HAMPTON REGIONAL MEDICAL CENTER: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- HAMPTON REGIONAL MEDICAL CENTER (EIN 57-1017988)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-08-15
- IRS object ID
- 201112279349303606
- Schema version
- 2009v1.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-08-15T13:56:32-05:00 | Timestamp |
| Tax Period End Date | 2010-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Cherry Bekaert & Holland LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1029 Greene Street | AddressLine1 |
| City | Augusta | City |
| State | GA | State |
| ZIP Code | 30901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 571017988 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HAMPTON REGIONAL MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HAMP | NameControl |
| Phone | 8039432771 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 503 CAROLINA AVENUE WEST PO BOX 338 | AddressLine1 |
| City | VARNVILLE | City |
| State | SC | State |
| ZIP Code | 29944 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DAVID h HAMILL | Name |
| Title | president | Title |
| Phone | 8039432771 | Phone |
| Date Signed | 2011-08-12 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7067243557 | Phone |
| Date Prepared | 2011-08-11 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | david h hamill | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 503 carolina avenue | AddressLine1 |
| City | varnville | City |
| State | SC | State |
| ZIP Code | 29944 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 21009432 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.HAMPTONREGIONAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1950 | YearFormation |
| State Legal Domicile | SC | StateLegalDomicile |
| Activity Or Mission Description | Hampton Regional Medical Center's mission statement is to provide: Compassion, Commitment, & Excellence, Every Person, Every Time. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 7 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 259 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 153680 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 41184 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 19925224 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 20542490 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 86672 | InvestmentIncomePriorYear |
| Investment Income Current Year | 92147 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 990472 | OtherRevenuePriorYear |
| Other Revenue Current Year | 333611 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 21156048 | TotalRevenuePriorYear |
| Total Revenue Current Year | 21009432 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 8120011 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 8256731 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 67886 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 12686119 | OtherExpensePriorYear |
| Other Expenses Current Year | 13175973 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 20806130 | TotalExpensesPriorYear |
| Total Expenses Current Year | 21432704 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 349918 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -423272 | RevenuesLessExpensesCY |
| Total Assets BOY | 45837429 | TotalAssetsBOY |
| Total Assets EOY | 44784741 | TotalAssetsEOY |
| Total Liabilities BOY | 40810708 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 40284154 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 5026721 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 4500587 | NetAssetsOrFundBalancesEOY |
| Mission Description | COMPASSION, COMMITMENT AND EXCELLENCE. EVERY PERSON, EVERY TIME. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 16234828 | Expense |
| Revenue | 20704588 | Revenue |
| Description | HAMPTON REGIONAL MEDICAL CENTER PROVIDEs extensive community benefits in many forms, including charity care, health education, community sponsorships, and numerous community outreach programs that directly benefit the people in the service area of the hospital. HAMPTON REGIONAL MEDICAL CENTER PROVIDED MEDICAL SERVICES TO OVER 30,000 PATIENTS IN FY 2009. THAT TOTAL INCLUDED 11,230 EMERGENCY ROOM PATIENTS AND 1,317 INPATIENTS.The hospital sponsors Hampton County Seniors, a monthly educational program that features topics of interest to seniors and their families such as breast cancer awareness, home gardening, protection against fraud, advanced directives and living wills, flu, diabetes education, economic updates, and many more health-related topics. Local and regional physicians and providers donate their time each month, which has helped make this the largest ongoing community meeting in the County. The hospital's sponsorship of this program also includes free blood sugar and blood pressure screenings and lunch to all in attendance. In 2010, this program benefited over 2,000 members of the community and, since its inception in 2005, has benefited more than 12,000 members. HRMC founded this program and provides all human and financial resources necessary to promote, facilitate, and sustain the program.Hamption Regional employees share their time and expertise with over 3,000 members of the community through local health fairs. The largest health fair had more than 800 in attendance and over 50 vendors present. Children were entertained by clowns, jumping castle, face painting, petting zoo and other fun activities. Attendees received numerous health screenings including discounted or free blood work. HRMC nursing staff held Grime Scene Investigation workshops at local schools to teach proper hand washing techniques, H1N1 and flu presentations were held on campus, as well as diabetes and breast cancer education classes. HRMC hosted a Heat Stroke Prevention campaign handing out free bottled water and distributing over 2,000 hand fans to members of the community. Hampton Regional and its employees donated medical supplies to the Haiti Relief effort. One employee, a certified nurse anesthetist, spent 2 weeks in Haiti donating her services to the relief effort.The hospital supports the local Rotary Club, Lions Club, Chamber of Commerce and a variety of other community organizations. The hospital also provides free public health education programs on a variety of health topics.HRMC provides updated, reasearchable health education services through its website which is linked to hundreds of sites such as WebMD, the American Cancer Society, Center for Disease Control (CDC) and others. HRMC's website has over 40,000 hits per month.The hospital actively participates with the local technical college and provides clinical rotations for nursing students, surgical tech students and radiology tech students. The hospital also provides clinical rotations for students enrolled in the University of South Carolina Bachelors Nursing Program. The hospital participates in school career events throughout the area. Each year we sponsor the local high schools health careers program participation in state and national competitions.The hospital is affiliated with the AT School of Osteopathic Medicine's Beaufort campus and has agreed to serve, at no cost, as a rural training hospital for medical students.The hospital is an integral part of the Hampton County Leadership program sponsored by the USC Salkehatchie Leadership Institute and the Hampton County Chamber of Commerce.HRMC provides human and financial support to community events such as flu shot clinics, blood pressure screenings, cholesterol screenings, Red Cross blood mobile, relay for life, local festivals, and adopt a child program.The hospital also provides meeting rooms for various community organizations such as rotary, bosom buddies, weight watchers, hampton county leadership, and relay for life. The hospital also provides meeting room space to be used as a distant learning center. | Description |
| Total Program Service Expense | 16234828 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 14 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 259 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Form8899 Filed | 1 | Form8899Filed |
| Form1098 C Filed | 1 | Form1098CFiled |
| Excess Business Holdings | 0 | ExcessBusinessHoldings |
| Taxable Distributions | 0 | TaxableDistributions |
| Distribution To Donor | 0 | DistributionToDonor |
| Nbr Voting Governing Body Members | 7 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | SC | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVID HAMILL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8039432771 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 338 | AddressLine1 |
| City | VARNVILLE | City |
| State | SC | State |
| ZIP Code | 29944 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (16 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| allan swofford | |||||||
| bOARD MEMBER | 2.00 | X | X | 0 | 0 | 0 | |
| WILLIAM R KOGER JR | |||||||
| chAIRMAN OF THE BOARD | 2.00 | X | X | 0 | 0 | 0 | |
| PAT SENTMAN | |||||||
| SECRETARY | 2.00 | X | X | 0 | 0 | 0 | |
| DEBBIE BULLARD | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| ROY HOLLINGSWORTH | |||||||
| vice chairman | 2.00 | X | 0 | 0 | 0 | ||
| ADELAIDE JOSSELSON | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| DR BO WARREN | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| DAVE HAMILL | |||||||
| CEO | 40.00 | X | 197529 | 0 | 12289 | ||
| DONALD TUCKER | |||||||
| VP OF MARKETING | 40.00 | X | 97290 | 0 | 9248 | ||
| JULIE ALLEN | |||||||
| CFO | 40.00 | X | 79714 | 0 | 6992 | ||
| KATHY JARRELL | |||||||
| DIRECTOR OF NURSING | 40.00 | X | 81775 | 0 | 8725 | ||
| LYNN BOWERS | |||||||
| HUMAN RESOURCES DIRECTOR | 40.00 | X | 71663 | 0 | 3749 | ||
| SONNY PARK | |||||||
| ER PHYSICIAN | 40.00 | 173077 | 0 | 8923 | X | ||
| MALCOLM HORRY | |||||||
| PHYSICIAN | 40.00 | 124585 | 0 | 1365 | X | ||
| BRENT ALAN ARMSTRONG | |||||||
| ER PHYSICIAN | 40.00 | 242837 | 0 | 8451 | X | ||
| itai mupanduki | |||||||
| er PHYSICIAN | 40.00 | 166384 | 0 | 486 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1234854 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 60228 | TotalOtherCompensation |
| Number Individuals GT100 K | 5 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| carmen marflak | |||||
| 1709 acres drive | beaufort | SC | 29902 | ANESTHESIA SERVICES | 158000 |
| TRIDENT CONSTRUCTION | |||||
| 2245 TECHNICAL PARKWAY | CHARLESTON | SC | 294034931 | CONSTRUCTION | 105241 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
| Government Grants | 3163 | GovernmentGrants |
| All Other Contributions | 38021 | AllOtherContributions |
| Total Contributions | 41184 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT SERVICE RE | Description |
| Business Code | 621990 | BusinessCode |
| Total Revenue Column | 20542490 | TotalRevenueColumn |
| Related Or Exempt Function Income | 20542490 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 20542490 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 92147 | TotalRevenueColumn |
| Exclusion | $92,147 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| other income | 621990 | 152139 | 152139 | |
| dietary revenue | 621990 | 136328 | $136,328 | |
| medical transcripts | 621990 | 35185 | $35,185 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 9959 | TotalRevenueColumn |
| Related Or Exempt Function Income | 9959 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 333611 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 21009432 | TotalRevenueColumn |
| Related Or Exempt Function Income | 20704588 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $263,660 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1622173 | Total |
| Management And General | 1622173 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5343081 | Total |
| Program Services | 5343081 | ProgramServices |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 72544 | Total |
| Program Services | 55859 | ProgramServices |
| Management And General | 16685 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 654215 | Total |
| Program Services | 506103 | ProgramServices |
| Management And General | 148112 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 564718 | Total |
| Program Services | 434833 | ProgramServices |
| Management And General | 129885 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55316 | Total |
| Management And General | 55316 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37090 | Total |
| Management And General | 37090 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 380 | Total |
| Management And General | 380 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 169234 | Total |
| Program Services | 78297 | ProgramServices |
| Management And General | 90937 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1142331 | Total |
| Program Services | 968836 | ProgramServices |
| Management And General | 172678 | ManagementAndGeneral |
| Fundraising | 817 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25704 | Total |
| Program Services | 11050 | ProgramServices |
| Management And General | 7874 | ManagementAndGeneral |
| Fundraising | 6780 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1991865 | Total |
| Management And General | 1991865 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2284294 | Total |
| Program Services | 2284294 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 187111 | Total |
| Program Services | 187111 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| BAD DEBTS | 3817750 | 3817750 | ||
| supplies | 1641564 | 1513692 | 124614 | 3258 |
| OUTSIDE SERVICES | 1120817 | 877114 | 186672 | 57031 |
| TAXES AND LICENSE | 648735 | 147233 | 501502 | |
| MISCELLANEOUS | 53782 | 9575 | 44207 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21432704 | Total |
| Program Services | 16234828 | ProgramServices |
| Management And General | 5129990 | ManagementAndGeneral |
| Fundraising | 67886 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1865 | BOY |
| EOY | 872 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2200312 | BOY |
| EOY | 2132585 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 73506 | BOY |
| EOY | 65384 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2824761 | BOY |
| EOY | 3186804 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 375554 | BOY |
| EOY | 342710 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 210372 | BOY |
| EOY | 140437 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 37774458 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 7727523 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32107948 | BOY |
| EOY | 30046935 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5245943 | BOY |
| EOY | 4994973 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2797168 | BOY |
| EOY | 3874041 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45837429 | BOY |
| EOY | 44784741 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2155516 | BOY |
| EOY | 2316365 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38655192 | BOY |
| EOY | 37967789 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40810708 | BOY |
| EOY | 40284154 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4913621 | BOY |
| EOY | 4490349 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 102862 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10238 | BOY |
| EOY | 10238 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5026721 | BOY |
| EOY | 4500587 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45837429 | BOY |
| EOY | 44784741 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 0 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2728127 | OtherCostOrOtherBasis |
| Book Value | 2728127 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 25345383 | OtherCostOrOtherBasis |
| Depreciation | 7179122 | Depreciation |
| Book Value | 18166261 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9700948 | OtherCostOrOtherBasis |
| Depreciation | 548401 | Depreciation |
| Book Value | 9152547 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 30046935 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (5 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| REGIONS BANK CERTIFICATE OF DEPOSIT | 10238 | F |
| OTHER INVESTMENTS | 12687 | F |
| debt service reserve fund | 2838792 | F |
| bond issues cost net of amortization of loan cost | 662541 | C |
| DEBT service CONTRIBUTIONS | 1470715 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 4994973 | TotalOfBookValueSecurities |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| OTHER RECEIVABLES | 25736 |
| INTERCOMPANY RECEIVABLE | 3848305 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 3874041 | TotalBookValueOtherAssets |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part X: | Identifier |
| Return Reference | Description of Uncertain Tax Positions Under FIN 48: | ReturnReference |
| Explanation | Hampton regional medical center is a not-for-profit corporation and has been recoganized as tax-exempt pursuant to section 501(c)(3) of the internal revenue code. management has evaluated the effect of the guidance provided by u.s. generally accepted accounting principals on accounting for uncertainty in Income taxes that became effective this year. management believes that the hospital continues to satisfy the requirements of a tax-exempt organization at september 30, 2010. management has evaluated all other tax positions that could have a significant effect on the financial statements and determined the hospital had no uncertain income tax positions at September 30, 2010. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent350 | X | Pcent350 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 369 | PersonsServed |
| Total Community Benefit Expense | 743603 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 743603 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03470 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 5689 | PersonsServed |
| Total Community Benefit Expense | 3005981 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3389244 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -383263 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 6058 | PersonsServed |
| Total Community Benefit Expense | 3749584 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3389244 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 360340 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03470 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 93 | NumberOfActivitiesOrPrograms |
| Persons Served | 5350 | PersonsServed |
| Total Community Benefit Expense | 45024 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 45024 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00210 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 34 | NumberOfActivitiesOrPrograms |
| Persons Served | 72 | PersonsServed |
| Total Community Benefit Expense | 74153 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 74153 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00350 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 50 | NumberOfActivitiesOrPrograms |
| Persons Served | 1140 | PersonsServed |
| Total Community Benefit Expense | 1000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 177 | NumberOfActivitiesOrPrograms |
| Persons Served | 6562 | PersonsServed |
| Total Community Benefit Expense | 120177 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 120177 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00560 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 179 | NumberOfActivitiesOrPrograms |
| Persons Served | 12620 | PersonsServed |
| Total Community Benefit Expense | 3869761 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3389244 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 480517 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04030 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 60 | NumberOfActivitiesOrPrograms |
| Persons Served | 1 | PersonsServed |
| Total Community Building Expense | 2530 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 2530 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 4 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 327 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 327 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 5 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 1071 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 1071 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 85158 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 85158 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00400 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 70 | NumberOfActivitiesOrPrograms |
| Persons Served | 1 | PersonsServed |
| Total Community Building Expense | 89086 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 89086 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00420 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $1,675,679 | BadDebtExpenseAmount |
| Amount Attributable To | 876174 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 4683419 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 5658633 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -975214 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HAMPTON REGIONAL MEDICAL CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 338 | AddressLine1 |
| City | VARNVILLE | City |
| State | SC | State |
| ZIP Code | 29944 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Income Based Criteria | Part I, Line 3c: In addition to using the Federal Poverty Level (FPL) to determine free and discounted care, (See Part I, lines 3A and 3B) the hospital also offers a 15% discount for uninsured patients. | IncomeBasedCriteria |
| Bad Debt Footnote | Part III, Line 4: The Organization's financial statements do not include a footnote on bad debt. The Organization uses Worksheet 2 (Ratio of Patient Care Cost to Charges) to determine bad debt expense at cost. Worksheet 2 uses total operating expenses from the audited financial statements. Gross patient revenue was obtainted from hospital records since only net patient revenue is listed in the audited statements. To estimate the cost of bad debt attributable to patients eligible under our charity care policy, we took patient level detail reports as of FYE 9/30/10 and sorted the report by SP financial class only. We then used a percentage allocation based on the percent of the population below the Federal proverty level in our service area. | BadDebtFootnote |
| Shortfall As Community Benefit | Part III, Line 8: The Medicare shortfall should be allowed as a community benefit since providers cannot negotiate rates with Medicare. Medicare was 45.4% of our payor mix in 2010, making it our largest payor for the facility. By treating Medicare patients, we are promoting access to healthcare services. The Medicare cost report was used to report cost on Part III, lines 5 and 6. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | Part III, Line 9b: Hampton Regional Medical Center (HRMC) makes every effort to identify patients that are potentially eligible for financial assistance by meeting with patients face-to-face, contacting them by phone and by mail. Financial assistance applications are available at all registration areas within our facility. A full-time staff member is available M-F from 8:30 - 5:00 to assist patients in completing the applications. Our outsourced self pay billing agency also has applications available to mail patients when they are identified as potential candidates for financial assistance. In-house reports are also screened to identify patients that may qualify for assistance. If a patient does not meet charity care guidelines or neglects to complete the required charity care application, the patient will still receive a 15% discount off total charges and will also be eligible for a 10% prompt pay discount. It is not the collection practice of HRMC or its agents to attach liens on property, garnish wages, or pursue legal action on the debts owed by our patients. | DebtCollectionPolicy |
| Needs Assessment | Part VI, Line 2: Part VI question 2: Needs Assessment. Describe how the Organization assesses the healthcare needs of the communities it serves.HRMC partnered with a local physician practice in 2008 to conduct a needs assessment that determined a need for additional primary care and access to specialty care in our service area. HRMC has been actively involved in the recruitment of a full-time pediatrician, orthopedic surgeon, general surgeon, and a cardiologist to the rural area. HRMC has also worked with ophthalmology, podiatry, and neurology specialists to provide weekly clinics for patients locally.HRMC works continuously to recruit physicians to the area. HRMC works with 3 local colleges to provide clinical rotations for nursing students, surgical techs, radiology students, and medical students. In addition, HRMC also collects emergency room survey data to determine needs from patients seeking help through the ER. This survey process continues to show patient needs of primary care physicians, patients who cannot afford prescription medications, and patients who do not have the financial recources to be seen in a physician's office. The service area has one clinic designated as a Federally Qualified Community Health Center (FQHC). Rural Hampton County is a Medically Underserved Area and is designated as a Health Professional Shortage Area (HPSA). In addition to this, HRMC also relies on national data for other opportunities to support the community such as offering various health screenings throughout the year.Part VI question 3: Patient education of eligibility for assistance. Describe how the Organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the Organization's charity care policy.Information concerning financial assistance is available on our hospital website, patient information pamphlets and signage located in registration areas. Patients are also offered assistance at registration if they indicate they cannot afford to pay the bill. Patients are referred to our FT Financial Counselor for assistance with the applications and guidance on applying for the state Medicaid program.Part VI question 4: Community information. Describe the community the organization serves, taking into account the geographic area and the demographic constituents it serves.Hampton Regional Medical Center resides in Hampton County, SC. Hampton County is the primary service area with a population of approximately 21,000 residents. Allendale, Colleton, and Jasper counties are secondary service areas. Hampton County is a Medically Underserved Area and a Federally designated Health Professional Shortage Area (HPSA). The unemployment rate for Hampton County is 16.3%, with 22% of the population living below the Federal Poverty Level (FPL). In 2010, 23.9% of households within the primary service area earned income less than $15k. Poverty, unemployment, and lack of health insurance coverage continue to be issues in the area. Our largest market share from our secondary service area is Allendale County. Allendale County is in the top 10 in the nation with the highest unemployment rate at 23.6%, meaning almost 1 out of every 4 people is out of work, according to the U.S. Bureau of Labor & Statistics. Thirty-five percent (35%) of Allendale's population is living below the FPL.Part VI question 5: Community Building Activities. Describe how the Organization's community building activites, as reported in Part II, promote the health of the communities we serve.The community building activities reported are support for the Rotary Club, Chamber of Commerce, and local schools and colleges in the communities we serve. In supporting these organizations we can support the development of our community by bringing in new industries and jobs, increasing the average household income, and improving living conditions and the overall general health of the community. To promote workforce development, we participate with local high schools in hosting their health occupation students, participate in career days, host students for on-the-job shadowing, and participate as a training site for local colleges.Part VI question 6: Provide any other information important to describing how the Organization's hospital further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.)Hampton Regional Medical Center strives to provide the highest quality healthcare to the communities we serve. In 2008, HRMC moved into a new replacement facility equipped with the latest technology. HRMC's new facility replaced a crumbling 1950's facility that could not offer the expanded services we are now capable of offering to the community. HRMC now provides services to the community that were once only available in larger facilities 60-80 miles away. Some of these services include full-time MRI, ICU, cardiac rehab and a sleep lab. The development of our new facility not only serves the growth in population, but also improves the quality of patient care with the new technology offered. HRMC's mission statement of providing Compassion, Commitment, Excellence to Every Person, Every Time is accomplished through providing quality healthcare services to all who present regardless of their ability to pay. HRMC also promotes the health of the community by providing various community services throughout the year. Some of these services includes free health screenings, health education and health fairs.The governing Board of Directors at HRMC is comprised of citizens who reside in the primary and secondary service area of the communities we serve. Board members are active participants in many community programs sponsored by the facility.HRMC extends medical staff privileges to all qualified physicians in our community. | NeedsAssessment |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | X | IndependentConsultant |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DAVE HAMILL | |||||||||||||
| 197529 | 0 | 0 | 0 | 0 | 0 | 2206 | 0 | 10083 | 0 | 209818 | 0 | 0 | 0 |
| SONNY PARK | |||||||||||||
| 173077 | 0 | 0 | 0 | 0 | 0 | 4430 | 0 | 4493 | 0 | 182000 | 0 | 0 | 0 |
| BRENT ALAN ARMSTRONG | |||||||||||||
| 242837 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 8451 | 0 | 251288 | 0 | 0 | 0 |
| itai mupanduki | |||||||||||||
| 166384 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 486 | 0 | 166870 | 0 | 0 | 0 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | hampton regional medical center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 571017988 | IssuerEIN |
| CUSIP Number | 00083703f | CUSIPNumber |
| Date Issued | 2006-11-01 | DateIssued |
| Issue Price | 39080000 | IssuePrice |
| Description Of Purpose | replacement hospital | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 39080000 | TotalProceeds |
| Amount In Reserve Fund | 2838790 | AmountInReserveFund |
| Capital Expenditures | 39080000 | CapitalExpenditures |
| Year Of Subst Completion | 2008 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Bond Counsel Routinely Engaged | 0 | BondCounselRoutinelyEngaged |
| Post Issuance Compliance Procdrs | 0 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 0 | ExceptionToRebate |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section B, line 11 | AN ELECTRONIC COPY OF THE FORM 990 IS PROVIDED TO THE GOVERNING BODY PRIOR tO FILING FOR THEir APPROVAL. | |
| Form 990, Part VI, Section B, line 12c | The organization sends conflict-of-interest statements to all Trustees, Directors, and significant members OF THE ORGANIZATION to disclose any possible conflicts. The EXECUTIVE committee regularly reviews any conflicts that may arise throughout the year on a case-by-case basis. | |
| Form 990, Part VI, Section B, line 15 | IN 2007 HAMPTON REGIONAL MEDICAL CENTER (HRMC) CONTRACTED WITH STEPHAN KIRKLAND OF ATLANTIC EXECUTIVE COMPENSATION GROUP, LLC TO PROVIDE AN INDEPENDENT ANALYSIS OF HRMC'S CEO COMPENSATION AND RENDER AN OPINION AS TO THE FAIR MARKET REASONABLENESS OF THAT COMPENSATION PACKAGE. AGAIN IN 2010 A SIMILAR ENGAGEMENT HAS BEEN MADE WITH THE SAME FIRM. IT IS THE BOARD OF TRUSTEES INTENTION TO HAVE SUCH AN EVALUATION PERFORMED EVERY 2-3 YRS OR SOONER IF NEEDED. | |
| Form 990, Part VI, Section C, line 18 | FORMS 990 IS POSTED ON ANOTHER WEBSITE AND ALSO AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. | |
| Form 990, Part VI, Section C, line 19 | ALL GOVERNING DOCUMENTS AND POLICIES ARE PROVIDED for public review UPON REQUEST. | |
| PART XI, LINE 2A & 2B | HAMPTON REGIONAL MEDICAL CENTER AND SUBSIDIARY HAS A CONSOLIDATED FINANCIAL AUDIT COMPOSED OF HAMPTON REGIONAL MEDICAL CENTER AND COASTAL PLAINS PHYSICIAN ASSOCIATES, WHICH IS AUDITED BY INDEPENDENT AUDITORS. COASTAL PLAINS PHYSICIAN ASSOCIATES FILES A SEPERATE 990 TAX RETURN. | AUDITED FINANCIAL STATEMENT |
| Form 990, Part XI, Line 2C | HRMC is a 32 bed rural facility. The hospital board of directors consist of 7-9 members. The board of directors meets with the auditor after the annual audit to review the audited consolidated financial statements and the management letter; ensuring that management addresses any issues determined in the auditors management letter. The rebidding process for selection of the independent audit firm occurs every 3-5 years. The board approves the selection of the independent audit firm. | REVIEW OF AUDITED CONSOLIDATED FINANCIAL STATEMENTS |
| Form 990, Part V, Lines 2B, 7G and 7H | The organization did not receive contributions of qualified intellectual property and was therefore not required to file form 8899. Likewise, there were no contributions of cars, boats, airplanes, or other vehicles, and Form 1098-C was not required. The organization did not have any reportable gaming (gambling) winnings to prize winners and therefore the backup withholding rules did not apply. | Backup withholding, Form 8899 and 1098-C |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COASTAL PLAINS PHYSICIAN ASSOCIATES | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 595 WEST CAROLINA AVENUE | AddressLine1 |
| City | VARVILLE | City |
| State | SC | State |
| ZIP Code | 29944 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 571088306 | EIN |
| Primary Activities | PHYSICIANS' OFFICE | PrimaryActivities |
| Legal Domicile State | SC | LegalDomicileState |
| Exempt Code Section | 50C(3) | ExemptCodeSection |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HAMPTON REGIONAL MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COASTAL PLAINS PHYSICIAN ASSOCIATES | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | Q | TransactionType |
| Amount Involved | 420233 | AmountInvolved |
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