2016-01-28T11:59:49-06:00 2015-06-30 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2014-07-01 540895648 BUCHANAN GENERAL HOSPITAL BUCH 2769351111 1535 SLATE CREEK RD GRUNDY VA 24614 KIM BOYD CFO 2769351111 2016-01-28 1 AMY BIBBY P00445891 8282542254 2014 2016-04-25 22:37:26Z KIM BOYD 1535 SLATE CREEK RD GRUNDY VA 24614 24602971 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 8 289 60 0 0 1000 3500 23027799 23028068 934301 1391030 181144 180373 24144244 24602971 0 0 0 0 11895760 12159995 0 0 0 11267327 11247600 23163087 23407595 981157 1195376 46574382 46158352 4162302 3347867 42412080 42810485 PROVIDE OUR COMMUNITY WITH VALUABLE, SAFE, EFFICIENT AND CARING HEALTH CARE SERVICES THAT ADDRESS THE NEEDS OF THE COMMUNITY. 0 0 15130271 23212041 GENERAL PATIENT SERVICE CARE - 1,144 INPATIENTS REPRESENTING 5,212 PATIENT DAYS, 11,995 EMERGENCY ROOM VISITS, AND 33,625 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. 16390271 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 0 0 1 0 0 0 0 0 1 0 0 0 0 1 27 0 1 289 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 284687 0 13139 KIMETHA BOYD CFO 40.00 X 140278 0 16438 PATRICIA DORTON CNO 40.00 X 120588 0 9672 NAGARAJA VISHAKAANTAIAH PHYSICIAN 40.00 X 181639 0 16443 CHARLES SCOTT JUSTUS PHARMACIST 40.00 X 155295 0 16394 JONATHAN RYAN WOODS PHARMACIST 40.00 X 129723 0 6687 1012210 0 78773 6 0 1 0 BUCHANAN PHYSICIAN SERVICES LLC PO BOX 82368 LAFAYETTE LA 70598 HOSPITALISTS 829842 UNITED EMERGENCY SERVICES PO BOX 730551 DALLAS TX 753730551 EMERGENCY ROOM PHYSICIANS 567371 PAMELA ENJETTI MD 14316 BRISTOW ROAD MANASSAS VA 20112 ANESTHESIA 396875 CARILION MEDICAL CENTER PO BOX 40032 ROANOKE VA 24022 MOBILE MRI 256640 MOUNTAIN THERAPY GROUP PO BOX 152 VANSANT VA 24656 PHYSICAL THERAPY SERVICES 162515 8 3500 3500 PATIENT SERVICE REVENUE 621990 22349226 22349226 678842 678842 23028068 707132 707132 180373 0 180373 180373 180373 680298 3600 0 0 680298 3600 683898 3600 680298 24602971 23212041 0 1387430 957053 641226 315827 8355871 5598434 2757437 2275296 1524448 750848 571775 383089 188686 8271 5376 2895 59035 23614 35421 877332 438666 438666 184382 127224 57158 119246 66778 52468 15923 10987 4936 1672389 1153948 518441 280104 184869 95235 CONTRACT AND OTHER FEES 3810489 2667342 1143147 PATIENT CHARGEABLES AND 1518323 1518323 SUPPLIES 1500567 1275482 225085 REPAIRS & MAINTENANCE 564041 479435 84606 637498 291030 346468 23407595 16390271 7017324 0 4189589 4469768 2544209 2192168 888067 611672 975069 949734 233892 191067 55138556 43877636 11812226 11260920 20699809 21255089 5163563 5165043 67958 62891 46574382 46158352 3695285 2989580 100000 100000 367017 258287 4162302 3347867 X 42412080 42810485 42412080 42810485 46574382 46158352 1195376 -796971 0 X X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 5373 5373 0 PART II-B, LINE 1: A PORTION OF AMERICAN HOSPITAL ASSOCIATION AND VIRGINIA HEALTHCARE AND HOSPITAL ASSOCIATION DUES ARE ATTRIBUTABLE TO LOBBYING: AHA $3,339 VHHA $2,034 1532547 1532547 17996392 13467216 4529176 32479287 29128683 3350604 3130330 1281737 1848593 11260920 REAL ESTATE INVESTMENT TRUSTS 4111086 C FIXED ANNUITIES 1053957 C 5165043 LEASE PAYABLE 258287 258287 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, 2015 AND 2014. FISCAL YEARS ENDING ON OR AFTER JUNE 30, 2012 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES. 1 1 1 X 0 0 1 0 0 309000 309000 0.01320 5638787 2230057 3408730 0.14560 5947787 2230057 3717730 0.15880 7396 7396 0.00030 2630 2630 0.00010 10026 10026 0.00040 5957813 2230057 3727756 0.15920 1 5082682 254000 8054737 8467617 -412880 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 12 1 0 0 1 X HTTP://WWW.BGH.ORG/DOCS/FINAL_CHNA_REPORT.PDF X 1 12 0 1 0 1 X 200.000000000000 X X 1 1 X X 1 X HTTP://WWW.BGH.ORG/DOCS/CHARITY_APPLICATION_FORM.PDF X HTTP://WWW.BGH.ORG/GETPAGE.PHP?NAME=PAY_DISCOUNT X 1 0 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. THERE WAS ONE IN-PERSON INTERVIEW WITH THE LOCAL HEALTH DEPARTMENT AND THE REST OF THOSE CONTACTED WERE GIVEN THE OPTION OF AN ONLINE OR PAPER SURVEY TO COMPLETE. BUCHANAN GENERAL HOSPITAL PART V, SECTION B, LINE 11: THE COMMUNITY NEEDS ASSESSMENT TEAM CONSIDERED THE LEVELS TO WHICH SOME NEEDS WERE ALREADY BEING ADDRESSED IN THE SERVICE AREA. ADDITIONALLY, SOME COMMUNITY NEEDS FALL OUT OF THE SCOPE OF EXPERTISE AND RESOURCES OF THE HOSPITAL. THESE NEEDS ARE ACCESS TO PCP, MENTAL HEALTH AND SUICIDE RATES, ORAL HEALTH, DRUG AND TOBACCO USE, TEEN PREGNANCY, AND MOTOR VEHICLE DEATHS. BUCHANAN GENERAL HOSPITAL PART V, SECTION B, LINE 22D: PATIENTS WHO QUALIFY AT 200% FPG ARE NOT BILLED. PATIENTS WHO HAVE GREATER THAN 200% OF FPG INCOME ARE STILL DISCOUNTED. IF UNINSURED THEY ARE DISCOUNTED 60% IF THEY PAY THE BILL IN FULL OR 40% ONCE THEY INITIATE A PAYMENT ARRANGEMENT. WE ALSO OFFER A 40% PROMPT PAY DISCOUNT TO INSURED PATIENTS. PART V, SECTION B, LINE 16 FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY BUCHANAN GENERAL HOSPITAL PART V, SECTION B, LINE 16B WEBSITE: HTTP://WWW.BGH.ORG/DOCS/CHARITY_APPLICATION_FORM.PDF BUCHANAN GENERAL HOSPITAL PART V, SECTION B, LINE 16C WEBSITE: HTTP://WWW.BGH.ORG/GETPAGE.PHP?NAME=PAY_DISCOUNT 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 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 252436 0 32251 0 0 0 0 0 13139 0 297826 0 0 0 KIMETHA BOYD CFO 120566 0 19712 0 0 0 0 0 16438 0 156716 0 0 0 NAGARAJA VISHAKAANTAIAH PHYSICIAN 176479 0 5160 0 0 0 0 0 16443 0 198082 0 0 0 CHARLES SCOTT JUSTUS PHARMACIST 141245 0 14050 0 0 0 0 0 16394 0 171689 0 0 0 PAMELA HARRISON DAUGHTER OF BOARD MEMBER, DANNY ELSWICK 76436 W-2 COMPENSATION 0 TAMELA POTTER DAUGHTER OF BOARD MEMBER, DANNY ELSWICK 22279 W-2 COMPENSATION 0 DENVER LESTER FATHER OF CFO 19970 W-2 COMPENSATION 0 FORM 990, PART VI, SECTION B, LINE 11 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 767099 125186 BUCHANAN GENERAL HOSPITAL INC