GRANT MEMORIAL HOSPITAL: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- GRANT MEMORIAL HOSPITAL (EIN 55-0562976)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-14
- IRS object ID
- 201541349349304879
- Schema version
- 2013v4.0
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-14T13:19:47-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390859910 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER TILLY VIRCHOW KRAUSE LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1650 MARKET STREET SUITE 4500 | AddressLine1 |
| City | PHILADELPHIA | City |
| State | PA | State |
| ZIP Code | 19103 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550562976 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRANT MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GRAN | BusinessNameControlTxt |
| Phone | 3042575802 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 117 HOSPITAL DRIVE | AddressLine1 |
| City | PETERSBURG | City |
| State | WV | State |
| ZIP Code | 26847 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOE A BARNES CPA | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 3042575802 | PhoneNum |
| Signature | 2015-05-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JULIUS GREEN CPA JD | PreparerPersonNm |
| PTIN | P00350393 | PTIN |
| Phone | 2159720701 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOE A BARNES CPA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 117 HOSPITAL DRIVE | AddressLine1 |
| City | PETERSBURG | City |
| State | WV | State |
| ZIP Code | 26847 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $34,321,766 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.GRANTMEMORIAL.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1957 | FormationYr |
| Legal Domicile State | WV | LegalDomicileStateCd |
| Activity Or Mission | TAX-EXEMPT HOSPITAL DEDICATED TO SERVICING THE COUNTIES OF GRANT, HARDY & PENDLETON IN WEST VIRGINIA. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 425 | TotalEmployeeCnt |
| Total Volunteers | 30 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $39,064 | PYContributionsGrantsAmt |
| CY Contributions Grants | $10,979 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $29,867,539 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $33,150,501 | CYProgramServiceRevenueAmt |
| PY Investment Income | $485,242 | PYInvestmentIncomeAmt |
| CY Investment Income | $120,999 | CYInvestmentIncomeAmt |
| PY Other Revenue | $325,856 | PYOtherRevenueAmt |
| CY Other Revenue | $783,060 | CYOtherRevenueAmt |
| PY Total Revenue | $30,717,701 | PYTotalRevenueAmt |
| CY Total Revenue | $34,065,539 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $13,389,219 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $14,141,430 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $17,877,642 | PYOtherExpensesAmt |
| CY Other Expenses | $19,283,969 | CYOtherExpensesAmt |
| PY Total Expenses | $31,266,861 | PYTotalExpensesAmt |
| CY Total Expenses | $33,425,399 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$549,160 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $640,140 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $21,741,466 | TotalAssetsBOYAmt |
| Total Assets EOY | $22,398,184 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $6,302,799 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $6,228,094 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $15,438,667 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $16,170,090 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | GRANT MEMORIAL HOSPITAL IS A REGIONAL PROVIDER OF QUALITY, COST EFFECTIVE HEALTH CARE SERVICE RESPONSIVE TO THE COMMUNITY NEEDS AND SUPPORTED BY INNOVATIVE EFFORTS WITH OTHERS. THE VISION OF GRANT MEMORIAL HOSPITAL, BASED UPON DEFINED OBJECTIVES OF PATIENT AND COMMUNITY SERVICE, IS TO BE THE LEADER IN PROVIDING THE HIGHEST QUALITY SERVICE AS EFFICIENTLY AS POSSIBLE BASED ON ASSESSED NEEDS. | MissionDesc |
| Significant New Program Srvc | Yes (1) | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $27,570,226 | ExpenseAmt |
| Revenue | $33,751,959 | RevenueAmt |
| Desc | THE HOSPITAL PROVIDES A FULL COMPLEMENT OF HEALTH SERVICES INCLUDING INPATIENT ACUTE, OBSTETRICS, INTENSIVE CARE, SWING-BED SERVICES, NURSING FACILITY SERVICES (BOTH SKILLED AND INTERMEDIATE), TRADITIONAL OUTPATIENT SERVICES AND PHYSICIAN SERVICES TO THE RESIDENTS OF GRANT, HARDY AND PENDLETON COUNTIES OF WEST VIRGINIA. THE HOSPITAL IS LOCATED IN THE EASTERN PANHANDLE OF WEST VIRGINIA WITH THE CLOSET HOSPITALS BEING APPROXIMATELY 1.25 TO 1.5 HOURS AWAY. SINCE THE HOSPITAL IS LOCATED IN THE MOUNTAINS, DRIVING TIMES CAN BE MUCH LONGER DURING THE WINTER MONTHS. DURING THE YEAR, THE HOSPITAL HAD 5,368 ADULT AND PEDIATRIC DAYS, 814 SWING-BED DAYS, 471 INTENSIVE CARE DAYS, 478 NURSERY DAYS AND 4,158 NURSING FACILITY DAYS. | Desc |
| Total Program Service Expenses | $27,570,226 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | 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 | 0 | 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 | 0 | 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | 78 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 425 | EmployeeCnt |
| Employment Tax Returns Filed | 0 | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | 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 | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | 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 | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | WV | StatesWhereCopyOfReturnIsFldCd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
| Other | Yes (X) | OtherInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOE A BARNES CHIEF FINANCIAL OFFI | PersonNm |
| Phone | 3042575802 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 117 HOSPITAL DRIVE | AddressLine1 |
| City | PETERSBURG | City |
| State | WV | State |
| ZIP Code | 26847 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| JANIE BERG | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT CHEHI | |||||||
| CHAIRMAN | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| DOUG SWICK | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BETTY MOOMAU | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MATT HARPER | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| STEPHEN THOMPSON DO | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ALAN KILE SR | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| TOM KIMBLE | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| RALPH SITES | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JASON SITES | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JANET FRYE | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARK WRIGHT | |||||||
| VICE CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| MARY BETH BARR | |||||||
| CHIEF EXECUTIVE OFFICER, SECRETARY | 40.00 | Yes (X) | $140,794 | $0 | $5,388 | Yes (X) | |
| JOE A BARNES | |||||||
| CHIEF FINANCIAL OFFICER, TREASURER | 40.00 | Yes (X) | $125,107 | $0 | $25,167 | Yes (X) | |
| JOHN L HAHN MD | |||||||
| PHYSICIAN | 70.00 | $746,329 | $0 | $21,855 | Yes (X) | ||
| AMANDA G SHERMAN DO | |||||||
| PHYSICIAN | 70.00 | $169,231 | $0 | $8,618 | Yes (X) | ||
| BRENTON R HARMAN | |||||||
| PHARMACY MANAGER | 40.00 | $110,846 | $0 | $25,188 | Yes (X) | ||
| DAVID W BROSH | |||||||
| PHARMACIST | 40.00 | $108,894 | $0 | $24,808 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,401,201 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $111,024 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | 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/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| RELIABLE HEALTHCARE LLC | |||||
| 3120 UNIVERSITY AVENUE | MORGANTOWN | WV | 26505 | ER PHYSICIAN COVERAGE | $1,961,225 |
| MEDHOST | |||||
| 2739 MONUMENTUM PLACE | CHICAGO | IL | 60689 | IT SERVICES | $588,377 |
| PULMONARY ASSOCIATES INC | |||||
| 96 W MAIN | ROMNEY | WV | 26757 | RESPIRATORY THEARPY SERVICES | $455,551 |
| US MOBILE IMAGING | |||||
| PO BOX 800 | CUMBERLAND | MD | 21501 | MRI | $454,183 |
| RIDDLEBERGER BROTHERS INC | |||||
| PO BOX 27 | MT CRAWFORD | VA | 22841 | HEATING/REFRIGERATION REPAIRS | $436,583 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 18 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $10,224 | GovernmentGrantsAmt |
| All Other Contributions | $755 | AllOtherContributionsAmt |
| Total Contributions | $10,979 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $33,150,501 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $33,150,501 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $33,150,501 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $276,313 | TotalRevenueColumnAmt |
| Exclusion | $276,313 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $117,394 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $100,913 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $16,481 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,481 | TotalRevenueColumnAmt |
| Exclusion | $16,481 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $155,314 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$155,314 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$155,314 | TotalRevenueColumnAmt |
| Exclusion | -$155,314 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| OTHER OPERATING REVENUE | 900099 | $328,810 | $328,810 | |
| HOMECARE & HOSPICE | 621610 | $158,922 | $158,922 | |
| CAFETERIA | 722210 | $155,947 | $155,947 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $122,900 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $113,726 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $9,174 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $766,579 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $34,065,539 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $33,751,959 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $302,601 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $297,005 | TotalAmt |
| Management And General | $297,005 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,304,602 | TotalAmt |
| Program Services | $8,447,646 | ProgramServicesAmt |
| Management And General | $1,856,956 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $212,486 | TotalAmt |
| Program Services | $174,195 | ProgramServicesAmt |
| Management And General | $38,291 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,577,797 | TotalAmt |
| Program Services | $2,113,261 | ProgramServicesAmt |
| Management And General | $464,536 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $749,540 | TotalAmt |
| Program Services | $614,468 | ProgramServicesAmt |
| Management And General | $135,072 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $154,941 | TotalAmt |
| Management And General | $154,941 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,416 | TotalAmt |
| Management And General | $52,416 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,532 | TotalAmt |
| Management And General | $5,532 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,435,221 | TotalAmt |
| Program Services | $5,275,552 | ProgramServicesAmt |
| Management And General | $1,159,669 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,229 | TotalAmt |
| Program Services | $51,015 | ProgramServicesAmt |
| Management And General | $11,214 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $513,993 | TotalAmt |
| Program Services | $421,368 | ProgramServicesAmt |
| Management And General | $92,625 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $312,328 | TotalAmt |
| Program Services | $256,044 | ProgramServicesAmt |
| Management And General | $56,284 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $717,581 | TotalAmt |
| Program Services | $588,268 | ProgramServicesAmt |
| Management And General | $129,313 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,065 | TotalAmt |
| Program Services | $9,891 | ProgramServicesAmt |
| Management And General | $2,174 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,552 | TotalAmt |
| Program Services | $65,216 | ProgramServicesAmt |
| Management And General | $14,336 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,917 | TotalAmt |
| Program Services | $52,399 | ProgramServicesAmt |
| Management And General | $11,518 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,823,988 | TotalAmt |
| Program Services | $1,495,294 | ProgramServicesAmt |
| Management And General | $328,694 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $356,976 | TotalAmt |
| Program Services | $356,976 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $4,368,457 | $3,581,233 | $787,224 |
| BAD DEBT EXPENSE | $2,254,987 | $2,254,987 | |
| REPAIRS AND MAINTENANCE | $833,497 | $683,295 | $150,202 |
| LICENSES AND TAXES | $641,575 | $641,575 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $594,714 | TotalAmt |
| Program Services | $487,543 | ProgramServicesAmt |
| Management And General | $107,171 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,425,399 | TotalAmt |
| Program Services | $27,570,226 | ProgramServicesAmt |
| Management And General | $5,855,173 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,703 | BOYAmt |
| EOY | $69,254 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,965,110 | BOYAmt |
| EOY | $3,372,189 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,493,959 | BOYAmt |
| EOY | $5,368,303 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $883,463 | BOYAmt |
| EOY | $997,317 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $144,431 | BOYAmt |
| EOY | $120,851 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $29,285,454 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $20,800,069 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,758,192 | BOYAmt |
| EOY | $8,485,385 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,125,280 | BOYAmt |
| EOY | $3,517,643 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $112,242 | BOYAmt |
| EOY | $112,242 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $220,086 | BOYAmt |
| EOY | $355,000 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,741,466 | BOYAmt |
| EOY | $22,398,184 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,698,232 | BOYAmt |
| EOY | $2,583,537 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $229 | BOYAmt |
| EOY | $229 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,569,076 | BOYAmt |
| EOY | $1,183,498 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,035,262 | BOYAmt |
| EOY | $2,460,830 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,302,799 | BOYAmt |
| EOY | $6,228,094 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,438,667 | BOYAmt |
| EOY | $16,170,090 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,438,667 | BOYAmt |
| EOY | $16,170,090 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,741,466 | BOYAmt |
| EOY | $22,398,184 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $640,140 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $250,205 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$158,922 | 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) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| 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 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 | $5,532 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $5,532 | 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 | THE HOSPITAL PAYS DUES TO THE AMERICAN HOSPITAL ASSOCIATION, THE WV HOSPITAL ASSOCIATION AND THE AMERICAN HEALTH CARE ASSOCIATION. A PORTION OF THESE DUES ARE USED FOR LOBBYING ACTIVITIES BY THESE ASSOCIATIONS. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $70,684 | OtherCostOrOtherBasisAmt |
| Book Value | $70,684 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,129,242 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,337,937 | DepreciationAmt |
| Book Value | $3,791,305 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,041,921 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,462,132 | DepreciationAmt |
| Book Value | $4,579,789 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $43,607 | OtherCostOrOtherBasisAmt |
| Book Value | $43,607 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,485,385 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY | $250,000 |
| ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS | $2,210,830 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,460,830 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $32,002,748 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $250,205 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$2,254,987 | OtherRevenueAmt |
| Revenue Not Reported | -$2,004,782 | RevenueNotReportedAmt |
| Revenue Subtotal | $34,007,530 | RevenueSubtotalAmt |
| Other Revenues Not Included | $58,009 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $58,009 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $34,065,539 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $31,271,325 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $100,913 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $100,913 | ExpensesNotReportedAmt |
| Expenses Subtotal | $31,170,412 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $2,254,987 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $2,254,987 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $33,425,399 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE -2,254,987. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | RENTAL EXPENSES -100,913. PASS-THROUGH INCOME - HOMECARE AND HOSPICE 158,922. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 100,913. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 2,254,987. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 140.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $853,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $853,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02740 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,364,568 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,092,873 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $271,695 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00870 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,217,568 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,092,873 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,124,695 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03610 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $132,191 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $28,335 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $103,856 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00330 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $132,191 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $28,335 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $103,856 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00330 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,349,759 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,121,208 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,228,551 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03940 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,011,598 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $9,630,145 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $10,366,653 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$736,508 | 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 | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 GRANT MEMORIAL HOMECARE AND HOSPICE LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | PROVIDES HOME CARE AND HOSPICE SERVICES | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.33000 | OrgProfitOrOwnershipPct |
| Ofcr Etc Profit Or Ownership | 0.00000 | OfcrEtcProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.00000 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | GRANT MEMORIAL HOSPITAL | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 117 HOSPITAL LANE | AddressLine1 |
| City | PETERSBURG | City |
| State | WV | State |
| ZIP Code | 26847 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.GRANTMEMORIAL.COM | WebsiteAddressTxt |
| State License | 1036-4136 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | SNF/NF & PRIMARY CARE PHYSICIAN SERVICES | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRANT MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| 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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.GRANTMEMORIAL.COM/INDEX.PHP/RESOURCES | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | 0 | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 140.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| State Regulation | Yes (X) | StateRegulationInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Attached To Invoice | Yes (X) | AttachedToInvoiceInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| GRANT MEMORIAL HOSPITAL | PART V, SECTION B, LINE 3: THE HOSPITAL PERFORMED TELEPHONE SURVEYS TO RESIDENTS OF THE SERVICE AREAS. THE DATA FROM THE TELEPHONE SURVEYS WAS USED DURING THE COMMUNITY SUMMIT WITH COMMUNITY LEADERS AND OTHER CITIZENS THROUGHOUT THE COMMUNITY. THE COMMUNITY LEADERS INCLUDED PHYSICIANS, A SCHOOL PRINCIPAL, A COUNTY COMMISSIONER, A BANKER, A TEACHER, THE CEO OF THE LOCAL COMMUNITY HEALTH CENTER, BOARD MEMBERS AND HOSPITAL LEADERSHIP. THE DATA THAT RESULTED FROM THE COMMUNITY SUMMIT WAS THEN REVIEWED BY HOSPITAL LEADERSHIP TO DETERMINE THE NEEDS TO BE ADDRESSED. |
| GRANT MEMORIAL HOSPITAL | PART V, SECTION B, LINE 5D: THE HOSPITAL CONDUCTED A FORUM THAT PROVIDED THE RESULTS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. PERSONS WHO PARTICIPATED IN THE ASSESSMENTS WERE INVITED, AND THE FORUM WAS ALSO OPEN TO THE PUBLIC. |
| GRANT MEMORIAL HOSPITAL | PART V, SECTION B, LINE 7: IT IS UNDERSTOOD THAT IN ORDER TO BE THE MOST EFFECTIVE AND MAKE THE GREATEST IMPACT, THAT NOT ALL COMMUNITY NEEDS CAN BE ADDRESSED AT ONCE IN AN IMPLEMENTATION PLAN. IT IS IMPORTANT TO NOTE THAT WHILE THREE NEEDS WERE PRIORITIZED AND ADOPTED BY THE HOSPITAL FOR ITS IMPLEMENTATION PLAN, FOR THOSE NEEDS THAT THE HOSPITAL DID NOT MAKE A PRIORITY, WE CONTINUE TO WORK WITH COMMUNITY ORGANIZATIONS TO HELP ADDRESS THOSE NEEDS. THE NEEDS THAT ARE BEING ADDRESSED ARE AROUND INCREASING THE LIFESTYLE, WELLNESS, NUTRITION AND ACTIVTIES OF THE POPULATION, CREATING GREATER ACCESS TO CARE, AND DECREASING CHRONIC DISEASE. THE NEEDS THAT WERE IDENTIFIED THAT ARE NOT CURRENTLY BEING ADDRESSED ARE INCREASING EDUCATION TO HIGH SCHOOL STUDENTS ON LIFESTYLE AND TEEN PREGNANCY, DECREASING TOBACCO USE, DECREASE OF DIABETES THROUGHOUT THE COMMUNITY, AND DECREASE OF BEHAVIORAL HEALTH ISSUES (PRIMARILY DRUG ABUSE) THROUGHOUT THE COMMUNITY. IT IS THE HOSPITAL'S HOPE THAT BY ADEQUATELY ADDRESSING THE THREE PRIORITIZED NEEDS, THE OTHER NEEDS WILL BE INDIRECTLY IMPACTED AS WELL. |
| GRANT MEMORIAL HOSPITAL | PART V, SECTION B, LINE 14G: THE FINANCIAL ASSISTANCE POLICY IS ALSO PUBLISHED IN THE LOCAL NEWSPAPERS ON AN ANNUAL BASIS. |
| GRANT MEMORIAL HOSPITAL | PART V, SECTION B, LINE 20D: THE AMOUNT THAT CAN BE CHARGED TO FAP ELIGIBLE INDIVIDUALS IS BASED UPON AN AMOUNT THAT IS LOWER THAN THE DISCOUNT PROVIDED TO BLUE CROSS PATIENTS. IF THE HOSPITAL WOULD PROVIDE A HIGHER DISCOUNT PERCENTAGE, THEN THE HOSPITAL WOULD HAVE TO PROVIDE THE SAME DISCOUNT TO BLUE CROSS PATIENTS. |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | A COST-TO-CHARGE RATIO WAS DETERMINED BASED UPON MEDICARE PRINCIPLES OF REIMBURSEMENT. FOR MEDICAID INPATIENT AND OUTPATIENT REIMBURSEMENT, THE ACTUAL COSTS WERE DETERMINED BASED UPON THE MEDICAID COST REPORT. THE COST FOR FINANCIAL ASSISTANCE WAS ALSO COMPUTED BASED UPON ACTUAL COST-TO-CHARGE RATIOS FOR THE FINANCIAL ASSISTANCE PAYER CLASSIFICATION. ALL OTHER ESTIMATES WERE COMPUTED BASED UPON DIRECT COSTS AND ALLOCATED OVERHEAD COSTS DERIVED FROM THE MEDICARE COST REPORT. |
| 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 $ 2,254,987. |
| PART I, LINE 6A: | THE COMMUNITY BENEFIT REPORT IS PREPARED BY GRANT MEMORIAL HOSPITAL. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | TO ASSIST IN BUILDING THE COMMUNITY, THE HOSPITAL PROVIDES STAFFING TO TRAIN STUDENTS AT THE LOCAL COMMUNITY COLLEGE FOR STUDENTS ENTERING VARIOUS HEALTHCARE CAREERS. THE HOSPITAL ALSO PROVIDES EMS TRAINING TO AMBULANCE SQUADS AND OTHER HEALTHCARE PROFESSIONALS IN THE AREA. |
| PART III, LINE 2: | COSTS WERE ESTIMATED FROM COST-TO-CHARGE RATIOS AS DETERMINED BY THE MEDICARE COST REPORT. A DISCOUNT OF 5% WAS PROVIDED OFF THE TOP, WHICH IS THE HIGHEST LEVEL OF DISCOUNT THAT CAN BE PROVIDED WITHOUT AFFECTING THE DISCOUNT THAT IS PROVIDED TO PATIENTS WITH BLUE CROSS COVERAGE. BLUE CROSS IS THE HOSPITAL'S HIGHEST COMMERCIAL PAYER. ANY PAYMENTS THAT ARE RECEIVED, IF ANY, ARE SUBTRACTED FROM THE REMAINING BALANCE SO THAT THE BAD DEBT EXPENSE IS A NET NUMBER AFTER ALL DISCOUNTS AND PAYMENTS. AN EVALATION IS ALSO PERFORMED FOR THOSE PATIENTS WHO ARE UNDERINSURED (HIGH DEDUCTIBLE PLANS) TO DETERMINE IF THESE PATIENTS CAN QUALIFY FOR THE HOSPITAL'S FINANCIAL ASSISTANCE. |
| PART III, LINE 3: | THE HOSPITAL DOES NOT ESTIMATE BAD DEBT BECAUSE THE NUMBER WOULD BE IMMATERIAL DUE TO THE FINANCIAL ASSISTANCE POLICY. THE HOSPITAL'S EARLY-OUT AGENCY DOES PRESUMPTIVE CHARITY ESTIMATES, SO THERE ARE MANY CASES IN WHICH IT IS DETERMINED THAT THE PATIENT REALLY IS NOT ABLE TO PAY THAT ARE WRITTEN OFF TO FINANCIAL ASSISTANCE EVEN THOUGH THE PATIENT MAY NOT COMPLETELY FOLLOW THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.THE ESTIMATE WAS BASED UPON COST-TO-CHARGE RATIOS. THE HOSPITAL BELIEVES THIS IS A COMMUNITY BENEFIT BECAUSE THESE PATIENTS DO HAVE THE FINANCIAL RESOURCES TO PAY THE BILL, BUT FOR ONE REASON ELECT NOT TO PAY. THE HOSPITAL DOES NOT CHARGE INTEREST ON ACCOUNTS IN WHICH MONTHLY PAYMENTS ARE BEING MADE. IN ADDITION, THE PAYMENT PLANS THAT ARE IN EFFECT ARE VERY GENEROUS BECAUSE THERE ARE MANY ACCOUNTS THAT WILL TAKE SEVERAL YEARS TO PAY-OFF. IN ADDITION, DUE TO THE WAY THAT MEDICARE/MEDICAID REIMBURSEMENT IS DETERMINED, ANY GROSS REVENUE AMOUNTS THAT ARE NOT COLLECTED BY OTHER PAYERS WILL REDUCE THE AMOUNT OF MEDICARE/MEDICAID REIMBURSEMENT AS DETERMINED ON THE COST REPORT. DUE TO THE AFFORDABLE CARE ACT AND THE NUMBER OF HIGH DEDUCTIBLE PLANS BEING INSTITUTED BY COMPANIES TO REDUCE HEALTH INSURANCE COSTS, IT WILL BECOME EVEN MORE DIFFICULT TO GENERATE ENOUGH CASH COLLECTIONS TO CONTINUE TO PROVIDE MUCH NEEDED HEALTH SERVICES IN A RURAL AREA AT A LOSS. THE HOSPITAL PROVIDES MANY MUCH NEEDED SERVICES THAT ARE PROVIDED AT A LOSS OR FOR NO PAYMENT AT ALL. THE MAIN SERVICE THAT MEETS THIS CRITERIA IS THE EMERGENCY ROOM COVERAGE THAT IS PROVIDED 24/7. DUE TO THE DISTANCES FROM AREA HOSPITALS, IT IS EXTREMELY IMPORTANT THAT PATIENTS CAN RECEIVE EMERGENCY TREATMENT AND ONCE STABILIZED CAN BE TRANSPORTED TO OTHER HOSPITALS. |
| PART III, LINE 4: | PATIENT ACCOUNTS RECEIVABLE ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE BILLED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. |
| PART III, LINE 8: | THE COSTING METHODOLOGY WAS OBTAINED FROM THE MEDICARE COST REPORT WHICH IS BASED ON COST-TO-CHARGE RATIOS.AS WITH ANY BUSINESS, A HOSPITAL MUST GENERATE A PROFIT TO CONTINUE TO PROVIDE SERVICES TO THE RESIDENTS OF THE AREA IN WHICH THE HOSPITAL SERVES. THESE DISCOUNTS ARE DICTATED BY THE MEDICARE PROGRAM, AND DUE TO BUDGET CONSTRAINTS, THE MEDICARE PROGRAM HISTORICALLY HAS PROVIDED MOST OF THE PAYMENT REDUCTIONS ON HOSPITALS. THE HOSPITAL HAS NO CONTROL OVER REDUCTIONS, AND THE LARGEST CONSUMER OF HEALTH SERVICES ARE MEDICARE BENEFICIARIES. PRIOR TO 1966 WHEN THE MEDICARE PROGRAM WAS IMPLEMENTED, MANY ELDERLY PEOPLE WERE GOING WITHOUT CARE OR WERE RECEIVING A SUB-STANDARD OF CARE. IN ADDITION, THESE PATIENTS, DUE TO THEIR AGE, UTILIZE THE HIGHEST LEVEL OF RESOURCES THAT ARE PROVIDED TO THE HOSPITAL'S PATIENTS. THE HOSPITAL IS DESIGNATED BY THE MEDICARE/MEDICAID PROGRAMS AS A CRITICAL ACCESS HOSPITAL (CAH). WHEN THIS DESIGNATION WAS ESTABLISHED BY THE MEDICARE PROGRAM IN THE 1990S, THIS PROGRAM WAS DESIGNED TO PROVIDE SAFETY NET HOSPITALS THAT ARE LOCATED IN RURAL, ISOLATED AREAS THE ADDITIONAL REIMBURSEMENT THAT WILL ALLOW THEM TO REMAIN OPEN. HOWEVER, AGAIN DUE TO BUDGET CONSTRAINTS, THE MEDICARE PROGRAM HAS SIGNIFICANTLY REDUCED REIMBURSEMENT TO THESE SAFETY NET HOSPITALS. THE HOSPITAL MUST TAKE THE LEAD IN ENSURING THAT QUALITY HEALTHCARE SERVICES ARE BEING PROVIDED. THE HOSPITAL PARTICIPATES IN A PHYSICIAN RESIDENCY PROGRAM WHERE PHYSICIANS FROM VARIOUS MEDICAL SCHOOLS WILL DO RURAL ROTATIONS AT THE HOSPITAL. THE HOSPITAL ALSO SUPPORTS RN EDUCATION AT THE LOCAL COMMUNITY COLLEGE TO PROVIDE QUALIFIED RNS FOR THE AREA. THE HOSPITAL ENCOURAGES EMPLOYEES TO OBTAIN FACULTY POSITIONS FOR OTHER PROGRAMS AT THE LOCAL COMMUNITY COLLEGE, AND THE HOSPITAL IS ALWAYS WILLING TO ACCOMMODATE WORK SCHEDULES FOR EMPLOYEES THAT DO TEACH. OTHER TRAINING PROGRAMS THAT THE HOSPITAL PROVIDES ARE FOR RADIOLOGY STUDENTS. ALSO, DUE TO THE LIMITED RESOURCES IN THE COMMUNITY, THE HOSPITAL MUST ALSO TAKE THE LEAD IN RECRUITING PHYSICIANS TO THE AREA. DURING THE TAX YEAR 2013, THE HOSPITAL INCURRED APPROXIMATELY $50,000 IN RECRUITING NEW PHYSICIANS. WHILE THE HOSPITAL HAS BEEN SUCCESSFUL IN RECRUITING NEW PHYSICIANS FOR THE TAX YEAR 2014, THE HOSPITAL WAS NOT SUCCESSFUL FOR THE 2013 TAX YEAR. IN ADDITION, THESE COSTS ARE NOT REIMBURSABLE BY THE MEDICARE/MEDICAID PROGRAMS ON THEIR RESPECTIVE COST REPORTS. |
| PART III, LINE 9B: | IF IT IS DETERMINED THAT A PATIENT MAY QUALIFY FOR FINANCIAL ASSISTANCE, THE PATIENT IS ADVISED TO APPLY FOR MEDICAL ASSISTANCE. IF APPROVED FOR MEDICAL ASSISTANCE, THE PATIENT'S BILL WOULD BE PAID BY MEDICAL ASSISTANCE. IF THE PATIENT CANNOT QUALIFY FOR MEDICAL ASSISTANCE, HE OR SHE MUST COMPLETE THE HOSPITAL'S FINANCIAL ASSISTANCE APPLICATION. INCOME IS PRIMARILY USED TO DETERMINE ELIGIBILITY, BUT THE PATIENT'S ASSETS ARE ALSO CONSIDERED. THE PATIENT MUST PROVIDE DOCUMENTATION OF INCOME SUCH AS INCOME TAX RETURNS, W-2S, ETC. THE POVERTY INCOME GUIDELINES AS DEVELOPED BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) ARE USED TO DETERMINE ELIGIBILITY. IF A PERSON'S INCOME IS AT 140% OF THESE GUIDELINES, THE PATIENT WILL RECEIVE A 75% FINANCIAL ASSISTANCE WRITE-OFF, FROM 201% - 300% OF THE INCOME GUIDELINE WILL EARN A FINANCIAL ASSISTANCE WRITE-OFF, THE INCOME GUIDELINE WILL RECEIVE A 25% FINANCIAL ASSISTANCE DISCOUNT. ONCE A PATIENT IS DEEMED TO QUALIFY FOR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITIES WILL CEASE. IT IS POLICY THAT IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, THERE IS NO COLLECTION AGAINST THAT AMOUNT THAT THEY QUALIFY FOR. IN SPITE OF THE HOSPITAL'S COLLECTION POLICIES, PATIENTS ARE NOT DENIED TREATMENT. IN FACT, FOR PATIENTS WHO PRESENT THEMSELVES TO THE EMERGENCY ROOM FOR SERVICES, NO FINANCIAL INFORMATION IS REQUESTED UNTIL AFTER THE PATIENT HAS RECEIVED AN INITIAL MEDICAL EVALUATION FROM A TRIAGE NURSE. IF THE PATIENT DOES NOT HAVE INSURANCE OR MAKE PAYMENT, SERVICES ARE STILL PROVIDED TO THE PATIENT. THE SAME IS TRUE FOR PATIENTS THAT ARE ADMITTED TO THE HOSPITAL. |
| PART VI, LINE 2: | THE NEEDS ASSESSMENT MADE DURING THE 2012 TAX YEAR OBTAINED THE NEEDS OF THE COMMUNITY THROUGH TELEPHONE SURVEYS AND A COMMUNITY SUMMIT. THE COMMUNITY SUMMIT INCLUDED SPECIFIC COMMUNITY LEADERSHIP AS NOTED ABOVE, AS WELL AS OTHER CITIZENS. THE DATA GATHERED WAS REVIEWED BY THE BOARD OF DIRECTORS AND HOSPITAL LEADERSHIP TO DEVELOP THE IMPLEMENTATION PLAN TO ADDRESS NEEDS IDENTIFIED.IT IS ALSO BASED UPON WHAT RNS, SOCIAL WORKERS AND OTHER CLINICAL PERSONNEL SEE ON A DAILY BASIS IN THE PROVISION OF MEDICAL CARE. |
| PART VI, LINE 3: | WHENEVER A PATIENT PRESENTS THEMSELVES FOR SERVICE AND DOES NOT HAVE INSURANCE COVERAGE, THE HOSPITAL REQUESTS THAT A CHARITY CARE APPLICATION BE COMPLETED AND RETURNED TO THE HOSPITAL ALONG WITH ALL DOCUMENTATION NEEDED TO SUPPORT INCOME AMOUNTS THAT WILL BE USED TO DETERMINE IF AND HOW MUCH CHARITY ASSISTANCE THE PATIENT MAY QUALIFY. THE HOSPITAL USES THE CURRENT FEDERAL POVERTY GUIDELINES TO MAKE THIS DETERMINATION. IF THE PATIENT DOES QUALIFY FOR COMPLETE OR PARTIAL CHARITY ASSISTANCE, ALL COLLECTION ACTIVITIES CEASE ON THOSE AMOUNTS THAT HAVE BEEN DEEMED TO BE CHARITY. IF THE PATIENT IS RESPONSIBLE FOR A PORTION OF THE BALANCE, THE HOSPITAL DOES HAVE PAYMENT SCHEDULES TO ASSIST THE PATIENT IN MEETING HIS/HER FINANCIAL OBLIGATIONS. AT THE TIME THE CHARITY APPLICATION IS BEING PREPARED, THE HOSPITAL REQUIRES THAT THE PATIENT APPLY FOR MEDICAID COVERAGE AT THE LOCAL WELFARE OFFICE.IN CONNECTION WITH SERVICES PROVIDED IN THE HOSPITAL'S EMERGENCY ROOM, NO FINANCIAL INFORMATION IS OBTAINED UNTIL AFTER THE PATIENT HAS BEEN TRIAGED BY AN RN AND SEEN BY A PHYSICIAN. ACCORDING TO EMTALA, A FEDERAL LAW REGARDING TREATMENT IN EMERGENCY ROOMS, FINANCIAL INFORMATION COULD BE OBTAINED AFTER BEING TRIAGED BY AN RN. CONSEQUENTLY, THE HOSPITAL'S POLICY FOLLOWS A LESS RESTRICTIVE POLICY THAN IS MANDATED BY EMTALA. IN A TRUE EMERGENCY SITUATION, NO FINANCIAL INFORMATION IS REQUESTED UNTIL AFTER THE PATIENT HAS BEEN STABILIZED.THE HOSPITAL ALSO HAS AN ENROLLMENT SPECIALIST, WHO ON A DAILY BASIS, REVIEWS ADMISSIONS AND OUTPATIENT REGISTRATIONS FROM THE PRIOR DAY TO DETERMINE IF THEY CAN QUALIFY FOR FINANCIAL ASSISTANCE. AS PART OF THIS PROCESS, THE HOSPITAL ALSO MAKES THE DETERMINATION AS TO WHETHER THE PATIENT MAY QUALIFY FOR MEDICAID. BASED UPON THE INFORMATION THAT THE ENROLLMENT SPECIALIST OBTAINS, THE HOSPITAL CAN PRESUMPTIVELY APPROVE A PATIENT FOR MEDICAID COVERAGE THAT AT LEAST WILL COVER THAT STAY. REGISTRATION CLERKS DURING THE ADMISSION PROCESS WILL ALSO ADVISE THE PATIENT THAT FINANCIAL ASSISTANCE MAY BE AVAILABLE. ON AN ANNUAL BASIS, INFORMATION REGARDING THE HOSPITAL FINANCIAL ASSISTANCE POLICY AND THE PRELIMINARY COLLECTION POLICIES ARE ALSO PUBLISHED IN LOCAL NEWSPAPERS.TO FURTHER EDUCATE PATIENTS ABOUT FINANCIAL ASSISTANCE, THERE ARE SIGNS POSTED THROUGHOUT THE FACILITY; THE FINANCIAL ASSISTANCE POLICY IS ON THE HOSPITAL'S WEBSITE, AND A FINANCIAL COUNSELOR IS MADE AVAILABLE UPON REQUEST AND THROUGHOUT NORMAL BUSINESS HOURS. |
| PART VI, LINE 4: | THE HOSPITAL IS LOCATED IN THE POTOMAC HIGHLANDS IN THE MOUNTAINS OF THE EASTERN PANHANDLE OF WEST VIRGINIA. THE CLOSEST HOSPITALS ARE LOCATED APPROXIMATELY 1 1/2 HOURS AWAY DURING GOOD WEATHER. DURING THE WINTER, IT TYPICALLY WILL TAKE MUCH LONGER DEPENDING ON WEATHER CONDITIONS. THE HOSPITAL'S PRIMARY SERVICE AREA IS COMPOSED OF THE WEST VIRGINIA COUNTIES OF GRANT, HARDY AND PENDLETON. THE TOTAL POPULATION OF THE THREE COUNTIES COMBINED IS APPROXIMATELY 30,000. DUE TO THE DISTANCE FROM OTHER AREA HOSPITALS, THE HOSPITAL DOES PROVIDE OB SERVICES. DURING THIS TAX YEAR, THE HOSPITAL HAD APPROXIMATELY 240 DELIVERIES WITH THE VAST MAJORITY OF THESE PATIENTS BEING COVERED UNDER THE MEDICAID PROGRAM OR UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. THIS SERVICE DOES OPERATE AT A LOSS, BUT THE HOSPITAL BOARD BELIEVES THAT THIS SERVICE MUST BE PROVIDED EVEN AT A LOSS. IN ADDITION, DUE TO THE LACK OF MOBILITY OF THE ELDERLY AND THE FACT THAT FAMILY MEMBERS NO LONGER RESIDE IN THE COMMUNITY, THE ELDERLY POPULATION IS DEPENDENT UPON THE HOSPITAL FOR THE PROVISION OF HEALTHCARE SERVICES. THE HOSPITAL ALSO HAS TO COORDINATE CARE FOR ITS PATIENTS AS THEY MOVE THROUGH THE CONTINUUM OF CARE SUCH AS NURSING HOMES, PHYSICIANS, HOME HEALTH AND HOSPICE SERVICES.THE ECONOMY IS PRIMARILY AGRICULTURAL, HARDWOOD MANUFACTURING AND POULTRY PROCESSING. THE MAJOR EMPLOYERS ARE (POULTRY PROCESSING PLANTS) AND TWO HARDWOOD COMPANIES, THE VARIOUS BOARDS OF EDUCATION AND THE HOSPITAL. DURING THE LAST COUPLE OF YEARS THERE HAVE BEEN SIGNIFICANT REDUCTIONS IN STAFF AT BOTH HARDWOOD COMPANIES.SINCE THE HOSPITAL IS A POLITICAL SUB-DIVISION OF GRANT COUNTY, THE BOARD MEMBERS ARE APPOINTED BY THE GRANT COUNTY COMMISSION FOR ALL THREE COUNTIES. EACH OF THE BOARD MEMBERS LIVE IN EACH OF THE MAGISTERIAL DISTRICTS FOR EACH OF THE THREE COUNTIES. A FEW YEARS AGO, IT WAS DECIDED THAT BOARD REPRESENTATION SHOULD INCLUDE HARDY AND PENDLETON COUNTIES AS WELL AS GRANT COUNTY. UNDER WEST VIRGINIA LAW, THE COMPOSITION OF THE BOARD MUST REPRESENT A BROAD SECTION OF THE HOSPITAL'S SERVICE AREA. AS A RESULT, OCCUPATIONS OF THE BOARD MEMBERS ARE BANKERS, LAWYERS, EDUCATORS, SMALL BUSINESS AND UNION MEMBERS. |
| PART VI, LINE 5: | MEMBERSHIP TO THE MEDICAL STAFF IS OPEN TO ANY PROVIDER WHO POSSESSES THE APPROPRIATE QUALIFICATIONS TO PROVIDE HEALTHCARE SERVICES TO THE COMMUNITY. THE HOSPITAL PERFORMS BACKGROUND CHECKS ON EDUCATION, STATE LICENSES, EXPERIENCE, ANY ACTIONS WHERE THE PHYSICIAN MAY HAVE BEEN REPORTED TO THE NATIONAL DATA BANK, POTENTIAL LITIGATION AND CRIMINAL ISSUES. IF THESE COME BACK FAVORABLE TO THE PHYSICIAN, THE PROSPECTIVE MEMBER IS INTERVIEWED BY THE CHIEF OF STAFF. BASED UPON THIS PROCESS, THE CHIEF OF STAFF WILL MAKE A RECOMMENDATION TO EITHER ACCEPT OR REJECT THE PROSPECTIVE MEMBER TO THE MEDICAL STAFF. IF THE RECOMMENDATION IS TO ACCEPT THE PROSPECTIVE MEMBER, THE MEDICAL STAFF WILL HOLD A FORMAL VOTE ON WHETHER TO ACCEPT OR REJECT THE PHYSICIAN. IF THE MEDICAL STAFF APPROVES THE PHYSICIAN FOR MEMBERSHIP TO THE MEDICAL STAFF, THIS IS THEN TAKEN TO THE BOARD OF TRUSTEES FOR A VOTE. THE CURRENT MEDICAL STAFF HAS A VERY DIVERSE BACKGROUND IN THAT THERE ARE BOTH MEN AND WOMEN ON THE MEDICAL STAFF AS WELL AS MEMBERS WHO WERE BORN IN FOREIGN COUNTRIES SUCH AS INDIA, SOUTH KOREA, THE DOMINICAN REPUBLIC AS WELL AS THE UNITED STATES. THE HOSPITAL HAS RECRUITED NEW PHYSICIANS DURING THE LAST COUPLE OF YEARS, AND THIS TREND HAS CONTINUED. SINCE THE HOSPITAL IS A POLITICAL SUB-DIVISION OF GRANT COUNTY, THE GRANT COUNTY COMMISSION APPOINTS MEMBERS TO THE BOARD. A FEW YEARS AGO, IT WAS DECIDED THAT THERE SHOULD BE BOARD REPRESENTATION FROM HARDY AND PENDLETON COUNTIES AS WELL AS GRANT COUNTY. UNDER WEST VIRGINIA LAW, THE COMPOSITION OF THE BOARD MUST REPRESENT A BROAD SECTION OF THE HOSPITAL'S SERVICE AREA. CONSEQUENTLY, OCCUPATIONS OF THE BOARD MEMBERS ARE BANKERS, LAWYERS, EDUCATORS, OWNERS OF SMALL BUSINESS, RETIRED CITIZENS AND UNION MEMBERS. |
| PART VI, LINE 6: | ALTHOUGH NOT ACTUALLY OWNED BY VALLEY HEALTH SYSTEM LOCATED IN WINCHESTER, VIRGINIA, AS PART OF BECOMING CERTIFIED AS A CAH, THERE IS A FORMAL NETWORK BETWEEN THE TWO HOSPITALS. THE VAST MAJORITY OF THE MEDICAL SERVICES THAT CANNOT BE PROVIDED BY THE HOSPITAL ARE TRANSFERRED TO VALLEY HEALTH SYSTEM. OTHER HOSPITALS IN WHICH PATIENTS ARE TRANSFERRED TO ARE WEST VIRGINIA UNIVERSITY LOCATED IN MORGANTOWN, WEST VIRGINIA; SENTARA MEDICAL CENTER LOCATED IN HARRISONBURG, VIRGINIA; AND THE UNIVERSITY OF VIRGINIA MEDICAL CENTER LOCATED IN CHARLOTTESVILLE, VIRGINIA. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | WV |
| PART VI | BASED ON THE INPUT FROM THE COMMUNITY SUMMIT, GRANT MEMORIAL HOSPITAL HAS SELECTED THREE GOALS AND WILL IMPLEMENT ACTION PLANS FOR THESE IDENTIFIEID GOALS OVER THE NEXT FEW MONTHS. THE HOSPITAL WILL MONITOR PROGRESS THROUGH THE HOSPITAL'S STRATEGIC PLANNING COMMITTEE AND WILL ANNUALLY REPORT THE PROGRESS TO THEIR BOARD OF TRUSTEES AND THE COMMUNITY.LIFESTYLE/WELLNESS/NUTRITION/ACTIVITY:GOAL 1: INCREASE AND ENCOURAGE HEALTHY NUTRITION HABITS.ACTION: ENCOURAGE HEALTHY FOOD OPTIONS AND HEALTH EDUCATION REGARDING HOW TO MAKE HEALTHIER CHOICES BY:A) OFFERING HEALTHY CHOICES IN THE HOSPITAL CAFETERIA FOR EMPLOYEES/GUESTS WITH ADVERTISED CALORIES/CARDS/FAT CONTENTS OF FOOD ITEMSB) PROVIDING QUARTERLY NUTRITION EDUCATION OPPORTUNITIES FOR THE COMMUNITY VIA CLASSROOM, WEBSITE, ORGANIZATIONAL MEETINGS AND/OR HEALTH FAIRSC) OFFER COLLABORATION WITH HOSPITAL REGISTERED DIETICIAN WITH LOCAL SCHOOL BOARDS FOR CONSULTATION OF SCHOOL MENU CHOICES.D) TO PROVIDE WEIGHTWATCHER CLASSES TO EMPLOYEES AT NO COST.ACCESS TO CARE:GOAL 2: DECREASE EMERGENCY DEPARTMENT USE FOR NON-EMERGENCY NEEDS.ACTION: PROVIDE ALTERNATIVE CHOICE FOR NON-EMERGENT CARE BY:A) COLLABORATING WITH EA HAWSE HEALTH CENTER TO ENSURE MID-LEVEL PROVIDERS REMAIN IN THE SCHOOL BASED CLINICS FOR NON-URGENT NEEDS.B) RECRUIT/RETAIN FAMILY PRACTICE/INTERNAL MEDICINE PROVIDERS OVER NEXT 12 MONTHSC) PROMOTE THE HOSPITAL'S HOSPITALIST PROGRAM FOR LOCAL PROVIDERS TO CONTACT AND DIRECT ADMIT THROUGH THIS PROGRAM INSTEAD OF SENDING PATIENTS TO THE EMERGENCY DEPARTMENT.CHRONIC DISEASEGOAL 3: IDENTIFY TWO CHRONIC DISEASE MANAGEMENT PROGRAMS TO IMPLEMENT BY JANUARY 2014.ACTION: PROVIDE EDUCATION AND MANAGEMENT RESOURCES OF IDENTIFIED CHRONIC DISEASE BY:A) OFFERING QUARTERLY EDUCATION FOR MANAGEMENT OF CHRONIC DISEASE TO THE COMMUNITY VIA CLASSROOM, WEBSITE, ORGANIZATIONAL MEETINGS, SUPPORT GROUPS, AND/OR HEALTH FAIRSB) COLLABORATING WITH LOCAL HOME HEALTH AGENCIES/HEALTH DEPARTMENTS FOR POST-HOSPITAL MANAGEMENT OF PATIENTS WITH IDENTIFIED CHRONIC DISEASESC) INCLUDE EXPANDED EDUCATION SERVICES AT BLOOD SCREENING CLINICS/FAIRS WITH B/P CHECKS, SUPPORT GROUP INFORMATION, AND OTHER APPLICABLE RESOURCES. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| 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 | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOE A BARNES | ||||||||||||||
| CHIEF FINANCIAL OFFICER, TREASURER | $120,000 | $0 | $5,107 | $0 | $0 | $0 | $3,600 | $0 | $21,567 | $0 | $150,274 | $0 | $0 | $0 |
| JOHN L HAHN MD | ||||||||||||||
| PHYSICIAN | $319,306 | $0 | $427,023 | $0 | $0 | $0 | $0 | $0 | $21,855 | $0 | $768,184 | $0 | $0 | $0 |
| AMANDA G SHERMAN DO | ||||||||||||||
| PHYSICIAN | $169,231 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $8,618 | $0 | $177,849 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 6 | COMPENSATION FOR DR. HAHN (OB/GYN) IS BASED UPON NET EARNINGS. DR. HAHN IS AN INNOVATOR IN THE PROFESSION OF OB, NORMAL DELIVERIES. HE DEVELOPED THE CATHETER, FOR WHICH HE HAS A PATENT, THAT IS USED IN ADMINISTERING EPIDURALS. CONSEQUENTLY, GRANT MEMORIAL HOSPITAL WAS PROVIDING EPIDURALS TO WOMEN WHO WERE IN LABOR PRIOR TO WHEN IT BECAME A STANDARD PRACTICE THROUGHOUT THE UNITED STATES. DUE TO HIS REPUTATION, A BOOK AND DOCUMENTARY ARE BEING PRODUCED ABOUT HIS CLINICAL ACHIEVEMENTS IN PROVIDING OB/GYN PHYSICIAN SERVICES. HE HAS BEEN IN PRACTICE AT GRANT MEMORIAL HOSPITAL FOR OVER 25 YEARS. WITH THE EXCEPTION OF ONE WEEK DURING THE YEAR, HE IS ALWAYS ON CALL. IN A SUBURBAN AREA, THE AVERAGE NUMBER OF DELIVERIES PER YEAR BY AN OBSTETRICIAN IS BETWEEN 250-300. DR. HAHN AVERAGES BETWEEN 225-250 DELIVERIES WITH THE VAST MAJORITY OF THESE BEING MEDICAID OR UNINSURED PATIENTS. ALSO THE HOSPITAL SEES ABOUT 49 TEEN BIRTH RATES PER 1,000, WHILE THE NATIONAL AVERAGE IS 21. THE HOSPITAL COMPENSATES DR. HAHN FOR THE SERVICES HE PROVIDES FOR THE HOSPITAL AND TO THE COMMUNITY. OVERALL, HIS COMPENSATION COMPARES TO NATIONAL AVERAGES TAKING INTO CONSIDERATION THAT IT IS DIFFICULT TO RECRUIT OB/GYN PHYSICIANS TO A RURAL AREA, YEARS OF EXPERIENCE, PATENTS THAT HAVE BEEN RECEIVED IN IMPROVING PATIENT CARE AND THE AMOUNT OF CALL PROVIDED BY THE PHYSICIAN. |
| PART I, LINE 7 | THE CHIEF FINANCIAL OFFICER'S BONUS IS DETERMINED BY THE CHIEF EXECUTIVE OFFICER AND THE AMOUNT OF THE BONUS MAY VARY EACH YEAR. THE BONUS IS NOT BASED ON THE HOSPITAL'S PROFITABILITY. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 2 | THE MOST IMPORTANT SHORT-TERM NEEDS FOR BOTH THE HOSPITAL AND THE AREA ARE TO OBTAIN A GENERAL SURGEON AND PHYSICIANS IN INTERNAL MEDICINE, FAMILY PRACTICE AND PEDIATRICS. A NEW OBSTETRICIAN BEGAN PRACTICE IN SEPTEMBER 2014 AND AN INTERNAL MEDICINE PHYSICIAN WILL BEGIN PRACTICING NEXT YEAR. CONSEQUENTLY, OVER THE NEXT YEAR THE FOCUS WILL BE ON RECRUITING A GENERAL SURGEON AND A PEDIATRICIAN. HOSPITALISTS ARE INTERNAL MEDICINE PHYSICIANS WHO TREAT PATIENTS WHILE THEY ARE IN THE HOSPITAL. IN MANY CASES, THE HOSPITALISTS ARE NOT THESE PATIENTS' PRIMARY CARE PHYSICIANS. WHENEVER ANY OTHER MEMBER OF THE MEDICAL STAFF WOULD HAVE A PATIENT THAT WOULD NEED TO BE ADMITTED AS AN INPATIENT, THAT PHYSICIAN HAS THE OPTION TO FOLLOW AND TREAT THE PATIENT WHILE THEY ARE AN INPATIENT OR THEY COULD REFER THEM TO ONE OF THE HOSPITALISTS. ONCE THE PATIENT IS DISCHARGED, THE PATIENT WOULD BE TREATED BY THEIR REGULAR PRIMARY CARE PHYSICIAN. THE HOSPITALIST WOULD ALSO CARE FOR UNASSIGNED PATIENTS (THOSE PATIENTS WHO DON'T HAVE AN AREA PRIMARY CARE PHYSICIAN) WHEN THESE PATIENTS WOULD REQUIRE INPATIENT TREATMENT. THIS IS A HUGE BENEFIT FOR THE OTHER PRIMARY CARE PHYSICIANS BECAUSE THEY DO NOT HAVE TO TAKE CALL. ALSO, IT WILL BE A BIG INCENTIVE IN RECRUITING NEW PHYSICIANS TO THE AREA BECAUSE THEY WOULD ONLY BE REQUIRED TO HAVE AN OFFICE PRACTICE (40 HOUR WORK WEEK). THE HOSPITAL IS ESSENTIALLY PAYING FOR "CALL." THE HOSPITALISTS DO THEIR OWN BILLING. THE HOSPITAL IS UNABLE TO BILL ANYONE FOR THIS CALL. THE BENEFIT TO THE HOSPITAL IS THAT IT HAS REDUCED THE NUMBER OF TRANSFERS TO OTHER HOSPITALS AND HAS INCREASED THE HOSPITAL'S AVERAGE DAILY CENSUS. |
| FORM 990, PART III, LINE 3 | THE ORGANIZATION NO LONGER PROVIDES OUTPATIENT CLINICAL SERVICES TO VETERANS THROUGH THE VETERANS ADMINISTRATION (VA) BECAUSE THE CONTRACT WAS NOT RENEWED BY THE VA. |
| FORM 990, PART VI, SECTION A, LINE 1 | THE EXECUTIVE COMMITTEE CONSISTS OF THE CHAIRPERSON, VICE-CHAIRPERSON, TWO OTHER MEMBERS OF THE BOARD, THE CEO, CFO AND CHIEF OF STAFF. DURING INTERVALS BETWEEN BOARD MEETINGS, THE EXECUTIVE COMMITTEE MAY ACT IN THE NAME, AND WITH THE FULL POWER, OF THE BOARD PROVIDED THAT ANY SUCH ACTION SHALL NOT CONFLICT WITH THE POLICIES OF THE BOARD OF TRUSTEES. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE HOSPITAL HAS A DUAL CERTIFICATION IN THAT IT IS A POLITICAL SUB-DIVISION OF GRANT COUNTY. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE GRANT COUNTY COMMISSION APPOINTS MEMBERS TO THE BOARD WHO RESIDE IN GRANT, HARDY AND PENDLETON COUNTIES. THE HOSPITAL IS A POLITICAL SUB-DIVISION OR COMPONENT UNIT OF GRANT COUNTY (COUNTY HOSPITAL). |
| FORM 990, PART VI, SECTION B, LINE 11 | THE TAX RETURN WILL BE REVIEWED BY MANAGEMENT AND IS GIVEN TO EVERY MEMBER OF THE BOARD PRIOR TO ISSUANCE. |
| FORM 990, PART VI, SECTION B, LINE 12C | TRUSTEES AND ADMINISTRATION OFFICIALS SHALL BE REQUIRED TO COMPLETE A WRITTEN CONFLICT OF INTEREST STATEMENT ANNUALLY WHICH SHALL DISCLOSE THE EXTENT OF FINANCIAL DEALINGS WITH THE ORGANIZATION BY ALL BUSINESSES OR OTHER ORGANIZATIONS IN WHICH THEY, OR MEMBERS OF THEIR IMMEDIATE FAMILIES, HAVE A BENEFICIAL INTEREST. A BENEFICIAL INTEREST WITH AN ORGANIZATION WILL BE CONSIDERED TO EXIST WHEN A TRUSTEE OR ADMINISTRATION OFFICIAL OR A MEMBER OF HIS/HER IMMEDIATE FAMILY IS AN OFFICER, DIRECTOR, TRUSTEE, PARTNER, EMPLOYEE OR AGENT OF THE ORGANIZATION, OR OWNS FIVE PERCENT OF THE VOTING STOCK OR CONTROLLING INTEREST IN THAT ORGANIZATION, OR HAS ANY OTHER SUBSTANTIAL INTEREST OR DEALINGS WITH THE ORGANIZATION. AT SUCH TIME, IF ANY MATTER SHOULD COME BEFORE THE BOARD OF TRUSTEES IN SUCH A WAY AS TO GIVE RISE TO A CONFLICT OF INTEREST, THE AFFECTED MEMBER OF THE BOARD SHALL MAKE KNOWN THE POTENTIAL CONFLICT AND, IF ADVISABLE, WITHDRAW FROM THE MEETING FOR SO LONG AS THE MATTER SHALL CONTINUE UNDER DISCUSSION. SHOULD THE MATTER BE BROUGHT TO VOTE, THE AFFECTED MEMBER SHALL NOT VOTE, NOR BE COUNTED IN ESTABLISHING A QUORUM FOR THE VOTE ON THAT MATTER. PROCEEDINGS RELATED TO THE CONFLICT OF INTEREST MATTERS BEFORE THE BOARD OF TRUSTEES SHALL BE DOCUMENTED IN THE MINUTES OF THAT MEETING. EVERY JANUARY, THE CEO AND CHAIRMAN ENSURE THE CONFLICT OF INTEREST FORMS ARE COMPLETED. THEY REVIEW THE FORMS TO IDENTIFY ANY INSTANCES THEY CAN FORESEE AND DISCUSS THEM WITH THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 15 | EVERY YEAR A SURVEY IS CONDUCTED THROUGH THE STATE ON AVERAGE SALARIES FOR OFFICERS OF THE ORGANIZATION. THIS ENSURES THE HOSPITAL IS PAYING NO MORE THAN FAIR MARKET VALUE FOR OFFICER COMPENSATION. AFTERWARDS, THE COMPENSATION AVERAGES ARE GIVEN TO THE EXECUTIVE COMMITTEE AND THE COMMITTEE HAS FINAL SAY ON THE ACTUAL COMPENSATION FOR EACH OFFICER OF THE HOSPITAL. THE COMPENSATION PROCESS IS DOCUMENTED IN THE COMMITTEE MINUTES. |
| FORM 990, PART VI, SECTION C, LINE 18 | THE TAX RETURN IS SUBMITTED TO THE WEST VIRGINIA HEALTHCARE AUTHORITY UNDER THE STATE OF WEST VIRGINIA'S FINANCIAL DISCLOSURE STATUTE. |
| FORM 990, PART VI, SECTION C, LINE 19 | IT IS REQUIRED BY WEST VIRGINIA LAW THAT ALL HOSPITALS FILE FINANCIAL STATEMENTS, MEDICARE/MEDICAID COST REPORTS, TAX RETURNS AND OTHER FINANCIAL INFORMATION TO THE WEST VIRGINIA HEALTH CARE AUTHORITY. IN ADDITION, FINANCIAL STATEMENTS ARE ALSO REQUIRED TO BE PUBLISHED IN LOCAL NEWSPAPERS. INFORMATION SUBMITTED TO THE WEST VIRGINIA HEALTH CARE AUTHORITY MAY BE OBTAINED UNDER THE FREEDOM OF INFORMATION ACT. THE GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY WILL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,686,219. MANAGEMENT AND GENERAL EXPENSES 590,483. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,276,702. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,587,714. MANAGEMENT AND GENERAL EXPENSES 568,830. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,156,544. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 1,619. MANAGEMENT AND GENERAL EXPENSES 356. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,975. |
| FORM 990, PART XI, LINE 9: | PASS-THROUGH INCOME - HOMECARE AND HOSPICE -158,922. |
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