FURP.ORG / PUBLIC DATA EXPLORER

BUCHANAN GENERAL HOSPITAL INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
BUCHANAN GENERAL HOSPITAL INC (EIN 54-0895648)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-01-21
IRS object ID
201430219349301063
Schema version
2012v2.1
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

FieldValueIRS element (for citing)
Timestamp2014-01-21T15:32:54-06:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN560747981EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DIXON HUGHES GOODMAN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 FRANKLIN RD SE SUITE 501AddressLine1
CityROANOKECity
StateVAState
ZIP Code240112114ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN540895648EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BUCHANAN GENERAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBUCHNameControl
Phone2769351111Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11535 SLATE CREEK RDAddressLine1
CityGRUNDYCity
StateVAState
ZIP Code24614ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKIM BOYDName
TitleCFOTitle
Phone2769351111Phone
Date Signed2014-01-06DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMICHAEL P NORTONName
PTINP00430694PTIN
Phone5409896144Phone
Date Prepared2014-01-03DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKIM BOYDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11535 SLATE CREEK RDAddressLine1
CityGRUNDYCity
StateVAState
ZIP Code24614ZIPCode
FieldValueIRS element (for citing)
Gross Receipts26218758GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.BGH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1979YearFormation
State Legal DomicileVAStateLegalDomicile
Activity Or Mission DescriptionTHE HOSPITAL'S MISSION IS TO PROVIDE COMPREHENSIVE HEALTHCARE SERVICES WITH A CARING, COMPETENT STAFF, DEDICATED TO MEETING THE COMMUNITY'S NEEDS FOR SAFE AND EFFICIENT QUALITY HEALTHCARE AT A REASONABLE COST.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees282TotalNbrEmployees
Total Nbr Volunteers12TotalNbrVolunteers
Total Gross UBI523TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year4500ContributionsGrantsCurrentYear
Program Service Revenue Prior Year25090393ProgramServiceRevenuePriorYear
Program Service Revenue CY25573276ProgramServiceRevenueCY
Investment Income Prior Year677665InvestmentIncomePriorYear
Investment Income Current Year635224InvestmentIncomeCurrentYear
Other Revenue Prior Year552OtherRevenuePriorYear
Other Revenue Current Year523OtherRevenueCurrentYear
Total Revenue Prior Year25768610TotalRevenuePriorYear
Total Revenue Current Year26213523TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year12923549SalariesEtcPriorYear
Salaries Etc Current Year11777578SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year13689687OtherExpensePriorYear
Other Expenses Current Year14277601OtherExpensesCurrentYear
Total Expenses Prior Year26613236TotalExpensesPriorYear
Total Expenses Current Year26055179TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-844626RevenuesLessExpensesPriorYear
Revenues Less Expenses CY158344RevenuesLessExpensesCY
Total Assets BOY43914079TotalAssetsBOY
Total Assets EOY44683390TotalAssetsEOY
Total Liabilities BOY2939081TotalLiabilitiesBOY
Total Liabilities EOY3550048TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY40974998NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY41133342NetAssetsOrFundBalancesEOY
Mission DescriptionTHE HOSPITAL'S PRIMARY MISSION IS TO PROVIDE COMPREHENSIVE SERVICES WITH A CARING, COMPETENT STAFF DEDICATED TO MEETING THE COMMUNITY'S NEEDS FOR SAFE AND EFFICIENT QUALITY HEALTHCARE AT A REASONABLE COST.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense15269628Expense
Revenue25573681Revenue
DescriptionGENERAL PATIENT SERVICE CARE - 1,307 INPATIENTS REPRESENTING 5,188 PATIENT DAYS, 10,773 EMERGENCY ROOM VISITS, 31,028 OUTPATIENT VISITS, 510 MEDICARE DISCHARGES WHICH REPRESENTS 39% OF TOTAL DISCHARGESDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1040000Expense
DescriptionCHARITY CARE PROVIDED AMOUNTED TO $1,040,000; THE HOSPITAL IS THE SOLE PROVIDER OF ACUTE MEDICAL AND SURGICAL SERVICES IN BUCHANAN COUNTY, VIRGINIA, A MEDICALLY UNDERSERVED AREA.Description
FieldValueIRS element (for citing)
Total Program Service Expense16309628TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109630NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees282NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ROBERT RUCHTI CEOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2769351111TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11535 SLATE CREEK ROADAddressLine1
CityGRUNDYCity
StateVAState
ZIP Code24614ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
ROGER COLEMAN
DIRECTOR1.00X000
DAVID TOLLIVER
DIRECTOR1.00X000
BETTY LOONEY
DIRECTOR1.00X000
WILLIS SMITH
DIRECTOR1.00X000
ANGELA JOHNSON
DIRECTOR1.00X000
DANNY ELSWICK
PRESIDENT1.00X000X
JANIE OWENS
VICE-PRESIDENT1.00X000X
MARY RUTH SPENCER
SECRETARY1.00X000X
JAMES W CHILDRESS
TREASURER1.00X000X
JOAN JAMISON
CEO40.0020518006147X
KIMETHA BOYD
CFO40.001184200686X
BEVERLY ANDERSON
COMPLIANCE OFFICER40.00934870530X
PATRICIA DORTON
CNO40.00923080514X
ROBERT RUCHTI
COO40.001962990838X
NAGARAJA VISHAKAANTAIAH
PHYSICIAN40.001688910659X
PAUL PETROZZO
RADIOLOGIST40.003518770790X
RICARDO MARTINEZ
PHYSICIAN40.001564910650X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1382953TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation10814TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
UNITED EMERGENCY SERVICES
PO BOX 730551DALLASTX753730551EMERGENCY ROOM PHYSICIANS563251
PAMELA ENJETTI MD
14316 BRISTOW ROADMANASSASVA20112ANESTHESIA390000
CARILION MEDICAL CENTER
PO BOX 40032ROANOKEVA24022MOBILE MRI256440
MOUNTAIN THERAPY GROUP
PO BOX 152VANSANTVA24656PHYSICAL THERAPY SERVICES151755
LABCORP
PO BOX 12140BURLINGTONNC272162140REFERENCE LAB128593
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
All Other Contributions4500AllOtherContributions
Total Contributions4500TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPROG.SERV.REVENUE-RELATED-990Description
Business Code621990BusinessCode
Total Revenue Column24423839TotalRevenueColumn
Related Or Exempt Function Income24423839RelatedOrExemptFunctionIncome

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column1149437TotalRevenueColumn
Related Or Exempt Function Income1149437RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue25573276TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column634819TotalRevenueColumn
Exclusion$634,819ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities405Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities405Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column405TotalRevenueColumn
Related Or Exempt Function Income405RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Sales Of Inventory5758GrossSalesOfInventory
Cost Of Goods Sold5235CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column523TotalRevenueColumn
Unrelated Business Revenue523UnrelatedBusinessRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column26213523TotalRevenueColumn
Related Or Exempt Function Income25573681RelatedOrExemptFunctionIncome
Unrelated Business Revenue523UnrelatedBusinessRevenue
Exclusion$634,819ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1382953Total
Program Services940408ProgramServices
Management And General442545ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7890956Total
Program Services5365850ProgramServices
Management And General2525106ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2503669Total
Program Services1702495ProgramServices
Management And General801174ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total44114Total
Program Services22057ProgramServices
Management And General22057ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total55278Total
Program Services22111ProgramServices
Management And General33167ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total815274Total
Program Services326110ProgramServices
Management And General489164ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total228731Total
Program Services157824ProgramServices
Management And General70907ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total56560Total
Program Services22624ProgramServices
Management And General33936ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total12520Total
Program Services8639ProgramServices
Management And General3881ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1890138Total
Program Services1304195ProgramServices
Management And General585943ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total83333Total
Program Services58333ProgramServices
Management And General25000ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROVISION FOR BAD DEBTS398645814749892511469
CONTRACT AND OTHER FEES327623419657401310494
PATIENT CHARGEABLES AND13374011337401
SUPPLIES12811241093405187719

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1210436Total
Program Services507447ProgramServices
Management And General702989ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total26055179Total
Program Services16309628ProgramServices
Management And General9745551ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2597803BOY
EOY3132127EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1241519BOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1997471BOY
EOY2401295EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY807888BOY
EOY963316EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY942376BOY
EOY959773EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY240268BOY
EOY238999EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis52782686LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec40540903LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY13178861BOY
EOY12241783EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY22839120BOY
EOY24673072EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY68773BOY
EOY73025EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY43914079BOY
EOY44683390EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2839081BOY
EOY2974302EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY100000BOY
EOY100000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY475746EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2939081BOY
EOY3550048EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY40974998BOY
EOY41133342EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY40974998BOY
EOY41133342EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY43914079BOY
EOY44683390EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses158344ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$5,633OtherActivitiesAmount
Total Lobbying Expenditures IIB5633TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationA PORTION OF AHA AND VHHA DUES ARE ATTRIBUTABLE TO LOBBYING AHA $15,317 X 23.98% VHHA $12,495 X 15.69%Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1489393OtherCostOrOtherBasis
Book Value1489393BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis17670454OtherCostOrOtherBasis
Depreciation12228721Depreciation
Book Value5441733BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis30788594OtherCostOrOtherBasis
Depreciation26303267Depreciation
Book Value4485327BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2834245OtherCostOrOtherBasis
Depreciation2008915Depreciation
Book Value825330BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings12241783TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionLEASE PAYABLEDescription
Amount$475,746Amount
FieldValueIRS element (for citing)
Total Of Amounts475746TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE HOSPITAL AND ITS SUBSIDIARY, BUCHANAN HEALTH CARE LLC, ARE EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE HOSPITAL AND BHC HAVE DETERMINED THEY DO NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF JUNE 30, 2013. FISCAL YEARS ENDING ON OR AFTER JUNE 30, 2010 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted Care1FPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage150.000000000000DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report0AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense324404TotalCommunityBenefitExpense
Net Community Benefit Expense324404NetCommunityBenefitExpense
Percent Of Total Expense0.01250PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense2455372TotalCommunityBenefitExpense
Direct Offsetting Revenue1350107DirectOffsettingRevenue
Net Community Benefit Expense1105265NetCommunityBenefitExpense
Percent Of Total Expense0.04240PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense2779776TotalCommunityBenefitExpense
Direct Offsetting Revenue1350107DirectOffsettingRevenue
Net Community Benefit Expense1429669NetCommunityBenefitExpense
Percent Of Total Expense0.05490PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense2779776TotalCommunityBenefitExpense
Direct Offsetting Revenue1350107DirectOffsettingRevenue
Net Community Benefit Expense1429669NetCommunityBenefitExpense
Percent Of Total Expense0.05490PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$3,563,443BadDebtExpenseAmount
Amount Attributable To178000AmountAttributableTo
Amount Reimbursed By Medicare7943608AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare8423428CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-479820MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost Accounting SystemXCostAccountingSystem
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1BUCHANAN GENERAL HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11535 SLATE CREEK ROADAddressLine1
CityGRUNDYCity
StateVAState
ZIP Code24614ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1BUCHANAN GENERAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted1CHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into Account1TakeIntoAccount
Other Facilities0OtherFacilities
CHNA Widely Available1CHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Participate Community PlanXParticipateCommunityPlan
Include Operational PlansXIncludeOperationalPlans
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs Addressed0AllNeedsAddressed
Organization Incur Excise Tax0OrganizationIncurExciseTax
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent100.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent150.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Actions On Nonpayment1ActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Permit LawsuitXPermitLawsuit
Permit Lien On ResidenceXPermitLienOnResidence
Collection Activities1CollectionActivities
Report To Credit AgencyXReportToCreditAgency
LawsuitXLawsuit
Lien On ResidenceXLienOnResidence
Notify Upon AdmissionXNotifyUponAdmission
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges1GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (7 entries)

ExplanationExplanationIdentifierIdentifier
PART I, L7 COL(F): DURING FISCAL YEAR 2013, THE HOSPITAL ADOPTED FASB ACCOUNTING STANDARDS UPDATE (ASU) 2011-07, "PRESENTATION AND DISCLOSURE OF PATIENT SERVICE REVENUE, PROVISION FOR BAD DEBTS, AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTH CARE ENTITIES." IN CONJUNCTION WITH THE ADOPTION, THE HOSPITAL RECLASSIFIED THE PROVISION FOR BAD DEBTS ASSOCIATED WITH PATIENT SERVICE REVENUE FROM AN OPERATING EXPENSE TO A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS). THE 2012 PROVISION FOR BAD DEBTS HAS BEEN RECLASSIFIED TO CONFORM WITH THE 2013 PRESENTATION. ACCORDINGLY, THE PROVISION FOR BAD DEBT IS INCLUDED AS A COMPONENT OF NET PATIENT SERVICE REVENUE IN THE CONSOLIDATED STATEMENTS OF OPERATIONS FOR 2013 AND 2012.
PART III, LINE 4: AN ALLOWANCE FOR ESTIMATED UNCOLLECTIBLE ACCOUNTS IS RECORDED BASED ON HISTORICAL BAD DEBT EXPERIENCE AND MANAGEMENT'S EVALUATION OF THE ACCOUNTS RECEIVABLE. BALANCES ARE WRITTEN OFF AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN MADE. FOR PURPOSES OF THE COMMUNITY BENEFIT CALCULATION, BAD DEBT EXPENSE PER THE FINANCIAL STATEMENTS WAS GROSSED UP USING A NET REALIZED REVENUE PERCENTAGE AND THEN APPLIED AGAINST A COST TO CHARGE RATIO.
PART III, LINE 9B: THE HOSPITAL ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. A PATIENT IS CLASSIFIED AS A CHARITY PATIENT BY REFERENCE TO CERTAIN ESTABLISHED POLICIES OF THE HOSPITAL. THESE POLICIES DEFINE CHARITY SERVICES AS THOSE SERVICES FOR WHICH NO PAYMENT IS ANTICIPATED. IN ASSESSING A PATIENT'S INABILITY TO PAY, THE HOSPITAL UTILIZES THE GENERALLY RECOGNIZED POVERTY INCOME LEVELS, BUT ALSO INCLUDES CERTAIN CASES WHERE INCURRED CHARGES ARE SIGNIFICANT WHEN COMPARED TO INCOME. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS NET PATIENT SERVICE REVENUE; HOWEVER, EXPENSES INCURRED IN PROVIDING THESE SERVICES ARE INCLUDED IN THE HOSPITAL'S OPERATING EXPENSES.
PART V, SECTION B, LINE 3: THE COMMUNITY NEEDS ASSESSMENT TEAM SURVEYED KEY COMMUNITY PARTNERS, INCLUDING REPRESENTATIVES OF THE LOCAL CITY/COUNTY HEALTH DEPARTMENT, COMMUNITY OUTREACH GROUPS, AND OTHER FOCUS GROUPS TO SUPPLEMENT THE FINDINGS OF THE ASSESSMENT. THERE WAS ONE IN-PERSON INTERVIEW WITH THE LOCAL HEALTH DEPARTMENT AND THE REST OF THOSE CONTACTED WERE GIVEN THE OPTION OF AN ONLINE OR PAPER SURVEY TO COMPLETE.BUCHANAN GENERAL HOSPITAL
PART V, SECTION B, LINE 7: IN INITIAL DISCUSSION AND SUBSEQUENT PRIORITIZATION, THE COMMUNITY NEEDS ASSESSMENT TEAM CONSIDERED THE LEVELS TO WHICH SOME NEEDS WERE ALREADY BEING ADDRESSED IN THE SERVICE AREA. ADDITIONALLY, SOME COMMUNITY NEEDS FALL OUT OF THE SCOPE OF EXPERTISE AND RESOURCES OF THE HOSPITAL. THESE NEEDS ARE ACCESS TO PCP, MENTAL HEALTH AND SUICIDE RATES, ORAL HEALTH, DRUG AND TOBACCO USE, TEEN PREGNANCY, AND MOTOR VEHICLE DEATHS.BUCHANAN GENERAL HOSPITAL
PART V, SECTION B, LINE 20D: NO SPECIFIC POLICY ON HOW PATIENTS WERE CHARGED, BUT A PROMPT PAY DISCOUNT OF 40% IS OFFERED.BUCHANAN GENERAL HOSPITAL
PART V, SECTION B, LINE 22: CHARGED GROSS CHARGES TO PATIENTS THAT DID NOT MEET THE INDIGENT GUIDELINES OR THE PROMPT PAY TIME FRAME.BUCHANAN GENERAL HOSPITAL

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JOAN JAMISON
CEO20518000000550006470211327000
ROBERT RUCHTI
COO19629900000008380197137000
NAGARAJA VISHAKAANTAIAH
PHYSICIAN16889100000006590169550000
PAUL PETROZZO
RADIOLOGIST35187700000007900352667000
RICARDO MARTINEZ
PHYSICIAN15649100000006500157141000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 4AReturnReference
ExplanationJOAN JAMISON - SEVERANCE - $58,386Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11THE 990 IS REVIEWED BY THE CFO AND THE FINANCE COMMITTEE PRIOR TO SUBMISSION.
FORM 990, PART VI, SECTION B, LINE 12CTO ENSURE THAT BUCHANAN GENERAL HOSPITAL OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES AND THAT IT DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS STATUS AS AN ORGAINZATION EXEMPT FROM FEDERAL INCOME TAX, PERIODIC REVIEWS ARE CONDUCTED.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION HAS AN EXECUTIVE COMPENSATION COMMITTEE WHO REVIEWS EXECUTIVE SALARIES ON AN ANNUAL BASIS. COMPENSATION LEVELS ARE BASED ON DATA REGARDING COMPARABLE POSITIONS IN PEER INSTITUTIONS FOR EXPERIENCED PROFESSIONALS AND PRIOR PERFORMANCE, AMONG OTHER FACTORS.
FORM 990, PART VI, SECTION C, LINE 19UPON REQUEST
FORM 990, PART XII, LINE 2CTHE PROCESS OF FINANCIAL STATEMENT REVIEW AND OVERSIGHT HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1BUCHANAN HEALTH CARE LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1RT 5 BOX 20AddressLine1
CityGRUNDYCity
StateVAState
ZIP Code24614ZIPCode
FieldValueIRS element (for citing)
EIN311671512EIN
Primary ActivitiesOPERATES PHYSICIAN PRACTICES AND PROVIDES OTHER HEALTH CARE SERVICESPrimaryActivities
Legal Domicile StateVALegalDomicileState
Total Income-383893TotalIncome
EOY Assets43500EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1BUCHANAN GENERAL HOSPITAL INCBusinessNameLine1