SOUTHSIDE COMMUNITY HOSPITAL INC: Form 990, tax year 2008
View the entire original 990 at ProPublica ↗
- Organization
- SOUTHSIDE COMMUNITY HOSPITAL INC (EIN 54-0555201)
- Tax period
- 2008-01-01 to 2008-12-31
- Filed
- 2011-01-11
- IRS object ID
- 201130129349300843
- Schema version
- 2008v2.9
- 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 I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-01-11T07:45:34-06:00 | Timestamp |
| Tax Period End Date | 2008-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES PLLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 RIDGEFIELD COURT | AddressLine1 |
| City | ASHVILLE | City |
| State | NC | State |
| ZIP Code | 28806 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2008-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 540555201 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTHSIDE COMMUNITY HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SOUT | NameControl |
| Phone | 4343152432 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 OAK STREET | AddressLine1 |
| City | FARMVILLE | City |
| State | VA | State |
| ZIP Code | 23901 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | WILLIAM L BASS JR | Name |
| Title | CFO/ASST TREASURER | Title |
| Phone | 4343152432 | Phone |
| Date Signed | 2011-01-10 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Amy Bibby | Name |
| Phone | 8282542254 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2008 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | X | AmendedReturn |
| Name Of Principal Officer Person | WILLIAM L BASS JR | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 OAK STREET | AddressLine1 |
| City | FARMVILLE | City |
| State | VA | State |
| ZIP Code | 23901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 50612905 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.SCH-FARMVILLE.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1926 | YearFormation |
| State Legal Domicile | VA | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE HEALTHCARE SERVICES FOR EIGHT COUNTIES IN CENTRAL VIRGINIA. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 20 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 607 | TotalNbrEmployees |
| Total Nbr Volunteers | 108 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 666053 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 25603 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 43217867 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 50317523 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 407040 | InvestmentIncomePriorYear |
| Investment Income Current Year | 138847 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 289784 | OtherRevenuePriorYear |
| Other Revenue Current Year | 77340 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 44580744 | TotalRevenuePriorYear |
| Total Revenue Current Year | 50559313 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 49762 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 20686560 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 25566286 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 26384907 | OtherExpensePriorYear |
| Other Expenses Current Year | 28882945 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 47071467 | TotalExpensesPriorYear |
| Total Expenses Current Year | 54498993 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -2490723 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -3939680 | RevenuesLessExpensesCY |
| Total Assets BOY | 53224890 | TotalAssetsBOY |
| Total Assets EOY | 51261092 | TotalAssetsEOY |
| Total Liabilities BOY | 16489691 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 18582418 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 36735199 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 32678674 | NetAssetsOrFundBalancesEOY |
| Mission Description | WE ARE DEDICATED TO IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES WE SERVE BY PROVIDING HIGH QUALITY HEALTHCARE WITH A PERSONAL TOUCH. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 48590623 | Expense |
| Grants | 49762 | Grants |
| Revenue | 50317523 | Revenue |
| Description | Southside Community Hospital (Southside Community) is committed to offering affordable healthcare to residents of Southside Virginia. Southside Community is also dedicated to improving the quality of life in the communities we serve by providing high quality healthcare. 2008 Community Benefit Highlights - Traditional Charity Care includes health care services to patients who do not have the ability to pay. During fiscal year 2008, $3,474,428 of charges at an estimated cost of $1,396,408 was provided to patients of Southside Community. Eligibility for charity care is based on poverty income levels set by the state of Virginia. - Unpaid cost of Medicaid reflects the cost not reimbursed by Medicaid for care rendered to Medicaid patients, which totaled $1,667,587. - Community Education includes community/patient health education programs, health screenings, counseling, and support groups, which totaled $103,000. - Medical Education includes continuing medical education and scholarships for nurses and other health care professionals. - Cash/In Kind Donations include contributions made on behalf of Southside Community, which totaled $49,762. - Approximately 5,000 people attended Southside Community's health education and health screening events.Community Education & Health Screenings Southside Community employees continually offer professional health education programs, classes, lectures, health fairs and health screenings throughout Southside Virginia. Southside Community has a Speaker Bureau available which consists of healthcare professionals, who are available to speak to the public on updated healthcare issues and topics. Southside Community is dedicated to improving the healthcare of its community. The hospital is eager to meet the healthcare needs of the community by providing educational materials and health screenings. Community Education & Health Screenings - Advanced Directives Day - Blood Pressure Checks Annual Heart of Virginia Festival - Blood Pressure Checks at local Wal-Mart 2nd Wednesday of every month - Blood Pressure Checks in several supermarkets in hospital service area - Breast Cancer Awareness Tea Party - Car Seat Safety Day - Coat and Blanket Drive - Community Diabetes Classes - Community Heart Health Day - Crossroads Health Fair for Employees - Diabetes Awareness Day at PECES - Family-Focused Classes - EMS Health Fair (2 Days) - Free Physicals to Longwood University Athletes - Health Fair at Blackstone Church - Hearing Screenings - Lunenburg Health Fair - Meals on Wheels Banquet Sponsor - ROTC Physicals at Nottoway High School - Safe Sitter Class - Shriner Screening - Southside Electric Health Fair - Virginia Blood Services Blood Drive - Women's Health FairSupport Groups at Southside Community - Alcoholics Anonymous - Brain Injury Support Group - Celiac Support Group - Diabetic Support Group - Fibromyalgia/CFIDS Support Group - Multiple Sclerosis Support Group | Description |
| Total Program Service Expense | 48590623 | 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 | 1 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Audited Financial Statements | 1 | AuditedFinancialStatements |
| 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 | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| 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 | 1 | 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 | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Number Forms Transmitted With1096 | 62 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 607 | 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 |
| Nbr Voting Governing Body Members | 20 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| 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 | VA | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | WILLIAM L BASS JR | NamePerson |
| Telephone Number | 4343152432 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 OAK STREET | AddressLine1 |
| City | FARMVILLE | City |
| State | VA | State |
| ZIP Code | 23901 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (27 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| STEPHEN C KEITH EDD | |||||||
| BOARD CHARIMAN | 2.00 | X | 0 | 0 | 0 | ||
| SARAH PUCKETT MD | |||||||
| BOARD VICE CHAIRMAN | 2.00 | X | 0 | 0 | 0 | ||
| LEROY O PFEIFFER JR | |||||||
| BOARD SEC./TREAS. | 2.00 | X | 0 | 0 | 0 | ||
| BARBARA FEINMAN | |||||||
| BOARD ASST. SECRETARY | 40.00 | X | 56678 | 0 | 7043 | ||
| WILLIAM BASS JR | |||||||
| BOARD ASST. TREAS./ CFO | 50.00 | X | 187759 | 0 | 40778 | X | |
| LEWIS C ADDISON | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 386573 | 152164 | ||
| SARAH BROWNING | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| GLENN E CULLEY | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| GEORGE W DAWSON | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 883153 | 154143 | ||
| BARBARA DUFFER | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| RODGER W FAUBER | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| SHARON L HARRUP | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| KRISTEN L HUBER MD | |||||||
| BOARD MEMBER | 50.00 | X | 275737 | 0 | 16377 | ||
| CARLTON LAFOON | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| RICHARD P LASH | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| EARL MOORE | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| LARRY ROACH | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| BERNICE SMITH | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| CHARLES TAYLOR MD | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| FRANCIS WOOD JR | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| GWEN EDDLEMAN EDD | |||||||
| PRESIDENT/CEO | 50.00 | X | 325907 | 0 | 65790 | X | |
| KWABENA DONKOR MD | |||||||
| MEDICAL STAFF PRESIDENT | 2.00 | X | 14888 | 0 | 0 | ||
| THOMAS E BASCO MD | |||||||
| MEDICAL DOCTOR | 50.00 | 169892 | 0 | 7290 | X | ||
| JOSEPH E BROWNING MD | |||||||
| MEDICAL DOCTOR | 50.00 | 175644 | 0 | 7524 | X | ||
| DAVID E JOHNSEN MD | |||||||
| MEDICAL DOCTOR | 50.00 | 214461 | 0 | 5707 | X | ||
| JOHN A KONA MD | |||||||
| MEDICAL DOCTOR | 50.00 | 423424 | 0 | 12195 | X | ||
| EVGENIY A SHCHELCHKOV | |||||||
| MEDICAL DOCTOR | 50.00 | 195863 | 0 | 21196 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2040253 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1269726 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 490207 | TotalOtherCompensation |
| Number Individuals GT100 K | 8 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| CL LEWIS INC | |||||
| PO BOX 10728 | LYNCHBURG | VA | 24506 | BUILDING CONTRACTORS | 1674403 |
| Crothal | |||||
| 13028 collections center dr | chicaGO | IL | 60693 | HOUSEKEEPING & MAINTENANCE SVC. | 1115828 |
| MORRISON MANAGEMENT SPECIALISTS | |||||
| PO BOX 102289 | ATLANTA | GA | 303682289 | DIETARY SERVICES | 886316 |
| ALLIANCE IMAGING | |||||
| PO BOX 96485 | CHICAGO | IL | 60693 | MRI SERVICES | 736640 |
| ENDURACARE | |||||
| PO BOX 52524 | PHOENIX | AZ | 850722524 | PHYSICAL THERAPISTS | 705291 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 16 | NumberOfContractorsGT100K |
| Government Grants | 10944 | GovernmentGrants |
| All Other Contributions | 14659 | AllOtherContributions |
| Total Contributions | 25603 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERVICE RE | 621400 | 50227474 | 50227474 |
| ANCILLIARY SERVICES | 900099 | 90049 | 90049 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 50317523 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 108847 | TotalRevenueColumn |
| Exclusion | $108,847 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 116362 | Real |
| Personal | 14570 | Personal |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 53592 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 62770 | Real |
| Personal | 14570 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 77340 | TotalRevenueColumn |
| Exclusion | $77,340 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 30000 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 30000 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 30000 | TotalRevenueColumn |
| Exclusion | $30,000 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 50559313 | TotalRevenueColumn |
| Related Or Exempt Function Income | 50317523 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $216,187 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49762 | Total |
| Program Services | 49762 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2129965 | Total |
| Program Services | 1475751 | ProgramServices |
| Management And General | 654214 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19464394 | Total |
| Program Services | 16596917 | ProgramServices |
| Management And General | 2867477 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2483371 | Total |
| Program Services | 2078373 | ProgramServices |
| Management And General | 404998 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1488556 | Total |
| Program Services | 1245797 | ProgramServices |
| Management And General | 242759 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 687463 | Total |
| Management And General | 687463 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 115073 | Total |
| Management And General | 115073 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35196 | Total |
| Management And General | 35196 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25686 | Total |
| Program Services | 25686 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5804378 | Total |
| Program Services | 5723586 | ProgramServices |
| Management And General | 80792 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 569188 | Total |
| Program Services | 198324 | ProgramServices |
| Management And General | 370864 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9076066 | Total |
| Program Services | 8821604 | ProgramServices |
| Management And General | 254462 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25935 | Total |
| Program Services | 25935 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 729261 | Total |
| Program Services | 729261 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 159816 | Total |
| Program Services | 143935 | ProgramServices |
| Management And General | 15881 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 83666 | Total |
| Program Services | 78546 | ProgramServices |
| Management And General | 5120 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 526564 | Total |
| Program Services | 526564 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2622018 | Total |
| Program Services | 2622018 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 818510 | Total |
| Program Services | 818510 | ProgramServices |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBTS | 6549757 | 6549757 | |
| MAINTENANCE CONTRACTS | 747407 | 573336 | 174071 |
| COLLECTIONS EXPENSES | 296050 | 296050 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10911 | Total |
| Program Services | 10911 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54498993 | Total |
| Program Services | 48590623 | ProgramServices |
| Management And General | 5908370 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40339 | BOY |
| EOY | 488483 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4960558 | BOY |
| EOY | 2921096 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5108639 | BOY |
| EOY | 6009214 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1040192 | BOY |
| EOY | 1182886 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 753684 | BOY |
| EOY | 539100 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 47019580 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 24584266 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19226727 | BOY |
| EOY | 22435314 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3645439 | BOY |
| EOY | 2067432 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18449312 | BOY |
| EOY | 15617567 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 53224890 | BOY |
| EOY | 51261092 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3949834 | BOY |
| EOY | 4689119 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11634955 | BOY |
| EOY | 11091602 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 310816 | BOY |
| EOY | 297254 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 594086 | BOY |
| EOY | 2504443 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16489691 | BOY |
| EOY | 18582418 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36648176 | BOY |
| EOY | 32614525 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22874 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64149 | BOY |
| EOY | 64149 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36735199 | BOY |
| EOY | 32678674 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 53224890 | BOY |
| EOY | 51261092 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | 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
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 87610 | BeginningOfYearBalance |
| Contributions | 1297 | Contributions |
| Investment Earnings Or Losses | -25822 | InvestmentEarningsOrLosses |
| End Of Year Balance | 63085 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 1.00000 | BoardDesignatedEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 163194 | OtherCostOrOtherBasis |
| Book Value | 163194 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 26414967 | OtherCostOrOtherBasis |
| Depreciation | 12034087 | Depreciation |
| Book Value | 14380880 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 18075324 | OtherCostOrOtherBasis |
| Depreciation | 11666746 | Depreciation |
| Book Value | 6408578 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2366095 | OtherCostOrOtherBasis |
| Depreciation | 883433 | Depreciation |
| Book Value | 1482662 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 22435314 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| OTHER RECEIVABLES | 17334 |
| DUE FROM RELATED PARTY | 15600233 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 15617567 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO A RELATED PARTY | $2,355,836 |
| ESTIMATED THIRD PARTY SETTLEMENTS | $148,607 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 2504443 | TotalOfAmounts |
| Total Revenue | 50559313 | TotalRevenue |
| Total Expenses | 54498993 | TotalExpenses |
| Excess Or Deficit For Year | -3939680 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -604548 | NetUnrealizedGLOnInvestments |
| Other | $487,703 | OtherAmount |
| Total Adjustments | -116845 | TotalAdjustments |
| Excess Or Deficit Per FS | -4056525 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 50496060 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -604548 | NetUnrealizedGainsInvestments |
| Other Revenues | 541295 | OtherRevenues |
| Revenue Not Rptd F990 | -63253 | RevenueNotRptdF990 |
| Revenue Subtotal | 50559313 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 50559313 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 54552585 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 53592 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 53592 | ExpensesNotRptdF990 |
| Expenses Subtotal | 54498993 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 54498993 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part V, Line 4: | Description of Intended Use of Endowment Funds: | THESE FUNDS WERE DONOR RESTRICTED FOR LPN NURSING SCHOLARSHIPS. |
| Part XI, Line 8 - Other Adjustments: | CONTRIBUTED CAPITAL FROM AFFILIATE: 487703. | |
| Part XII, Line 2d - Other Adjustments: | RENTAL EXPENSES: 53592. CONTRIBUTED CAPITAL FROM AFFILATE: 487703. | |
| Part XIII, Line 2d - Other Adjustments: | RENTAL EXPENSES: 53592. |
Schedule H IRS990ScheduleH
Form990 Schedule H Part V Form990ScheduleHPartV (6 entries)
| Address Line1Address/AddressUS/AddressLine1 | CityAddress/AddressUS/City | StateAddress/AddressUS/State | ZIP CodeAddress/AddressUS/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Er24 HoursEr24Hours | OtherOther |
|---|---|---|---|---|---|---|---|
| SOUTHSIDE COMMUNITY HOSPITAL INC | |||||||
| 800 OAK STREET | FARMVILLE | VA | 23901 | X | X | X | |
| SARTORI MEDICAL CENTER | |||||||
| 312 KINGS STREET | KEYSVILLE | VA | 23947 | FAMILY PRACTICE | |||
| CENTRA SOUTHSIDE PROF SVC FARMVILLE | |||||||
| 1705 EAST THIRD STREET | FARMVILLE | VA | 23974 | FAMILY & PEDIATRIC PRACTICE | |||
| CENTRA SOUTHSIDE PROF SVC VICTORIA | |||||||
| 1418 SIXTH STREET | VICTORIA | VA | 23974 | FAMILY PRACTICE | |||
| BURKEVILLE MEDICAL GROUP | |||||||
| 412 NAMOZINE STREET | BURKEVILLE | VA | 23922 | FAMILY PRACTICE | |||
| SOUTHSIDE COMMHOSP HOMECARE SVC | |||||||
| 713 OAK STREET | FARMVILLE | VA | 23901 | HOME HEALTH SERVICES | |||
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 0 | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Method Of ValuationMethodOfValuation | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|---|---|
| SOUTHSIDE VIRGINIA COMMUNITY COLLEGE | |||||||||
| 109 CAMPUS DRIVE | ALBERTA | VA | 23821 | 541268239 | N/A | 40762 | 0 | CASH | PARTIAL FUNDING FOR RN PROGRAM |
| LONGWOOD UNIVERSITY | |||||||||
| 201 HIGH STREET | FARMVILLE | VA | 23901 | 546001788 | N/A | 9000 | 0 | CASH | SPONSORSHIP OF HALL OF FAME DINNER/HANDICAP ENTRANCE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | 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 (10 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|
| WILLIAM BASS JR | |||||||||||
| 154233 | 32845 | 681 | 18847 | 21931 | 228537 | ||||||
| LEWIS C ADDISON | |||||||||||
| 316259 | 67786 | 2528 | 132595 | 19569 | 538737 | ||||||
| GEORGE W DAWSON | |||||||||||
| 540616 | 51458 | 291079 | 138571 | 15572 | 1037296 | ||||||
| KRISTEN L HUBER MD | |||||||||||
| 259521 | 16216 | 11500 | 4877 | 292114 | |||||||
| GWEN EDDLEMAN EDD | |||||||||||
| 266743 | 55600 | 3564 | 62275 | 3515 | 391697 | ||||||
| THOMAS E BASCO MD | |||||||||||
| 169572 | 320 | 7290 | 177182 | ||||||||
| JOSEPH E BROWNING MD | |||||||||||
| 175324 | 320 | 7524 | 183168 | ||||||||
| DAVID E JOHNSEN MD | |||||||||||
| 213840 | 621 | 5707 | 220168 | ||||||||
| JOHN A KONA MD | |||||||||||
| 420256 | 3168 | 12195 | 435619 | ||||||||
| EVGENIY A SHCHELCHKOV MD | |||||||||||
| 195485 | 378 | 9231 | 11965 | 217059 | |||||||
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Part I, Line 4a | ReturnReference |
| Explanation | GEORGE DAWSON, ACCRUED $251,903 FOR 2008, INCLUDED IN TAXABLE WAGES. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | AMANDA HAYTASINGH | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | FAMILY MEMBER OF GWEN EDDLEMAN, OFFICER | Relationship |
| Amount Of Transaction | 26338 | AmountOfTransaction |
| Description Of Transaction | COMPENSATION AS EMPLOYEE OF SOUTHSIDE COMMUNITY HOSPITAL | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section A, line 2 | BOARD MEMBERS LEWIS ADDISON, GEORGE DAWSON, AND RODGER FAUBER ALL SERVE AS DIRECTORS/OFFICERS OF PIEDMONT COMMUNITY HEALTH PLAN, A 50% JOINT VENTURE OF CENTRA HEALTH, INC. BOARD MEMBERS LEWIS ADDISON AND GEORGE DAWSON SERVE ON THE BOARD OF DIRECTORS FOR THE BEDFORD MEMORIAL HOSPITAL, A 50% JOINT VENTURE OF CENTRA HEALTH, INC. BOARD MEMBERS GWEN EDDLEMAN AND LEROY PFEFFIER SERVE ON THE BOARD OF DIRECTORS FOR THE WOODLANDS, INC, A NURSING HOME. |
| Form 990, Part VI, Section A, line 6 | THROUGH AN AFFILIATION AGREEMENT, SOUTHSIDE HOSPITAL'S SOLE CORPORATE MEMBER IS CENTRA HEALTH, INC. |
| Form 990, Part VI, Section A, line 6 | CENTRA HEALTH, INC. IS THE SOLE MEMBER CORPORATION OF SOUTHSIDE COMMUNITY HOSPITAL. |
| Form 990, Part VI, Section A, line 7a | CENTRA HEALTH, INC. IS THE SOLE MEMBER CORPORATION OF SOUTHSIDE COMMUNITY HOSPITAL (SCH) AND HAS THE POWER TO ELECT/APPROVE THE BOARD OF DIRECTORS OF SCH'S GOVERNING BODY. |
| Form 990, Part VI, Section A, line 7b | CENTRA HEALTH, INC. IS THE SOLE MEMBER CORPORATION OF SOUTHSIDE COMMUNITY HOSPITAL (SCH) AND HAS THE POWER TO APPROVE DECISIONS MADE BY SCH'S GOVERNING BODY. |
| Form 990, Part VI, Section A, line 10 | THE ORGANIZATION WILL PROVIDE ALL VOTING MEMBERS OF THE BOARD OF DIRECTORS WITH A COPY OF THE FORM 990 PRIOR TO ITS FILING. ADDITIONALLY, SOUTHSIDE COMMUNITY HOSPITAL WILL REVIEW THE FORM 990 WITH ITS FINANCE COMMITTEE, WHO WILL THEN PRESENT IT TO THE BOARD OF DIRECTORS FOR APPROVAL. |
| Form 990, Part VI, Section B, line 12c | ALL CENTRA SOUTHSIDE OFFICERS, DIRECTORS, AND KEY EMPLOYEES, MUST COMPLETE A CONFLICT OF INTEREST QUESTIONNIARE ON AN ANNUAL BASIS, CERTIFYING THAT NEITHER THEY NOR ANY OF THEIR IMMEDIATE FAMILY MEMBERS HAVE ENGAGED IN ANY ACTIVITIES THAT COULD LEAD TO A POTENTIAL CONFLICT OF INTEREST. ADDITIONALLY, ALL OFFICERS, DIRECTORS, AND KEY EMPLOYEES MUST AGREE TO PROMPTLY REPORT ANY POTENTIAL CONFLICTS OF INTEREST THAT ARISE DURING THE YEAR TO THE PRESIDENT OR CHAIRMAN OF CENTRA SOUTHSIDE'S BOARD OF DIRECTORS. |
| Form 990, Part VI, Section B, line 15 | CENTRA HEALTH (SOUTHSIDE HOSPITAL'S SOLE MEMBER) HAS ESTABLISHED AN EXECUTIVE COMPENSATION COMMITTEE, WHICH CONSISTS OF THE CHAIRMAN OF CENTRA'S BOARD OF DIRECTORS, PLUS AN ADDITIONAL FOUR MEMBERS OF CENTRA'S BOARD (ONE OF WHICH IS A PHYSICIAN). FOUR OF THESE FIVE MEMBERS MEET THE IRS DEFINITION OF INDEPENDENCE FOR PURPOSES OF THE FORM 990. MEMBERS OF THIS COMMITTEE REVIEW RELEVANT SALARY AND BENEFIT DATA FROM VARIOUS SOURCES AND MAKE RECOMMENDATIONS TO THE EXECUTIVE COMMITTEE OF CENTRA'S BOARD OF DIRECTORS WITH RESPECT TO THE SALARY RANGE AND BENEFITS FOR THE CEO OF SOUTHSIDE HOSPITAL. THE EXECUTIVE COMMITTEE REVIEWS AND HAS FINAL APPROVAL OF THE CEO'S COMPENSATION. THE COMMITTEE IS ALSO RESPONSIBLE FOR THE REVIEW AND APPROVAL OF SALARY RANGES AND ADJUSTMENTS FOR OTHER OFFICERS AND KEY EMPLOYEES OF SOUTHSIDE HOSPITAL, BASED ON THE RECOMMENDATIONS MADE BY THE CEO. METHODS USED TO DETERMINE SALARY RANGES AND ADJUSTMENTS INCLUDE, BUT ARE NOT LIMITED TO, INDEPENDENT COMPENSATION CONSULTANTS, AS WELL AS THIRD PARTY COMPENSATION SURVEYS AND STUDIES. |
| Form 990, Part VI, Section C, line 18 | PHOTOCOPIES OF THE ORGANIZATION'S FORM 1023 AND RECENT FILINGS OF THE FORM 990 AND 990-T ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. THE MOST RECENT FILING OF THE FORM 990 IS ALSO AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG. |
| Form 990, Part VI, Section C, line 19 | THE ORGANIZATION PROVIDES PHOTOCOPIES OF ITS FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY UPON REQUEST AT IT ADMINISTRATIVE OFFICE. |
| AMENDMENTS HAVE BEEN MADE TO SCHEDULE J PART II OF THE FORM 990. THE AMENDMENTS INCLUDE THE RECLASSIFICATION OF COMPENSATION FROM "BASE COMPENSATION" TO "OTHER COMPENSATION" AND VICE VERSA IN ORDER TO MORE PROPERLY ALIGN THE PRESENTATION OF COMPENSATION ON THE FORM 990 WITH THE GUIDANCE SET FORTH IN THE 2009 IRS FORM 990 INSTRUCTIONS. THE TOTAL COMPENSATION AMOUNTS REPORTED ON THE FORM 990 AND RELATED SCHEDULE J HAVE NOT CHANGED FROM THE PREVIOUSLY FILED VERSION. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRA SOUTHSIDE PROFESSIONAL SERVICES LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 OAK STREET | AddressLine1 |
| City | FARMVILLE | City |
| State | VA | State |
| ZIP Code | 23901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 260771274 | EIN |
| Primary Activities | PHYSICIAN OFFICES | PrimaryActivities |
| Legal Domicile State | VA | LegalDomicileState |
| Total Income | 4825375 | TotalIncome |
| EOY Assets | 1050000 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTHSIDE COMMUNITY HOSPITAL INC | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|
| CENTRA HEALTH INC | ||||||||||
| 1920 ATHERHOLT ROAD | LYNCHBURG | VA | 24501 | 540715569 | HEALTHCARE | VA | 501(C)(3) | HOSPITAL | N/A | |
| CENTRA HEALTH FOUNDATION INC | ||||||||||
| 1920 ATHERHOLT ROAD | LYNCHBURG | VA | 24501 | 541604094 | SUPPORTING ORGANIZATION | VA | 501(C)(3) | 509(A)(3) | CENTRA HEALTH INC | |
| LYNCHBURG FAMILY PRACTICE RESIDENCY PROGRAM INC | ||||||||||
| 1920 ATHERHOLT ROAD | LYNCHBURG | VA | 24501 | 541457983 | HEALTHCARE | VA | 501(C)(3) | 509(A)(3) | CENTRA HEALTH INC | |
| CCRC INC | ||||||||||
| 1920 ATHERHOLT ROAD | LYNCHBURG | VA | 24501 | 541929580 | CONTINUING CARE RESIDENCY | VA | 501(C)(3) | 509(A)(3) | CENTRA HEALTH INC | |
| THE VIRGINIA BAPTIST HOSPITAL AUXILIARY INC | ||||||||||
| 1920 ATHERHOLT ROAD | LYNCHBURG | VA | 24501 | 546060503 | SUPPORTING ORGANIZATION | VA | 501(C)(3) | 509(A)(3) | CENTRA HEALTH INC | |
| AUXILIARY TO LYNCHBURG GENERAL HOSPITAL INC | ||||||||||
| 1920 ATHERHOLT ROAD | LYNCHBURG | VA | 24501 | 546047293 | SUPPORTING ORGANIZATION | VA | 501(C)(3) | 509(A)(3) | CENTRA HEALTH INC | |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VBH ASSOCIATES | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1920 ATHERHOLT ROAD | AddressLine1 |
| City | LYNCHBURG | City |
| State | VA | State |
| ZIP Code | 24501 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 541292948 | EIN |
| Primary Activity | OPERATION OF MEDICAL BUILDING | PrimaryActivity |
| Legal Domicile State | VA | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GENERAL BUSINESS CONCERNS INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1920 ATHERHOLT ROAD | AddressLine1 |
| City | LYNCHBURG | City |
| State | VA | State |
| ZIP Code | 24501 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 541299682 | EIN |
| Primary Activity | REAL ESTATE - PHYSICIAN OFFICES | PrimaryActivity |
| Legal Domicile State | VA | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| 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 | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | 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 | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
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