 6, PART VI, LINE 15BSEE FORM 990, PART VI, LINE 15A.
FORM 990, PAGE 6, PART VI, LINE 19BMC MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11G2,100,033 129,711 0

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