MOUNTAIN STATES HEALTH ALLIANCE: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- MOUNTAIN STATES HEALTH ALLIANCE (EIN 62-0476282)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-05-11
- IRS object ID
- 201811319349301771
- Schema version
- 2016v3.1
- Note
- A later return for the same period supersedes this one.
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-05-11T10:23:02-04:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 620476282 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOUNTAIN STATES HEALTH ALLIANCE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MOUN | BusinessNameControlTxt |
| Phone | 4233023374 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1106 W MARKET STREET | AddressLine1Txt |
| City | JOHNSON CITY | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37604 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LYNN KRUTAK | PersonNm |
| Person Title | EVP/CFO | PersonTitleTxt |
| Phone | 4233023374 | PhoneNum |
| Signature | 2018-05-10 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHNSON CITY MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ALAN LEVINE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 303 MED TECH PARKWAY STE 300 | AddressLine1Txt |
| City | JOHNSON CITY | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37604 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $741,879,865 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BALLADHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1945 | FormationYr |
| Legal Domicile State | TN | LegalDomicileStateCd |
| Activity Or Mission | MOUNTAIN STATES HEALTH ALLIANCE (MSHA) IS COMMITTED TO BRINGING LOVING CARE TO HEALTH CARE. WE EXIST TO IDENTIFY AND RESPOND TO THE HEALTH CARE NEEDS OF INDIVIDUALS AND COMMUNITIES IN OUR REGION AND TO ASSIST THEM IN ATTAINING THEIR HIGHEST POSSIBLE LEVEL OF HEALTH. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 8150 | TotalEmployeeCnt |
| Total Volunteers | 1655 | TotalVolunteersCnt |
| Total Gross UBI | $1,608,039 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $431,511 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,520,559 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,851,553 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $708,190,056 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $716,841,391 | CYProgramServiceRevenueAmt |
| PY Investment Income | $19,402,926 | PYInvestmentIncomeAmt |
| CY Investment Income | $15,838,583 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,616,520 | PYOtherRevenueAmt |
| CY Other Revenue | $5,414,293 | CYOtherRevenueAmt |
| PY Total Revenue | $736,730,061 | PYTotalRevenueAmt |
| CY Total Revenue | $740,945,820 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $843,424 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,009,333 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $299,232,233 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $295,310,931 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $1,072,066 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $411,468,902 | PYOtherExpensesAmt |
| CY Other Expenses | $409,686,609 | CYOtherExpensesAmt |
| PY Total Expenses | $711,544,559 | PYTotalExpensesAmt |
| CY Total Expenses | $706,006,873 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $25,185,502 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $34,938,947 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,547,756,754 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,581,000,029 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,060,941,339 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,045,335,789 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $486,815,415 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $535,664,240 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | MOUNTAIN STATES HEALTH ALLIANCE (MSHA) IS COMMITTED TO BRINGING LOVING CARE TO HEALTH CARE. WE EXIST TO IDENTIFY AND RESPOND TO THE HEALTH CARE NEEDS OF INDIVIDUALS AND COMMUNITIES IN OUR REGION AND TO ASSIST THEM IN ATTAINING THEIR HIGHEST POSSIBLE LEVEL OF HEALTH. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $584,813,275 | ExpenseAmt |
| Grant | $1,009,333 | GrantAmt |
| Revenue | $716,877,555 | RevenueAmt |
| Desc | SEE ATTACHED DOCUMENT: MSHA - PROGRAM SERVICE ACCOMPLISHMENTS. | Desc |
| Total Program Service Expenses | $584,813,275 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (true) | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | Yes (true) | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (true) | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 598 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 8150 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | Yes (true) | LocalChaptersInd |
| Policies Reference Chapters | Yes (true) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | VA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LYNN KRUTAK | PersonNm |
| Phone | 4233023374 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 303 MED TECH PARKWAY | AddressLine1Txt |
| City | JOHNSON CITY | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37604 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ALAN LEVINE | ||||||||||
| PRESIDENT & | 53.00 | 2.00 | Yes (X) | Yes (X) | $965,545 | $0 | $174,357 | |||
| SANDRA BROOKS MD | ||||||||||
| DIRECTOR | 1.90 | Yes (X) | $5,250 | $0 | $0 | |||||
| CLEM WILKES JR | ||||||||||
| PAST CHAIR | 3.80 | Yes (X) | $0 | $0 | $0 | |||||
| GARY PEACOCK | ||||||||||
| DIRECTOR | 3.80 | 3.70 | Yes (X) | $0 | $0 | $0 | ||||
| RICK STOREY | ||||||||||
| DIRECTOR | 1.90 | Yes (X) | $0 | $0 | $0 | |||||
| LINDA GARCEAU | ||||||||||
| DIRECTOR | 1.90 | Yes (X) | $0 | $0 | $0 | |||||
| JOANNE GILMER | ||||||||||
| SECRETARY | 2.40 | 4.80 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| DAVID MAY MD | ||||||||||
| DIRECTOR | 3.80 | Yes (X) | $0 | $0 | $0 | |||||
| ROBERT FEATHERS | ||||||||||
| VICE CHAIR | 3.80 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL CHRISTIAN | ||||||||||
| TREASURER | 1.90 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||||
| BARBARA ALLEN | ||||||||||
| CHAIR | 1.90 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||||
| DAVID MOULTON MD | ||||||||||
| DIRECTOR | 1.90 | Yes (X) | $0 | $0 | $0 | |||||
| MARVIN EICHORN | ||||||||||
| EVP/COO | 46.60 | 8.40 | Yes (X) | $590,395 | $0 | $39,746 | ||||
| LYNN KRUTAK | ||||||||||
| EVP/CFO | 49.80 | 0.20 | Yes (X) | $478,664 | $0 | $86,942 | ||||
| MONTY MCLAURIN | ||||||||||
| VP/CEO NW MK | 35.50 | 9.50 | $565,441 | $0 | $54,906 | Yes (X) | ||||
| DAWN TRIMBLE | ||||||||||
| VP/CEO WASH. | 45.00 | $476,727 | $0 | $60,388 | Yes (X) | |||||
| SHANE HILTON | ||||||||||
| VP/CFO-MKT O | 41.00 | 4.00 | $339,387 | $0 | $58,849 | Yes (X) | ||||
| TONY BENTON | ||||||||||
| VP/COO WASH. | 45.00 | $300,372 | $0 | $37,609 | Yes (X) | |||||
| RICHARD BOONE | ||||||||||
| VP/CFO WASH. | 45.00 | $286,063 | $0 | $26,773 | Yes (X) | |||||
| LINDA WHITE | ||||||||||
| VP & CEO, FW | 45.00 | $270,885 | $0 | $49,216 | Yes (X) | |||||
| LEMMIE TAYLOR | ||||||||||
| VP/CEO SE MK | 45.00 | $211,551 | $0 | $48,728 | Yes (X) | |||||
| STEVE SAWYER | ||||||||||
| AVP/CFO NW M | 36.00 | 9.00 | $189,714 | $0 | $30,666 | Yes (X) | ||||
| MORGAN MAY | ||||||||||
| JCMC CNO | 45.00 | $152,336 | $0 | $27,937 | Yes (X) | |||||
| MORRIS SELIGMAN MD | ||||||||||
| EVP & CMO | 52.50 | 2.50 | $535,274 | $0 | $88,641 | Yes (X) | ||||
| ANTHONY KECK | ||||||||||
| SVP/CHIEF DE | 54.70 | 0.30 | $359,808 | $0 | $65,473 | Yes (X) | ||||
| CLAY RUNNELS MD | ||||||||||
| VP HOSP. PRG | 44.00 | 1.00 | $356,888 | $0 | $36,998 | Yes (X) | ||||
| MARK WILKINSON MD | ||||||||||
| VP/CMO | 45.00 | $353,558 | $0 | $37,203 | Yes (X) | |||||
| PAUL MERRYWELL | ||||||||||
| CIO | 45.00 | $323,333 | $0 | $44,200 | Yes (X) | |||||
| CANDACE JENNINGS | ||||||||||
| SR. VP TN OP | $265,626 | $0 | $0 | Yes (X) | ||||||
| DALE CLAYTORE | ||||||||||
| FMR. KEY EMP | 45.00 | $235,494 | $0 | $13,673 | Yes (X) | |||||
| PAT NIDAY | ||||||||||
| FMR. KEY EMP | 45.00 | $178,566 | $0 | $26,965 | Yes (X) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,440,877 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $1,009,270 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 227 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CERNER HEALTH SERVICES INC | |||||
| C/O US BANK PO BOX 959167 | ST LOUIS | MO | 631959167 | IT MAINT. CONTR | $7,899,513 |
| TEKLINKS INC | |||||
| 201 SUMMIT PARKWAY | BIRMINGHAM | AL | 35209 | MAINT. CONTR. | $5,071,418 |
| ANESTHESIA PAIN CONSULTANTS | |||||
| PO BOX 3727 | JOHNSON CITY | TN | 376023727 | ANESTHESIA SVCS | $4,426,325 |
| VIGILANCE ANESTHESIA SOLUTIONS | |||||
| LOCKBOX005293 PO BOX 645293 | CINCINNATI | OH | 452645293 | ANESTHESIA SVCS | $2,913,335 |
| ADVISORY BOARD COMPANY | |||||
| 2445 M STREET NW | WASHINGTON | DC | 20037 | DATA, BUS. SOF | $2,837,150 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 128 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,419,297 | RelatedOrganizationsAmt |
| Government Grants | $973,792 | GovernmentGrantsAmt |
| All Other Contributions | $458,464 | AllOtherContributionsAmt |
| Total Contributions | $2,851,553 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT REVENUE | 622110 | $710,269,692 | $710,269,692 | |
| WELLNESS PROGRAMS | 622110 | $6,830,634 | $6,830,634 | |
| LAB UBI REVENUE | 621500 | $822,761 | $822,761 | |
| P/S INCOME ISHN & MSJC | 900099 | -$1,081,696 | -$1,081,696 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $716,841,391 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,648,360 | TotalRevenueColumnAmt |
| Exclusion | $13,648,360 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,184 | TotalRevenueColumnAmt |
| Exclusion | $17,184 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $972,523 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $564,277 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $408,246 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $408,246 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $294,701 | UnrelatedBusinessRevenueAmt |
| Exclusion | $113,545 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,136,875 | SecuritiesAmt |
| Other | $405,932 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $369,768 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,136,875 | SecuritiesAmt |
| Other | $36,164 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,173,039 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $36,164 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $2,136,875 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| VENDOR SETTLEMENT | 900099 | $2,827,297 | $2,827,297 |
| DAY CARE | 624410 | $1,059,860 | $1,059,860 |
| DIETARY,SECURITY,ENGIN., ETC. | 900099 | $452,364 | $452,364 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $666,526 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $490,577 | UnrelatedBusinessRevenueAmt |
| Exclusion | $175,949 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $5,006,047 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $740,945,820 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $716,054,794 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,608,039 | UnrelatedBusinessRevenueAmt |
| Exclusion | $20,431,434 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,009,333 | TotalAmt |
| Program Services | $1,009,333 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,496,716 | TotalAmt |
| Program Services | $5,500 | ProgramServicesAmt |
| Management And General | $5,491,216 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $230,806,748 | TotalAmt |
| Program Services | $215,682,901 | ProgramServicesAmt |
| Management And General | $14,387,378 | ManagementAndGeneralAmt |
| Fundraising | $736,469 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,277,556 | TotalAmt |
| Program Services | $10,724,866 | ProgramServicesAmt |
| Management And General | $516,069 | ManagementAndGeneralAmt |
| Fundraising | $36,621 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,710,369 | TotalAmt |
| Program Services | $30,628,112 | ProgramServicesAmt |
| Management And General | $74,064 | ManagementAndGeneralAmt |
| Fundraising | $8,193 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,019,542 | TotalAmt |
| Program Services | $15,413,562 | ProgramServicesAmt |
| Management And General | $1,564,825 | ManagementAndGeneralAmt |
| Fundraising | $41,155 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,545,194 | TotalAmt |
| Program Services | $150 | ProgramServicesAmt |
| Management And General | $4,545,044 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $565,474 | TotalAmt |
| Program Services | $4,752 | ProgramServicesAmt |
| Management And General | $540,722 | ManagementAndGeneralAmt |
| Fundraising | $20,000 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $197,125 | TotalAmt |
| Program Services | $197,125 | ProgramServicesAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $900,819 | TotalAmt |
| Management And General | $900,819 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $123,183,294 | TotalAmt |
| Program Services | $107,245,378 | ProgramServicesAmt |
| Management And General | $15,919,784 | ManagementAndGeneralAmt |
| Fundraising | $18,132 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,985,789 | TotalAmt |
| Program Services | $236,467 | ProgramServicesAmt |
| Management And General | $4,743,120 | ManagementAndGeneralAmt |
| Fundraising | $6,202 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,223,052 | TotalAmt |
| Program Services | $6,122,577 | ProgramServicesAmt |
| Management And General | $1,082,925 | ManagementAndGeneralAmt |
| Fundraising | $17,550 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,789,917 | TotalAmt |
| Program Services | $14,886,668 | ProgramServicesAmt |
| Management And General | $1,903,249 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,850,786 | TotalAmt |
| Program Services | $10,557,958 | ProgramServicesAmt |
| Management And General | $3,222,932 | ManagementAndGeneralAmt |
| Fundraising | $69,896 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,987,383 | TotalAmt |
| Program Services | $1,404,342 | ProgramServicesAmt |
| Management And General | $570,689 | ManagementAndGeneralAmt |
| Fundraising | $12,352 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,573,001 | TotalAmt |
| Management And General | $37,573,001 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,496,661 | TotalAmt |
| Program Services | $20,913,202 | ProgramServicesAmt |
| Management And General | $20,582,178 | ManagementAndGeneralAmt |
| Fundraising | $1,281 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,053,244 | TotalAmt |
| Program Services | $104,265 | ProgramServicesAmt |
| Management And General | $948,979 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES & DRUGS | $129,871,320 | $129,871,320 | ||
| REPAIRS & MAINTENANCE | $16,738,405 | $16,049,516 | $621,989 | $66,900 |
| DUES & SUBSCRIPTIONS | $4,443,772 | $1,651,431 | $2,791,025 | $1,316 |
| TAXES - UBIT | $146,714 | $146,714 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,134,659 | TotalAmt |
| Program Services | $2,103,850 | ProgramServicesAmt |
| Management And General | $1,994,810 | ManagementAndGeneralAmt |
| Fundraising | $35,999 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $706,006,873 | TotalAmt |
| Program Services | $584,813,275 | ProgramServicesAmt |
| Management And General | $120,121,532 | ManagementAndGeneralAmt |
| Fundraising | $1,072,066 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,140,274 | BOYAmt |
| EOY | $62,507,823 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,714,306 | BOYAmt |
| EOY | $6,331,382 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $305,041 | BOYAmt |
| EOY | $308,342 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $105,638,499 | BOYAmt |
| EOY | $103,319,561 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,094,226 | BOYAmt |
| EOY | $11,535,908 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,370,927 | BOYAmt |
| EOY | $19,597,279 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,330,502 | BOYAmt |
| EOY | $17,983,101 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,448,512 | BOYAmt |
| EOY | $7,401,767 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,095,130,708 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $605,932,989 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $489,793,500 | BOYAmt |
| EOY | $489,197,719 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $296,888,356 | BOYAmt |
| EOY | $320,692,082 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $337,772,493 | BOYAmt |
| EOY | $338,744,993 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $145,025,185 | BOYAmt |
| EOY | $145,025,185 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,234,933 | BOYAmt |
| EOY | $58,354,887 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,547,756,754 | BOYAmt |
| EOY | $1,581,000,029 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $115,088,906 | BOYAmt |
| EOY | $125,337,834 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,666,818 | BOYAmt |
| EOY | $6,511,099 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $904,388,726 | BOYAmt |
| EOY | $877,932,035 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,140,000 | BOYAmt |
| EOY | $8,190,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,656,889 | BOYAmt |
| EOY | $27,364,821 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,060,941,339 | BOYAmt |
| EOY | $1,045,335,789 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $486,418,331 | BOYAmt |
| EOY | $535,395,968 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $397,084 | BOYAmt |
| EOY | $268,272 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $486,815,415 | BOYAmt |
| EOY | $535,664,240 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,547,756,754 | BOYAmt |
| EOY | $1,581,000,029 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $34,938,947 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $18,346,411 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$4,436,533 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | Yes (true) | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (true) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $103,781 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $472,020 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $575,801 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1 | FormAndLineReferenceDesc |
| Explanation | MSHA'S COMMUNITY & GOVERNMENT RELATIONS VICE PRESIDENT AND/OR THE DEPARTMENT'S MANAGER OR DIRECTOR ATTENDED THE FOLLOWING LEGISLATIVE CONFERENCES: PREMIER FEDERAL AFFAIRS NETWORK MEETING AMERICA'S ESSENTIAL HOSPITALS ANNUAL MEETING AMERICAN HOSPITAL ASSOCIATION ANNUAL MEETING TENNESSEE HOSPITAL ASSOCIATION LEGISLATIVE ADVOCACY DAY TENNESSEE PUBLIC & TEACHING HOSPITALS ASSOCIATION ANNUAL MEETING VIRGINIA HOSPITAL & HEALTHCARE ASSOCIATION LEGISLATIVE ISSUES CONFERENCE THE COMMUNITY & GOVERNMENT RELATIONS VICE PRESIDENT AND/OR DEPARTMENTAL STAFF ALSO CONTACTED CONGRESSIONAL OFFICES CONCERNING THE FOLLOWING ISSUES: OPPOSED ADDITIONAL CUTS IN MEDICARE/MEDICAID SUPPORTED REAUTHORIZATION AND FUNDING OF CHILDREN'S HOSPITALS GRADUATE MEDICAL EDUCATION SUPPORTED CONTINUATION OF GRADUATE MEDICAL EDUCATION FUNDING SUPPORTED AREA WAGE INDEX REFORM SUPPORTED MEDICARE DEPENDENT HOSPITAL AND LOW-VOLUME DESIGNATIONS SUPPORTED CHILDREN'S HEALTH INSURANCE PROGRAM FUNDING OPPOSED CUTS TO 340B PROGRAM THE COMMUNITY & GOVERNMENT RELATIONS VICE PRESIDENT AND/OR DEPARTMENTAL DIRECTOR RESPONDED VIA LETTER, PHONE, OR IN PERSON TO SUPPORT THE FOLLOWING TENNESSEE AND VIRGINIA LEGISLATIVE ISSUES: CERTIFICATE OF NEED(TN)/CERTIFICATE OF PUBLIC NEED(VA)REFORM CONTINUATION OF HOSPITAL ASSESSMENT FEE IN TENNESSEE FUNDING FOR PERINATAL CENTERS IN TENNESSEE MENTAL HEALTH FUNDING FOR INPATIENT PSYCHIATRIC CARE-TENNESSEE ADEQUATE MEDICAID FUNDING IN VIRGINIA AND TENNESSEE HELMET REQUIREMENT FOR MOTORCYCLISTS CONTINUATION OF MAINTENANCE OF CERTIFICATE REQUIREMENTS FOR PHYSICIAN PRIVILEGES | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $38,870,089 | OtherCostOrOtherBasisAmt |
| Book Value | $38,870,089 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $529,182,757 | OtherCostOrOtherBasisAmt |
| Depreciation | $205,684,796 | DepreciationAmt |
| Book Value | $323,497,961 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $956,142 | OtherCostOrOtherBasisAmt |
| Depreciation | $633,357 | DepreciationAmt |
| Book Value | $322,785 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $517,890,492 | OtherCostOrOtherBasisAmt |
| Depreciation | $394,635,647 | DepreciationAmt |
| Book Value | $123,254,845 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,231,228 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,979,189 | DepreciationAmt |
| Book Value | $3,252,039 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $489,197,719 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (7 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| INVESTMENT IN JMH | $132,000,000 | C |
| INVESTMENT IN BRMMC | $100,310,432 | C |
| INVESTMENT IN SCCH | $70,400,494 | C |
| INVESTMENT IN ISHN | $37,015,787 | C |
| INVESTMENT IN PREMIER | $342,500 | C |
| PREMIER RESERVE | -$260,000 | C |
| INVESTMENT IN MSJC | -$1,064,220 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $338,744,993 | TotalBookValueProgramRltdAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| OTHER LONG-TERM LIABILITIES | $11,588,467 |
| EST. FAIR VALUE OF INT. RATE SWAP | $9,709,747 |
| DUE TO THIRD-PARTY PAYERS | $6,066,607 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $27,364,821 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 3, PART X | FormAndLineReferenceDesc |
| Explanation | "THE ALLIANCE IS CLASSIFIED AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS SUCH, NO PROVISION FOR FEDERAL INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS FOR THE ALLIANCE AND ITS TAX-EXEMPT SUBSIDIARIES. THE ALLIANCE'S TAXABLE SUBSIDIARIES ARE DISCUSSED IN NOTE L. THE ALLIANCE HAS NO SIGNIFICANT UNCERTAIN TAX POSITIONS AT JUNE 30, 2017 AND 2016. AT JUNE 30, 2017, TAX RETURNS FOR 2014 THROUGH 2016 ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE." | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,824,800 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,824,800 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01390 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $115,828,087 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $96,481,376 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,346,711 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02740 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $125,652,887 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $96,481,376 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $29,171,511 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04130 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,529,816 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $567,196 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,962,620 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00560 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,252,131 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,852,171 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,399,960 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01900 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,247,927 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,788,764 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,459,163 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00350 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $284,321 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $150,694 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $133,627 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $833,180 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $833,180 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $31,147,375 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,358,825 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $20,788,550 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02940 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $156,800,262 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $106,840,201 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $49,960,061 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07080 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,600 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,600 | NetCommunityBenefitExpnsAmt |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,364 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,364 | NetCommunityBenefitExpnsAmt |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,460 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $24,460 | NetCommunityBenefitExpnsAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $32,424 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $32,424 | NetCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $80,550,331 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $59,915,727 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $153,896,142 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $147,298,493 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $6,597,649 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MED'L SPEC OF JC LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | MEDICAL SERVICES | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.51000 | OrgProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.49000 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 7 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (7 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Childrens HospitalChildrensHospitalInd | Teaching HospitalTeachingHospitalInd | Research FacilityResearchFacilityInd | Emergency Room24 HrsEmergencyRoom24HrsInd | OtherOtherDesc | Critical Access HospitalCriticalAccessHospitalInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHNSON CITY MEDICAL CENTER | |||||||||||||
| 1 | 400 N STATE OF FRANKLIN ROAD | JOHNSON CITY | TN | 37604 | 00000121 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | MENTAL HEALTH | |
| INDIAN PATH MEDICAL CENTER | |||||||||||||
| 2 | 2000 BROOKSIDE DRIVE | KINGSPORT | TN | 37660 | 00000134 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | ||||
| FRANKLIN WOODS COMMUNITY HOSPITAL | |||||||||||||
| 3 | 300 MED TECH PARKWAY | JOHNSON CITY | TN | 37604 | 00000123 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | ||||
| SYCAMORE SHOALS HOSPITAL | |||||||||||||
| 4 | 1501 W ELK AVENUE | ELIZABETHTON | TN | 37643 | 00000012 | Yes (X) | Yes (X) | Yes (X) | |||||
| RUSSELL COUNTY MEDICAL CENTER | |||||||||||||
| 5 | 58 CARROLL STREET | LEBANON | VA | 24266 | H 1892 | Yes (X) | Yes (X) | Yes (X) | |||||
| JOHNSON COUNTY COMMUNITY HOSPITAL | |||||||||||||
| 6 | 16901 S SHADY STREET | MOUNTAIN CITY | TN | 37683 | 00000039 | Yes (X) | Yes (X) | Yes (X) | |||||
| UNICOI COUNTY MEMORIAL HOSPITAL | |||||||||||||
| 7 | 100 GREENWAY CIRCLE | ERWIN | TN | 37650 | 00000119 | Yes (X) | Yes (X) | Yes (X) | |||||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (7 entries)
| FacilityFacilityNum | First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy AttachedStrategyAttachedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Asset Level CriteriaAssetLevelCriteriaInd | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP Available On Website URLFAPAvailableOnWebsiteURLTxt | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd | Communtity Notified FAPCommuntityNotifiedFAPInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | Provided Written NoticeProvidedWrittenNoticeInd | Made Effort Orally NotifyMadeEffortOrallyNotifyInd | Processed FAP ApplicationProcessedFAPApplicationInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Look Back Medicare PrivateLookBackMedicarePrivateInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHNSON CITY MEDICAL CENTER | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 15 | Yes (true) | Yes (true) | false | Yes (true) | Yes (X) | WWW.BALLADHEALTH.ORG | Yes (X) | Yes (true) | 16 | false | Yes (true) | false | Yes (true) | Yes (X) | 200.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | WWW.BALLADHEALTH.ORG | Yes (X) | WWW.BALLADHEALTH.ORG | Yes (X) | WWW.BALLADHEALTH.ORG | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false |
| INDIAN PATH MEDICAL CENTER | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 15 | Yes (true) | Yes (true) | false | Yes (true) | Yes (X) | WWW.BALLADHEALTH.ORG | Yes (X) | Yes (true) | 16 | false | Yes (true) | false | Yes (true) | Yes (X) | 200.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | WWW.BALLADHEALTH.ORG | Yes (X) | WWW.BALLADHEALTH.ORG | Yes (X) | WWW.BALLADHEALTH.ORG | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false |
| FRANKLIN WOODS COMMUNITY HOSPITAL | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 3 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 15 | Yes (true) | Yes (true) | false | Yes (true) | Yes (X) | WWW.BALLADHEALTH.ORG | Yes (X) | Yes (true) | 16 | false | Yes (true) | false | Yes (true) | Yes (X) | 200.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | WWW.BALLADHEALTH.ORG | Yes (X) | WWW.BALLADHEALTH.ORG | Yes (X) | WWW.BALLADHEALTH.ORG | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false |
| SYCAMORE SHOALS HOSPITAL | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 4 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 15 | Yes (true) | Yes (true) | false | Yes (true) | Yes (X) | WWW.BALLADHEALTH.ORG | Yes (X) | Yes (true) | 16 | false | Yes (true) | false | Yes (true) | Yes (X) | 200.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | WWW.BALLADHEALTH.ORG | Yes (X) | WWW.BALLADHEALTH.ORG | Yes (X) | WWW.BALLADHEALTH.ORG | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false |
| RUSSELL COUNTY MEDICAL CENTER | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 5 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 15 | Yes (true) | Yes (true) | false | Yes (true) | Yes (X) | WWW.BALLADHEALTH.ORG | Yes (X) | Yes (true) | 16 | false | Yes (true) | false | Yes (true) | Yes (X) | 200.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | WWW.BALLADHEALTH.ORG | Yes (X) | WWW.BALLADHEALTH.ORG | Yes (X) | WWW.BALLADHEALTH.ORG | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false |
| JOHNSON COUNTY COMMUNITY HOSPITAL | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 6 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 15 | Yes (true) | Yes (true) | false | Yes (true) | Yes (X) | WWW.BALLADHEALTH.ORG | Yes (X) | Yes (true) | 16 | false | Yes (true) | false | Yes (true) | Yes (X) | 200.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | WWW.BALLADHEALTH.ORG | Yes (X) | WWW.BALLADHEALTH.ORG | Yes (X) | WWW.BALLADHEALTH.ORG | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false |
| UNICOI COUNTY MEMORIAL HOSPITAL | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 7 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 15 | Yes (true) | Yes (true) | false | Yes (true) | Yes (X) | WWW.BALLADHEALTH.ORG | Yes (X) | Yes (true) | 16 | false | Yes (true) | false | Yes (true) | Yes (X) | 200.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | WWW.BALLADHEALTH.ORG | Yes (X) | WWW.BALLADHEALTH.ORG | Yes (X) | WWW.BALLADHEALTH.ORG | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false |
Supplemental Information SupplementalInformationGrp (21 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, JOHNSON CITY MEDICAL CENTER - PART V, LINE 5 | MSHA MET WITH TEN FOCUS GROUPS, EACH REPRESENTING ONE OF THE THIRTEEN HOSPITAL FACILITIES LOCATED WITHIN THE CORE COUNTIES OF MSHA FACILITIES (16 COUNTIES). THE 13 HOSPITALS ARE COMPRISED OF: 7 LICENSED HOSPITALS THAT ARE INCLUDED IN THIS RETURN, 2 HOSPITALS THAT ARE LICENSED UNDER ONE OF THE 7 AND ARE INCLUDED IN THIS RETURN, AND 4 MSHA HOSPITALS THAT FILE SEPARATE RETURNS. EACH GROUP CONSISTED OF PUBLIC HEALTH LEADERS, NURSES, NONPROFIT DIRECTORS, COMMUNITY DEVELOPERS, FAITH BASED LEADERS, PUBLIC OFFICIALS AND SCHOOL REPRESENTATIVES. SPECIFIC TO JCMC, THE GROUP CONSISTED OF REPRESENTATIVES FROM THE WASHINGTON COUNTY HEALTH DEPARTMENT, FRONTIER HEALTH, ETSU COLLEGE OF NURSING, ETSU JOHNSON CITY COMMUNITY HEALTH CENTER, ETSU COLLEGE OF PUBLIC HEALTH, WASHINGTON COUNTY COMMISSION, NORTHEAST TENNESSEE REGIONAL HEALTH DEPARTMENT, WASHINGTON COUNTY/JOHNSON CITY EMERGENCY MEDICAL SERVICES, UNITED WAY, PROJECT ACCESS, CHAMBER OF COMMERCE, FAMILIES FREE, CITY OF JOHNSON CITY, AND CENTER ON AGING AND HEALTH. EACH GROUP RANGED IN ATTENDANCE FROM 5 TO 18 INDIVIDUALS. PARTICIPANTS WERE GIVEN SURVEYS TO DETERMINE A COUNTY'S PERCEIVED HEALTH STATUS RATING, AVAILABLE RESOURCES, TOP HEALTH PRIORITIES (DISEASE CONDITIONS, HEALTH BEHAVIORS, AND SOCIOECONOMIC FACTORS), AND SUGGESTIONS FOR IMPROVEMENT. OPEN DISCUSSION FOLLOWED. THE COLLECTED INFORMATION WAS THEN PAIRED WITH STATISTICAL DATA IN ORDER TO PRIORITIZE HEALTH NEEDS. THE FACILITY COMMUNITY BOARDS (SUCH AS THE WASHINGTON COUNTY COMMUNITY BOARD) WERE PRESENTED THIS INFORMATION AND SHARED THEIR THOUGHTS AS WELL ON THE HEALTH NEEDS TO PRIORITIZE. THE SPECIFIC NEEDS FOR EACH COUNTY WERE THEN ADDRESSED IN THE RESPECTIVE FACILITY IMPLEMENTATION PLAN WHICH WAS ADOPTED SEVERAL MONTHS LATER. |
| FACILITY 1, JOHNSON CITY MEDICAL CENTER - PART V, LINE 6A | EACH HOSPITAL WITHIN THE MSHA SYSTEM COMPLETED A CHNA. FOR THOSE HOSPITALS THAT ARE LOCATED IN THE SAME COUNTY, ONLY ONE COMMUNITY GROUP WAS SURVEYED. FOR INSTANCE, JOHNSON CITY MEDICAL CENTER (INCLUDES NISWONGER CHILDREN'S HOSPITAL AND WOODRIDGE HOSPITAL) AND FRANKLIN WOODS COMMUNITY HOSPITAL ARE ALL LOCATED IN WASHINGTON COUNTY, TENNESSEE SO JCMC AND FWCH SHARED THE SAME COMMUNITY GROUP. JCMC'S CHNA WAS CONDUCTED WITH ALL MSHA HOSPITALS TO INCLUDE: FRANKLIN WOODS COMMUNITY HOSPITAL, INDIAN PATH MEDICAL CENTER, SYCAMORE SHOALS HOSPITAL, JOHNSON COUNTY COMMUNITY HOSPITAL, UNICOI COUNTY MEMORIAL HOSPITAL, RUSSELL COUNTY MEDICAL CENTER, SMYTH COUNTY COMMUNITY HOSPITAL, JOHNSTON MEMORIAL HOSPITAL, NORTON COMMUNITY HOSPITAL AND DICKENSON COMMUNITY HOSPITAL. |
| FACILITY 1, JOHNSON CITY MEDICAL CENTER - PART V, LINE 11 | MSHA PUBLISHED ITS COMMUNITY HEALTH NEEDS ASSESSMENT ON JUNE 29, 2015. THE DATA INCLUDED WAS COLLECTED OVER THE COURSE OF 2014 AND 2015. DUE TO LIMITED RESOURCES, EACH FACILITY PRIORITIZED FOUR TO FIVE HEALTH PRIORITIES ON WHICH TO FOCUS AND DEVELOP IMPLEMENTATION PLANS TO IMPACT. THERE WERE SEVEN COMMON HEALTH PRIORITIES SELECTED BY THE VARIOUS 11 FACILITIES, BUT NOT ALL FACILITIES SELECTED THE SAME AREAS. THE SEVEN ARE OBESITY, SUBSTANCE/PRESCRIPTION DRUG ABUSE, DIABETES, CANCER, HEART DISEASE, SMOKING AND MENTAL HEALTH. ALL OF THESE ARE SIGNIFICANT ISSUES FOR ALL 11 FACILITIES, BUT EACH CHOSE TO PRIORITIZE ON A DIFFERENT SET SO THEY COULD TARGET THEIR EFFORTS AND BE MORE EFFECTIVE WITH LIMITED RESOURCES. FOR EXAMPLE, WHILE NEARLY ALL THE FACILITIES IDENTIFIED OBESITY (11 OF 11) AND SUBSTANCE/PRESCRIPTION DRUG ABUSE (10 OF 11), ONLY CERTAIN FACILITIES ELECTED TO FOCUS ON SOME NUMBER OF THE OTHER FIVE COMMON HEALTH PRIORITIES. WHILE MENTAL HEALTH IS CLEARLY A SIGNIFICANT ISSUE FOR ALL 11 FACILITIES, ONLY THREE ARE FOCUSED ON IT DUE TO LIMITED RESOURCES. THE SAME IS TRUE WITH SMOKING WHERE ONLY 5 OF THE 11 FACILITIES ARE FOCUSED ON IT, BUT IT IS AN ISSUE FOR ALL FACILITIES. SIX OF THE 11 FACILITIES SELECTED CANCER; 6 OF THE 11 SELECTED HEART DISEASE; AND 9 OF THE 11 CHOSE DIABETES. ANOTHER WAY TO STATE THIS IS BY FACILITY. FOR EXAMPLE, WHILE CANCER AND MENTAL HEALTH ARE PREVALENT CHALLENGES FOR JCMC'S PRIMARY SERVICE AREA, THE HOSPITAL ELECTED NOT TO FOCUS ON THOSE DUE TO LIMITED TIME, FUNDING, PERSONNEL AND OTHER RESOURCES NEEDED TO EFFECTUATE CHANGE. UCMH FELT IT WAS UNABLE TO ADDRESS HEART DISEASE, SMOKING, AND MENTAL HEALTH ISSUES IN ITS PRIMARY SERVICE AREA. SOME FACILITIES IDENTIFIED ISSUES SUCH AS TRANSPORTATION AND EDUCATION AS BARRIERS TO GOOD HEALTH, BUT WERE ALSO UNABLE TO SET ASIDE SUFFICIENT RESOURCES TO MEANINGFULLY IMPACT THOSE CHALLENGES. AFTER THE FACILITIES SELECTED A REASONABLE NUMBER OF HEALTH PRIORITIES THEY FELT THEY COULD ADEQUATELY IMPACT, AN IMPLEMENTATION PLAN WAS CREATED FOR EACH HOSPITAL, AND EACH HOSPITAL'S BOARD APPROVED THE IMPLEMENTATION PLAN DURING THE MONTHS OF NOVEMBER AND DECEMBER 2015. MSHA ANNUALLY TRACKS PROGRESS OF IMPLEMENTATION STRATEGIES FOR EACH HOSPITAL. THE FACILITIES CONTINUE TO CONDUCT ACTIVITIES CONSISTENT WITH THEIR RESPECTIVE IMPLEMENTATION PLANS. FOR EXAMPLE, A PARTNERSHIP WAS DEVELOPED WITH FEEDING AMERICA OF SOUTHWEST VIRGINIA TO FUND HEALTHY FOOD OPTIONS FOR THE MOBILE FOOD BANK AND PROVIDE NUTRITIONAL EDUCATION TO RECIPIENTS WHICH ADDRESSES OBESITY AND DIABETES. SEVERAL MSHA FACILITIES, INCLUDING JCMC, PARTICIPATE IN THE MSHA TRIUMPH CANCER NAVIGATOR PROGRAM WHICH HELPS COORDINATE CARE FOR CANCER PATIENTS FREE OF CHARGE TO ALL PATIENTS, REGARDLESS OF WHETHER THEY CHOOSE TO RECEIVE THEIR TREATMENT AT A MSHA FACILITY. JCMC PROVIDES A SIGNIFICANT NUMBER OF PUBLIC SERVICE ANNOUNCEMENTS AND PARTNERS WITH LOCAL TELEVISION STATIONS TO INCREASE COMMUNITY AWARENESS ON THE PREVALENCE OF NEONATAL ABSTINENCE SYNDROME, PROVIDE HEALTH EDUCATION ON HEART HEALTH AND CANCER. JCMC'S NISWONGER CHILDREN'S HOSPITAL OFFERED MANY EVENTS THROUGHOUT THE YEAR TO ENCOURAGE ACTIVE PLAY AND HEALTHY LIFESTYLES FOR CHILDREN AND PARENTS. JCMC'S FREE CONGESTIVE HEART FAILURE CLINIC HELPS PATIENTS MANAGE THEIR DISEASE AND PATIENTS SEEN IN THE CLINIC HAVE A LOWER HOSPITAL READMISSION RATE. JCMC'S HEALTH RESOURCE CENTER, LOCATED IN THE JOHNSON CITY MALL, OFFERS OUTREACH PROGRAMS, HEALTH SCREENINGS, HEALTH EDUCATION CLASSES, SUPPORT GROUPS, AND HEALTH MATERIALS TO ADDRESS COMMUNITY MEMBERS' NEEDS. |
| FACILITY 2, INDIAN PATH MEDICAL CENTER - PART V, LINE 5 | MSHA MET WITH TEN FOCUS GROUPS, EACH REPRESENTING ONE OF THE THIRTEEN HOSPITAL FACILITIES LOCATED WITHIN THE CORE COUNTIES OF MSHA FACILITIES (16 COUNTIES). THE 13 HOSPITALS ARE COMPRISED OF: 7 LICENSED HOSPITALS THAT ARE INCLUDED IN THIS RETURN, 2 HOSPITALS THAT ARE LICENSED UNDER ONE OF THE 7 AND ARE INCLUDED IN THIS RETURN, AND 4 MSHA HOSPITALS THAT FILE SEPARATE RETURNS. EACH GROUP CONSISTED OF PUBLIC HEALTH LEADERS, NURSES, NONPROFIT DIRECTORS, COMMUNITY DEVELOPERS, FAITH BASED LEADERS, PUBLIC OFFICIALS AND SCHOOL REPRESENTATIVES. SPECIFIC TO IPMC, THE GROUP CONSISTED OF REPRESENTATIVES FROM HEALTHY KINGSPORT, KINGSPORT CITY SCHOOLS, UNITED WAY OF GREATER KINGSPORT, SULLIVAN COUNTY HEALTH DEPARTMENT, IPMC HEALTH RESOURCE CENTER, SULLIVAN COUNTY DEPARTMENT OF EDUCATION, KINGSPORT CHAMBER OF COMMERCE, AND KINGSPORT BOARD OF MAYOR AND ALDERMAN. EACH GROUP RANGED IN ATTENDANCE FROM 5 TO 18 INDIVIDUALS. PARTICIPANTS WERE GIVEN SURVEYS TO DETERMINE A COUNTY'S PERCEIVED HEALTH STATUS RATING, AVAILABLE RESOURCES, TOP HEALTH PRIORITIES (DISEASE CONDITIONS, HEALTH BEHAVIORS, AND SOCIOECONOMIC FACTORS), AND SUGGESTIONS FOR IMPROVEMENT. OPEN DISCUSSION FOLLOWED. THE COLLECTED INFORMATION WAS THEN PAIRED WITH IN ORDER TO PRIORITIZE HEALTH NEEDS. THE FACILITY COMMUNITY BOARDS (SUCH AS IPMC'S SULLIVAN COUNTY COMMUNITY BOARD) WERE PRESENTED THIS INFORMATION AND SHARED THEIR THOUGHTS AS WELL ON THE HEALTH NEEDS TO PRIORITIZE. THE SPECIFIC NEEDS FOR EACH COUNTY WERE THEN ADDRESSED IN THE RESPECTIVE FACILITY IMPLEMENTATION PLAN WHICH WAS ADOPTED SEVERAL MONTHS LATER. |
| FACILITY 2, INDIAN PATH MEDICAL CENTER - PART V, LINE 6A | EACH HOSPITAL WITHIN THE MSHA SYSTEM COMPLETED A CHNA. FOR THOSE HOSPITALS THAT ARE LOCATED IN THE SAME COUNTY, ONLY ONE COMMUNITY GROUP WAS SURVEYED. FOR INSTANCE, JOHNSON CITY MEDICAL CENTER (INCLUDES NISWONGER CHILDREN'S HOSPITAL AND WOODRIDGE HOSPITAL) AND FRANKLIN WOODS COMMUNITY HOSPITAL ARE ALL LOCATED IN WASHINGTON COUNTY, TENNESSEE SO FWCH AND JCMC SHARED THE SAME COMMUNITY GROUP. IPMC'S CHNA WAS CONDUCTED WITH ALL MSHA HOSPITALS TO INCLUDE: JOHNSON CITY MEDICAL CENTER, FRANKLIN WOODS COMMUNITY HOSPITAL, SYCAMORE SHOALS HOSPITAL, JOHNSON COUNTY COMMUNITY HOSPITAL, UNICOI COUNTY MEMORIAL HOSPITAL, RUSSELL COUNTY MEDICAL CENTER, SMYTH COUNTY COMMUNITY HOSPITAL, JOHNSTON MEMORIAL HOSPITAL, NORTON COMMUNITY HOSPITAL AND DICKENSON COMMUNITY HOSPITAL. |
| FACILITY 2, INDIAN PATH MEDICAL CENTER - PART V, LINE 11 | MSHA PUBLISHED ITS COMMUNITY HEALTH NEEDS ASSESSMENT ON JUNE 29, 2015. THE DATA INCLUDED WAS COLLECTED OVER THE COURSE OF 2014 AND 2015. DUE TO LIMITED RESOURCES, EACH FACILITY PRIORITIZED FOUR TO FIVE HEALTH PRIORITIES ON WHICH TO FOCUS AND DEVELOP IMPLEMENTATION PLANS TO IMPACT. THERE WERE SEVEN COMMON HEALTH PRIORITIES SELECTED BY THE VARIOUS 11 FACILITIES, BUT NOT ALL FACILITIES SELECTED THE SAME AREAS. THE SEVEN ARE OBESITY, SUBSTANCE/PRESCRIPTION DRUG ABUSE, DIABETES, CANCER, HEART DISEASE, SMOKING AND MENTAL HEALTH. ALL OF THESE ARE SIGNIFICANT ISSUES FOR ALL 11 FACILITIES, BUT EACH CHOSE TO PRIORITIZE ON A DIFFERENT SET SO THEY COULD TARGET THEIR EFFORTS AND BE MORE EFFECTIVE WITH LIMITED RESOURCES. FOR EXAMPLE, WHILE NEARLY ALL THE FACILITIES IDENTIFIED OBESITY (11 OF 11) AND SUBSTANCE/PRESCRIPTION DRUG ABUSE (10 OF 11), ONLY CERTAIN FACILITIES ELECTED TO FOCUS ON SOME NUMBER OF THE OTHER FIVE COMMON HEALTH PRIORITIES. WHILE MENTAL HEALTH IS CLEARLY A SIGNIFICANT ISSUE FOR ALL 11 FACILITIES, ONLY THREE ARE FOCUSED ON IT DUE TO LIMITED RESOURCES. THE SAME IS TRUE WITH SMOKING WHERE ONLY 5 OF THE 11 FACILITIES ARE FOCUSED ON IT, BUT IT IS AN ISSUE FOR ALL FACILITIES. SIX OF THE 11 FACILITIES SELECTED CANCER; 6 OF THE 11 SELECTED HEART DISEASE; AND 9 OF THE 11 CHOSE DIABETES. ANOTHER WAY TO STATE THIS IS BY FACILITY. FOR EXAMPLE, WHILE CANCER AND MENTAL HEALTH ARE PREVALENT CHALLENGES FOR JCMC'S PRIMARY SERVICE AREA, THE HOSPITAL ELECTED NOT TO FOCUS ON THOSE DUE TO LIMITED TIME, FUNDING, PERSONNEL AND OTHER RESOURCES NEEDED TO EFFECTUATE CHANGE. UCMH FELT IT WAS UNABLE TO ADDRESS HEART DISEASE, SMOKING, AND MENTAL HEALTH ISSUES IN ITS PRIMARY SERVICE AREA. SOME FACILITIES IDENTIFIED ISSUES SUCH AS TRANSPORTATION AND EDUCATION AS BARRIERS TO GOOD HEALTH, BUT WERE ALSO UNABLE TO SET ASIDE SUFFICIENT RESOURCES TO MEANINGFULLY IMPACT THOSE CHALLENGES. AFTER THE FACILITIES SELECTED A REASONABLE NUMBER OF HEALTH PRIORITIES THEY FELT THEY COULD ADEQUATELY IMPACT, AN IMPLEMENTATION PLAN WAS CREATED FOR EACH HOSPITAL, AND EACH HOSPITAL'S BOARD APPROVED THE IMPLEMENTATION PLAN DURING THE MONTHS OF NOVEMBER AND DECEMBER 2015. MSHA ANNUALLY TRACKS PROGRESS OF IMPLEMENTATION STRATEGIES FOR EACH HOSPITAL. THE FACILITIES CONTINUE TO CONDUCT ACTIVITIES CONSISTENT WITH THEIR RESPECTIVE IMPLEMENTATION PLANS. FOR EXAMPLE, A PARTNERSHIP WAS DEVELOPED WITH FEEDING AMERICA OF SOUTHWEST VIRGINIA TO FUND HEALTHY FOOD OPTIONS FOR THE MOBILE FOOD BANK AND PROVIDE NUTRITIONAL EDUCATION TO RECIPIENTS WHICH ADDRESSES OBESITY AND DIABETES. IPMC HAS BEEN SUPPORTING PHYSICAL ACTIVITY AND SUGAR FREE INITIATIVES AT THE LOCAL BOYS AND GIRLS CLUB TO HELP REDUCE OBESITY IN CHILDREN. IPMC PROVIDED A SIGNIFICANT NUMBER OF PUBLIC SERVICE ANNOUNCEMENTS AND PARTNERED WITH LOCAL TELEVISION STATIONS TO INCREASE COMMUNITY AWARENESS AND EDUCATION OF HEALTH ISSUES SUCH AS LUNG CANCER, SMOKING, AND WOMEN'S HEALTH. IPMC'S HEALTH RESOURCE CENTER, LOCATED IN THE KINGSPORT MALL, OFFERS OUTREACH PROGRAMS, HEALTH SCREENINGS, HEALTH EDUCATION CLASSES, SUPPORT GROUPS, AND HEALTH MATERIALS TO ADDRESS COMMUNITY MEMBERS' NEEDS. SEVERAL MSHA FACILITIES, INCLUDING IPMC, PARTICIPATE IN THE MSHA TRIUMPH CANCER NAVIGATOR PROGRAM WHICH HELPS COORDINATE CARE FOR CANCER PATIENTS FREE OF CHARGE TO ALL PATIENTS, REGARDLESS OF WHETHER THEY CHOOSE TO RECEIVE THEIR TREATMENT AT A MSHA FACILITY. |
| FACILITY 3, FRANKLIN WOODS COMMUNITY HOSPITAL - PART V, LINE 5 | MSHA MET WITH TEN FOCUS GROUPS, EACH REPRESENTING ONE OF THE THIRTEEN HOSPITAL FACILITIES LOCATED WITHIN THE CORE COUNTIES OF MSHA FACILITIES (16 COUNTIES). THE 13 HOSPITALS ARE COMPRISED OF: 7 LICENSED HOSPITALS THAT ARE INCLUDED IN THIS RETURN, 2 HOSPITALS THAT ARE LICENSED UNDER ONE OF THE 7 AND ARE INCLUDED IN THIS RETURN, AND 4 MSHA HOSPITALS THAT FILE SEPARATE RETURNS. EACH GROUP CONSISTED OF PUBLIC HEALTH LEADERS, NURSES, NONPROFIT DIRECTORS, COMMUNITY DEVELOPERS, FAITH BASED LEADERS, PUBLIC OFFICIALS AND SCHOOL REPRESENTATIVES. SPECIFIC TO FWCH, THE GROUP CONSISTED OF REPRESENTATIVES FROM THE WASHINGTON COUNTY HEALTH DEPARTMENT, FRONTIER HEALTH, ETSU COLLEGE OF NURSING, ETSU JOHNSON CITY COMMUNITY HEALTH CENTER, ETSU COLLEGE OF PUBLIC HEALTH, WASHINGTON COUNTY COMMISSION, NORTHEAST TENNESSEE REGIONAL HEALTH DEPARTMENT, WASHINGTON COUNTY/JOHNSON CITY EMERGENCY MEDICAL SERVICES, UNITED WAY, PROJECT ACCESS, CHAMBER OF COMMERCE, FAMILIES FREE, CITY OF JOHNSON CITY, AND CENTER ON AGING AND HEALTH. EACH GROUP RANGED IN ATTENDANCE FROM 5 TO 18 INDIVIDUALS. PARTICIPANTS WERE GIVEN SURVEYS TO DETERMINE A COUNTY'S PERCEIVED HEALTH STATUS RATING, AVAILABLE RESOURCES, TOP HEALTH PRIORITIES (DISEASE CONDITIONS, HEALTH BEHAVIORS, AND SOCIOECONOMIC FACTORS), AND SUGGESTIONS FOR IMPROVEMENT. OPEN DISCUSSION FOLLOWED. THE COLLECTED INFORMATION WAS THEN PAIRED WITH STATISTICAL DATA IN ORDER TO PRIORITIZE HEALTH NEEDS. THE FACILITY COMMUNITY BOARDS (SUCH AS THE WASHINGTON COUNTY COMMUNITY BOARD) WERE PRESENTED THIS INFORMATION AND SHARED THEIR THOUGHTS AS WELL ON THE HEALTH NEEDS TO PRIORITIZE. THE SPECIFIC NEEDS FOR EACH COUNTY WERE THEN ADDRESSED IN THE RESPECTIVE FACILITY IMPLEMENTATION PLAN WHICH WAS ADOPTED SEVERAL MONTHS LATER. |
| FACILITY 3, FRANKLIN WOODS COMMUNITY HOSPITAL - PART V, LINE 6A | EACH HOSPITAL WITHIN THE MSHA SYSTEM COMPLETED A CHNA. FOR THOSE HOSPITALS THAT ARE LOCATED IN THE SAME COUNTY, ONLY ONE COMMUNITY GROUP WAS SURVEYED. FOR INSTANCE, JOHNSON CITY MEDICAL CENTER (INCLUDES NISWONGER CHILDREN'S HOSPITAL AND WOODRIDGE HOSPITAL) AND FRANKLIN WOODS COMMUNITY HOSPITAL ARE ALL LOCATED IN WASHINGTON COUNTY, TENNESSEE SO FWCH AND JCMC SHARED THE SAME COMMUNITY GROUP. FWCH'S CHNA WAS CONDUCTED WITH ALL MSHA HOSPITALS TO INCLUDE: JOHNSON CITY MEDICAL CENTER, INDIAN PATH MEDICAL CENTER, SYCAMORE SHOALS HOSPITAL, JOHNSON COUNTY COMMUNITY HOSPITAL, UNICOI COUNTY MEMORIAL HOSPITAL, RUSSELL COUNTY MEDICAL CENTER, SMYTH COUNTY COMMUNITY HOSPITAL, JOHNSTON MEMORIAL HOSPITAL, NORTON COMMUNITY HOSPITAL AND DICKENSON COMMUNITY HOSPITAL. |
| FACILITY 3, FRANKLIN WOODS COMMUNITY HOSPITAL - PART V, LINE 11 | MSHA PUBLISHED ITS COMMUNITY HEALTH NEEDS ASSESSMENT ON JUNE 29, 2015. THE DATA INCLUDED WAS COLLECTED OVER THE COURSE OF 2014 AND 2015. DUE TO LIMITED RESOURCES, EACH FACILITY PRIORITIZED FOUR TO FIVE HEALTH PRIORITIES ON WHICH TO FOCUS AND DEVELOP IMPLEMENTATION PLANS TO IMPACT. THERE WERE SEVEN COMMON HEALTH PRIORITIES SELECTED BY THE VARIOUS 11 FACILITIES, BUT NOT ALL FACILITIES SELECTED THE SAME AREAS. THE SEVEN ARE OBESITY, SUBSTANCE/PRESCRIPTION DRUG ABUSE, DIABETES, CANCER, HEART DISEASE, SMOKING AND MENTAL HEALTH. ALL OF THESE ARE SIGNIFICANT ISSUES FOR ALL 11 FACILITIES, BUT EACH CHOSE TO PRIORITIZE ON A DIFFERENT SET SO THEY COULD TARGET THEIR EFFORTS AND BE MORE EFFECTIVE WITH LIMITED RESOURCES. FOR EXAMPLE, WHILE NEARLY ALL THE FACILITIES IDENTIFIED OBESITY (11 OF 11) AND SUBSTANCE/PRESCRIPTION DRUG ABUSE (10 OF 11), ONLY CERTAIN FACILITIES ELECTED TO FOCUS ON SOME NUMBER OF THE OTHER FIVE COMMON HEALTH PRIORITIES. WHILE MENTAL HEALTH IS CLEARLY A SIGNIFICANT ISSUE FOR ALL 11 FACILITIES, ONLY THREE ARE FOCUSED ON IT DUE TO LIMITED RESOURCES. THE SAME IS TRUE WITH SMOKING WHERE ONLY 5 OF THE 11 FACILITIES ARE FOCUSED ON IT, BUT IT IS AN ISSUE FOR ALL FACILITIES. SIX OF THE 11 FACILITIES SELECTED CANCER; 6 OF THE 11 SELECTED HEART DISEASE; AND 9 OF THE 11 CHOSE DIABETES. ANOTHER WAY TO STATE THIS IS BY FACILITY. FOR EXAMPLE, WHILE CANCER AND MENTAL HEALTH ARE PREVALENT CHALLENGES FOR JCMC'S PRIMARY SERVICE AREA, THE HOSPITAL ELECTED NOT TO FOCUS ON THOSE DUE TO LIMITED TIME, FUNDING, PERSONNEL AND OTHER RESOURCES NEEDED TO EFFECTUATE CHANGE. UCMH FELT IT WAS UNABLE TO ADDRESS HEART DISEASE, SMOKING, AND MENTAL HEALTH ISSUES IN ITS PRIMARY SERVICE AREA. SOME FACILITIES IDENTIFIED ISSUES SUCH AS TRANSPORTATION AND EDUCATION AS BARRIERS TO GOOD HEALTH, BUT WERE ALSO UNABLE TO SET ASIDE SUFFICIENT RESOURCES TO MEANINGFULLY IMPACT THOSE CHALLENGES. AFTER THE FACILITIES SELECTED A REASONABLE NUMBER OF HEALTH PRIORITIES THEY FELT THEY COULD ADEQUATELY IMPACT, AN IMPLEMENTATION PLAN WAS CREATED FOR EACH HOSPITAL, AND EACH HOSPITAL'S BOARD APPROVED THE IMPLEMENTATION PLAN DURING THE MONTHS OF NOVEMBER AND DECEMBER 2015. MSHA ANNUALLY TRACKS PROGRESS OF IMPLEMENTATION STRATEGIES FOR EACH HOSPITAL. THE FACILITIES CONTINUE TO CONDUCT ACTIVITIES CONSISTENT WITH THEIR RESPECTIVE IMPLEMENTATION PLANS. FOR EXAMPLE, A PARTNERSHIP WAS DEVELOPED WITH FEEDING AMERICA OF SOUTHWEST VIRGINIA TO FUND HEALTHY FOOD OPTIONS FOR THE MOBILE FOOD BANK AND PROVIDE NUTRITIONAL EDUCATION TO RECIPIENTS WHICH ADDRESSES OBESITY AND DIABETES. SEVERAL MSHA FACILITIES, INCLUDING FWCH, PARTICIPATE IN THE MSHA TRIUMPH CANCER NAVIGATOR PROGRAM WHICH HELPS COORDINATE CARE FOR CANCER PATIENTS FREE OF CHARGE TO ALL PATIENTS, REGARDLESS OF WHETHER THEY CHOOSE TO RECEIVE THEIR TREATMENT AT A MSHA FACILITY. FWCH PROVIDED A SIGNIFICANT NUMBER OF PUBLIC SERVICE ANNOUNCEMENTS AND PARTNERED WITH LOCAL TELEVISION STATIONS TO INCREASE COMMUNITY AWARENESS AND EDUCATION OF HEALTH ISSUES SUCH AS COLON CANCER AND SAFETY ISSUES FOR NEWBORNS. |
| FACILITY 4, SYCAMORE SHOALS HOSPITAL - PART V, LINE 5 | MSHA MET WITH TEN FOCUS GROUPS, EACH REPRESENTING ONE OF THE THIRTEEN HOSPITAL FACILITIES LOCATED WITHIN THE CORE COUNTIES OF MSHA FACILITIES (16 COUNTIES). THE 13 HOSPITALS ARE COMPRISED OF: 7 LICENSED HOSPITALS THAT ARE INCLUDED IN THIS RETURN, 2 HOSPITALS THAT ARE LICENSED UNDER ONE OF THE 7 AND ARE INCLUDED IN THIS RETURN, AND 4 MSHA HOSPITALS THAT FILE SEPARATE RETURNS. EACH GROUP CONSISTED OF PUBLIC HEALTH LEADERS, NURSES, NONPROFIT DIRECTORS, COMMUNITY DEVELOPERS, FAITH BASED LEADERS, PUBLIC OFFICIALS AND SCHOOL REPRESENTATIVES. SPECIFIC TO SSH, THE GROUP CONSISTED OF REPRESENTATIVES FROM ELIZABETHTON CITY SCHOOLS, CARTER COUNTY SCHOOLS, UNITED HEALTHCARE, UT-CARTER COUNTY EXTENSION, CENTER ON AGING AND HEALTH, CARTER COUNTY GOVERNOR'S OFFICE, COORDINATED SCHOOL HEALTH, BABE BREASTFEEDING COALITION, PROJECT ACCESS AND CARTER COUNTY HEALTH DEPARTMENT. EACH GROUP RANGED IN ATTENDANCE FROM 5 TO 18 INDIVIDUALS. PARTICIPANTS WERE GIVEN SURVEYS TO DETERMINE A COUNTY'S PERCEIVED HEALTH STATUS RATING, AVAILABLE RESOURCES, TOP HEALTH PRIORITIES (DISEASE CONDITIONS, HEALTH BEHAVIORS, AND SOCIOECONOMIC FACTORS), AND SUGGESTIONS FOR IMPROVEMENT. OPEN DISCUSSION FOLLOWED. THE COLLECTED INFORMATION WAS THEN PAIRED WITH STATISTICAL DATA IN ORDER TO PRIORITIZE HEALTH NEEDS. THE FACILITY COMMUNITY BOARDS (SUCH AS SSH'S CARTER COUNTY COMMUNITY BOARD) WERE PRESENTED THIS INFORMATION AND SHARED THEIR THOUGHTS AS WELL ON THE HEALTH NEEDS TO PRIORITIZE. THE SPECIFIC NEEDS FOR EACH COUNTY WERE THEN ADDRESSED IN THE RESPECTIVE FACILITY IMPLEMENTATION PLAN WHICH WAS ADOPTED SEVERAL MONTHS LATER. |
| FACILITY 4, SYCAMORE SHOALS HOSPITAL - PART V, LINE 6A | EACH HOSPITAL WITHIN THE MSHA SYSTEM COMPLETED A CHNA. FOR THOSE HOSPITALS THAT ARE LOCATED IN THE SAME COUNTY, ONLY ONE COMMUNITY GROUP WAS SURVEYED. FOR INSTANCE, JOHNSON CITY MEDICAL CENTER (INCLUDES NISWONGER CHILDREN'S HOSPITAL AND WOODRIDGE HOSPITAL) AND FRANKLIN WOODS COMMUNITY HOSPITAL ARE ALL LOCATED IN WASHINGTON COUNTY, TENNESSEE. SSH'S CHNA WAS CONDUCTED WITH ALL MSHA HOSPITALS TO INCLUDE: FRANKLIN WOODS COMMUNITY HOSPITAL, INDIAN PATH MEDICAL CENTER, JOHNSON CITY MEDICAL CENTER, JOHNSON COUNTY COMMUNITY HOSPITAL, UNICOI COUNTY MEMORIAL HOSPITAL, RUSSELL COUNTY MEDICAL CENTER, SMYTH COUNTY COMMUNITY HOSPITAL, JOHNSTON MEMORIAL HOSPITAL, NORTON COMMUNITY HOSPITAL AND DICKENSON COMMUNITY HOSPITAL. |
| FACILITY 4, SYCAMORE SHOALS HOSPITAL - PART V, LINE 11 | MSHA PUBLISHED ITS COMMUNITY HEALTH NEEDS ASSESSMENT ON JUNE 29, 2015. THE DATA INCLUDED WAS COLLECTED OVER THE COURSE OF 2014 AND 2015. DUE TO LIMITED RESOURCES, EACH FACILITY PRIORITIZED FOUR TO FIVE HEALTH PRIORITIES ON WHICH TO FOCUS AND DEVELOP IMPLEMENTATION PLANS TO IMPACT. THERE WERE SEVEN COMMON HEALTH PRIORITIES SELECTED BY THE VARIOUS 11 FACILITIES, BUT NOT ALL FACILITIES SELECTED THE SAME AREAS. THE SEVEN ARE OBESITY, SUBSTANCE/PRESCRIPTION DRUG ABUSE, DIABETES, CANCER, HEART DISEASE, SMOKING AND MENTAL HEALTH. ALL OF THESE ARE SIGNIFICANT ISSUES FOR ALL 11 FACILITIES, BUT EACH CHOSE TO PRIORITIZE ON A DIFFERENT SET SO THEY COULD TARGET THEIR EFFORTS AND BE MORE EFFECTIVE WITH LIMITED RESOURCES. FOR EXAMPLE, WHILE NEARLY ALL THE FACILITIES IDENTIFIED OBESITY (11 OF 11) AND SUBSTANCE/PRESCRIPTION DRUG ABUSE (10 OF 11), ONLY CERTAIN FACILITIES ELECTED TO FOCUS ON SOME NUMBER OF THE OTHER FIVE COMMON HEALTH PRIORITIES. WHILE MENTAL HEALTH IS CLEARLY A SIGNIFICANT ISSUE FOR ALL 11 FACILITIES, ONLY THREE ARE FOCUSED ON IT DUE TO LIMITED RESOURCES. THE SAME IS TRUE WITH SMOKING WHERE ONLY 5 OF THE 11 FACILITIES ARE FOCUSED ON IT, BUT IT IS AN ISSUE FOR ALL FACILITIES. SIX OF THE 11 FACILITIES SELECTED CANCER; 6 OF THE 11 SELECTED HEART DISEASE; AND 9 OF THE 11 CHOSE DIABETES. ANOTHER WAY TO STATE THIS IS BY FACILITY. FOR EXAMPLE, WHILE CANCER AND MENTAL HEALTH ARE PREVALENT CHALLENGES FOR JCMC'S PRIMARY SERVICE AREA, THE HOSPITAL ELECTED NOT TO FOCUS ON THOSE DUE TO LIMITED TIME, FUNDING, PERSONNEL AND OTHER RESOURCES NEEDED TO EFFECTUATE CHANGE. UCMH FELT IT WAS UNABLE TO ADDRESS HEART DISEASE, SMOKING, AND MENTAL HEALTH ISSUES IN ITS PRIMARY SERVICE AREA. SOME FACILITIES IDENTIFIED ISSUES SUCH AS TRANSPORTATION AND EDUCATION AS BARRIERS TO GOOD HEALTH, BUT WERE ALSO UNABLE TO SET ASIDE SUFFICIENT RESOURCES TO MEANINGFULLY IMPACT THOSE CHALLENGES. AFTER THE FACILITIES SELECTED A REASONABLE NUMBER OF HEALTH PRIORITIES THEY FELT THEY COULD ADEQUATELY IMPACT, AN IMPLEMENTATION PLAN WAS CREATED FOR EACH HOSPITAL, AND EACH HOSPITAL'S BOARD APPROVED THE IMPLEMENTATION PLAN DURING THE MONTHS OF NOVEMBER AND DECEMBER 2015. MSHA ANNUALLY TRACKS PROGRESS OF IMPLEMENTATION STRATEGIES FOR EACH HOSPITAL. THE FACILITIES CONTINUE TO CONDUCT ACTIVITIES CONSISTENT WITH THEIR RESPECTIVE IMPLEMENTATION PLANS. FOR EXAMPLE, A PARTNERSHIP WAS DEVELOPED WITH FEEDING AMERICA OF SOUTHWEST VIRGINIA TO FUND HEALTHY FOOD OPTIONS FOR THE MOBILE FOOD BANK AND PROVIDE NUTRITIONAL EDUCATION TO RECIPIENTS WHICH ADDRESSES OBESITY AND DIABETES. SEVERAL MSHA FACILITIES, INCLUDING SSH, PARTICIPATE IN THE MSHA TRIUMPH CANCER NAVIGATOR PROGRAM WHICH HELPS COORDINATE CARE FOR CANCER PATIENTS FREE OF CHARGE TO ALL PATIENTS, REGARDLESS OF WHETHER THEY CHOOSE TO RECEIVE THEIR TREATMENT AT A MSHA FACILITY. SSH PROVIDED A SIGNIFICANT NUMBER OF PUBLIC SERVICE ANNOUNCEMENTS AND PARTNERED WITH LOCAL TELEVISION STATIONS TO INCREASE COMMUNITY AWARENESS AND EDUCATION OF HEALTH ISSUES SUCH AS HEART HEALTH AND WOMEN'S HEALTH. SSH PROVIDES SUPPORT TO RED LEGACY RECOVERY COUNSELING TO YOUNG WOMEN AND MOTHERS RECOVERING FROM SUBSTANCE ABUSE. THE HOSPITAL PARTICIPATED IN ELIZABETHTON CITY SCHOOLS "BACK-2-SCHOOL BASH", A COLLABORATIVE EVENT HELD BEFORE THE NEW SCHOOL YEAR STARTED. SSH PROVIDED BACKPACKS FOR THE STUDENTS FILLED WITH SUPPLIES. LOCAL BUSINESSES AND ORGANIZATIONS, SUCH AS THE CARTER COUNTY HEALTH DEPARTMENT, SPONSORED THE EVENT. THE HEALTH DEPARTMENT SCHEDULED APPOINTMENTS FOR IMMUNIZATIONS, WELLNESS CHECKUPS AND EYE EXAMS. KIDS WERE EVEN ABLE TO RECEIVE A FREE HAIR CUT. FAMILIES RECEIVED INFORMATION ABOUT NUMEROUS AFTER-SCHOOL PROGRAMS AS WELL AS NUTRITION, HYGIENE AND HEALTHCARE RESOURCES. |
| FACILITY 5, RUSSELL COUNTY MEDICAL CENTER - PART V, LINE 5 | MSHA MET WITH TEN FOCUS GROUPS, EACH REPRESENTING ONE OF THE THIRTEEN HOSPITAL FACILITIES LOCATED WITHIN THE CORE COUNTIES OF MSHA FACILITIES (16 COUNTIES). THE 13 HOSPITALS ARE COMPRISED OF: 7 LICENSED HOSPITALS THAT ARE INCLUDED IN THIS RETURN, 2 HOSPITALS THAT ARE LICENSED UNDER ONE OF THE 7 AND ARE INCLUDED IN THIS RETURN, AND 4 MSHA HOSPITALS THAT FILE SEPARATE RETURNS. EACH GROUP CONSISTED OF PUBLIC HEALTH LEADERS, NURSES, NONPROFIT DIRECTORS, COMMUNITY DEVELOPERS, FAITH BASED LEADERS, PUBLIC OFFICIALS AND SCHOOL REPRESENTATIVES. SPECIFIC TO RCMC, THE GROUP CONSISTED OF REPRESENTATIVES FROM THE CUMBERLAND PLATEAU HEALTH DISTRICT, VIRGINIA DEPARTMENT OF HEALTH, DANTE EMERGENCY MEDICAL SERVICES, TOWN OF LEBANON, RUSSELL COUNTY DEPARTMENT OF SOCIAL SERVICES, AND RUSSELL COUNTY YMCA. EACH GROUP RANGED IN ATTENDANCE FROM 5 TO 18 INDIVIDUALS. PARTICIPANTS WERE GIVEN SURVEYS TO DETERMINE A COUNTY'S PERCEIVED HEALTH STATUS RATING, AVAILABLE RESOURCES, TOP HEALTH PRIORITIES (DISEASE CONDITIONS, HEALTH BEHAVIORS, AND SOCIOECONOMIC FACTORS), AND SUGGESTIONS FOR IMPROVEMENT. OPEN DISCUSSION FOLLOWED. THE COLLECTED INFORMATION WAS THEN PAIRED WITH STATISTICAL DATA IN ORDER TO PRIORITIZE HEALTH NEEDS. THE FACILITY COMMUNITY BOARDS (SUCH AS RUSSELL COUNTY MEDICAL CENTER'S BOARD) WERE PRESENTED THIS INFORMATION AND SHARED THEIR THOUGHTS AS WELL ON THE HEALTH NEEDS TO PRIORITIZE. THE SPECIFIC NEEDS FOR EACH COUNTY WERE THEN ADDRESSED IN THE RESPECTIVE FACILITY IMPLEMENTATION PLAN WHICH WAS ADOPTED SEVERAL MONTHS LATER. |
| FACILITY 5, RUSSELL COUNTY MEDICAL CENTER - PART V, LINE 6A | EACH HOSPITAL WITHIN THE MSHA SYSTEM COMPLETED A CHNA. FOR THOSE HOSPITALS THAT ARE LOCATED IN THE SAME COUNTY, ONLY ONE COMMUNITY GROUP WAS SURVEYED. FOR INSTANCE, JOHNSON CITY MEDICAL CENTER (INCLUDES NISWONGER CHILDREN'S HOSPITAL AND WOODRIDGE HOSPITAL) AND FRANKLIN WOODS COMMUNITY HOSPITAL ARE ALL LOCATED IN WASHINGTON COUNTY, TENNESSEE. RCMC'S CHNA WAS CONDUCTED WITH ALL MSHA HOSPITALS TO INCLUDE: FRANKLIN WOODS COMMUNITY HOSPITAL, INDIAN PATH MEDICAL CENTER, SYCAMORE SHOALS HOSPITAL, JOHNSON COUNTY COMMUNITY HOSPITAL, UNICOI COUNTY MEMORIAL HOSPITAL, JOHNSON CITY MEDICAL CENTER, SMYTH COUNTY COMMUNITY HOSPITAL, JOHNSTON MEMORIAL HOSPITAL, NORTON COMMUNITY HOSPITAL AND DICKENSON COMMUNITY HOSPITAL. |
| FACILITY 5, RUSSELL COUNTY MEDICAL CENTER - PART V, LINE 11 | MSHA PUBLISHED ITS COMMUNITY HEALTH NEEDS ASSESSMENT ON JUNE 29, 2015. THE DATA INCLUDED WAS COLLECTED OVER THE COURSE OF 2014 AND 2015. DUE TO LIMITED RESOURCES, EACH FACILITY PRIORITIZED FOUR TO FIVE HEALTH PRIORITIES ON WHICH TO FOCUS AND DEVELOP IMPLEMENTATION PLANS TO IMPACT. THERE WERE SEVEN COMMON HEALTH PRIORITIES SELECTED BY THE VARIOUS 11 FACILITIES, BUT NOT ALL FACILITIES SELECTED THE SAME AREAS. THE SEVEN ARE OBESITY, SUBSTANCE/PRESCRIPTION DRUG ABUSE, DIABETES, CANCER, HEART DISEASE, SMOKING AND MENTAL HEALTH. ALL OF THESE ARE SIGNIFICANT ISSUES FOR ALL 11 FACILITIES, BUT EACH CHOSE TO PRIORITIZE ON A DIFFERENT SET SO THEY COULD TARGET THEIR EFFORTS AND BE MORE EFFECTIVE WITH LIMITED RESOURCES. FOR EXAMPLE, WHILE NEARLY ALL THE FACILITIES IDENTIFIED OBESITY (11 OF 11) AND SUBSTANCE/PRESCRIPTION DRUG ABUSE (10 OF 11), ONLY CERTAIN FACILITIES ELECTED TO FOCUS ON SOME NUMBER OF THE OTHER FIVE COMMON HEALTH PRIORITIES. WHILE MENTAL HEALTH IS CLEARLY A SIGNIFICANT ISSUE FOR ALL 11 FACILITIES, ONLY THREE ARE FOCUSED ON IT DUE TO LIMITED RESOURCES. THE SAME IS TRUE WITH SMOKING WHERE ONLY 5 OF THE 11 FACILITIES ARE FOCUSED ON IT, BUT IT IS AN ISSUE FOR ALL FACILITIES. SIX OF THE 11 FACILITIES SELECTED CANCER; 6 OF THE 11 SELECTED HEART DISEASE; AND 9 OF THE 11 CHOSE DIABETES. ANOTHER WAY TO STATE THIS IS BY FACILITY. FOR EXAMPLE, WHILE CANCER AND MENTAL HEALTH ARE PREVALENT CHALLENGES FOR JCMC'S PRIMARY SERVICE AREA, THE HOSPITAL ELECTED NOT TO FOCUS ON THOSE DUE TO LIMITED TIME, FUNDING, PERSONNEL AND OTHER RESOURCES NEEDED TO EFFECTUATE CHANGE. UCMH FELT IT WAS UNABLE TO ADDRESS HEART DISEASE, SMOKING, AND MENTAL HEALTH ISSUES IN ITS PRIMARY SERVICE AREA. SOME FACILITIES IDENTIFIED ISSUES SUCH AS TRANSPORTATION AND EDUCATION AS BARRIERS TO GOOD HEALTH, BUT WERE ALSO UNABLE TO SET ASIDE SUFFICIENT RESOURCES TO MEANINGFULLY IMPACT THOSE CHALLENGES. AFTER THE FACILITIES SELECTED A REASONABLE NUMBER OF HEALTH PRIORITIES THEY FELT THEY COULD ADEQUATELY IMPACT, AN IMPLEMENTATION PLAN WAS CREATED FOR EACH HOSPITAL, AND EACH HOSPITAL'S BOARD APPROVED THE IMPLEMENTATION PLAN DURING THE MONTHS OF NOVEMBER AND DECEMBER 2015. MSHA ANNUALLY TRACKS PROGRESS OF IMPLEMENTATION STRATEGIES FOR EACH HOSPITAL. THE FACILITIES CONTINUE TO CONDUCT ACTIVITIES CONSISTENT WITH THEIR RESPECTIVE IMPLEMENTATION PLANS. FOR EXAMPLE, A PARTNERSHIP WAS DEVELOPED WITH FEEDING AMERICA OF SOUTHWEST VIRGINIA TO FUND HEALTHY FOOD OPTIONS FOR THE MOBILE FOOD BANK AND PROVIDE NUTRITIONAL EDUCATION TO RECIPIENTS WHICH ADDRESSES OBESITY AND DIABETES. IN RESPONSE TO AN OUTSTANDING NEED IN SOUTHWEST VIRGINIA, RCMC EXPANDED TO INCLUDE A MEDICAL PSYCHIATRIC SERVICE TO CARE FOR PEOPLE SUFFERING FROM MEDICAL ILLNESS AND MENTAL HEALTH DISORDERS AT THE SAME TIME. RCMC SUPPORTED THE RUSSELL COUNTY SCHOOL BACKPACK PROGRAM WHICH PROVIDES HEALTHY FOOD FOR KIDS IN NEED TO HELP ADDRESS CHILDHOOD OBESITY. MSHA FACILITIES, INCLUDING RCMC, PARTICIPATE IN THE MSHA TRIUMPH CANCER NAVIGATOR PROGRAM WHICH HELPS COORDINATE CARE FOR CANCER PATIENTS FREE OF CHARGE TO ALL PATIENTS, REGARDLESS OF WHETHER THEY CHOOSE TO RECEIVE THEIR TREATMENT AT A MSHA FACILITY. RCMC PROVIDED A SIGNIFICANT NUMBER OF PUBLIC SERVICE ANNOUNCEMENTS AND PARTNERED WITH LOCAL TELEVISION STATIONS TO INCREASE COMMUNITY AWARENESS AND EDUCATION OF HEALTH ISSUES SUCH AS WOMEN'S HEALTH, COLON CANCER, LUNG CANCER, ETC. DURING FY17 RCMC PROVIDED SPONSORSHIP OF THE RUSSELL CO. HIGH SCHOOL DRUG-FREE GRADUATION PROGRAM. THE HOSPITAL PROVIDED FINANCIAL SUPPORT AND SUPPLIES TO OTHER NONPROFIT HEALTH ORGANIZATIONS THROUGHOUT THE YEAR. |
| FACILITY 6, JOHNSON COUNTY COMMUNITY HOSPITAL - PART V, LINE 5 | MSHA MET WITH TEN FOCUS GROUPS, EACH REPRESENTING ONE OF THE THIRTEEN HOSPITAL FACILITIES LOCATED WITHIN THE CORE COUNTIES OF MSHA FACILITIES (16 COUNTIES). THE 13 HOSPITALS ARE COMPRISED OF: 7 LICENSED HOSPITALS THAT ARE INCLUDED IN THIS RETURN, 2 HOSPITALS THAT ARE LICENSED UNDER ONE OF THE 7 AND ARE INCLUDED IN THIS RETURN, AND 4 MSHA HOSPITALS THAT FILE SEPARATE RETURNS. EACH GROUP CONSISTED OF PUBLIC HEALTH LEADERS, NURSES, NONPROFIT DIRECTORS, COMMUNITY DEVELOPERS, FAITH BASED LEADERS, PUBLIC OFFICIALS AND SCHOOL REPRESENTATIVES. SPECIFIC TO JCCH, THE GROUP CONSISTED OF REPRESENTATIVES FROM JOHNSON COUNTY COMMUNITY HOSPITAL, JOHNSON COUNTY HEALTH DEPARTMENT, JOHNSON COUNTY RESCUE AND EMERGENCY MEDICAL SERVICES, ETSU COLLEGE OF NURSING AT MOUNTAIN CITY EXTENDED HOURS, AND JOHNSON COUNTY SCHOOLS. EACH GROUP RANGED IN ATTENDANCE FROM 5 TO 18 INDIVIDUALS. PARTICIPANTS WERE GIVEN SURVEYS TO DETERMINE A COUNTY'S PERCEIVED HEALTH STATUS RATING, AVAILABLE RESOURCES, TOP HEALTH PRIORITIES (DISEASE CONDITIONS, HEALTH BEHAVIORS, AND SOCIOECONOMIC FACTORS), AND SUGGESTIONS FOR IMPROVEMENT. OPEN DISCUSSION FOLLOWED. THE COLLECTED INFORMATION WAS THEN PAIRED WITH STATISTICAL DATA IN ORDER TO PRIORITIZE HEALTH NEEDS. THE FACILITY COMMUNITY BOARDS (SUCH AS JOHNSON COUNTY COMMUNITY HOSPITAL'S BOARD) WERE PRESENTED THIS INFORMATION AND SHARED THEIR THOUGHTS AS WELL ON THE HEALTH NEEDS TO PRIORITIZE. THE SPECIFIC NEEDS FOR EACH COUNTY WERE THEN ADDRESSED IN THE RESPECTIVE FACILITY IMPLEMENTATION PLAN WHICH WAS ADOPTED SEVERAL MONTHS LATER. |
| FACILITY 6, JOHNSON COUNTY COMMUNITY HOSPITAL - PART V, LINE 6A | EACH HOSPITAL WITHIN THE MSHA SYSTEM COMPLETED A CHNA. FOR THOSE HOSPITALS THAT ARE LOCATED IN THE SAME COUNTY, ONLY ONE COMMUNITY GROUP WAS SURVEYED. FOR INSTANCE, JOHNSON CITY MEDICAL CENTER (INCLUDES NISWONGER CHILDREN'S HOSPITAL AND WOODRIDGE HOSPITAL) AND FRANKLIN WOODS COMMUNITY HOSPITAL ARE ALL LOCATED IN WASHINGTON COUNTY, TENNESSEE. JCCH'S CHNA WAS CONDUCTED WITH ALL MSHA HOSPITALS TO INCLUDE: FRANKLIN WOODS COMMUNITY HOSPITAL, INDIAN PATH MEDICAL CENTER, SYCAMORE SHOALS HOSPITAL, JOHNSON CITY MEDICAL CENTER, UNICOI COUNTY MEMORIAL HOSPITAL, RUSSELL COUNTY MEDICAL CENTER, SMYTH COUNTY COMMUNITY HOSPITAL, JOHNSTON MEMORIAL HOSPITAL, NORTON COMMUNITY HOSPITAL AND DICKENSON COMMUNITY HOSPITAL. |
| FACILITY 6, JOHNSON COUNTY COMMUNITY HOSPITAL - PART V, LINE 11 | MSHA PUBLISHED ITS COMMUNITY HEALTH NEEDS ASSESSMENT ON JUNE 29, 2015. THE DATA INCLUDED WAS COLLECTED OVER THE COURSE OF 2014 AND 2015. DUE TO LIMITED RESOURCES, EACH FACILITY PRIORITIZED FOUR TO FIVE HEALTH PRIORITIES ON WHICH TO FOCUS AND DEVELOP IMPLEMENTATION PLANS TO IMPACT. THERE WERE SEVEN COMMON HEALTH PRIORITIES SELECTED BY THE VARIOUS 11 FACILITIES, BUT NOT ALL FACILITIES SELECTED THE SAME AREAS. THE SEVEN ARE OBESITY, SUBSTANCE/PRESCRIPTION DRUG ABUSE, DIABETES, CANCER, HEART DISEASE, SMOKING AND MENTAL HEALTH. ALL OF THESE ARE SIGNIFICANT ISSUES FOR ALL 11 FACILITIES, BUT EACH CHOSE TO PRIORITIZE ON A DIFFERENT SET SO THEY COULD TARGET THEIR EFFORTS AND BE MORE EFFECTIVE WITH LIMITED RESOURCES. FOR EXAMPLE, WHILE NEARLY ALL THE FACILITIES IDENTIFIED OBESITY (11 OF 11) AND SUBSTANCE/PRESCRIPTION DRUG ABUSE (10 OF 11), ONLY CERTAIN FACILITIES ELECTED TO FOCUS ON SOME NUMBER OF THE OTHER FIVE COMMON HEALTH PRIORITIES. WHILE MENTAL HEALTH IS CLEARLY A SIGNIFICANT ISSUE FOR ALL 11 FACILITIES, ONLY THREE ARE FOCUSED ON IT DUE TO LIMITED RESOURCES. THE SAME IS TRUE WITH SMOKING WHERE ONLY 5 OF THE 11 FACILITIES ARE FOCUSED ON IT, BUT IT IS AN ISSUE FOR ALL FACILITIES. SIX OF THE 11 FACILITIES SELECTED CANCER; 6 OF THE 11 SELECTED HEART DISEASE; AND 9 OF THE 11 CHOSE DIABETES. ANOTHER WAY TO STATE THIS IS BY FACILITY. FOR EXAMPLE, WHILE CANCER AND MENTAL HEALTH ARE PREVALENT CHALLENGES FOR JCMC'S PRIMARY SERVICE AREA, THE HOSPITAL ELECTED NOT TO FOCUS ON THOSE DUE TO LIMITED TIME, FUNDING, PERSONNEL AND OTHER RESOURCES NEEDED TO EFFECTUATE CHANGE. UCMH FELT IT WAS UNABLE TO ADDRESS HEART DISEASE, SMOKING, AND MENTAL HEALTH ISSUES IN ITS PRIMARY SERVICE AREA. SOME FACILITIES IDENTIFIED ISSUES SUCH AS TRANSPORTATION AND EDUCATION AS BARRIERS TO GOOD HEALTH, BUT WERE ALSO UNABLE TO SET ASIDE SUFFICIENT RESOURCES TO MEANINGFULLY IMPACT THOSE CHALLENGES. AFTER THE FACILITIES SELECTED A REASONABLE NUMBER OF HEALTH PRIORITIES THEY FELT THEY COULD ADEQUATELY IMPACT, AN IMPLEMENTATION PLAN WAS CREATED FOR EACH HOSPITAL, AND EACH HOSPITAL'S BOARD APPROVED THE IMPLEMENTATION PLAN DURING THE MONTHS OF NOVEMBER AND DECEMBER 2015. MSHA ANNUALLY TRACKS PROGRESS OF IMPLEMENTATION STRATEGIES FOR EACH HOSPITAL. THE FACILITIES CONTINUE TO CONDUCT ACTIVITIES CONSISTENT WITH THEIR RESPECTIVE IMPLEMENTATION PLANS. FOR EXAMPLE, A PARTNERSHIP WAS DEVELOPED WITH FEEDING AMERICA OF SOUTHWEST VIRGINIA TO FUND HEALTHY FOOD OPTIONS FOR THE MOBILE FOOD BANK AND PROVIDE NUTRITIONAL EDUCATION TO RECIPIENTS WHICH ADDRESSES OBESITY AND DIABETES. SEVERAL MSHA FACILITIES, INCLUDING JCCH, PARTICIPATE IN THE MSHA TRIUMPH CANCER NAVIGATOR PROGRAM WHICH HELPS COORDINATE CARE FOR CANCER PATIENTS FREE OF CHARGE TO ALL PATIENTS, REGARDLESS OF WHETHER THEY CHOOSE TO RECEIVE THEIR TREATMENT AT A MSHA FACILITY. JCCH PROVIDED A SIGNIFICANT NUMBER OF PUBLIC SERVICE ANNOUNCEMENTS AND PARTNERED WITH LOCAL TELEVISION STATIONS TO INCREASE COMMUNITY AWARENESS AND EDUCATION OF HEALTH ISSUES SUCH AS WOMEN'S HEALTH, ISSUES RELATING TO AGING, LUNG CANCER, AND A VARIETY OF OTHER GENERAL HEALTH INFORMATION TOPICS. THE HOSPITAL PROVIDED SUPPORT TO THE ACTION COALITION, INC., AN ORGANIZATION THAT FOCUSES ON DRUG AND ALCOHOL PREVENTION. |
| FACILITY 7, UNICOI COUNTY MEMORIAL HOSPITAL - PART V, LINE 5 | MSHA MET WITH TEN FOCUS GROUPS, EACH REPRESENTING ONE OF THE THIRTEEN HOSPITAL FACILITIES LOCATED WITHIN THE CORE COUNTIES OF MSHA FACILITIES (16 COUNTIES). THE 13 HOSPITALS ARE COMPRISED OF: 7 LICENSED HOSPITALS THAT ARE INCLUDED IN THIS RETURN, 2 HOSPITALS THAT ARE LICENSED UNDER ONE OF THE 7 AND ARE INCLUDED IN THIS RETURN, AND 4 MSHA HOSPITALS THAT FILE SEPARATE RETURNS. EACH GROUP CONSISTED OF PUBLIC HEALTH LEADERS, NURSES, NONPROFIT DIRECTORS, COMMUNITY DEVELOPERS, FAITH BASED LEADERS, PUBLIC OFFICIALS AND SCHOOL REPRESENTATIVES. SPECIFIC TO UCMH, THE GROUP CONSISTED OF REPRESENTATIVES FROM THE UNICOI COUNTY CHAMBER OF COMMERCE, BANK OF TENNESSEE, UNICOI COUNTY FAMILY YMCA, KEESECKER/STEEL RAILS, CENTER ON AGING AND HEALTH, UETHDA HEAD START, TELEMON HEAD START, AND UNICOI COUNTY HEALTH DEPARTMENT. EACH GROUP RANGED IN ATTENDANCE FROM 5 TO 18 INDIVIDUALS. PARTICIPANTS WERE GIVEN SURVEYS TO DETERMINE A COUNTY'S PERCEIVED HEALTH STATUS RATING, AVAILABLE RESOURCES, TOP HEALTH PRIORITIES (DISEASE CONDITIONS, HEALTH BEHAVIORS, AND SOCIOECONOMIC FACTORS), AND SUGGESTIONS FOR IMPROVEMENT. OPEN DISCUSSION FOLLOWED. THE COLLECTED INFORMATION WAS THEN PAIRED WITH STATISTICAL DATA IN ORDER TO PRIORITIZE HEALTH NEEDS. THE FACILITY COMMUNITY BOARDS (SUCH AS THE UNICOI COUNTY COMMUNITY BOARD) WERE PRESENTED THIS INFORMATION AND SHARED THEIR THOUGHTS AS WELL ON THE HEALTH NEEDS TO PRIORITIZE. THE SPECIFIC NEEDS FOR EACH COUNTY WERE THEN ADDRESSED IN THE RESPECTIVE FACILITY IMPLEMENTATION PLAN WHICH WAS ADOPTED SEVERAL MONTHS LATER. |
| FACILITY 7, UNICOI COUNTY MEMORIAL HOSPITAL - PART V, LINE 6A | EACH HOSPITAL WITHIN THE MSHA SYSTEM COMPLETED A CHNA. FOR THOSE HOSPITALS THAT ARE LOCATED IN THE SAME COUNTY, ONLY ONE COMMUNITY GROUP WAS SURVEYED. FOR INSTANCE, JOHNSON CITY MEDICAL CENTER (INCLUDES NISWONGER CHILDREN'S HOSPITAL AND WOODRIDGE HOSPITAL) AND FRANKLIN WOODS COMMUNITY HOSPITAL ARE ALL LOCATED IN WASHINGTON COUNTY, TENNESSEE. UCMH'S CHNA WAS CONDUCTED WITH ALL MSHA HOSPITALS TO INCLUDE: FRANKLIN WOODS COMMUNITY HOSPITAL, INDIAN PATH MEDICAL CENTER, SYCAMORE SHOALS HOSPITAL, JOHNSON COUNTY COMMUNITY HOSPITAL, JOHNSON CITY MEDICAL CENTER, RUSSELL COUNTY MEDICAL CENTER, SMYTH COUNTY COMMUNITY HOSPITAL, JOHNSTON MEMORIAL HOSPITAL, NORTON COMMUNITY HOSPITAL AND DICKENSON COMMUNITY HOSPITAL. |
| FACILITY 7, UNICOI COUNTY MEMORIAL HOSPITAL - PART V, LINE 11 | MSHA PUBLISHED ITS COMMUNITY HEALTH NEEDS ASSESSMENT ON JUNE 29, 2015. THE DATA INCLUDED WAS COLLECTED OVER THE COURSE OF 2014 AND 2015. DUE TO LIMITED RESOURCES, EACH FACILITY PRIORITIZED FOUR TO FIVE HEALTH PRIORITIES ON WHICH TO FOCUS AND DEVELOP IMPLEMENTATION PLANS TO IMPACT. THERE WERE SEVEN COMMON HEALTH PRIORITIES SELECTED BY THE VARIOUS 11 FACILITIES, BUT NOT ALL FACILITIES SELECTED THE SAME AREAS. THE SEVEN ARE OBESITY, SUBSTANCE/PRESCRIPTION DRUG ABUSE, DIABETES, CANCER, HEART DISEASE, SMOKING AND MENTAL HEALTH. ALL OF THESE ARE SIGNIFICANT ISSUES FOR ALL 11 FACILITIES, BUT EACH CHOSE TO PRIORITIZE ON A DIFFERENT SET SO THEY COULD TARGET THEIR EFFORTS AND BE MORE EFFECTIVE WITH LIMITED RESOURCES. FOR EXAMPLE, WHILE NEARLY ALL THE FACILITIES IDENTIFIED OBESITY (11 OF 11) AND SUBSTANCE/PRESCRIPTION DRUG ABUSE (10 OF 11), ONLY CERTAIN FACILITIES ELECTED TO FOCUS ON SOME NUMBER OF THE OTHER FIVE COMMON HEALTH PRIORITIES. WHILE MENTAL HEALTH IS CLEARLY A SIGNIFICANT ISSUE FOR ALL 11 FACILITIES, ONLY THREE ARE FOCUSED ON IT DUE TO LIMITED RESOURCES. THE SAME IS TRUE WITH SMOKING WHERE ONLY 5 OF THE 11 FACILITIES ARE FOCUSED ON IT, BUT IT IS AN ISSUE FOR ALL FACILITIES. SIX OF THE 11 FACILITIES SELECTED CANCER; 6 OF THE 11 SELECTED HEART DISEASE; AND 9 OF THE 11 CHOSE DIABETES. ANOTHER WAY TO STATE THIS IS BY FACILITY. FOR EXAMPLE, WHILE CANCER AND MENTAL HEALTH ARE PREVALENT CHALLENGES FOR JCMC'S PRIMARY SERVICE AREA, THE HOSPITAL ELECTED NOT TO FOCUS ON THOSE DUE TO LIMITED TIME, FUNDING, PERSONNEL AND OTHER RESOURCES NEEDED TO EFFECTUATE CHANGE. UCMH FELT IT WAS UNABLE TO ADDRESS HEART DISEASE, SMOKING, AND MENTAL HEALTH ISSUES IN ITS PRIMARY SERVICE AREA. SOME FACILITIES IDENTIFIED ISSUES SUCH AS TRANSPORTATION AND EDUCATION AS BARRIERS TO GOOD HEALTH, BUT WERE ALSO UNABLE TO SET ASIDE SUFFICIENT RESOURCES TO MEANINGFULLY IMPACT THOSE CHALLENGES. AFTER THE FACILITIES SELECTED A REASONABLE NUMBER OF HEALTH PRIORITIES THEY FELT THEY COULD ADEQUATELY IMPACT, AN IMPLEMENTATION PLAN WAS CREATED FOR EACH HOSPITAL, AND EACH HOSPITAL'S BOARD APPROVED THE IMPLEMENTATION PLAN DURING THE MONTHS OF NOVEMBER AND DECEMBER 2015. MSHA ANNUALLY TRACKS PROGRESS OF IMPLEMENTATION STRATEGIES FOR EACH HOSPITAL. THE FACILITIES CONTINUE TO CONDUCT ACTIVITIES CONSISTENT WITH THEIR RESPECTIVE IMPLEMENTATION PLANS. FOR EXAMPLE, A PARTNERSHIP WAS DEVELOPED WITH FEEDING AMERICA OF SOUTHWEST VIRGINIA TO FUND HEALTHY FOOD OPTIONS FOR THE MOBILE FOOD BANK AND PROVIDE NUTRITIONAL EDUCATION TO RECIPIENTS WHICH ADDRESSES OBESITY AND DIABETES. SEVERAL MSHA FACILITIES, INCLUDING UCMH, PARTICIPATE IN THE MSHA TRIUMPH CANCER NAVIGATOR PROGRAM WHICH HELPS COORDINATE CARE FOR CANCER PATIENTS FREE OF CHARGE TO ALL PATIENTS, REGARDLESS OF WHETHER THEY CHOOSE TO RECEIVE THEIR TREATMENT AT A MSHA FACILITY. UCMH PROVIDED A SIGNIFICANT NUMBER OF PUBLIC SERVICE ANNOUNCEMENTS AND PARTNERED WITH LOCAL TELEVISION STATIONS TO INCREASE COMMUNITY AWARENESS AND EDUCATION OF HEALTH ISSUES SUCH AS WOMEN'S HEALTH, HEART HEALTH, LUNG CANCER, AND A VARIETY OF OTHER GENERAL HEALTH INFORMATION TOPICS. HOSPITAL TEAM MEMBERS PROVIDED HEALTH INFORMATION AND EDUCATION AT THE TOWN OF ERWIN APPLE FESTIVAL. THE APPLE FESTIVAL IS GOING STRONG AFTER 39 YEARS WITH MORE THAN 110,000 ANNUAL ATTENDEES. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 11 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| JCMC AMBULATORY SURGERY CENTER | ||||
| 400 N STATE OF FRANKLIN ROAD | JOHNSON CITY | TN | 37604 | LICENSED AMBULATORY SURGERY CENTER |
| MOUNTAIN STATES IMAGING CENTER | ||||
| 301 MED TECH PARKWAY SUITE 100 | JOHNSON CITY | TN | 37604 | LICENSED OUTPATIENT DIAGNOSTIC CENTER |
| INDIAN PATH TRANSITIONAL CARE | ||||
| 2000 BROOKSIDE DRIVE | KINGSPORT | TN | 37660 | LICENSED SKILLED NURSING FACILITY |
| MEDICAL CNTR HOME CARE-JOHNSON CITY | ||||
| 509 MED TECH PARKWAYSUITE 200 | JOHNSON CITY | TN | 37604 | LICENSED HOME HEALTH AGENCY |
| MEDICAL CNTR HOME CARE-KINGSPORT | ||||
| 2020 BROOKSIDE DRIVE 28 | KINGSPORT | TN | 37660 | LICENSED HOME HEALTH AGENCY |
| RUSSELL CO MEDICAL CNTR HOME HLTH | ||||
| 116 FLANNAGAN AVENUE | LEBANON | VA | 24266 | LICENSED HOME HEALTH AGENCY |
| MEDICAL CENTER HOSPICE | ||||
| 509 MED TECH PARKWAY SUITE 300 | JOHNSON CITY | TN | 37604 | LICENSED HOSPICE AGENCY |
| JOHNSON COUNTY HOME HEALTH | ||||
| 1987 SOUTH SHADY STREET | MOUNTAIN CITY | TN | 37683 | LICENSED HOME HEALTH AGENCY |
| RUSSELL COUNTY MEDICAL CNTR HOSPICE | ||||
| 116 FLANNAGAN AVENUE | LABANON | VA | 24266 | LICENSED HOSPICE AGENCY |
| UNICOI COUNTY LONG TERM CARE | ||||
| 100 GREENWAY CIRCLE | UNICOI | TN | 37650 | LICENSED LONG TERM CARE FACILITY |
| DICKENSON CO HOME HEALTH & HOSPICE | ||||
| 312 HOSPITAL DRIVE SUITES 1A 1B | CLINTWOOD | VA | 24228 | LICENSED HOME HEALTH AGENCY |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE | FINANCIAL ASSISTANCE APPROVAL CAN APPLY TO AN ASSORTMENT OF PATIENTS SUCH AS THOSE WHO HAVE EXHAUSTED THEIR TENNCARE/MEDICAID BENEFITS, THOSE WHO QUALIFIED FOR TENNCARE/MEDICAID AFTER THE DATE OF SERVICE, DECEASED PATIENTS WITH NO ESTATE OR ASSETS, UNINSURED PATIENTS, AND UNDERINSURED PATIENTS. MSHA CHARITY QUALIFICATION IS BASED ON FEDERAL POVERTY GUIDELINES BUT ALSO USES ASSET VALUES TO DETERMINE FINANCIAL ASSISTANCE ELIGIBILITY. CHARITY APPROVAL COVERS ALL DATES OF SERVICE FOR THE PATIENT WHEN THEY ARE APPROVED AND THERE IS NO LIMITATION OR CAP ON THE AMOUNT OF CHARITY THAT THEY CAN RECEIVE. MSHA ALWAYS ATTEMPTS TO FULFILL ITS OBLIGATION TO PROVIDE FINANCIAL ASSISTANCE TO THOSE PATIENTS WITHOUT THE ABILITY TO PAY. THE MAJORITY OF MSHA HOSPITALS ARE LOCATED IN TENNESSEE AND PURSUANT TO TENNESSEE LAW ALL PATIENTS WITHOUT THIRD-PARTY PAYER COVERAGE RECEIVE A DISCOUNT OF 70%, WITH THE EXCEPTION OF CRITICAL ACCESS HOSPITAL, JOHNSON COUNTY COMMUNITY HOSPITAL (JCCH). JCCH PROVIDES UNINSURED PATIENTS A 58% DISCOUNT. BOTH THE 70% AND THE 58% DISCOUNTS ARE CALCULATED ACCORDING TO TENNESSEE LAW AND THE DISCOUNTS ARE UPDATED ANNUALLY. MSHA EXTENDS THESE UNINSURED DISCOUNTS TO OUR VIRGINIA HOSPITALS AS WELL. |
| PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION | THE COST TO CHARGE RATIO (WORKSHEET 2 "RATIO OF PATIENT CARE COST TO CHARGES") WAS USED TO CALCULATE LINE 7A FINANCIAL ASSISTANCE (CHARITY CARE) COST. OUR COST ACCOUNTING SYSTEM WAS USED TO DETERMINE LOSSES FROM TENNCARE AND MEDICAID REPORTED ON LINE 7B, WITH THE EXCEPTION OF HOME HEALTH, A SMALL PHYSICIAN CLINIC AND UCMH - WE USED THE COST TO CHARGE RATIO FOR THEIR DATA BECAUSE THESE ARE SMALLER DIVISIONS NOT AVAILABLE IN OUR COST ACCOUNTING SOFTWARE. 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 INTERNAL MEDICINE RESIDENTS, NURSING, PHARMACY, AND THERAPY STUDENTS) WITH SCHOOLS AND UNIVERSITIES, ALLOWING THEIR HEALTH PROFESSION STUDENTS TO GET HANDS-ON TRAINING. MEDICAL RESIDENT, PHARMACY AND PASTORAL CARE COSTS AND REIMBURSEMENTS ARE TAKEN FROM JCMC AND IPMC MEDICARE COST REPORTS. FWCH'S CERTIFIED NURSE ASSISTANT PROGRAM COST AND REIMBURSEMENT COMES FROM ITS MEDICARE COST REPORT. OUR ORGANIZATIONAL DEVELOPMENT DEPARTMENT KEEPS DETAILED RECORDS OF HOURS SPENT ON THE OTHER TYPES OF STUDENTS' ACTIVITIES, THE NUMBER OF STUDENTS THAT ROTATE THROUGH OUR HOSPITALS, ETC. INFORMATION IS MAINTAINED FOR EACH HOSPITAL UNIT THAT PARTICIPATES. WE ONLY INCLUDE LABOR RELATED COSTS AND WE ONLY ASSUME A PERCENTAGE OF OUR TEAM MEMBERS' TIME ARE DEVOTED TO THESE STUDENTS. FOR LINE 7G SUBSIDIZED HEALTH CARE SERVICES, WE USE OUR COST ACCOUNTING SYSTEM BECAUSE WE HAVE ESTABLISHED, STANDARD COSTING REPORTS FOR THESE SERVICES. THERE ARE TWO EXCEPTIONS WHERE WE DO NOT USE OUR COST ACCOUNTING SYSTEM. WE HAVE A SMALL CLINIC INSIDE JCCH, A FEDERALLY DESIGNATED CRITICAL ACCESS HOSPITAL. JCCH SUBSIDIZES THE CLINIC AND WE USE THE CLINIC'S DEPARTMENTAL OPERATING REPORT TO COMPUTE THE CLINIC'S COMMUNITY BENEFIT (21,516). THE OTHER EXCEPTION RELATES TO CLINICAL SERVICES WE PROVIDE TO LOCAL NONPROFITS (16,816). FOR THESE, WE APPLIED THE 990 COMPUTED COST TO CHARGE RATIO. FOR MANY YEARS, MSHA HAS PROVIDED FREE CLINICAL SERVICES TO ORGANIZATIONS THAT WORK WITH HOMELESS OR LOW INCOME INDIVIDUALS. WE ARE CAREFUL TO ENSURE NO DOUBLE COUNTING OF COST (FOR EXAMPLE, WE DO NOT INCLUDE CHARITY AND TENNCARE/MEDICAID ALREADY REPORTED ON LINES 7A AND 7B). AND, PURSUANT TO IRS INSTRUCTIONS, WE DO NOT INCLUDE BAD DEBT LOSSES. ALTHOUGH WE HAVE MANY SERVICE LINES WITHIN OUR HOSPITALS THAT LOSE MONEY, WE DO NOT REPORT SERVICES THAT HOSPITALS ARE REQUIRED BY STATE LICENSURE TO PROVIDE. LINE 7H RESEARCH IS REPORTED USING THE RESEARCH DEPARTMENT'S ACTUAL EXPENSES AND NO OVERHEAD PROVISION IS INCLUDED. 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 II - COMMUNITY BUILDING ACTIVITIES | MSHA 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 MSHA 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. COMMUNITY BUILDING REPORTED ON THIS RETURN INCLUDES CHARITABLE CONTRIBUTIONS TO NONPROFITS DIRECTED TO PROVIDING ASSISTANCE TO HOMELESS AND LOW INCOME FAMILIES, A SCHOOL FOR AT-RISK CHILDREN, AN ECONOMIC DEVELOPMENT PROJECT, AND OTHER SERVICES SPECIFIC TO CHILDREN. MSHA, IN COLLABORATION WITH AREA HEALTH AGENCIES AND PROVIDERS, MAY OFFER ASSISTANCE WITH COORDINATION, ADVOCACY, PROVIDE SPACE, 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 III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY | SELF-PAY BALANCES INCLUDE ACCOUNTS AFTER PAYMENTS AND CONTRACTUAL ADJUSTMENTS (DISCOUNTS) HAVE BEEN POSTED FROM ALL THIRD-PARTY PAYERS - 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. ALL UNINSURED PATIENTS RECEIVE A 70% UNINSURED DISCOUNT, WITH THE EXCEPTION OF JCCH, OUR CRITICAL ACCESS HOSPITAL. JCCH PATIENTS RECEIVE AN UNINSURED DISCOUNT OF 58%. BASED ON HISTORICAL DATA, MOST SELF-PAY PATIENTS WILL QUALIFY FOR 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, MSHA WRITES THE ACCOUNT OFF TO BAD DEBT. THE HOSPITAL'S OVERALL SELF-PAY ACCOUNTS RECEIVABLE BALANCE IS EVALUATED ON AN ONGOING BASIS TO GATHER HISTORICAL INFORMATION TO APPLY TO THE CURRENT RECEIVABLE BALANCE. ANOTHER CONSIDERATION WHEN ESTIMATING BAD DEBT EXPENSE IS UNUSUAL CIRCUMSTANCES (SUCH AS LOCAL, REGIONAL OR NATIONAL ECONOMIC CONDITIONS) WHICH AFFECT THE COLLECTABILITY OF RECEIVABLES. |
| PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE | OUR REIMBURSEMENT DEPARTMENT ESTIMATES THAT 70% OF BAD DEBT EXPENSE AT MSHA IS ASSUMED ATTRIBUTABLE TO PATIENTS LIKELY ELIGIBLE FOR FINANCIAL ASSISTANCE, EITHER A FULL OR PARTIAL WRITE-OFF OF CHARGES. THIS ESTIMATE IS BASED ON THE COMPOSITION OF BAD DEBTS ATTRIBUTABLE TO PEOPLE WITH NO FORM OF INSURANCE OR OTHER THIRD-PARTY COVERAGE, WHICH REPRESENTS THE MAJORITY OF BAD DEBT ACCOUNTS. WE ALSO ESTIMATE A MUCH SMALLER PERCENTAGE OF LIKELY CHARITY-ELIGIBLE ACCOUNTS TO PEOPLE WITH BALANCES AFTER INSURANCE/THIRD- PARTY COVERAGE HAS PAID (E.G. DEDUCTIBLES AND CO-PAYMENT BALANCES). IT IS IMPLAUSIBLE TO DETERMINE WITH EXACTITUDE THE AMOUNT OF MSHA'S BAD DEBT ASSOCIATED WITH THOSE PATIENTS WHO MAY HAVE MET THE CRITERIA SET FORTH IN OUR FINANCIAL ASSISTANCE POLICY WITHOUT HAVING A COMPLETED FINANCIAL ASSESSMENT. WE ARE UNABLE TO DETERMINE OUR PATIENTS' FINANCIAL CIRCUMSTANCES UNLESS A COMPLETED FINANCIAL ASSISTANCE FORM IS VOLUNTARILY PROVIDED TO US. WE CAN ASSERT THAT 84.6% OF COMPLETED FINANCIAL ASSISTANCE APPLICATIONS PROCESSED DURING FY17 RECEIVED A FULL DISCOUNT (COMPLETE WRITE-OFF). AN ADDITIONAL 11.2% RECEIVED A PARTIAL DISCOUNT, RESULTING IN AN OVERALL APPROVAL RATE OF 95.8% FOR COMPLETED APPLICATIONS. DURING FY17, ONLY 4.2% OF COMPLETED FINANCIAL ASSISTANCE APPLICATIONS WERE DENIED. UNFORTUNATELY, MANY PATIENTS EITHER DO NOT SUBMIT AN APPLICATION FOR FINANCIAL ASSISTANCE OR DO NOT PROVIDE A COMPLETE APPLICATION. INCOMPLETE APPLICATIONS ARE RETURNED TO PATIENTS ALONG WITH A NOTICE OF MISSING INFORMATION. THE NOTICE ALSO PROVIDES A CONTACT PHONE NUMBER PATIENTS MAY CALL FOR ASSISTANCE IN COMPLETING THE APPLICATION. ALL SELF-PAY PATIENTS RECEIVE FOLLOW UP CALLS EVERY 7 DAYS FROM A COMPANY MSHA PAYS TO PROCESS CHARITY CARE APPLICATIONS FOR UNINSURED PATIENTS AND TO OFFER PATIENTS ENROLLMENT ASSISTANCE IN TENNCARE/MEDICAID. OUR FINANCIAL COUNSELORS FOLLOW UP WITH PATIENTS THAT HAVE A BALANCE AFTER INSURANCE HAS PAID. WE HAVE MANY INSTANCES OF PATIENTS WITH LARGE ACCOUNT BALANCES AND NO HEALTH INSURANCE COVERAGE THAT WE ARE SURE WOULD QUALIFY FOR FINANCIAL ASSISTANCE. ALTHOUGH PATIENTS ARE ENCOURAGED TO APPLY FOR ASSISTANCE, MANY WILL NOT DO SO. MSHA WOULD PREFER FOR PATIENTS TO SUBMIT COMPLETED FINANCIAL ASSISTANCE APPLICATIONS GIVEN HISTORICAL DATA CLEARLY INDICATES THAT MOST UNINSURED PATIENTS WILL QUALIFY FOR FINANCIAL ASSISTANCE UNDER OUR PROGRAM. WITHOUT A COMPLETED APPLICATION, WE HAVE NO CHOICE OTHER THAN TO REPORT AN UNPAID ACCOUNT AS BAD DEBT INSTEAD OF CHARITY CARE. |
| BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS | THE TEXT OF MSHA'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE APPEARS ON PAGES 13 AND 14 IN OUR MOST RECENT AUDITED FINANCIAL STATEMENTS (ATTACHED). |
| PART III, LINE 8 - MEDICARE EXPLANATION | MEDICARE ALLOWABLE COSTS ARE REPORTED USING MSHA'S FILED MEDICARE COST REPORTS (C/R). THE C/R USES A COST TO CHARGE RATIO BASED ON A STEP-DOWN ALLOCATION METHODOLOGY. IN CARING FOR THE PATIENT, THERE ARE SEVERAL SERVICES THAT ARE CONSIDERED NON-ALLOWABLE SUCH AS TRANSPORTATION OF A PATIENT AND COMFORT ITEMS TO INCLUDE A TELEVISION AND A TELEPHONE. THE RECRUITMENT OF PHYSICIANS ARE NON-ALLOWED COSTS BY THE MEDICARE PROGRAM EVEN THOUGH PHYSICIANS ARE RECRUITED BASED ON DOCUMENTED COMMUNITY NEED. ALSO, A PORTION OF THE BAD DEBT ASSOCIATED WITH THE CARE OF THE PATIENT IS NOT AN ALLOWED COST BY MEDICARE. MEDICARE LOSSES, INCLUDING SOME NON-ALLOWABLE COSTS SUCH AS THOSE NOTED ABOVE, SHOULD BE COUNTED AS A COMMUNITY BENEFIT AS THIS IS THE COST OF CARE FOR SERVING THE AGING POPULATION. WHILE WE AGREE THAT COSTS SUCH AS MARKETING TO ATTRACT PATIENTS AND LOBBYING ARE REASONABLE TO EXCLUDE, IT DOES NOT SEEM REASONABLE TO EXCLUDE RECRUITMENT OF PHYSICIANS AND BASIC ITEMS SUCH AS TELEVISIONS IN PATIENT ROOMS. ALTHOUGH MSHA DID NOT SUSTAIN A MEDICARE LOSS THIS YEAR, WE STRONGLY FEEL HOSPITALS THAT DO SUSTAIN OVERALL MEDICARE LOSSES SHOULD BE ALLOWED TO REPORT LOSSES IN PART I AS A 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, NON-PROFIT PROVIDERS WILL BE ENCOURAGED TO SUSTAIN IMPORTANT CARE DELIVERY MODELS FOR OUR AGING POPULATION IN SPITE OF THE FACT IT IS SOMETIMES ECONOMICALLY INJURIOUS. PART III, LINE 9B COLLECTION PRACTICES EXPLANATION MSHA HAS ESTABLISHED A STRONG COMMITMENT TO MEET THE MEDICAL NEEDS OF THE COMMUNITIES WE SERVE. ALL REQUESTS FOR FINANCIAL ASSISTANCE ARE EVALUATED USING ESTABLISHED GENERAL GUIDELINES, WHILE ALLOWING FOR UNIQUE FINANCIAL CIRCUMSTANCES - FOR EXAMPLE, MEDICALLY INDIGENT PATIENTS WITH CATASTROPHIC MEDICAL COSTS THAT WOULD THREATEN THE PATIENT'S HOUSEHOLD FINANCIAL VIABILITY. MSHA RECOGNIZES ITS OBLIGATION TO PROVIDE QUALITY HEALTH CARE TO THOSE WHO ARE UNABLE TO PAY. MSHA CHARITY GUIDELINES ARE BASED ON NATIONAL POVERTY GUIDELINES. HOWEVER, FINANCIAL ASSISTANCE IS NOT BASED SOLELY ON INCOME. UNIQUE FINANCIAL CIRCUMSTANCES ARE CONSIDERED, WHICH CAN CHANGE THE CATEGORY OF ELIGIBILITY. IN ADDITION, CHARITY DETERMINATION MAY BE RETROACTIVE FOR ALL DATES OF SERVICE. WHEN A PATIENT REQUESTS FINANCIAL ASSISTANCE OR WHEN AN APPLICATION HAS BEEN RECEIVED, THE PATIENT ACCOUNT IS PLACED IN A HOLD STATUS TO PREVENT FURTHER COLLECTION ACTIVITIES UNTIL FINANCIAL ASSISTANCE ELIGIBILITY IS DETERMINED. ALL MSHA HOSPITALS ADHERE TO IRS REGULATORY GUIDELINES SET FORTH IN 501(R). A COPY OF OUR CREDIT AND COLLECTION POLICY MAY BE FOUND ONLINE OR OBTAINED IN PRINT VERSION FREE OF CHARGE. |
| PART VI, LINE 2 - NEEDS ASSESSMENT | MSHA INCLUDED AMERICA'S HEALTH RANKINGS (AHR) IN ITS ASSESSMENT IN ORDER TO BETTER DEFINE THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. IN 2017, TENNESSEE MOVED FROM 44TH TO 45TH, WHILE VIRGINIA'S OVERALL HEALTH RANKING REMAINED 19TH. HOWEVER, IT SHOULD BE NOTED THAT SOUTHWEST VIRGINIA (WHERE SOME OF MSHA FACILITIES ARE LOCATED) CLOSELY RESEMBLES THE HEALTH RANKINGS FOR TENNESSEE. AMERICA'S HEALTH RANKINGS ARE BASED ON A SERIES OF MEASURES INCLUDING SEVERAL HEALTH OUTCOMES AND HEALTH FACTORS. A SURVEY WAS GIVEN TO 106 INDIVIDUALS REPRESENTING THE TEN COUNTIES IN WHICH MSHA OWNS A FACILITY. THESE INDIVIDUALS INCLUDED PHYSICIANS, PUBLIC HEALTH LEADERS, NONPROFIT DIRECTORS, SCHOOL NURSES AND OFFICIALS, AND BUSINESS LEADERS. A SURVEY WAS GIVEN TO EACH INDIVIDUAL SEEKING FEEDBACK REGARDING AVAILABLE RESOURCES IN EACH AREA, THE PERCEIVED HEALTH STATUS, HEALTH PRIORITIES (DISEASE CONDITIONS, HEALTH BEHAVIORS AND SOCIOECONOMIC FACTORS), AND SUGGESTIONS FOR IMPROVEMENT. THE MAJORITY OF RESPONSES SUGGESTED FOCUSING ON EDUCATION IN ORDER TO PROMOTE HEALTHY HABITS AND INCREASED ACCESS TO RESOURCES. OTHER RESPONSES INCLUDED: MAKE PHYSICAL EDUCATION A REQUIREMENT AS PART OF SCHOOL CURRICULUM, IMPROVE NATURAL TRAILS AND WALKWAYS, INCREASE COMMUNITY SUPPORT FOR SMOKE-FREE AREAS, PARTNER WITH LOCAL FARMER'S MARKETS, SHARE HEALTH INFORMATION BETWEEN PHARMACIES, NETWORK WITH SMALL BUSINESSES AND NONPROFITS IN ORDER TO AVOID DUPLICATING RESOURCES, AND PROVIDE EARLY SCREENINGS FOR THE UNINSURED OR UNDERINSURED. OVERALL, THE COMMUNITY MEMBERS GAVE MSHA'S CORE SERVICE AREA A HEALTH STATUS RANKING OF 4.55 OUT OF 10 (1 BEING THE LOWEST, 10 BEING THE HIGHEST). RANKINGS BY FACILITY: -JCMC AND FWCH WERE GIVEN A HEALTH STATUS RANKING OF 5.3 -IPMC WAS GIVEN A HEALTH STATUS RANKING OF 3.6 -SSH WAS GIVEN A HEALTH STATUS RANKING OF 4.7 -JCCH WAS GIVEN A HEALTH STATUS RANKING OF 5.14 -UCMH WAS GIVEN A HEALTH STATUS RANKING OF 4.9 -RCMC WAS GIVEN A HEALTH STATUS RANKING OF 5.0 AMONG THE 106 PARTICIPANTS, THE AREAS OF OBESITY, CANCER, HEART DISEASE, SMOKING, SUBSTANCE/PRESCRIPTION DRUG ABUSE, AND DIABETES WERE THE TOP HEALTH PRIORITIES IN OUR REGION. ACCORDING TO THE MOST RECENT AHR REPORTS, TENNESSEE AND VIRGINIA BOTH SAW AN INCREASE IN DIABETES AND OBESITY WITHIN THE PAST TEN YEARS. TENNESSEE RANKS 45TH FOR CARDIOVASCULAR DEATHS, 44TH FOR DIABETES AND CANCER DEATHS (43RD FOR SMOKING). VIRGINIA RANKS 25TH FOR CARDIOVASCULAR DEATHS, 24TH FOR CANCER DEATHS AND 23RD FOR DIABETES. |
| PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | MOUNTAIN STATES HEALTH ALLIANCE COMMUNICATES WITH AND EDUCATES OUR PATIENTS THROUGH VARIOUS AVENUES FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND HOSPITAL FINANCIAL ASSISTANCE. EDUCATION IS PROVIDED TO PATIENTS THROUGH SIGNAGE AND FINANCIAL ASSISTANCE BROCHURES AT ALL HOSPITAL AND AMBULATORY ADMISSION LOCATIONS. FINANCIAL ASSISTANCE APPLICATIONS AND PLAIN LANGUAGE SUMMARIES ARE PROVIDED TO PATIENTS SHOULD THEY REQUEST ONE DURING THEIR PRE- REGISTRATION, REGISTRATION OR FINANCIAL COUNSELING PROCESS. OUR GOVERNMENTAL PROGRAM ELIGIBILITY REPRESENTATIVES ASSIST PATIENTS IN SECURING ELIGIBILITY FOR TENNCARE/MEDICAID, 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. FINANCIAL COUNSELORS OFFER FINANCIAL ASSISTANCE APPLICATIONS TO PATIENTS WHO DO NOT QUALIFY FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND ARE UNABLE TO PAY FOR THE COST OF THEIR HEALTHCARE. FINANCIAL ASSISTANCE APPLICATIONS ARE AVAILABLE ON OUR WEBSITE TO INCLUDE THE FINANCIAL ASSISTANCE APPLICATION, POLICY AND PLAIN LANGUAGE SUMMARY IN BOTH ENGLISH AND SPANISH. ALL PATIENT STATEMENTS HAVE VERBIAGE DISCUSSING FINANCIAL ASSISTANCE ALONG WITH THE CONTACT INFORMATION. OUR LAST LETTER TO THE PATIENT DISPLAYS THE PLAIN LANGUAGE SUMMARY. IN ALL ORAL CORRESPONDENCES WITH THE PATIENT, IF IT IS IDENTIFIED THEY CANNOT MEET THE PAYMENT REQUIREMENTS ON THEIR ACCOUNT, FINANCIAL ASSISTANCE IS DISCUSSED AS AN OPTION. |
| PART VI, LINE 4 - COMMUNITY INFORMATION | MSHA SERVES THE HEALTHCARE NEEDS OF 29 APPALACHIAN COUNTIES IN TENNESSEE, SOUTHWEST VIRGINIA, KENTUCKY, AND NORTH CAROLINA. SOME OF THE COUNTIES MSHA SERVES ARE FEDERALLY DESIGNATED AS MEDICALLY UNDERSERVED AREAS. MSHA'S LARGEST HOSPITAL, JOHNSON CITY MEDICAL CENTER, IS A TERTIARY REFERRAL CENTER AND LEVEL ONE TRAUMA CENTER. JCMC'S INPATIENT POPULATION AT ANY TIME WILL HISTORICALLY DRAW NEARLY 50% OF ITS PATIENTS FROM MEDICALLY UNDERSERVED AREAS. SYCAMORE SHOALS HOSPITAL DRAWS A SIGNIFICANT NUMBER OF PATIENTS FROM JOHNSON AND CARTER COUNTIES, BOTH OF WHICH ARE LISTED ON THE TENNESSEE HEALTH DEPARTMENT'S WEBSITE AS MEDICALLY UNDERSERVED AREAS. UNICOI COUNTY MEMORIAL HOSPITAL IS LISTED AS A WHOLE-COUNTY MEDICALLY UNDERSERVED AREA ON THE TENNESSEE HEALTH DEPARTMENT'S WEBSITE. RUSSELL COUNTY MEDICAL CENTER IS DESIGNATED BY THE STATE OF VIRGINIA AS A WHOLE-COUNTY HEALTH PROFESSIONAL SHORTAGE AREA. MSHA OPERATES 2 CRITICAL ACCESS HOSPITALS: JOHNSON COUNTY COMMUNITY HOSPITAL (JCCH) IN TENNESSEE AND MAJORITY-OWNED DICKENSON COUNTY COMMUNITY HOSPITAL IN VIRGINIA. 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. MORE THAN 50% OF VEHICLE CRASH-RELATED FATALITIES OCCUR IN RURAL AREAS, EVEN THOUGH LESS THAN ONE-THIRD OF MILES TRAVELED IN A VEHICLE OCCUR THERE. AND, THERE IS AN ADDITIONAL 22% RISK OF INJURY-RELATED DEATHS IN RURAL COMMUNITIES. SOME OF THE COUNTIES IN MSHA'S SERVICE AREA HAVE A MUCH HIGHER RISK: RUSSELL COUNTY (69%), JOHNSON COUNTY (29%), AND UNICOI COUNTY (26%). AND, WHILE OUR AREA HAS GENERALLY UNFAVORABLE HEALTH STATISTICS, THERE ARE FAR FEWER PRIMARY CARE PHYSICIANS PER RESIDENT IN SOME OF OUR COUNTIES THAN THE STATE'S AVERAGE. FOR EXAMPLE, IN CARTER COUNTY, OUR RATIO OF POPULATION TO PRIMARY CARE PHYSICIANS IS 72% HIGHER THAN THE STATE'S AVERAGE AND UNICOI'S RATIO IS 63% HIGHER. BOTH OF THESE COUNTIES ARE MORE THAN DOUBLE THE RATIO OF U.S. TOP PERFORMERS ACCORDING TO THE ROBERT WOOD JOHNSON FOUNDATION'S COUNTY HEALTH RANKINGS. 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 EDUCATIONAL, 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 THE OVERALL HEALTH STANDING FOR COUNTIES INCLUDED IN THE MSHA SERVICE AREA. 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. RELATIVE TO OBESITY AND PHYSICAL ACTIVITY LEVELS, MANY OF OUR COUNTIES HAVE HIGH LEVELS OF OBESITY COMBINED WITH HIGH LEVELS OF PHYSICAL INACTIVITY: THE PERCENTAGES OF ADULT OBESITY: JOHNSON COUNTY 37%, UNICOI COUNTY 33%, CARTER COUNTY 32%, AND RUSSELL COUNTY 29%. THE STATEWIDE RATES ARE 32% IN TENNESSEE AND 27% IN VIRGINIA. THE PERCENTAGES OF PHYSICAL INACTIVITY: CARTER COUNTY 34%, SULLIVAN COUNTY 33%, UNICOI COUNTY 32%, JOHNSON COUNTY 31%, AND RUSSELL COUNTY 27%. THE STATEWIDE RATES ARE 30% IN TENNESSEE AND 21% IN VIRGINIA. THE HEALTH STATUS OF THE POPULATION IN MSHA'S SERVICE AREA IS GENERALLY POOR. OUR SERVICE AREA EXTENDS TO SOME OF THE POOREST RURAL COUNTIES IN THE REGION WITH A POVERTY RATE OF ALMOST 30% IN SOME AREAS (ALL PEOPLE IN POVERTY). THE CENSUS BUREAU ESTIMATES COUNTY MEDIAN HOUSEHOLD INCOMES ARE: JOHNSON COUNTY - 30,180; CARTER COUNTY - 33,177, AND UNICOI COUNTY - 35,390 COMPARED TO 46,574 IN THE STATE OF TENNESSEE. SOME OF THE MOST WELL-OFF COUNTIES IN MSHA'S SERVICE AREA STILL HAVE A MEDIAN HOUSEHOLD INCOME LOWER THAN STATE AND NATIONAL AVERAGES. WASHINGTON COUNTY'S MEDIAN HOUSEHOLD INCOME IS 44,444 AND SULLIVAN COUNTY'S IS 40,983. CHILDREN IN POVERTY IN SOME AREAS EXCEEDS 30%. FOR EXAMPLE, THE PERCENTAGE OF CHILDREN LIVING IN POVERTY IN JOHNSON COUNTY IS 34%, CARTER COUNTY IS 33%, UNICOI COUNTY IS 28%, AND RUSSELL COUNTY IS 28%. THE LATEST CENSUS BUREAU DATA ESTIMATES THE MEDIAN AGE OF RESIDENTS OF UNICOI COUNTY IS 45.6, JOHNSON COUNTY IS 44.8, AND CARTER COUNTY IS 44, ALL SIGNIFICANTLY OLDER THAN THE MEDIAN AGE OF 38.5 IN TENNESSEE. ALL OF OUR COMMUNITIES HAVE A LARGE ELDERLY POPULATION, FAR EXCEEDING THAT OF THE COUNTRY. PERSONS 65 YEARS AND OLDER IN THE COUNTIES OUR HOSPITALS ARE LOCATED IN RANGE FROM 16.9% TO 22.1% COMPARED TO 14.9% FOR THE U.S. MUCH OF OUR SERVICE AREA IS RURAL. RURAL SERVICE AREA COUNTIES SHARE COMMON CHALLENGES OF: 1. HIGH RATES OF UNINSURED 2. HIGH PREVALENCE OF OBESITY 3. HIGH PREVALENCE OF DIABETES 4. HIGH PREVALENCE OF CANCER 5. HIGH PREVALENCE OF POOR CARDIAC HEALTH 6. A HIGH RATE OF INJURIES |
| PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH | MSHA IS DEDICATED TO OPERATING EFFICIENTLY SO THAT WASTE IS MINIMIZED. MSHA'S LEADERSHIP REMAINS MINDFUL OF MANAGING THE ALLIANCE'S 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. MSHA HAS SEVERAL HOSPITALS WITH MEDICARE-APPROVED HEALTH PROFESSION EDUCATION PROGRAMS. IN ADDITION, OUR HOSPITALS SERVE AS TRAINING SITES FOR MANY TYPES OF HEALTH PROFESSIONS: NURSING, PHARMACY, PSYCHOLOGY, LAB, RESPIRATORY THERAPY, EMT, PUBLIC HEALTH, ETC. STUDENTS FROM NUMEROUS COLLEGES, UNIVERSITIES, AND PROGRAMS RECEIVE TRAINING AND EXPERIENCE IN OUR HOSPITALS. WE DEVOTE RESOURCES TO HEALTH CONFERENCES FOR LOCAL HEALTH PROFESSIONALS, OPERATE TWO HEALTH RESOURCE CENTERS LOCATED IN SHOPPING MALLS, PROVIDE FOR MEDIA COVERAGE TO EDUCATE OUR RESIDENTS ON HEALTH ISSUES, OFFER EVENTS TO THE PUBLIC THAT COMBINE FUN ACTIVITIES WITH HEALTH EDUCATION, AND MANY OTHER PROGRAMS FOCUSED ON IMPROVING THE HEALTH OF OUR RESIDENTS. WHILE WE OPERATE HOSPITALS IN PREDOMINANTLY LOW-INCOME, RURAL AREAS, WE CONTINUE TO OFFER SERVICES THAT OPERATE AT A LOSS TO MSHA BECAUSE RESIDENTS WOULD OTHERWISE NEED TO LEAVE THEIR HOME TOWN OR COUNTY TO RECEIVE NEEDED CARE. THE MAJORITY OF MSHA'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 MSHA. |
| PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM | MSHA PROVIDES CARE TO PEOPLE IN 29 COUNTIES IN TENNESSEE, VIRGINIA, KENTUCKY AND NORTH CAROLINA. EACH HOSPITAL IS FULLY ACCREDITED BY THE JOINT COMMISSION, WITH THE EXCEPTION OF JCCH. JCCH RECEIVES CERTIFICATION THROUGH THE STATE OF TENNESSEE SINCE IT IS A CRITICAL ACCESS HOSPITAL. MSHA, BASED IN JOHNSON CITY, TENNESSEE IS THE LARGEST REGIONAL HEALTHCARE SYSTEM WITH 13 HOSPITALS. NINE FACILITIES ARE WHOLLY-OWNED FACILITIES: 8 FACILITIES IN TENNESSEE AND 1 IN VIRGINIA. IN ADDITION TO THE WHOLLY-OWNED HOSPITALS REPORTED WITHIN THIS FORM 990, MSHA ALSO HAS MAJORITY OWNERSHIP IN 4 HOSPITALS IN SOUTHWEST VIRGINIA. MSHA HOSPITALS WORK CLOSELY WITH ONE ANOTHER TO SHARE EXPERTISE AND RESOURCES. FOR EXAMPLE, JMH ASSISTED RUSSELL COUNTY MEDICAL CENTER (RCMC) AND SMYTH COUNTY COMMUNITY HOSPITAL (SCCH) TO ESTABLISH OUTPATIENT ONCOLOGY SERVICES AT BOTH FACILITIES. THE EXPERIENCED CLINICAL TEAM AT JMH PROVIDED VALUABLE INSIGHT THAT SAVED SCCH AND RCMC TIME, MONEY, AND MISTAKES. THERE ARE MANY OTHER EXAMPLES OF SHARED EXPERTISE AND SERVICES BETWEEN MSHA FACILITIES - LABORATORY, CARDIAC SERVICES, ADMINISTRATIVE, ETC. IN ADDITION TO OUR ACUTE CARE HOSPITALS, OUR SYSTEM INCLUDES SUCH SERVICES AS: PRIMARY/SPECIALTY PHYSICIAN PRACTICES, EMERGENCY DEPARTMENTS, OCCUPATIONAL MEDICINE, REHABILITATION, OUTREACH LABORATORY, MENTAL HEALTH, NEONATAL INTENSIVE CARE, A NACHRI-AFFILIATED CHILDREN'S HOSPITAL, RENAL DIALYSIS, ST. JUDE'S ONCOLOGY, INPATIENT/OUTPATIENT SURGERY, SKILLED NURSING, LONG- TERM CARE, HOME HEALTH, AND MORE. WITH THESE ADDITIONAL FACILITIES AND SERVICES, MSHA EXTENDS A HIGHLY EFFECTIVE HEALTH CARE DELIVERY SYSTEM. SINCE OUR SYSTEM IS BOTH HORIZONTALLY AND VERTICALLY INTEGRATED, PATIENTS CAN BE EFFICIENTLY MOVED ALONG AN INTEGRATED, COMPREHENSIVE CONTINUUM OF CARE AS THEIR HEALTH STATUS DICTATES. OUR FLAGSHIP FACILITY, JOHNSON CITY MEDICAL CENTER IS AT THE CORE OF OUR SYSTEM OFFERING FULL-SERVICE TERTIARY CARE. IN ADDITION TO OUR HOSPITALS, MSHA IS THE SOLE MEMBER OF BLUE RIDGE MEDICAL MANAGEMENT CORPORATION (BRMMC). MSHA EXTENDS AN INTEGRATED HEALTHCARE DELIVERY SYSTEM THROUGH BRMMC TO INCLUDE MULTIPLE PRIMARY AND SPECIALTY CARE PATIENT ACCESS CENTERS AND NUMEROUS OUTPATIENT CARE SITES, INCLUDING URGENT CARE CENTERS, OCCUPATIONAL MEDICINE SERVICES, AND A SAME DAY SURGERY CENTER. MSHA IS A 99.9% SHAREHOLDER OF INTEGRATED SOLUTIONS HEALTH NETWORK, LLC. (ISHN). ISHN OPERATES ANEWCARE COLLABORATIVE, THE REGION'S FIRST ACCOUNTABLE CARE ORGANIZATION, BRINGING TOGETHER COMMUNITY HEALTH CARE PROVIDERS TO PROVIDE BETTER OUTCOMES AND IMPROVED PATIENT SATISFACTION AT A LOWER COST. MSHA COUNTY-SPECIFIC OPERATIONS ARE GOVERNED BY A COMMUNITY BOARD OF DIRECTORS. COUNTY BOARDS REPORT TO A SYSTEM LEVEL BOARD OF DIRECTORS. ALL BOARDS ARE PRIMARILY COMPOSED OF LOCAL COMMUNITY RESIDENTS. |
| PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT | TENNESSEE, VIRGINIA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (19 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| AMERICAN CANCER SOCIETY | |||||||
| 250 WILLIAMS STREET NW SUITE 400 | ATLANTA | GA | 30303 | 131788491 | 501C3 | $7,525 | PROGRAM SUPPORT |
| AMERICAN HEART ASSOCIATION | |||||||
| 208 SUNSET DRIVE | JOHNSON CITY | TN | 37604 | 135613797 | 501C3 | $10,000 | PROGRAM SUPPORT |
| AMERICAN RED CROSS OF NE TN | |||||||
| 1 PROFESSIONAL PARK STE 14 | JOHNSON CITY | TN | 37604 | 530196605 | 501C3 | $7,180 | PROGRAM SUPPORT |
| APPALACHIAN MOUNTAIN PROJECT ACCESS | |||||||
| 809 SOUTH ROAN STREET SUITE 4 | JOHNSON CITY | TN | 37601 | 262102040 | 501C3 | $451,423 | HEALTH ACCESS |
| BARTER THEATRE | |||||||
| PO BOX 867 | ABINGDON | VA | 24212 | 546000120 | 501C3 | $18,800 | SPONSORSHIP |
| CASA OF NE TENNESSEE | |||||||
| PO BOX 1021 | JOHNSON CITY | TN | 37605 | 450515257 | 501C3 | $11,000 | PROGRAM SUPPORT |
| CHILDREN'S ADVOCACY CTR 1ST DIST | |||||||
| PO BOX 827 | JOHNSON CITY | TN | 37605 | 621765785 | 501C3 | $7,150 | PROGRAM SUPPORT |
| CRUMLEY HOUSE BRAIN INJURY REHAB | |||||||
| 300 URBANA ROAD | LIMESTONE | TN | 37681 | 581988511 | 501C3 | $6,500 | PROGRAM SUPPORT |
| EAST TENNESSEE FOUNDATION | |||||||
| 520 W SUMMIT HILL DRIVE STE 1101 | KNOXVILLE | TN | 37902 | 620807696 | 501C3 | $25,000 | KINGSPORT CENTENL. |
| EAST TENNESSEE STATE UNIVERSITY | |||||||
| PO BOX 70732 | JOHNSON CITY | TN | 37614 | 626021046 | 501C3 | $98,565 | HLTH RESEARCH/PHARM |
| FEEDING AMERICA OF SWVA | |||||||
| 1025 ELECTRIC ROAD | SALEM | VA | 24153 | 541939556 | 501C3 | $46,000 | 2 MOBILE PANTRIES |
| FRIENDS IN NEED HEALTH CENTER | |||||||
| 1105 W STONE DRIVE | KINGSPORT | TN | 37660 | 621541637 | 501C3 | $14,000 | HEALTH & DENTAL CARE |
| FRONTIER HEALTH FOUNDATION | |||||||
| P O BOX 8293 | GRAY | TN | 37615 | 461432508 | 501C3 | $7,800 | PROGRAM SUPPORT |
| KINGSPORT CHAMBER FOUNDATION | |||||||
| 151 EAST MAIN STREET | KINGSPORT | TN | 37660 | 581453565 | 501C3 | $51,455 | HEALTHY KPT PRGRM |
| MILLIGAN COLLEGE | |||||||
| PO BOX 189 | MILLIGAN COLLEGE | TN | 37682 | 620535755 | 501C3 | $7,040 | HEALTH PROF. EDUC. |
| MOUNTAIN STATES FOUNDATION | |||||||
| 2335 KNOB CREEK ROAD SUITE 101 | JOHNSON CITY | TN | 37604 | 581418862 | 501C3 | $21,323 | LOCAL HLTH PROGRAMS |
| DR ROBERT THOMAS FOUNDATION | |||||||
| 742 MIDDLE CREEK RD STE 206 | SEVIERVILLE | TN | 37862 | 581537582 | 501C3 | $10,000 | PROGRAM SUPPORT |
| SUSAN KOMEN BREAST CANCER FOUND | |||||||
| PO BOX 5835 | KINGSPORT | TN | 37663 | 841689067 | 501C3 | $25,000 | PROGRAM SUPPORT |
| UNITED WAY OF SW VA INC | |||||||
| 1096 OLE BERRY DRIVE | ABINGDON | VA | 24210 | 540718860 | 501C3 | $7,260 | PROGRAM SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 19 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PAGE 1, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | DONATION REQUESTS THAT WILL BE EXPENSED AT THE CORPORATE DIVISION REQUIRE TWO LEVELS OF APPROVAL, WITH FINAL REVIEW BY MSHA'S PRESIDENT. DONATIONS THAT WILL BE EXPENSED BY ONE OF OUR HOSPITALS REQUIRES FINAL APPROVAL BY THE INDIVIDUAL HOSPITAL'S CEO. ALL REQUESTS ARE NOW REQUIRED TO BE COMPLETED USING THE ONLINE APPLICATION FORM. THE ONLINE FORM PROVIDES CONSISTENCY AMONG APPLICANTS AND GIVES US THE INFORMATION WE NEED IN ORDER TO MAKE A FULLY VETTED FUNDING DECISION. SOME OF THE INFORMATION WE REQUIRE FROM APPLICANTS INCLUDES: IF THE APPLICANT IS REQUESTING FUNDING FOR A SPECIFIC EVENT OR PROGRAM, THE DATE, LOCATION, AND TIME ARE REQUIRED DESCRIPTION OF THE EVENT/PROGRAM APPLICANTS OTHER SOURCES OF INCOME EVENT/PROGRAM BUDGET HOW THE EVENT/PROGRAM SUPPORTS MSHA'S MISSION WHO WILL BENEFIT FROM OUR CONTRIBUTION WHAT WILL THE EVENT/PROGRAM ACCOMPLISH APPLICANT ORGANIZATION'S MISSION STATEMENT YEAR THE APPLICANT ORGANIZATION WAS FOUNDED NUMBER OF PEOPLE SERVED ANNUALLY BY THE APPLICANT APPLICANT'S WEBSITE TAX STATUS OF THE APPLICANT AND FEDERAL TAXPAYER ID NUMBER WITH FEW EXCEPTIONS, DONATIONS TO NATIONAL ORGANIZATIONS ARE HANDLED AT THE CORPORATE LEVEL, WHICH PREVENTS MULTIPLE CONTRIBUTIONS BEING MADE TO THE SAME NATIONAL ORGANIZATION AND ALLOWS ADDITIONAL CONTRIBUTION DOLLARS TO BE USED FOR REGION-SPECIFIC REQUESTS. DONATIONS MADE BY OUR HOSPITALS ARE ALMOST ENTIRELY DIRECTED TO LOCAL NONPROFIT ORGANIZATIONS. MSHA'S SOCIAL RESPONSIBILITY COMMITTEE IS COMPRISED OF COMMUNITY LEADERS INCLUDING THE DEAN OF A LOCAL UNIVERSITY, THE PRESIDENT OF A LOCAL COLLEGE, UNITED WAY OF WASHINGTON COUNTY'S PRESIDENT, COMMUNITY VOLUNTEERS, BUSINESS LEADERS, MOUNTAIN STATES FOUNDATION'S PRESIDENT, AND OTHERS. COMMITTEE MEMBERS WERE SELECTED SO THAT MEMBERSHIP EXPERTISE INCLUDES PUBLIC HEALTH, HEALTH PROFESSIONS EDUCATION, KNOWLEDGE OF OTHER RESOURCES AVAILABLE TO CHARITABLE ORGANIZATIONS, AND INDIVIDUALS WITH HANDS-ON COMMUNITY VOLUNTEER EXPERIENCE. SOME OF THE ROUTINE ACTIVITIES OF THE COMMITTEE DURING QUARTERLY MEETINGS INCLUDE: QUARTERLY REVIEW OF THE SOCIAL RESPONSIBILITY SCORECARD; A MEASUREMENT OF ACTUAL ACCOMPLISHMENTS IN THE YEAR COMPARED TO TARGETS SET AT THE BEGINNING OF THE YEAR REVIEW OF CHARITABLE CONTRIBUTION GIVING FOR THE PREVIOUS QUARTER OPPORTUNITY FOR LOCAL TAX EXEMPT ORGANIZATIONS TO PRESENT TO THE COMMITTEE PROGRAMS THEY OFFER, ACHIEVEMENTS, AND FUNDING NEEDS THE COMMITTEE MAY OR MAY NOT RECOMMEND MSHA FUNDING OF PROGRAMS SOMETIMES, MSHA DEPARTMENTS WILL BRING PROPOSALS FOR NEW PROGRAMS TO BENEFIT A SPECIFIC POPULATION, SUCH AS CHILDREN | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | Yes (X) | FirstClassOrCharterTravelInd |
| Written Policy Ref T And E Expnss | false | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount |
|---|---|---|---|---|---|---|---|
| ALAN LEVINE | |||||||
| PRESIDENT & CEO | $916,778 | $48,767 | $153,217 | $24,087 | $1,139,902 | $26,553 | |
| MARVIN EICHORN | |||||||
| EVP/COO | $558,459 | $31,936 | $18,200 | $24,493 | $630,141 | ||
| LYNN KRUTAK | |||||||
| EVP/CFO | $456,672 | $21,992 | $71,180 | $18,709 | $565,606 | ||
| MONTY MCLAURIN | |||||||
| VP/CEO NW MKT | $296,329 | $269,112 | $32,670 | $24,986 | $620,347 | $108,669 | |
| DAWN TRIMBLE | |||||||
| VP/CEO WASH. CO. | $455,286 | $21,441 | $40,963 | $22,372 | $537,115 | ||
| SHANE HILTON | |||||||
| VP/CFO-MKT OPS | $322,719 | $4,103 | $36,871 | $24,815 | $398,236 | $12,565 | |
| TONY BENTON | |||||||
| VP/COO WASH. CO MKT | $290,961 | $9,411 | $16,729 | $23,604 | $337,981 | ||
| RICHARD BOONE | |||||||
| VP/CFO WASH. CO. | $282,435 | $3,628 | $10,450 | $18,108 | $312,836 | ||
| LINDA WHITE | |||||||
| VP & CEO, FWCH/WR | $255,883 | $8,243 | $31,321 | $20,487 | $320,101 | $6,759 | |
| LEMMIE TAYLOR | |||||||
| VP/CEO SE MKT | $207,521 | $4,030 | $28,950 | $21,925 | $260,279 | ||
| STEVE SAWYER | |||||||
| AVP/CFO NW MKT | $174,936 | $14,778 | $9,539 | $22,803 | $220,380 | ||
| MORGAN MAY | |||||||
| JCMC CNO | $149,077 | $3,259 | $9,288 | $19,302 | $180,273 | ||
| MORRIS SELIGMAN MD | |||||||
| EVP & CMO | $505,996 | $29,278 | $71,901 | $19,687 | $623,915 | ||
| ANTHONY KECK | |||||||
| SVP/CHIEF DEV. OFC. | $355,385 | $4,423 | $50,435 | $17,964 | $425,281 | ||
| CLAY RUNNELS MD | |||||||
| VP HOSP. PRGM. SERV. | $352,463 | $4,425 | $15,668 | $24,257 | $393,886 | ||
| MARK WILKINSON MD | |||||||
| VP/CMO | $349,144 | $4,414 | $15,603 | $24,523 | $390,761 | ||
| PAUL MERRYWELL | |||||||
| CIO | $300,774 | $22,559 | $27,609 | $19,341 | $367,533 | ||
| CANDACE JENNINGS | |||||||
| SR. VP TN OPERATIONS | $265,626 | $265,626 | $265,626 | ||||
| DALE CLAYTORE | |||||||
| FMR. KEY EMPL., VP | $219,484 | $16,010 | $13,673 | $2,197 | $249,167 | ||
| PAT NIDAY | |||||||
| FMR. KEY EMPL., AVP | $159,670 | $18,896 | $10,257 | $18,356 | $205,531 | ||
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PAGE 1, PART I, LINE 1B | BOARD MEMBERS AND TEAM MEMBERS OF MSHA ARE NOT PERMITTED TO TRAVEL FIRST- CLASS WITH THE EXCEPTION OF MSHA'S CEO. AS SANCTIONED BY MSHA'S BOARD OF DIRECTORS, MSHA'S CEO IS PERMITTED TO TRAVEL FIRST-CLASS WHEN THE FLIGHT'S DURATION IS GREATER THAN TWO HOURS. DUE TO THE LENGTH OF SUCH FLIGHTS, THE BOARD BELIEVES IT IS IN THE BEST INTEREST OF MSHA FOR THE CEO TO TRAVEL FIRST-CLASS. CHARTER TRAVEL IS LIMITED TO MSHA BUSINESS TRIPS THAT INCLUDE NUMEROUS TRAVELERS AND WHICH CAN BE JUSTIFIED BASED UPON FINANCIAL AND/OR ESSENTIAL TIME SAVINGS. CHARTER FLIGHTS MUST BE APPROVED BY THE CEO PRIOR TO BOOKING THE FLIGHT. |
| SCHEDULE J, PAGE 1, PART I, LINE 4 | ALAN LEVINE 0 142,817 0 LYNN KRUTAK 0 48,271 0 MONTY MCLAURIN 0 15,920 0 DAWN TRIMBLE 0 24,072 0 SHANE HILTON 0 17,247 0 LINDA WHITE 0 13,560 0 LEMMIE TAYLOR 0 11,144 0 MORRIS SELIGMAN, M.D. 0 53,381 0 ANTHONY KECK 0 37,367 0 PAUL MERRYWELL 0 15,920 0 CANDACE JENNINGS 0 265,626 0 |
| SCHEDULE J, PART III | THE FOLLOWING EXECUTIVES LISTED IN SCHEDULE J, PART II PARTICIPATED IN A 457(F) RETIREMENT PLAN PROVIDED BY MOUNTAIN STATES HEALTH ALLIANCE (MSHA): ALAN LEVINE, MORRIS SELIGMAN, LYNN KRUTAK, ANTHONY KECK, DAWN TRIMBLE, SHANE HILTON, MONTY MCLAURIN, LINDA WHITE, LEMMIE TAYLOR, PAUL MERRYWELL, AND CANDACE JENNINGS. THE 457(F)PLAN IS A NONQUALIFIED TAX-DEFERRED COMPENSATION PLAN AVAILABLE TO A SELECT GROUP OF KEY EXECUTIVES FOR THE INTENT OF SUPPORTING RETENTION AND TO OFFER A COMPETITIVE TOTAL RETIREMENT PROGRAM. ACCOUNT BALANCES HAVE A "SUBSTANTIAL RISK OF FORFEITURE". IN ADDITION TO CREDITOR RISK, SUBSTANTIAL RISK OF FORFEITURE IS CREATED THROUGH DEFAULT RISK IF THE PARTICIPANT'S EMPLOYMENT WITH MSHA IS TERMINATED PRIOR TO AGE 65. HOWEVER, THE 457(F) PLAN CONTAINS A NON-COMPETE PROVISION THAT PROVIDES THE ACCOUNT BALANCE TO BE PAID IN A LUMP SUM AFTER THE EXECUTIVE SATISFIES THE TWO-YEAR NON-COMPETE PERIOD. THIS PROVISION APPLIES TO EMPLOYER CONTRIBUTIONS IF THE EXECUTIVE HAS PROVIDED ELIGIBLE SERVICE FOR SIX OR MORE YEARS. (ELIGIBLE SERVICE IS OFFICER SERVICE THAT PERMITTED THE EXECUTIVE TO PARTICIPATE IN THE PLAN.) THE EXECUTIVE WILL RECEIVE THE ENTIRE ACCOUNT BALANCE IF HE/SHE BECOMES DISABLED, DIES OR IF THE EXECUTIVE TERMINATES FOR "GOOD REASON- OR IS INVOLUNTARILY TERMINATED WITHOUT "GOOD CAUSE" WITHIN A 24-MONTH PERIOD AFTER A CHANGE-OF-CONTROL OCCURS. DISTRIBUTIONS FROM THIS PLAN ARE SUBJECT TO FEDERAL, STATE, AND LOCAL TAXES ON THE ENTIRE ACCOUNT BALANCE UPON DISTRIBUTION. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Business Name Line2IssuerName/BusinessNameLine2Txt | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|---|
| HLTH & EDU FACIL BD 2011A&B&C&D | |||||||||
| A | OF THE CITY OF JOHNSON CITY TN | 621464028 | 478271JS9 | 2011-10-19 | $195,840,000 | CONSTRUCTION & EQUIP. | false | false | false |
| HLTH & EDU FACIL BD 2010A&B | |||||||||
| B | 621464028 | 478271JH3 | 2010-04-29 | $205,877,528 | PARTIAL REFUNDING | false | false | false | |
| HLTH & EDU FACIL BD 2009A&B&C | |||||||||
| C | 621464028 | 478271HT9 | 2009-03-31 | $124,301,533 | CONSTRUCTION & EQUIP. | false | false | false | |
| HLTH & EDU FACIL BD 2006A | |||||||||
| D | 621464028 | 478271GX1 | 2006-02-14 | $178,614,171 | CONSTRUCTION & EQUIP. | Yes (true) | false | false | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | UnspentUnspentAmt | Bond DefeasedBondDefeasedAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $126,195,000 | $195,841,283 | $2,353,905 | $158,517,510 | $34,166,556 | 2016 | Yes (true) | false | Yes (true) | Yes (true) | ||
| B | $48,310,000 | $206,160,210 | $3,474,644 | $202,685,565 | Yes (true) | false | Yes (true) | Yes (true) | ||||
| C | $13,210,000 | $125,831,095 | $2,481,706 | $100,727,095 | $22,610,763 | 2014 | false | false | Yes (true) | Yes (true) | $11,530 | |
| D | $185,648,913 | $2,383,533 | $101,295,664 | $81,969,716 | 2011 | Yes (true) | Yes (true) | Yes (true) | Yes (true) | $173,030,000 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropPct | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | false | false | Yes (true) | Yes (true) | false | false | Yes (true) | 0.00020 | Yes (true) | Yes (true) |
| B | false | false | Yes (true) | Yes (true) | false | false | Yes (true) | 0.00020 | Yes (true) | Yes (true) |
| C | false | false | Yes (true) | Yes (true) | false | false | false | Yes (true) | ||
| D | false | false | Yes (true) | Yes (true) | false | false | Yes (true) | 0.00130 | Yes (true) | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | Yes (true) | Yes (true) | false | false | false | Yes (true) |
| B | false | false | false | Yes (true) | false | false | false | Yes (true) | Yes (true) |
| C | false | false | false | Yes (true) | false | false | false | Yes (true) | Yes (true) |
| D | false | false | false | Yes (true) | false | false | false | Yes (true) | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
| C | Yes (true) |
| D | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE K - PURPOSE OF ISSUE DESCRIPTION | HLTH & EDU. FACIL. BD. 2011A&B&C&D (PAGE 1 - LINE A) CONSTRUCT AND EQUIP HOSPITAL FACILITIES,INCLUDING REFINANCING TAXABLE DEBT RELATING THERETO, REFUND BONDS ISSUED 12/01/2001; REFINANCING LOANS AND EQUIPMENT LEASES. HLTH & EDU. FACIL. BD. 2010A&B (PAGE 1 - LINE B) PARTIAL REFUNDING OF BONDS ISSUED 12/14/2007 (2007A) AND (2007C) AND 2/20/2008 (2008A). HLTH & EDU. FACIL. BD. 2009A&B&C (PAGE 1 - LINE C) CONSTRUCT AND EQUIP HOSPITAL FACILITIES,INCLUDING REFINANCING OF TAXABLE INDEBTEDNESS RELATING THERETO. HLTH & EDU. FACIL. BD. 2006A (PAGE 1 - LINE D) CONSTRUCT AND EQUIP HOSPITAL FACILITIES,INCLUDING REFINANCING TAXABLE DEBT RELATING THERETO, AND COST OF INTEREST RATE HEDGE, REFUND BONDS ISSUED 3/28/01, 7/01/03, 7/08/04, 11/23/04, 9/7/05 AND 11/23/05. HLTH & EDU. FACIL. BD. 2012A&B&C (PAGE 2 - LINE A) CONSTRUCT AND EQUIP SURGERY CENTER AT JCMC; CONSTRUCT AND EQUIP HOSPITAL FACILITIES, INCLUDING REFINANCING OF TAXABLE INDEBTEDNESS RELATING THERETO. HLTH & EDU. FACIL. BD. 2013A&C&D&E (PAGE 2 - LINE B) CONSTRUCT & EQUIP HOSPITAL FACILITIES, INCLUDING REFINANCING OF TAXABLE INDEBTEDNESS RELATING THERETO, REFUND BONDS ISSUED 2/20/08, 10/19/11 & 9/18/12 HLTH & EDU. FACIL. BD. 2016A (PAGE 2 - LINE C) REFUNDING OF 2006A BOND. |
| SCHEDULE K - DATE REBATE COMPUTATION PERFORMED | HLTH & EDU. FACIL. BD. 2011A&B&C&D 04/29/16 HLTH & EDU. FACIL. BD. 2010A&B 02/25/15 HLTH & EDU. FACIL. BD. 2009A&B&C 03/21/14 HLTH & EDU. FACIL. BD. 2006A 03/08/16 |
| SCHEDULE K - ADDITIONAL INFORMATION | HLTH & EDU. FACIL. BD. 2016A SCHEDULE K PART VI: 1.COMMENT ON SCHEDULE K, PART I, LINES A, B, C, E AND F. MOUNTAIN STATES HEALTH ALLIANCE OWNS AND/OR OPERATES HOSPITALS IN A NUMBER OF DIFFERENT LOCATIONS BOTH IN TENNESSEE AND IN VIRGINIA. AS A RESULT, MOUNTAIN STATES HEALTH ALLIANCE MUST UTILIZE CONDUIT GOVERNMENTAL BOND ISSUERS IN A NUMBER OF JURISDICTIONS IN ORDER TO FINANCE IMPROVEMENTS TO ITS HOSPITAL FACILITIES. IN 2009, 2010, 2011, 2012 AND 2013, MOUNTAIN STATES HEALTH ALLIANCE WAS THE CONDUIT BORROWER OF TAX-EXEMPT BONDS ISSUED BY MULTIPLE ISSUERS IN TENNESSEE AND VIRGINIA. FOR FEDERAL TAX PURPOSES, EVEN THOUGH DIFFERENT GOVERNMENT ISSUERS WERE INVOLVED, THESE MULTIPLE ISSUES IN EACH YEAR WERE REQUIRED TO BE TREATED, AND WERE TREATED, AS A SINGLE "ISSUE" BECAUSE THEY MET THE SINGLE "ISSUE" TEST UNDER THE APPLICABLE FEDERAL TAX REGULATIONS. THEREFORE, MULTIPLE ISSUERS ARE LISTED UNDER LINES A, B, C, E AND F BECAUSE THE BONDS THAT WERE ISSUED WERE PART OF A SINGLE "ISSUE" FOR FEDERAL TAX PURPOSES. 2.COMMENT ON SCHEDULE K, PART II. LINE 3 FOR EACH THE LISTED BOND ISSUES DOES NOT MATCH THE APPLICABLE ISSUE PRICE FOR EACH SUCH BOND ISSUE BECAUSE OF INTEREST EARNINGS EARNED ON THE PROCEEDS OF EACH SERIES OF BONDS. 3.COMMENT ON SCHEDULE K, PART II, LINE 9 THROUGH 11. THE INSTRUCTIONS ARE UNCLEAR AS TO WHETHER AMOUNTS USED TO REFINANCE SHORT-TERM TAXABLE LOANS INCURRED TO TEMPORARILY FINANCE ELIGIBLE COSTS SHOULD BE SHOWN AS CAPITAL EXPENDITURES AND WORKING CAPITAL (LINES 9 AND 10) OR AS OTHER SPENT PROCEEDS (LINE 11). BASED UPON A REVIEW OF OTHER 990 FILINGS, IT APPEARS THAT MOST REPORTING ENTITIES HAVE LISTED THE APPLICATION OF PROCEEDS FOR SUCH PURPOSE UNDER OTHER SPENT PROCEEDS (LINE 11). THIS FILING TAKES THAT APPROACH. 4.COMMENT ON SCHEDULE K, PART III, LINE 8C. A VERY SMALL AMOUNT OF EQUIPMENT THAT WAS FINANCED OR REFINANCED WITH THE PROCEEDS OF THE BONDS DESCRIBED IN LINES A, B, D AND F WAS DISPOSED OF DURING THE 2015 FISCAL YEAR. NO REMEDIAL ACTION WAS REQUIRED PURSUANT TO SECTIONS 1.141-12 AND 1.145-2 OF THE TREASURY REGULATIONS BECAUSE THE DISPOSITION OF SUCH EQUIPMENT DID NOT RESULT IN THE PRIVATE BUSINESS USE TEST THRESHOLD BEING EXCEEDED. THEREFORE, SUCH REGULATIONS WERE INAPPLICABLE. HOWEVER, AS A PRECAUTION, AND TO INSURE THAT BOND PROCEEDS WERE ALLOCATED TO ASSETS OWNED BY A 501(C)(3) ORGANIZATION, MOUNTAIN STATES HEALTH ALLIANCE ALLOCATED FROM THE PROCEEDS OF THE SALE OF THE FINANCED EQUIPMENT AND OTHER EQUIPMENT, AN AMOUNT EQUAL TO THE DEPRECIATED BOOK VALUE OF SUCH FINANCED EQUIPMENT TO NEW EQUIPMENT ACQUIRED DURING THE FISCAL YEAR BY MOUNTAIN STATES HEALTH ALLIANCE. 5.COMMENT ON SCHEDULE K, PART IV, LINES 1 AND 2. PRIOR TO JUNE 30, 2016, THE REPORTING DATE OF THE 990, THE ONLY ARBITRAGE REBATE CALCULATIONS THAT WERE REQUIRED RELATED TO THE BONDS DESCRIBED IN LINES A, B, C AND D OF PART I (THE SERIES 2006, 2009, 2010 AND 2011 BONDS). MOUNTAIN STATES HEALTH ALLIANCE RETAINED A REBATE CALCULATION AGENT TO CALCULATE WHETHER ANY ARBITRAGE REBATE WAS DUE WITH RESPECT TO THOSE BONDS, AND THERE WAS NEGATIVE ARBITRAGE REBATE LIABILITY IN A SIGNIFICANT AMOUNT. THEREFORE, NO FORM 8038-T WAS REQUIRED TO BE FILED WITH RESPECT TO THOSE BOND ISSUES. |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (5 entries)
| Loan PurposeLoanPurposeTxt | Loan From OrganizationLoanFromOrganizationInd | Original PrincipalOriginalPrincipalAmt | Balance DueBalanceDueAmt | DefaultDefaultInd | Board Or Committee ApprovalBoardOrCommitteeApprovalInd | Written AgreementWrittenAgreementInd |
|---|---|---|---|---|---|---|
| DENNIS VONDERFECHT | ||||||
| SPLIT LIFE INSUR.LOAN,INCL.PR.YRS | Yes (X) | $7,205,125 | $8,295,295 | false | Yes (true) | Yes (true) |
| MARVIN EICHORN | ||||||
| SPLIT DOLLAR LIFE INSURANCE LOAN | Yes (X) | $1,750,000 | $2,135,735 | false | Yes (true) | Yes (true) |
| MARVIN EICHORN | ||||||
| SPLIT DOLLAR LIFE INSURANCE LOAN | Yes (X) | $458,410 | $561,763 | false | Yes (true) | Yes (true) |
| MARVIN EICHORN | ||||||
| SPLIT DOLLAR LIFE INSURANCE LOAN | Yes (X) | $304,332 | $304,332 | false | Yes (true) | Yes (true) |
| MARVIN EICHORN | ||||||
| SPLIT DOLLAR LIFE INSURANCE LOAN | Yes (X) | $296,183 | $238,783 | false | Yes (true) | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $11,535,908 | TotalBalanceDueAmt |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| WORKSPACE INTERIORS INC | |||
| VENDOR | $369,561 | SEE PART V | false |
| SCOTT PETERS | |||
| FAMILY MEMBER | $59,063 | SEE PART V | false |
| PAULA CLAYTORE | |||
| FAMILY MEMBER | $233,827 | SEE PART V | false |
| MATTHEW MARTIN | |||
| FAMILY MEMBER | $28,426 | SEE PART V | false |
| CLEM WILKES III | |||
| FAMILY MEMBER | $165,060 | SEE PART V | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART V | FormAndLineReferenceDesc |
| Explanation | (1) ROBERT FEATHERS, VICE CHAIR OF THE MSHA BOARD OF DIRECTORS, IS OWNER OF WORKSPACE INTERIORS,INC. WHICH PROVIDES COMMERCIAL FURNISHINGS AND DESIGN SERVICES TO MSHA. TRANSACTIONS ARE CONDUCTED AT ARMS-LENGTH. (2) LEMMIE TAYLOR, KEY EMPLOYEE OF MSHA, IS A FAMILY MEMBER OF SCOTT PETERS, AN EMPLOYEE OF MSHA. (3) DALE CLAYTORE, FORMER KEY EMPLOYEE OF MSHA, IS A FAMILY MEMBER OF PAULA CLAYTORE, AN EMPLOYEE OF MSHA. (4) JOANNE GILMER, SECRETARY OF THE MSHA BOARD OF DIRECTORS, IS A FAMILY MEMBER OF MATTHEW MARTIN, AN EMPLOYEE OF MSHA. (5) CLEM WILKES, JR., PAST CHAIR OF THE MSHA BOARD OF DIRECTORS, IS A FAMILY MEMBER OF CLEM WILKES III, AN EMPLOYEE OF MSHA. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 1, ITEM C | NISWONGER CHILDREN'S HOSPITAL; FRANKLIN WOODS COMMUNITY HOSPITAL; INDIAN PATH MEDICAL CENTER; SYCAMORE SHOALS HOSPITAL; WOODRIDGE HOSPITAL FOR BEHAVIORAL HEALTH SERVICES; JOHNSON COUNTY COMMUNITY HOSPITAL; RUSSELL COUNTY MEDICAL CENTER; UNICOI COUNTY MEMORIAL HOSPITAL |
| FORM 990 - ORGANIZATION'S MISSION | MOUNTAIN STATES HEALTH ALLIANCE (MSHA) IS COMMITTED TO BRINGING LOVING CARE TO HEALTH CARE. WE EXIST TO IDENTIFY AND RESPOND TO THE HEALTH CARE NEEDS OF INDIVIDUALS AND COMMUNITIES IN OUR REGION AND TO ASSIST THEM IN ATTAINING THEIR HIGHEST POSSIBLE LEVEL OF HEALTH. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE CFO/SENIOR VP REVIEWED THE FORM 990 WITH THE BOARD OF DIRECTORS PRIOR TO FILING AND THE RETURN WAS MADE AVAILABLE TO EACH BOARD MEMBER IN AN ELECTRONIC FORMAT PRIOR TO THE REVIEW. |
| FORM 990, PAGE 6, PART VI, LINE 12C | ANNUALLY, THE CORPORATE AUDIT AND COMPLIANCE DEPARTMENT OF MSHA FORWARDS THE CONFLICT OF INTEREST POLICY AND DISCLOSURE FORM TO ALL MSHA MANAGEMENT TEAM MEMBERS AND BOARD MEMBERS. EMPLOYEES AND BOARD MEMBERS MUST NOTE ANY CONFLICTS OR ATTEST THEY HAVE "NONE", AND RETURN THE FORM TO THE AUDIT AND COMPLIANCE DEPARTMENT. ANY NOTED DISCLOSURES ARE FORWARDED TO THE APPROPRIATE MANAGEMENT OR BOARD PERSONNEL TO EVALUATE AND UTILIZE WHEN A TRANSACTION INVOLVING A CONFLICTED PERSON ARISES. ANY CONFLICTED PERSON SHALL BE EXCLUDED FROM MEETINGS DURING DISCUSSION OF THE MATTER THAT GIVES RISE TO THE POTENTIAL CONFLICT. A CONFLICTED BOARD DIRECTOR WILL NOT VOTE ON THE MATTER THAT GIVES RISE TO THE POTENTIAL CONFLICT. IN ADDITION, IF A CONFLICTED PERSON HAS A FINANCIAL INTEREST IN A TRANSACTION OR ARRANGEMENT THAT MIGHT INVOLVE PERSONAL FINANCIAL GAIN OR LOSS FOR HIM/HER, THE BOARD OR BOARD COMMITTEE MAY APPOINT A NON-INTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. IN ORDER TO APPROVE THE TRANSACTION, THE BOARD OR COMMITTEE MUST FIND BY THE MAJORITY VOTE OF THE BOARD MEMBERS, WITHOUT COUNTING THE VOTE OF A CONFLICTED PERSON, THAT THE PROPOSED TRANSACTION OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTEREST AND FOR ITS OWN BENEFIT; THE PROPOSED TRANSACTION IS FAIR AND REASONABLE TO THE CORPORATION; AND, AFTER REASONABLE INVESTIGATION, THE BOARD OR BOARD COMMITTEE HAS DETERMINED THAT THE CORPORATION CANNOT OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES; THE CONFLICTED PERSON WILL NOT BE PRESENT FOR THE DISCUSSION OR VOTE REGARDING THE TRANSACTION OR ARRANGEMENT; AND THE TRANSACTION OR ARRANGEMENT MUST BE APPROVED BY A MAJORITY VOTE OF THE BOARD MEMBERS, NOT INCLUDING ANY CONFLICTED PERSONS. ANY PERSON HAVING A CONFLICT ARISE BETWEEN THE ANNUAL DISTRIBUTION OF THE POLICY AND DISCLOSURE FORM ARE REQUIRED TO DISCLOSE THE CONFLICT AND WOULD BE DISCIPLINED IN ANY INSTANCE WHERE THEY HAVE NOT DISCLOSED AND ENGAGED IN A CONFLICTED TRANSACTION. FAILURE TO COMPLY WITH MSHA'S CONFLICT OF INTEREST POLICY CONSTITUTES GROUNDS FOR REMOVAL FROM OFFICE, IN THE CASE OF THE GOVERNING BODY; AND, IN THE CASE OF TEAM MEMBERS, TERMINATION OF EMPLOYMENT. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE EXECUTIVE COMMITTEE SERVES AS THE COMPENSATION COMMITTEE OF MSHA'S BOARD OF DIRECTORS. THE COMPENSATION FOR ALAN LEVINE, MSHA'S PRESIDENT AND CEO, WAS REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE DURING FY17. DATA OBTAINED BY AN INDEPENDENT, OUTSIDE CONSULTING FIRM WAS USED TO DETERMINE HIS PAY SO THAT IT IS COMPARABLE TO LIKE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE EXECUTIVE COMMITTEE ALSO REVIEWED AND APPROVED COMPENSATION FOR ALL MSHA OFFICERS AND KEY EMPLOYEES DURING FY17. DATA OBTAINED BY AN INDEPENDENT, OUTSIDE CONSULTING FIRM WAS USED TO DETERMINE THEIR PAY SO THAT IT IS COMPARABLE TO LIKE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE UPON REQUEST TO APPROPRIATE PARTIES REQUESTING THEM. FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST TO APPROPRIATE PARTIES REQUESTING THEM, AND THEY ARE MADE AVAILABLE TO THOSE PARTIES WHO OWN INDEBTEDNESS OF THE COMPANY ON A QUARTERLY BASIS. FORM 990, PART VII, OFFICERS, KEY EMPLOYEES, & HIGHEST PAID COMPENSATION: CERTAIN EXECUTIVES OF THE ORGANIZATION, SUCH AS THE HEALTH SYSTEM'S CEO, EVP/CFO, EVP/COO, ETC. PROVIDE SERVICES TO SOME OR ALL OF THE ORGANIZATIONS RELATED TO MSHA. |
| FORM 990, PART IX, LINE 11G | PHYSICIAN FEES 27,343,678 0 0 HOSPITAL SUPPORTED CLINICS 34,316,703 0 0 HOSPITAL BASED PROVIDERS 4,887,120 0 0 DIETARY SERVICES 9,132,684 0 0 CONSULTING SERVICES 0 9,500,631 0 ENVIRONMENTAL SERVICES 8,909,679 0 0 LAUNDRY SERVICES 2,845,582 0 0 COLLECTION SERVICES 0 3,929,961 0 RETAIL PHARMACY 652,316 0 0 LABORATORY SERVICES 2,924,068 0 0 CONTRACT LABOR 4,999,055 0 0 PATIENT RESOURCE SERVICES 1,337,375 0 0 TRANSCRIPTION SERVICES 0 629,535 0 PHYSICIAN LOAN FORGIVENESS 886,979 0 0 LITHOTRIPSY 771,909 0 0 ENGINEERING SERVICES 0 1,350,547 0 SKILLED NURSING SERVICES 1,024,300 0 0 HOSPICE 435,339 0 0 OTHER FEES 6,778,591 509,110 18,132 TOTAL 107,245,378 15,919,784 18,132 |
| FORM 990, PART XI, LINE 9 | PARTNERSHIP ORDINARY INCOME NOT ON BOOKS 1,081,696 TEMPORARILY RESTRICTED GRANTS -128,812 CHANGE IN FAIR VALUE OF DERIVATIVES -5,570,823 ADDITIONAL PAID IN CAPITAL 181,406 TOTAL -4,436,533 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| DICKENSON COMMUNITY HOSPITAL | ||||||||||
| ONE HOSPITAL DRIVE | CLINTWOOD | VA | 24228 | 770599553 | HOSPITAL | VA | 501C3 | 3 | NCH | false |
| MOUNTAIN STATES FOUNDATION | ||||||||||
| 2335 KNOB CREEK ROAD STE 101 | JOHNSON CITY | TN | 37604 | 581418862 | FUNDRAISER | TN | 501C3 | 12A | MSHA | false |
| MSHA AUXILIARY | ||||||||||
| 400 N STATE OF FRANKLIN ROAD | JOHNSON CITY | TN | 37604 | 581418345 | SUPPORT | TN | 501C3 | 12A | MSHA | false |
| SMYTH COUNTY COMMUNITY HOSPITAL | ||||||||||
| 245 MEDICAL PARK DRIVE | MARION | VA | 24354 | 540794913 | HOSPITAL | VA | 501C3 | 3 | MSHA | false |
| NORTON COMMUNITY HOSPITAL | ||||||||||
| 100 15TH STREET NW | NORTON | VA | 24273 | 540566029 | HOSPITAL | VA | 501C3 | 3 | NA | false |
| JOHNSTON MEMORIAL HOSPITAL | ||||||||||
| 16000 JOHNSTON MEMORIAL DRIVE | ABINGDON | VA | 24211 | 540544705 | HOSPITAL | VA | 501C3 | 3 | NA | false |
| ABINGDON PHYSICIAN PARTNERS | ||||||||||
| 16000 JOHNSTON MEMORIAL DRIVE | ABINGDON | VA | 24211 | 205485346 | MED. SERV. | VA | 501C3 | 12A | JMH | false |
| APPALACHIAN EMERGENCY PHYSICIANS | ||||||||||
| 1021 W OAKLAND AVENUE STE 207 | JOHNSON CITY | TN | 37604 | 800592504 | MED. SERV | VA | 501C3 | 12A | NA | false |
| NEWCO INC | ||||||||||
| 211 COMMERCE ST STE 800 | NASHVILLE | TN | 372011817 | 611771290 | SUPP. ORG | TN | 501C3 | 12B | NA | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| INTEGRATED SOLUTIONS HEALTH NETWORK | ||||||||||||
| 509 MED TECH PARKWAY SUITE 100 | JOHNSON CITY | TN | 37604 | 621711997 | INVESTMENT | TN | MSHA | EXCLUDED | -$737,890 | $17,619,004 | false | false |
| EMMAUS COMMUNITY HEALTHCARE LLC | ||||||||||||
| 6070 HWY 11E | PINEY FLATS | TN | 37686 | 200577483 | MED. SERV. | TN | NA | false | false | |||
| MEDICAL SPECIALISTS OF JC LLC | ||||||||||||
| 2528 WESLEY STREET SUITE 2 | JOHNSON CITY | TN | 37601 | 272199037 | MED. SERV. | TN | MSHA | EXCLUDED | -$340,445 | -$571,741 | false | false |
| EAST TN AMBULATORY SURGERY CNTR | ||||||||||||
| 701 MED TECH PARKWAY SUITE 100 | JOHNSON CITY | TN | 37604 | 621787537 | MED. SERV. | TN | NA | false | false | |||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BLUE RIDGE MEDICAL MANAGEMENT CORP | ||||||||||||
| 1021 W OAKLAND AVENUE STE 207 | JOHNSON CITY | TN | 37604 | 621490616 | MED. SERV. | TN | MSHA | C CORP | $131,332,981 | $225,054,427 | 1.00000 | false |
| MEDISERVE MEDICAL EQUIPMENT | ||||||||||||
| 1021 W OAKLAND AVENUE SUITE 207 | JOHNSON CITY | TN | 37604 | 621212286 | DME | TN | BRMMC | C CORP | $2,819,502 | $4,977,132 | 1.00000 | false |
| MOUNTAIN STATES PROPERTIES | ||||||||||||
| 1021 W OAKLAND AVENUE SUITE 207 | JOHNSON CITY | TN | 37604 | 621845895 | PROP. MGMT | TN | BRMMC | C CORP | $12,713,645 | $145,039,121 | 1.00000 | false |
| MOUNTAIN STATES PHYSICIAN GROUP | ||||||||||||
| 1021 W OAKLAND AVENUE SUITE 207 | JOHNSON CITY | TN | 37604 | 621700412 | MED. SERV. | TN | BRMMC | C CORP | $75,663,670 | $7,011,416 | 1.00000 | false |
| COMMUNITY HOME CARE INC | ||||||||||||
| 1490 PARK AVENUE NW SUITE B | NORTON | VA | 24273 | 541453810 | DME | VA | NCH | C CORP | $218,233 | $421,162 | 0.50100 | false |
| WILSON PHARMACY INC | ||||||||||||
| PO BOX 5289 | JOHNSON CITY | TN | 37604 | 620329587 | PHARMACY | TN | BRMMC | C CORP | $4,204,295 | $5,893,887 | 1.00000 | false |
| CRESTPOINT HEALTH INSURANCE COMPANY | ||||||||||||
| 509 MED TECH PARKWAY SUITE 100 | JOHNSON CITY | TN | 37604 | 620381170 | INSURANCE | TN | ISHN | C CORP | $22,760,766 | $12,327,119 | 0.99830 | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | Yes (true) | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | Yes (true) | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | Yes (true) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (46 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt |
|---|---|
| APP | |
| L | $146,280 |
| BLUE RIDGE MEDICAL MANAGEMENT | |
| A | $455,329 |
| BLUE RIDGE MEDICAL MANAGEMENT | |
| G | $1,324,523 |
| BLUE RIDGE MEDICAL MANAGEMENT | |
| L | $8,188,053 |
| BLUE RIDGE MEDICAL MANAGEMENT CORP | |
| M | $43,122,504 |
| BLUE RIDGE MEDICAL MANAGEMENT CORP | |
| O | $743,713 |
| BLUE RIDGE MEDICAL MANAGEMENT CORP | |
| P | $267,686 |
| BLUE RIDGE MEDICAL MANAGEMENT CORP | |
| Q | $35,217,305 |
| BLUE RIDGE MEDICAL MANAGMENT CORP | |
| S | $177,514 |
| DICKENSON COMMUNITY HOSPITAL | |
| L | $1,144,642 |
| DICKENSON COMMUNITY HOSPITAL | |
| Q | $669,985 |
| HEALTHPLUS | |
| A | $53,922 |
| HEALTHPLUS | |
| L | $76,463 |
| HEALTHPLUS | |
| M | $359,277 |
| HEALTHPLUS | |
| O | $371,390 |
| HEALTHPLUS | |
| Q | $18,190,481 |
| ISHN | |
| A | $121,900 |
| ISHN | |
| D | $500,000 |
| ISHN | |
| L | $169,895 |
| ISHN | |
| M | $135,390 |
| ISHN | |
| P | $927,911 |
| ISHN | |
| Q | $3,957,302 |
| JOHNSTON MEMORIAL HOSPITAL | |
| L | $13,451,405 |
| JOHNSTON MEMORIAL HOSPITAL | |
| P | $59,103 |
| JOHNSTON MEMORIAL HOSPITAL | |
| R | $116,326 |
| MEDISERVE | |
| G | $70,980 |
| MEDISERVE | |
| K | $172,438 |
| MEDISERVE | |
| L | $264,263 |
| MEDISERVE | |
| Q | $3,445,977 |
| MOUNTAIN STATES FOUNDATION | |
| C | $1,300,186 |
| MOUNTAIN STATES PROPERTIES | |
| K | $2,140,000 |
| MOUNTAIN STATES PROPERTIES | |
| M | $254,756 |
| MOUNTAIN STATES PROPERTIES | |
| O | $510,550 |
| MOUNTAIN STATES PROPERTIES | |
| Q | $5,685,343 |
| MSHA AUXILIARY | |
| C | $119,111 |
| MSHA AUXILIARY | |
| P | $80,459 |
| MSHA AUXILIARY | |
| Q | $1,352,471 |
| NORTON COMMUNITY HOSPITAL | |
| D | $20,708,048 |
| NORTON COMMUNITY HOSPITAL | |
| L | $6,352,308 |
| NORTON COMMUNITY HOSPITAL | |
| O | $122,905 |
| NORTON COMMUNITY HOSPITAL | |
| P | $216,254 |
| NORTON COMMUNITY HOSPITAL | |
| Q | $24,257,133 |
| NORTON COMMUNITY HOSPITAL | |
| R | $463,530 |
| SMYTH COUNTY COMMUNITY HOSPITAL | |
| D | $15,558,742 |
| SMYTH COUNTY COMMUNITY HOSPITAL | |
| L | $4,908,872 |
| SMYTH COUNTY COMMUNITY HOSPITAL | |
| Q | $12,435,212 |