2024-05-15T13:23:36-05:00 2023-06-30 161131146 BONADIO & CO LLP 171 SULLYS TRAIL PITTSFORD NY 14534 990 2022-07-01 240701920 BUCKTAIL MEDICAL CENTER BUCK 5709231000 1001 PINE STREET RENOVO PA 17764 LAURA MURNYACK CEO 5709231000 2024-05-15 1 LAURA MURNYACK XXX-XX-XXXX 0 AIMEE JOZIC P01329472 5853811000 2024-05-15 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z LAURA MURNYACK 1001 PINE STREET RENOVO PA 17764 7103196 0 X BUCKTAILMEDICALCENTER.ORG X 1909 PA TO PROVIDE A COMMUNITY HOSPITAL, INCLUDING AN EMERGENCY ROOM, CLINIC AND NURSING HOME SERVING A RURAL POPULATION WITH A COMMITMENT TO A BETTER QUALITY OF LIFE. 9 9 99 14 0 0 2972936 156538 6230892 6885112 207 276 35455 49144 9239490 7091070 0 0 0 0 4485025 5462235 0 0 0 3825924 3741306 8310949 9203541 928541 -2112471 5181870 3750938 4129254 5268366 1052616 -1517428 TO PROVIDE A COMMUNITY HOSPITAL, INCLUDING AN EMERGENCY ROOM, CLINIC AND NURSING HOME SERVING A RURAL POPULATION WITH A COMMITMENT TO A BETTER QUALITY OF LIFE. 0 0 7292161 6885112 BUCKTAIL MEDICAL CENTER (BMC) IS COMPRISED OF A 16-BED CRITICAL ACCESS HOSPITAL, A 43-BED NURSING HOME FACILITY AND A COMMUNITY CLINIC SERVING THE HEALTHCARE NEEDS OF WESTERN CLINTON COUNTY, PA. BMC PROVIDES THE FOLLOWING SERVICES: MEDICAL LABORATORY, RADIOLOGY (LIMITED TO XRAYS), BASIC LIFE SUPPORT (BLS) AMBULANCE SERVICE, A RURAL COMMUNITY HEALTH CLINIC, OCCUPATIONAL THERAPY, PHYSICAL THERAPY, AND SPEECH THERAPY. THE CENTER PROVIDED 365 DAYS OF INPATIENT ACUTE CARE SERVICES, 2,663 CLINIC VISITS, AND 1,200 EMERGENCY ROOM VISITS. THE NURSING HOME PROVIDED 7,891 DAYS OF LONG TERM CARE SERVICES FOR THE YEAR. 7292161 1 1 0 0 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 30 0 1 99 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X LAURA MURNYACK 5709231000 1001 PINE STREET RENOVO PA 17764 TIMOTHY REEVES CHIEF EXECUTIVE OFFICER, CEO 40.00 X 130691 0 30810 JOHN LUGG PRESIDENT OF THE BOARD 1.00 X X 0 0 0 TRACY BRUNO VICE PRESIDENT 1.00 X X 0 0 0 MARTHA SYKES SECRETARY/TREASURER 1.00 X X 0 0 0 WILLIAM FORNWALT DIRECTOR 1.00 X 0 0 0 DAVID BUNSWICK SR DIRECTOR 1.00 X 0 0 0 ANN SANFORD DIRECTOR 1.00 X 0 0 0 CARLA FLACK DIRECTOR 1.00 X 0 0 0 PATRICIA WILSON DIRECTOR 1.00 X 0 0 0 RICHARD GRENELL JR DIRECTOR 1.00 X 0 0 0 DEBBIE WOODEL RN 40.00 X 155647 0 0 LAURA MURNYACK CHIEF NURSING OFFICER, CNO 40.00 X 154535 0 8750 TRACEY LISI RN 48.00 X 150540 0 15659 MICHELLE REEVES DIRECTOR OF NURSING/RN 40.00 X 142646 0 0 LESA ECKERT RN 48.00 X 136998 0 1055 871057 0 56274 6 0 1 0 ALAN E EDWARDS MD 10406 TOWNEY COURT AURORA OH 44202 PHYSICIAN SERVICES 263163 BENCHMARK THERAPIES INC 403 6TH STREET HUNTINGDON PA 16652 THERAPY SERVICES 222482 EMCARE INC 1011 E 2ND ST COUDERSPORT PA 16915 PHYSICIAN SERVICES 213414 GEORGE SNICER MD 11 CHERRY HILL ROAD STAR LAKE NY 13690 PHYSICIAN SERVICES 209300 PLEXSUM STAFFING SOLUTIONS INC 1375 MARTIN ST STATE COLLEGE PA 16803 STAFFING SERVICES 157181 8 22270 134268 156538 PATIENT SERVICE REVENU 624100 6808139 6808139 340B PHARM 624100 76973 76973 6885112 276 276 0 22270 12126 -12126 -12126 OTHER 900099 44500 44500 CAFETERIA REVENUE 722514 16770 16770 61270 7091070 6885112 0 49420 X 171644 171644 4138306 3102145 1036161 19268 14444 4824 820224 614854 205370 312793 234475 78318 7339 7339 24000 24000 2077893 1932693 145200 236599 189279 47320 101399 81119 20280 305062 244050 61012 145473 116378 29095 80761 64609 16152 212382 169906 42476 MEDICAL SUPPLIES & DRUG 212913 212913 SUPPLIES - NON-MEDICAL 173408 173408 ALL OTHER EXPENSES 164077 141888 22189 9203541 7292161 1911380 0 1488830 596681 1034458 1552718 86587 94071 38914 101198 8916475 7686041 928238 1230434 9009 9009 11857 1595834 154970 5181870 3750938 1904194 2609460 50000 2225060 2608906 0 0 4129254 5268366 X 1052616 -1517428 1052616 -1517428 5181870 3750938 -2112471 -457573 0 X X 0 0 1 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X X 2 685.00 1 0 1 25248 6565 11480 20333 0 144218 144218 3468377 3064287 404090 4383039 4282589 100450 920841 339165 581676 1230434 PART IV, LINE 1B: BMC HAS AN AUXILIARY THAT OPERATES USING THE EIN OF BMC. THE INCOME AND EXPENSES OF THE AUXILIARY ARE EXLUCDED FROM THE 990, PART VIII AND IX. THE ASSETS, LIABILITIES AND EQUITIES ARE ALSO EXCLUDED FROM THE 990, PART X. GOLF TOURNAMENT 22270 22270 350 1365 7428 2983 22270 22270 350 1365 7428 2983 12126 -12126 1 1 1 X 1 X 399.000000000000 1 1 1 0 0 19258 19258 0.00210 2758704 1892037 866667 0.09420 2777962 1892037 885925 0.09630 55433 55433 0.00600 7064768 6686483 378285 0.04110 7120201 6686483 433718 0.04710 9898163 8578520 1319643 0.14340 0 403311 347937 1486860 1473837 13023 X 1 1 1 1 BUCKTAIL MEDICAL CENTER 1001 PINE STREET RENOVO PA 17764 549601 X X X X BUCKTAIL MEDICAL CENTER 0 0 1 X X X X X X X X X X 22 1 0 0 1 BUCKTAILMEDICALCENTER.ORG 1 22 1 BUCKTAILMEDICALCENTER.ORG 0 1 X 200.000000000000 399.000000000000 X X X X 1 1 X X X X 1 X HTTPS://BUCKTAILMEDICALCENTER.ORG/ X HTTPS://BUCKTAILMEDICALCENTER.ORG/ X HTTPS://BUCKTAILMEDICALCENTER.ORG/ X X X X X 0 0 X X X X X 1 X 0 0 BUCKTAIL MEDICAL CENTER PART V, SECTION B, LINE 5: THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM REPRESENTATIVES OF THE COMMUNITY BY COLLECTING DATA FROM VARIOUS COMMUNITY RESOURCES, INCLUDING PRR (PRESERVE, RENEW, REVITALIZE) AND THE CTA (CLINTON TRADESMANS ASSOCIATION). BUCKTAIL MEDICAL CENTER PART V, SECTION B, LINE 11: THE HOSPITAL WAS NOT ABLE TO ADDRESS ALL HEALTH NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA DUE NOT CURRENTLY HAVING THE STAFF OR FINANCIAL RESOURCES TO DEVOTE TO THE NEED. THE HOSPITAL IS ADDRESSING WHAT NEEDS THEY CAN USING THE FOLLOWING STRATEGIES: TRANSPORTATION AND SPECIALTY SERVICES REPRESENT TWO IDENTIFIED CONCERNS IN PROVIDING HEALTHCARE TO THE COMMUNITY. TO BETTER SERVE THE NEEDS OF THE COMMUNITY, BMC IS WORKING WITH TWO LOCAL HEALTH SYSTEMS TO ACCOMMODATE SPECIALTY PHYSICIAN SERVICES AT THE MEDICAL CENTER. AN OFFICE SUITE HAS BEEN ESTABLISHED WITHIN THE HOSPITAL TO PROVIDE AN EFFICIENT SETTING FOR OFFICE VISITS. WE ARE STILL EXPLORING OPTIONS TO ACCESS THESE SERVICES. THE MOST LIKELY COURSE WILL BE TELEHEALTH SERVICES TO ACCESS MOST OF THE SPECIALTIES. BMC HAS BEEN WORKING WITH THE CLINTON COUNTY DEPARTMENT OF EMERGENCY SERVICES (CCDES) AND THE PENNSYLVANIA DEPARTMENT OF HEALTH (PADOH) TO DEVELOP A COUNTYWIDE RESPONSE PLAN WHICH SPECIFICALLY ADDRESSES THE CHALLENGES FACED IN WESTERN CLINTON COUNTY. TWO KEY ELEMENTS WILL ENHANCE THE DIAGNOSTIC CAPABILITIES OF THE MEDICAL CENTER. OUR CONTINUED FOCUS HAS BEEN ON THE MEDICAL LABORATORY. WE HAVE DEPLOYED SEVERAL POINT OF CARE (POC) ANALYZERS CAPABLE OF PERFORMING MANY CRITICAL TESTS, ENHANCING OUR PHYSICIANS' ABILITY TO BETTER DIAGNOSE. THE SECOND DIAGNOSTIC CHALLENGE FOR BMC IS MEDICAL IMAGING. CURRENTLY THERE IS ONE (1) DR QUALITY X-RAY MACHINE. HAVING A CT SCANNER ONSITE WILL ALSO BE A DRAW FOR SPECIALTY PHYSICIANS AND SHOULD INCREASE OUTPATIENT SCANS, AGAIN PROVIDING ADDITIONAL REVENUE FOR THE FACILITY. A PLAN WAS DEVELOPED TO BEGIN THE PROCESS OF ACQUIRING A CT SCANNER FOR THE FACILITY. WE ARE CONTINUALLY ASSESSING THE HEALTH NEEDS OF OUR COMMUNITY AND DECIDING HOW WE CAN BETTER SERVE OUR COMMUNITY BASED ON NEED. BUCKTAIL MEDICAL CENTER PART V, SECTION B, LINE 13B: FAMILY SIZE AND ESTIMATED EXPENSES. BUCKTAIL MEDICAL CENTER PART V, SECTION B, LINE 20E: FAP APPLICATION(S) AND ASSISTANCE, FAP MAILING(S), FOLLOW-UP LETTERS AND/OR PHONE CALLS, SUBSEQUENT BILLING(S), PROMPT PAYMENT DISCOUNT, PAYMENT PLAN, ASSIST PATIENT IN EXPLORING ALTERNATIVE SOURCES OF COVERAGE AND PAYMENT. PART I, LINE 7: BMC APPLIES THE RATIO OF PATIENT CARE COST TO-CHARGES FOR AMOUNTS REPORTED IN THE TABLE (TOTAL OPERATING EXPENSES LESS NON-PATIENT CARE ACTIVITIES, PROVIDER TAXES, TOTAL COMMUNITY BENEFIT AND TOTAL COMMUNITY BUILDING EXPENSES). PART I, LINE 7G: BMC PERSONNEL REGULARLY MEETS WITH ALL OF THE LOCAL AMBULANCE SERVICES, FIRE DEPARTMENTS, COUNTY ALS PROVIDERS, CLINTON COUNTY DEPARTMENT OF EMERGENCY SERVICES, AND SEVEN MOUNTAINS, THE EMS COUNCIL. THERE IS A MONTHLY MEETING AND QUARTERLY BOARD MEETING WITH SEVEN MOUNTAINS EMS COUNCIL. WE HAVE ESTABLISHED A HOPSITAL EMS PROGRAM AT BUCKTAIL MEDICAL CENTER AND ARE LICENSED TO RUN BLS CALLS. PART III, LINE 2: BMC UTILIZES A MONTHLY CALCULATION TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE UTILIZING AGED ACCOUNTS RECEIVABLE BY FINANCIAL CLASS, SERVICE TYPE, AND CURRENT REIMBURSEMENT RATE(S) TO CALCULATE AN ESTIMATED AMOUNT OF COLLECTIBLE REVENUE BASED ON UNDER/OVER 120 DAYS, LESS ANY CONTRACTUAL ADJUSTMENT(S). PART III, LINE 3: BMC USES THE FOLLOWING TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS POTENTIALLY ELIGIBLE UNDER THE FAP DETAILED PATIENT BILLING AND SERVICES RECORDS THAT WOULD HAVE BEEN DESIGNATED PATIENT CRITERIA ELIGIBLE TO APPLY FOR FAP THIS WOULD INCLUDE, BUT NOT BE LIMITED TO STANDARD CHARGES, CO-PAYS, DEDUCTIBLES, NON-COVERED OR LIMITED COVERED SERVICES, BILLING CYCLES FAP APPLICATIONS/COMPLETION, FAP DENIAL, POTENTIAL INCLUSION IN PREVIOUS CHARITY CARE PROGRAM. PART III, LINE 8: ANY MEDICARE ALLOWABLE COSTS OF PATIENT CARE SHORTFALLS SHOULD BE COUNTED AS COMMUNITY BENEFIT. THESE ALLOWABLE COSTS ARE OBTAINED FROM THE MEDICARE COST REPORTS FOR THE YEAR. PART III, LINE 9B: BMC MAKES REASONABLE ATTEMPTS TO ASSIST A PATIENT WHO IS UNINSURED, UNDERINSURED OR WHO MAY BE UNIDENTIFIED RESOURCES AVAILABLE INCLUDING FINANCIAL ASSISTANCE APPLICATION(S) AND ASSISTANCE, MAILING(S), FOLLOW-UP LETTERS AND/OR PHONE CALLS, SUBSEQUENT BILLING(S), PROMPT PAYMENT DISCOUNT, PAYMENT PLAN. PATIENT/APPLICANT FAP APPLICATIONS MAY BE SUBMITTED TO BMC UP TO AND INCLUDING THE 240TH DAY AFTER THE PATIENT/APPLICANT RECEIVES THE 1ST BILLING STATEMENT. PAYMENT PLANS WILL BE COORDINATED BETWEEN THE BILLING OFFICE SUPERVISOR AND THE PATIENT/APPLICANT. ALL NECESSARY APPROVAL(S) MUST BE OBTAINED. THE APPLICATIONS ARE REVIEWED AND EVALUATED FOR CHARITY CARE STATUS AND WRITTEN OFF WHEN APPROPRIATE. ALL CHARITY APPLICATIONS ARE REVIEWED AND APPROVED BY THE CFO. X X X 0 0 0 0 0 0 0 0 0 TIMOTHY REEVES CHIEF EXECUTIVE OFFICER, CEO 130691 0 0 0 0 0 0 0 30810 0 161501 0 0 0 DEBBIE WOODEL RN 155647 0 0 0 0 0 0 0 0 0 155647 0 0 0 LAURA MURNYACK CHIEF NURSING OFFICER, CNO 154535 0 0 0 0 0 0 0 8750 0 163285 0 0 0 TRACEY LISI RN 150540 0 0 0 0 0 5200 0 10459 0 166199 0 0 0 TIMOTHY REEVES CEO LOAN TO ORGANIZATION X 50000 50000 0 1 1 50000 EMILY REEVES FAMILY OF OFFICER 37765 EMPLOYMENT 0 MICHELLE REEVES FAMILY OF OFFICER 142646 EMPLOYMENT 0 FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE 990 IS PROVIDED TO THE CEO WHO REVIEWS THE FORM, SCHEDULES AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A DRAFT IS PROVIDED TO THE BOARD OF DIRECTORS. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CEO SIGNS THE FORM 8879TE AUTHORIZING THE PREPARER TO EFILE THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C A CONFLICT OF INTEREST SURVEY IS ISSUED TO ALL BOARD MEMBERS ANNUALLY AND ANY TIME THERE IS A BOARD MEMBER CHANGE. IF A POTENTIAL CONFLICT EXISTS, THE MEMBER(S) OF THE BOARD AFFECTED SHALL RECUSE THEMSELVES FROM VOTING ON THE MATTER. THE CONFLICT OF INTEREST SURVEYS ARE MONITORED BY THE CEO. FORM 990, PART VI, SECTION B, LINE 15 SALARY DETERMINATION FOR TOP MANAGEMENT AND KEY EMPLOYEES IS SET AFTER COMPARISON TO MARKET REQUIREMENTS AND PEER GROUP BENCHMARKS. RECOMMENDATIONS ARE PRESENTED FOR REVIEW AND APPROVAL BY THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 BMC MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,932,693. MANAGEMENT AND GENERAL EXPENSES 145,200. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,077,893. FORM 990, PART XII, LINE 2C: NO CHANGES SINCE PRIOR YEAR. FORM 990 PART XI LINE 3B THE ORGANIZATION HAS NOT COMPLETED ITS AUDIT FOR THE YEAR ENDED JUNE 30, 2023, HOWEVER IS IN THE PROCESS OF COMPLETING THE AUDIT.