JOHNSTON MEMORIAL HOSPITAL INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- JOHNSTON MEMORIAL HOSPITAL INC (EIN 54-0544705)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-03-31
- IRS object ID
- 201810909349300001
- 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 L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-03-31T06:04:19-04:00 | 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 | 540544705 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHNSTON MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | JOHN | BusinessNameControlTxt |
| Phone | 2762582800 | 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 | JOHN JETER | PersonNm |
| Person Title | CFO/ASST. ADMIN. JMH | PersonTitleTxt |
| Phone | 2762581000 | PhoneNum |
| Signature | 2018-03-29 | SignatureDt |
Filing Security Information FilingSecurityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| At Submission Creation Device Id | EBA7F521928E27B6E9DB4326061FED7B51503225 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | EBA7F521928E27B6E9DB4326061FED7B51503225 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | STAN HICKSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 16000 JOHNSTON MEMORIAL DRIVE | AddressLine1Txt |
| City | ABINGDON | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24211 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $164,192,824 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTPS://BALLADHEALTH.ORG/JMH | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1917 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | JOHNSTON MEMORIAL HOSPITAL (JMH) 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 | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 181 | TotalVolunteersCnt |
| Total Gross UBI | $83,379 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $21,118 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $55,626 | PYContributionsGrantsAmt |
| CY Contributions Grants | $58,108 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $148,637,385 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $156,156,912 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,161,982 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,200,963 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,646,128 | PYOtherRevenueAmt |
| CY Other Revenue | $1,127,365 | CYOtherRevenueAmt |
| PY Total Revenue | $154,501,121 | PYTotalRevenueAmt |
| CY Total Revenue | $163,543,348 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $146,073 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $154,224 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $51,342,118 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $51,640,203 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $80,188,059 | PYOtherExpensesAmt |
| CY Other Expenses | $82,608,524 | CYOtherExpensesAmt |
| PY Total Expenses | $131,676,250 | PYTotalExpensesAmt |
| CY Total Expenses | $134,402,951 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $22,824,871 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $29,140,397 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $360,732,839 | TotalAssetsBOYAmt |
| Total Assets EOY | $381,668,757 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $34,382,073 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $17,620,555 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $326,350,766 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $364,048,202 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | JOHNSTON MEMORIAL HOSPITAL (JMH) 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 | $109,920,830 | ExpenseAmt |
| Grant | $154,224 | GrantAmt |
| Revenue | $156,159,448 | RevenueAmt |
| Desc | JOHNSTON MEMORIAL HOSPITAL (JMH) IS LOCATED IN ABINGDON, VIRGINIA (WASHINGTON COUNTY). THE HOSPITAL OWNS AND OPERATES A 116-BED NONPROFIT ACUTE CARE HOSPITAL AND HOME HEALTH AGENCY. OUR PRIMARY SERVICE AREA ENCOMPASSES 7 COUNTIES IN SOUTHWEST VIRGINIA. JMH IS THE SOLE MEMBER OF ABINGDON PHYSICIAN PARTNERS, A TAX EXEMPT ORGANIZATION THAT OWNS AND OPERATES PHYSICIAN PRACTICES. JMH IS PART OF THE MOUNTAIN STATES HEALTH ALLIANCE NETWORK. ITS MEMBERSHIP CONSISTS OF MOUNTAIN STATES HEALTH ALLIANCE (MAJORITY OWNER) AND JOHNSTON MEMORIAL HEALTHCARE FOUNDATION, INC. (CONTINUED ON SCHEDULE O). (CONT'D) DURING FY17, 8,656 PATIENTS WERE ADMITTED TO OUR HOSPITAL, WITH JUST OVER 32,000 PATIENT DAYS. THERE WERE AN ADDITIONAL 3,981 OBSERVATION DAYS AND JUST UNDER 1,400 NEWBORN DAYS. WE EXPERIENCED 234,109 OUTPATIENT VISITS THIS YEAR. THERE WERE 41,014 VISITS TO OUR EMERGENCY DEPARTMENT. THERE WERE 6,659 SURGERIES PERFORMED. WE DELIVERED 624 BABIES. PROMOTE COMMUNITY HEALTH: MOUNTAIN STATES HEALTH ALLIANCE IS ONE OF ONLY 32 ORGANIZATIONS IN THE COUNTRY THAT WERE CHOSEN RECENTLY TO BE PART OF THE U.S. CENTERS FOR MEDICARE & MEDICAID SERVICES' (CMS) NEW PROGRAM AIMED AT IMPROVING THE HEALTH OF MEDICARE AND MEDICAID BENEFICIARIES. THE NEW PROGRAM - CMS' ACCOUNTABLE HEALTH COMMUNITIES (AHC) MODEL - WILL SEEK TO IMPROVE THE OVERALL HEALTH OF MEDICARE AND MEDICAID BENEFICIARIES BY HELPING TO ADDRESS PATIENTS' HEALTH-RELATED SOCIAL NEEDS. THE PROGRAM SEEKS TO BRIDGE THE GAP BETWEEN CLINICAL AND COMMUNITY SERVICE PROVIDERS TO ADDRESS ISSUES SUCH AS HOUSING INSTABILITY, FOOD INSECURITY, UTILITY NEEDS, INTERPERSONAL VIOLENCE AND TRANSPORTATION. MOUNTAIN STATES WILL SERVE AS THE BRIDGE ORGANIZATION FOR THE PROJECT LOCALLY, LEADING A COLLABORATIVE WITH MULTIPLE OTHER ORGANIZATIONS AND CARE SITES TO BRING THE NEEDED SERVICES TO BENEFICIARIES WHO LIVE IN SOUTHWEST VIRGINIA. THE VIRGINIA DEPARTMENT OF MEDICAL ASSISTANCE SERVICES WILL ALSO PARTNER IN THE PROGRAM. THE AHC MODEL PROVIDES FEDERAL FUNDING TO HIRE PATIENT NAVIGATORS, ALONG WITH ADDITIONAL SUPPORT STAFF WHO WILL BE LOCATED AT COMMUNITY SERVICES BOARDS THROUGHOUT SOUTHWEST VIRGINIA. JMH, ALONG WITH FOUR OTHER MSHA VIRGINIA HOSPITALS, WILL PARTICIPATE IN THE NEW PROGRAM. APP, A NONPROFIT PHYSICIAN ORGANIZATION OWNED BY JMH, WILL ALSO PARTICIPATE IN THE PROGRAM. THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES MADE THE SELECTION NEAR THE END OF OUR FISCAL YEAR SO WE WERE IN THE VERY EARLY STAGE OF PLANNING AT JUNE 30, 2017. OUR TRIUMPH CANCER NAVIGATOR PROGRAM CELEBRATED ITS 1-YR ANNIVERSARY AND HAS EXPANDED ITS SCOPE TO COVER ALL TYPES OF CANCER. THE PROGRAM IS DESIGNED TO SUPPORT CANCER PATIENTS AND THEIR FAMILIES, ADVOCATE FOR THE PATIENT, AND TO HELP COORDINATE THE PATIENT'S CARE THROUGHOUT THE CONTINUUM OF TREATMENT - FROM DIAGNOSIS TO SURVIVORSHIP. THERE IS NO CHARGE FOR THESE SERVICES REGARDLESS OF WHETHER A PATIENT CHOOSES TO RECEIVE THEIR TREATMENT AT JMH OR AN UNRELATED FACILITY. THOSE THAT JOIN THE PROGRAM RECEIVE ONE- ON-ONE ASSISTANCE FROM SPECIALLY TRAINED ONCOLOGY PROFESSIONALS. OUR CANCER NAVIGATORS COMMUNICATE WITH THE PATIENT'S DOCTOR, WILL COORDINATE TRANSPORTATION, SET UP APPOINTMENT REMINDERS AND PROVIDE EMOTIONAL SUPPORT FOR BOTH THE PATIENT AND THE PATIENT'S FAMILY. OUR NAVIGATORS WILL ALSO COORDINATE SUPPORT SERVICES SUCH AS TREATMENT PLANNING, PROSTHESIS SELECTION, NUTRITION COUNSELING, AND IDENTIFICATION OF RESOURCES FOR SPIRITUAL CARE, FINANCIAL ASSISTANCE AND OTHER NEEDS. OUR NAVIGATORS PARTICIPATE IN COMMUNITY EVENTS SUCH AS HEALTH FAIRS, CANCER EDUCATION EVENTS, AND CANCER SUPPORT GROUPS. THEY VISIT PHYSICIAN OFFICES, SENIORS' GROUPS, ATTEND MEETINGS WITH LOCAL BUSINESS ORGANIZATIONS, AND THEY WORK WITH MANY OTHER ORGANIZATIONS TO EXPLAIN THE NAVIGATION PROGRAM AND PROVIDE CANCER AWARENESS/EDUCATION THROUGH THE COMMUNITY. THE PROGRAM HAS MADE AN IMPACT, WITH THE TRIUMPH PROGRAM RECEIVING A PATIENT SATISFACTION SCORE OF 93. A COLLABORATIVE PROJECT, THE SEPSIS INITIATIVE, LAUNCHED BY CLINICAL TEAMS AT JMH AND MSHA HAS EARNED NATIONAL RECOGNITION FROM THE SOCIETY OF HOSPITAL MEDICINE. THE SEPSIS INITIATIVE IS ESTIMATED TO HAVE SAVED MORE THAN 70 LIVES OVER THE COURSE OF A YEAR. THE PROJECT TEAM WAS HONORED BY THE SOCIETY OF HOSPITAL MEDICINE WITH A 2017 AWARD FOR EXCELLENCE IN TEAMWORK IN QUALITY IMPROVEMENT, RESEARCH, TEACHING AND TEAMWORK. SEPSIS IS A POTENTIALLY DEADLY CONDITION CAUSED BY THE BODY'S OVERWHELMING RESPONSE TO AN INFECTION, WHICH CAN LEAD TO TISSUE DAMAGE, ORGAN FAILURE AND DEATH. ACCORDING TO THE NATIONAL INSTITUTES OF HEALTH, SEVERE SEPSIS STRIKES MORE THAN A MILLION AMERICANS EVERY YEAR, AND IT'S BEEN ESTIMATED THAT BETWEEN 28 AND 50 PERCENT OF THOSE PEOPLE DIE - FAR MORE THAN THE NUMBER OF U.S. DEATHS FROM BREAST CANCER, PROSTATE CANCER AND AIDS COMBINED. THE JMH TEAM WORKED TO IDENTIFY SEPSIS QUICKLY, THEN TO IMPROVE COMMUNICATION AMONG CLINICAL TEAMS. SEPSIS EDUCATION WAS MADE MANDATORY FOR NURSE ORIENTATION AND ANNUAL LEARNING REQUIREMENTS. THE TEAM BUILT PROTOCOL INTO THE ELECTRONIC MEDICAL RECORD SYSTEM IN THE FORM OF SEPSIS SCREENING TOOLS, AUTOMATIC ALERTS AND SEPSIS-SPECIFIC ORDER SETS. AND BECAUSE MOST SEPSIS PATIENTS COME INTO THE HOSPITAL THROUGH THE EMERGENCY ROOM, THE TEAM HARDWIRED SEPSIS SCREENING INTO THE ER TRIAGE PROCESSES. THE SEPSIS INITIATIVE IS NOW BEING USED AT SIX OTHER MSHA HOSPITALS. OUR DIAPER ASSISTANCE PROGRAM PROVIDES DIAPERS TO LOW-INCOME FAMILIES THAT DELIVER AT JMH FOR THE FIRST 6 MONTHS OF THE BABY'S LIFE. WE HAD 371 WOMEN ENROLL WITH THEIR BABIES THIS YEAR AND INCURRED EXPENSE OF 8,652 FOR THIS PROGRAM. THE OUTPATIENT DIABETES CARE CENTER (CENTER) AT JMH CONTINUES TO EXPERIENCE INCREASED VOLUMES. AFTER AN INCREASE OF ALMOST 170% FROM FY14 TO FY15, OUR VOLUME GREW 43% IN FY16 AND AN ADDITIONAL 15% IN FY17. THE CENTERS FOR DISEASE CONTROL AND PREVENTION IDENTIFIES THE COUNTIES SERVED BY JMH AS BEING LOCATED IN WHAT IS REFERRED TO AS THE "DIABETES BELT" OF THE U.S. DIABETES PREVALENCE IS 30% HIGHER IN WASHINGTON COUNTY THAN THE STATEWIDE RATE. JMH'S DIABETES CENTER PROVIDES MEDICAL MANAGEMENT OF DIABETES AND DIABETES-RELATED CONDITIONS FOR PATIENTS AGED 12 AND UP. A COMPREHENSIVE DIABETES EDUCATION PROGRAM THAT IS RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION IS PART OF THE CENTER'S PROGRAM OF CARE. THE JMH CENTER FOR COMPREHENSIVE WOUND CARE IS THE ONLY FACILITY IN SOUTHWEST VIRGINIA OFFERING HYPERBARIC OXYGEN THERAPY - THE DELIVERY OF OXYGEN AT LEVELS HIGHER THAN ATMOSPHERIC PRESSURE IN A CHAMBER SETTING THAT STIMULATES THE HEALING PROCESS. THE NEAREST FACILITY OFFERING HYPERBARIC OXYGEN THERAPY IS AN HOUR AWAY. OUR TRAINED STAFF FOLLOW A TEAM APPROACH TO WOUND HEALING. EACH PATIENT RECEIVES A COMPREHENSIVE INDIVIDUALIZED PLAN DESIGNED TO HELP DIFFICULT-TO-HEAL WOUNDS. JMH STAFF STRIVE TO ADDRESS THE UNDERLYING CAUSE OF THE PROBLEM, CONTROL INFECTION, AND IMPROVE THE OVERALL HEALTH OF OUR PATIENTS. THE CENTER CONTINUES TO SEE A GROWTH IN PATIENT VOLUME EACH YEAR. THERE WAS A 16.7% INCREASE IN PROCEDURES FROM FY16 TO FY17. JMH CONTINUES THE "LEAN" PROCESS OF PROVIDING VALUE TO CUSTOMERS (OUR PATIENTS, PHYSICIANS AND TEAM MEMBERS) THROUGH QUALITY IMPROVEMENT TEAMS (REFERRED TO AS RAPID IMPROVEMENT EVENTS) THAT MEET ALL DAY FOR SEVERAL DAYS TO DEVELOP PROCESSES THAT WILL OPTIMIZE CARE OF PATIENTS, REDUCE RESOURCE UTILIZATION; AND, OFTENTIMES, IMPROVE BOTH. THIS PROCESS OF IMPROVEMENT IS CALLED THE "VALUE OPTIMIZATION SYSTEM" (VOS). DURING FY17, WE CONTINUED VOS ACTIVITIES STARTED DURING FY16 AND PLANNED AND BEGAN ACTIVITIES THAT WILL CONTINUE INTO FY18. NEW ACTIVITIES STARTED DURING FY17 INCLUDE: A FOCUS ON PROCESSES IMPACTING PATIENT THROUGHPUT AND EXPERIENCE FROM POINT OF ENTRY (EMERGENCY DEPARTMENT) THROUGH DISCHARGE FROM THE HOSPITAL. THESE RAPID IMPROVEMENT EVENTS (RIE) ARE CONDUCTED OVER A 12 MONTH PERIOD TO ENSURE THE PATIENT IS THE CENTER OF OUR CONTINUOUS IMPROVEMENT ACTIVITIES. RESULTS WILL NOT BE AVAILABLE UNTIL FY18. GOALS WERE ESTABLISHED TO: REDUCE INPATIENT LENGTH OF STAY (LOS); SUSTAIN OBSERVATION LOS; IMPROVE ED PATIENTS' EXPERIENCE; IMPROVE PHYSICIAN COMMUNICATION; IMPROVE RN COMMUNICATION; IMPROVE COMMUNICATION ABOUT MEDICATIONS; AND, IMPROVE COMMUNICATION ABOUT PATIENT DISCHARGE. ANOTHER VOS ACTIVITY STARTED DURING THE YEAR THAT WILL CONTINUE INTO FY18 FOCUSES ON CARDIOVASCULAR SERVICES. THIS RAPID IMPROVEMENT EVENT DEVELOPED AND IMPLEMENTED PROCESSES TO REDUCE AVOIDABLE READMISSIONS FOR PATIENTS WITH CONGESTIVE HEART FAILURE; IMPROVE THE QUALITY OF CARE FOR PATIENTS THROUGHOUT ALL CARDIOVASCULAR SERVICES THROUGH EDUCATION; IMPROVE THE QUALITY OF TRANSFERS; INCLUDE OUTSIDE EMERGENCY MEDICAL STAFF IN TRAINING/EDUCATION (RESCUE SQUADS, FIRE DEPARTMENTS, ETC.); IMPLEMENT A LIMB SALVAGE PROGRAM; AND, IMPROVE MEDICATION ADMINISTRATION AT DISCHARGE. TARGETS ARE SET TO REDUCE CONGESTIVE HEART FAILURE READMISSIONS, REDUCE COST, AND IMPROVE DISCHARGE PERFORMANCE SCORE. BASED ON COMMUNITY NEED, JMH INCURR | Desc |
| Total Program Service Expenses | $109,920,830 | 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 | false | 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 | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | 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 | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | 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 |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 131 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| 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 | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | 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 | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| 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 | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| 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 | JOHN JETER | PersonNm |
| Phone | 2762582800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 16000 JOHNSTON MEMORIAL DRIVE | AddressLine1Txt |
| City | ABINGDON | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24211 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| MARVIN EICHORN | ||||||||||
| MSHA EVP. CO | 6.70 | 48.30 | Yes (X) | Yes (X) | $0 | $590,395 | $39,746 | |||
| JIM GARDNER MD APP PHY | ||||||||||
| DIRECTOR | 2.00 | 38.00 | Yes (X) | $0 | $222,175 | $28,944 | ||||
| GARY PEACOCK | ||||||||||
| DIRECTOR | 3.20 | 4.30 | Yes (X) | $0 | $0 | $0 | ||||
| JOANNE GILMER | ||||||||||
| VICE-CHAIR | 4.80 | 2.40 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| BILL HAYTER | ||||||||||
| SECRETARY | 4.80 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||||
| RACHEL FOWLKES | ||||||||||
| DIRECTOR | 2.90 | Yes (X) | $0 | $0 | $0 | |||||
| ERIC MILLER | ||||||||||
| DIRECTOR | 2.90 | Yes (X) | $0 | $0 | $0 | |||||
| BRIAN DAWSON MD | ||||||||||
| DIRECTOR | 2.90 | Yes (X) | $0 | $0 | $0 | |||||
| KATHY MITCHELL | ||||||||||
| DIRECTOR | 2.90 | Yes (X) | $0 | $0 | $0 | |||||
| RICHARD DICK GAIL | ||||||||||
| DIRECTOR | 3.00 | Yes (X) | $0 | $0 | $0 | |||||
| BRENDAN MCSHEEHY | ||||||||||
| CHAIR | 5.80 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||||
| JOHN THOMAS FOWLKES | ||||||||||
| DIRECTOR | 2.70 | Yes (X) | $0 | $0 | $0 | |||||
| MIKE SPIEGLER | ||||||||||
| DIRECTOR | 3.30 | Yes (X) | $0 | $0 | $0 | |||||
| MARVIN GILLIAM | ||||||||||
| DIRECTOR | 2.70 | Yes (X) | $0 | $0 | $0 | |||||
| DONNIE MEADOWS | ||||||||||
| DIRECTOR | 3.40 | Yes (X) | $0 | $0 | $0 | |||||
| JOHN JETER | ||||||||||
| CFO/ASST. AD | 25.00 | 20.00 | Yes (X) | $0 | $181,681 | $28,315 | ||||
| STAN HICKSON | ||||||||||
| CEO | 39.00 | 6.00 | Yes (X) | $0 | $174,305 | $8,782 | ||||
| BRYAN MULLINS | ||||||||||
| COO | 45.00 | $0 | $155,261 | $23,822 | Yes (X) | |||||
| BRIAN CONDIT MD | ||||||||||
| VP/CMO NE MA | 45.00 | $0 | $312,394 | $33,854 | Yes (X) | |||||
| SCOTT HUNTER PA | ||||||||||
| HOSPITALIST | 40.00 | $0 | $273,474 | $36,920 | Yes (X) | |||||
| WILEY KENT PA | ||||||||||
| HOSPITALIST | 40.00 | $0 | $263,985 | $38,514 | Yes (X) | |||||
| JOHN RAY MD | ||||||||||
| HOSPITALIST | 40.00 | $0 | $253,190 | $24,502 | Yes (X) | |||||
| RONNA NEW MD | ||||||||||
| DIRECTOR | 40.00 | $0 | $241,062 | $29,486 | Yes (X) | |||||
| SEAN MCMURRAY | ||||||||||
| JMH CEO, FOR | 45.00 | $0 | $176,133 | $23,807 | Yes (X) | |||||
| STEPHEN GIVENS RCMC ADMINISTRATOR | ||||||||||
| FMR JMH KEY | 0.00 | 45.00 | $0 | $173,857 | $30,483 | Yes (X) | ||||
| DAMIAN SOOKLAL MD MSMG PHYSICIAN | ||||||||||
| FMR JMH HIGH | 0.00 | 40.00 | $0 | $268,499 | $20,760 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Reportable Comp Rltd Org | $3,286,411 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $367,935 | TotalOtherCompensationAmt |
| 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 |
|---|---|---|---|---|---|
| VIRGINIA HIGHLANDS ANESTHESIA | |||||
| PO BOX 1476 | ABINGDON | VA | 24212 | ANESTHESIA | $3,124,698 |
| BURWILL CONSTRUCTION CO INC | |||||
| PO BOX 637 620 LOCUST STREET | BRISTOL | TN | 37621 | CONSTRUCTION | $2,807,270 |
| VEP MSHA ED INC | |||||
| 1990 N CALIFORNIA BLVD STE 400 | WALNUT CREEK | CA | 94596 | ER PHYS. SERVS. | $954,654 |
| ABINGDON PHYSICIANS ASC GROUP | |||||
| 613 CAMPUS DRIVE SUITE 300 | ABINGDON | VA | 24210 | SURG. CTR. MGMT | $601,208 |
| CROTHALL SERVICES EAST TN | |||||
| 13028 COLLECTIONS CENTER DRIVE | CHICAGO | IL | 60693 | LINEN SERVICES | $434,014 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 23 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $47,336 | RelatedOrganizationsAmt |
| All Other Contributions | $10,772 | AllOtherContributionsAmt |
| Total Contributions | $58,108 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT SERVICE REVENUE | 621110 | $154,933,270 | $154,933,270 | |
| WELLNESS PROGRAMS | 621110 | $710,151 | $710,151 | |
| RENT TO EXEMPT AFFILIATES | 621110 | $430,112 | $430,112 | |
| LABORATORY | 621511 | $83,379 | $83,379 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $156,156,912 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,378,409 | TotalRevenueColumnAmt |
| Exclusion | $3,378,409 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $890,344 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $644,845 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $245,499 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $245,499 | TotalRevenueColumnAmt |
| Exclusion | $245,499 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,820,018 | SecuritiesAmt |
| Other | $7,167 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $4,631 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,820,018 | SecuritiesAmt |
| Other | $2,536 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,822,554 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,536 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $2,820,018 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| VENDOR SETTLEMENT | 900099 | $653,568 | $653,568 |
| REVENUE FROM PARENT | 900099 | $116,326 | $116,326 |
| CAFETERIA & VENDING | 722514 | $27,118 | $27,118 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $84,854 | TotalRevenueColumnAmt |
| Exclusion | $84,854 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $881,866 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $163,543,348 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $156,076,069 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $83,379 | UnrelatedBusinessRevenueAmt |
| Exclusion | $7,325,792 | 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 | $154,224 | TotalAmt |
| Program Services | $154,224 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $632,872 | TotalAmt |
| Management And General | $632,872 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,000,117 | TotalAmt |
| Program Services | $35,547,415 | ProgramServicesAmt |
| Management And General | $5,452,702 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,532,460 | TotalAmt |
| Program Services | $1,320,363 | ProgramServicesAmt |
| Management And General | $212,097 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,749,102 | TotalAmt |
| Program Services | $4,084,896 | ProgramServicesAmt |
| Management And General | $1,664,206 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,725,652 | TotalAmt |
| Program Services | $2,525,676 | ProgramServicesAmt |
| Management And General | $199,976 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,483 | TotalAmt |
| Management And General | $33,483 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $250,338 | TotalAmt |
| Management And General | $250,338 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,251 | TotalAmt |
| Management And General | $41,251 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $377,092 | TotalAmt |
| Management And General | $377,092 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,525,051 | TotalAmt |
| Program Services | $28,177,555 | ProgramServicesAmt |
| Management And General | $2,347,496 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $485,355 | TotalAmt |
| Program Services | $16,606 | ProgramServicesAmt |
| Management And General | $468,749 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,135,884 | TotalAmt |
| Program Services | $917,094 | ProgramServicesAmt |
| Management And General | $218,790 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,721,550 | TotalAmt |
| Program Services | $2,601,582 | ProgramServicesAmt |
| Management And General | $119,968 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,500,292 | TotalAmt |
| Program Services | $1,749,521 | ProgramServicesAmt |
| Management And General | $750,771 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $206,619 | TotalAmt |
| Program Services | $175,430 | ProgramServicesAmt |
| Management And General | $31,189 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,619 | TotalAmt |
| Program Services | $26,176 | ProgramServicesAmt |
| Management And General | $3,443 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,316 | TotalAmt |
| Management And General | $70,316 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,030,298 | TotalAmt |
| Program Services | $3,504,763 | ProgramServicesAmt |
| Management And General | $7,525,535 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $716,260 | TotalAmt |
| Program Services | $19,426 | ProgramServicesAmt |
| Management And General | $696,834 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES & DRUGS | $25,319,973 | $25,319,973 | |
| REPAIRS AND MAINTENANCE | $3,429,832 | $3,223,104 | $206,728 |
| MANAGEMENT FEES TO PARENT | $2,480,200 | $2,480,200 | |
| TAXES - UBI | $3,168 | $3,168 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,251,943 | TotalAmt |
| Program Services | $557,026 | ProgramServicesAmt |
| Management And General | $694,917 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $134,402,951 | TotalAmt |
| Program Services | $109,920,830 | ProgramServicesAmt |
| Management And General | $24,482,121 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,574,841 | BOYAmt |
| EOY | $10,432,434 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,890,264 | BOYAmt |
| EOY | $21,869,482 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $96,435 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,143,185 | BOYAmt |
| EOY | $3,128,400 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $886,996 | BOYAmt |
| EOY | $1,045,287 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $273,032,953 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $120,293,427 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $155,114,444 | BOYAmt |
| EOY | $152,739,526 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $170,814,547 | BOYAmt |
| EOY | $189,998,223 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $142,230 | BOYAmt |
| EOY | $113,590 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,200 | BOYAmt |
| EOY | $35,200 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,034,697 | BOYAmt |
| EOY | $2,306,615 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $360,732,839 | BOYAmt |
| EOY | $381,668,757 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,921,477 | BOYAmt |
| EOY | $14,457,685 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,831,821 | BOYAmt |
| EOY | $1,555,687 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,405,000 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,223,775 | BOYAmt |
| EOY | $1,607,183 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,382,073 | BOYAmt |
| EOY | $17,620,555 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $326,297,995 | BOYAmt |
| EOY | $363,910,905 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,771 | BOYAmt |
| EOY | $137,297 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $326,350,766 | BOYAmt |
| EOY | $364,048,202 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $360,732,839 | BOYAmt |
| EOY | $381,668,757 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $29,140,397 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $7,039,244 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $1,517,795 | 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 | false | FederalGrantAuditRequiredInd |
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 | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (true) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $12,385 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $12,385 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART IV | FormAndLineReferenceDesc |
| Explanation | PART II-B, LINE 1 JMH HAD LOBBYING EXPENSES OF 12,385 WHICH REPRESENTS THE PORTION OF DUES PAID TO VIRGINIA HOSPITAL AND HEALTHCARE ASSOCIATION ATTRIBUTABLE TO DIRECT LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,784,856 | OtherCostOrOtherBasisAmt |
| Book Value | $6,784,856 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $154,079,276 | OtherCostOrOtherBasisAmt |
| Depreciation | $42,030,561 | DepreciationAmt |
| Book Value | $112,048,715 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,106,231 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,685,933 | DepreciationAmt |
| Book Value | $3,420,298 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $105,011,781 | OtherCostOrOtherBasisAmt |
| Depreciation | $75,040,720 | DepreciationAmt |
| Book Value | $29,971,061 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,050,809 | OtherCostOrOtherBasisAmt |
| Depreciation | $536,213 | DepreciationAmt |
| Book Value | $514,596 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $152,739,526 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| RESERVE FOR PROF. LIABILITIES | $857,157 |
| DUE TO AFFILIATES | $563,295 |
| CAPITAL LEASE OBLIGATIONS | $133,600 |
| OTHER LONG-TERM LIABILITIES | $53,131 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,607,183 | 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 HOSPITAL AND APP ARE CLASSIFIED AS ORGANIZATIONS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. JMH ER IS ORGANIZED AS A LIMITED LIABILITY CORPORATION AND IS CONSIDERED A DISREGARDED ENTITY FOR TAX PURPOSES. AS SUCH, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE HOSPITAL 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 | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,705,839 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,705,839 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01270 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,244,508 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,123,052 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,121,456 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02320 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,950,347 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,123,052 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,827,295 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03590 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $893,482 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $893,482 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00660 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,089,942 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $897,117 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,192,825 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01630 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,644,124 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,121,696 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,522,428 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01130 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $110,914 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $110,914 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,738,462 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,018,813 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,719,649 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03510 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $29,688,809 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,141,865 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,546,944 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07100 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $16,505,073 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $11,994,761 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $49,148,327 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $47,957,533 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $1,190,794 | MedicareSurplusOrShortfallAmt |
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHNSTON MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 16000 JOHNSTON MEMORIAL DRIVE | AddressLine1Txt |
| City | ABINGDON | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24211 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.BALLADHEALTH.ORG | WebsiteAddressTxt |
| State License | H 1864 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHNSTON MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.BALLADHEALTH.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | false | StrategyPostedWebsiteInd |
| Strategy Attached | Yes (true) | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.BALLADHEALTH.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.BALLADHEALTH.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.BALLADHEALTH.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, JOHNSTON MEMORIAL HOSPITAL, INC. - PART V, LINE 5 | MSHA MET WITH TEN FOCUS GROUPS, EACH REPRESENTING ONE OF THE THIRTEEN HOSPITAL FACILITIES, INCLUDING JMH. EACH GROUP CONSISTED OF PUBLIC HEALTH LEADERS, NURSES, NON-PROFIT DIRECTORS, COMMUNITY DEVELOPERS, FAITH BASED LEADERS, PUBLIC OFFICIALS AND SCHOOL REPRESENTATIVES. 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 JMH'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 1, JOHNSTON MEMORIAL HOSPITAL, INC. - PART V, LINE 6A | EACH HOSPITAL WITHIN THE MSHA SYSTEM COMPLETED A CHNA. JMH'S CHNA WAS CONDUCTED WITH ALL MSHA HOSPITALS TO INCLUDE: JOHNSON CITY MEDICAL CENTER (INCLUDES NISWONGER CHILDREN'S HOSPITAL AND WOODRIDGE HOSPITAL), FRANKLIN WOODS COMMUNITY HOSPITAL, INDIAN PATH MEDICAL CENTER, SYCAMORE SHOALS HOSPITAL, JOHNSON COUNTY COMMUNITY HOSPITAL, UNICOI COUNTY MEMORIAL HOSPITAL, RUSSELL COUNTY MEDICAL CENTER, SMYTH COUNTY COMMUNITY HOSPITAL, NORTON COMMUNITY HOSPITAL AND DICKENSON COMMUNITY HOSPITAL. |
| FACILITY 1, JOHNSTON MEMORIAL HOSPITAL, INC. - 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. JMH SUPPORTS THE WASHINGTON COUNTY SCHOOL SYSTEM'S MORNING MILE PROGRAM. THIS IS A SCHOOL BASED PROGRAM IN WHICH KIDS ARRIVE AT SCHOOL EARLY AND PARTICIPATE IN A SUPERVISED WALK OR RUN FOR A MILE. SCCH CONTINUES TO SPONSOR THE LOCAL COMMUNITY ACTION NETWORK AND PROVIDES NUTRITIONAL AND WELLNESS INFORMATION TARGETING OBESITY. RCMC SUPPORTS THE RUSSELL COUNTY SCHOOL BACKPACK PROGRAM WHICH PROVIDES HEALTHY FOOD FOR KIDS IN NEED TO HELP ADDRESS CHILDHOOD OBESITY. JCCH STILL MEETS WITH THE LOCAL SCHOOLS TO PROVIDE EDUCATION ON THE DANGERS OF SMOKING. UCMH PARTNERS WITH THE LOCAL YMCA TO PROVIDE DIABETES EDUCATION CLASSES AND SUPPORT FOR THE COMMUNITY. IPMC HAS BEEN SUPPORTING SUGAR FREE INITIATIVES AT THE LOCAL BOYS AND GIRLS CLUB TO HELP REDUCE OBESITY IN CHILDREN. FWCH CONTINUES TO PROVIDE COOKING AND PHYSICAL ACTIVITY CLASSES TO THE COMMUNITY TO ADDRESS OBESITY AND DIABETES. THESE ARE JUST A FEW EXAMPLES OF THE EFFORTS MADE BY MSHA HOSPITALS TO SUPPORT THEIR IMPLEMENTATION PLANS. |
Supplemental Information Detail SupplementalInformationDetail (14 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 MEDICAID BENEFITS, THOSE WHO QUALIFIED FOR MEDICAID AFTER THE DATE OF SERVICE, DECEASED PATIENTS WITH NO ESTATE OR ASSETS, UNINSURED PATIENTS, AND UNDERINSURED PATIENTS. MSHA/JMH 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 HOSPITALS THAT RECEIVE 58%. THIS IS A CALCULATED DISCOUNT THAT IS UPDATED ON AN ANNUAL BASIS. ALTHOUGH VIRGINIA DOES NOT HAVE A LAW THAT REQUIRES HOSPITALS TO PROVIDE DISCOUNTS TO UNINSURED PATIENTS, MSHA EXTENDS THESE UNINSURED DISCOUNTS TO ITS VIRGINIA HOSPITALS AS WELL, INCLUDING JMH. |
| PART I, LINE 6A - RELATED ORGANIZATION INFORMATION | MSHA'S COMMUNITY BENEFIT REPORT COMPLETED IN FY15 INCLUDED JMH. OUR NEXT COMMUNITY BENEFIT REPORT WILL BE ISSUED DURING FY18. |
| 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 AT COST. OUR COST ACCOUNTING SYSTEM PROVIDED MEDICAID/TENNCARE LOSSES REPORTED ON LINE 7B, WITH THE EXCEPTION OF HOME HEALTH. WE USED A COST TO CHARGE RATIO FOR HOME HEALTH MEDICAID LOSSES BECAUSE ITS DATA IS NOT AVAILABLE IN OUR COST ACCOUNTING SOFTWARE. LINE 7E COMMUNITY HEALTH IMPROVEMENT INCLUDES COSTS THAT ARE TAKEN DIRECTLY FROM DEPARTMENTAL OPERATING REPORTS, WITH NO ADDITIONAL OVERHEAD INCLUDED. LINE 7F HEALTH PROFESSIONS EDUCATION IS COMPRISED OF STUDENT INTERNSHIPS (PRIMARILY NURSING, THERAPY, AND PHARMACY STUDENTS) WITH LOCAL SCHOOLS AND UNIVERSITIES, ALLOWING THEIR HEALTH PROFESSION STUDENTS TO RECEIVE HANDS-ON TRAINING AT A HOSPITAL AS PART OF THEIR EDUCATION AND TRAINING. OUR ORGANIZATIONAL DEVELOPMENT DEPARTMENT KEEPS DETAILED RECORDS OF HOURS SPENT ON THESE STUDENT ACTIVITIES, THE NUMBER OF STUDENTS THAT ROTATE THROUGH OUR HOSPITAL, ETC. INFORMATION IS MAINTAINED FOR EACH HOSPITAL UNIT THAT PARTICIPATES. WE ONLY INCLUDE LABOR COSTS AND WE ONLY ASSUME A PERCENTAGE OF OUR INVOLVED TEAM MEMBERS' TIME IS ATTRIBUTABLE TO THESE STUDENTS. ANOTHER SOURCE OF HEALTH PROFESSIONS EDUCATION REPORTED ON LINE 7F IS OUR MEDICARE-APPROVED FAMILY MEDICINE AND INTERNAL MEDICINE PROGRAMS (IN THEIR SECOND YEAR). THE MEDICAL RESIDENT PROGRAM COST AND REIMBURSEMENT INFORMATION COMES FROM OUR FILED MEDICARE COST REPORT, ADHERING TO IRS 990 INSTRUCTIONS. FOR LINE 7G SUBSIDIZED HEALTH SERVICES, WE USE OUR COST ACCOUNTING SYSTEM. WE ARE CAREFUL TO ENSURE NO DOUBLE COUNTING OF COST (FOR EXAMPLE, WE DO NOT INCLUDE CHARITY AND MEDICAID/TENNCARE 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 HOSPITAL THAT LOSE MONEY, WE DO NOT REPORT SERVICES THAT HOSPITALS ARE REQUIRED BY STATE LICENSURE TO PROVIDE, SERVICES THAT ARE READILY AVAILABLE WITHIN OUR AREA OR ANCILLARY DEPARTMENTS SUCH AS RADIOLOGY, LAB, ETC. FOR THE SERVICE LINES WE DO REPORT, SUCH AS OUTPATIENT DIABETES, NEONATOLOGY, AND WOUND CARE, WE USED OUR COST ACCOUNTING SYSTEM SINCE THESE SERVICES HAVE ESTABLISHED, STANDARD FINANCIAL REPORTS. LINE 7I CASH AND IN-KIND CONTRIBUTIONS INCLUDE CASH DISBURSEMENTS AND THE 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 | JMH 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 TEAM MEMBERS, SERVING VOLUNTARILY ON COMMITTEES AND BOARDS OF LOCAL SERVICE AND NONPROFIT ORGANIZATIONS. SOME ALSO SERVE AS MEMBERS AND CONSULTANTS ON PROFESSIONAL COMMITTEES AND TASK FORCES THAT AFFECT REGIONAL DEVELOPMENT IN HEALTHCARE AND EDUCATION. WE DO NOT CAPTURE COSTS ASSOCIATED WITH TEAM MEMBERS THAT SERVE ON OTHER NONPROFIT BOARDS OR PROVIDE SERVICES TO OTHER NONPROFITS. JMH, IN COLLABORATION WITH AREA HEALTH AGENCIES AND PROVIDERS, MAY OFFER ASSISTANCE WITH COORDINATION, ADVOCACY, OR CONTRIBUTE SUPPLIES TO SUPPORT GROUPS FOR THEIR PROGRAM ACTIVITIES THAT SERVE TO ASSIST SPECIAL POPULATIONS WITHIN OUR AREA. MOST OF THESE ORGANIZATIONS WORK TO IMPROVE THE LIVES OF COMMUNITY MEMBERS THAT HAVE LIMITED, OR NO, FINANCIAL RESOURCES. |
| PART 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 AND MANY 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, JMH 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 73% OF BAD DEBT EXPENSE AT JMH 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 JMH'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 JMH PAYS TO PROCESS CHARITY CARE APPLICATIONS FOR UNINSURED PATIENTS AND TO OFFER PATIENTS ENROLLMENT ASSISTANCE IN 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. JMH WOULD PREFER FOR PATIENTS TO SUBMIT COMPLETED FINANCIAL ASSISTANCE APPLICATIONS GIVEN THAT 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 RECORD AN UNPAID ACCOUNT AS BAD DEBT INSTEAD OF CHARITY CARE. |
| BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS | THE TEXT OF JMH'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE APPEARS ON PAGES 11 AND 12 IN OUR MOST RECENT AUDITED FINANCIAL STATEMENTS (ATTACHED). |
| PART III, LINE 8 - MEDICARE EXPLANATION | SCHEDULE H PART III, SECTION B REPORTS A JMH MEDICARE GAIN DURING FY17. THE GAIN REPORTED IN PART III EXCLUDES MEDICARE LOSSES OF 832,837 REPORTED IN PART I, LINE 7G SUBSIDIZED HEALTH SERVICES RELATED TO PROGRAMS SUCH AS WOUND CARE AND OUTPATIENT DIABETES. EXCLUDING MEDICARE LOSSES REPORTED IN PART I SUBSIDIZED HEALTH, PART III MEDICARE ALLOWABLE COSTS ARE REPORTED USING JMH'S FILED MEDICARE COST REPORT (C/R). THE C/R USES A COST TO CHARGE RATIO BASED ON A STEP-DOWN ALLOCATION METHODOLOGY. IN CARING FOR THE PATIENT, THERE ARE SEVERAL SERVICES THAT ARE CONSIDERED NON-ALLOWABLE SUCH AS TRANSPORTATION OF A PATIENT AND COMFORT ITEMS, INCLUDING A TELEVISION AND A TELEPHONE. THE RECRUITMENT OF PHYSICIANS AND PHYSICIAN GUARANTEES 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 A TELEVISION AND TELEPHONE IN PATIENTS' ROOMS. ALTHOUGH OUR HOSPITAL 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 JMH 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. JOHNSTON MEMORIAL HOSPITAL RECOGNIZES ITS OBLIGATION TO PROVIDE QUALITY HEALTHCARE TO THOSE WHO ARE UNABLE TO PAY. JMH CHARITY GUIDELINES ARE BASED ON THE 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, VIRGINIA'S OVERALL HEALTH RANKING REMAINED AT 19TH, WHILE TENNESSEE MOVED FROM 44TH TO 45TH. HOWEVER, IT SHOULD BE NOTED THAT SOUTHWEST VIRGINIA (WHERE JMH IS 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 NON-PROFITS 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). JMH WAS GIVEN A HEALTH STATUS RANKING OF 4.14. 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, VIRGINIA AND TENNESSEE BOTH SAW AN INCREASE IN DIABETES AND OBESITY WITHIN THE PAST TEN YEARS. 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 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 | JMH IS LOCATED IN THE TOWN OF ABINGDON, WASHINGTON COUNTY, WHICH IS IN SOUTHWEST VIRGINIA. SOUTHWEST VIRGINIA (SWVA) IS LOCATED WITHIN THE APPALACHIAN MOUNTAINS, SPECIFICALLY THE BLUE RIDGE MOUNTAIN REGION. SWVA IS CONSIDERED RURAL AND MUCH DIFFERENT THAN THE REST OF THE STATE. SWVA HAS BEEN AND REMAINS A MAJOR COAL MINING REGION AND HAS A HIGH RATE OF UNINSURED ADULTS. ACCORDING TO U.S. CENSUS BUREAU ESTIMATES, THE TOWN OF ABINGDON HAS A POPULATION OF 8,117, WHILE WASHINGTON COUNTY'S POPULATION IS 54,562. THE LATEST CENSUS BUREAU DATA ESTIMATES THE MEDIAN AGE OF RESIDENTS OF WASHINGTON COUNTY IS 45.3 WHICH IS OLDER THAN THE MEDIAN AGE OF 37.8 IN VIRGINIA. 20.3% OF WASHINGTON COUNTY'S RESIDENTS ARE 65 OR OLDER COMPARED TO 13.9% FOR THE STATE. THE BUREAU ESTIMATES WASHINGTON COUNTY MEDIAN HOUSEHOLD INCOME AT 43,835 (35,363 FOR THE TOWN OF ABINGDON) COMPARED TO 66,149 FOR THE STATE OF VIRGINIA. 23% OF WASHINGTON COUNTY'S CHILDREN LIVE IN POVERTY COMPARED TO 15% STATEWIDE. WASHINGTON COUNTY IS 71% RURAL COMPARED WITH THE STATEWIDE RURAL RATE OF 24.5%. THIS FACTOR IS A SIGNIFICANT CONTRIBUTING FACTOR IN INFLUENCING HEALTH OUTCOMES IN A POPULATION. MANY RURAL RESIDENTS MUST TRAVEL A GREATER DISTANCE TO ACCESS DIFFERENT POINTS OF THE HEALTH CARE DELIVERY SYSTEM; HOWEVER, DUE TO GEOGRAPHIC DISTANCE, SOMETIMES EXTREME WEATHER CONDITIONS, LACK OF PUBLIC TRANSPORTATION AND CHALLENGING ROADS, RURAL RESIDENTS MAY BE LIMITED, AND IN SOME INSTANCES, EVEN PROHIBITED FROM ACCESSING HEALTH CARE SERVICES. 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. WITHIN OUR OWN COUNTY, INJURY DEATHS ARE 40% HIGHER THAN THE STATEWIDE RATE. AND, WHILE OUR AREA HAS GENERALLY UNFAVORABLE HEALTH STATISTICS, THE NUMBER OF RESIDENTS PER PRIMARY CARE PHYSICIAN IN OUR COUNTY IS 12% HIGHER THAN THE OVERALL STATE RATE AND 42% HIGHER THAN U.S. TOP PERFORMERS ACCORDING TO COUNTY HEALTH RANKINGS. A NUMBER OF FACTORS CONTRIBUTE TO A UNIQUE AND CHALLENGING ENVIRONMENT THAT INFLUENCE OVERALL HEALTH STANDING IN OUR COUNTY. ACCORDING TO THE ROBERT WOOD JOHNSON FOUNDATION'S COUNTY HEALTH RANKINGS, 30% OF THE ADULTS IN JMH'S HOME COUNTY ARE OBESE. OBESITY INCREASES THE RISK FOR MANY HEALTH CONDITIONS SUCH AS CORONARY HEART DISEASE, TYPE 2 DIABETES, HYPERTENSION, STROKE, CANCER, SLEEP APNEA AND RESPIRATORY PROBLEMS, AND OSTEOARTHRITIS. EVIDENCE INDICATES PHYSICAL ACTIVITY, INDEPENDENT OF ITS EFFECT ON WEIGHT, HAS SUBSTANTIAL BENEFITS FOR HEALTH. OUR COUNTY'S INACTIVITY RATE OF 27% IS NEARLY 29% HIGHER THAN THE STATEWIDE RATE AND ACCESS TO EXERCISE OPPORTUNITIES IN THE COUNTY IS 26% LOWER THAN THE OVERALL STATE RATE. |
| PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH | JMH IS DEDICATED TO OPERATING EFFICIENTLY SO THAT WASTE IS MINIMIZED. OPERATING SURPLUSES ARE INVESTED INTO IMPROVING TREATMENT OPTIONS FOR OUR PATIENTS THROUGH NEW TECHNOLOGIES, RECRUITING PHYSICIANS AND OTHER HEALTH PROFESSIONALS IN SHORTAGE AREAS, AND IMPROVING OUR FACILITIES AND EQUIPMENT. VARIOUS CHECKS AND BALANCES ARE ESTABLISHED TO ENSURE THAT EXPENDITURES FOR OPERATING EXPENSES AND CAPITAL COSTS ARE REASONABLE AND NECESSARY. THE MAJORITY OF JMH'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREAS. ONLY TWO DIRECTORS: MARVIN EICHORN AND JOANNE GILMER LIVE OUTSIDE THE AREA. THERE ARE THREE DIRECTORS DEEMED NON-INDEPENDENT, PER IRS INSTRUCTIONS: ONE IS A PHYSICIAN EMPLOYED BY A JMH SUBSIDIARY AND HAS A FAMILY MEMBER EMPLOYEED BY JMH; ONE IS AN EMPLOYEE OF MSHA, JMH'S MAJORITY MEMBER; THE THIRD HAS A FAMILY MEMBER EMPLOYED BY JMH IN A NURSING ROLE. PHYSICIANS THAT REQUEST PRIVILEGES WHO ARE QUALIFIED AND CREDENTIALED ARE EXTENDED PRIVILEGES BY JMH. |
| PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM | JMH IS A 116-BED, ACUTE-CARE FACILITY OPERATED UNDER THE DIRECTION OF A 15 -MEMBER BOARD OF DIRECTORS PRIMARILY COMPRISED OF LOCAL COMMUNITY RESIDENTS. JMH IS MAJORITY OWNED BY MOUNTAIN STATES HEALTH ALLIANCE (MSHA) BASED IN JOHNSON CITY, TENNESSEE, THE LARGEST REGIONAL HEALTHCARE SYSTEM WITH 13 HOSPITALS. MSHA PROVIDES CARE TO PEOPLE IN 29 COUNTIES IN TENNESSEE, VIRGINIA, KENTUCKY, AND NORTH CAROLINA. JMH SERVES AS ITS COUNTY'S PRIMARY HEALTH SERVICE PROVIDER. PATIENTS BENEFIT FROM JMH'S AFFILIATION WITH A HEALTHCARE SYSTEM WHERE THEY CAN BE EFFICIENTLY MOVED ALONG AN INTEGRATED, COMPREHENSIVE CONTINUUM OF CARE AS THEIR HEALTH STATUS DICTATES. IF NEEDED, PATIENTS CAN BE MOVED TO THE SYSTEM'S FLAGSHIP FACILITY, JOHNSON CITY MEDICAL CENTER, WHICH IS A TERTIARY CARE FACILITY PROVIDING ADVANCED TREATMENT OPTIONS. MSHA HOSPITALS WORK CLOSELY WITH ONE ANOTHER TO SHARE EXPERTISE AND RESOURCES. FOR EXAMPLE, JMH ASSISTED SMYTH COUNTY COMMUNITY HOSPITAL (SCCH) AND RUSSELL COUNTY MEDICAL CENTER (RCMC) 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. |
| PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT | VIRGINIA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Non Cash AssistanceNonCashAssistanceAmt |
|---|---|---|---|---|---|---|---|---|
| VIRGINIA HIGHLANDS COMM COLLEGE | ||||||||
| P O BOX 828 | ABINGDON | VA | 24212 | 541268289 | 501C3 | $81,469 | FUND NURSING PROGRAM | |
| BARTER THEATRE | ||||||||
| PO BOX 867 | ABINGDON | VA | 24212 | 546000120 | 501C3 | $18,000 | SPONSORSHIP | |
| WILLIAM KING MUSEUM | ||||||||
| PO BOX 2256 | ABINGDON | VA | 24210 | 541144120 | 501C3 | $10,000 | SPONSORSHIP | |
| WASHINGTON COUNTY PUBLIC SCHOOLS | ||||||||
| 812 THOMPSON DRIVE | ABINGDON | VA | 24210 | 546001671 | 501C3 | $7,250 | SPONSORSHIP | |
| WASHINGTON COUNTY LIFE SAVING CREW | ||||||||
| 237 PARK STREET SE | ABINGDON | VA | 24212 | 541103215 | 501C3 | DRUG BOX REFILLS | $5,243 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 5 | 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 | JMH CHARITABLE DONATIONS REQUIRE FINAL APPROVAL BY THE CEO. IN ORDER TO IMPROVE THE OVERALL EFFICIENCY OF CONTRIBUTION REQUEST EVALUATION, ALL REQUESTS ARE NOW REQUIRED TO BE COMPLETED USING OUR 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 JMH'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 MSHA'S 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 FROM MSHA HOSPITALS, INCLUDING JMH, ARE ALMOST ENTIRELY DIRECTED TO LOCAL NONPROFIT ORGANIZATIONS. MSHA'S SOCIAL RESPONSIBILITY COMMITTEE, WHICH PROVIDES SYSTEM-WIDE GUIDANCE, 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 THIS YEAR, THE COMMITTEE BEGAN WORK TO DEVELOP A SOCIAL RESPONSIBILITY BUSINESS PLAN 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 CORPORATE/HOSPITAL 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) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| 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 (13 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt |
|---|---|---|---|---|---|---|
| MARVIN EICHORN | ||||||
| MSHA EVP. COO/TREAS. | $558,459 | $31,936 | $18,200 | $24,493 | $630,141 | |
| JIM GARDNER MD APP PHY | ||||||
| DIRECTOR | $171,324 | $952 | $9,425 | $19,727 | $251,119 | $49,899 |
| JOHN JETER | ||||||
| CFO/ASST. ADMIN. JMH | $177,757 | $3,924 | $9,399 | $19,318 | $209,996 | |
| STAN HICKSON | ||||||
| CEO | $148,528 | $777 | $9,283 | $183,087 | $25,000 | |
| BRYAN MULLINS | ||||||
| COO | $152,181 | $3,080 | $5,748 | $19,654 | $179,083 | |
| BRIAN CONDIT MD | ||||||
| VP/CMO NE MARKET | $282,649 | $29,745 | $9,170 | $26,648 | $346,248 | |
| SCOTT HUNTER PA | ||||||
| HOSPITALIST | $99,567 | $1,923 | $15,189 | $21,909 | $310,394 | $171,984 |
| WILEY KENT PA | ||||||
| HOSPITALIST | $89,909 | $3,899 | $14,501 | $24,193 | $302,499 | $170,177 |
| JOHN RAY MD | ||||||
| HOSPITALIST | $184,838 | $3,654 | $14,407 | $10,303 | $277,692 | $64,698 |
| RONNA NEW MD | ||||||
| DIRECTOR | $176,047 | $45,015 | $7,613 | $22,081 | $270,548 | $20,000 |
| SEAN MCMURRAY | ||||||
| JMH CEO, FORMER | $154,712 | $21,421 | $14,422 | $10,894 | $199,940 | |
| STEPHEN GIVENS RCMC ADMINISTRATOR | ||||||
| FMR JMH KEY EMPLOYEE | $164,521 | $9,336 | $9,058 | $23,158 | $204,340 | |
| DAMIAN SOOKLAL MD MSMG PHYSICIAN | ||||||
| FMR JMH HIGHEST PAID | $197,693 | $55,806 | $5,076 | $15,739 | $289,259 | $15,000 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PAGE 1, PART I, LINE 4 | SEAN MCMURRAY 0 7,615 0 |
| SCHEDULE J, PART III | PART I, LINE 4B: SEAN MCMURRAY PARTICIPATED IN A 457(F)RETIREMENT PLAN PROVIDED BY MOUNTAIN STATES HEALTH ALLIANCE (MSHA). 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 L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| GINGER MCSHEEHY | |||
| FAMILY MEMBER | $65,055 | EMPLOYMENT | false |
| GRAHAM GARDNER | |||
| FAMILY MEMBER | $11,955 | EMPLOYMENT | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART V | FormAndLineReferenceDesc |
| Explanation | (A1) NAME OF PERSON: GINGER MCSHEEHY (B1) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF BRENDAN MCSHEEHY, JMH BOARD MEMBER (D1) DESCRIPTION OF TRANSACTION: BRENDAN MCSHEEHY,JMH BOARD MEMBER, IS A FAMILY MEMBER OF GINGER MCSHEEHY, AN EMPLOYEE OF JOHNSTON MEMORIAL HOSPITAL. (A2) NAME OF PERSON: GRAHAM GARDNER (B2) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF JIM GARDNER, M.D., JMH BOARD MEMBER (D2) DESCRIPTION OF TRANSACTION: JIM GARDNER, M.D.,JMH BOARD MEMBER, IS A FAMILY MEMBER OF GRAHAM GARDNER, AN EMPLOYEE OF JOHNSTON MEMORIAL HOSPITAL. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | JOHNSTON MEMORIAL HOSPITAL (JMH) 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 2, PART III, LINE 4A | (CONT'D) DURING FY17, 8,656 PATIENTS WERE ADMITTED TO OUR HOSPITAL, WITH JUST OVER 32,000 PATIENT DAYS. THERE WERE AN ADDITIONAL 3,981 OBSERVATION DAYS AND JUST UNDER 1,400 NEWBORN DAYS. WE EXPERIENCED 234,109 OUTPATIENT VISITS THIS YEAR. THERE WERE 41,014 VISITS TO OUR EMERGENCY DEPARTMENT. THERE WERE 6,659 SURGERIES PERFORMED. WE DELIVERED 624 BABIES. PROMOTE COMMUNITY HEALTH: MOUNTAIN STATES HEALTH ALLIANCE IS ONE OF ONLY 32 ORGANIZATIONS IN THE COUNTRY THAT WERE CHOSEN RECENTLY TO BE PART OF THE U.S. CENTERS FOR MEDICARE & MEDICAID SERVICES' (CMS) NEW PROGRAM AIMED AT IMPROVING THE HEALTH OF MEDICARE AND MEDICAID BENEFICIARIES. THE NEW PROGRAM - CMS' ACCOUNTABLE HEALTH COMMUNITIES (AHC) MODEL - WILL SEEK TO IMPROVE THE OVERALL HEALTH OF MEDICARE AND MEDICAID BENEFICIARIES BY HELPING TO ADDRESS PATIENTS' HEALTH-RELATED SOCIAL NEEDS. THE PROGRAM SEEKS TO BRIDGE THE GAP BETWEEN CLINICAL AND COMMUNITY SERVICE PROVIDERS TO ADDRESS ISSUES SUCH AS HOUSING INSTABILITY, FOOD INSECURITY, UTILITY NEEDS, INTERPERSONAL VIOLENCE AND TRANSPORTATION. MOUNTAIN STATES WILL SERVE AS THE BRIDGE ORGANIZATION FOR THE PROJECT LOCALLY, LEADING A COLLABORATIVE WITH MULTIPLE OTHER ORGANIZATIONS AND CARE SITES TO BRING THE NEEDED SERVICES TO BENEFICIARIES WHO LIVE IN SOUTHWEST VIRGINIA. THE VIRGINIA DEPARTMENT OF MEDICAL ASSISTANCE SERVICES WILL ALSO PARTNER IN THE PROGRAM. THE AHC MODEL PROVIDES FEDERAL FUNDING TO HIRE PATIENT NAVIGATORS, ALONG WITH ADDITIONAL SUPPORT STAFF WHO WILL BE LOCATED AT COMMUNITY SERVICES BOARDS THROUGHOUT SOUTHWEST VIRGINIA. JMH, ALONG WITH FOUR OTHER MSHA VIRGINIA HOSPITALS, WILL PARTICIPATE IN THE NEW PROGRAM. APP, A NONPROFIT PHYSICIAN ORGANIZATION OWNED BY JMH, WILL ALSO PARTICIPATE IN THE PROGRAM. THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES MADE THE SELECTION NEAR THE END OF OUR FISCAL YEAR SO WE WERE IN THE VERY EARLY STAGE OF PLANNING AT JUNE 30, 2017. OUR TRIUMPH CANCER NAVIGATOR PROGRAM CELEBRATED ITS 1-YR ANNIVERSARY AND HAS EXPANDED ITS SCOPE TO COVER ALL TYPES OF CANCER. THE PROGRAM IS DESIGNED TO SUPPORT CANCER PATIENTS AND THEIR FAMILIES, ADVOCATE FOR THE PATIENT, AND TO HELP COORDINATE THE PATIENT'S CARE THROUGHOUT THE CONTINUUM OF TREATMENT - FROM DIAGNOSIS TO SURVIVORSHIP. THERE IS NO CHARGE FOR THESE SERVICES REGARDLESS OF WHETHER A PATIENT CHOOSES TO RECEIVE THEIR TREATMENT AT JMH OR AN UNRELATED FACILITY. THOSE THAT JOIN THE PROGRAM RECEIVE ONE- ON-ONE ASSISTANCE FROM SPECIALLY TRAINED ONCOLOGY PROFESSIONALS. OUR CANCER NAVIGATORS COMMUNICATE WITH THE PATIENT'S DOCTOR, WILL COORDINATE TRANSPORTATION, SET UP APPOINTMENT REMINDERS AND PROVIDE EMOTIONAL SUPPORT FOR BOTH THE PATIENT AND THE PATIENT'S FAMILY. OUR NAVIGATORS WILL ALSO COORDINATE SUPPORT SERVICES SUCH AS TREATMENT PLANNING, PROSTHESIS SELECTION, NUTRITION COUNSELING, AND IDENTIFICATION OF RESOURCES FOR SPIRITUAL CARE, FINANCIAL ASSISTANCE AND OTHER NEEDS. OUR NAVIGATORS PARTICIPATE IN COMMUNITY EVENTS SUCH AS HEALTH FAIRS, CANCER EDUCATION EVENTS, AND CANCER SUPPORT GROUPS. THEY VISIT PHYSICIAN OFFICES, SENIORS' GROUPS, ATTEND MEETINGS WITH LOCAL BUSINESS ORGANIZATIONS, AND THEY WORK WITH MANY OTHER ORGANIZATIONS TO EXPLAIN THE NAVIGATION PROGRAM AND PROVIDE CANCER AWARENESS/EDUCATION THROUGH THE COMMUNITY. THE PROGRAM HAS MADE AN IMPACT, WITH THE TRIUMPH PROGRAM RECEIVING A PATIENT SATISFACTION SCORE OF 93. A COLLABORATIVE PROJECT, THE SEPSIS INITIATIVE, LAUNCHED BY CLINICAL TEAMS AT JMH AND MSHA HAS EARNED NATIONAL RECOGNITION FROM THE SOCIETY OF HOSPITAL MEDICINE. THE SEPSIS INITIATIVE IS ESTIMATED TO HAVE SAVED MORE THAN 70 LIVES OVER THE COURSE OF A YEAR. THE PROJECT TEAM WAS HONORED BY THE SOCIETY OF HOSPITAL MEDICINE WITH A 2017 AWARD FOR EXCELLENCE IN TEAMWORK IN QUALITY IMPROVEMENT, RESEARCH, TEACHING AND TEAMWORK. SEPSIS IS A POTENTIALLY DEADLY CONDITION CAUSED BY THE BODY'S OVERWHELMING RESPONSE TO AN INFECTION, WHICH CAN LEAD TO TISSUE DAMAGE, ORGAN FAILURE AND DEATH. ACCORDING TO THE NATIONAL INSTITUTES OF HEALTH, SEVERE SEPSIS STRIKES MORE THAN A MILLION AMERICANS EVERY YEAR, AND IT'S BEEN ESTIMATED THAT BETWEEN 28 AND 50 PERCENT OF THOSE PEOPLE DIE - FAR MORE THAN THE NUMBER OF U.S. DEATHS FROM BREAST CANCER, PROSTATE CANCER AND AIDS COMBINED. THE JMH TEAM WORKED TO IDENTIFY SEPSIS QUICKLY, THEN TO IMPROVE COMMUNICATION AMONG CLINICAL TEAMS. SEPSIS EDUCATION WAS MADE MANDATORY FOR NURSE ORIENTATION AND ANNUAL LEARNING REQUIREMENTS. THE TEAM BUILT PROTOCOL INTO THE ELECTRONIC MEDICAL RECORD SYSTEM IN THE FORM OF SEPSIS SCREENING TOOLS, AUTOMATIC ALERTS AND SEPSIS-SPECIFIC ORDER SETS. AND BECAUSE MOST SEPSIS PATIENTS COME INTO THE HOSPITAL THROUGH THE EMERGENCY ROOM, THE TEAM HARDWIRED SEPSIS SCREENING INTO THE ER TRIAGE PROCESSES. THE SEPSIS INITIATIVE IS NOW BEING USED AT SIX OTHER MSHA HOSPITALS. OUR DIAPER ASSISTANCE PROGRAM PROVIDES DIAPERS TO LOW-INCOME FAMILIES THAT DELIVER AT JMH FOR THE FIRST 6 MONTHS OF THE BABY'S LIFE. WE HAD 371 WOMEN ENROLL WITH THEIR BABIES THIS YEAR AND INCURRED EXPENSE OF 8,652 FOR THIS PROGRAM. THE OUTPATIENT DIABETES CARE CENTER (CENTER) AT JMH CONTINUES TO EXPERIENCE INCREASED VOLUMES. AFTER AN INCREASE OF ALMOST 170% FROM FY14 TO FY15, OUR VOLUME GREW 43% IN FY16 AND AN ADDITIONAL 15% IN FY17. THE CENTERS FOR DISEASE CONTROL AND PREVENTION IDENTIFIES THE COUNTIES SERVED BY JMH AS BEING LOCATED IN WHAT IS REFERRED TO AS THE "DIABETES BELT" OF THE U.S. DIABETES PREVALENCE IS 30% HIGHER IN WASHINGTON COUNTY THAN THE STATEWIDE RATE. JMH'S DIABETES CENTER PROVIDES MEDICAL MANAGEMENT OF DIABETES AND DIABETES-RELATED CONDITIONS FOR PATIENTS AGED 12 AND UP. A COMPREHENSIVE DIABETES EDUCATION PROGRAM THAT IS RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION IS PART OF THE CENTER'S PROGRAM OF CARE. THE JMH CENTER FOR COMPREHENSIVE WOUND CARE IS THE ONLY FACILITY IN SOUTHWEST VIRGINIA OFFERING HYPERBARIC OXYGEN THERAPY - THE DELIVERY OF OXYGEN AT LEVELS HIGHER THAN ATMOSPHERIC PRESSURE IN A CHAMBER SETTING THAT STIMULATES THE HEALING PROCESS. THE NEAREST FACILITY OFFERING HYPERBARIC OXYGEN THERAPY IS AN HOUR AWAY. OUR TRAINED STAFF FOLLOW A TEAM APPROACH TO WOUND HEALING. EACH PATIENT RECEIVES A COMPREHENSIVE INDIVIDUALIZED PLAN DESIGNED TO HELP DIFFICULT-TO-HEAL WOUNDS. JMH STAFF STRIVE TO ADDRESS THE UNDERLYING CAUSE OF THE PROBLEM, CONTROL INFECTION, AND IMPROVE THE OVERALL HEALTH OF OUR PATIENTS. THE CENTER CONTINUES TO SEE A GROWTH IN PATIENT VOLUME EACH YEAR. THERE WAS A 16.7% INCREASE IN PROCEDURES FROM FY16 TO FY17. JMH CONTINUES THE "LEAN" PROCESS OF PROVIDING VALUE TO CUSTOMERS (OUR PATIENTS, PHYSICIANS AND TEAM MEMBERS) THROUGH QUALITY IMPROVEMENT TEAMS (REFERRED TO AS RAPID IMPROVEMENT EVENTS) THAT MEET ALL DAY FOR SEVERAL DAYS TO DEVELOP PROCESSES THAT WILL OPTIMIZE CARE OF PATIENTS, REDUCE RESOURCE UTILIZATION; AND, OFTENTIMES, IMPROVE BOTH. THIS PROCESS OF IMPROVEMENT IS CALLED THE "VALUE OPTIMIZATION SYSTEM" (VOS). DURING FY17, WE CONTINUED VOS ACTIVITIES STARTED DURING FY16 AND PLANNED AND BEGAN ACTIVITIES THAT WILL CONTINUE INTO FY18. NEW ACTIVITIES STARTED DURING FY17 INCLUDE: A FOCUS ON PROCESSES IMPACTING PATIENT THROUGHPUT AND EXPERIENCE FROM POINT OF ENTRY (EMERGENCY DEPARTMENT) THROUGH DISCHARGE FROM THE HOSPITAL. THESE RAPID IMPROVEMENT EVENTS (RIE) ARE CONDUCTED OVER A 12 MONTH PERIOD TO ENSURE THE PATIENT IS THE CENTER OF OUR CONTINUOUS IMPROVEMENT ACTIVITIES. RESULTS WILL NOT BE AVAILABLE UNTIL FY18. GOALS WERE ESTABLISHED TO: REDUCE INPATIENT LENGTH OF STAY (LOS); SUSTAIN OBSERVATION LOS; IMPROVE ED PATIENTS' EXPERIENCE; IMPROVE PHYSICIAN COMMUNICATION; IMPROVE RN COMMUNICATION; IMPROVE COMMUNICATION ABOUT MEDICATIONS; AND, IMPROVE COMMUNICATION ABOUT PATIENT DISCHARGE. ANOTHER VOS ACTIVITY STARTED DURING THE YEAR THAT WILL CONTINUE INTO FY18 FOCUSES ON CARDIOVASCULAR SERVICES. THIS RAPID IMPROVEMENT EVENT DEVELOPED AND IMPLEMENTED PROCESSES TO REDUCE AVOIDABLE READMISSIONS FOR PATIENTS WITH CONGESTIVE HEART FAILURE; IMPROVE THE QUALITY OF CARE FOR PATIENTS THROUGHOUT ALL CARDIOVASCULAR SERVICES THROUGH EDUCATION; IMPROVE THE QUALITY OF TRANSFERS; INCLUDE OUTSIDE EMERGENCY MEDICAL STAFF IN TRAINING/EDUCATION (RESCUE SQUADS, FIRE DEPARTMENTS, ETC.); IMPLEMENT A LIMB SALVAGE PROGRAM; AND, IMPROVE MEDICATION ADMINISTRATION AT DISCHARGE. TARGETS ARE SET TO REDUCE CONGESTIVE HEART FAILURE READMISSIONS, REDUCE COST, AND IMPROVE DISCHARGE PERFORMANCE SCORE. BASED ON COMMUNITY NEED, JMH INCURRED DIRECT EXPENSE OF 649,969 TO RECRUIT PHYSICIANS INTO OUR COMMUNITY. IN ADDITION, MSHA CORPORATE ALLOCATES A PORTION OF ITS PHYSICIAN RECRUITMENT DEPARTMENTAL EXPENSES SINCE THAT DEPARTMENT SERVICES ALL MSHA DIVISIONS, INCLUDING JMH. PHYSICIANS ARE RECRUITED TO REPLACE PHYSICIANS THAT RETIRE OR LEAVE THE AREA. ACCORDING TO THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES, PHYSICIAN RETIREMENT IS THE PRIMARY FACTOR BEHIND THE PHYSICIAN SHORTAGE IN THE U.S. ABOUT ONE-THIRD OF CURRENTLY PRACTICING PHYSICIANS WILL BE AT LEAST 65 YEARS OLD WITHIN THE NEXT DECADE. JMH RECRUITMENT EXPENSE DURI |
| FORM 990, PART V | LINE 2A: W-2 EMPLOYEES JMH TEAM MEMBERS ARE PAID BY MOUNTAIN STATES HEALTH ALLIANCE (MSHA). JMH REIMBURSES MSHA FOR ALL SALARY AND BENEFITS RELATED TO OUR TEAM MEMBERS AND THE EXPENSE IS RECORDED ON JMH'S BOOKS. |
| FORM 990, PAGE 6, PART VI, LINE 6 | THE CORPORATION IS ORGANIZED AS A VIRGINIA NON-STOCK, NONPROFIT CORPORATION WITH TWO MEMBERS: MOUNTAIN STATES HEALTH ALLIANCE, WHICH MAINTAINS A 50.1% INTEREST AND JOHNSTON MEMORIAL HEALTHCARE FOUNDATION, WHICH MAINTAINS A 49.9% INTEREST. |
| FORM 990, PAGE 6, PART VI, LINE 7A | THERE ARE TWO CLASSES OF MEMBERS, AND EACH CLASS IS ENTITLED TO ELECT A SPECIFIED NUMBER OF DIRECTORS TO THE BOARD. THE MOUNTAIN STATES HEALTH ALLIANCE CLASS IS ELECTED BY THE MSHA BOARD OF DIRECTORS AND THE JOHNSTON MEMORIAL HOSPITAL CLASS IS ELECTED BY THE JOHNSTON MEMORIAL HEALTHCARE FOUNDATION'S BOARD OF DIRECTORS. NEITHER SIDE CAN VETO AN APPOINTMENT. |
| FORM 990, PAGE 6, PART VI, LINE 7B | CERTAIN DECISIONS OF THE BOARD ARE PURSUANT TO CHARTER AND VIRGINIA STATUTE, SUBJECT TO APPROVAL OF THE MEMBERS. THESE DECISIONS INCLUDE: DISSOLUTION OF THE CORPORATION; MERGER OF THE CORPORATION; NON-ORDINARY COURSE OF BUSINESS SALE OF ASSETS, ETC. NO ORDINARY DAY-TO-DAY DECISIONS ARE SUBJECT TO MEMBER APPROVAL. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE CFO REVIEWED THE FORM 990 WITH THE BOARD OF DIRECTORS PRIOR TO FILING THE RETURN WITH THE IRS. THE RETURN WAS MADE AVAILABLE TO EACH BOARD MEMBER IN AN ELECTRONIC FORMAT PRIOR TO THE REVIEW. |
| FORM 990, 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, INCLUDING THOSE AT JMH. 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. ADDITIONALLY, PERSONNEL WHO HAVE A CONFLICT ARISE BETWEEN THE ANNUAL DISTRIBUTION OF THE POLICY AND FORMS ARE REQUIRED TO DISCLOSE THE CONFLICT AND WOULD BE DISCIPLINED IN ANY INSTANCE WHERE THEY HAVE NOT DISCLOSED AND ENGAGED IN A CONFLICTED TRANSACTION. |
| FORM 990, PAGE 6, PART VI, LINE 15A | ON AN ANNUAL BASIS, MOUNTAIN STATE HEALTH ALLIANCE'S HUMAN RESOURCE (H/R) DEPARTMENT EVALUATES COMPENSATION FOR ALL EXECUTIVES AT A POSITION LEVEL OF ASSISTANT VICE PRESIDENT AND ABOVE. THE REVIEW INCLUDES JMH/APP'S CEO. H/R'S EVALUATION IS BASED ON MARKET DATA OBTAINED FROM INDEPENDENT THIRD- PARTY CONSULTANTS FOR POSITIONS WITH SIMILAR RESPONSIBILITIES AT SIMILARLY SITUATED ORGANIZATIONS. BASED ON THIS COMPARABLE DATA, MOUNTAIN STATE'S PRESIDENT & CEO EVALUATES THE DATA AND SUBMITS HIS RECOMMENDATIONS TO MOUNTAIN STATE'S BOARD OF DIRECTORS FOR THEIR FINAL REVIEW AND APPROVAL. IN ADDITION, MOUNTAIN STATES OFFERS AN INCENTIVE PLAN TO EXECUTIVES BASED ON TARGETED ACHIEVEMENT METRICS SET IN ADVANCE OF THE PAY YEAR. ESTABLISHED METRICS INCLUDE: COMMUNICATION WITH PATIENTS, PATIENT EVIDENCE-BASED CARE SCORES AND PATIENT SAFETY, VALUE-BASED PURCHASING, ETC. THESE SAME METRICS ARE USED FOR ALL EMPLOYEES THROUGHOUT MSHA, WITH ONLY A SMALL NUMBER OF EXCEPTIONS FOR OUR COMPANIES THAT DO NOT PROVIDE DIRECT PATIENT CARE. |
| FORM 990, PAGE 6, PART VI, LINE 15B | SIMILAR TO JMH/APP'S CEO, JMH/APP'S CFO RECEIVES COMPENSATION THAT COMPLIES WITH MOUNTAIN STATE'S SALARY POLICY AND UNDERGOES THE SAME REVIEW AND APPROVAL PROCESS BY MOUNTAIN STATE'S BOARD OF DIRECTORS AS THE CEO, AS DESCRIBED IN 15A. HIS PAY IS SET AT A MARKET PERCENTILE SPECIFIC TO HIS POSITON AS CFO OF JMH AND APP. |
| 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 - RELATED ORGANIZATIONS DIRECTOR COMPENSATION: JOHNSTON MEMORIAL HOSPITAL'S BOARD MEMBERS, MARVIN EICHORN AND JAMES GARDNER, M.D. RECEIVE COMPENSATION FOR SERVICES PROVIDED TO RELATED ORGANIZATIONS AND DO NOT RECEIVE COMPENSATION FOR SERVICES AS A JMH BOARD MEMBER. |
| FORM 990, PART IX, LINE 11G | HOSPITAL BASED PROVIDERS 5,320,316 0 0 HOSPITAL SUPPORTED CLINICS 10,323,446 0 0 PHYSICIAN FEES 4,573,175 0 0 COLLECTION SERVICE FEES 0 878,899 0 JANITORIAL & LINEN FEES 1,916,450 0 0 CONSULTING FEES 0 555,254 0 DIALYSIS SERVICES 402,516 0 0 HYPERBARIC SERVICES 121,649 0 0 SLEEP DIAGNOSTICS SERVICES 541,835 0 0 NUC. MED./ONCOLOGY /RADIOLOGY 578,690 0 0 LABORATORY TESTS 632,598 0 0 AMBULATORY SURGERY CENTER 322,905 0 0 ENGINEERING SERVICES 0 228,359 0 DIETARY 1,856,332 0 0 TRANSCRIPTION & CODING 0 319,269 0 OTHER FEES 1,587,643 365,715 0 TOTAL 28,177,555 2,347,496 0 |
| FORM 990, PART XI, LINE 9 | ELIMINATION OF INTERCOMPANY REC/PAY 1,433,270 TEMPORARILY RESTRICTED NET ASSET CHANGE 84,525 TOTAL 1,517,795 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JMH EMERGENCY PHYSICIANS LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 16000 JOHNSTON MEMORIAL DRIVE | AddressLine1Txt |
| City | ABINGDON | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24211 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 454786385 | EIN |
| Primary Activities | MED. SERV. | PrimaryActivitiesTxt |
| Legal Domicile State | VA | LegalDomicileStateCd |
| End Of Year Assets | $7,799 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JMH | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| JOHNSTON MEMORIAL HEALTHCARE FND | ||||||||||
| 16000 JOHNSTON MEMORIAL DRIVE | ABINGDON | VA | 24211 | 262870970 | SUPPORT | VA | 501C3 | 12B | NA | false |
| ABINGDON PHYSICIAN PARTNERS | ||||||||||
| 16000 JOHNSTON MEMORIAL DRIVE | ABINGDON | VA | 24211 | 205485346 | MED. SERV. | VA | 501C3 | 12A | JMH | false |
| MOUNTAIN STATES HEALTH ALLIANCE | ||||||||||
| 400 N STATE OF FRANKLIN ROAD | JOHNSON CITY | TN | 37604 | 620476282 | HOSP. SYS. | TN | 501C3 | 3 | NA | false |
| MOUNTAIN STATES FOUNDATION | ||||||||||
| 2335 KNOB CREEK ROAD SUITE 101 | JOHNSON CITY | TN | 37604 | 581418862 | FUNDRAISER | TN | 501C3 | 12A | MSHA | false |
| APPALACHIAN EMERGENCY PHYSICIANS | ||||||||||
| 1021 W OAKLAND AVENUE SUITE 207 | JOHNSON CITY | TN | 37604 | 800592504 | MED. SERV. | VA | 501C3 | 12A | NA | false |
| AUXILIARY TO JOHNSTON MEMORIAL HOSP | ||||||||||
| 1600 JOHNSTON MEMORIAL DRIVE | ABINGDON | VA | 24211 | 540917478 | SUPPORT | VA | 501C3 | 12A | NA | false |
| MSHA AUXILIARY | ||||||||||
| 400 N STATE OF FRANKLIN ROAD | JOHNSON CITY | TN | 37604 | 581418345 | SUPPORT | TN | 501C3 | 12A | MSHA | false |
| NORTON COMMUNITY HOSPITAL | ||||||||||
| 100 15TH STREET NW | NORTON | VA | 24273 | 540566029 | HOSPITAL | VA | 501C3 | 3 | NA | false |
| DICKENSON COMMUNITY HOSPITAL | ||||||||||
| ONE HOSPITAL DRIVE | CLINTWOOD | VA | 24228 | 770599553 | HOSPITAL | VA | 501C3 | 3 | NCH | false |
| SMYTH COUNTY COMMUNITY HOSPITAL | ||||||||||
| 245 MEDICAL PARK DRIVE | MARION | VA | 24354 | 540794913 | HOSPITAL | VA | 501C3 | 3 | MSHA | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| INTEGRATED SOLUTIONS HEALTH NETWORK | |||||||||
| 509 MED TECH PARKWAY SUITE 100 | JOHNSON CITY | TN | 37604 | 621711997 | INVESTMENT | TN | NA | false | false |
| EMMAUS COMMUNITY HEALTHCARE PLLC | |||||||||
| 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 | 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 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| BLUE RIDGE MEDICAL MANAGEMENT CORP | |||||||||
| 1021 W OAKLAND AVENUE SUITE 207 | JOHNSON CITY | TN | 37604 | 621711997 | MED. SERV. | TN | NA | C CORP | false |
| MEDISERVE MED EQUIP OF KINGSPORT | |||||||||
| 1021 W OAKLAND AVE SUITE 207 | JOHNSON CITY | TN | 37604 | 621212286 | DME | TN | NA | C CORP | false |
| MOUNTAIN STATES PROPERTIES | |||||||||
| 1021 W OAKLAND AVE SUITE 207 | JOHNSON CITY | TN | 37604 | 621845895 | PROP. MGMT | TN | NA | C CORP | false |
| MOUNTAIN STATES PHYSICIAN GROUP | |||||||||
| 1021 W OAKLAND AVENUE SUITE 207 | JOHNSON CITY | TN | 37604 | 621700412 | MED. SERV. | TN | NA | C CORP | false |
| COMMUNITY HOME CARE INC | |||||||||
| 1460 PARK AVENUE | NORTON | VA | 24273 | 541453810 | DME | VA | NA | C CORP | false |
| WILSON PHARMACY INC | |||||||||
| P O BOX 5289 | JOHNSON CITY | TN | 37604 | 620329587 | PHARMACY | TN | NA | C CORP | false |
| CRESTPOINT HEALTH INSURANCE CO INC | |||||||||
| 509 MED TECH PARKWAY SUITE 100 | JOHNSON CITY | TN | 37604 | 620381170 | INSURANCE | TN | NA | C CORP | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | 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 (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt |
|---|---|
| ABINGDON PHYSICIAN PARTNERS | |
| A | $893,460 |
| ABINGDON PHYSICIAN PARTNERS | |
| C | $1,433,270 |