2023-11-14T15:28:19-06:00 2022-12-31 540504608 BROWN EDWARDS & COMPANY LLP 1909 FINANCIAL DRIVE HARRISONBURG VA 22801 990 2022-01-01 571137401 BATH COMMUNITY HOSPITAL FOUNDATION BATH 5408397000 PO DRAWER Z HOT SPRINGS VA 24445 TOM VANDENHOVEN CFO 5408397000 2023-10-26 1 TOM VANDENHOVEN 999009999 1 JAMES R FRIES P01320612 5404346736 2023-10-26 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z TOM VANDENHOVEN PO DRAWER Z HOT SPRINGS VA 24445 6306872 0 X N/A X 2002 VA THE FOUNDATION IS OPERATED EXCLUSIVELY FOR THE BENEFIT AND SUPPORT OF BATH COMMUNITY HOSPITAL, TO ASSIST THE HOSPITAL IN CARRYING OUT ITS CHARITABLE PURPOSES. 16 16 0 0 0 0 5451143 70164 0 0 1943322 672529 0 0 7394465 742693 13879416 0 0 0 0 0 0 0 0 89058 79177 13968474 79177 -6574009 663516 25068775 21747633 19273 4193 25049502 21743440 X SEE SCHEDULE OTHE FOUNDATION IS OPERATED EXCLUSIVELY FOR THE BENEFIT AND SUPPORT OF BATH COMMUNITY HOSPITAL (THE "HOSPITAL") AND TO ASSIST THE HOSPITAL IN CARRYING OUT ITS CHARITABLE PURPOSES. THE FOUNDATION IS RESPONSIVE TO THE NEEDS AND DEMANDS OF THE HOSPITAL. IF THE HOSPITAL CEASES TO EXIST, THE FOUNDATION SHALL BE OPERATED EXCLUSIVELY FOR THE BENEFIT OF ANY QUALIFYING ORGANIZATION WHICH SERVES THE MEDICAL HEALTH NEEDS OF THE ALLEGHANY HIGHLANDS AND BATH COUNTY COMMUNITY. 0 0 THE FOUNDATION IS OPERATED EXCLUSIVELY FOR THE BENEFIT AND SUPPORT OF BATH COMMUNITY HOSPITAL (THE "HOSPITAL") AND TO ASSIST THE HOSPITAL IN CARRYING OUT ITS CHARITABLE PURPOSES. THE HOSPITAL DRAWS FUNDS FROM THE FOUNDATION BASED ON THE HOSPITAL'S CASH REQUIREMENTS TO FUND OPERATIONS, CAPITAL EQUIPMENT AND CAPITAL IMPROVEMENTS. BATH COMMUNITY HOSPITAL IS A NAMED PERPETUAL BENEFICIARY OF THE LETTIE PATE EVANS TRUST. AS A NAMED BENEFICIARY, THE HOSPITAL RECEIVES SUBSTANTIAL SUPPORT ON AN ANNUAL BASIS. THE HOSPITAL PASSES THIS CONTRIBUTION TO THE FOUNDATION, WITH THE INTENT TO GROW THE FOUNDATION TO ENSURE CONTINUED AND LONG TERM SUPPORT OF THE HOSPITAL. 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X X THE ORGANIZATION 5408397000 106 PARK DR HOT SPRINGS VA 24445 SCOTT HETZER CHAIR 0.50 1.00 X X 0 0 0 R MEADE SNYDER SECRETARY 0.50 1.00 X X 0 0 0 EDUARD NEMIROVSKY DIRECTOR/PHYSICIAN 0.50 40.00 X 0 278377 29173 JOHN LOEFFLER DIRECTOR 0.50 1.00 X 0 0 0 TIM PISTELL DIRECTOR 0.50 1.00 X 0 0 0 JAY BONFILI DIRECTOR 0.50 1.00 X 0 0 0 INGRID BARBER DIRECTOR 0.50 1.00 X 0 0 0 DASTGIR QURESHI DIRECTOR 0.50 1.00 X 0 0 0 LAURENS SARTORIS DIRECTOR 0.50 1.00 X 0 0 0 DAVID COWDEN DIRECTOR 0.50 1.00 X 0 0 0 GEORGE PHILLIPS DIRECTOR 0.50 1.00 X 0 0 0 L TRAYWICK DUFFIE VICE CHAIR 0.50 1.00 X X 0 0 0 MICHAEL M COLLINS DIRECTOR 0.50 1.00 X 0 0 0 SCOTT ROBERTSON DIRECTOR 0.50 1.00 X 0 0 0 BRYAN THOMPSON DIRECTOR 0.50 1.00 X 0 0 0 JEFF LINGERFELT CEO 0.50 40.00 X 0 276536 35926 TOM VANDENHOVEN CFO 0.50 40.00 X 0 172639 17779 0 727552 82878 0 0 1 0 0 70164 70164 284265 284265 5952443 5564179 388264 388264 388264 742693 0 0 672529 71909 71909 OTHER GENERAL AND ADMIN 6777 6777 BANK CHARGES 491 491 79177 0 79177 0 364136 402000 0 4200000 1873 20504639 21343760 25068775 21747633 19273 4193 19273 4193 X 25049502 21743440 25049502 21743440 25068775 21747633 663516 -3969578 0 X X 0 1 X 1 0 X X 1 BATH COMMUNITY HOSPITAL 540505913 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 -3298794 -3969578 -3969578 670784 71909 71909 742693 7268 0 7268 71909 71909 79177 0 0 0 0 0 0 0 0 0 JEFF LINGERFELT CEO 0 276536 0 0 0 0 0 13668 0 22258 0 312462 0 0 EDUARD NEMIROVSKY DIRECTOR/PHYSICIAN 0 278377 0 0 0 0 0 13760 0 15413 0 307550 0 0 TOM VANDENHOVEN CFO 0 172639 0 0 0 0 0 2356 0 15423 0 190418 0 0 FORM 990, PART VI, SECTION B, LINE 11B ALL MEMBERS OF THE BOARD REVIEW A COPY OF THE 990 BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C SINCE THIS ORGANIZATION IS GOVERNED BY THE SAME BOARD AS THAT OF BATH COMMUNITY HOSPITAL, ALL GOVERNING POLICIES AND PROCEDURES OF THAT ORGANIZATION, INCLUDING CONFLICT OF INTEREST POLICY, ARE FOLLOWED BY BOTH ORGANIZATIONS' BOARD MEMBERS. BOARD MEMBERS SIGN A CONFLICT OF INTEREST AND DISCLOSURE FORM ANNUALLY FOR THE HOSPITAL. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC ON THE BCH WEBSITE AND UPON REQUEST. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. SCHEDULE B, PART I - CONTRIBUTION FROM BATH COMMUNITY HOSPITAL BATH COMMUNITY HOSPITAL IS A NAMED PERPETUAL BENEFICIARY OF THE LETTIE PATE EVANS TRUST. AS A NAMED BENEFICIARY, THE HOSPITAL RECEIVES SUBSTANTIAL SUPPORT ON AN ANNUAL BASIS. THE HOSPITAL PASSES THIS CONTRIBUTION TO THE FOUNDATION. THE INTENT OF THIS DECISION IS TO GROW THE FOUNDATION TO ENSURE CONTINUED AND LONG TERM SUPPORT OF THE HOSPITAL. BATH COMMUNITY HOSPITAL PO DRAWER Z HOT SPRINGS VA 24445 540505913 HOSPITAL VA 501(C)(3) LINE 3 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0