2019-05-01T11:41:50-05:00 2018-06-30 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2017-07-01 540895648 BUCHANAN GENERAL HOSPITAL BUCH 2769351111 1535 SLATE CREEK RD GRUNDY VA 24614 KIM BOYD CFO 2769351111 2019-05-01 1 AMY BIBBY P00445891 8282542254 24.241.144.70 2019-05-01 11:40:42 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 ADBFC64F84809A3D359AE279AE52D225AAF16287 2017 2019-02-21 02:37:17Z KIM BOYD 1535 SLATE CREEK RD GRUNDY VA 24614 28706243 0 X WWW.BGH.ORG X 1979 VA PROVIDE OUR COMMUNITY WITH VALUABLE, SAFE, EFFICIENT AND CARING HEALTH CARE SERVICES THAT ADDRESS THE NEEDS OF THE COMMUNITY. 9 8 285 2 0 0 0 0 29929820 27394502 179407 832661 524827 479080 30634054 28706243 0 0 0 0 13617800 13494966 0 0 0 16993901 15631549 30611701 29126515 22353 -420272 46416988 45410007 2964457 2377748 43452531 43032259 PROVIDE OUR COMMUNITY WITH VALUABLE, SAFE, EFFICIENT, AND CARING HEALTH CARE SERVICES THAT ADDRESS THE NEEDS OF THE COMMUNITY. 0 0 20292873 27394502 GENERAL PATIENT SERVICE CARE - 1,097 INPATIENTS REPRESENTING 5,412 PATIENT DAYS, 11,567 EMERGENCY ROOM VISITS, 33,360 OUTPATIENT VISITS, AND 774 OBSERVATION PATIENTS. 1406000 CHARITY CARE PROVIDED AMOUNTED TO $1,406,000; THE HOSPITAL IS THE SOLE PROVIDER OF ACUTE MEDICAL AND SURGICAL SERVICES IN BUCHANAN COUNTY, VIRGINIA, A MEDICALLY UNDERSERVED AREA. 21698873 1 0 0 1 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 1 0 0 0 0 1 24 0 1 285 1 0 0 0 0 0 0 0 0 0 0 X 9 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X ROBERT RUCHTI CEO 2769351111 1535 SLATE CREEK ROAD GRUNDY VA 24614 DANNY ELSWICK PRESIDENT 1.00 X X 0 0 0 JAMES W CHILDRESS VICE-PRESIDENT 1.00 X X 0 0 0 MARY RUTH SPENCER SECRETARY 1.00 X X 0 0 0 HAROLD MUSICK TREASURER 1.00 X X 0 0 0 ROGER COLEMAN DIRECTOR 1.00 X 0 0 0 WILLIS SMITH DIRECTOR 1.00 X 0 0 0 ROBERT RIFE DIRECTOR 1.00 X 0 0 0 BETTY LOONEY DIRECTOR 1.00 X 0 0 0 DAVID TOLLIVER DIRECTOR 1.00 X 0 0 0 ROBERT RUCHTI CEO 40.00 X 273098 0 23170 KIMETHA BOYD CFO 40.00 X 144357 0 17988 JASHBHAI N PATEL PHYSICIAN 40.00 X 575758 0 15919 NAGARAJA VISHAKAANTAIAH PHYSICIAN 40.00 X 167520 0 16308 CHARLES SCOTT JUSTUS PHARMACIST 40.00 X 143602 0 18173 JONATHAN RYAN WOODS PHARMACIST 40.00 X 133523 0 7310 AMANDA BLANKENSHIP PHYSICIAN 40.00 X 105464 0 17972 1543322 0 116840 8 0 1 0 UNITED EMERGENCY SERVICES PO BOX 82368 LAFAYETTE LA 70598 ER PHYSICIANS 742932 BUCHANAN PHYSICIAN SERVICES PO BOX 677979 DALLAS TX 75267 HOSPITALISTS 704936 PAMELA ENJETTI MD 14316 BRISTOW ROAD MANASAS VA 20112 ANESTHESIOLOGY 396000 CARILION MEDICAL CENTER PO BOX 40032 ROANOKE VA 24022 MOBILE MRI 282330 LABCORP PO BOX 12140 BURLINGTON NC 27216 LAB TESTING 178957 6 PATIENT SERVICE REVENUE 621990 27394502 27394502 27394502 827661 827661 166031 0 166031 166031 166031 5000 0 5000 5000 5000 CAFETERIA SALES 722210 250370 250370 OTHER REVENUE 621990 62679 62679 313049 28706243 27394502 0 1311741 606102 406088 200014 90807 90807 9318266 6213272 3104994 2804314 1878890 925424 675477 452570 222907 614 399 215 51288 20515 30773 866422 433211 433211 277197 191266 85931 79556 44551 35005 15468 10673 4795 1522867 1050778 472089 294564 194412 100152 BAD DEBT EXPENSE 4506635 4506635 CONTRACT AND OTHER FEES 3727504 2609253 1118251 PATIENT CHARGEABLES AND 1522731 1522731 SUPPLIES 1369428 1164014 205414 1397275 908808 488467 29126515 21698873 7427642 0 5597492 4151424 2174378 2522721 568130 486069 1030066 1016607 222910 321704 57744420 48781858 9631806 8962562 21689673 21771161 5449776 6152869 52757 24890 46416988 45410007 2823629 2275068 140828 102680 2964457 2377748 X 43452531 43032259 43452531 43032259 46416988 45410007 -420272 0 X X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 6304 6304 0 PART II-B, LINE 1: A PORTION OF AMERICAN HOSPITAL ASSOCIATION AND VIRGINIA HEALTHCARE AND HOSPITAL ASSOCIATION DUES ARE ATTRIBUTABLE TO LOBBYING: AHA $3,419 VHHA $2,885 1551547 1551547 18460683 16032659 2428024 1994059 1731792 262267 34899317 30309217 4590100 838814 708190 130624 8962562 REAL ESTATE INVESTMENT TRUSTS 5066947 C FIXED ANNUITIES 1085922 C 6152869 LEASE PAYABLE 25480 BOND PAYABLE 77200 102680 X PART X, LINE 2: THE HOSPITAL AND BHC ARE EXEMPT FROM INCOME TAXES UNDER SECTION 501 (C) (3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. 1 1 1 X 0 1 1 0 1 1 342000 342000 0.01170 4063666 2016556 2047110 0.07030 4405666 2016556 2389110 0.08200 1823851 1823851 0.06260 235 235 0.00000 1824086 1824086 0.06260 6229752 2016556 4213196 0.14460 1 4847926 242000 6534047 6863940 -329893 X 1 1 1 1 BUCHANAN GENERAL HOSPITAL 1535 SLATE CREEK ROAD GRUNDY VA 24614 X X X BUCHANAN GENERAL HOSPITAL 1 0 0 1 X X X X X X X X X 16 1 0 0 1 X HTTP://WWW.BGH.ORG/GETPAGE.PHP?NAME=INDEX X 1 16 1 HTTP://WWW.BGH.ORG/GETPAGE.PHP?NAME=INDEX 0 1 X 200.000000000000 X X 1 1 X X X 1 X HTTP://WWW.BGH.ORG/DOCS/FINANCIAL_ASSISTANCE_POLICY.PDF X HTTP://WWW.BGH.ORG/DOCS/FINANCIAL_ASSISTANCE_APPLICATION.PDF X HTTP://WWW.BGH.ORG/GETPAGE.PHP?NAME=PAY_DISCOUNT X X X X 1 X 0 X X X 1 X 0 0 BUCHANAN GENERAL HOSPITAL PART V, SECTION B, LINE 5: THE COMMUNITY NEEDS ASSESSMENT TEAM SURVEYED KEY COMMUNITY PARTNERS, INCLUDING REPRESENTATIVES OF THE LOCAL CITY/COUNTY HEALTH DEPARTMENT, COMMUNITY OUTREACH GROUPS, AND OTHER FOCUS GROUPS TO SUPPLEMENT THE FINDINGS OF THE ASSESSMENT. BUCHANAN GENERAL HOSPITAL PART V, SECTION B, LINE 11: THE COMMUNITY NEEDS ASSESSMENT IS ADDRESSING THE FOLLOWING HEALTH NEEDS:ACCESS TO SPECIALISTSOBESITYMAMMOGRAPHY AND PAP SCREENINGPLEASE READ THE CHNA AND IMPLEMENTATION STRATEGY FOR MORE DETAIL. PART III, LINE 2: BAD DEBT EXPENSE WRITTEN OFF AT THE NET BALANCE IS GROSSED UP BASED ON NET REVENUE AS A PERCENT OF GROSS (NOT INCLUDING BAD DEBTS). A PERCENTAGE IS THEN APPLIED BASED ON A CALCULATION WHICH APPLIES A RATIO OF COSTS TO CHARGES TO THE GROSS UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING CARE TO CHARITY PATIENTS. PART III, LINE 4: AN ALLOWANCE FOR ESTIMATED UNCOLLECTIBLE ACCOUNTS IS RECORDED BASED ON HISTORICAL BAD DEBT EXPERIENCE AND MANAGEMENT'S EVALUATION OF THE ACCOUNTS RECEIVABLE. BALANCES ARE WRITTEN OFF AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN MADE. FOR PURPOSES OF THE COMMUNITY BENEFIT CALCULATION, BAD DEBT EXPENSE PER THE FINANCIAL STATEMENTS WAS GROSSED UP USING A NET REALIZED REVENUE PERCENTAGE AND THEN APPLIED AGAINST A COST TO CHARGE RATIO. PART III, LINE 8: MEDICARE REVENUE AND COSTS ARE TAKEN FROM THE MOST RECENTLY FILED MEDICARE COST REPORT. PART III, LINE 9B: THE HOSPITAL ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. A PATIENT IS CLASSIFIED AS A CHARITY PATIENT BY REFERENCE TO CERTAIN ESTABLISHED POLICIES OF THE HOSPITAL. THESE POLICIES DEFINE CHARITY SERVICES AS THOSE SERVICES FOR WHICH NO PAYMENT IS ANTICIPATED. IN ASSESSING A PATIENT'S INABILITY TO PAY, THE HOSPITAL UTILIZES THE GENERALLY RECOGNIZED POVERTY INCOME LEVELS, BUT ALSO INCLUDES CERTAIN CASES WHERE INCURRED CHARGES ARE SIGNIFICANT WHEN COMPARED TO INCOME. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS NET PATIENT SERVICE REVENUE; HOWEVER, EXPENSES INCURRED IN PROVIDING THESE SERVICES ARE INCLUDED IN THE HOSPITAL'S OPERATING EXPENSES. SERVICES TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE (200% OF FPG) ARE NOT PURSUED IN COLLECTION. SERVICES ARE COMPLETELY WRITTEN OFF. PART VI, LINE 2: BGH ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY BY LOOKING AT THE AREA WE SERVE AND INTERACTING WITH LOCAL ORGANIZATIONS SUCH AS LARGE EMPLOYERS, SCHOOLS, HEALTH CARE PROVIDERS AND HEALTH-RELATED AGENCIES. INPUT FROM ALL SOURCES IS REVIEWED, COMPILED AND PRIORITIZED BASED ON CRITERIA SUCH AS THE HOSPITAL'S ABILITY TO IMPACT THE IDENTIFIED NEED AND THE SIGNIFICANCE OF THE NEED IN THE COMMUNITY. PART VI, LINE 3: FINANCIAL ASSISTANCE INFORMATION IS POSTED ON THE HOSPITAL WEBSITE, IN THE REGISTRATION AND ADMISSIONS AREA, IS PROVIDED TO PATIENTS UPON ADMISSION AND IS ALWAYS AVAILABLE UPON REQUEST. PART VI, LINE 4: THE HOSPITAL'S SERVICE AREA IS PRIMARILY BUCHANAN COUNTY, VIRGINIA. IT IS A VERY RURAL MINING AREA WITH HIGH UNEMPLOYMENT. PART VI, LINE 5: ALTHOUGH THE HOSPITAL DID NOT MAKE A PROFIT LAST YEAR, IT SPENT OVER $800,000 IN CAPITAL DURING THE YEAR TO IMPROVE THE HOSPITAL AND PURCHASE EQUIPMENT IN ORDER TO PROVIDE THE BEST POSSIBLE PATIENT CARE TO THE COMMUNITY. THE HOSPITAL ALSO GRANTS EDUCATION LOANS TO MEDICAL STUDENTS FROM THE AREA TO ENCOURAGE LOCAL PHYSICIANS.THE HOSPITAL BOARD OF DIRECTORS IS COMPRISED OF 9 VOLUNTEER MEMBERS FROM EVERY AREA OF THE COUNTY. THIS ASSURES THAT ALL RESIDENTS HAVE REPRESENTATION AND ALLOWS THE HOSPITAL TO HAVE A BROAD KNOWLEDGE OF THE COMMUNITY IT SERVES. X X X X X 0 0 0 0 0 0 0 0 0 ROBERT RUCHTI CEO 256297 0 16801 0 0 0 0 0 23170 0 296268 0 0 0 KIMETHA BOYD CFO 134541 0 9816 0 0 0 485 0 17503 0 162345 0 0 0 JASHBHAI N PATEL PHYSICIAN 574653 0 1105 0 0 0 0 0 15919 0 591677 0 0 0 NAGARAJA VISHAKAANTAIAH PHYSICIAN 167520 0 0 0 0 0 490 0 15818 0 183828 0 0 0 CHARLES SCOTT JUSTUS PHARMACIST 140792 0 2810 0 0 0 703 0 17470 0 161775 0 0 0 TYLER RUCHTI SON OF CEO 112379 CASH TUITION PAMELA HARRISON DAUGHTER OF BOARD MEMBER, DANNY ELSWICK 73899 W-2 COMPENSATION 0 DENVER LESTER FATHER OF CFO, KIMETHA BOYD 16908 W-2 COMPENSATION 0 FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS REVIEWED BY THE CFO, THE FINANCE COMMITTEE, AND THE FULL BOARD OF DIRECTORS PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C TO ENSURE THAT BUCHANAN GENERAL HOSPITAL OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES AND THAT IT DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS STATUS AS AN ORGAINZATION EXEMPT FROM FEDERAL INCOME TAX, PERIODIC REVIEWS ARE CONDUCTED. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION HAS AN EXECUTIVE COMPENSATION COMMITTEE WHO REVIEWS EXECUTIVE SALARIES IF THERE IS A CHANGE IN SALARY. COMPENSATION LEVELS ARE BASED ON DATA REGARDING COMPARABLE POSITIONS IN PEER INSTITUTIONS FOR EXPERIENCED PROFESSIONALS AND PRIOR PERFORMANCE, AMONG OTHER FACTORS. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST FORM 990, PART XII, LINE 2C THE PROCESS OF FINANCIAL STATEMENT REVIEW AND OVERSIGHT HAS NOT CHANGED FROM THE PRIOR YEAR. BUCHANAN HEALTH CARE LLC RT 5 BOX 20 GRUNDY VA 24614 311671512 OPERATES PHYSICIAN PRACTICES AND PROVIDES OTHER HEALTH CARE SERVICES VA 1397443 270455 BUCHANAN GENERAL HOSPITAL INC