Liabilities / Assets
43rd percentile
Higher debt load relative to assets than 43% of similar nonprofits.
EIN 54-0895648 • 501(c)3 • Grundy, VA
Profile
Provide our community with valuable, safe, efficient, and caring health care services that address the needs of the community.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
43rd percentile
Higher debt load relative to assets than 43% of similar nonprofits.
Liabilities / Revenue
39th percentile
Higher debt load relative to revenue than 39% of similar nonprofits.
Net Margin
15th percentile
Higher net margin than 15% of similar nonprofits.
Top Officer Pay
66th percentile
Higher top officer pay than 66% of similar nonprofits.
Top officer pay equals 1.0% of source-year revenue.
Asset Growth
13th percentile
Faster asset growth than 13% of similar nonprofits.
Revenue Growth
51st percentile
Faster revenue growth than 51% of similar nonprofits.
Assets
Down$40,914,419
Down $938,175 (-2.2%) from 2023
Liabilities
Up$4,766,638
Up $843,619 (+22%) from 2023
Net Assets
Down$36,147,781
Down $1,781,794 (-4.7%) from 2023
Revenue
Up$30,434,250
Up $1,658,677 (+5.8%) from 2023
Expenses
Down$32,302,348
Down $23,156 (-0.1%) from 2023
Net Income
Up-$1,868,098
Up $1,681,833 (+47%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
Provide our community with valuable, safe, efficient, and caring health care services that address the needs of the community.
Provide our community with valuable, safe, efficient and caring health care services that address the needs of the community.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $21,971,379 | $26,153,481 | ▲ $4,182,102 |
| Land, Buildings, and Equipment, Net | $8,380,798 | $7,498,214 | ▼ $882,584 |
| Accounts Receivable | $1,647,832 | $2,068,605 | ▲ $420,773 |
| Cash and Non-Interest-Bearing Accounts | $869,557 | $1,340,304 | ▲ $470,747 |
| Investments Other Securities | $6,624,374 | $1,216,909 | ▼ $5,407,465 |
| Other Notes and Loans Receivable, Net | $1,161,896 | $1,067,190 | ▼ $94,706 |
| Inventories for Sale or Use | $678,302 | $732,315 | ▲ $54,013 |
| Prepaid Expenses and Deferred Charges | $196,993 | $200,674 | ▲ $3,681 |
| Receivable From Disqualified Prsn | - | $0 | - |
| Receivables From Officers Etc | - | $0 | - |
| Investments Program Related | $0 | - | - |
| Loans From Officers Directors | - | $0 | - |
| Total Assets | $41,852,594 | $40,914,419 | ▼ $938,175 |
| Other Assets Total | $321,463 | $636,727 | ▲ $315,264 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $3,423,566 | $4,028,682 | ▲ $605,116 |
| Other Liabilities | $499,453 | $737,956 | ▲ $238,503 |
| Total Liabilities | $3,923,019 | $4,766,638 | ▲ $843,619 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $37,929,575 | $36,147,781 | ▼ $1,781,794 |
| Total Net Assets Fund Balance | $37,929,575 | $36,147,781 | ▼ $1,781,794 |
| Total Liabilities and Net Assets / Fund Balance | $41,852,594 | $40,914,419 | ▼ $938,175 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $3,807,813 | $35,648,307 | $39,456,120 |
| Buildings | $1,865,216 | $17,461,940 | $19,327,156 |
| Leasehold Improvements | $192,442 | $1,801,617 | $1,994,059 |
| Land | $1,551,547 | - | $1,551,547 |
| Other Land Buildings | $81,196 | $736,744 | $817,940 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Robert Ruchti | CEO | FT | $253,051 | $53,977 | $307,028 |
| Latisha Bowman | Physician | FT | $259,498 | $1,190 | $260,688 |
| Kimetha Boyd | CFO | FT | $172,225 | $30,520 | $202,745 |
| Charles Justus | Director of Pharmacy | FT | $152,862 | $27,999 | $180,861 |
| Scott Pittman | Sr. VP of Phy. Dev. | FT | $171,865 | $943 | $172,808 |
| Jonathan Woods | Pharmacist | FT | $137,238 | $11,530 | $148,768 |
| David Deel | Pharmacist | FT | $135,286 | $1,338 | $136,624 |
| Name | Title |
|---|---|
| Danny Elswick | Board Chairman |
| Brad Vandyke | Board Member |
| David Tolliver | Board Member |
| Philip Vandyke | Board Member |
| Roger Coleman | Board Member |
| Willis Smith | Board Member |
| Mary Ruth Spencer | Board Secretary |
| Harold Musick | Board Treasurer |
| James W Childress | Board Vice-Pres |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Ohio Valley Physicians | Physicians | PO BOX 390, Huntington, WV 25708 | $2,075,715 |
| Jackson & Coker Locumtenens | Physicians | PO BOX 277638, Atlanta, GA 30384-7638 | $573,720 |
| Imbesat Daudi | Urology | 1507 WALNUT ST, Grundy, VA 24614 | $455,600 |
| Labcorp | Lab | PO BOX 12140, Burlington, NC 27216-2140 | $293,662 |
| Summit Health | Crna | PO BOX 907, Richlands, VA 24641 | $270,000 |
| Line Item | Amount |
|---|---|
| Other Expenses | $16,995,847 |
| Salaries, Compensation, and Employee Benefits | $15,306,501 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $7,983,770 | $3,420,487 | - | $11,404,257 |
| Other Employee Benefits | $1,709,275 | $841,881 | - | $2,551,156 |
| Occupancy | $1,156,833 | $519,736 | - | $1,676,569 |
| Other Expenses | $1,464,787 | $244,152 | - | $1,464,787 |
| All Other Expenses | $813,231 | $495,817 | $0 | $1,309,048 |
| Depreciation Depletion | $734,352 | $329,926 | - | $1,064,278 |
| Office Expenses | $497,240 | $497,240 | - | $994,480 |
| Payroll Taxes | $562,311 | $276,959 | - | $839,270 |
| Current Officers, Directors, Trustees, and Key Employees | - | $511,818 | - | $511,818 |
| Insurance | $197,146 | $101,560 | - | $298,706 |
| Travel | $41,970 | $32,976 | - | $74,946 |
| Fees for Services Accounting | $32,615 | $32,615 | - | $65,230 |
| Advertising | $17,429 | $26,144 | - | $43,573 |
| Fees for Services Legal | $5,138 | $2,767 | - | $7,905 |
| Total Functional Expenses | $23,091,876 | $9,210,472 | $0 | $32,302,348 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $32,302,348 |
| Expenses per Audited Statements | $30,188,346 |
| Total Expenses per Audited Statements | $30,188,346 |
| Expenses Not Reported on Financial Statements | $2,114,002 |
| Other Expense Adjustments | $2,114,002 |
| Expenses Not Reported on Form 990 | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| - | Daughter of Board Member, Danny Elswick | W-2 Compensation | No | $77,305 |
| - | Related to board member, Kim Boyd | W-2 Compensation | No | $63,479 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Loans from Officers, Directors, Trustees, and Key Employees | - | $0 | - |
| Receivables from Disqualified Persons | - | $0 | - |
| Receivables from Officers, Directors, Trustees, and Key Employees | - | $0 | - |
| Liability | Amount |
|---|---|
| Lease Liability | $636,727 |
| Lease Payable | $101,229 |
“The 990 is reviewed by the CFO, the finance committee, and the full board of directors prior to submission.”
“to ensure that buchanan general hospital operates in a manner consistent with its charitable purposes and that it does not engage in activities that could jeopardize its status as an organization exempt from federal income tax, periodic reviews are conducted.”
“The organization has an executive compensation committee who reviews executive salaries if there is a change in salary. Compensation levels are based on data regarding comparable positions in peer institutions for experienced professionals and prior performance, among other factors.”
“The organization has an executive compensation committee who reviews executive salaries if there is a change in salary. Compensation levels are based on data regarding comparable positions in peer institutions for experienced professionals and prior performance, among other factors.”
“upon request”
“Intercompany Transactions - 86304;”
“The process of financial statement review and oversight has not changed from the prior year.”
“BGH and BHC are exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code; accordingly, the accompanying consolidated financial statements do not reflect a provision or liability for federal and state income taxes. TSC is a taxable entity as a S-Corporation and generates unrelated business income for BGH. TSC files separate federal and state tax returns, and the taxable amounts are not significant to the consolidated financial statements for the years ended June 30, 2024 and 2023.”
“Bad Debt Expense - 2114002”
“Bad Debt Expense - 2114002”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | false |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 3423566 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 4028682 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 1647832 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 2068605 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | Provide our community with valuable, safe, efficient and caring health care services that address the needs of the community. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 26144 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 17429 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 43573 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 495817 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 813231 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 1309048 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/AuditedFinancialStmtAttInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | Robert Ruchti CEO |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 2769351111 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1535 Slate Creek Road |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | Grundy |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | VA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 24614 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | true |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 869557 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 1340304 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 11 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 511818 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 511818 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | false |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 2075715 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 573720 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 455600 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 293662 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 270000 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | PO BOX 390 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO BOX 277638 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 1507 WALNUT ST |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | PO BOX 12140 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | PO BOX 907 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | HUNTINGTON |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | ATLANTA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | GRUNDY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | BURLINGTON |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | RICHLANDS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | WV |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | GA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | VA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | NC |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | VA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 25708 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 303847638 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 24614 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 272162140 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 24641 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | OHIO VALLEY PHYSICIANS |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | JACKSON & COKER LOCUMTENENS |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | IMBESAT DAUDI |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | LABCORP |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | SUMMIT HEALTH |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | PHYSICIANS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | PHYSICIANS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | UROLOGY |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | LAB |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | CRNA |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 0 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 1367694 |
| IRS990/CYOtherExpensesAmt | 0 | 16995847 |
| IRS990/CYOtherRevenueAmt | 0 | 528191 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 28538365 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -1868098 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 15306501 |
| IRS990/CYTotalExpensesAmt | 0 | 32302348 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 30434250 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 329926 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 734352 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 1064278 |
| IRS990/Desc | 0 | General patient service care - 3,337 inpatient days, 10,524 Emergency Room visits, 27,403 outpatient visits, and 1,111 observation patients. Charity care provided amounted to $231,760; the Hospital is the sole provider of acute medical and surgical services in Buchanan County, Virginia, a medically underserved area. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | true |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 285 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 23091876 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 32615 |
| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 32615 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 65230 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 2767 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 5138 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 7905 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 0 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 30370 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 43827 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 27849 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 1338 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 11530 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 1040 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 793 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Danny Elswick |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Harold Musick |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | James W Childress |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Mary Ruth Spencer |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Brad Vandyke |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | David Tolliver |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Philip Vandyke |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Roger Coleman |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Willis Smith |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | KIMETHA BOYD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | ROBERT RUCHTI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | CHARLES JUSTUS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | DAVID DEEL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | JONATHAN WOODS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | LATISHA BOWMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | SCOTT PITTMAN |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 172375 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 263201 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 153012 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 135286 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 137238 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 259648 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 172015 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | Board Chairman |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Board Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Board Vice-Pres |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Board Secretary |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | DIRECTOR OF PHARMACY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | PHARMACIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | PHARMACIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | SR. VP OF PHY. DEV. |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 1979 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 0 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 9 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | true |
| IRS990/GrossReceiptsAmt | 0 | 30434250 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 141735 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IndependentAuditFinclStmtInd | 0 | true |
| IRS990/IndependentVotingMemberCnt | 0 | 9 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 10 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 101560 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 197146 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 298706 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 678302 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 732315 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 1367694 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 1367694 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 6624374 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 1216909 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 21971379 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 26153481 |
| IRS990/IRPDocumentCnt | 0 | 18 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 55648608 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 8380798 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 7498214 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 63146822 |
| IRS990/LegalDomicileStateCd | 0 | VA |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | true |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | false |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/MissionDesc | 0 | Provide our community with valuable, safe, efficient, and caring health care services that address the needs of the community. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 37929575 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 36147781 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 141735 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 141735 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 37929575 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 36147781 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 519736 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 1156833 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 1676569 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 497240 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 497240 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 994480 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | true |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 321463 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 636727 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 86304 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 841881 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 1709275 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 2551156 |
| IRS990/OtherExpensesGrp/Desc | 0 | Contract and Other Fees |
| IRS990/OtherExpensesGrp/Desc | 1 | Bad Debt Expense |
| IRS990/OtherExpensesGrp/Desc | 2 | Supplies |
| IRS990/OtherExpensesGrp/Desc | 3 | patient chargeables and drugs |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 1876394 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 244152 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 4378252 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 2114002 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 1383525 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 1464787 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 6254646 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 2114002 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 1627677 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 1464787 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 499453 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 737956 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 722210 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 1 | 621990 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | Cafeteria Sales |
| IRS990/OtherRevenueMiscGrp/Desc | 1 | Other Revenue |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 316097 |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 1 | 70359 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 316097 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 1 | 70359 |
| IRS990/OtherRevenueTotalAmt | 0 | 386456 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 3420487 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 7983770 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 11404257 |
| IRS990/OtherWebsiteInd | 0 | X |
| IRS990/OthNotesLoansReceivableNetGrp/BOYAmt | 0 | 1161896 |
| IRS990/OthNotesLoansReceivableNetGrp/EOYAmt | 0 | 1067190 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 276959 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 562311 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 839270 |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 196993 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 200674 |
| IRS990/PrincipalOfcrBusinessName/BusinessNameLine1Txt | 0 | Kim Boyd |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621990 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | Patient Service Revenue |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 28538365 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 28538365 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 0 |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 256086 |
| IRS990/PYOtherExpensesAmt | 0 | 17360968 |
| IRS990/PYOtherRevenueAmt | 0 | 641939 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 27877548 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -3549931 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 14964536 |
| IRS990/PYTotalExpensesAmt | 0 | 32325504 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 28775573 |
| IRS990/QuidProQuoContributionsInd | 0 | false |
| IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | false |
| IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | -1868098 |
| IRS990/RegularMonitoringEnfrcInd | 0 | true |
| IRS990/RelatedEntityInd | 0 | true |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | true |
| IRS990/RentalIncomeOrLossGrp/PersonalAmt | 0 | 0 |
| IRS990/RentalIncomeOrLossGrp/RealAmt | 0 | 141735 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | false |
| IRS990/ReportLandBuildingEquipmentInd | 0 | true |
| IRS990/ReportOtherAssetsInd | 0 | false |
| IRS990/ReportOtherLiabilitiesInd | 0 | true |
| IRS990/ReportProgramRelatedInvstInd | 0 | false |
| IRS990/RevenueAmt | 0 | 28538365 |
| IRS990ScheduleA/HospitalInd | 0 | X |
| IRS990/ScheduleBRequiredInd | 0 | false |
| IRS990ScheduleC/DirectContactLegislatorsInd | 0 | false |
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