FURP.ORG / PUBLIC DATA EXPLORER

BUCHANAN GENERAL HOSPITAL INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
BUCHANAN GENERAL HOSPITAL INC (EIN 54-0895648)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-03-07
IRS object ID
201320669349300427
Schema version
2011v1.5
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)
Timestamp2013-03-07T13:19:57-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

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 Date2011-07-01TaxPeriodBeginDate

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 Signed2013-02-27DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMELISSA C STANLEYName
PTINP00720497PTIN
Phone5409896144Phone
Date Prepared2013-02-27DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

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 Receipts25774133GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.BGH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1979YearFormation
State Legal DomicileVAStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE GENERAL ACUTE HOSPITAL CARE FOR THE SOUTHWESTERN AREA OF VIRGINIA.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees292TotalNbrEmployees
Total Nbr Volunteers10TotalNbrVolunteers
Total Gross UBI552TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year25299271ProgramServiceRevenuePriorYear
Program Service Revenue CY25090393ProgramServiceRevenueCY
Investment Income Prior Year421828InvestmentIncomePriorYear
Investment Income Current Year677665InvestmentIncomeCurrentYear
Other Revenue Prior Year3173OtherRevenuePriorYear
Other Revenue Current Year552OtherRevenueCurrentYear
Total Revenue Prior Year25724272TotalRevenuePriorYear
Total Revenue Current Year25768610TotalRevenueCurrentYear
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 Year12626572SalariesEtcPriorYear
Salaries Etc Current Year12923549SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year13399083OtherExpensePriorYear
Other Expenses Current Year13689687OtherExpensesCurrentYear
Total Expenses Prior Year26025655TotalExpensesPriorYear
Total Expenses Current Year26613236TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-301383RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-844626RevenuesLessExpensesCY
Total Assets BOY43973620TotalAssetsBOY
Total Assets EOY43914079TotalAssetsEOY
Total Liabilities BOY2153996TotalLiabilitiesBOY
Total Liabilities EOY2939081TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY41819624NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY40974998NetAssetsOrFundBalancesEOY
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
Expense16118639Expense
Revenue25098403Revenue
DescriptionGENERAL PATIENT SERVICE CARE - 1,480 INPATIENTS REPRESENTING 6,002 PATIENT DAYS, 10,181 EMERGENCY ROOM VISITS, 30,859 OUTPATIENT VISITS, 679 MEDICARE DISCHARGES WHICH REPRESENTS 45% OF TOTAL DISCHARGESDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense533421Expense
DescriptionCHARITY CARE PROVIDED AMOUNTED TO $533,421; 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 Expense16652060TotalProgramServiceExpense
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 Liabilities0ReportOtherLiabilities
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109639NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees292NumberOfEmployees
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 Line1KIM BOYDBusinessNameLine1
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 (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
HAROLD MUSICK
DIRECTOR1.00X000
WARREN BLANKENSHIP
DIRECTOR1.00X000
MARY RUTH SPENCER
SECRETARY, BOARD1.00X000
ROGER COLEMAN
DIRECTOR1.00X000
DAVID TOLLIVER
DIRECTOR1.00X000
BETTY LOONEY
DIRECTOR1.00X000
DANNY ELSWICK
PRESIDENT1.00X000X
JANIE OWENS
VICE-PRESIDENT1.00X000X
JAMES W CHILDRESS
TREASURER1.00X000X
JOAN JAMISON
CEO40.00254713017553X
KIMETHA BOYD
CFO40.001187710585X
BEVERLY ANDERSON
COMPLIANCE OFFICER40.00953610482X
PATRICIA DORTON
CNO40.00890660467X
KEMPER BAUSELL
MARKETING DIRECTOR40.00729180387X
ROBERT RUCHTI
COO40.00515250208X
NAGARAJA VISHAKAANTAIAH
PHYSICIAN40.001686340595X
PAUL PETROZZO
RADIOLOGIST40.003481360709X
RICARDO MARTINEZ
PHYSICIAN40.001413260541X
CHARLES SCOTT JUSTUS
PHARMACIST40.001347540560X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1475204TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation22087TotalOtherCompensation
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 PHYSICIANS566399
PAMELA ENJETTI MD
14316 BRISTOW ROADMANASSASVA20112ANESTHESIA390000
CARILION MEDICAL CENTER
PO BOX 40032ROANOKEVA24022MOBILE MRI266702
LABCORP
PO BOX 12140BURLINGTONNC272162140REFERENCE LAB136510
UVA HEALTH SERVICES
PO BOX 9007CHARLOTTESVILLEVA229069007TELERADIOLOGY106091
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPROG.SERV.REVENUE-RELADescription
Business Code621990BusinessCode
Total Revenue Column23310429TotalRevenueColumn
Related Or Exempt Function Income23310429RelatedOrExemptFunctionIncome

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column1779964TotalRevenueColumn
Related Or Exempt Function Income1779964RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue25090393TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column669655TotalRevenueColumn
Exclusion$669,655ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities8010Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities8010Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column8010TotalRevenueColumn
Related Or Exempt Function Income8010RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Sales Of Inventory6075GrossSalesOfInventory
Cost Of Goods Sold5523CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column552TotalRevenueColumn
Unrelated Business Revenue552UnrelatedBusinessRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column25768610TotalRevenueColumn
Related Or Exempt Function Income25098403RelatedOrExemptFunctionIncome
Unrelated Business Revenue552UnrelatedBusinessRevenue
Exclusion$669,655ExclusionAmount

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total1497292Total
Program Services1018159ProgramServices
Management And General479133ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8737480Total
Program Services5941486ProgramServices
Management And General2795994ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2688777Total
Program Services1828368ProgramServices
Management And General860409ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total45906Total
Program Services27544ProgramServices
Management And General18362ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total59294Total
Program Services29647ProgramServices
Management And General29647ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total36877Total
Program Services13644ProgramServices
Management And General23233ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total791666Total
Program Services316666ProgramServices
Management And General475000ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total144764Total
Program Services99887ProgramServices
Management And General44877ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total57028Total
Program Services22811ProgramServices
Management And General34217ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total7000Total
Program Services4830ProgramServices
Management And General2170ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1869531Total
Program Services1289976ProgramServices
Management And General579555ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total253909Total
Program Services177736ProgramServices
Management And General76173ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROVISION FOR BAD DEBTS384466314225252422138
CONTRACT AND OTHER FEES298268517896111193074
PATIENT CHARGEABLES AND12700631270063
SUPPLIES1111833949753162080

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1214468Total
Program Services449354ProgramServices
Management And General765114ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total26613236Total
Program Services16652060ProgramServices
Management And General9961176ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2880821BOY
EOY2597803EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2241809BOY
EOY1241519EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2127295BOY
EOY1997471EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY687789BOY
EOY807888EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY844319BOY
EOY942376EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY298953BOY
EOY240268EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis51834693LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec38655832LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY13599265BOY
EOY13178861EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY21210209BOY
EOY22839120EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY83160BOY
EOY68773EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY43973620BOY
EOY43914079EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2053996BOY
EOY2839081EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY100000BOY
EOY100000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2153996BOY
EOY2939081EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY41819624BOY
EOY40974998EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY41819624BOY
EOY40974998EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY43973620BOY
EOY43914079EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-844626ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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$6,998OtherActivitiesAmount
Total Lobbying Expenditures IIB6998TotalLobbyingExpendituresIIB
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 $15,717*24.60% VHHA $12850*24.37%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 Basis17667494OtherCostOrOtherBasis
Depreciation11615595Depreciation
Book Value6051899BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis29899116OtherCostOrOtherBasis
Depreciation25368727Depreciation
Book Value4530389BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2778690OtherCostOrOtherBasis
Depreciation1671510Depreciation
Book Value1107180BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings13178861TotalOfBookValueLandBuildings

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X: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, 2012. FISCAL YEARS ENDING ON OR AFTER JUNE 30, 2009 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 Expense198749TotalCommunityBenefitExpense
Net Community Benefit Expense198749NetCommunityBenefitExpense
Percent Of Total Expense0.00750PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense2641427TotalCommunityBenefitExpense
Direct Offsetting Revenue1409971DirectOffsettingRevenue
Net Community Benefit Expense1231456NetCommunityBenefitExpense
Percent Of Total Expense0.04630PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense2840176TotalCommunityBenefitExpense
Direct Offsetting Revenue1409971DirectOffsettingRevenue
Net Community Benefit Expense1430205NetCommunityBenefitExpense
Percent Of Total Expense0.05380PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense2840176TotalCommunityBenefitExpense
Direct Offsetting Revenue1409971DirectOffsettingRevenue
Net Community Benefit Expense1430205NetCommunityBenefitExpense
Percent Of Total Expense0.05380PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$3,743,488BadDebtExpenseAmount
Amount Attributable To187000AmountAttributableTo
Amount Reimbursed By Medicare9664748AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare9830080CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-165332MedicareSurplusOrShortfall

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
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 (4 entries)

ExplanationExplanationIdentifierIdentifier
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: CHARITY 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. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION FOR AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE; HOWEVER, EXPENSES INCURRED IN PROVIDING THESE SERVICES ARE INCLUDED IN THE HOSPITAL'S OPERATING EXPENSES.
PART V, SECTION B, LINE 19D: 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 21: 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 Payment0SeverancePayment
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 Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base 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
2547130000016500010530272266000
NAGARAJA VISHAKAANTAIAH
16863400000005950169229000
PAUL PETROZZO
34813600000007090348845000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 6ReturnReference
ExplanationIN ADDITION TO THE BASE SALARY, EXECUTIVES SHALL BE ELIGIBLE FOR AN INCENTIVE BONUS, SUBJECT TO THE FOLLOWING TERMS AND CONDITIONS. IN THE EVENT THAT THE AUDITED CONSOLIDATED NET INCOME STATEMENT SHOWS A PROFIT IN ANY AMOUNT AT THE END OF THE FISCAL YEAR, THE EXECUTIVES WOULD QUALIFY TO RECEIVE 3% OF THE PROFIT GAINED DURING THIS PERIOD. THE INCENTIVE BONUS, IF ANY, SHALL BE PAID WITHIN A REASONABLE TIME (NOT TO EXCEED 90 DAYS) AFTER THE ANNUAL FINANCIAL AUDIT REPORT IS RECEIVED BY THE HOSPITAL. THE CFO IS ELIGIBLE FOR A 1% BONUS BASED ON THE SAME CRITERIA.Explanation

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 AUDIT COMMITTEE OVERSIGHT PROCESS HAS NOT CHANGED FROM LAST 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 Income1193329TotalIncome
EOY Assets73696EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

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