2015-05-13T09:23:55-05:00 2014-06-30 BKD LLP 360 E 8TH AVE STE 201 PO BOX 1196 BOWLING GREEN KY 421021196 990 2013-07-01 620701119 LAUGHLIN MEMORIAL HOSPITAL INC % MARK COMPTON CFO LAUG 4237875000 1420 TUSCULUM BLVD Suite GREENEVILLE TN 37745 CHARLES WHITFIELD JR CEO 4237875000 2015-05-12 true JESSICA FREEMAN P01261457 4237875000 2013 2016-04-25 22:37:26Z CHARLES H WHITFIELD JR 1420 TUSCULUM BLVD GREENEVILLE TN 37745 88370684 false X WWW.LAUGHLINMEMORIAL.ORG X 1966 TN IMPROVING THE HEALTH AND WELL BEING OF INDIVIDUALS, FAMILIES AND OUR COMMUNITY BASED ON IDENTIFIED NEEDS. DELIVERING EMERGENCY CARE WITHOUT REGARD TO PATIENTS' ABILITY TO PAY. 10 5 936 73 -2000 -2000 262389 235119 62044700 63943970 2628758 2998869 2040154 1819708 66976001 68997666 0 0 0 0 39882952 40051049 0 0 334261 32193849 32602657 72076801 72653706 -5100800 -3656040 161015154 161891855 48689994 48309104 112325160 113582751 IMPROVING THE HEALTH AND WELL BEING OF INDIVIDUALS, FAMILIES AND OUR COMMUNITY BASED ON IDENTIFIED NEEDS. DELIVERING EMERGENCY CARE WITHOUT REGARD TO PATIENTS' ABILITY TO PAY. false false 58940751 64960911 LAUGHLIN MEMORIAL HOSPITAL IS COMMITTED TO IMPROVING THE HEALTH AND WELL BEING OF INDIVIDUALS, FAMILIES AND OUR COMMUNITY THROUGH INNOVATION AND PURSUIT OF EXCELLENCE. WE PROMOTE CONTINUITY OF CARE THROUGHOUT THE HOSPITAL, HOME HEALTH AGENCY, NURSING HOME AND OTHER COMMUNITY SETTINGS. EMERGENCY SERVICES ARE OFFERED 24 HOURS PER DAY WITHOUT REGARD TO PATIENTS' ABILITY TO PAY. OUR STAFF PROMOTES HEALTHY LIFESTYLES AND STRATEGIES FOR DISEASE PREVENTION. 58940751 true true false true false false false false false false true false false false true false true false false false false false false false false false true true false false true true false false false false false false false false false false false false false false false true false false false true 87 0 true 936 true false false false false false false false false false false X 10 5 true false false false false false false true true false false false true true true true true true true false X MARK COMPTON CFO 4237875000 1420 TUSCULUM BLVD GREENEVILLE TN 37745 CHARLES H WHITFIELD JR CEO 50.0 X X 1009342 0 25558 CLINTON RAY ADAMS CHAIRMAN OF BOARD 2.0 X X 0 0 8058 WILLARD S BLEVINS DIRECTOR 2.0 X 0 0 13058 C HERBERT WHITFIELD SR DIRECTOR 2.0 X 0 0 13058 JACK G WILSON DIRECTOR 16.0 X 9000 0 13058 DOMINICK L JACKSON DIRECTOR 2.0 X 0 0 13058 CHARLES A MONTGOMERY MD DIRECTOR 2.0 X 0 0 0 RICHARD W PECTOL MD DIRECTOR 2.0 X 0 0 0 JAMIE OAKLEY MD DIRECTOR 2.0 X 0 0 0 BOBBY WELLS DIRECTOR 2.0 X 0 0 0 JOHN MARK COMPTON CFO 40.0 X 183262 0 47914 KEVIN C STROHMEYER MD ORTHOPEDIC SURGEON 40.0 X 549650 0 19460 MARK PATTERSON MD SURGEON 40.0 X 428376 0 26538 ROBERT S FLOHR MD SURGEON 40.0 X 361799 0 27589 NATALIE SCOTT MD SURGEON 40.0 X 299567 0 25558 MICHELLE DILKS DO PHYSICIAN 40.0 X 176453 0 16900 3017449 0 249807 18 false true false DIVERSIFIED CLINICAL SERVICES PO BOX 551187 JACKSONVILLE FL 32255 CLINICAL LABWORK 500742 SUMMIT MEDICAL GROUP PLLC 1225 WEISGARBER ROAD KNOXVILLE TN 37909 PHYSICIAN GROUP 657442 ANGELICA CORPORATION PO BOX 535122 ATLANTA GA 30353 LAUNDRY SERVICE 455168 WELLMONT CARDIOLOGY SERVICES INC 1905 AMERICAN WAY KINGSPORT TN 37660 CARDIOLOGY SERVICES 381563 WC THACKER MD 209 NORTH COLLEGE STREET GREENEVILLE TN 37743 PATHOLOGY SERVICES 352220 17 187677 23200 24242 235119 NET PATIENT REVENUE (NET OF CONTRACTUAL ALLOWANCES 621300 63943970 63943970 63943970 1551384 -2000 1553384 0 0 1112945 1021417 91528 0 91528 91528 19795586 3500 18343990 7611 1451596 -4111 1447485 1447485 0 0 0 CAFETERIA 722210 375537 375537 GIFT SHOP 453220 94755 94755 MEDICAL RECORDS 900099 1016941 1016941 240947 240947 1728180 68997666 64960911 -2000 3803636 0 0 0 0 708548 708548 0 31435454 28659221 2608932 167301 1055822 941359 108968 5495 4630539 4128535 477903 24101 2220686 1988204 221159 11323 0 7135 7135 83579 83579 7183 7183 0 140757 140757 9782072 6905224 2867674 9174 282092 38431 243661 1398919 1215411 181645 1863 0 0 1019700 995191 24509 48087 48087 0 111610 82431 29009 170 1405277 2326 1402951 0 5453482 2399914 3051662 1906 420655 60284 360371 DUES & SUBSCRIPTIONS 252264 126991 125023 250 EMPLOYEE RECRUITMENT 425391 52332 373059 TAXES 244288 244288 MEDICAL SUPPLIES 11087865 11053127 32039 2699 432301 243683 78639 109979 72653706 58940751 13378694 334261 1460191 907009 81652 0 0 0 7733313 10256411 0 0 0 0 641807 126366 2590097 2809478 1216423 1203783 142617553 82974292 61604422 59643261 82232102 83914226 0 0 0 0 0 0 3455147 3031321 161015154 161891855 5480196 6093181 0 0 0 0 38750000 37550000 0 0 0 0 291296 949595 0 0 4168502 3716328 48689994 48309104 X 111828929 113023660 496231 559091 0 0 112325160 113582751 161015154 161891855 X -3656040 4781106 132525 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 7183 7183 false false SCH C, PART II-B, LINE 1I ------------- A PORTION OF DUES PAID TO THE TENNESSEE HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION IS FOR LOBBYING. 1054075 1054075 69769509 17458622 52310887 69519224 63816469 5702755 2274745 1699201 575544 59643261 0 DEFERRED COMPENSATION 579794 INTEREST RATE SWAP AGREEMENT 3136534 3716328 74729097 4781106 1091082 5872188 68856909 140757 140757 68997666 73534366 1021417 1021417 72512949 140757 140757 72653706 SCH D, PART XI, LINE 2D RECONCILIATION TO AUDIT REPORT - REVENUES ----------------------------------------- RENTAL EXPENSES SHOWN NET OF REVENUE PER 990 1,021,417 CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 69,665 ---------- 1,091,082 SCH D, PART XII, LINE 2D RECONCILIATION TO AUDIT REPORT - EXPENSES ----------------------------------------- RENTAL EXPENSES SHOWN NET OF REVENUE PER 990 1,021,417 SCH D, PART X, LINE 2 INCOME TAXES ------------ The organization's audited financial statements did not include a footnote that addressed the organization's liability for uncertain tax positions under FIN48 (ASC 740). Management has evaluated their income tax positions under the guidance included in ASC 740. Based on their review,management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements. true true true X true X true true true false true false 1664934 1664934 0.02290 10346811 7461279 2885532 0.03970 212188 124554 87634 0.00120 12223933 7585833 4638100 0.06380 429176 116362 312814 0.00430 56499 56499 0.00080 335594 143002 192592 0.00270 29810 29810 0.00040 851079 259364 591715 0.00820 13075012 7845197 5229815 0.07200 373059 373059 0.00510 373059 373059 0.00510 true 2432838 1224300 17785854 18592467 -806613 X true true 1 1 LAUGHLIN MEMORIAL HOSPITAL 1420 TUSCULUM BLVD GREENEVILLE TN 37745 X X X LAUGHLIN MEMORIAL HOSPITAL 1 true X X X X X X X X 12 true true true X www.laughlinmemorial.org X X X X X X X X true false true true 150. true 200. true X X X X X X X X true true X X X true false X X X X true X false false 3 LAUGHLIN HEALTHCARE CENTER 801 E MCKEE GREENEVILLE TN 37743 NURSING HOME SNF/ICF/REHAB LAUGHLIN HOME HEALTH 1420 TUSCULUM BLVD GREENEVILLE TN 37745 HOME HEALTH AGENCY LAUGHLIN MEDICAL GROUP 1406 TUSCULUM BLVD GREENEVILLE TN 37745 PHYSICIAN PRACTICE SCH H, PART III, LINE 4 BAD DEBT EXPENSE ---------------- THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS, BASED ON THE INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNTS. COST OF BAD DEBTS IS ESTIMATED BY APPLICATION OF A COST TO CHARGE RATIO. HOSPITAL MANAGEMENT ESTIMATES THAT 40% OF THE NET BAD DEBT AMOUNTS WOULD QUALIFY FOR CHARITY IF FAMILY MEMBERS WOULD GIVE COMPLETE INFORMATION TO FINANCIAL ASSISTANCE PERSONNEL OF THE HOSPITAL. SCH H, PART III, LINE 8A MEDICARE SHORTFALL ------------------ THE TOTAL REPORTED SHORTFALL IS COMMUNITY BENEFIT. AMOUNT REPORTED ON LINE 6 WAS OBTAINED THROUGH EXAMINATION OF MEDICARE COST REPORT COMPONENTS FOR 6/30/14. SCH H, PART III, LINE 9B COLLECTION PRACTICES -------------------- Patients known to qualify for financial assistance are sent a letter indicating they have been approved for free or discounted care. These adjustments are applied to patient accounts before the next billing cycle. SCH H, PART VI, LINE 2 NEEDS ASSESSMENT ---------------- LAUGHLIN MEMORIAL HOSPITAL PARTICIPATES IN THE GREENE COUNTY HEALTH COUNCIL ALONG WITH NUMEROUS OTHER HEALTH-RELATED ORGANIZATIONS. A GREENE COUNTY COMMUNITY HEALTH ASSESSMENT IS PREPARED BASED ON THIS GROUP'S WORK AND COORDINATED THROUGH THE NORTHEAST TENNESSEE REGIONAL HEALTH OFFICE OF THE TENNESSEE DEPARTMENT OF HEALTH. THE ASSESSMENT INCLUDES TOP 10 CONCERNS AND WAYS IN WHICH THE COUNCIL ADDRESSES FUTURE HEALTH PLANNING. THE MANAGEMENT TEAM OF LAUGHLIN MEMORIAL HOSPITAL DETERMINES HOW BEST TO WORK AS AN ORGANIZATION OR IN CONJUCTION WITH OTHER COUNCIL MEMBERS ON SOLUTIONS TO IDENTIFIED NEEDS. LAUGHLIN MEMORIAL HOSPITAL ALSO performed a formal Community Needs Assessment to assess the health care needs and health risk factors of the community. See the full report on the Hospital's website at: http://www.laughlinmemorial.org/wellness/lmhchna.pdf. SCH H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE ----------------------------------------------- THE REGISTRATION STAFF DESCRIBE AND PROVIDE LITERATURE ABOUT FINANCIAL ASSISTANCE DURING THE PATIENT INTERVIEW PROCESS. A MEDICAID STATE ELIGIBILITY WORKER IS PROVIDED OFFICE SPACE WITHIN THE HOSPITAL AND EFFORTS ARE MADE TO PUT PATIENTS IN CONTACT WITH THIS RESOURCE. APPLICATIONS FOR HOSPITAL CHARITY CARE ARE DISTRIBUTED BOTH BY THE REGISTRARS AND BILLING OFFICE STAFF. POSTED NOTICES AND THE HOSPITAL WEB SITE ARE OTHER SOURCES OF INFORMATION. SCH H, PART VI, LINE 4 COMMUNITY INFORMATION --------------------- GREENE COUNTY, TN HAD A 2013 POPULATION OF 68,267 CITIZENS. THE HOSPITAL SERVES PRIMARILY GREENE COUNTY AND PATIENTS CLOSE TO THE BORDER OF GREENE COUNTY. THE MEDIAN HOUSEHOLD INCOME IN 2013 WAS $35,613 WITH AN ESTIMATED 22.5% OF THE COUNTY'S POPULATION LIVING IN POVERTY. THE COUNTY COVERS 621 SQUARE MILES. SCH H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH ----------------------------- THE HOSPITAL PROVIDES REPRESENTATIVES AND SUPPORT FOR THE GREENE COUNTY PARTNERSHIP WHICH WORKS TOWARD ECONOMIC GROWTH OF THE AREA. LOCAL SCHOOLS ARE SUPPORTED THROUGH THE PARTNERS IN EDUCATION PROGRAM. THE GREENE COUNTY HEALTH COUNCIL IS HOSTED BY THE HOSPITAL. THE MEDICAL STAFF IS OPEN TO ANY PHYSICIAN WHO MEETS CREDENTIALING STANDARDS AND AGREES TO STANDARDS ESTABLISHED BY THE MEDICAL STAFF. VARIOUS BUSINESS LEADERS SERVE ON THE BOARD OF DIRECTORS ALONG WITH LEADERS OF THE PHYSICIAN COMMUNITY. SURPLUS FUNDS PROVIDE FOR CONTINUITY OF HEALTHCARE SERVICES DURING PERIODS OF ECONOMIC DOWNTURN AND ARE REINVESTED IN NEW TECHNOLOGY AND EQUIPMENT AS NEEDED. SCH H, PART V, LINE 20 CHARGES FOR MEDICAL CARE ------------------------ The Hospital used the ratio from the latest state of Tennessee joint annual report reflecting average commercial insurance reimbursement to determine the maximum amounts that can be charged to FAP-eligible individuals. SCH H, PART V, LINE 3 CHNA COMMUNITY INPUT -------------------- Input for the Community Health Needs Assessment report was asked from individuals with knowledge of the community, commitment to improving social issues, and desire to improve health in the community. Included were the County Health department, wellness committees of both Laughlin and Takoma hospitals, Greene County Health Council, Tusculum College nursing program, Frontier mental health. A survey made publicly available included 263 responses. SCH H, PART V, LINE 4 CHNA CONDUCTED WITH OTHER FACILITIES ------------------------------------ LAUGHLIN MEMORIAL HOSPITAL COLLABORATED WITH TAKOMA REGIONAL HOSPITAL, THE OTHER HOSPITAL IN GREENE COUNTY, TENNESSEE IN CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENT. SCH H, PART V, LINE 6 IMPLEMENTATION STRATEGY ----------------------- A COPY OF THE HOSPITAL'S IMPLEMENTATION STRATEGY HAS BEEN ATTACHED TO FORM 990. X X X X false true false false false false false false false CHARLES H WHITFIELD JR CEO 330170 0 0 0 679172 0 12500 0 13058 0 1034900 0 430463 0 JOHN MARK COMPTON CFO 183262 0 0 0 0 0 31283 0 16631 0 231176 0 0 0 KEVIN C STROHMEYER MD ORTHOPEDIC SURGEON 548516 0 0 0 1134 0 12500 0 6960 0 569110 0 0 0 MARK PATTERSON MD SURGEON 428376 0 0 0 0 0 12500 0 14038 0 454914 0 0 0 ROBERT S FLOHR MD SURGEON 355964 0 0 0 5835 0 12500 0 15089 0 389388 0 0 0 NATALIE SCOTT MD SURGEON 299567 0 0 0 0 0 12500 0 13058 0 325125 0 0 0 MICHELLE DILKS DO PHYSICIAN 176453 0 0 0 0 0 3144 0 13756 0 193353 0 0 0 SCH J, PART I, LINE 4B NONQUALIFIED RETIREMENT PLAN ---------------------------- LAUGHLIN MEMORIAL HOSPITAL HAS A SECTION 457(F) PLAN THAT PROVIDES FOR NON-ELECTIVE DISCRETIONARY CONTRIBUTIONS. PARTICIPANTS MUST BE EMPLOYED BY THE HOSPITAL FOR 12 MONTHS OF CONTINUOUS SERVICE DURING THE PLAN YEAR AND REMAIN EMPLOYED AT THE END OF THE PLAN YEAR. PARTICIPANTS VESTED PERCENTAGE REMAINS AT 0% UNTIL COMPLETION OF 10 FULL YEARS OF PLAN PARTICIPATION. PARTICIPANTS ARE 100% VESTED AFTER 10 YEARS, UPON DEATH OR DISABILITY THAT RESULTS IN SEVERANCE OF EMPLOYMENT, ATTAINMENT OF NORMAL RETIREMENT AGE (65), TERMINATION OF EMPLOYMENT BY REDUCTION IN FORCE, OR THE SALE OR CLOSURE OF SUBSTANTIALLY ALL OF THE HOSPITAL'S OPERATIONS. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE PLAN DURING THE CURRENT YEAR: CHARLES H. WHITFIELD, JR. $46,706 JOHN MARK COMPTON $23,300 ADDITIONALLY, A VESTED DISTRIBUTION WAS MADE TO CHARLES H. WHITFIELD, JR. OF $676,873. THE DISBURSEMENT WAS A FEDERALLY REQUIRED DISBURSEMENT, AS MR. WHITFIELD WAS FULLY VESTED THROUGH THE PLAN (HAS OVER 10 YEARS OF EXPERIENCE). A HEALTH & EDUCATIONAL FACILITIES BOARD 621220275 000000000 2012-09-05 38750000 REFUND 2012 BONDS false false false A 0 0 38750000 0 0 0 50000 0 0 0 38700000 0 true false true true A false false false false 0 false false false true A false false true false true false 0 false 0 false true A true FORM 990, PART VI, SECTION A, LINE 2 RELATIONSHIPS AMONG OFFICERS, DIRECTORS AND KEY EMPLOYEES --------------------------------------------------------- THE FOLLOWING FAMILY RELATIONSHIP EXISTS: CHARLES H. WHITFIELD, JR., PRESIDENT AND CEO, IS THE SON OF C. HERBERT WHITFIELD, SR., A DIRECTOR OF LAUGHLIN MEMORIAL HOSPITAL, INC. FORM 990, PART VI, SECTION B, LINE 11 PROCESS TO REVIEW FORM 990 -------------------------- THE CEO VERIFIES THAT THE FORM 990 REFLECTS DATA COLLECTED BY THE ORGANIZATION. A REVIEW OF HIGHLIGHTS IS CONDUCTED BY THE CEO AND BOARD. FORM 990, PART VI, SECTION B, LINES 12B AND 12C MONITORING THE CONFLICT OF INTEREST POLICY ------------------------------------------ ALL BOARD MEMBERS AND DEPARTMENT HEADS SIGN A STATEMENT ANNUALLY TO INDICATE THAT THEY HAVE NO CONFLICTS OF INTEREST OR DESCRIBING THE NATURE OF ANY POTENTIAL CONFLICTS OF INTEREST. THE CONFLICT OF INTEREST POLICY IS AVAILABLE ON THE INTRANET AND THE COMPLIANCE OFFICER REVIEWS THE CONFLICT OF INTEREST STATEMENTS EACH YEAR. BOARD MEMBERS DO NOT VOTE ON ISSUES WHERE THEIR INTERESTS COULD CONFLICT WITH THOSE OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINES 15A AND 15B PROCESS FOR DETERMINING COMPENSATION ------------------------------------ A COMPENSATION REVIEW WAS CONDUCTED BY THE COMPENSATION COMMITTEE OF THE BOARD IN 2013 FOR THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS. FOR OTHER OFFICERS AND KEY EMPLOYEES, A REVIEW IS CONDUCTED ANNUALLY AS PART OF THE EMPLOYEE'S ANNUAL PERFORMANCE APPRAISAL. FORM 990, PART VI, SECTION C, LINE 19 MAKING FORMS AVAILABLE TO THE PUBLIC ------------------------------------ CONFLICT OF INTEREST POLICIES ARE AVAILABLE TO THE PUBLIC UPON REQUEST AND ARE AVAILABLE ON THE EMPLOYEE INTRANET. REQUESTS FOR GOVERNING DOCUMENTS OR FINANCIAL STATEMENTS ARE CONSIDERED BY THE CEO AND CFO BASED ON THE BEST INTEREST OF THE ORGANIZATION AND ITS HEALTHCARE MISSION. FORM 990, PART XI, LINE 9 RECONCILIATION OF NET ASSETS ---------------------------- OTHER CHANGES IN NET ASSETS: CHANGE IN INTEREST OF LAUGHLIN HEALTHCARE FDN $62,860 CHANGE IN VALUE OF INTEREST SWAP $69,665 --------- $132,525 LAUGHLIN HEALTHCARE FOUNDATION 1420 TUSCULUM BLVD GREENEVILLE TN 37745 582105493 FUNDRAISING TN 501(C)(3) 11 NA false NOLICHUCKEY MANAGEMENT SERVICES INC 1420 TUSCULUM BLVD GREENEVILLE TN 377454279 621776681 DOCTOR OFFICE TN NA C CORPORATION -1194726 445225 1.00000 false false true true false false false false true false false false false true true true true true true LAUGHLIN HEALTHCARE FOUNDATION C 187677 FMV