BATH COUNTY COMMUNITY HOSPITAL: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- BATH COUNTY COMMUNITY HOSPITAL (EIN 54-0505913)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-11
- IRS object ID
- 201543159349300434
- Schema version
- 2014v5.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-11-11T09:07:15-06:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 540504608 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BROWN EDWARDS & COMPANY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 124 NEWMAN AVENUE | AddressLine1Txt |
| City | HARRISONBURG | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 540505913 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BATH COMMUNITY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BATH | BusinessNameControlTxt |
| Phone | 5408397000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | POST OFFICE DRAWER Z | AddressLine1Txt |
| City | HOT SPRINGS | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24445 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PETER FARAONE | PersonNm |
| Person Title | CHAIRMAN | PersonTitleTxt |
| Phone | 5408397000 | PhoneNum |
| Signature | 2015-11-03 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JAMES R FRIES | PreparerPersonNm |
| PTIN | P01320612 | PTIN |
| Phone | 5404346736 | PhoneNum |
| Preparation | 2015-11-03 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-04-25 22:37:26Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PETER FARAONE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | POST OFFICE DRAWER Z | AddressLine1Txt |
| City | HOT SPRINGS | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24445 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $19,873,211 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BATHHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1925 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | BATH COMMUNITY HOSPITAL ACCEPTS PRIMARY RESPONSIBILITY FOR IMPROVING THE HEALTH OF OUR AREA BY PROVIDING HIGH QUALITY, COMPASSIONATE, AND AFFORDABLE HEALTH CARE TO OUR REGION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 179 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,038,898 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,928,138 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $13,248,258 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $15,480,007 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,405,184 | PYInvestmentIncomeAmt |
| CY Investment Income | $33,745 | CYInvestmentIncomeAmt |
| PY Other Revenue | $398,161 | PYOtherRevenueAmt |
| CY Other Revenue | $416,228 | CYOtherRevenueAmt |
| PY Total Revenue | $19,090,501 | PYTotalRevenueAmt |
| CY Total Revenue | $19,858,118 | 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 | $8,757,511 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $10,716,321 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,534,017 | PYOtherExpensesAmt |
| CY Other Expenses | $10,494,068 | CYOtherExpensesAmt |
| PY Total Expenses | $16,291,528 | PYTotalExpensesAmt |
| CY Total Expenses | $21,210,389 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,798,973 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,352,271 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $14,474,366 | TotalAssetsBOYAmt |
| Total Assets EOY | $26,854,809 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,884,147 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $19,006,926 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $12,590,219 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $7,847,883 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO TAKE PRIMARY RESPONSIBILITY FOR IMPROVING THE HEALTH OF OUR AREA BY PROVIDING HIGH QUALITY, COMPASSIONATE AND AFFORDABLE HEALTH CARE TO OUR REGION. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $16,604,866 | ExpenseAmt |
| Revenue | $15,534,724 | RevenueAmt |
| Desc | BATH COMMUNITY HOSPITAL OPERATES A 25-BED CRITICAL ACCESS HOSPITAL, TWENTY-FOUR HOUR EMERGENCY SERVICES, PRIMARY CARE, AS WELL AS A SELECT RANGE OF DIAGNOSTIC SERVICES, REHABILITATIVE SERVICES AND SPECIALTY CLINICS. | Desc |
| Total Program Service Expenses | $16,604,866 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | 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 | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | 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 | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | 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 | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 70 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 179 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | 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 | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | 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 | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5408397000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 106 PARK DR | AddressLine1Txt |
| City | HOT SPRINGS | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24445 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| AMORY MELLEN | ||||||||
| DIRECTOR | 1.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| WILEY KLING | ||||||||
| DIRECTOR | 1.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| WILLIAM BRATTON | ||||||||
| DIRECTOR | 1.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL BOST | ||||||||
| DIRECTOR, PHYSICIAN | 47.00 | 0.50 | Yes (X) | $177,838 | $0 | $56,142 | ||
| RUTH RODGERS | ||||||||
| DIRECTOR | 1.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| GEORGE PHILLIPS | ||||||||
| DIRECTOR | 1.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| TRACY PHILLIPS | ||||||||
| DIRECTOR | 1.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| DON KILLOREN | ||||||||
| CO-CHAIRMAN | 1.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| PETER FARAONE | ||||||||
| DIRECTOR | 1.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| DAVID TROAST | ||||||||
| CHAIRMAN, CO-CHAIRMAN | 1.00 | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| HENLEY CARTER | ||||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| JAMES REDINGTON | ||||||||
| CHIEF MEDICAL OFFICER | 40.00 | 0.50 | Yes (X) | $169,122 | $0 | $277,555 | Yes (X) | |
| JASON PARET | ||||||||
| PRESIDENT AND CEO, TREAS, SEC | 40.00 | 0.50 | Yes (X) | $207,234 | $0 | $422,964 | Yes (X) | |
| SARAH MCWILLIAMS | ||||||||
| VICE CHAIRMAN | 1.00 | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| KATHY LANDRETH | ||||||||
| ACTING CEO | 40.00 | $25,781 | $0 | $2,865 | Yes (X) | |||
| GREG GUTMEIR | ||||||||
| CFO, TREASURER | 40.00 | $93,162 | $0 | $7,024 | Yes (X) | |||
| KYNA MOORE | ||||||||
| DIRECTOR OF NURSING | 40.00 | $128,658 | $0 | $20,312 | Yes (X) | |||
| STEVEN CURTIAN | ||||||||
| PT & WELLNESS DIRECTOR | 40.00 | $101,374 | $0 | $12,556 | Yes (X) | |||
| JEFFREY MCCRAY | ||||||||
| PHYSICIAN | 47.00 | $180,883 | $0 | $43,255 | Yes (X) | |||
| WILLIAM PEARSON | ||||||||
| PHARMACIST | 40.00 | $142,651 | $0 | $19,672 | Yes (X) | |||
| LEVI RIZK | ||||||||
| PHYSICIAN | 40.00 | $180,537 | $0 | $19,852 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,407,240 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $882,197 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | 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/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| NIELSEN BUILDERS INC | |||||
| 3588 EARLY RD | HARRISONBURG | VA | 24059 | BUILDERS FOR HOSPITAL REMODEL | $6,459,213 |
| CPSI | |||||
| PO BOX 850309 | MOBILE | AL | 36685 | COMPUTER AND BILLING SERVICES | $766,833 |
| THE ERX GROUP LLC | |||||
| 9724 KINGSTON PIKE STE 406 | KNOXVILLE | TN | 37922 | ER CONTRACT DOCTORS | $465,679 |
| HOSPICE DESIGN RESOURCE PLLC | |||||
| 10229 SUGAR CAMP CREEK RD | BENT MTN | VA | 24059 | ARCHITECT FOR REMODEL | $338,340 |
| DURRETTECRUMP PLC | |||||
| 1111 E MAIN ST | RICHMOND | VA | 23219 | ATTORNEY | $280,119 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 10 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $68,901 | RelatedOrganizationsAmt |
| Government Grants | $29,134 | GovernmentGrantsAmt |
| All Other Contributions | $3,830,103 | AllOtherContributionsAmt |
| Total Contributions | $3,928,138 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| OTHER PROFESSIONAL SERVICES | 621300 | $14,217,067 | $14,217,067 |
| OTHER NURSING SERVICES | 621300 | $4,860,932 | $4,860,932 |
| DAILY PATIENT SERVICES | 621300 | $2,343,190 | $2,343,190 |
| CHARITY CARE | 621300 | -$721,815 | -$721,815 |
| CONTRACTUAL ADJUSTMENTS | 621300 | -$5,219,367 | -$5,219,367 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $15,480,007 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $40,659 | TotalRevenueColumnAmt |
| Exclusion | $40,659 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $40,278 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $8,179 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $32,099 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $32,099 | TotalRevenueColumnAmt |
| Exclusion | $32,099 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $6,914 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$6,914 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$6,914 | TotalRevenueColumnAmt |
| Exclusion | -$6,914 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| GAIN ON CONSOLIDATION OF PHARMACY | 621300 | $329,412 | $329,412 | |
| MEANINGFUL USE REIMBURSEMENT | 621300 | $25,735 | $25,735 | |
| MISC CAFETERIA AND DIETARY REVENU | 621300 | $19,691 | $19,691 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,291 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,291 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $384,129 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,858,118 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $15,534,724 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $395,256 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,439,686 | TotalAmt |
| Program Services | $680,657 | ProgramServicesAmt |
| Management And General | $759,029 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,456,320 | TotalAmt |
| Program Services | $6,324,493 | ProgramServicesAmt |
| Management And General | $1,131,827 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $233,840 | TotalAmt |
| Program Services | $189,781 | ProgramServicesAmt |
| Management And General | $44,059 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,052,320 | TotalAmt |
| Program Services | $854,046 | ProgramServicesAmt |
| Management And General | $198,274 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $534,155 | TotalAmt |
| Program Services | $433,512 | ProgramServicesAmt |
| Management And General | $100,643 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $688,747 | TotalAmt |
| Management And General | $688,747 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,948 | TotalAmt |
| Management And General | $46,948 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,992 | TotalAmt |
| Management And General | $19,992 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,025,598 | TotalAmt |
| Program Services | $1,429,361 | ProgramServicesAmt |
| Management And General | $596,237 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,214 | TotalAmt |
| Program Services | $11,931 | ProgramServicesAmt |
| Management And General | $73,283 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $138,733 | TotalAmt |
| Program Services | $121,419 | ProgramServicesAmt |
| Management And General | $17,314 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,576 | TotalAmt |
| Program Services | $48,451 | ProgramServicesAmt |
| Management And General | $50,125 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $350,127 | TotalAmt |
| Program Services | $345,234 | ProgramServicesAmt |
| Management And General | $4,893 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,855 | TotalAmt |
| Program Services | $36,704 | ProgramServicesAmt |
| Management And General | $8,151 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $838,730 | TotalAmt |
| Program Services | $838,730 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $198,595 | TotalAmt |
| Program Services | $13,033 | ProgramServicesAmt |
| Management And General | $185,562 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $2,737,396 | $2,722,662 | $14,734 |
| PROVISION FOR BAD DEBTS | $1,752,939 | $1,752,939 | |
| EQUIPMENT RENTAL & MAIN | $608,900 | $504,146 | $104,754 |
| EDUCATION AND RELATED | $153,829 | $120,893 | $32,936 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $704,889 | TotalAmt |
| Program Services | $176,874 | ProgramServicesAmt |
| Management And General | $528,015 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,210,389 | TotalAmt |
| Program Services | $16,604,866 | ProgramServicesAmt |
| Management And General | $4,605,523 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,168,817 | BOYAmt |
| EOY | $1,899,252 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,652 | BOYAmt |
| EOY | $4,533,143 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,640,882 | BOYAmt |
| EOY | $1,931,231 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $364,707 | BOYAmt |
| EOY | $347,152 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $297,320 | BOYAmt |
| EOY | $527,363 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $202,769 | BOYAmt |
| EOY | $493,454 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $26,036,051 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $9,692,719 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,432,954 | BOYAmt |
| EOY | $16,343,332 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $205,143 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $587,388 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $154,122 | BOYAmt |
| EOY | $192,494 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,474,366 | BOYAmt |
| EOY | $26,854,809 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,884,147 | BOYAmt |
| EOY | $2,851,576 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $16,155,350 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,884,147 | BOYAmt |
| EOY | $19,006,926 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,195,400 | BOYAmt |
| EOY | $6,453,064 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,394,819 | BOYAmt |
| EOY | $1,394,819 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,590,219 | BOYAmt |
| EOY | $7,847,883 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,474,366 | BOYAmt |
| EOY | $26,854,809 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$1,352,271 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$3,390,065 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Other | Yes (X) | MethodOfAccountingOtherInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| 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 B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $648,918 | OtherCostOrOtherBasisAmt |
| Book Value | $648,918 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,259,473 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,850,345 | DepreciationAmt |
| Book Value | $2,409,128 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $415,585 | OtherCostOrOtherBasisAmt |
| Depreciation | $202,668 | DepreciationAmt |
| Book Value | $212,917 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,919,583 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,285,511 | DepreciationAmt |
| Book Value | $1,634,072 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,792,492 | OtherCostOrOtherBasisAmt |
| Depreciation | $354,195 | DepreciationAmt |
| Book Value | $11,438,297 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $16,343,332 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $18,039,931 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $8,176 | OtherRevenueAmt |
| Revenue Not Reported | $8,176 | RevenueNotReportedAmt |
| Revenue Subtotal | $18,031,755 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $4,524 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $1,821,839 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $1,826,363 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $19,858,118 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $19,461,105 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $8,179 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $8,179 | ExpensesNotReportedAmt |
| Expenses Subtotal | $19,452,926 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $4,524 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $1,752,939 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $1,757,463 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $21,210,389 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 8,179. ROUNDING ADJ -3. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBTS 1,752,939. TRANSFER FROM RELATED FOUNDATION 68,900. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 8,179. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBTS 1,752,939. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| 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) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $639,244 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $639,244 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03010 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $394,922 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $394,922 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01860 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $1,034,166 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,034,166 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04870 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 32 | ActivitiesOrProgramsCnt |
| Persons Served | 684 | PersonsServedCnt |
| Total Community Benefit Expns | $10,102 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,102 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 24 | ActivitiesOrProgramsCnt |
| Persons Served | 235 | PersonsServedCnt |
| Total Community Benefit Expns | $15,688 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $15,688 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 56 | ActivitiesOrProgramsCnt |
| Persons Served | 919 | PersonsServedCnt |
| Total Community Benefit Expns | $25,790 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $25,790 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 58 | ActivitiesOrProgramsCnt |
| Persons Served | 919 | PersonsServedCnt |
| Total Community Benefit Expns | $1,059,956 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,059,956 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04990 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $3,546 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,546 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $3,546 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,546 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,552,415 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $7,981,521 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $8,078,805 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$97,284 | 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 | 0 | WrittenDebtCollectionPolicyInd |
| 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 | BATH COMMUNITY HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 106 PARK DR | AddressLine1Txt |
| City | HOT SPRINGS | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24445 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.BATHHOSPITAL.ORG | WebsiteAddressTxt |
| State License | H1827 VA | 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 |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BATH COMMUNITY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| 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 | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 12 | ImplementationStrategyAdptYr |
| Strategy Posted Website | 0 | StrategyPostedWebsiteInd |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Collection Activities | Yes (1) | CollectionActivitiesInd |
| Reporting To Credit Agency | Yes (X) | ReportingToCreditAgencyInd |
| 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 |
| Medicare Rates | Yes (X) | MedicareRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| BATH COMMUNITY HOSPITAL | PART V, SECTION B, LINE 5: HELD COMMUNITY MEETINGS, DID RANDOM PHONE INTERVIEWS AND HELD MEETINGS WITH LEADERS OF THE COMMUNITY. CONSULTED WITH PEARL BUZZARD, JON TREES, BRUCE MCWILLIAMS, GEORGE PHILLIPS, DAVID TROAST, DON KILLOREN, TRUDY WOODZELL, JONAH WILLIAMS, DENNIS CROPPER, MICHAEL BELL, MARY ADDERTON, BOARD OF SUPERVISORS, VIRGINIA HEALTH DEPARTMENT, JACKIE BAUGHAN, PAT FOUTZ, AND DEBBIE LIPES. PHONE INTERVIEW NAMES NOT AVAILABLE. |
| BATH COMMUNITY HOSPITAL | PART V, SECTION B, LINE 6A: AUGUSTA MEDICAL CENTER |
| BATH COMMUNITY HOSPITAL | PART V, SECTION B, LINE 7D: HELD MEETING TO PROVIDE COMMUNITY WITH DATA. |
| BATH COMMUNITY HOSPITAL | PART V, SECTION B, LINE 11: BASED UPON THE CHNA, BCH HAS INCREASED PROVIDERS, PROVIDER HOURS AND THE NUMBER OF DAYS THE CLINIC IS OPEN IN MILLBORO. THERE HAS BEEN AN INCREASE IN THE NUMBER OF DIABETIC EDUCATION SESSIONS, WITH AN IMPROVEMENT PROJECT THAT SHOWED A DECREASE IN HEMOGLOBIN A1C. THERE IS MOVEMENT ON ANOTHER OFFSITE CLINIC AREA. WE HAVE INCREASED SPECIALISTS BY ADDING AN OPTOMETRIST TO PERFORM CATARACT SURGERY, PARTNERED WITH MENTAL HEALTH TO ADDRESS NEW LAWS AND EXPECTATIONS, CONTINUED PARTNERSHIP WITH THE SCHOOLS TO OBTAIN BODY MASS INDEX OF THE 7TH GRADERS GOING TO THE 8TH GRADE TO DETERMINE PERCENTAGES OF OBESITY. A RISK ASSESSMENT FOR THOSE FEELING AT RISK OF HARMING OTHERS OR HARMING THEMSELVES HAS BEEN INSTITUTED AT EACH TIME OF REGISTRATION. BCH HAS PARTNERED WITH THE FARMERS MARKET TO ALLOW THOSE QUALIFYING FOR SNAP TO HAVE DOUBLE THE MONIES TO SPEND AT THE FARMERS MARKET AND IS ALSO HELPING WITH THE FOOD PANTRIES. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BATH COMMUNITY REHAB & WELLNESS CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO DRAWER Z | AddressLine1Txt |
| City | HOT SPRINGS | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24445 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | REHAB AND WELLNESS | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | WE ALSO CONSIDER ASSETS SUCH AS MONEY IN THE BANK AND ASSETS THAT COULD BE LIQUIDATED INTO CASH, AND WE REVIEW BANK STATEMENTS TO SEE IF MONEY IS FREQUENTLY SPENT ON LUXURY ITEMS INSTEAD OF NEEDED ITEMS. |
| PART I, LINE 7: | ALL FIGURES ARE DERIVED FROM THE FINANCIAL STATEMENTS, WHICH ARE PREPARED ON THE INCOME TAX BASIS. THE COST TO CHARGE RATIO FROM WORKSHEET 2 IS USED. |
| PART III, LINE 2: | SEE THE FOLLOWING RESPONSE TO PART III, LINE 4. |
| PART III, LINE 4: | ACCOUNTS RECEIVABLE ARE REPORTED AT NET REALIZABLE VALUE. BALANCES ARE CONSIDERED DELINQUENT WHEN THEY ARE OUTSTANDING FOR 90 DAYS WITH NO ACTIVITY AT WHICH TIME THE BALANCES ARE TRANSFERRED TO A COLLECTION AGENCY AND THE BALANCE IS MOVED TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. BALANCES ARE WRITTEN OFF AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN MADE. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED ON HISTORICAL BAD DEBT EXPERIENCE AND MANAGEMENT'S EVALUATION OF THE ACCOUNTS RECEIVABLE. THE BAD DEBT EXPENSE REPORTED ON SCH H, PART III, LINE 2 IS THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS. THIS WAS DETERMINED USING THE RATIO OF PATIENT CARE COST TO CHARGES. |
| PART III, LINE 8: | NONE SHOULD BE TREATED AS A COMMUNITY BENEFIT. MEDICARE ALLOWABLE COSTS AS DETERMINED BY FILING OF THE CMS 2552-10 COST REPORT. |
| PART VI, LINE 2, NEEDS ASSESSMENT: | WE SEND SURVEYS OUT TO ALL PATIENTS ASKING THEM TO PROVIDE FEEDBACK ON THE SERVICES THEY RECEIVE. WE ARE OUT IN THE COMMUNITY AT THE FARMERS' MARKET, CHAMBER OF COMMERCE AND OTHER COMMUNITY EVENTS TALKING ABOUT OUR SERVICES. |
| PART VI, LINE 3, PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: | PATIENTS WHO VISIT THE ER ARE GIVEN AN APPLICATION WHILE THERE. INPATIENT AND SWINGBED PATIENTS ARE ADVISED OF THE FINANCIAL ASSISTANCE PROGRAM THROUGH OUR SOCIAL WORKER. ALL ARE DIRECTED TO OUR PATIENT FINANCIAL ADVOCATE, WHO HANDLES OUR FINANCIAL ASSISTANCE. THE ADVOCATE MEETS WITH THE INPATIENT AND SWINGBED PATIENTS IN THEIR ROOMS AND HELPS THEM FILL OUT THE APPLICATIONS WHEN NEEDED. WHEN MEETING WITH POTENTIAL APPLICANTS OR SPEAKING WITH THEM BY PHONE, THE ADVOCATE ADVISES THEM OF OUR FINANCIAL ASSISTANCE PROGRAM AND SCREENS THEM FOR POSSIBLE MEDICAID ASSISTANCE BY ASKING QUALIFYING QUESTIONS. IF THEY MEET THE REQUIREMENTS, THE ADVOCATE REFERS THEM TO SOCIAL SERVICES TO FILL OUT THE MEDICAID APPLICATION WHICH IS NOW DONE ONLINE THERE AT THE OFFICE. THEY ARE FURTHER ADVISED IF THEY NEED HELP WITH THAT PROCESS TO CONTACT THE ADVOCATE FOR ASSISTANCE WITH THE ONLINE APPLICATION. IF THEY ARE DENIED MEDICAID, THEY ARE TOLD TO COME BACK TO THE ADVOCATE WITH THE DENIAL AND A FINANCIAL ASSISTANCE APPLICATION WILL BE PROCESSED FOR THEM ONCE IT IS COMPLETED. |
| PART VI, LINE 4, COMMUNITY INFORMATION: | THIS IS A VERY RURAL COMMUNITY. BATH COUNTY HAS APPROXIMATELY 4,700 RESIDENTS. APPROXIMATELY 22% OF THE POPULATION IS OLDER THAN 65 COMPARED TO VIRGINIA AT 13% AND THE U.S. AT 14%. SINCE 2000, THE POPULATION OF BATH COUNTY HAS DECREASED BY 6.3% COMPARED TO VIRGINIA INCREASING BY 13% AND THE U.S. INCREASING BY 9.71%. |
| PART VI, LINE 7, STATE FILING OF COMMUNITY BENEFIT REPORT: | VIRGINIA ONLY |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| Written Policy Ref T And E Expnss | 0 | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| 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 | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL BOST | ||||||||||||||
| DIRECTOR, PHYSICIAN | $177,838 | $0 | $0 | $0 | $0 | $0 | $26,687 | $0 | $29,455 | $0 | $233,980 | $0 | $0 | $0 |
| JAMES REDINGTON | ||||||||||||||
| CHIEF MEDICAL OFFICER | $169,122 | $0 | $0 | $0 | $0 | $0 | $248,906 | $0 | $28,649 | $0 | $446,677 | $0 | $0 | $0 |
| JASON PARET | ||||||||||||||
| PRESIDENT AND CEO, TREAS, SEC | $207,234 | $0 | $0 | $0 | $0 | $0 | $403,076 | $0 | $19,888 | $0 | $630,198 | $0 | $0 | $0 |
| JEFFREY MCCRAY | ||||||||||||||
| PHYSICIAN | $180,883 | $0 | $0 | $0 | $0 | $0 | $14,606 | $0 | $28,649 | $0 | $224,138 | $0 | $0 | $0 |
| WILLIAM PEARSON | ||||||||||||||
| PHARMACIST | $142,651 | $0 | $0 | $0 | $0 | $0 | $9,925 | $0 | $9,747 | $0 | $162,323 | $0 | $0 | $0 |
| LEVI RIZK | ||||||||||||||
| PHYSICIAN | $180,537 | $0 | $0 | $0 | $0 | $0 | $19,561 | $0 | $291 | $0 | $200,389 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | RESIDENCE FOR PERSONAL USE WAS PROVIDED TO JASON PARET (6 MONTHS), GREG GUTMEIR (3 MONTHS), AND MICHAEL BOST (6 MONTHS). HOUSING PAYMENTS OF $3,600 WERE MADE ON BEHALF OF MICHAEL BOST. HOUSING PAYMENTS OF $1,650 WERE MADE ON BEHALF OF KATHY LANDRETH. HOUSING ALLOWANCE OF $6,000 WAS INCLUDED IN TAXABLE COMPENSATION PAID TO LEVI RIZK. |
| PART I, LINE 1B | HOUSING BENEFITS WERE PROVIDED PER INDIVIDUAL EMPLOYMENT AGREEMENTS. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DR JAMES REDINGTON | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | ON THE BOARD OF DIRECTORS | RelationshipDescriptionTxt |
| Transaction | $113,130 | TransactionAmt |
| Transaction | WORKED AS AN CONTRACT EMPLOYEE VIA BATH FAMILY PRACTICE. | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | BOARD MEMBERS WILEY B. KLING, JR. AND AMORY MELLEN, III HAVE A BUSINESS RELATIONSHIP. |
| FORM 990, PART VI, SECTION B, LINE 11 | ALL MEMBERS OF THE BOARD REVIEW A COPY OF THE 990 BEFORE IT IS FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | A CONFLICT OF INTEREST POLICY AND DISCLOSURE FORM IS SIGNED ANNUALLY BY ALL MEMBERS OF THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD OF DIRECTORS HAS USED THE MCCRACKIN GROUP IN THE PAST TO LOOK AT REASONABLENESS OF COMPENSATION. THIS GROUP WAS RECOMMENDED BY VHHA, AND HAS BEEN CONTACTED ON AN AS-NEEDED BASIS BY INDIVIDUAL BOARD MEMBERS. THE BOARD OF DIRECTORS ALSO USE THE VASHHRA REPORT FOR SALARY SURVEY PURPOSES. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE ALL AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | TRANSFER TO BATH COMMUNITY HOSPITAL FOUNDATION -3,390,063. ROUNDING ADJ -2. |
| FORM 990, PART XII, LINE 1 | THE ORGANIZATION USES INCOME TAX BASIS OF ACCOUNTING. THAT BASIS DIFFERS FROM GENERALLY ACCEPTED ACCOUNTING PRINCIPLES PRIMARILY BECAUSE THE HOSPITAL DOES NOT RECORD, AS A PERMANENTLY RESTRICTED ASSET, FUNDS HELD IN TRUST BY OTHERS. THE HOSPITAL ALSO DOES NOT RECORD ITS LONG-TERM INVESTMENTS AT FAIR VALUE AS REQUIRED BY GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. THE ORGANIZATION DID NOT CHANGE ITS ACCOUNTING METHOD IN CURRENT YEAR. |
| FORM 990, PART XII, LINE 2C | THE BOARD OF DIRECTORS IS RESPONSIBLE FOR SELECTION OF AN AUDIT COMMITTEE THAT OVERSEES PREPARATION OF FINANCIAL STATEMENTS AND AUDIT PROCESS. THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT OR SELECTION PROCESS IN CURRENT YEAR. |
| STATEMENT PURSUANT TO SECTION 332 BY BATH COMMUNITY HOSPITAL, | EIN #54-0505913, A CORPORATION RECEIVING A LIQUIDATING DISTRIBUTION: THE LIQUIDATING CORPORATION WAS HOT SPRINGS PHARMACY, INC. EIN #54-1887343. THE LIQUIDATING DISTRIBUTION WAS MADE ON 01/01/2014. THE AGGREGATE FAIR MARKET VALUE OF ALL ASSETS OF THE PHARMACY WHICH WERE TRANSFERRED TO THE HOSPITAL, DETERMINED IMMEDIATELY BEFORE THE DISTRIBUTION, WAS $534,556. THE BASIS OF THE HOSPITAL'S OWNERSHIP IN THE PHARMACY WAS $205,143. THE PLAN OF COMPLETE LIQUIDATION WAS ADOPTED ON 12/19/2013 AND THE LIQUIDATION WAS COMPLETED ON 01/01/2014. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BATH COMMUNITY HOSPITAL FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO DRAWER Z | AddressLine1Txt |
| City | HOT SPRINGS | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24445 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 571137401 | EIN |
| Primary Activities | SUPPORT FUNDRAISING EFFORTS OF BATH COMMUNITY HOSPITAL | PrimaryActivitiesTxt |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 11B, II | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BATH COMMUNITY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| BATH COMMUNITY HOSPITAL FOUNDATION | ||
| B | $3,390,063 | FACE VALUE |
| BATH COMMUNITY HOSPITAL FOUNDATION | ||
| C | $68,901 | CASH |