JOHNSTON MEMORIAL HOSPITAL INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
JOHNSTON MEMORIAL HOSPITAL INC (EIN 54-0544705)
Tax period
2019-07-01 to 2020-06-30
Filed
2021-05-12
IRS object ID
202131329349304358
Schema version
2019v5.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2021-05-12T13:39:21-07:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN540544705EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Johnston Memorial Hospital IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlJOHNBusinessNameControlTxt
Phone2762582800PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11021 W Oakland Avenue Suite 103AddressLine1Txt
CityJohnson CityCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37604ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJohn JeterPersonNm
Person TitleVP, CEO JMHPersonTitleTxt
Signature2021-05-12SignatureDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJohn JeterPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line116000 Johnston Memorial DriveAddressLine1Txt
CityAbingdonCityNm
State AbbreviationVAStateAbbreviationCd
ZIP24211ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$169,581,267GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addressballadhealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1917FormationYr
Legal Domicile StateVALegalDomicileStateCd
Activity Or MissionMission: Honor those we serve by delivering the best possible care.Vision: To build a legacy of superior health by listening to and caring for those we serve.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers155TotalVolunteersCnt
Total Gross UBI$119,757TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$35,348NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$144,986PYContributionsGrantsAmt
CY Contributions Grants$43,914CYContributionsGrantsAmt
PY Program Service Revenue$158,289,382PYProgramServiceRevenueAmt
CY Program Service Revenue$157,184,144CYProgramServiceRevenueAmt
PY Investment Income$8,148,872PYInvestmentIncomeAmt
CY Investment Income$8,552,388CYInvestmentIncomeAmt
PY Other Revenue$1,430,781PYOtherRevenueAmt
CY Other Revenue$2,432,116CYOtherRevenueAmt
PY Total Revenue$168,014,021PYTotalRevenueAmt
CY Total Revenue$168,212,562CYTotalRevenueAmt
PY Grants And Similar Paid$131,797PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$119,972CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$50,232,583PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$50,738,794CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$85,874,921PYOtherExpensesAmt
CY Other Expenses$93,636,000CYOtherExpensesAmt
PY Total Expenses$136,239,301PYTotalExpensesAmt
CY Total Expenses$144,494,766CYTotalExpensesAmt
PY Revenues Less Expenses$31,774,720PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$23,717,796CYRevenuesLessExpensesAmt
Total Assets BOY$445,027,954TotalAssetsBOYAmt
Total Assets EOY$495,754,676TotalAssetsEOYAmt
Total Liabilities BOY$10,058,042TotalLiabilitiesBOYAmt
Total Liabilities EOY$36,523,441TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$434,969,912NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$459,231,235NetAssetsOrFundBalancesEOYAmt
MissionHonor those we serve by delivering the best possible care.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$119,420,468ExpenseAmt
Grant$119,972GrantAmt
Revenue$157,191,852RevenueAmt
DescSee Schedule ODesc
Total Program Service Expenses$119,420,468TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document132IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldTNStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldVAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLynn KrutakPersonNm
Phone4233023374PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1303 Med Tech Parkway Suite 300AddressLine1Txt
CityJohnson CityCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37604ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Marvin Eichorn
EVP/CAO,ViceChr1.0059.00Yes (X)Yes (X)$0$1,097,890$32,699
Stan Hickson
Former VP/CEO JMH0.0045.00$0$599,255$40,022
John Patterson MD
Physician1.0039.00Yes (X)$0$533,718$19,344
Amit Vashist MD
SVP, CCO1.0049.00Yes (X)$0$404,819$53,269
John Jeter
VP, JMH CEO44.300.70Yes (X)$394,332$0$38,003
Jennifer Hanke MD
Physician40.000.00$255,965$0$9,232
Bryan Mullins
JMH COO45.000.00$221,559$0$34,315
John Ray MD
Fmr JMH Highest Paid0.0040.00$0$216,703$19,961
John Domansky
JMH AVP/CFO44.500.50Yes (X)$188,099$0$18,977
Lea Mullins
Pharmacy Director40.000.00$169,329$0$31,658
Linda Shepherd
Assoc Admin., CNO JMH45.000.00$182,868$0$11,564
Scott Hunter
Physician Asst.40.000.00$163,329$0$28,610
James White
Pharmacist40.000.00$144,165$0$18,791
Janice Medeiros
Pharmacist40.000.00$137,639$0$22,688
Sean McMurray
Former VP Mkt Ops/Svc Line Integrtn0.0040.00$0$100,204$10,167
Brian Dawson MD Beg122019
VP/CMO SW Mkt1.0044.00Yes (X)$0$13,462$0
Gary Peacock
Director1.003.20Yes (X)$0$0$0
Bill Hayter
Director1.000.00Yes (X)$0$0$0
John Fowlkes
Treasurer1.000.00Yes (X)Yes (X)$0$0$0
Brendan McSheehy
Director1.000.00Yes (X)$0$0$0
Rachel Fowlkes EdD
Director1.000.00Yes (X)$0$0$0
Joanne Gilmer
Director1.000.00Yes (X)$0$0$0
Eric Miller
Secretary1.000.00Yes (X)Yes (X)$0$0$0
Kathy Mitchell
Director1.000.00Yes (X)$0$0$0
Dick Gail
Chairman1.000.00Yes (X)Yes (X)$0$0$0
Marvin Gilliam
Director1.000.00Yes (X)$0$0$0
Mike Spiegler
Director1.000.00Yes (X)$0$0$0
Donnie Meadows
Director1.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,857,285TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,966,051TotReportableCompRltdOrgAmt
Total Other Compensation$389,300TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K32IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Virginia Highlands Anesthesia PC
PO Box 1476AbingdonVA24212Anesthesia Services$2,744,758
Abingdon Physicians ASC Group
613 Campus DriveAbingdonVA24210Med Director Fees$623,991
Medias Inc
PO Box 10452BlacksburgVA24062Sleep Center$471,674
Western Va Regl Emer Physicians
PO Box 82368LaFayetteLA70598ER Physician Svcs$459,789
Assocd Regl & Univ Path Inc
PO Box 27964Salt Lake CityUT84127Pathology Svcs$447,733
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K24CntrctRcvdGreaterThan100KCnt
Related Organizations$23,200RelatedOrganizationsAmt
Government Grants$14,406GovernmentGrantsAmt
All Other Contributions$6,308AllOtherContributionsAmt
Total Contributions$43,914TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
CARES Act Revenue900099$3,082,008$3,082,008
Hosp Rent to Related Org900099$352,119$352,119
Hospital Patient Revenue900099$152,880,449$152,880,449
Hospital Residency Prog900099$405,282$405,282
P/S Business Income541900$359,913$336,097$23,816

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$104,373TotalRevenueColumnAmt
Related Or Exempt Func Income$8,432RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$95,941UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$157,184,144TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,216,347TotalRevenueColumnAmt
Exclusion$6,216,347ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,358,387RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$815,944RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$542,443RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$542,443TotalRevenueColumnAmt
Exclusion$542,443ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,888,802SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$552,761OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,888,802SecuritiesAmt
Other-$552,761OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,336,041TotalRevenueColumnAmt
Related Or Exempt Func Income-$552,761RelatedOrExemptFuncIncomeAmt
Exclusion$2,888,802ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria/Vending722514$541,751$541,751
IPO Settlement900099$622,836$622,836
Revenue from Parent900099$560,469$560,469

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$164,617TotalRevenueColumnAmt
Exclusion$164,617ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,889,673OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$168,212,562TotalRevenueColumnAmt
Related Or Exempt Func Income$157,072,095RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$119,757UnrelatedBusinessRevenueAmt
Exclusion$10,976,796ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$119,972TotalAmt
Program Services$119,972ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,199,399TotalAmt
Management And General$1,199,399ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$40,165,152TotalAmt
Program Services$31,627,769ProgramServicesAmt
Management And General$8,537,383ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$888,702TotalAmt
Program Services$708,091ProgramServicesAmt
Management And General$180,611ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,026,416TotalAmt
Program Services$3,415,628ProgramServicesAmt
Management And General$2,610,788ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,459,125TotalAmt
Program Services$2,327,513ProgramServicesAmt
Management And General$131,612ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$234,896TotalAmt
Management And General$234,896ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$522,084TotalAmt
Program Services$373,273ProgramServicesAmt
Management And General$148,811ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$35,875,892TotalAmt
Program Services$29,329,527ProgramServicesAmt
Management And General$6,546,365ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$68,356TotalAmt
Program Services$6,793ProgramServicesAmt
Management And General$61,563ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,149,225TotalAmt
Program Services$982,337ProgramServicesAmt
Management And General$166,888ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,437,674TotalAmt
Program Services$2,357,853ProgramServicesAmt
Management And General$79,821ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,368,345TotalAmt
Program Services$2,238,939ProgramServicesAmt
Management And General$129,406ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$222,308TotalAmt
Program Services$206,408ProgramServicesAmt
Management And General$15,900ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$6,364TotalAmt
Management And General$6,364ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$11,473,460TotalAmt
Program Services$10,494,521ProgramServicesAmt
Management And General$978,939ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$173,899TotalAmt
Program Services$154,697ProgramServicesAmt
Management And General$19,202ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$30,700,787$30,700,787
Maintenance$4,190,998$4,082,435$108,563
Support Fees$3,557,104$3,557,104
Taxes - UBIT$12,931$9,245$3,686

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$641,677TotalAmt
Program Services$284,680ProgramServicesAmt
Management And General$356,997ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$144,494,766TotalAmt
Program Services$119,420,468ProgramServicesAmt
Management And General$25,074,298ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,966,082BOYAmt
EOY$36,380,583EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$23,747,975BOYAmt
EOY$20,809,228EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$41,049BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,183,987BOYAmt
EOY$3,058,151EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$348,337BOYAmt
EOY$4,701,121EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$263,871,929LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$133,074,279LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$133,406,425BOYAmt
EOY$130,797,650EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$272,633,416BOYAmt
EOY$290,586,344EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$56,310BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$35,200BOYAmt
EOY$35,200EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$8,609,173BOYAmt
EOY$9,386,399EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$445,027,954BOYAmt
EOY$495,754,676EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$7,664,686BOYAmt
EOY$9,478,518EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$596,482BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,796,874BOYAmt
EOY$27,044,923EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,058,042BOYAmt
EOY$36,523,441EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$434,968,912BOYAmt
EOY$459,231,235EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,000BOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$434,969,912BOYAmt
EOY$459,231,235EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$445,027,954BOYAmt
EOY$495,754,676EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$23,717,796ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$771,587NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$228,060OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed Section4955 TaxfalseForm4720FiledSection4955TaxInd
Correction MadefalseCorrectionMadeInd
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsYes (true)GrantsOtherOrganizationsInd
Grants Other Organizations$1,057GrantsOtherOrganizationsAmt
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$1,057TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1i - Other Activities DescriptionFormAndLineReferenceDesc
ExplanationJMH had lobbying expenses of $1,057 which represents the portion of dues paid to Virginia Hospital and Healthcare Association attributable to direct lobbying.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,390,483OtherCostOrOtherBasisAmt
Book Value$7,390,483BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$163,218,391OtherCostOrOtherBasisAmt
Depreciation$61,355,458DepreciationAmt
Book Value$101,862,933BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,101,696OtherCostOrOtherBasisAmt
Depreciation$3,814,482DepreciationAmt
Book Value$2,287,214BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$86,062,562OtherCostOrOtherBasisAmt
Depreciation$67,062,448DepreciationAmt
Book Value$19,000,114BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,098,797OtherCostOrOtherBasisAmt
Depreciation$841,891DepreciationAmt
Book Value$256,906BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$130,797,650TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (13 entries)

DescDescAmtAmt
Capital Lease Obligation L/T$23,329
Capital Lease Obligation S/T$22,282
COVID-19 FICA Loan$500,241
Due to 3rd Parties-Medicare Adv Pmts L/T$16,257,280
Due to 3rd Parties-Medicare Adv Pmts S/T$2,060,782
Due to 3rd Parties-Stimulus Reserve$60,000
Due to 3rd Party Payors$2,261,850
Operating Lease Obligation L/T$3,487,218
Operating Lease Obligation S/T$512,077
Other long-term Liabilities$13,220
Pharmacy, Medical, Worker's Comp$1,065,022
Professional Liability-Reserve$781,621
Rounding$1
FieldValueIRS element (for citing)
Total Liability$27,044,923TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X : FIN48 FootnoteFormAndLineReferenceDesc
Explanation"The Hospital and APP are classified as organizations exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code. JMH ER is organized as a limited liability corporation and is considered a disregarded entity for tax purposes. As such, no provision for federal income taxes is included in the accompanying consolidated financial statements. No significant uncertain tax positions exist at June 30, 2020. Tax returns for 2017 through 2019 are subject to examination by the Internal Revenue Service."ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other225.000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other450.000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportfalseAnnualCommunityBnftReportInd
Report Publically AvailablefalseReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$554,695TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$554,695NetCommunityBenefitExpnsAmt
Total Expense0.00380TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$554,695TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$554,695NetCommunityBenefitExpnsAmt
Total Expense0.00380TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,390,410TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,662DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,383,748NetCommunityBenefitExpnsAmt
Total Expense0.00960TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,510,349TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,875,250DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,635,099NetCommunityBenefitExpnsAmt
Total Expense0.03210TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,462,330TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,321,340DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,140,990NetCommunityBenefitExpnsAmt
Total Expense0.00790TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$53,364TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,898DirectOffsettingRevenueAmt
Net Community Benefit Expns$47,467NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$99,747TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$99,747NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,516,200TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,209,150DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,307,051NetCommunityBenefitExpnsAmt
Total Expense0.05060TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,070,895TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,209,150DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,861,746NetCommunityBenefitExpnsAmt
Total Expense0.05440TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$5,889,823BadDebtExpenseAmt
Bad Debt Expense Attributable$2,179,235BadDebtExpenseAttributableAmt
Reimbursed By Medicare$39,906,599ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$38,882,794CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$1,023,805MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Johnston Memorial Hosp IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line116000 Johnston Memorial DriveAddressLine1Txt
CityAbingdonCityNm
State AbbreviationVAStateAbbreviationCd
ZIP24211ZIPCd
FieldValueIRS element (for citing)
Website Addressballadhealth.org/locationsWebsiteAddressTxt
State LicenseH 1864StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Johnston Memorial Hosp IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
OtherYes (X)OtherInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLballadhealth.org/locations#hospitalsOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsitefalseStrategyPostedWebsiteInd
Strategy AttachedYes (true)StrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care225.0000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care450.0000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLballadhealth.orgFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLballadhealth.orgFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLballadhealth.orgFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Facility: Johnston Memorial Hosp., Inc. - Part V, Section B, Line 3jDuring FY20, JMH was operating under the three-year Community Health Needs Assessment (CHNA) approved by its board of directors at the end of FY18. Priorities established for their CHNA were determined by the most significant health needs of the community. Ballad Health (JMHs parent corporation) hospitals, including JMH, conducted their fourth CHNA this tax reporting period with board approval and publication occurring during FY19. For the FY18 CHNA, Ballad Health and its hospitals and entities agreed to focus on an index of 25 active population health index measures (plus an additional 31 measures for monitoring). The population health index itself is based on the focus areas outlined in the previous FY15 CHNA and align with national health improvement efforts, such as Healthy People 2020. MSHA's affiliates, Wellmont Health System and its hospitals, focused on the same population health index measures determined by Ballad Health, our health system's parent, when completing their individual FY19 CHNA's.To understand each communitys individual needs, Ballad Health conducted a community health needs assessment (CHNA) for each Ballad hospital to profile the health of the residents within its service area. Throughout the CHNA process, high priority was given to determining the health disparities and available resources within each community. Community members from each county met with Ballad representatives to discuss current health priorities and identify potential solutions.JMH is located in Washington County, Virginia. The Washington County CHNA community members evaluated measures that make up JMH's population health index and a few additional measures related to access to health screenings. The Washington County groups members completed a survey relative to what health priorities should be a focus for their specific community over the next three years. After all the details and data collection was complete and interviews with various focus groups were complete, the Washington County representatives identified four top focus areas:-Smoking-Physical activity/obesity -Substance abuse/mental health-Maternal/infant health
Facility: Johnston Memorial Hosp., Inc. - Part V, Section B, Line 5As part of the FY18 CHNA process, MSHA hospitals conducted localized community focus groups with organization representatives such as those from local health departments, school systems, health clinics, emergency services, businesses, and philanthropic boards. The individuals in JMHs community were selected for participation by the hospitals CEO. The JMH focus group members were represented by Virginia Department of Health, Childrens Advocacy Center of Highlands Community Service, Ballad Health Government Relations, United Way of Southwest Virginia, Washington County Services, Washington County Emergency Management, Virginia Highlands Community College, Washington County Higher Education, Washington County Chamber of Commerce, Highlands Community Service Board, Mount Rogers Health District, Faith in Action, Washington County Public Schools and Johnston Memorial Hospital Foundation Board. Low income, minority and medically underserved populations were represented by Mount Rogers Health Department, Virginia Department of Health, United Way of SWVA, Faith in Action and Childrens Advocacy Center of Highlands Community Service. Also, between our foundation board and the community board, there are a number of individuals that sit on these boards that represent low income, minority populations, and medically underserved.Activities associated with the June 2018 assessment took place from fall of 2017 through the spring of 2018. Community members from Washington County met with Ballad Health and JMH representatives to discuss health priorities and identify potential solutions. Community members were made aware of the 25 measures that make up Ballad Healths population health index plus 3 additional measures related to access to health screening. Participants then completed a survey to indicate their opinion on what health priorities should be a focus for their community. The assessment activities, including focus groups and surveys, were used to develop the hospital implementation plan that was followed in FY19 and FY20.
Facility: Johnston Memorial Hosp., Inc. - Part V, Section B, Line 6aEach hospital within Mountain States Health Alliance completed a CHNA. JMHs CHNA was conducted with all MSHA hospitals to include: Johnson City Medical Center (includes Niswonger Children's Hospital and Woodridge Hospital), Franklin Woods Community Hospital,Indian Path Community Hospital, Johnson County Community Hospital, Johnston Memorial Hospital, Norton Community Hospital, Dickenson Community Hospital, Russell County Hospital, Smyth County Community Hospital, Sycamore Shoals Hospital, and Unicoi County Hospital.
Facility: Johnston Memorial Hosp., Inc. - Part V, Section B, Line 11During the year, JMH continued to focus on its CHNA priorities as identified in its FY15 report. JMHs primary areas of focus included: diabetes, cardiovascular disease, cancer, obesity and mental health. Many additional community needs exist in our region. It is fiscally impossible for a hospital to address every health need in a community, which is why the CHNA process is used to identify and prioritize areas of focus. A thoughtful CHNA evaluates overall community health needs to determine which ones the hospital can best influence in a positive way. Consideration is given to other organizations in the hospitals geographic area that already offer services addressing specific health needs. In some cases, it is best to simply support an identified health need through a financial donation to another nonprofit organization skilled in certain areas: teen pregnancy, dental health, fighting homelessness, etc. Hospitals also lend support to other nonprofit organizations by serving on their boards, committees, and assisting with fundraising efforts. JMH made financial contributions to other nonprofit organizations providing community services that support the hospitals CHNA. JMH contributed to an organization focused on providing nutritious food for low income families in Washington County, and they helped sponsor a womens health event with a local university. JMH offered free low dose lung nodule screenings in FY20 and the JMH family birth center staff provided education for at risk mothers related to substance abuse.Free medications were provided to some low-income patients at the time of their discharge and the hospital continued its practice of providing medications and supplies to area rescue squads this year. The hospital continues to conduct activities consistent with our respective implementation plan. For example, a partnership was developed with Feeding America of Southwest Virginia to fund health food options for the mobile food bank and provide nutritional education to recipients that addresses obesity and diabetes. JMH supports the Washington County School Systems Morning Mile program. This is a school-based program in which kids arrive at school early and participate in a supervised walk or run for a mile.
Facility: Johnston Memorial Hosp., Inc. - Part V, Section B, Line 13hBallad Health's financial assistance policy allows for some exceptions to strictly adhering to federal poverty guidelines when awarding financial assistance. Unique circumstances may be weighed and assessed for financial assistance consideration on a case-by-case basis. Also, there are some services where financial assistance may be provided outside of federal poverty guidelines. These are noted in Ballad Health's financial assistance policy.

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used)Financial assistance approval can apply to an assortment of patients such as those who have exhausted their Medicaid/TennCare benefits, those who qualified for Medicaid/TennCare after the date of service, deceased patients with no estate or assets, uninsured patients, and underinsured patients. While Ballad Healths qualifications for financial assistance is based on federal poverty guidelines, asset values may also be used to determine eligibility. Unique circumstances may be assessed on a case-by-case basis. Charity approval covers current or active patient balances when they are approved and there is no limitation or cap on the amount of charity that a patient may receive. Ballad Health hospitals do not stop approving financial assistance for patient accounts if a hospitals charity write-offs exceed the hospitals charity budget.All Ballad Health hospitals provide an uninsured discount; the current uninsured discount is 85%. In addition to the uninsured discount, many patients will further qualify for additional financial assistance. All patients seeking financial assistance must submit an application for financial assistance and submit documents in support of the information on the application, unless specifically excluded according to our policy guidelines. Medicaid eligible patients will qualify for 100% financial assistance and not be required to complete the required documentation when: a) Medicaid eligibility requirements are met after the service is provided, b) non-covered charges occur on a Medicaid eligible encounter, or c) benefits have been exhausted. Deceased patients with no estate also qualify for 100% financial assistance.Financial assistance determinations may be retroactive for all outstanding balances. In addition, we have a number of programs with special discounts such as lactation consultation services; oncology treatment regimens; enrollment in various community programs, and prescription drugs filled post-discharge.
Part I, Line 7 - Explanation of Costing MethodologyThe cost to charge ratio (worksheet 2 "ratio of patient care cost to charges") was used to calculate line 7a financial assistance (charity care) cost. Due to Virginia Medicaid supplemental funding in FY20, JMH did not incur a Medicaid loss. Line 7e community health improvement includes costs that are taken directly from departmental operating reports or expenses specific to a community health event, with no additional overhead included in the cost. Line 7f health professions education is comprised of internships (primarily nursing, pharmacy, and therapy students) with schools and universities, allowing their health profession students to get hands-on training in a hospital setting. Another source of health professions education reported on line 7f is our Medicare-approved family medicine and internal medicine programs. The medical resident program cost and reimbursement information comes from our filed Medicare cost report. For line 7g subsidized health care services, we use our cost accounting system because we have established, standard costing reports for these services. We are careful to ensure no double counting of cost. Although we have many service lines within our hospital that lose money, we do not report services that hospitals are required by state licensure to provide, routine services or ancillary services. Line 7h research represents JMHs expense allocation from Ballad Health for research. Line 7i cash and in-kind contributions include cash disbursements and in-kind donations of medications to local nonprofit rescue squads and fire departments. In-kind donations of medications are based on our actual cost for these items.
Part III, Line 2 - Methodology Used To Estimate Bad Debt ExpenseSelf-pay balances include accounts after payments and contractual adjustments (discounts) have been applied from all third-party payers such as Medicare, Medicaid, commercial insurers, and others - generally leaving the patient responsible for any remaining deductible and/or co-payment. Other self-pay accounts are from patients with no insurance or other third-party coverage. Under Ballad Healths self-pay policy, any patient who has no insurance and is ineligible for any government assistance program receives an 85% discount. Many self-pay patients will further qualify for financial assistance (sometimes referred to as charity care) if they provide the financial information we need to deem them eligible.After the normal collection process has indicated an account is uncollectible, JMH writes the account off to bad debt. The hospital's overall self-pay accounts receivable balance is evaluated on an ongoing basis to evaluate the age of accounts receivable, historical write-offs and recoveries and any unusual instances (such as local, regional or national economic conditions) which affect the collectability of receivables.
Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community BenefitOur primary external collection agency historically estimated that approximately 37% of JMHs bad debt would have qualified for financial assistance if patients had provided our hospital with a financial assistance application and required documentation. Pursuant to the merger, JMH has begun to score accounts using a presumptive eligibility tool. This tool utilizes various data points for a proprietary algorithm operated by an outside vendor to provide an individuals score. We have instances of patients with account balances and no health insurance coverage that we believe would qualify for financial assistance. Although patients are encouraged to apply for assistance, many will not do so. JMH would prefer for patients to submit completed financial assistance applications given that historical data clearly indicates that most uninsured patients and many underinsured will qualify for financial assistance under our program. Without a completed application, we have no choice other than to record an unpaid account as bad debt instead of charity care.
Part III, Line 4 - Bad Debt ExpenseThe text of JMH's financial statements that describes bad debt expense appears on pages 11-12 in our most recent audited financial stateme
Part III, Line 8 - Explanation Of Shortfall As Community BenefitExcluding Medicare losses reported in Part I subsidized health, the Part III Medicare allowable costs are reported using JMH's filed Medicare cost report (C/R). The C/R uses a cost to charge ratio based on a step-down allocation methodology.We believe Medicare losses should be allowed as a reportable community benefit, similar to governmental programs such as Medicaid. As a participating provider in the Medicare program, hospitals are required to provide the full regimen of care for the Medicare population. There are a number of care regimens that are compensated by the Medicare program at levels below cost. Therefore, it is only logical to allow hospitals to report these uncompensated services as a community benefit. By making this change, nonprofit providers will be encouraged to continue important care delivery models for our aging population in spite of the fact it may be economically injurious.
Part III, Line 9b - Provisions On Collection Practices For Qualified PatientsRequests for financial assistance are evaluated using established guidelines, while allowing for unique financial circumstances - for example, medically indigent patients with catastrophic medical costs that would threaten the patients household financial viability. When a patient requests financial assistance or when an application has been received, the patient's account is placed in a hold status to prevent further collection activities until financial assistance eligibility is determined. All Ballad Health hospitals comply with IRS 501(r) regulatory guidelines.Our collection policy clearly states that all patients are treated equally - with dignity and respect. We ensure that outside collection agencies used by our hospital adhere to our billing and collection guidelines. Our hospitals collection program includes communicating expected financial responsibility prior to service. Our hospital provides assistance to help underinsured and uninsured patients determine sources of payment for medical bills and to help patients determine eligibility for programs such as Medicaid or TennCare.After insurance benefit verification, our hospital bills insurance carriers. If the insurance carrier denies payment of the service/procedure as non-covered or the patient has exceeded their maximum benefits, the service/procedure will qualify for the uninsured discount.Financial counselors are available to discuss financial assistance with patients and their families. Our hospital provides a number of payment options:- a pre-service discount may be offered- a discount in excess of established discounting rates may be granted for catastrophic high dollar accounts- our hospital accepts all non-contracted and out-of-network payers and will make attempts to work with these payers regarding appropriate reimbursement and billing to their members- payment arrangements are available so long as the account is not with a collection agencyReasonable efforts are made to determine if a patient is eligible for financial assistance - see Schedule H, Part VI, line 3 for information on how patients are informed about our financial assistance policy.
Part VI, Line 2 - Needs AssessmentFocusing on 25 active population health index measures allows Ballad Health to further engage the efforts of its hospitals in partnership with communities in our service areas. It has helped Ballad to better identify health disparities that appear across the individual communities and has helped Ballad to prioritize issues that are most important in each hospital's community. Engaging local community organizations will expand partnerships so that organizations work together more to address community health needs.Ballad Health uses a comprehensive process to gather input for and we continued to evolve our population health plan last year. The executive steering team, aided by national experts with experience in large-scale population health improvement, help guide the evolution. Because our hospitals are located in a region with many chronic disease challenges, Ballad Healths goal is to target population health issues to make lasting improvements. Ballad conducted approximately 150 interviews and held 40 meetings with external groups, including the regional health departments, United Way agencies, chambers of commerce, schools and community organizations, the regional accountable care community steering committee, as well as internal groups such as our population health and social responsibility committee of the Ballad Health board of directors, the Ballad Health population health clinical committee, and our hospital community boards in the creation and ongoing implementation of its population health plan.
Part VI, Line 3 - Patient Education of Eligibility for AssistanceConsistent with the Ballad Health financial assistance policy, JMH communicates with and provides education to our patients through various avenues regarding governmental assistance programs and hospital financial assistance. Various educational and application documents related to obtaining financial assistance are widely available at JMH and all documents are available on the Ballad Health website. Printed financial assistance educational materials are part of each registration packet and posters are displayed in highly visible areas of the hospital. Our financial assistance policy and documents are available in our Emergency Department and admitting areas. We are also happy to mail all documents to patients. We offer a plain language summary and all of our documents are available in English and Spanish. Financial assistance information is available during pre-registration, registration and/or during financial counseling. We offer governmental program eligibility representatives to assist patients in securing eligibility for Medicaid or TennCare, federal disability and other governmental assistance programs. Additionally, if a patient or community resident expresses an interest in the ACA healthcare exchange, our representatives have the qualifications and experience to assist them through the entire process. Our financial counselors offer financial assistance applications to patients who do not qualify for governmental assistance programs and are unable to pay for some or all of their healthcare.All patient billing statements have verbiage discussing financial assistance along with contact information. Our last letter to the patient displays the plain language summary. In all oral correspondences with a patient, if it is identified the patient cannot meet payment requirements on their account, financial assistance is discussed as an option.Applicants are notified of financial assistance determination in writing.
Part VI, Line 4 - Community InformationJMH is located in Abingdon, Virginia (Washington County), which is in Southwest Virginia. Southwest Virginia (SWVA) is located within the Appalachian Mountains, specifically the Blue Ridge Mountain Region. SWVA is considered rural and much different than the rest of the state. SWVA has been and remains a major coal mining region and has a high rate of uninsured adults. According to U.S. Census Bureau estimates, the Town of Abingdon has a population of 7,960, while Washington County's population is 54,071. The latest census bureau data estimates the median age of residents of Washington County is 46.3 which is older than the median age of 38.5 in Virginia. 22.2% of Washington Countys residents are 65 or older compared to 15.9% for the state. While the overall population of Washington County is projected to remain relatively flat over the next five years, the 65+ age group is expected to grow significantly over the same five-year period. The aging population of the county presents opportunities for earlier identification and better management of health conditions that oftentimes affect elderly populations in rural areas.The bureau estimates Washington County median household income at $48,495 ($45,848 for the Town of Abingdon) compared to $76,456 for the State of Virginia. 17% of Washington County's children live in poverty compared to 13.4% statewide. Washington County is 71.7% rural compared with the statewide rural rate of 24.5%. This factor is a significant contributing factor in influencing health outcomes in a population. Many rural residents must travel a greater distance to access different points of the health care delivery system; however, due to geographic distance, sometimes extreme weather conditions, lack of public transportation and challenging roads, rural residents may be limited, and in some instances, even prohibited from accessing health care services. Within our own county, injury deaths are 28% higher than the statewide rate. And, while our area has generally unfavorable health statistics, the number of residents per primary care physician in our county is 13.5% higher than the overall state rate and 46% higher than top performing U.S. counties.Recruiting physicians to rural areas is often challenging due to a myriad of factors, such as geography, economics, culture and education. Geographically, rural communities are often far removed from suburban and urban centers that provide access to education, cultural and economic opportunities. These limitations influence the relocation decision of the physician candidate and his/her spouse/children to locate to a rural area.A number of factors contribute to a unique and challenging environment that influence overall health standing in our county. According to the University of Wisconsin Population Health Institute County Health Rankings, 32% of the adults in JMHs home county are obese. Obesity increases the risk for many health conditions such as coronary heart disease, type 2 diabetes, hypertension, stroke, cancer, sleep apnea and respiratory problems, and osteoarthritis. Evidence indicates physical activity, independent of its effect on weight, has substantial benefits for health. Our countys inactivity rate of 30% is 40% higher than the statewide rate and access to exercise opportunities in the county is 30% lower than the overall state rate. According to the 2020 County Health Rankings, Washington County is ranked 79th out of 133 in Virginia for health outcomes and 65th in health behaviors. As for social and economic factors, Washington County ranks 74th primarily due to high rates of children in poverty and above average unemployment rates.
Part VI, Line 4 - Community Building ActivitiesJMH leaders support and encourage all team members to volunteer time, money and skills to community service projects and charitable organizations. Senior leaders and board members set a positive example for JMH team members, serving voluntarily on committees and boards of local service and nonprofit organizations. Some also serve as members and consultants on professional committees and task forces that affect regional development in healthcare and education. We do not capture costs associated with team members that serve on other nonprofit boards or provide services to other nonprofits.JMH, in collaboration with area health agencies and providers, may offer assistance with coordination, advocacy, or contribute supplies to support groups for their program activities that serve to assist special populations within our area. Most of these organizations work to improve the lives of community members that have limited, or no, financial resources.
Part VI, Line 5 - Promotion of Community HealthJMH is dedicated to operating efficiently so that waste is minimized. JMHs leadership remains mindful of managing limited resources so that adequate facilities and equipment are available for the care of our patients. Surplus funds are invested into improving treatment options for our patients through new technologies, recruiting physicians and trained staff in shortage areas, and improving our facilities. Various checks and balances are established to ensure that expenditures for operating expenses and capital costs are reasonable and necessary.JMH serves as a training site for many types of health professions: nursing, pharmacy, psychology, lab, respiratory therapy, EMT, public health, etc. Students from several colleges receive training and hands-on experience in our hospital. We devote resources to health conferences for local health professionals and offer other programs focused on improving the health of our residents. While we operate in a predominantly low-income, rural area, we continue to offer services that operate at a loss because Washington County residents would otherwise need to leave their home town or county to receive needed care.The majority of JMH's governing body is comprised of persons who reside in the organization's primary service areas. Physicians that request privileges who are qualified and credentialed are extended privileges by JMH.JMH entered into a lease agreement with Highlands Community Services (HCS), a non-profit organization that provides mental health, substance abuse and developmental services to residents of Washington County and Bristol, Virginia to open a crisis intervention team (CIT) assessment site that will provide a non-criminal justice setting where persons with mental illness can be taken by law enforcement officers for assessment. The goals of the CIT programs are generally oriented toward reducing injuries to both law enforcement and citizens, reducing arrest of persons in behavioral health crisis, improving access and linkage to appropriate community treatment, and supporting and promoting dignity and respect for individuals with behavioral health disorders. The foregoing goals are consistent with JMH's mission which is why our hospital agreed to provide space to HCS for an annual rental of just $1. JMH is providing the space to HCS in order to ensure the availability of a crisis intervention site within our community. The fair market value of the lease is $34,376 annually.
Part VI, Line 6 - Affilated Health Care SystemJMH is a 116-bed, acute-care facility operated under the direction of a 15-member board of directors primarily comprised of local community residents. It is one of the hospitals within the Ballad Health system. Ballad Health operates a family of 21 hospitals, including three tertiary care facilities, a dedicated children's hospital, community hospitals, three critical access hospitals, a behavioral health hospital, an addiction treatment facility, long-term care facilities, home care and hospice services, retail pharmacies, outpatient services and a comprehensive medical management corporation.Patients benefit from JMH's affiliation with a healthcare system where theycan be efficiently moved along an integrated, comprehensive continuum ofcare as their health status dictates. If needed, patients can be moved toone of Ballad Health's tertiary care facilities providing advancedtreatment options.Hospitals in the Ballad Health system work closely with one another toshare expertise and resources.
Part VI, Line 7 - States Filing of Community Benefit ReportTN VA
Part VI - Additional InformationBallad Health is required to report community benefit estimates on aquarterly basis with the states of Tennessee and Virginia. The reportingincludes all of Ballad's hospital organizations and is reported using IRSForm 990, Schedule H instructions for reporting community benefit. Balladoperates under a Cooperative Agreement (CA) in Virginia and a Certificateof Public Advantage (COPA) in Tennessee as obligated by agreements betweenBallad and the two states to allow Mountain States Health Alliance andWellmont Health System to merge.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
Barter Theatre
PO Box 867AbingdonVA24212546000120501c3$10,000$0Sponsorship
Roanoke Affil-Susan G Komen
4910 Valley View Blvd Ste 212RoanokeVA24012562619425501c3$10,000$0Sponsorship
VHCC Educational Foundation
PO Box 828AbingdonVA24212521225133501c3$80,000$0Nursing program faculty
William King Museum
PO Box 2256AbingdonVA24210541144120501c3$10,000$0Sponsorship
FieldValueIRS element (for citing)
Total501c3 Org4Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceGrantmaker's Description of How Grants are UsedFormAndLineReferenceDesc
ExplanationThe Community Benefit and Population Health Committee for Ballad Health is comprised of members from Tennessee and Virginia. Committee members have various perspectives on community health improvement and work to develop an understanding of population health, philanthropy, community benefit obligations and the role Ballad Health plays in health access improvement. The senior leadership for Ballad Health, including the President and CEO and COO, attend the meetings. Among the responsibilities of the committee is ensuring charitable contributions comply with Ballad Health Board policies.All requests are submitted electronically with the required information to determine eligibility. After the committee has reviewed requests, various levels of approval are required, including the Ballad Health CEO or Ballad Health Board, based on the level of commitment. Applicants requesting funding for a specific event or program should include the following information:-Mission statement of organization-Year organization was founded-Tax status and federal taxpayer ID number -Website-Description of the event/program-Event/program budget-Other sources of income-Impact of the event/program on the health of residents in our region-Beneficiaries of contribution-Number of people served annually -Event/program accomplishments-Measure of accomplishmentsExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
Amit Vashist MD
SVP, CCO$358,341$43,369$3,109$29,823$23,446$458,088
Bryan Mullins
JMH COO$175,707$41,319$4,533$13,415$20,900$255,874
James White
Pharmacist$138,600$2,619$2,946$8,861$9,930$162,956
Janice Medeiros
Pharmacist$134,601$3,038$2,864$19,824$160,327
Jennifer Hanke MD
Physician$255,819$146$9,232$265,197
John Domansky
JMH AVP/CFO$159,879$26,747$1,473$18,977$207,076
John Jeter
VP, JMH CEO$302,787$88,544$3,001$18,094$19,909$432,335
John Patterson MD
Physician$371,856$118,978$42,884$7,360$11,984$553,062
John Ray MD
Fmr JMH Highest Paid$195,588$19,860$1,255$13,152$6,809$236,664
Lea Mullins
Pharmacy Director$158,463$6,758$4,108$10,544$21,114$200,987
Linda Shepherd
Assoc Admin., CNO JMH$155,578$25,924$1,366$10,912$652$194,432
Marvin Eichorn
EVP/CAO,ViceChr$715,309$346,798$35,783$16,759$15,940$1,130,589
Scott Hunter
Physician Asst.$100,409$62,815$105$7,171$21,439$191,939
Sean McMurray
Former VP Mkt Ops/Svc Line Integrtn$97,506$2,698$4,936$5,231$110,371
Stan Hickson
Former VP/CEO JMH$445,484$140,062$13,709$15,624$24,398$639,277

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonGinger McSheehyPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionFamily MemberRelationshipDescriptionTxt
Transaction$25,578TransactionAmt
TransactionSee Part VTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule L, Part V Supplemental InformationFormAndLineReferenceDesc
ExplanationBrendan McSheehy, JMH board member, is a family member of Ginger McSheehy, an employee of JMH.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (21 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Client Note 1Client Note 1 -
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderThe corporation is organized as a Virginia non-stock, nonprofit corporation with two members: Mountain States Health Alliance, which maintains a 50.1% interest and Johnston Memorial Healthcare Foundation, which maintains a 49.9% interest.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyThere are two classes of members, and each class is entitled to elect a specified number of directors to the board. The Mountain States Health Alliance class is elected by the MSHA Board of Directors and the Johnston Memorial Hospital class is elected by the Johnson Memorial Healthcare Foundation's Board of Directors. Neither side can veto an appointment.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersCertain decisions of the board are pursuant to charter and Virginia statute, subject to approval of the members. These decisions include: dissolution of the corporation; merger of the corporation; non-ordinary course of business sale of assets, etc. No ordinary day-to-day decisions are subject to member approval.
Form 990, Part VI, Line 11b: Form 990 Review ProcessThe CFO reviewed the Form 990 with the Board of Directors prior to filing the return with the IRS. The return was made available to each board member in an electronic format prior to the review.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsBallad Health has a conflict of interest policy for all members of the Board of Directors, the Executive Chair/President, Executive Vice Presidents, Senior Vice Presidents, and Vice Presidents, and applies to all Ballad Health organizations, including Johnston Memorial Hospital. All persons covered by this policy are required to complete a conflict of interest disclosure form on an annual basis. Should a conflict arise, it is the responsibility of the conflicted individual to update his or her disclosure immediately. All meetings of the board or board committees have a standing agenda item first on the agenda titled "Conflicts of Interest". If a member of the board or board committee has a conflict of interestinvolving any issue on the board agenda, he or she must declare the conflict of interest during the period allotted for disclosure. If any issue arises during a meeting in which the board member has a conflict of interest, he or she must immediately declare the conflict. While each member of the board or board committees is responsible for disclosing conflicts of interest, it is also the responsibility of any board member aware of a conflict which has not been disclosed to ensure the board is made aware. The presiding officer of a board or board committee meeting mayask a conflicted member to excuse themselves from the meeting during the discussion related to the issue with which the conflict of interest applies. Under no circumstances shall a member vote on a matter that gives rise to a potential conflict.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableGoverning documents and conflict of interest policy are made available upon request to appropriate parties requesting them. Financial statements are made available to those parties who own indebtedness of the company on a quarterly basis.
Other Changes In Net Assets Or Fund Balances - Other IncreasesElimination of Intercompany Rec/Pay = $105059
Other Changes In Net Assets Or Fund Balances - Other IncreasesPartnership Expense Not on Books = $40305
Other Changes In Net Assets Or Fund Balances - Other DecreasesPartnership Income Not on Books = -$359913
Other Changes In Net Assets Or Fund Balances - Other DecreasesPartnership Interest Income Not on Books = -$12511
Other Changes In Net Assets Or Fund Balances - Other DecreasesTemporarily Restricted Net Asset Change = -$1000
Accreditations and AwardsThe Joint Commission AccreditationThe Joint Commission Certification for Advanced Primary Stroke CenterCancer Center accredited by American College of Surgeons Commission on CancerCardiac and Pulmonary Rehab accredited by American Association of Cardiovascular and Pulmonary RehabilitationLaboratory accredited by The Joint CommissionHome Health accredited by The Joint CommissionAdult Echocardiography accreditationSleep Lab accreditation by American Academy of Sleep MedicineAmerican Diabetes Association Education Program RecognitionJMH earned LEED Gold certification in November 2011. The green initiatives maintained at JMH include high-efficiency plumbing, water-efficient landscaping with native plants, energy-efficient heating and cooling, occupancy-sensitive lighting, use of local and recycled materials, recycling of waste and green space on site.U.S. News & World Report recognized JMH as a high performer in management of chronic obstructive pulmonary disease (COPD) and heart failure.JMH received the Chest Pain-MI Registry 2020 Gold Performance Achievement Award from the American College of Cardiology-NCDR. This award recognizes hospitals participating in Chest Pain-MI Registry who have demonstrated sustained, top level performance in quality of care and adherence to guideline recommendations. Through full participation in the registry, hospitals engage in a robust quality improvement process, using data to drive improvements and positively impact patient outcomes for heart attack patients. The Chest Pain-MI Registry is formerly the ACTION Registry. JMH received Healthgrades 2020 Gynecologic Surgery Excellence Award for superior clinical outcomes in gynecological surgery. Healthgrades is a company that provides information about hospitals, physicians, and healthcare providers and has amassed information on over 3 million U.S. health care providers.
Benefits of an Integrated Health SystemSince 2010, more than 130 rural hospitals have closed in the United States, according to the North Carolina Rural Health Research Program. Studies have shown rural communities that lose their hospitals struggle with reductions in access to physicians, healthcare services and in overall health status. Through Ballad Health, the scale and ability for larger and more financially solvent hospitals to subsidize losses in smaller rural communities is a clear and convincing foundational public benefit. It is clear the steps Ballad Health has taken to reduce overhead cost, realign services, invest capital and prioritize high quality have led to the sustainability of services - expanding, rather than reducing access, as has been seen in rural regions throughout the nation. Ballad Health invested more than $200 million to adopt a common information technology platform for all of their merged hospitals and care sites. With Epic as the single technology platform for Ballad Health, patient data will be controlled by patients and their providers, and it will be more secure than ever before. New services will be available to patients, including real-time scheduling, digital access to health information, transparency in pricing and, most importantly, better coordination between healthcare providers, regardless of where the providers are or what data systems they use. Mountain States Health Alliance is one of only 29 organizations in the country participating in the Centers for Medicare & Medicaid Services (CMS) new initiative, Accountable Health Communities Model (referred to as AHC Program), aimed at improving the health of eligible Medicare and Medicaid beneficiaries. The Southwest Virginia Accountable Health Communities Program (AHC) is a collaboration between community groups and Ballad Health that seeks to improve the overall health of Medicare and Medicaid beneficiaries by helping address patients health-related social needs. As part of the program, Medicare and Medicaid patients in Southwest Virginia are screened for health-related social needs when they visit a Ballad Health facility. Once those needs are identified, Ballad Health tries to link those patients with resources and programs within their communities to resolve those needs.Ballad Health has provided new EKG equipment for regional emergency medical services to assist in accelerating diagnosis and management of people with cardiac events who might need to be transported for emergency medical care.On March 10, 2020, Ballad Health executed its disaster plan in response to the coronavirus disease 2019 (COVID-19) global pandemic. This included the activation of its Corporate Emergency Operations Center to coordinate efforts across the system, including JMH, to rapidly plan for, and execute, ongoing response to the issues resulting from the pandemic. In May 2020, Ballad Health partnered with Premier, Inc. on a new program to ensure our team members and patients are always protected through the availability of personal protective equipment, such as gloves, gowns and masks. This program focused on investing in domestic manufacturers to enhance supply chains for essential medical products and PPE. This program led to Ballad Health acquiring a minority stake in Prestige Ameritech, the largest domestic manufacturer of face masks, including N95 respirators and surgical masks. PPE products critical for the daily operations of health systems are overwhelmingly sourced overseas. The risks associated with this overreliance on overseas providers came into focus twice in 2020, as the supply chain was disrupted when an overseas provider failed to meet FDA requirements for sterile gowns, and again as the COVID-19 pandemic swept across the globe. Prestige Ameritech operates primarily in the United States, where it obtains its raw materials. Ballad Health provides numerous services to improve the health of our communities. The following services are provided by Ballad Health and funded by the various hospitals and other divisions within our health system. The funding levels provided by JMH for these services are reflected below:The Ballad Health parish nurse program is designed to provide holistic ministry and special promotion services within the faith community. The parish nurse program assists individuals in gaining optimal mental, physical and spiritual health by complementing the ministry provided by pastors and other lay ministers. Some of the services and programs provided include screenings for blood pressure, cholesterol, diabetes, glaucoma and overall fitness, classes for all age groups offered on health related issues (nutrition, exercise, parenting, care for elderly parents, stress management, CPR), hospital, nursing home and home visits for assessment of health care needs, referrals to appropriate community resources and the creation of health tips in congregational newsletters, bulletin boards and other forms of communication. Currently, there are dozens of churches in Northeast Tennessee and Southwest Virginia that are serviced by the Ballad Health parish nurse program. JMH funded $12,753 for this program in FY20. Ballad Healths Enterprise Call Center is a toll-free line that connects community members with experienced nurses around the clock. The nurses provide expert medical advice anytime, day or night, make referrals to a new primary care provider with a location and hours convenient to the community member and referrals to a physician specialist when they need advanced local medical care. They also provide health information and resources, including health screenings and immunizations, and make referrals to urgent care clinics to see a doctor near the community member the same day. JMH funded $33,513 toward this popular service during FY20.Ballad Health contracts with Med-Trans, locally known as Wings Air Rescue, to operate full-time bases in Elizabethton, TN, Greeneville, TN, Jenkins, KY and Marion, VA plus a base at Bristol Motor Speedway, which is active during race events. Med-Trans provides air ambulance transport of critically ill and injured patients to one of the closest tertiary hospitals in the region. Ballad Health also provide staffing, physicians, and medical supplies to the Commonwealth of Virginia for the Virginia State Polices Med Flight air ambulance service. VSP Med Flight maintains its base in Abingdon, VA. JMHs contribution this year for the air ambulance services that are especially critical in rural areas was $43,154.Ballad Health is focused on investing in various initiatives to improve population health-the overall health and well-being of the residents living in the Appalachian Highlands. In FY19 Ballad Health established a new department, Population Health, to focus on these initiatives. JMH invested $75,000 in FY20 toward this initiative that supplements the many other forms of community benefit provided by our health systems hospitals.
Charity and Unreimbursed CostsCharity Care: While reimbursement for healthcare services rendered is critical to the operation and sustainability of the organization, JMH recognizes its obligation to provide care to individuals who cannot afford essential medical services, including emergency care. JMH accepts all patients regardless of their ability to pay. A patient is classified as a charity patient when they meet the established financial assistance policies of Ballad Health and guidelines outlined by the federal government. However, financial assistance decisions are not solely based on income. Unique financial circumstances are weighed with verified patient assets which can determine financial assistance eligibility. It is not until after verification of income and assets that a decision regarding the amount of financial assistance can be made. In FY20, JMH incurred a loss of $554,695 attributable to the provision of charity care. This amount does not include the costs associated with bad debt accounts.Uninsured Discount: Uninsured patients receive an 85% discount. Certain elective procedures are not eligible for the uninsured discount. This uninsured discount is calculated each year in accordance with Tennessee regulations and without regard to a patients income or assets. Although the uninsured discount is not required by the Commonwealth of Virginia, Ballad Health applies the same discount to our Virginia hospitals, including JMH. The approximate cost of this discount in FY20, using a cost to charge ratio, was $2,398,801 for JMH. JMH partnered with the company Bolder Outreach Solutions to work with self-paying patients who have limited financial resources. Representatives were available at JMH to determine possible governmental medical assistance (Medicaid or TennCare) eligibility, and to help with the application process and follow-up. 1,285 patients were approved during FY20 for coverage. Once a person is approved for Medicaid or TennCare through this program offered through JMH, they retain coverage for future medical care. JMH incurred expense of $173,517 during FY20 to provide this service.
Community DonationsJMH provides direct financial contributions that support community healthcare needs and those nonprofit agencies that advocate for the health and well-being of community members. During FY20, JMH made donations to numerous health and human service organizations, social and well-being nonprofits, and others within our service area. We continued our support of local fire and emergency medical rescue organizations with donations of $7,547 in pharmacy drugs and suppliesVirginia Highlands Community College Educational Foundation for adjunct nursing faculty - $80,000Greater Roanoke Valley Area-Affiliate of Susan G Komen - $10,000 Barter Theatre - $10,000William King Museum - $10,000University of Virginia womens health event - $1,200Ecumenical Faith in Action emergency medicine & medical care - $1,000Cornerstone Christian Academy Annual Scholarship Fund - $250In addition to the cost of drugs we donated to nine local medical emergency rescue organizations, our pharmacy staff time to prepare and stock drug boxes for these organizations cost the hospital $7,145. Our board of directors and senior management encourages team members to devote time to local community service projects, task forces, committees, boards, volunteer programs, and other charitable organizations that benefit our communities. Team members, within reason, are allowed to serve on these outside activities as representatives of the hospital. JMH team members also donate their personal time and money to fundraising activities within the community to benefit other not for profit organizations, such as United Way.
Form 990, Part III, Line 4a - Program Service AccomplishmentsJohnston Memorial Hospital (JMH) is located in Abingdon, Virginia (Washington County). The hospital owns and operates a 116-bed nonprofit acute care hospital. Our primary service area encompasses 7 counties in Southwest Virginia. JMH is the sole member of Abingdon Physician Partners, a tax-exempt organization that owns and operates physician practices. Our membership consists of Mountain States Health Alliance (majority owner) and Johnston Memorial Healthcare Foundation, Inc. JMH is part of the Ballad Health network, created when Mountain States Health Alliance and Wellmont Health System merged February 2018.Services provided during FY20:6,436 inpatients140,933 outpatient visits30,044 emergency visits545 deliveries
Form 990, Part VI, Line 15 b - Compensation Process for OfficersSimilar to JMH/APP's CEO, JMH/APP's CFO receives compensation that complieswith Ballad Health's salary policy. His pay is set at a market percentilespecific to his position as CFO of JMH and APP. Key employees Bryan Mullins,JMH COO, and Linda Shepherd, JMH CNO, are not Vice-Presidents or in a senior leadership position, therefore their compensation and benefits are consistent with other JMH non-executive positions.
Form 990, Part VI, Line 15a - Compensation Process for Top OfficialOn an annual basis, Ballad Health's Human Resources (H/R) Department evaluates compensation for all executives at a position level of Assistant Vice President and above. The review includes JMH/APP's CEO. H/R's evaluation is based on market data obtained from independent third-party consultants for positions with similar responsibilities at similarly situated organizations. Based on this comparable data, Ballad Health's President & CEO evaluates the data and submits his recommendations to Ballad Health's Board of Directors for their final review and approval. In addition, Ballad Health offers an incentive plan to executives based on targeted achievement metrics set in advance of the pay year. Established metrics include: quality and access measures, evidence-based care scores, and value based purchasing, etc.
Health Professions EducationThe idea of an internal medicine program at JMH was sparked by the acknowledged physician shortage in Southwest Virginia. The JMH residency program welcomed its fifth class of residents this year. Residents are currently training in family medicine and internal medicine. The JMH family medicine residency program and the internal medicine program are committed to providing advanced, innovative, and specialized training in osteopathic family medicine and internal medicine. Upon completion of residency training, JMH physicians will be well prepared to serve the community by practicing comprehensive family medicine or internal medicine and caring for diverse populations. There is a national shortage of family medicine doctors. The Association of American Medical Colleges recently predicted the United States could see an estimated shortage of between 54,100 and 139,000 physicians, including shortfalls in both primary and specialty care, by 2033. Nowhere in Virginia is the doctor shortage more critical than in the southwestern part of the state and the mission of the residency program is to train physicians in the region for our region. The residents practice across all specialties at JMH. Hospitals that train medical residents incur significant costs beyond those customarily associated with providing patient care. JMH incurred unreimbursed costs of $3,887,420 related to the residency program during FY20.In addition to the residency program, the hospital also serves as a clinical training hospital for health professional education students. Our dedicated staff work with regional colleges and universities to coordinate the placement of healthcare professional students as part of their educational curriculum. In addition to clinical training, the healthcare students entering our system are required to have orientation and computer training. Participants receiving clinical experience at JMH during FY20 included 316 nursing students from various colleges, universities and programs. This nursing clinical experience required extensive JMH nursing staff involvement. JMH invested $461,858 in the clinical setting and hands-on instruction for nursing students. JMH provided a clinical setting for another 196 students training in health-related programs such as radiology, pharmacy, respiratory therapy, EMT/paramedic, occupational/physical/speech therapy, social work, and other allied-health disciplines. This year JMH invested $285,821 toward training these clinical students. In addition to the hands-on training of clinical students, JMH provides cash donations to local schools. During FY20, JMH donated $80,000 to a local college to be used for nursing faculty.According to U.S. Census data, more than 160,000 Southwest Virginia residents do not have adequate access to a dentist. The dire need for dental care in Southwest Virginia was one of the catalysts for Ballad Health to plan a dental residency program at JMH that offers advanced training to dentists who have obtained licensure and are interested in furthering their education or specializing in a certain field. The program is a partnership with two local dentists who have a practice located in Bristol, VA and one other dentist who is a professor at the University of Alabama-Birmingham School of Dentistry and co-director of the Comprehensive Implant Residency Program, and Mission Dental Virginia, a nonprofit Virginia corporation organized for the purpose of providing charitable dental services for underserved and uninsured individuals and families of Southwest Virginia. Through this partnership, last year the Appalachian Highlands Community Dental Center was established, where dental residents provide a variety of services, including preventive care and restorative care. The dental care is offered to uninsured community members in need throughout Southwest Virginia. The services are charged on a sliding scale based on the income of the community members. The center will benefit countless people in our region, significantly impacting their health. It will also bring dental residents to the area to experience life in Southwest Virginia and, hopefully, some will choose to stay here and practice. JMH provides office space with an annual fair rental value of $72,760 to the Appalachian Highlands Community Dental Center and incurred costs of $681,627 in FY20 to subsidize the center.
Improving the Community's Health StatusIn March 2019 JMH entered into a lease agreement with Highlands Community Services (HCS), a non-profit organization that provides mental health, substance abuse and developmental services to residents of Washington County, Virginia to open a crisis intervention team (CIT) assessment site that will provide a non-criminal justice setting where persons with mental illness can be taken by law enforcement officers for assessment. The goals of CIT programs are generally oriented toward reducing injuries to both law enforcement and citizens, reducing arrest of persons in behavioral health crisis, improving access and linkage to appropriate community treatment and support, and promoting dignity and respect for individuals with behavioral health disorders. These goals are consistent with JMHs mission which is why our hospital agreed to provide office space for $1 annually to HCS to ensure the availability of a crisis intervention site within our community. The fair market value of the lease is $34,376 annually. The JMH Center for Comprehensive Wound Care is the only facility in Southwest Virginia offering hyperbaric oxygen therapy - the delivery of oxygen at levels higher than atmospheric pressure in a chamber setting that stimulates the healing process. The nearest facility offering hyperbaric oxygen therapy is an hour away. Our trained staff follow a team approach to wound healing. Each patient receives a comprehensive individualized plan designed to help difficult-to-heal wounds. JMH staff strive to address the underlying cause of the problem, control infection, and improve the overall health of our patients. We offer a number of services at a significant financial loss to the hospital, such as our Center for Comprehensive Wound Care described above. Other subsidized services include hyperbaric oxygen, our outpatient diabetes program, inpatient neonatology, outpatient diabetes and others. The hospital continues to invest resources in these valuable services despite financial loss so that community members do not need to leave the area to obtain needed care. JMH spent $208,774 during FY20 to recruit and retain physicians and mid-level providers such as hospitalists, family practice physicians, nurse practitioners, and specialists. JMH recruitment efforts are based on documented community need. Our hospital is located in a MUA (medically underserved area/population), as designated by the U.S. Health Resources & Services Administration (HRSA). MUA designation indicates an area as: having too few primary care providers, having a high infant mortality, a high poverty rate or a high elderly population. Our diaper assistance program provides diapers to low-income families that deliver at JMH for the first 6 months of the babys life. Hundreds of women enroll with their babies each year. JMH incurred expenses of $8,377 for this program in FY20. We assisted some patients who could not pay for their prescriptions upon discharge from the hospital. In order to increase public awareness of early detection for lung cancer, JMH continued to offer some low-dose CT lung screenings free of charge. The free service started in FY18 and has continued into FY20. JMH is committed to providing comprehensive health education to aid in patient recovery and disease management. We offer classes and support groups, such as: diabetes education and support, cardiac care education and support, joint replacement education, cancer education and support through our cancer center, prenatal parenting/sibling classes, and others. We host programs within the community that provide health education to both health professionals and the general public. JMH invested over $34,000 for public service health education through media communications.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (20 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Mountain States Health Alliance
303 Med Tech Parkway Suite 220Johnson CityTN37604620476282Hospital SystemTN501c33BALLAD HEALTHfalse
MSHA Auxiliary
400 N State of Franklin RoadJohnson CityTN37604581418345Supporting OrganizationTN501c312aMSHAfalse
Smyth County Community Hospital
245 Medical Park DriveMarionVA24354540794913HospitalVA501c33MSHAfalse
Norton Community Hospital
100 15th Street NWNortonVA24273540566029HospitalVA501c33MSHAfalse
Dickenson Community Hospital
312 Hospital DriveClintwoodVA24228770599553HospitalVA501c33NCHfalse
Auxiliary to Johnston Memorial Hosp
16000 Johnston Memorial DriveAbingdonVA24211540917478Supporting OrganizationVA501c312aNAfalse
Abingdon Physician Partners
16000 Johnston Memorial DriveAbingdonVA24211205485346Medical ServicesVA501c312aJMHYes (true)
Johnston Memorial Healthcare Fdn
16000 Johnston Memorial DriveAbingdonVA24211262870970FundraiserVA501c312bNAfalse
Ballad Health
303 Med Tech Parkway Suite 220Johnson CityTN37604611771290Supporting OrganizationTN501c312bNAfalse
East Tn Healthcare Holdings Inc
203 Gray Commons CircleGrayTN37615815475903Opioid TreatmentTN501c33MSHAfalse
Wellmont Health System
1905 American WayKingsportTN37660621636465Hospital SystemTN501c33BALLAD HEALTHfalse
Wellmont Hawkins Co Memorial Hosp
851 Locust StreetRogersvilleTN37857621816368HospitalTN501c33WHSfalse
Takoma Regional Hospital Inc DBA GCH
1420 Tusculum BoulevardGreenevilleTN37745510603966HospitalTN501c33WHSfalse
Wellmont Cardiology Services
1905 American WayKingsportTN37660263557623Medical ServicesTN501c310WHSfalse
Wellmont Medical Associates
1905 American WayKingsportTN37660270898372Medical ServicesTN501c37WHSfalse
Ballad Health Foundation
1019 West Oakland Ave Suite 2Johnson CityTN37604581594191FundraiserTN501c37BALLAD HEALTHfalse
Wellmont Madison House
2000 Greenway StreetKingsportTN37660621308216Assisted LivingTN501c310WHSfalse
Wellmont Wexford House
2421 N John B Dennis HwyKingsportTN37660581859039Nursing HomeTN501c310WHSfalse
Wellmont Imaging Services Inc
1905 American WayKingsportTN37660861103148HealthcareTN501c312aWHSfalse
Wellmont Sleep Services
1905 American WayKingsportTN37660273777167Medical ServicesTN501c33WHSfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
Emmaus Community Healthcare PLLC
6070 HWY 11EPiney FlatsTN37686200577483Medical ServicesTNNAfalsefalse
Medical Specialists of JC LLC
2528 Wesley Street Suite 2Johnson CityTN37601272199037Medical ServicesTNNAfalsefalse
East TN Ambulatory Surgery Cntr
701 Med Tech Parkway Suite 100Johnson CityTN37604621787537Medical ServicesTNNAfalsefalse
Greeneville Physician Services LLC
1905 American WayKingsportTN37660455070419Medical ServicesTNNAfalsefalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (16 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
Blue Ridge Medical Management Corp
1905 American WayKingsportTN37660621490616Medical ServicesTNMSHACfalse
Mediserve Medical Equipment
1905 American WayKingsportTN37660621212286Durable Medical EquipmentTNBRMMCCfalse
Mountain States Properties
1905 American WayKingsportTN37660621845895Property ManagementTNBRMMCCfalse
Mountain States Physician Grp
1905 American WayKingsportTN37660621700412Medical ServicesTNBRMMCCfalse
Community Home Care Inc
1490 Park Avenue NW Suite BNortonVA24273541453810Durable Medical EquipmentVANCHCfalse
Wilson Pharmacy Inc
PO Box 5289Johnson CityTN37604620329587PharmacyTNBRMMCCfalse
Crestpoint Health Insurance Company
509 Med Tech Parkway Suite 10Johnson CityTN37604620381170InsuranceTNISHNCfalse
Wellmont Inc
1905 American WayKingsportTN37660621320035Medical ServicesTNWHSCfalse
Wellmont Collections Inc
2004 American Way Suite 101KingsportTN37660621325938Bus. Serv.TNNACfalse
Medical Mall Pharmacy Inc
1905 American WayKingsportTN37660621565006Medical ServicesTNNACfalse
Wellmont Physician Services
1905 American WayKingsportTN37660621567353Medical ServicesTNNACfalse
WPS Providers Inc
1905 American WayKingsportTN37660205564642Medical ServicesTNNACfalse
Wellmont Health Services Inc
1905 American WayKingsportTN37660621254373Medical ServicesTNNACfalse
Nolichuckey Management Svcs Inc
1420 Tusculum BlvdGreenevilleTN37745621776681Medical ServicesTNLMHCfalse
Ballad Ventures LLC
400 N State of Franklin RdJohnson CityTN37604844214681InvestmentsTNNACfalse
Wellmont Insurance Co SPC LTD
981195624InsuranceNACfalsePO Box 30600Grand CaymanCJKY1-1203CJ
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgYes (true)AssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Abingdon Physician Partners
a$950,652FMV
Abingdon Physician Partners
c$105,980Cost
Abingdon Physician Partners
q$713,521Cost

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