2015-02-02T14:42:32-06:00 2014-06-30 990 2013-07-01 540895648 BUCHANAN GENERAL HOSPITAL BUCH 2769351111 1535 SLATE CREEK RD GRUNDY VA 24614 KIM BOYD CFO 2769351111 2015-02-02 Amy Bibby P00445891 2013 2016-02-25 16:41:14Z Kim Boyd 1535 SLATE CREEK RD GRUNDY VA 24614 27927132 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 66 0 0 4500 1000 25573276 23027799 635224 934301 523 181144 26213523 24144244 0 0 0 0 11777578 11895760 0 0 0 14277601 11267327 26055179 23163087 158344 981157 44683390 46574382 3550048 4162302 41133342 42412080 Provide our community with valuable, safe, efficient and caring health care services that address the needs of the community. 0 0 15113382 23208943 General patient service care - 1,260 inpatients representing 5,242 patient days, 11,107 Emergency Room visits, 31,596 outpatient visits, and 519 Medicare discharges which represents 41% of total discharges. New services provided during the year were the hospital medicine program and cardiac rehabilitation. A community health needs assessment was completed in May 2013 and worked on implementation strategies throughout fiscal year 2014. 1080000 Charity care provided amounted to $1,080,000; the Hospital is the sole provider of acute medical and surgical services in Buchanan County, Virginia, a medically underserved area. 16193382 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 34 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 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 228435 0 13168 Kimetha Boyd CFO 40.00 X 124481 0 15445 Patricia Dorton CNO 40.00 X 101710 0 9709 Nagaraja Vishakaantaiah Physician 40.00 X 170511 0 15423 CHARLES SCOTT JUSTUS PHARMACIST 40.00 X 138862 0 15379 JONATHAN RYAN WOODS PHARMACIST 40.00 X 127314 0 6328 891313 0 75452 6 0 1 0 UNITED EMERGENCY SERVICES PO BOX 730551 dallas TX 753730551 EMERGENcy Room Physicians 564168 Pamela Enjetti MD 14316 Bristow Road Manassas VA 20112 ANesthesia 390000 Carilion Medical Center PO BOX 40032 ROANOKE VA 24022 MOBILE MRI 276480 BUCHANAN PHYSICIAN SERVICES LLC PO BOX 82368 LAFAYETTE LA 70598 HOSPITALISTS 266522 MOUNTAIN THERAPY GROUP PO BOX 152 VANSANT VA 24656 PHYSICAL THERAPY SERVICES 160730 7 1000 1000 PATIENT SERVICE REVENU 621990 21840296 21840296 1187503 1187503 23027799 473536 473536 181144 0 181144 181144 181144 4243653 3782888 460765 460765 460765 24144244 23208943 0 934301 957052 641225 315827 106953 106953 8361842 5567140 2794702 1826165 1223531 602634 643748 431311 212437 26420 17173 9247 42020 21010 21010 74720 29888 44832 899064 449532 449532 227083 156687 70396 65423 36637 28786 15923 10987 4936 1674480 1155391 519089 286718 189234 97484 contract and other fees 3852749 2696924 1155825 patient chargeables and 1510235 1510235 SUPPLIES 1393804 1184733 209071 repairs & maintenance 534314 454167 80147 664374 310624 353750 23163087 16193382 6969705 0 3132127 4189589 2401295 2544209 963316 888067 959773 975069 238999 233892 54022543 42210317 12241783 11812226 24673072 20699809 5163563 73025 67958 44683390 46574382 2974302 3695285 100000 100000 475746 367017 3550048 4162302 X 41133342 42412080 41133342 42412080 44683390 46574382 981157 297581 0 X X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 5814 5814 0 Part II-B, Line 1: A portion of American Hospital Association and Virginia Healthcare and Hospital Association dues are attributable to lobbying: AHA $3,500 VHHA $2,314 1532547 1532547 17929920 12852593 5077327 31807924 27234293 4573631 2752152 2123431 628721 11812226 REAL ESTATE INVESTMENT TRUSTS 4120013 C FIXED ANNUITIES 1043550 C 5163563 LEASE PAYABLE 367017 367017 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, 2014 and 2013. Fiscal years ending on or after June 30, 2011 remain subject to examination by federal and state taxing authorities. 1 1 1 X 0 0 1 0 0 279000 279000 0.01200 4383600 1684241 2699359 0.11650 4662600 1684241 2978359 0.12850 11765 11765 0.00050 2736 2736 0.00010 14501 14501 0.00060 4677101 1684241 2992860 0.12910 1 5068638 253000 8461388 8695163 -233775 X 1 1 1 1 buchanan general hospital 1535 Slate Creek Road grundy VA 24614 X X X buchanan general hospital 1 1 X X X X X X X X X 12 1 0 1 X http://www.bgh.org/docs/Final_CHNA_Report X X X X X X X X X 0 0 1 1 200.000000000000 0 1 X X 1 1 X X X X X 1 0 1 X 0 0 buchanan general hospital Part V, Section B, Line 3: 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 7: 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 11: 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. buchanan general hospital Part V, Section B, Line 20d: 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 III, Line 2: 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. Part III, Line 3: THE HOSPITAL HAS HISTORICALLY ESTIMATED THAT 5% FAIRLY ESTIMATES AMOUNTS INCLUDED AS BAD DEBT THAT WOULD BE ELIGIBLE FOR CHARITY BUT FAILED TO APPLY OR SUBMIT PROPER DOCUMENTATION. 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 219835 0 8600 0 0 0 0 0 13168 0 241603 0 0 0 Nagaraja Vishakaantaiah Physician 168791 0 1720 0 0 0 0 0 15423 0 185934 0 0 0 CHARLES SCOTT JUSTUS PHARMACIST 134647 0 4215 0 0 0 0 0 15379 0 154241 0 0 0 PAMELA HARRISON DAUGHTER OF BOARD MEMBER, DANNY ELSWICK 71368 W-2 COMPENSATION 0 TAMELA POTTER DAUGHTER OF BOARD MEMBER, DANNY ELSWICK 17957 W-2 COMPENSATION 0 DENVER LESTER FATHER OF CFO 17628 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 668815 101166 buchanan general hospital inc