2018-02-02T15:02:28-06:00 2017-06-30 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2016-07-01 540895648 BUCHANAN GENERAL HOSPITAL BUCH 2769351111 1535 SLATE CREEK RD GRUNDY VA 24614 KIM BOYD CFO 2769351111 2018-02-02 1 Amy Bibby P00445891 8282542254 12.25.12.224 2018-02-02 15:02:13 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 ADBFC64F84809A3D359AE279AE52D225AAF16287 2016 2021-01-29 14:40:06Z Kim Boyd 1535 SLATE CREEK RD GRUNDY VA 24614 30634054 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 8 282 24 0 0 0 0 23842886 29929820 1360892 179407 446458 524827 25650236 30634054 0 0 0 0 12972621 13617800 0 0 0 11312277 16993901 24284898 30611701 1365338 22353 47428377 46416988 3998199 2964457 43430178 43452531 Provide our community with valuable, safe, efficient and caring health care services that address the needs of the community. 0 0 21800495 30454647 General patient service care - 1,124 inpatients representing 5,638 patient days, 12,512 Emergency Room visits, and 32,724 outpatient visits. New services provided during the year were the hospital medicine program and cardiac rehabilitation. The hospital spent over $1 million in capital during the year to improve the hospital and purchase equipment in order to provide the best possible patient care to the community. 1260000 Charity care provided amounted to $1,260,000; the Hospital is the sole provider of acute medical and surgical services in Buchanan County, Virginia, a medically underserved area. 23060495 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 30 0 1 282 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 roger coleman director 1.00 X 0 0 0 David Tolliver director 1.00 X 0 0 0 Betty Looney 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 danny Elswick President 1.00 X X 0 0 0 JAMES 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 ROBERT RUCHTI CEO 40.00 X 288151 0 13311 Kimetha Boyd CFO 40.00 X 130986 0 16684 Patricia Dorton CNO 40.00 X 107007 0 9984 Nagaraja Vishakaantaiah Physician 40.00 X 170181 0 16243 CHARLES SCOTT JUSTUS PHARMACIST 40.00 X 154989 0 16901 JONATHAN RYAN WOODS PHARMACIST 40.00 X 128251 0 7203 JASHBHAI N PATEL PHYSICIAN 40.00 X 438037 0 8996 1417602 0 89322 7 0 1 0 BUCHANAN PHYSICIAN SERVICES PO BOX 677979 DALLAS TX 25267 HOSPITALISTS 649567 UNITED EMERGENCY SERVICES PO BOX 82368 LAFAYETTE LA 70598 ER PHYSICIANS 567323 PAMELA ENJETTI MD 14316 BRISTOW ROAD MANASAS VA 20112 ANESTHESIOLOGY 397100 CARILION MEDICAL CENTER PO BOX 40032 ROANOKE VA 24022 MOBILE MRI 294290 LABCORP PO BOX 12140 BURLINGTON NC 27216 LAB TESTING 179016 7 PATIENT SERVICE REVENUE 621990 29581593 29581593 EHR INCENTIVE PAYMENT 621990 348227 348227 29929820 179407 179407 167620 0 167620 167620 167620 CAFETERIA SALES 722210 277621 277621 OTHER REVENUE 621990 79586 79586 357207 30634054 30454647 0 179407 606102 406088 200014 94573 94573 9152766 6101144 3051622 3063542 2052573 1010969 700817 469547 231270 5032 3271 1761 69141 27656 41485 875582 437791 437791 260255 179576 80679 97109 54381 42728 20990 14483 6507 1662085 1146839 515246 294017 194051 99966 BAD DEBT EXPENSE 5648245 5648245 contract and other fees 3767912 2637538 1130374 patient chargeables and 1586075 1586075 SUPPLIES 1347361 1145257 202104 1360097 861407 498690 30611701 23060495 7551206 0 6093004 5597492 2417450 2174378 452066 568130 1007481 1030066 149687 222910 56890797 47258991 10250118 9631806 22093098 21689673 4907649 5449776 57824 52757 47428377 46416988 3748642 2823629 249557 140828 3998199 2964457 X 43430178 43452531 43430178 43452531 47428377 46416988 22353 0 X X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 5619 5619 0 Part II-B, Line 1: A portion of American Hospital Association and Virginia Healthcare and Hospital Association dues are attributable to lobbying: AHA $3,184 VHHA $2,435 1532547 1532547 18298821 15624868 2673953 1988559 1697976 290583 34243813 29239865 5003948 827057 696282 130775 9631806 REAL ESTATE INVESTMENT TRUSTS 4374576 C FIXED ANNUITIES 1075200 C 5449776 LEASE PAYABLE 40828 BOND PAYABLE 100000 140828 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. THE HOSPITAL AND BHC HAVE DETERMINED THEY DO NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF JUNE 30, 2017 AND 2016. 1 1 1 X 0 1 1 0 1 1 321000 321000 0.01050 4409104 2345199 2063905 0.06740 4730104 2345199 2384905 0.07790 1526287 1526287 0.04990 4050 4050 0.00010 1530337 1530337 0.05000 6260441 2345199 3915242 0.12790 1 4542824 227000 6666168 6633596 32572 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 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: The hospital spent over $1,000,000 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. The hospital spent over a million dollars in capital during the year to improve the hospital and purchase equipment in order to provide the best possible patient care to the community. X X X X X 0 0 0 0 0 0 0 0 0 ROBERT RUCHTI CEO 254825 0 33326 0 0 0 0 0 13311 0 301462 0 0 0 Nagaraja Vishakaantaiah Physician 168461 0 1720 0 0 0 0 0 16243 0 186424 0 0 0 CHARLES SCOTT JUSTUS PHARMACIST 140939 0 14050 0 0 0 703 0 16198 0 171890 0 0 0 JASHBHAI N PATEL PHYSICIAN 434537 0 3500 0 0 0 0 0 8996 0 447033 0 0 0 TYLER RUCHTI SON OF CEO 55317 CASH TUITION PAMELA HARRISON DAUGHTER OF BOARD MEMBER, DANNY ELSWICK 77653 W-2 COMPENSATION 0 DENVER LESTER FATHER OF CFO 16920 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 on an annual basis. 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 1619288 192225 buchanan general hospital inc