TCRH INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
TCRH INC (EIN 54-6075662)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-03
IRS object ID
201242169349300714
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)
Timestamp2012-08-03T09:15:18-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

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 Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN546075662EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1TWIN COUNTY REGIONAL HEALTHCARE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlTWINNameControl
Phone2762368181Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 HOSPITAL DRIVEAddressLine1
CityGALAXCity
StateVAState
ZIP Code24333ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSTEPHANIE BRYANTName
TitleCFOTitle
Phone2762368181Phone
Date Signed2012-07-26DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMICHAEL P NORTONName
Phone5409896144Phone
Date Prepared2012-07-26DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSTEPHANIE BRYANTNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1200 HOSPITAL DRIVEAddressLine1
CityGALAXCity
StateVAState
ZIP Code24333ZIPCode
FieldValueIRS element (for citing)
Gross Receipts50976582GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.TCRH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1973YearFormation
State Legal DomicileVAStateLegalDomicile
Activity Or Mission DescriptionTO PROMOTE, PRESERVE, AND RESTORE THE HEALTH OF OUR COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees653TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year56214ContributionsGrantsPriorYear
Contributions Grants Current Year50ContributionsGrantsCurrentYear
Program Service Revenue Prior Year48426007ProgramServiceRevenuePriorYear
Program Service Revenue CY50376703ProgramServiceRevenueCY
Investment Income Prior Year161300InvestmentIncomePriorYear
Investment Income Current Year141988InvestmentIncomeCurrentYear
Other Revenue Prior Year519704OtherRevenuePriorYear
Other Revenue Current Year457841OtherRevenueCurrentYear
Total Revenue Prior Year49163225TotalRevenuePriorYear
Total Revenue Current Year50976582TotalRevenueCurrentYear
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 Year27558751SalariesEtcPriorYear
Salaries Etc Current Year27806478SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year23406532OtherExpensePriorYear
Other Expenses Current Year25708725OtherExpensesCurrentYear
Total Expenses Prior Year50965283TotalExpensesPriorYear
Total Expenses Current Year53515203TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1802058RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-2538621RevenuesLessExpensesCY
Total Assets BOY23464311TotalAssetsBOY
Total Assets EOY22869235TotalAssetsEOY
Total Liabilities BOY14441743TotalLiabilitiesBOY
Total Liabilities EOY16712435TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY9022568NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6156800NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE HEALTH SERVICES FOR RESIDENTS IN THE SURROUNDING AREAS OF RURAL SOUTHWEST VIRGINIA.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense29968514Expense
Revenue50834544Revenue
DescriptionPATIENT SERVICES PROVIDED BY A 141 BED HOSPITAL INCLUDING RURAL HEALTH CLINICS, OPERATING ROOM, PHARMACY SERVICES, HOME HEALTH SERVICES, CORONARY CARE, OCCUPATIONAL THERAPY, REPIRATORY THERAPY,PHYSICAL THERAPY AND HEALTH PROMOTION.Description
Total Program Service Expense29968514TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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 Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
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 Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109655NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees653NumberOfEmployees
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 Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
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 Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement0RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1STEPHANIE BRYANT CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5402368181TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1200 HOSPITAL DRIVEAddressLine1
CityGALAXCity
StateVAState
ZIP Code24333ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
JOHN W BOLEN JR
DIRECTOR1.00X000
CARLOS J BLATTNER MD
CHIEF OF STAFF (EX-OFFICIO1.00X000
REBECCA W CARDWELL
DIRECTOR1.00X000
WILLIAM L DAVIS
DIRECTOR1.00X000
BLAKE M EDWARDS
VICE CHAIRMAN1.00X000
JOSEPH KILLON
DIRECTOR1.00X000
OLIVER MCBRIDE
DIRECTOR1.00X000
EDWARD A HANKS II
DIRECTOR1.00X000
BARRY MAYBERRY
DIRECTOR1.00X000
ROBERT E PRYOR
DIRECTOR1.00X000
WILLIAM R ROBERTS
DIRECTOR1.00X000
LARRY G SOUTH
DIRECTOR1.00X000
TAYLOR C VAUGHAN
DIRECTOR1.00X000
DOUGLAS S VAUGHT
CHAIRMAN1.00X000
C M MITCHELL
DIRECTOR1.00X000
JON APPLEBAUM
PRESIDENT/CEO/SECRETARY/TR40.00X210030020718X
SANDRA MORETZ
VP OF NURSING/COO40.00137560012684X
NELSON MONTGOMERY
VP OF FINANCE/CFO40.00144985020995X
DIANNE DILL
CRNA40.00155362013369X
MICHAEL SHANKS
CRNA40.00180585021674X
MITCH MIZE
CRNA40.00165362024389X
JAMES HELMS
CRNA40.00162469020889X
STEPHANIE WILLIAMS
OCCUPATIONAL THERAPIST40.0092319021084X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1156353TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation134718TotalOtherCompensation
Number Individuals GT100 K7NumberIndividualsGT100K
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
HOSPITAL REVENUE CYCLE MGMT
4140 CLEMMONS ROAD SUITE 202CLEMMONSNC27012PATIENT ACCOUNTING SERVICES730970
CARDINAL HEALTH PHARMACY MGMT
21377 NETWORK PLACECHICAGOIL60673PHARMACY685012
CROTHALL
995 CHESTERBROOK BLVD SUITE 300WAYNEPA19087BIOMEDICAL SERVICES450132
EPMG OF VIRGINIA PC
2000 GREEN ROADANN ARBORMI48105EMERGENCY DEPARTMENT SERVICES387848
JOHNSTON MEMORIAL HOSPITAL
351 COURT STREET NEABINGDONVA24210BLOOD BANK205358
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
All Other Contributions50AllOtherContributions
Total Contributions50TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
ANCILLARY REVENUE-NET6241003769345437693454
ROOM AND BOARD6241001268324912683249
FieldValueIRS element (for citing)
Total Program Service Revenue50376703TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column141988TotalRevenueColumn
Exclusion$141,988ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real150650Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real150650Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column150650TotalRevenueColumn
Related Or Exempt Function Income150650RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA AND VENDING900099201680201680
GIFT SHOP SALES9000995030750307
MISCELLANEOUS9000993931939319

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column15885TotalRevenueColumn
Related Or Exempt Function Income15885RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue307191TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column50976582TotalRevenueColumn
Related Or Exempt Function Income50834544RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$141,988ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1156355Total
Program Services647559ProgramServices
Management And General508796ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total21185451Total
Program Services11863853ProgramServices
Management And General9321598ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total620790Total
Program Services347642ProgramServices
Management And General273148ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3274064Total
Program Services1833476ProgramServices
Management And General1440588ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1569818Total
Program Services879098ProgramServices
Management And General690720ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total202906Total
Program Services113627ProgramServices
Management And General89279ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total49726Total
Program Services27847ProgramServices
Management And General21879ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total76922Total
Program Services43076ProgramServices
Management And General33846ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2458711Total
Program Services1376878ProgramServices
Management And General1081833ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total34417Total
Program Services19274ProgramServices
Management And General15143ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total140952Total
Program Services78933ProgramServices
Management And General62019ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1511648Total
Program Services846523ProgramServices
Management And General665125ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total352679Total
Program Services197500ProgramServices
Management And General155179ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total328901Total
Program Services184185ProgramServices
Management And General144716ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1619578Total
Program Services906964ProgramServices
Management And General712614ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total303989Total
Program Services170234ProgramServices
Management And General133755ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES666545237326532932799
BAD DEBT EXPENSE656070436739942886710
OTHER EXPENSES1447322810500636822
CONTRACT LABOR1425404798226627178
REPAIRS & MAINTENANCE1324510741726582784

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1204904Total
Program Services674746ProgramServices
Management And General530158ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total53515203Total
Program Services29968514ProgramServices
Management And General23546689ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3590527BOY
EOY1796150EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1052630BOY
EOY52630EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5536113BOY
EOY4625553EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1149963BOY
EOY1343994EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY361013BOY
EOY447088EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis48054494LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec38515989LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10605968BOY
EOY9538505EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1168097BOY
EOY5065315EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY23464311BOY
EOY22869235EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6084582BOY
EOY7577403EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY7976257BOY
EOY8985032EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY380904BOY
EOY150000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY14441743BOY
EOY16712435EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY9022568BOY
EOY6156800EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9022568BOY
EOY6156800EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY23464311BOY
EOY22869235EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-2538621ReconcilationRevenueExpenses
Reconcilation Other Changes-327147ReconcilationOtherChanges
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 D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis274349InvestmentCostOrOtherBasis
Book Value274349BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis20034846InvestmentCostOrOtherBasis
Depreciation14325457Depreciation
Book Value5709389BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis112123InvestmentCostOrOtherBasis
Depreciation104268Depreciation
Book Value7855BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis26854329InvestmentCostOrOtherBasis
Depreciation23338950Depreciation
Book Value3515379BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis778847InvestmentCostOrOtherBasis
Depreciation747314Depreciation
Book Value31533BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9538505TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionOTHER ASSETS AT NETDescription
Book Value5065315BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets5065315TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionEST MC/MCAID SETTLEMENTDescription
Amount$150,000Amount
FieldValueIRS element (for citing)
Total Of Amounts150000TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationTCRH, FOUNDATION, TCFCC, AND TCRHS ARE EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE FOUNDATION HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2011. FISCAL YEARS ENDING ON OR AFTER SEPTEMBER 30, 2008, REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE AUTHORITIES.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted Care0FPGReferenceDiscountedCare
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care0AmountsBudgetedForCharityCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available0ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1569881TotalCommunityBenefitExpense
Net Community Benefit Expense1569881NetCommunityBenefitExpense
Percent Of Total Expense0.02930PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense6283144TotalCommunityBenefitExpense
Direct Offsetting Revenue3588071DirectOffsettingRevenue
Net Community Benefit Expense2695073NetCommunityBenefitExpense
Percent Of Total Expense0.05040PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense7853025TotalCommunityBenefitExpense
Direct Offsetting Revenue3588071DirectOffsettingRevenue
Net Community Benefit Expense4264954NetCommunityBenefitExpense
Percent Of Total Expense0.07970PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs18NumberOfActivitiesOrPrograms
Persons Served1174PersonsServed
Total Community Benefit Expense71252TotalCommunityBenefitExpense
Net Community Benefit Expense71252NetCommunityBenefitExpense
Percent Of Total Expense0.00130PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Total Community Benefit Expense49168TotalCommunityBenefitExpense
Net Community Benefit Expense49168NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs23NumberOfActivitiesOrPrograms
Persons Served1174PersonsServed
Total Community Benefit Expense120420TotalCommunityBenefitExpense
Net Community Benefit Expense120420NetCommunityBenefitExpense
Percent Of Total Expense0.00220PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs23NumberOfActivitiesOrPrograms
Persons Served1174PersonsServed
Total Community Benefit Expense7973445TotalCommunityBenefitExpense
Direct Offsetting Revenue3588071DirectOffsettingRevenue
Net Community Benefit Expense4385374NetCommunityBenefitExpense
Percent Of Total Expense0.08190PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served75PersonsServed
Total Community Building Expense2568TotalCommunityBuildingExpense
Net Community Building Expense2568NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served75PersonsServed
Total Community Building Expense2568TotalCommunityBuildingExpense
Net Community Building Expense2568NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$5,960,705BadDebtExpenseAmount
Amount Attributable To2068365AmountAttributableTo
Amount Reimbursed By Medicare22199354AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare23567071CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-1367717MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
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 Line1TWIN COUNTY REGIONAL HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1200 HOSPITAL DRIVEAddressLine1
CityGALAXCity
StateVAState
ZIP Code24222ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1TWIN COUNTY REGIONAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted0CHNAConducted
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent100.000000000000FPGFreePercent
Uses FPG Discounted0UsesFPGDiscounted
Explains Basis0ExplainsBasis
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Available On RequestXAvailableOnRequest
Actions On Nonpayment0ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy0NondiscrimEmergencyCarePolicy
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges1GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART I, LINE 3C: FPG WAS USED TO DETERMINE ELIGIBILITY FOR FREE CARE. DISCOUNTED CARE IS OFFERED IN THE FORM OF A PREPAY PROGRAM, WHERE INDIVIDUALS CAN RECEIVE DISCOUNTED PRICES FOR TESTS/PROCEDURES BY PAYING UP FRONT FOR THESE PROCEDURES. THIS IS A 30% DISCOUNT OF PRICING. THE HOSPITAL ALSO OFFERS A 20% DISCOUNT FOR PAYING THEIR ACCOUNT IN FULL WITHIN 45 DAYS OF BEING BILLED IF THEY CANNOT PAY PRIOR TO RECEIVING SERVICES.
PART I, LINE 6A: AN ANNUAL COMMUNITY BENEFIT REPORT IS PREPARED BY TWIN COUNTY REGIONAL HEALTHCARE FOR INCLUSION IN THE VIRGINIA HOSPITAL AND HEALTHCARE ASSOCIATION.
PART II: TWIN COUNTY REGIONAL HEALTHCARE HAS REPRESENTATION OF THE VIRGINIA ASTHMA COALITION, ROANOKE ASTHMA COALITION AND THE TWIN COUNTY COALITION. THE VIRGINIA ASTHMA COALITION AND THE ROANOKE ASTHMA COALITION TARGET VIRGINIA AND SOUTHWEST VIRGINIA, RESPECTIVELY, IN A PROJECT TO IMPROVE ASTHMA EDUCATION FOR THE AREA. OUR CARDIOPULMONARY DEPARTMENT MANAGER HAS WORKED WITH THE ROANOKE BRANCH TO HELP ESTABLISH THE PROJECT IN OUR COUNTIES. THE TWIN COUNTY COALITION WAS ORGANIZED TO PROVIDE OPPORTUNITIES FOR PREVENTION, RECOVERY AND SUPPORT FOR VARIOUS HEALTH ISSUES, DRUG PREVENTION, COMMUNITY EDUCATION AND MANY EARLY CHILDHOOD PROGRAMS.
PART III, LINE 4: THE AMOUNTS IN LINE 2-3 WERE DERIVED BASED ON THE COST TO CHARGE RATIO. BAD DEBT SHOULD BE INCLUDED IN COMMUNITY BENEFIT BECAUSE WE ARE PROVIDING A SERVICE TO OUR COMMUNITY POPULATION THAT IS EITHER UNABLE OR UNWILLING TO PAY.
PART III, LINE 8: MEDICARE MAKES UP OVER 50% OF OUR BUSINESS. ANY SHORTFALL THAT RESULT FROM THE PAYMENTS RECEIVED BEING LESS THAN THE COST OF PROVIDING THE SERVICE SHOULD BE CONSIDERED AS A COMMUNITY BENEFIT. FOR SMALL, RURAL HOSPITALS, THIS CAN HAVE A HUGE FINANCIAL IMPACT.
PART III, LINE 9B: TWIN COUNTY REGIONAL HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE. THE EXPENSES INCURRED IN PROVIDING THESE SERVICES ARE INCLUDED IN THE HOSPITAL'S OPERATING EXPENSES.
PART V, SECTION B, LINE 21: GROSS CHARGES FOR PROCEDURES ARE USED TO BILL PATIENT. IF THEY MEET ELIGIBILITY FOR CHARITY CARE, THE AMOUNT IS WRITTEN OFF IN FULLTWIN COUNTY REGIONAL HOSPITAL
PART VI, LINE 2: TWIN COUNTY REGIONAL HEALTHCARE HAS FOUR COMMUNITY ADVISORY BOARDS; GALAX CITY ADVISORY BOARD, GRAYSON COUNTY ADVISORY BOARD, CARROLL COUNTY ADVISORY BOARD AND THE HISPANIC ADVISORY BOARD. EACH OF THESE GROUPS MEETS QUARTERLY TO DISCUSS THE NEEDS OF THE AREAS CITIZENS. GROUPS ARE MADE UP OF TCRH BOARD MEMBERS THAT LIVE IN THE RESPECTIVE AREA, SOCIAL SERVICES, LOCAL POLICE DEPARTMENTS, LOCAL PHYSICIANS AND OTHER COMMUNITY LEADERS THAT HAVE BEEN IDENTIFIED. THE GROUPS MAKE SUGGESTIONS OF NEEDED SERVICES, EXPRESS CONCERNS REGARDING HEALTHCARE NEEDS AND POLL THE CITIZENS FOR THEIR OPINIONS.
PART VI, LINE 3: TWIN COUNTY REGIONAL HEALTHCARE HAS AN ELIGIBILITY WORKER IN PARTNERSHIP WITH THE LOCAL DEPARTMENT OF SOCIAL SERVICES, CASHIERS AND COLLECTION REPRESENTATIVES AVAILABLE TO HELP PATIENTS DETERMINE THEIR ELIGIBILITY FOR MEDICAID, CHARITY CARE OR OTHER PROGRAMS FOR WHICH THEY MEET THE QUALIFICATIONS. CASHIERS AND COLLECTION REPRESENTATIVES ARE ALSO TRAINED TO HELP ESTABLISH PAYMENT PLANS FOR PATIENTS WHO DO NOT QUALIFY FOR OTHER ASSISTANCE. TCRH ALSO OFFERS A PRE-PAY PROGRAM WHICH DISCOUNTS SOME OF THE MOST POPULAR SERVICES OFFERED. BROCHURES ARE AVAILABLE AT LOCAL PHYSICIAN OFFICES AND ENTRY POINTS AT TCRH.
PART VI, LINE 4: GRAYSON AND CARROLL COUNTIES AND THE CITY OF GALAX ARE THE MAIN AREAS WHICH TWIN COUNTY REGIONAL HOSPITAL SERVICES. THESE COUNTIES ARE LOCATED IN SOUTHWEST VIRGINIA. WITH POPULATIONS OF 15,793 FOR GRAYSON COUNTY, 29,034 FOR CARROLL COUNTY AND 6,880 FOR GALAX CITY, IT IS A RURAL AREA WITH SEVERAL LOCAL PHYSICIAN OFFICES MEETING THE RURAL HEALTH STATUS. OVER 20% OF GRAYSON COUNTYS POPULATION IS OVER 65 YEARS OF AGE, 64% OF THE POPULATION IS A HIGH SCHOOL GRADUATE AND MOST CITIZENS HAVE A DAILY COMMUTE TO WORK FOR 30 MINUTES. CARROLL COUNTY HAS 18% OF ITS POPULATION OVER AGE 65, 64 % OF THE POPULATION IS A HIGH SCHOOL GRADUATE AND THE AVERAGE COMMUTE IS 26 MINUTES. GALAX CITY HAS A 20% POPULATION OF OVER AGE 65, 60% OF RESIDENTS HAVE A HIGH SCHOOL DEGREE AND HAVE A 15 MINUTE COMMUTE TO WORK. THE UNEMPLOYMENT RATE OF THE TWO COUNTIES IS OVER 10% AND MOST JOBS IN THE ARE MANUFACTURING AND LOCAL GOVERNMENT. IN THESE COUNTIES, 14.8-19% OF THE POPULATION IS BELOW THE POVERTY LEVEL.
TWIN COUNTY REGIONAL HEALTHCARE HAS REPRESENTATION OF THE VIRGINIA ASTHMA COALITION, ROANOKE ASTHMA COALITION AND THE TWIN COUNTY COALITION. THE VIRGINIA ASTHMA COALITION AND THE ROANOKE ASTHMA COALITION TARGET VIRGINIA AND SOUTHWEST VIRGINIA, RESPECTIVELY, IN A PROJECT TO IMPROVE ASTHMA EDUCATION FOR THE AREA. OUR CARDIOPULMONARY DEPARTMENT MANAGER HAS WORKED WITH THE ROANOKE BRANCH TO HELP ESTABLISH THE PROJECT IN OUR COUNTIES. THE TWIN COUNTY COALITION WAS ORGANIZED TO PROVIDE OPPORTUNITIES FOR PREVENTION, RECOVERY AND SUPPORT FOR VARIOUS HEALTH ISSUES, DRUG PREVENTION, COMMUNITY EDUCATION AND MANY EARLY CHILDHOOD PROGRAMS.PART VI, LINE 5:

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
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 Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 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
JON APPLEBAUM
2100300000000207180230748000
SANDRA MORETZ
1375600000000126840150244000
NELSON MONTGOMERY
1449850000000209950165980000
DIANNE DILL
1553620000000133690168731000
MICHAEL SHANKS
1805850000000216740202259000
MITCH MIZE
1653620000000243890189751000
JAMES HELMS
1624690000000208890183358000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11THE CFO REVIEWS AND SIGNS THE RETURN.
WE HAVE A COMPENSATION COMMITTEE THAT IS PART OF OUR BOARD OF DIRECTORS. THEY ARE RESPONSIBLE FOR DETERMINING THE COMPENSATION OF THE CEO.FORM 990, PART VI, SECTION B, LINE 15A
COPIES ARE PROVIDED UPON REQUESTFORM 990, PART VI, SECTION C, LINE 18
COPIES ARE PROVIDED UPON REQUESTFORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:PRIOR PERIOD ADJUSTMENTS: -327,147.FORM 990, PART XI, LINE 5:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
TWIN COUNTY FAMILY CARE CENTER
200 HOSPITAL DRIVEGALAXVA24333621455713PHYSICAN OFFICEVA501(C)(3)LINE 3TWIN COUNTY REGIONAL HEALTHCARE INC0
TWIN COUNTY REGIONAL HEALTH SERVICES
200 HOSPITAL DRIVEGALAXVA24333541397631WELLNESS CENTERVA501(C)(3)LINE 3TWIN COUNTY REGIONAL HEALTHCARE INC0
TWIN COUNTY REGIONAL FOUNDATION
200 HOSPITAL DRIVEGALAXVA24333541593923FOUNDATIONVA501(C)(3)LINE 11A, ITWIN COUNTY REGIONAL HEALTHCARE INC0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1TWIN COUNTY FAMILY CARE CENTERSBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeITransactionType
Amount Involved138540AmountInvolved
Method Of Amt DeterminationACTUAL AMOUNTMethodOfAmtDetermination

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.