SISKIN HOSPITAL FOR PHYSICAL REHABILITATION: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- SISKIN HOSPITAL FOR PHYSICAL REHABILITATION (EIN 62-1220402)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2021-04-13
- IRS object ID
- 202101039349300705
- Schema version
- 2019v5.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-04-13T08:01:36-05:00 | ReturnTs |
| Tax Period End | 2020-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 621046406 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHNSON HICKEY & MURCHISON PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2215 OLAN MILLS DRIVE | AddressLine1Txt |
| City | CHATTANOOGA | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37421 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 621220402 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SISKIN HOSPITAL FOR PHYSICAL | BusinessNameLine1Txt |
| Business Name Line2 | REHABILITATION INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SISK | BusinessNameControlTxt |
| Phone | 4236341200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 SISKIN PLAZA | AddressLine1Txt |
| City | CHATTANOOGA | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37403 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CAROL ARNHART | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 4236341200 | PhoneNum |
| Signature | 2021-04-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BARRY R HUGGINS | PreparerPersonNm |
| PTIN | P01425228 | PTIN |
| Phone | 4237560052 | PhoneNum |
| Preparation | 2021-04-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MATTHEW GIBSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE SISKIN PLAZA | AddressLine1Txt |
| City | CHATTANOOGA | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37403 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $52,512,970 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SISKINREHAB.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1984 | FormationYr |
| Legal Domicile State | TN | LegalDomicileStateCd |
| Activity Or Mission | REHABILITATION HEALTH CARE | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 18 | VotingMembersIndependentCnt |
| Total Employee | 748 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $42,121 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $41,121 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $308,845 | PYContributionsGrantsAmt |
| CY Contributions Grants | $868,100 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $47,990,782 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $46,686,399 | CYProgramServiceRevenueAmt |
| PY Investment Income | $692,772 | PYInvestmentIncomeAmt |
| CY Investment Income | -$107,036 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,360,359 | PYOtherRevenueAmt |
| CY Other Revenue | $1,104,597 | CYOtherRevenueAmt |
| PY Total Revenue | $50,352,758 | PYTotalRevenueAmt |
| CY Total Revenue | $48,552,060 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $43,530 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $31,923,172 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $31,482,316 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $56,768 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $16,770,519 | PYOtherExpensesAmt |
| CY Other Expenses | $15,411,964 | CYOtherExpensesAmt |
| PY Total Expenses | $48,693,691 | PYTotalExpensesAmt |
| CY Total Expenses | $46,937,810 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,659,067 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,614,250 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $122,104,578 | TotalAssetsBOYAmt |
| Total Assets EOY | $126,934,150 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $39,488,757 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $40,573,993 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $82,615,821 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $86,360,157 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SISKIN HOSPITAL FOR PHYSICAL REHABILITATION IS COMMITTED TO PROVIDING A WIDE RANGE OF HIGH QUALITY PHYSICAL REHABILITATION SERVICES WHERE POSITIVE OUTCOMES ARE ACHIEVED THAT BENEFIT THE INDIVIDUAL SERVED, AS WELL AS THE COMMUNITY AT LARGE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $16,515,537 | ExpenseAmt |
| Revenue | $22,418,131 | RevenueAmt |
| Desc | DURING THE FYE 06/30/20 THE HOSPITAL PROVIDED QUALITY NURSING SERVICES FOR ALL CATEGORIES OF PATIENTS. 26,260 INPATIENT REHABILITATION SERVICE DAYS AND 12,656 SUBACUTE REHAB SERVICE DAYS WERE PROVIDED DURING THIS PERIOD. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $7,423,008 | ExpenseAmt |
| Revenue | $10,075,964 | RevenueAmt |
| Desc | THE HOSPITAL PROVIDED 136,822 INPATIENT UNITS AND 97,762 OUTPATIENT UNITS OF PHYSICAL THERAPY SERVICE DURING FYE 06/30/20. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,355,420 | ExpenseAmt |
| Revenue | $4,554,635 | RevenueAmt |
| Desc | THE HOSPITAL PROVIDED 74,380 INPATIENT UNITS AND 22,010 OUTPATIENT UNITS OF OCCUPATIONAL THERAPY SERVICE DURING THE FYE 06/30/20. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $7,415,376 | ExpenseAmt |
| Grant | $43,530 | GrantAmt |
| Revenue | $10,065,607 | RevenueAmt |
| Desc | ALL OTHER ACHIEVEMENTS - SERVICES PROVIDED BY THE HOSPITAL INCLUDING SPEECH THERAPY AND OTHER SERVICES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $7,415,376 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $43,530 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $10,065,607 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $34,709,341 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 53 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 748 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 18 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | TN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CAROL ARNHART | PersonNm |
| Phone | 4236341200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE SISKIN PLAZA | AddressLine1Txt |
| City | CHATTANOOGA | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37403 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| TRUDY HARPER | ||||||||
| CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ROSE E DECOSIMO CPA CGMA | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL FILLAUER | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL G MATHIS | ||||||||
| VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| VALERIE COPELAND RUTLEDGE EDD | ||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| RICHARD MCKENNEY | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT H SISKIN | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CAROL W SIM | ||||||||
| PRESIDENT AND CEO | 50.00 | Yes (X) | Yes (X) | $586,930 | $0 | $142,628 | ||
| MONIQUE P BERKE | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CHARLES L ARANT | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JONES KROGH CPA CFP | ||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JAMES J O'CONNELL III MD FABF | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JENNIFER L WEAVER | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JEFF LETT | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ELIZABETH BETSY MCCRIGHT | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| VIMAL RAMJEE MD FACC | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARCUS K SHAW | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM F WILDER JR | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| TANGELA W JOHNSON | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MATTHEW GIBSON | ||||||||
| PRESIDENT AND CEO | 50.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CAROL E ARNHART | ||||||||
| VP FINANCE/CFO | 50.00 | Yes (X) | $234,925 | $0 | $25,408 | |||
| TOD CAIN | ||||||||
| VP ADMINISTRATION | 50.00 | $175,932 | $0 | $37,035 | Yes (X) | |||
| MICHAEL PILCHER | ||||||||
| INFO SYS DIRECTOR | 50.00 | $162,735 | $0 | $31,724 | Yes (X) | |||
| TRACY REED | ||||||||
| VP PATIENT CARE | 50.00 | $186,245 | $0 | $40,721 | Yes (X) | |||
| CURTIS POWELL | ||||||||
| VP QUALITY | 50.00 | $162,057 | $0 | $21,339 | Yes (X) | |||
| TERESA DINGER | ||||||||
| ADMIN DIR MKTG | 50.00 | $158,718 | $0 | $12,282 | Yes (X) | |||
| JOHN C YOUNG | ||||||||
| PSYCHOLOGIST | 40.00 | $161,551 | $0 | $11,777 | Yes (X) | |||
| HOLLY TROTTER | ||||||||
| PHARMACY DIRECTOR | 40.00 | $143,323 | $0 | $12,160 | Yes (X) | |||
| HERMAN GRIER | ||||||||
| PHARMACIST | 40.00 | $125,935 | $0 | $40,526 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,098,351 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $375,600 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 11 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| GENTECH CONTRUCTION | |||||
| 820 BROAD ST SUITE 400 | CHATTANOOGA | TN | 37402 | CONSTRUCTION SERVICES | $5,582,663 |
| SODEXHO MARRIOTT SERVICES | |||||
| PO BOX 360170 | PITTSBURG | PA | 152516170 | FOOD & FOOD SERVICE | $2,071,743 |
| ERLANGER MEDICAL CENTER | |||||
| 975 E THIRD STREET | CHATTANOOGA | TN | 37403 | MEDICAL SERVICES | $897,106 |
| CHATTANOOGA SPINE & REHAB | |||||
| 1 SISKIN PLAZA SUITE 101 | CHATTANOOGA | TN | 37403 | MEDICAL SERVICES | $364,414 |
| ALLSCRIPTS | |||||
| 24630 NETWORK PLACE | CHICAGO | IL | 60673 | INFORMATION SYSTEMS | $236,749 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 11 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $127,500 | FundraisingAmt |
| Government Grants | $687,170 | GovernmentGrantsAmt |
| All Other Contributions | $53,430 | AllOtherContributionsAmt |
| Total Contributions | $868,100 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT REVENUE | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $46,686,399 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $46,686,399 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $46,686,399 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $479,342 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $42,121 | UnrelatedBusinessRevenueAmt |
| Exclusion | $437,221 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $552,899 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $552,899 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $552,899 | TotalRevenueColumnAmt |
| Exclusion | $552,899 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,259,460 | SecuritiesAmt |
| Other | $6,170 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,852,008 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$592,548 | SecuritiesAmt |
| Other | $6,170 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$586,378 | TotalRevenueColumnAmt |
| Exclusion | -$586,378 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $232,662 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $127,500 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $108,902 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $123,760 | TotalRevenueColumnAmt |
| Exclusion | $123,760 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CAFETERIA | 621990 | $192,971 | $192,971 |
| SUPPORT SERVICE CONTRACTS | 621990 | $176,093 | $176,093 |
| MISCELLANEOUS REVENUE | 621990 | $38,273 | $38,273 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,601 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $20,601 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $427,938 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $48,552,060 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $47,114,337 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $42,121 | UnrelatedBusinessRevenueAmt |
| Exclusion | $527,502 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,530 | TotalAmt |
| Program Services | $43,530 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,995,444 | TotalAmt |
| Management And General | $1,995,444 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,967,075 | TotalAmt |
| Program Services | $19,594,137 | ProgramServicesAmt |
| Management And General | $4,325,194 | ManagementAndGeneralAmt |
| Fundraising | $47,744 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $471,414 | TotalAmt |
| Program Services | $356,436 | ProgramServicesAmt |
| Management And General | $114,978 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,218,722 | TotalAmt |
| Program Services | $2,433,673 | ProgramServicesAmt |
| Management And General | $784,694 | ManagementAndGeneralAmt |
| Fundraising | $355 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,829,661 | TotalAmt |
| Program Services | $1,380,440 | ProgramServicesAmt |
| Management And General | $445,708 | ManagementAndGeneralAmt |
| Fundraising | $3,513 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $290,894 | TotalAmt |
| Program Services | $166,991 | ProgramServicesAmt |
| Management And General | $123,903 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,150 | TotalAmt |
| Program Services | $47,733 | ProgramServicesAmt |
| Management And General | $35,417 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,391,866 | TotalAmt |
| Program Services | $1,947,138 | ProgramServicesAmt |
| Management And General | $1,444,366 | ManagementAndGeneralAmt |
| Fundraising | $362 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,915 | TotalAmt |
| Program Services | $6,840 | ProgramServicesAmt |
| Management And General | $4,555 | ManagementAndGeneralAmt |
| Fundraising | $520 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,857,895 | TotalAmt |
| Program Services | $1,640,606 | ProgramServicesAmt |
| Management And General | $1,215,175 | ManagementAndGeneralAmt |
| Fundraising | $2,114 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,696 | TotalAmt |
| Program Services | $21,066 | ProgramServicesAmt |
| Management And General | $15,597 | ManagementAndGeneralAmt |
| Fundraising | $33 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,176 | TotalAmt |
| Program Services | $64,396 | ProgramServicesAmt |
| Management And General | $47,780 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,147,085 | TotalAmt |
| Program Services | $867,310 | ProgramServicesAmt |
| Management And General | $279,775 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,492,161 | TotalAmt |
| Program Services | $1,884,321 | ProgramServicesAmt |
| Management And General | $607,840 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $600,658 | TotalAmt |
| Program Services | $454,157 | ProgramServicesAmt |
| Management And General | $146,501 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| UBIT TAX | $12,738 | $7,312 | $5,426 | |
| MEDICAL SUPPLIES & DRUG | $2,167,185 | $2,167,185 | ||
| BAD DEBTS | $759,267 | $759,267 | ||
| OTHER SUPPLIES | $576,386 | $384,825 | $189,669 | $1,892 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $871,892 | TotalAmt |
| Program Services | $481,978 | ProgramServicesAmt |
| Management And General | $389,679 | ManagementAndGeneralAmt |
| Fundraising | $235 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,937,810 | TotalAmt |
| Program Services | $34,709,341 | ProgramServicesAmt |
| Management And General | $12,171,701 | ManagementAndGeneralAmt |
| Fundraising | $56,768 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,200 | BOYAmt |
| EOY | $1,300 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,557,070 | BOYAmt |
| EOY | $15,468,115 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,692,141 | BOYAmt |
| EOY | $4,135,744 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $222,598 | BOYAmt |
| EOY | $429,468 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $456,594 | BOYAmt |
| EOY | $575,985 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $227,227 | BOYAmt |
| EOY | $332,963 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $75,997,943 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $41,024,906 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,997,436 | BOYAmt |
| EOY | $34,973,037 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,237,442 | BOYAmt |
| EOY | $21,152,957 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,661,471 | BOYAmt |
| EOY | $49,848,309 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,051,399 | BOYAmt |
| EOY | $16,272 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $122,104,578 | BOYAmt |
| EOY | $126,934,150 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,944,729 | BOYAmt |
| EOY | $4,764,750 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,929,438 | BOYAmt |
| EOY | $32,503,674 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,614,590 | BOYAmt |
| EOY | $3,305,569 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,488,757 | BOYAmt |
| EOY | $40,573,993 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,350,923 | BOYAmt |
| EOY | $86,177,509 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $264,898 | BOYAmt |
| EOY | $182,648 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,615,821 | BOYAmt |
| EOY | $86,360,157 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $122,104,578 | BOYAmt |
| EOY | $126,934,150 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,614,250 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $2,130,086 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $9,500 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $9,500 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | PORTION OF HOSPITAL ASSOCIATION MEMBERSHIP DUES THAT ARE USED FOR LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $18,301,418 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $585,733 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $18,887,151 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $17,758,123 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $543,295 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $18,301,418 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $16,011,032 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,747,091 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $17,758,123 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $13,949,772 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $2,061,260 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $16,011,032 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $14,720,118 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$770,346 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $13,949,772 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $260,000 | OtherCostOrOtherBasisAmt |
| Book Value | $260,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $50,543,685 | OtherCostOrOtherBasisAmt |
| Depreciation | $19,415,295 | DepreciationAmt |
| Book Value | $31,128,390 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,352,730 | OtherCostOrOtherBasisAmt |
| Depreciation | $19,629,024 | DepreciationAmt |
| Book Value | $2,723,706 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,841,528 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,980,587 | DepreciationAmt |
| Book Value | $860,941 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $34,973,037 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (8 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| GT EMERGING MARKETS (QP) LP | $2,271,867 | F |
| GT INSTITUTIONAL FIXED INCOME | $3,510,523 | F |
| GT INTERNATIONAL EQUITY QP FUND LP | $7,866,872 | F |
| GT OFFSHORE FUND LTD CLASS A | $9,637,787 | F |
| GT OFFSHORE FUND LTD CLASS B | $10,627,168 | F |
| GT REAL ASSETS II LP | $1,314,026 | F |
| GT SPECIAL OPPORTUNITIES III LP | $1,616,112 | F |
| GT US EQUITY FUND LP | $13,003,954 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $49,848,309 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| SWAP AGREEMENT - LIABILITY | $1,916,818 |
| RESIDENT TRUST FUND | $15,604 |
| REFUNDABLE ADVANCE | $1,373,147 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,305,569 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $50,682,146 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $2,130,086 | OtherRevenueAmt |
| Revenue Not Reported | $2,130,086 | RevenueNotReportedAmt |
| Revenue Subtotal | $48,552,060 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $48,552,060 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $46,937,810 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $46,937,810 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $46,937,810 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | TO PROVIDE RESOURCES FOR VARIOUS ACTIVITIES CONSISTENT WITH THE MISSION OF THE HOSPITAL. |
| PART X, LINE 2: | THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. THE HOSPITAL ACCOUNTS FOR UNCERTAIN TAX POSITIONS WITH PROVISIONS OF FASB ASC 740-10 "ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES." ASC 740-10 PROVIDES GUIDANCE ON DERECOGNITION OF TAX BENEFITS, CLASSIFICATION ON THE BALANCE SHEET, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE AND TRANSITION. THE HOSPITAL DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2020 AND 2019. AS OF JUNE 30, 2020 AND 2019, THE HOSPITAL DID NOT RECORD ANY PENALTIES OR INTEREST ASSOCIATED WITH UNCERTAIN TAX POSITIONS. THE HOSPITAL'S FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, FOR THE YEARS 2017 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | UNREALIZED GAIN ON INTEREST RATE SWAP AGREEMENT -312,164. UNREALIZED GAIN ON OTHER THAN TRADING SECURITIES 2,442,250. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF TOURNAMENT | Event1Nm |
| Gross Receipts Event1 | $136,620 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $50,000 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $86,620 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $36,162 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $15,107 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $5,672 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $3,282 | OtherDirectExpensesEvent1Amt |
| Event2 | POSSIBILITIES LUNCH | Event2Nm |
| Gross Receipts Event2 | $223,542 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $77,500 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $146,042 | GrossRevenueEvent2Amt |
| Rent Facility Costs Event2 | $1,359 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $19,440 | FoodAndBeverageEvent2Amt |
| Entertainment Event2 | $25,111 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $2,769 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $360,162 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $127,500 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $232,662 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $36,162 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $16,466 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $25,112 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $25,111 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $6,051 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $108,902 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $123,760 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | 0 | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $352,042 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $352,042 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00760 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,127,477 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,586,547 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $540,930 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01170 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,479,519 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,586,547 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $892,972 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01930 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,304,318 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $951,125 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,353,193 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02930 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $28,350 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $28,350 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,332,668 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $951,125 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,381,543 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02990 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,812,187 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,537,672 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,274,515 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04920 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,001,719 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $23,518,900 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $16,401,263 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $7,117,637 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 0 | WrittenDebtCollectionPolicyInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SISKIN HOSPITAL FOR PHYSICAL REHABILITATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 SISKIN PLAZA | AddressLine1Txt |
| City | CHATTANOOGA | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37403 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.SISKINREHAB.ORG | WebsiteAddressTxt |
| State License | #67 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Other | INPATIENT REHABILITATION | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SISKIN HOSPITAL FOR PHYSICAL REHABILITAT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 17 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.SISKINREHAB.ORG | OwnWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 17 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.SISKINREHAB.ORG | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | 0 | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SISKINREHAB.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SISKINREHAB.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SISKINREHAB.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| FAP Actions On Nonpayment | 0 | FAPActionsOnNonpaymentInd |
| Collection Activities | Yes (1) | CollectionActivitiesInd |
| Reporting To Credit Agency | Yes (X) | ReportingToCreditAgencyInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Nondis Emergency Care Policy | 0 | NondisEmergencyCarePolicyInd |
| No Emergency Care | Yes (X) | NoEmergencyCareInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SISKIN HOSPITAL FOR PHYSICAL REHABILITATION | PART V, SECTION B, LINE 5: SISKIN HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN ORDER TO DETERMINE THE NEEDS OF OUR COMMUNITY. DATA WAS COLLECTED AND ANALYZED FROM LOCAL, REGIONAL, STATE AGENCIES IN ORDER TO ACCURATELY AND ADEQUATELY IDENTIFY THE NEEDS OF OUR COMMUNITY THROUGH SERVICES PROVIDED BY SISKIN HOSPITAL. THE ASSESSMENT INCLUDED THE FOLLOWING: -ORGANIZATIONS THAT ARE AFFILIATED WITH SISKIN HOSPITAL FOR CONSUMER REFERRALS AND SEEK ASSISTANCE FOLLOWING RETURN TO THE COMMUNITY THROUGH A VOCATIONAL SERVICES PROGRAM. -INDIVIDUALS WHO RECEIVED SERVICES AT SISKIN HOSPITAL IN THE PAST TWO YEARS AND HAD EMAIL ADDRESSES AVAILABLE FOR ASSESSMENT DISSEMINATION. -GROUPS WHO REGULARLY INTERACT WITH THE HOSPITAL INCLUDING CASE MANAGERS, PHYSICIANS, THERAPISTS, AND SUPPORT GROUPS. -PATIENT SATISFACTION SURVEYS. |
| SISKIN HOSPITAL FOR PHYSICAL REHABILITATION | PART V, SECTION B, LINE 11: THE FOLLOWING AREAS OF CONSUMER AND COMMUNITY NEED WERE IDENTIFIED IN THE MOST RECENT CHNA REPORT: -TRANSPORTATION ASSISTANCE TO HEALTH SERVICES WE WILL ASSESS THIS OPPORTUNITY IN OUR NEXT STRATEGIC PLAN. -ACCESS TO REHABILITATION SERVICES THE EAST BRAINERD OUTPATIENT CLINIC WAS RELOCATED TO A LARGER, MORE CONVENIENT LOCATION TO ACCOMMODATE MORE PATIENTS. THE "DIRECT ACCESS" PROGRAM WAS IMPLEMENTED FOR SELF-REFERRAL FOR OUTPATIENT PHYSICAL THERAPY SERVICES. -QUALITY OF HEALTHCARE AND CAREGIVING PATIENT DISCHARGE SURVEYS ARE UTILIZED WITH THE GOAL OF CONTINUOUS IMPROVEMENT IN CUSTOMER SATISFACTION. SIGNIFICANT GAINS HAVE ALREADY BEEN INDICATED IN NEARLY EVERY SERVICE AREA. -EMPLOYMENT OPPORTUNITIES FOR INDIVIDUALS WITH DISABILITIES OUR VOCATIONAL SERVICES PROGRAM EVALUATES, INSTRUCTS, AND ASSISTS THE DISABLED WITH EMPLOYMENT SKILLS AND COMMUNITY RE-ENTRY. -KNOWLEDGE OF RESOURCES AVAILABLE CONDITION-SPECIFIC SUPPORT GROUPS MEET MONTHLY AT SISKIN HOSPITAL TO INFORM, EDUCATE AND SUPPORT. -SCHOLARSHIP BEDS SISKIN HOSPITAL SERVED 30 PATIENTS WITH NO INSURANCE AND 150 PATIENTS WITH INSUFFICIENT INSURANCE IN FY 2017. THE NEED CONTINUES TO BE GREAT BUT WE WILL CONTINUE TO STRETCH AVAILABLE RESOURCES WITHIN EXISTING FINANCIAL CONSTRAINTS. -INSURANCE LIMITATIONS SISKIN HOSPITAL WILL CONTINUE TO IDENTIFY AND SECURE CONTRACTS WITH INSURANCE PROVIDERS. THE FOLLOWING PROGRAMS BENEFIT COMMUNITIES SERVED: -COMMUNITY CARE PROGRAM SISKIN HOSPITAL PROVIDES CHARITY CARE FOR PHYSICAL REHABILITATION TO THOSE WHO HAVE SUSTAINED A DISABILITY THROUGH ACCIDENT, ILLNESS OR INJURY IN THE COMMUNITY IT SERVES. -CHARITABLE ASSISTANCE FOR ASSISTIVE DEVICES SISKIN HOSPITAL WORKS WITH COMMUNITY AGENCIES TO PROVIDE PATIENTS WITH THE EQUIPMENT AND EDUCATION THEY NEED TO PREVENT THEM FROM EXPERIENCING BARRIERS AT HOME, IN THE WORKPLACE OR THE COMMUNITY AT LARGE. -PROFESSIONAL TRAINING, EDUCATION, CLINICAL RESEARCH ACTIVITIES SISKIN HOSPITAL BELIEVES IN THE IMPORTANCE OF CONTINUING EDUCATION AND PROFESSIONAL TRAINING FOR OUR STAFF TO BETTER SERVE THOSE WITH DISABILITIES IN OUR COMMUNITY. STAFF PARTICIPATES IN ONGOING TRAINING OPPORTUNITIES TO OBTAIN SPECIAL CERTIFICATIONS IN A VARIETY OF TREATMENT AREAS INCLUDING NURSING, BRAIN INJURY, STROKE, PHYSICAL AND OCCUPATIONAL THERAPY, SPEECH THERAPY, AND NURSING. -SISKIN HEALTH AND FITNESS CENTER THE HEALTH AND FITNESS CENTER IS A PLACE WHERE THE ABLE-BODIED AND THE DISABLED CAN WORK OUT SIDE BY SIDE, FOCUSING ON PERSONAL STRENGTHENING AND FITNESS GOALS. AS PART OF THE CONTINUUM OF CARE, SISKIN HOSPITAL OFFERS THE NEUROWELLNESS PROGRAM THAT TEACHES PATIENTS THE ESSENTIALS OF EXERCISE AND CONTINUES THEIR REHABILITATION PROGRESS AFTER BEING DISCHARGED FROM INPATIENT AND OUTPATIENT CARE. -ADVOCACY -VOCATIONAL ASSISTANCE - SISKIN HOSPITAL OFFERS EXTENSIVE EVALUATION, EDUCATION, SUPPORT AND TRAINING FOR INDIVIDUALS WITH BRAIN INJURIES. WORKING WITH CLIENTS AND POTENTIAL EMPLOYERS, THE STAFF PREPARES BOTH FOR RE-ENTRY INTO THE WORKFORCE. -OLDER AND DISABLED DRIVER SAFETY EVALUATION - THIS PROGRAM INCLUDES ON AND OFF-ROAD DRIVING EVALUATIONS FOR PATIENTS, SCREENINGS AND TREATMENT FOR LOW VISION, COGNITIVE EVALUATIONS, EDUCATION AND SUPPORT. THE PROGRAM HAS BEEN PRESENTED AT SEVERAL ASSISTED LIVING FACILITIES AS WELL. -TENNESSEE YELLOW DOT PROGRAM - THIS PROGRAM IS DESIGNED TO PROVIDE FIRST RESPONDERS WITH AN INDIVIDUAL'S MEDICAL INFORMATION IN THE EVENT OF AN EMERGENCY ON TENNESSEE'S ROADWAYS. SISKIN HOSPITAL IS AN ENROLLMENT SITE FOR THE PROGRAM. -ADVANCING CONTINUING EDUCATION - A NUMBER OF OUR NURSING STAFF HAS COMPLETED THE CERTIFIED REHABILITATION REGISTERED NURSE (CRRN) PROGRAM TO SECURE ADDITIONAL TRAINING FOR REHABILITATION CARE. STAFF IS ENCOURAGED TO OBTAIN SPECIALTY CERTIFICATIONS IN BRAIN INJURY, STROKE, LYMPHEDEMA AND OTHER TREATMENTS. -COMMUNITY SUPPORT GROUPS - THE HOSPITAL REGULARLY HOSTS OR SPONSORS SUPPORT GROUPS DESIGNED TO ADDRESS THE SOCIAL, EMOTIONAL, MEDICAL AND LEGAL ISSUES FACING COMMUNITY MEMBERS AND THEIR FAMILIES. SOME OF THE GROUPS OFFERED AT SISKIN HOSPITAL INCLUDE: ALS, AMPUTEE, BRAIN INJURY, EPILEPSY, LOW VISION, PARKINSON'S, SPINAL CORD AND STROKE. -FOOD AND CLOTHING DRIVES - SISKIN HOSPITAL MAINTAINS A PATIENT CARE FUND FOR DONATIONS THAT ARE USED FOR CLOTHING AND ADAPTIVE EQUIPMENT FOR PATIENTS WHO COULD NOT OTHERWISE AFFORD THEM. -MEDICAL EQUIPMENT DONATIONS - SISKIN HOSPITAL PARTNERS WITH GOODWILL OF CHATTANOOGA BY DONATING SURPLUS MEDICAL EQUIPMENT FOR ITS HELPS PROGRAM. DONATED ITEMS INCLUDE MOTORIZED WHEELCHAIRS, WALKERS AND TABLES. -COMMUNITY EDUCATION PROGRAMS - SISKIN HOSPITAL BELIEVES IN THE IMPORTANCE OF EDUCATING OUR PATIENTS AND OURSELVES. IN ADDITION TO OFFERING SEMINARS ON BRAIN INJURY AND STROKE, WE ALSO PROVIDE OFFICE SPACE FOR THE CHATTANOOGA BRAIN INJURY ASSOCIATION (CABIA) AND THE EPILEPSY FOUNDATION. WE ALSO PROVIDE EDUCATIONAL NOTEBOOKS TO PATIENTS IN THE STROKE, BRAIN INJURY AND AMPUTEE PROGRAMS. MANY STAFF ARE GUEST LECTURERS AT THE UNIVERSITY OF TENNESSEE AT CHATTANOOGA. -UNIQUE THERAPY PROGRAMS - REGIONALLY UNIQUE THERAPY PROGRAMS ADDRESS IDENTIFIED NEEDS, AND SPECIALTY PROGRAMS HAVE BEEN DEVELOPED TO INCLUDE LOW VISION, BALANCE AND DIZZINESS TREATMENT, LYMPHEDEMA TREATMENT, NEUROPSYCHOLOGICAL EVALUATIONS AND A VARIETY OF HEALTH AND FITNESS-ORIENTED PROGRAMS.COVID-19 IMPACT - MANY PROGRAMS WERE IMPACTED BY THE COVID-19 PANDEMIC WHICH BEGAN IN THE 4TH QUARTER OF THE TAX YEAR. SOME PROGRAMS, SUCH AS VOCATIONAL SERVICES, FITNESS CENTER, AND SUPPORT GROUPS HAD TO BE SUSPENDED. OTHER PROGRAMS ALONG WITH SOME OUTPATIENT SERVICES WERE CONVERTED TO USE ELECTRONIC MEANS. THE ORGANIZATION INTENDS TO CONTINUE TO MEET IDENTIFIED COMMUNITY NEEDS TO THE GREATEST EXTENT POSSIBLE DURING AND FOLLOWING THE PANDEMIC. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - ST BARNABAS AT SISKIN HOSPITAL | ||||
| 1 SISKIN PLAZA | CHATTANOOGA | TN | 37403 | SKILLED NURSING FACILITY |
| 2 - SISKIN HOSPITAL THERAPY SERVICES | ||||
| 1309 PANORAMA DRIVE SUITE 103 | CHATTANOOGA | TN | 37421 | OUTPATIENT THERAPY CLINIC |
| 3 - SISKIN HOSPITAL THERAPY SERVICES | ||||
| 3820 KEITH STREET | CLEVELAND | TN | 37312 | OUTPATIENT THERAPY CLINIC |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 759,267. |
| PART III, LINE 4: | TO DETERMINE THE AMOUNTS REPORTED IN PART III, LINE 2, SISKIN HOSPITAL REVIEWS INDIVIDUAL PATIENT ACCOUNTS ON AN ONGOING BASIS TO DETERMINE BAD DEBTS. BAD DEBT EXPENSE IS REPORTED IN THE FINANCIAL STATEMENTS AT 100% OF PATIENT CHARGES, BUT IS ADJUSTED TO COST USING COST TO CHARGE RATIO TO DETERMINE THE AMOUNT REPORTED ON PART III, LINE 2. BAD DEBT EXPENSE HAS NOT BEEN INCLUDED AS A COMMUNITY BENEFIT. NOTE FROM SISKIN HOSPITAL'S AUDITED FINANCIAL STATEMENTS, IN PERTINENT PART: NOTE (1)- DESCRIPTION OF ORGANIZATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES . . . PATIENT RECEIVABLES - FOR PATIENT RECEIVABLES, THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED ON MANAGEMENT'S ASSESSMENT OF THE COLLECTABILITY OF SPECIFIC PATIENT'S ACCOUNTS AND THE AGING OF THE ACCOUNTS RECEIVABLE. IF THERE IS A DETERIORATION OF A PATIENT'S CREDITWORTHINESS OR ACTUAL DEFAULTS ARE HIGHER THAN HISTORICAL EXPERIENCE, MANAGEMENT'S ESTIMATES OF RECOVERABILITY OF AMOUNTS DUE TO THE HOSPITAL COULD BE ADVERSELY AFFECTED. . . ." |
| PART VI, LINE 2: | HEALTHCARE NEEDS ARE ASSESSED BY SISKIN HOSPITAL FOR PHYSICAL REHABILITATION THROUGH A VARIETY OF MECHANISMS, INCLUDING SURVEYS OF THOSE SERVED BY OUR PROGRAMS, TELEPHONE CALLS WITH SERVICE USERS, FEEDBACK FROM VARIOUS SUPPORT GROUPS AND THE INPUT GATHERED FROM ANNUAL ACCESSIBILITY PLANNING. THE HOSPITAL ALSO CONSIDERS COMMUNITY NEEDS THROUGH ITS STRATEGIC PLANNING PROCESS, WHERE INPUT IS SOUGHT FROM A VARIETY OF STAKEHOLDERS, INCLUDING COMMUNITY LEADERS, BOARD MEMBERS, OTHER PROVIDERS, EMPLOYEES AND PATIENTS. |
| PART VI, LINE 3: | INFORMATION TO INFORM AND EDUCATE PATIENTS REGARDING ASSISTANCE UNDER FEDERAL, STATE OR LOCAL PROGRAMS AND SISKIN HOSPITAL'S POLICIES IS AVAILABLE UPON ADMISSION AND IS POSTED IN PATIENT ROOMS. HOSPITAL BUSINESS OFFICE REPRESENTATIVES ARE AVAILABLE BEFORE, DURING AND FOLLOWING PATIENT STAYS TO DISCUSS PAYMENT ARRANGEMENTS,FINANCIAL ASSISTANCE, AND QUESTIONS ABOUT BILLING. FOR INPATIENT AND SUBACUTE REFERRALS, THE HOSPITAL'S NURSE LIAISONS ARE THE FIRST POINT OF CONTACT FOR INFORMATION DISSEMINATION TO PROSPECTIVE PATIENTS REGARDING AVAILABILITY OF ASSISTANCE, ELIGIBILITY CRITERIA AND APPLICATION INFORMATION. |
| PART VI, LINE 4: | SISKIN HOSPITAL FOR PHYSICAL REHABILITATION HAS A SERVICE AREA IN THE TRI-STATE AREA OF TENNESSEE, GEORGIA AND ALABAMA. THIS INCLUDES URBAN AND RURAL AREAS OF THE CUMBERLAND PLATEAU. SISKIN HOSPITAL OPERATES SEVERAL OUTPATIENT THERAPY CLINICS. THE POPULATIONS SERVED ENCOMPASS ALL ECONOMIC LEVELS. |
| PART VI, LINE 5: | SISKIN HOSPITAL IS AN INDEPENDENT, FREE-STANDING REHABILITATION HOSPITAL WHICH IS GOVERNED BY A COMMUNITY BOARD. SISKIN HOSPITAL OFFERS A CONTINUUM OF REHABILITATION SERVICES FROM ACUTE INPATIENT REHABILITATION TO SUBACUTE REHABILITATION AND OUTPATIENT SERVICES INCLUDING PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, AND PSYCHOLOGY. IN ADDITION, SISKIN HOSPITAL OFFERS MANY UNFUNDED OR UNDER-FUNDED SERVICES, FOR WHICH IT IS THE SOLE COMMUNITY PROVIDER. SOME OF THESE INCLUDE COMMUNITY RE-ENTRY, VOCATIONAL EVALUATION AND SUPPORTED EMPLOYMENT, DRIVER EVALUATION AND TRAINING, AND FITNESS ACTIVITIES. SISKIN HOSPITAL SERVES AS A TRAINING SITE FOR SEVERAL NURSING PROGRAMS IN THE REGION AS WELL AS A STUDENT PRACTICE SITE FOR PHYSICAL THERAPY, OCCUPATIONAL THERAPY, AND SPEECH/LANGUAGE PATHOLOGY STUDENTS FROM ACROSS THE NATION. PROGRAMS THAT BENEFIT COMMUNITIES SERVED BY SISKIN HOSPITAL:SISKIN HOSPITAL'S COMMUNITY CARE PROGRAM -- SISKIN HOSPITAL PROVIDES CHARITY CARE FOR PHYSICAL REHABILITATION TO THOSE WHO HAVE SUSTAINED A DISABILITY THROUGH ACCIDENT, ILLNESS OR INJURY IN THE COMMUNITY IT SERVES. CHARITY CARE IS PROVIDED FOR THOSE PATIENTS WITHOUT INSURANCE OR WITHOUT THE MEANS TO COVER THE COST OF THEIR TREATMENT. PROFESSIONAL TRAINING, EDUCATION, CLINICAL RESEARCH ACTIVITIES -- STAFF PARTICIPATE IN ONGOING TRAINING OPPORTUNITIES TO OBTAIN SPECIAL CERTIFICATIONS IN A VARIETY OF TREATMENT AREAS INCLUDING NURSING, BRAIN INJURY, STROKE, PHYSICAL AND OCCUPATIONAL THERAPY, AND SPEECH THERAPY. AS OF JUNE 2020, 68% OF ELIGIBLE NURSING STAFF WERE CRRN (CERTIFIED REHABILITATION REGISTERED NURSE) CERTIFIED. ADDITIONAL CERTIFICATIONS HAVE BEEN OBTAINED IN COMT (CERTIFIED ORTHOPEDIC MANIPULATIVE THERAPIST), LYMPHEDEMA, STROKE, ORTHOPEDIC, COMPLETE MANUAL DECONGESTIVE THERAPY, GERIATRIC, VESTIBULAR AND INTEGRATIVE THERAPY. RESEARCH ACTIVITIES HAVE INCLUDED STUDIES FOR PATIENTS WITH SWALLOWING ISSUES, FALL STATISTICS AND PREVENTION, CONCUSSION ASSESSMENT AND PSYCHOLOGY/BEHAVIORAL HEALTH ASSESSMENT AND TREATMENT.THE SISKIN HEALTH & FITNESS CENTER -- AS PART OF THE CONTINUUM OF CARE, SISKIN IS PROUD TO OFFER THE NEUROWELLNESS PROGRAM AT THE HEALTH & FITNESS CENTER. IN NINE WEEKS, PATIENTS LEARN THE ESSENTIALS OF EXERCISE AND CONTINUE THEIR REHABILITATION PROGRESS AFTER BEING DISCHARGED FROM INPATIENT AND OUTPATIENT CARE. THE HEALTH & FITNESS CENTER IS A PLACE WHERE THE ABLE-BODIED AND THE DISABLED CAN WORK OUT SIDE BY SIDE, FOCUSING ON PERSONAL STRENGTHENING AND FITNESS GOALS. IT IS CONSIDERED TO BE A COMFORTABLE, SAFE PLACE FOR PEOPLE OF ALL ABILITIES, INCLUDING THOSE LESS FIT, SENIORS AND PERSONS WITH VARYING DEGREES OF DISABILITY. THE MAJORITY OF HEALTH & FITNESS CENTER MEMBERS ARE EITHER OVER AGE 65, FORMER PATIENTS OR DISABLED INDIVIDUALS. TO MAKE THE CENTER WIDELY AVAILABLE TO THIS POPULATION, SISKIN HOSPITAL SUBSIDIZES THE OPERATION OF THIS FACILITY, ALLOWING THE MEMBERSHIP RATES TO REMAIN AFFORDABLE. A MATTER OF BALANCE: THIS FALLS PREVENTION CLASS IS A JOINT VENTURE BETWEEN THE HAMILTON COUNTY HEALTH DEPARTMENT AND SISKIN HOSPITAL. THE FREE TWO-HOUR CLASS, HELD IN THE HEALTH & FITNESS CENTER, TEACHES PRACTICAL STRATEGIES TO MANAGE FALLS AND IS PARTICULARLY HELPFUL TO OLDER ADULTS WHO HAVE RESTRICTED THEIR ACTIVITIES BECAUSE OF, OR IN FEAR OF, FALLING. VOCATIONAL ASSISTANCE - THROUGH THE VOCATIONAL SERVICES DEPARTMENT AND COMMUNITY RE-ENTRY SERVICES, SISKIN HOSPITAL OFFERS EXTENSIVE EVALUATION, EDUCATION, SUPPORT AND TRAINING FOR INDIVIDUALS WITH BRAIN INJURIES AS A RESULT OF ACCIDENT, ILLNESS OR INJURY. FROM THE INITIAL EVALUATION WHERE AN INDIVIDUAL'S STRENGTHS, WEAKNESSES AND SKILL-SET ARE DETERMINED, SISKIN HOSPITAL STAFF WORK TO TRAIN AND PREPARE CLIENTS TO RETURN TO EMPLOYMENT AND A MORE ACTIVE LIFESTYLE BASED ON THE INDIVIDUAL'S INTERESTS AND NEEDS. ADDITIONALLY, STAFF WORKS CLOSELY WITH POTENTIAL EMPLOYERS TO EDUCATE AND PREPARE THEM TO WORK WITH PEOPLE WHO HAVE A DISABILITY. ONCE CLIENTS OBTAIN EMPLOYMENT, STAFF WORKS TO TRANSITION THEM INTO THEIR NEW JOB BY ENSURING THEIR UNDERSTANDING AND ABILITY TO PERFORM TASKS AS THEY ARE ASSIGNED. OLDER AND DISABLED DRIVER SAFETY EVALUATION - SISKIN HOSPITAL HAS SUPPORTED THE COMMUNITY WITH ITS DRIVER EVALUATION PROGRAM FOR A NUMBER OF YEARS. THIS PROGRAM INCLUDES ON-AND OFF-ROAD DRIVING EVALUATIONS FOR PATIENTS, SCREENINGS AND TREATMENT FOR LOW VISION, COGNITIVE EVALUATIONS, EDUCATION AND SUPPORT. IN ADDITION, SISKIN HOSPITAL STAFF HAVE PRESENTED THE PROGRAM AT LOCAL ASSISTED LIVING FACILITIES TO PROMOTE SAVE DRIVING FOR THE ELDERLY AND DISABLED. SISKIN HOSPITAL WORKS CLOSELY WITH THE TENNESSEE DEPARTMENT OF TRANSPORTATION, HAMAN'S DRIVING SCHOOL, AND LOCAL OPHTHALMOLOGISTS AND PSYCHOLOGISTS TO ENSURE THAT INDIVIDUALS WHO PROGRESS THROUGH THE DRIVING PROGRAM AT SISKIN HOSPITAL RECEIVE THE EDUCATION, TRAINING AND EQUIPMENT NEEDED TO DRIVE SAFELY.ADVANCING CONTINUING EDUCATION - SISKIN HOSPITAL RECOGNIZES THE NEED FOR CONTINUING EDUCATION AND SUPPORTS THOSE WHO DESIRE TO FURTHER THEIR KNOWLEDGE AND TRAINING IN PHYSICAL MEDICINE AND REHABILITATION. A NUMBER OF OUR NURSING STAFF HAS COMPLETED THE CERTIFIED REHABILITATION REGISTERED NURSE (CRRN) PROGRAM TO SECURE ADDITIONAL TRAINING FOR REHABILITATION CARE. WE ALSO ENCOURAGE AND SUPPORT STAFF TO OBTAIN SPECIALTY CERTIFICATIONS IN BRAIN INJURY, STROKE, LYMPHEDEMA AND OTHER TREATMENTS. SOME TUITION COSTS AND EXPENSES ARE REIMBURSED THROUGH SISKIN HOSPITAL. NURSING SCHOLARSHIPS HAVE BEEN PROVIDED FOR A NUMBER OF YEARS AND WERE INITIALLY FUNDED BY AN EXTERNAL GRANT PROVIDED BY THE WRIGHT-BENTLEY FOUNDATION. SISKIN HOSPITAL ALSO RECEIVED FULL FUNDING FROM THE TENNESSEE HOSPITAL ASSOCIATION'S PROMISE OF NURSING GRANT, WHICH PROVIDED THE RESOURCES TO SIX NURSING STUDENTS FOR A 10-WEEK INTENSIVE SUMMER INTERNSHIP. ADDITIONALLY, A WORKING PARTNERSHIP WITH THE UNIVERSITY OF TENNESSEE AT CHATTANOOGA HAS DEVELOPED INTO A DOCTORATE PROGRAM FOR OCCUPATIONAL THERAPY.COMMUNITY SUPPORT GROUPS - SISKIN HOSPITAL HOSTS OR SPONSORS SUPPORT GROUPS DESIGNED TO ADDRESS THE SOCIAL, EMOTIONAL, MEDICAL AND LEGAL ISSUES FACING COMMUNITY MEMBERS AND THEIR FAMILIES. SOME OF THE GROUPS OFFERED AT SISKIN HOSPITAL INCLUDE: ALS, AMPUTEE, BRAIN INJURY, EPILEPSY, LOW VISION, PARKINSON'S, SPINAL CORD AND STROKE. THESE PROGRAMS ARE FREE AND OPEN TO THE GENERAL COMMUNITY. COMMUNITY EDUCATION PROGRAMS - SISKIN HOSPITAL OFFERS FREE WEEKLY SEMINARS ON BRAIN INJURY AND STROKE TO PATIENTS AND FAMILY MEMBERS. THE HOSPITAL HOSTS CONTINUING EDUCATION COURSES AVAILABLE TO THE COMMUNITY, INCLUDING CERTIFIED AGING IN PLACE SPECIALIST, UNIVERSAL DESIGN COURSES AND OTHERS OF INTEREST TO HEALTHCARE STAFF. IN ADDITION, SEVERAL OF OUR OCCUPATIONAL AND PHYSICAL THERAPISTS ARE GUEST LECTURERS AND LAB ASSISTANTS AT THE UNIVERSITY OF TENNESSEE CHATTANOOGA. THE HOSPITAL SPONSORS FALL PREVENTION AWARENESS DAYS AND ANNUALLY HOSTS HIXSON HIGH SCHOOL'S HEALTH OCCUPATION STUDENTS. IT ALSO PARTICIPATES IN THE UTC SCHOOL OF NURSING'S FALL SUMMIT ALONG WITH THE HEALTH DEPARTMENT AND CABIA; THE LOW VISION EXPO; AND CONDUCTS A MATTER OF BALANCE, AN EVIDENCE-BASED PROGRAM AT THE FITNESS CENTER FOR SENIORS. HOSPITAL STAFF HAS PRESENTED THE DRIVE SAFE CHATTANOOGA PROGRAM AT THE AMERICAN MEDICAL REHABILITATION PROVIDERS ASSOCIATION, AND THE HOSPITAL HAS CO-SPONSORED STROKE CAMP, A WEEKEND RETREAT FOR STROKE VICTIMS AND THEIR FAMILIES. STAFF MAN BOOTHS AT AGING SEMINARS AND CAREER FAIRS, PRESENT AS GUEST SPEAKERS TO CABIA CONFERENCES, AND TEACH DISCIPLINE-SPECIFIC COURSES AT STATE ORGANIZATIONS. EACH YEAR SISKIN HOSPITAL'S INPATIENT THERAPY DEPARTMENTS TAKE ON A COHORT OF THERAPY STUDENTS AT VARIOUS LEVELS IN THEIR COURSE OF STUDY. ITS NURSING DEPARTMENT PROVIDES CLINICAL EXPERIENCES FOR LOCAL COLLEGE AND UNIVERSITY NURSING STUDENTS, AND PROVIDES GUEST LECTURERS ON REQUEST. SISKIN HOSPITAL HAS REPRESENTATION ON THE LOCAL BOARDS OF CABIA, STS, EPILEPSY FOUNDATION, AND CHAMBLISS CENTER.UNIQUE THERAPY PROGRAMS - REGIONALLY UNIQUE THERAPY PROGRAMS ADDRESS IDENTIFIED NEEDS, AND SPECIALTY PROGRAMS HAVE BEEN DEVELOPED TO INCLUDE LOW VISION, BALANCE AND DIZZINESS TREATMENT, LYMPHEDEMA TREATMENT, NEUROPSYCHOLOGICAL EVALUATIONS AND A VARIETY OF HEALTH AND FITNESS-ORIENTED PROGRAMS. SISKIN HOSPITAL FOR PHYSICAL REHABILITATION COMMUNITY HEALTH NEEDS ASSESSMENT 55 SISKIN HOSPITAL RECEIVED A $194,650 MULTI-YEAR GRANT FROM THE CHATTANOOGA OPHTHALMOLOGIC FOUNDATION TO INCREASE AND IMPROVE SERVICES FOR PERSONS WITH IMPAIRED VISION. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIP/TUITION REIMBURSEMENT | GrantTypeTxt |
| Recipient | 16 | RecipientCnt |
| Cash Grant | $43,530 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | APPLICATIONS ARE FILED TO DETERMINE QUALIFICATIONS. SCHOLARSHIPS ARE AWARDED ON A NONDISCRIMATORY BASIS BASED ON NEED AND QUALIFICATIONS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CAROL W SIM | ||||||||||||||
| PRESIDENT AND CEO | $460,650 | $0 | $126,280 | $0 | $0 | $0 | $137,440 | $0 | $5,188 | $0 | $729,558 | $0 | $126,280 | $0 |
| CAROL E ARNHART | ||||||||||||||
| VP FINANCE/CFO | $195,281 | $0 | $28,388 | $0 | $11,256 | $0 | $9,500 | $0 | $15,908 | $0 | $260,333 | $0 | $0 | $0 |
| TOD CAIN | ||||||||||||||
| VP ADMINISTRATION | $151,762 | $0 | $24,170 | $0 | $0 | $0 | $28,251 | $0 | $8,784 | $0 | $212,967 | $0 | $24,170 | $0 |
| MICHAEL PILCHER | ||||||||||||||
| INFO SYS DIRECTOR | $150,735 | $0 | $12,000 | $0 | $0 | $0 | $26,536 | $0 | $5,188 | $0 | $194,459 | $0 | $0 | $0 |
| TRACY REED | ||||||||||||||
| VP PATIENT CARE | $154,948 | $0 | $19,818 | $0 | $11,479 | $0 | $6,253 | $0 | $34,468 | $0 | $226,966 | $0 | $0 | $0 |
| CURTIS POWELL | ||||||||||||||
| VP QUALITY | $131,977 | $0 | $15,197 | $0 | $14,883 | $0 | $5,691 | $0 | $15,648 | $0 | $183,396 | $0 | $0 | $0 |
| TERESA DINGER | ||||||||||||||
| ADMIN DIR MKTG | $128,552 | $0 | $30,166 | $0 | $0 | $0 | $6,574 | $0 | $5,708 | $0 | $171,000 | $0 | $0 | $0 |
| JOHN C YOUNG | ||||||||||||||
| PSYCHOLOGIST | $92,741 | $0 | $62,600 | $0 | $6,210 | $0 | $3,383 | $0 | $8,394 | $0 | $173,328 | $0 | $0 | $0 |
| HOLLY TROTTER | ||||||||||||||
| PHARMACY DIRECTOR | $134,972 | $0 | $1,721 | $0 | $6,630 | $0 | $6,972 | $0 | $5,188 | $0 | $155,483 | $0 | $0 | $0 |
| HERMAN GRIER | ||||||||||||||
| PHARMACIST | $114,805 | $0 | $1,560 | $0 | $9,570 | $0 | $5,538 | $0 | $34,988 | $0 | $166,461 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE TAX RETURN WILL BE REVIEWED BY THE AUDIT COMMITTEE AND DISTRIBUTED TO ALL DIRECTORS BEFORE IT IS FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANNUAL DISCLOSURE |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION PROCESS FOR TOP OFFICIAL: THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS FUNCTIONS AS THE COMPENSATION COMMITTEE RESPONSIBLE FOR THE PERFORMANCE REVIEW OF THE CHIEF EXECUTIVE OFFICER AND ANY ADJUSTMENTS IN COMPENSATION FOR IMMEDIATE SUBORDINATES AT THE EXECUTIVE LEVEL. THE EXECUTIVE COMMITTEE UTILIZES DATA FROM SALARIES AND COMPENSATION PROGRAMS, AND SELECTED BENEFIT PROGRAMS. THESE ARE COMPILED BY THE US DEPARTMENT OF JUSTICE/FEDERAL TRADE COMMISSION GUIDELINES ON SALARY SURVEYS. THESE DATA ARE FROM NATIONALLY RECOGNIZED FREE-STANDING REHABILITATION HOSPITALS IN THE UNITED STATES. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENTS UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | CHANGE IN NET UNREALIZED GAINS ON OTHER THAN TRADING SECURITIES 2,442,250. UNREALIZED LOSS ON INTEREST SWAP AGREEMENT -312,164. |