BUCHANAN GENERAL HOSPITAL INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
BUCHANAN GENERAL HOSPITAL INC (EIN 54-0895648)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-03-05
IRS object ID
201240659349300764
Schema version
2010v3.4
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)
Timestamp2012-03-05T09:01:12-06:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-07-01TaxPeriodBeginDate

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 Signed2012-03-05DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMELISSA C STANLEYName
Phone5409896144Phone
Date Prepared2012-03-05DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts25730575GrossReceipts
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 Employees252TotalNbrEmployees
Total Nbr Volunteers2TotalNbrVolunteers
Total Gross UBI630TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year27287135ProgramServiceRevenuePriorYear
Program Service Revenue CY25299271ProgramServiceRevenueCY
Investment Income Prior Year515595InvestmentIncomePriorYear
Investment Income Current Year421828InvestmentIncomeCurrentYear
Other Revenue Prior Year529565OtherRevenuePriorYear
Other Revenue Current Year3173OtherRevenueCurrentYear
Total Revenue Prior Year28332295TotalRevenuePriorYear
Total Revenue Current Year25724272TotalRevenueCurrentYear
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 Year14064501SalariesEtcPriorYear
Salaries Etc Current Year12626572SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year13928792OtherExpensePriorYear
Other Expenses Current Year13399083OtherExpensesCurrentYear
Total Expenses Prior Year27993293TotalExpensesPriorYear
Total Expenses Current Year26025655TotalExpensesCurrentYear
Revenues Less Expenses Prior Year339002RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-301383RevenuesLessExpensesCY
Total Assets BOY44380645TotalAssetsBOY
Total Assets EOY43973620TotalAssetsEOY
Total Liabilities BOY2259638TotalLiabilitiesBOY
Total Liabilities EOY2153996TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY42121007NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY41819624NetAssetsOrFundBalancesEOY
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
Expense13799552Expense
Revenue25312160Revenue
DescriptionGENERAL PATIENT SERVICE CARE - 1,697 INPATIENTS REPRESENTING 6,911 PATIENT DAYS, 10,407 EMERGENCY ROOM VISITS, 33,435 OUTPATIENT VISITS, 677 MEDICARE DISCHARGES WHICH REPRESENTS 40% OF TOTAL DISCHARGESDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense663821Expense
DescriptionCHARITY CARE PROVIDED AMOUNTED TO $663,821; 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 Expense14463373TotalProgramServiceExpense
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 With109632NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees252NumberOfEmployees
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
DIRECTOR1.00X000
JON RIFE
DIRECTOR1.00X000
ROGER COLEMAN
DIRECTOR1.00X000
DANNY ELSWICK
PRESIDENT1.00X000X
JANIE OWENS
VICE-PRESIDENT1.00X000X
CHRISTINE HOBBS
SECRETARY1.00X000X
JAMES W CHILDRESS
TREASURER1.00X000X
JOAN JAMISON
CEO40.00220764018300X
KIMETHA BOYD
CFO40.001055220502X
BEVERLY ANDERSON
COMPLIANCE OFFICER40.00745670453X
PATRICIA DORTON
CNO40.00825280424X
KEMPER BAUSELL
MARKETING DIRECTOR40.00767470364X
BRADLEY HUTCHINSON
CRNA40.002269610560X
GEORGIAS ZIAKAS
PHYSICIAN40.002992200679X
NAGARAJA VISHAKAANTAIH
PHYSICIAN40.001636960566X
PAUL PETROZZO
RADIOLOGIST40.003462530679X
TESFAMARIAM TEDLA
PHYSICIAN40.001374240493X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1733682TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation23020TotalOtherCompensation
Number Individuals GT100 K9NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
UNITED EMERGENCY SERVICES
PO BOX 60761CHARLOTTENC28260EMERGENCY ROOM PHYSICIANS563448
DIANA HURSH MD
544 CEDAR CREEK ROADPIKEVILLEKY41501ANESTHESIA450000
CARILION ROANOKE MEMORIAL HOSP
PO BOX 40032ROANOKEVA24022MOBILE MRI290631
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPROG.SERV.REVENUE-RELADescription
Business Code621990BusinessCode
Total Revenue Column24777921TotalRevenueColumn
Related Or Exempt Function Income24777921RelatedOrExemptFunctionIncome

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column521350TotalRevenueColumn
Related Or Exempt Function Income521350RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue25299271TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column411482TotalRevenueColumn
Exclusion$411,482ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities10346Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities10346Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column10346TotalRevenueColumn
Related Or Exempt Function Income10346RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Sales Of Inventory6933GrossSalesOfInventory
Cost Of Goods Sold6303CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column630TotalRevenueColumn
Unrelated Business Revenue630UnrelatedBusinessRevenue

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code900099BusinessCode
Total Revenue Column2543TotalRevenueColumn
Related Or Exempt Function Income2543RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue2543TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column25724272TotalRevenueColumn
Related Or Exempt Function Income25312160RelatedOrExemptFunctionIncome
Unrelated Business Revenue630UnrelatedBusinessRevenue
Exclusion$411,482ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1985455Total
Program Services1310400ProgramServices
Management And General675055ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8534268Total
Program Services5632617ProgramServices
Management And General2901651ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2106849Total
Program Services1390520ProgramServices
Management And General716329ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total67947Total
Program Services40768ProgramServices
Management And General27179ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total45200Total
Program Services22600ProgramServices
Management And General22600ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total31632Total
Program Services11704ProgramServices
Management And General19928ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total784279Total
Program Services313712ProgramServices
Management And General470567ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total172102Total
Program Services118750ProgramServices
Management And General53352ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total81473Total
Program Services32589ProgramServices
Management And General48884ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total7005Total
Program Services4833ProgramServices
Management And General2172ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1645588Total
Program Services1135456ProgramServices
Management And General510132ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total338610Total
Program Services125286ProgramServices
Management And General213324ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROVISION FOR BAD DEBTS354536513117852233580
CONTRACT AND OTHER FEES275413310190291735104
PATIENT CHARGEABLES AND16059785942121011766
SUPPLIES1115783953773162010
REPAIRS & MAINTENANCE556244205810350434

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total647744Total
Program Services239529ProgramServices
Management And General408215ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total26025655Total
Program Services14463373ProgramServices
Management And General11562282ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4743387BOY
EOY2880821EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1224778BOY
EOY2241809EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2556573BOY
EOY2127295EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY686788BOY
EOY687789EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY873253BOY
EOY844319EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY357251BOY
EOY298953EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis50390634LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec36791369LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY12951923BOY
EOY13599265EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY20923355BOY
EOY21210209EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY63337BOY
EOY83160EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY44380645BOY
EOY43973620EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2159638BOY
EOY2053996EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY100000BOY
EOY100000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2259638BOY
EOY2153996EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY42121007BOY
EOY41819624EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY42121007BOY
EOY41819624EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY44380645BOY
EOY43973620EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-301383ReconcilationRevenueExpenses
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$5,104OtherActivitiesAmount
Total Lobbying Expenditures IIB5104TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I:ReturnReference
ExplanationA PORTION OF AHA AND VHHA DUES ARE ATTRIBUTABLE TO LOBBYING AHA $15,763 * 24.42% VHHA $12,931 * 9.7%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 Basis17650244OtherCostOrOtherBasis
Depreciation11002116Depreciation
Book Value6648128BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis26557589OtherCostOrOtherBasis
Depreciation24225445Depreciation
Book Value2332144BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4693408OtherCostOrOtherBasis
Depreciation1563808Depreciation
Book Value3129600BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings13599265TotalOfBookValueLandBuildings

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, 2011. FISCAL YEARS ENDING ON OR AFTER JUNE 30, 2008 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 Expense266033TotalCommunityBenefitExpense
Net Community Benefit Expense266033NetCommunityBenefitExpense
Percent Of Total Expense0.01020PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense4760148TotalCommunityBenefitExpense
Direct Offsetting Revenue2388409DirectOffsettingRevenue
Net Community Benefit Expense2371739NetCommunityBenefitExpense
Percent Of Total Expense0.09110PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense5026181TotalCommunityBenefitExpense
Direct Offsetting Revenue2388409DirectOffsettingRevenue
Net Community Benefit Expense2637772NetCommunityBenefitExpense
Percent Of Total Expense0.10130PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense5026181TotalCommunityBenefitExpense
Direct Offsetting Revenue2388409DirectOffsettingRevenue
Net Community Benefit Expense2637772NetCommunityBenefitExpense
Percent Of Total Expense0.10130PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$3,731,963BadDebtExpenseAmount
Amount Attributable To186600AmountAttributableTo
Amount Reimbursed By Medicare6055135AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare6055135CostOfCareReimbursedByMedicare

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 (5 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
220764000001769606040239064000
BRADLEY HUTCHINSON
22696100000005600227521000
GEORGIAS ZIAKAS
29922000000006790299899000
NAGARAJA VISHAKAANTAIH
16369600000005660164262000
PAUL PETROZZO
34625300000006790346932000

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)

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

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 Income1225039TotalIncome
EOY Assets47480EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

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

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