JOHNSTON MEMORIAL HOSPITAL INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- JOHNSTON MEMORIAL HOSPITAL INC (EIN 54-0544705)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-12
- IRS object ID
- 201421329349302872
- Schema version
- 2012v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-12T14:35:09-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 540544705 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHNSTON MEMORIAL HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | JOHN | NameControl |
| Phone | 2762581000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 16000 JOHNSTON MEMORIAL DR | AddressLine1 |
| City | ABINGDON | City |
| State | VA | State |
| ZIP Code | 24211 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOHN L JETER | Name |
| Title | CFO | Title |
| Phone | 2762581000 | Phone |
| Date Signed | 2014-05-12 | DateSigned |
| Authorize Third Party | false | AuthorizeThirdParty |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JOHN JETER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 16000 JOHNSTON MEMORIAL DR | AddressLine1 |
| City | ABINGDON | City |
| State | VA | State |
| ZIP Code | 24211 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 134362035 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | HTTP://WWW.MSHA.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1917 | YearFormation |
| State Legal Domicile | VA | StateLegalDomicile |
| Activity Or Mission Description | PART I, LINE I - 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 287 | TotalNbrVolunteers |
| Total Gross UBI | 31266 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 27239 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 43128 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 54039 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 117916395 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 126824002 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -457034 | InvestmentIncomePriorYear |
| Investment Income Current Year | 4913544 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1375328 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2570450 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 118877817 | TotalRevenuePriorYear |
| Total Revenue Current Year | 134362035 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 63766 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 116677 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 52153382 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 53056299 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 6059 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 67924644 | OtherExpensePriorYear |
| Other Expenses Current Year | 63913381 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 120141792 | TotalExpensesPriorYear |
| Total Expenses Current Year | 117086357 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1263975 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 17275678 | RevenuesLessExpensesCY |
| Total Assets BOY | 311573030 | TotalAssetsBOY |
| Total Assets EOY | 323314314 | TotalAssetsEOY |
| Total Liabilities BOY | 54093206 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 53919883 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 257479824 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 269394431 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | PART I, LINE I - 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. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 88348863 | Expense |
| Grants | 116677 | Grants |
| Revenue | 126871264 | Revenue |
| Description | JOHNSTON MEMORIAL HOSPITAL, INC. (JMH) IS A 116-BED NOT-FOR-PROFIT HOSPITAL LOCATED IN ABINGDON, VIRGINIA AND A MEMBER OF MOUNTAIN STATES HEALTH ALLIANCE (MSHA). JMH IS THE SOLE MEMBER OF ABINGDON PHYSICIAN PARTNERS, A TAX EXEMPT ORGANIZATION, ORGANIZED TO OPERATE EXCLUSIVELY FOR THE BENEFIT OF THE HOSPITAL. DURING 2013, JMH CREATED JMH EMERGENCY PHYSICIANS, ORGANIZED TO PROVIDE EMERGENCY ROOM PHYSICIANS FOR THE HOSPITAL. (CONTINUED ON SCHEDULE O) JMH OFFERS A FULL ARRAY OF MEDICAL SERVICES THROUGH HIGHLY TRAINED PHYSICIANS AND SUPPORT STAFF, PROUDLY SERVING SOUTHWEST VIRGINIA SINCE 1917. OUR GOAL IS TO BE A LEADER IN IMPROVING THE HEALTH AND QUALITY OF LIFE IN THE COMMUNITY, BY WORKING TOGETHER AS A TEAM DEDICATED TO EXCELLENCE. DURING FY13, WE EXPERIENCED 7,310 ADMISSIONS, WITH ALMOST 24,000 PATIENT DAYS. THERE WERE AN ADDITIONAL 4,645 OBSERVATION DAYS. OUR OUTPATIENT VISITS WERE JUST UNDER 131,000. THERE WERE 42,434 VISITS TO OUR EMERGENCY DEPARTMENT, WITH MORE THAN 5,000 RESULTING IN AN INPATIENT STAY. MORE THAN 7,200 SURGERIES WERE PERFORMED DURING THE YEAR AND WE DELIVERED MORE THAN 740 BABIES. JMH IS THE FIRST "GREEN" HOSPITAL IN SOUTHWEST VIRGINIA AND IS FOCUSED ON BEING AN ENVIRONMENTALLY SUSTAINABLE FACILITY FOLLOWING THE U.S. GREEN BUILDING COUNCIL'S LEED (LEADERSHIP IN ENERGY AND ENVIRONMENTAL DESIGN) GUIDELINES. JMH EARNED GOLD LEED CERTIFICATION SHORTLY AFTER OPENING. LEED IS AN INTERNATIONALLY RECOGNIZED GREEN BUILDING CERTIFICATION SYSTEM, PROVIDING THIRD-PARTY VERIFICATION THAT A BUILDING OR COMMUNITY WAS DESIGNED IN AN ENVIRONMENTALLY FRIENDLY MANNER, INCLUDING ENERGY SAVINGS, WATER EFFICIENCY, CO2 EMISSIONS REDUCTION, IMPROVED INDOOR ENVIRONMENTAL QUALITY, AND STEWARDSHIP OF RESOURCES AS WELL AS SENSITIVITY TO THEIR IMPACT. FIFTY PERCENT OF THE JMH SITE IS RESERVED FOR VEGETATED OPEN SPACE. WATER USAGE FOR LANDSCAPING IS 50 PERCENT LOWER THAN TRADITIONAL LANDSCAPE DESIGNS. THE HOSPITAL BUILDING USED LOW-EMITTING MATERIALS AND CONSTRUCTION WASTE WAS RECYCLED, DIVERTING MORE THAN 75% OF NORMAL WASTE MATERIAL AWAY FROM THE LANDFILL. INDOOR AIR QUALITY IS SUPERIOR DUE TO EFFICIENT VENTILATION AND ONGOING MONITORING AND WATER USE IS REDUCED THROUGH INSTALLATION OF HIGH EFFICIENCY PLUMBING FIXTURES. WATER USE IS REDUCED BY 40 PERCENT, A SAVINGS OF UP TO 1.6 MILLION GALLONS OF WATER PER YEAR. FURTHER ENERGY USAGE REDUCTIONS WERE ACHIEVED BY INSTALLING EFFICIENT HEATING AND COOLING SYSTEMS. BEYOND SMART ENERGY SAVINGS IMPLEMENTED WITH THE HOSPITAL'S CONSTRUCTION, JMH RECYCLES ON AN ONGOING BASIS AND ENCOURAGES THE USE OF FUEL EFFICIENT CARS BY DESIGNATING PARKING SPACES FOR LOW EMISSION VEHICLES CLOSE TO THE BUILDING. THE VIRGINIA HEALTH QUALITY CENTER (VHQC), A NON-PROFIT HEALTH QUALITY CONSULTING COMPANY, SELECTED WINNERS IN SIX CATEGORIES FOR THEIR CONTRIBUTIONS TO IMPROVING HEALTH CARE FOR PATIENTS IN VIRGINIA. MOUNTAIN STATES HEALTH ALLIANCE'S VIRGINIA HOSPITALS, INCLUDING JMH, EARNED THE HONOR FOR THEIR PATIENT-CENTERED CARE. THE WINNERS WERE ANNOUNCED DURING QUALITYSYNC, VHQC'S ANNUAL LEARNING EVENT, HELD IN RICHMOND, AND WERE SELECTED FROM NEARLY 30 NOMINATIONS. "MSHA'S VIRGINIA HOSPITALS DEVELOPED AN INNOVATIVE APPROACH TO BRINGING A PATIENT-CENTERED APPROACH TO ALL OF ITS FACILITIES", THE VHQC STATED IN A NEWS RELEASE. "BY ESTABLISHING 10 GUIDING PRINCIPLES AND INCORPORATING THEM INTO EACH HOSPITAL'S OPERATIONS, THIS ORGANIZATION HAS SIGNIFICANTLY IMPROVED PATIENT-PROVIDER RELATIONSHIPS, ENVIRONMENTS AND SERVICE DELIVERY". DURING FY13, TWO JMH PHYSICIANS, DOCTORS CARTER AND DAWSON, RECEIVED STATE AND NATIONAL RECOGNITION FOR TWO NEW COMPUTER-BASED TOOLS THEY DEVELOPED THAT DIRECTLY HELP DOCTORS AND PATIENTS. ONE TOOL, CALLED ALIGN, ANALYZES DATA ON PATIENTS THAT ARE SEEN OFTEN IN THE ER. THE SYSTEM PRESENTS KEY DATA IN SECONDS, WHICH ALLOWS THE PHYSICIAN TO MAKE FASTER AND MORE WELL-INFORMED DECISIONS. PLUS, THERE ARE FEWER REPEATED TESTS AND THE LENGTH OF STAY IS SHORTENED. THE SECOND TOOL, CALLED RADIATION RECONCILIATION, IS A SAFETY MEASURE THAT QUICKLY COUNTS RADIOLOGY STUDIES AND ESTIMATES RADIATION EXPOSURE, RAISING AWARENESS OF RADIATION EXPOSURE FOR PATIENTS AND THE MEDICAL COMMUNITY. THE INFORMATION IS PRESENTED IN A GRAPHICAL WAY TO HELP PATIENTS UNDERSTAND THEIR MEDICAL RADIATION EXPOSURE WITH SOME MEANINGFUL POINTS OF REFERENCE. THE DOCTORS WORKED WITH JMH IT STAFF TO DEVELOP THE PROGRAMS. THE JMH DIABETES EDUCATION CENTER HAS ASSISTED PATIENTS IN DIABETES CARE SINCE 1999. DR. ANDREW RHINEHART, DIRECTOR OF THE CENTER, WAS RECENTLY AWARDED RECOGNITION BY THE PRESTIGIOUS NATIONAL COMMITTEE FOR QUALITY ASSURANCE DIABETES RECOGNITION PROGRAM, A PRIVATE, NONPROFIT ORGANIZATION DEDICATED TO IMPROVING HEALTH CARE QUALITY. DR. RHINEHART IS BOARD-CERTIFIED IN ADVANCED DIABETES MANAGEMENT AND WAS THE FIRST PHYSICIAN IN THE U.S. TO GAIN THESE CREDENTIALS. HE RECENTLY BECAME ONE OF THE FIRST PHYSICIANS TO EARN DISTINCTION AS A CERTIFIED DIABETES TECHNOLOGY CLINICIAN (CDTC), THE HIGHEST PROFESSIONAL CREDENTIAL THAT RECOGNIZES A PHYSICIAN AS AN EXPERT IN USING TECHNOLOGY TO MANAGE DIABETES. A STAFF OF CERTIFIED DIABETES EDUCATORS ASSISTS HIM AT THE DIABETES CARE CENTER. JMH IS COMMITTED TO PROVIDING COMPREHENSIVE MEDICAL EDUCATION TO AID IN PATIENT RECOVERY AND DISEASE MANAGEMENT. WE OFFER MANY CLASSES AND SUPPORT GROUPS, SUCH AS: CPR AND LIFE SAVING CLASSES; CARDIAC CARE; TOTAL JOINT; CANCER EDUCATION; PRENATAL AND PARENTING; AND, OTHERS. THE JMH CENTER FOR COMPREHENSIVE WOUND CARE IS ONE OF ONLY A FEW FACILITIES IN THE REGION THAT OFFERS HYPERBARIC OXYGEN THERAPY- THE DELIVERY OF OXYGEN AT LEVELS HIGHER THAN ATMOSPHERIC PRESSURE IN A CHAMBER SETTING THAT STIMULATES THE HEALING PROCESS. OUR TRAINED STAFF FOLLOW A TEAM APPROACH TO WOUND HEALING. AFTER AN INITIAL EVALUATION, 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. JMH HAS PARTNERED WITH THE COMPANY FIRSTSOURCE SOLUTIONS USA TO WORK WITH SELF-PAYING PATIENTS WHO HAVE LIMITED FINANCIAL RESOURCES. DURING FY13, FIRSTSOURCE REPRESENTATIVES WERE AVAILABLE AT JMH TO ASSIST PATIENTS. THE REPRESENTATIVES WERE ABLE TO DETERMINE GOVERNMENTAL MEDICAL ASSISTANCE (MEDICAID OR TENNCARE) ELIGIBILITY, AND TO HELP WITH THE APPLICATION PROCESS AND FOLLOW-UP. ONCE A PERSON IS APPROVED FOR MEDICAID OR TENNCARE THROUGH THE PROGRAM OFFERED THROUGH JMH, THEY RETAIN COVERAGE FOR FUTURE MEDICAL CARE. 1,097 PATIENTS WERE APPROVED FOR GOVERNMENTAL ASSISTANCE DURING THE YEAR. FIRSTSOURCE IS COMPENSATED BY JMH. DURING FY13, JMH'S COST FOR THIS PROGRAM WAS 183,566. JMH SIGNED A NON-PROFIT BLOOD CENTER TENANT TO A ONE YEAR LEASE FOR ONLY 1. THE ANNUAL FAIR MARKET VALUE OF THE LEASE IS 32,770. THE FMV FOR THE FOUR MONTHS FALLING WITHIN FY13 IS 10,923. JMH SERVES AS A CLINICAL TRAINING HOSPITAL FOR HEALTH PROFESSIONAL EDUCATION STUDENTS. WE HAVE DEDICATED STAFF TO WORK WITH REGIONAL COLLEGES AND UNIVERSITIES TO COORDINATE THE PLACEMENT OF HEALTHCARE PROFESSIONAL STUDENTS AS PART OF THEIR EDUCATIONAL CURRICULUM. IN ADDITION TO CLINICAL TRAINING, THE HEALTH CARE STUDENTS ENTERING OUR SYSTEM ARE REQUIRED TO HAVE ORIENTATION AND COMPUTER TRAINING. PARTICIPANTS RECEIVING CLINICAL EXPERIENCE AT JMH DURING FY13 INCLUDED 174 NURSING STUDENTS FROM VARIOUS COLLEGES, UNIVERSITIES AND PROGRAMS. THIS NURSING CLINICAL EXPERIENCE REQUIRED EXTENSIVE JMH NURSING STAFF INVOLVEMENT. THE CLINICAL SETTING AND HANDS-ON INSTRUCTION COST JMH 349,140. JMH PROVIDED A CLINICAL SETTING FOR ANOTHER 156 STUDENTS TRAINING IN HEALTH-RELATED PROGRAMS SUCH AS RADIOLOGY, PHARMACY, PHYSICAL THERAPY, EMT/PARAMEDIC AND OTHER ALLIED-HEALTH DISCIPLINES. THESE ADDITIONAL CLINICAL STUDENTS COST JMH 159,049. JMH SUPPORTS OTHER LOCAL NON-PROFIT ORGANIZATIONS THAT PROVIDE HEALTHCARE SERVICES TO OUR RESIDENTS. WE DONATE MEDICATIONS AND SUPPLIES TO AREA RESCUE SQUADS AND FIRE DEPARTMENTS AT A COST TO JMH OF MORE THAN 15,000 IN FY13. WE PROVIDED FINANCIAL ASSISTANCE TO A LOCAL COLLEGE FOR ITS NURSING PROGRAM. DURING FY13, WE CONTRIBUTED ALMOST 40,000 TO THE PROGRAM. MANY OTHER DONATIONS WERE MADE TO SUPPORT OUR SCHOOLS, LIBRARY, YMCA, ETC. BASED ON COMMUNITY NEEDS, JMH INCURRED EXPENSE OF 372,374 TO RECRUIT PHYSICIANS INTO OUR COMMUNITY. PHYSICIANS ARE RECRUITED TO REPLACE PHYSICIANS THAT RETIRE OR LEAVE THE AREA. ALL PHYSICIAN RECRUITMENT ACTIVITIES ARE BASED ON DOCUMENTED COMMUNITY NEED. TEAM MEMBERS AT JMH INTERESTED IN EDUCATING THE COMMUNITY ABOUT HEART DISEASE AND STROKE VISITED A LOCAL SENIOR CENTER TO INVOLVE SENIORS IN AN AMERICAN HEART ASSOCIATION (AHA) EVENT. TEAM MEMBERS DONATED ITEMS TO THE EVENT WHICH WERE RAFFLED TO RAISE MONEY FOR AHA. | Description |
| Total Program Service Expense | 88348863 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | true | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Number Forms Transmitted With1096 | 92 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | VA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JOHN L JETER | NamePerson |
| Telephone Number | 2762581000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 16000 JOHNSTON MEMORIAL DR | AddressLine1 |
| City | ABINGDON | City |
| State | VA | State |
| ZIP Code | 24211 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (23 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| DENNIS VONDERFECHT | ||||||||
| TRUSTEE | 1.00 | 59.00 | X | 0 | 3163747 | 42698 | ||
| ANN FLEMING | ||||||||
| TREASURER | 1.00 | 59.00 | X | 0 | 426280 | 66282 | ||
| PAUL ARMSTRONG MD | ||||||||
| TRUSTEE | 40.00 | X | 0 | 317688 | 37645 | |||
| LARAMIE TRIPLETT MD | ||||||||
| TRUSTEE/PHYS | 40.00 | X | 0 | 272301 | 35501 | |||
| EMORY ROBINETTE MD | ||||||||
| TRUSTEE/PHYS | 1.00 | X | 32500 | 0 | 0 | |||
| KATHY MITCHELL | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| MICHAEL SPIEGLER | ||||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | |||
| GARY PEACOCK | ||||||||
| TRUSTEE | 1.00 | 7.00 | X | 0 | 0 | 0 | ||
| OTEY DUDLEY | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| HUGH FERGUSON | ||||||||
| CHAIR | 1.00 | X | 0 | 0 | 0 | |||
| TOM FOWLKES | ||||||||
| TRUSTEE | 1.00 | 5.00 | X | 0 | 0 | 0 | ||
| RACHEL FOWLKES EDD | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| JOANNE GILMER | ||||||||
| VICE-CHAIR | 1.00 | 9.00 | X | 0 | 0 | 0 | ||
| KATHI LOWE | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| BRENDAN MCSHEEHY JR | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| SEAN MCMURRAY | ||||||||
| CEO | 1.00 | 54.00 | 0 | 331775 | 48822 | X | ||
| STEPHEN GIVENS | ||||||||
| COO | 1.00 | 54.00 | 0 | 176548 | 14677 | X | ||
| JOHN JETER | ||||||||
| CFO | 1.00 | 54.00 | 0 | 145484 | 23590 | X | ||
| DAMIAN SOOKLAL MD | ||||||||
| 0 | 353018 | 28207 | X | |||||
| KELLY CARTER MD | ||||||||
| 0 | 352432 | 27809 | X | |||||
| STEPHEN BLANKENSHIP MD | ||||||||
| 0 | 351430 | 32906 | X | |||||
| DAVID SIMMONS MD | ||||||||
| 0 | 332000 | 31541 | X | |||||
| JACQUELINE DAVID MD | ||||||||
| 0 | 328506 | 19366 | X | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 32500 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 6551209 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 409044 | TotalOtherCompensation |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| VIRGINIA HIGHLANDS ANESTHESIA | |||||
| PO BOX 1476 | ABINGDON | VA | 24210 | ANESTHESIA | 3507228 |
| RJ GRIFFIN & COMPANY | |||||
| 800 MT VERNON HWY SUITE 200 | ATLANTA | GA | 30328 | CONSTRUCTION | 1486707 |
| ABINGDON PHYS AMB SURG MGMT GRP | |||||
| 613 CAMPUS DRIVE SUITE 300 | ABINGDON | VA | 24210 | ASC MANAGEMENT | 554839 |
| CROTHALL MOUNTAIN STATES LAUNDRY INC | |||||
| 955 CHESTERBROOK BLVD STE 300 | WAYNE | PA | 19087 | LINEN SERVICES | 501421 |
| MEDIAS INC | |||||
| PO BOX 10452 | BLACKSBURG | VA | 24062 | SLEEP STUDY | 442020 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 31 | NumberOfContractorsGT100K |
| Related Organizations | 39942 | RelatedOrganizations |
| Government Grants | 5634 | GovernmentGrants |
| All Other Contributions | 8463 | AllOtherContributions |
| Total Contributions | 54039 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT SERVICE REVENUE | 622110 | 123424122 | 123424122 | |
| WELLNESS PROGRAMS | 622110 | 2911853 | 2911853 | |
| P/S PREMIER AND ISHN | 622110 | 456761 | 456761 | |
| LABORATORY | 622110 | 17558 | 17558 | |
| PREMIER PURCHASING K-1 | 561000 | 13708 | 13708 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 126824002 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1874540 | TotalRevenueColumn |
| Exclusion | $1,874,540 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1599021 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1599021 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1599021 | TotalRevenueColumn |
| Exclusion | $1,599,021 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2991716 | Securities |
| Other | 47288 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2991716 | Securities |
| Other | 47288 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3039004 | TotalRevenueColumn |
| Related Or Exempt Function Income | 47262 | RelatedOrExemptFunctionIncome |
| Exclusion | $2,991,742 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| CAFETERIA & VENDING | 722210 | 699032 | $699,032 |
| MANAGEMENT FEES | 900099 | 216014 | $216,014 |
| OTHER REVENUE | 900099 | 56383 | $56,383 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 971429 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 134362035 | TotalRevenueColumn |
| Related Or Exempt Function Income | 126839998 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 31266 | UnrelatedBusinessRevenue |
| Exclusion | $7,436,732 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 116677 | Total |
| Program Services | 116677 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 646432 | Total |
| Program Services | 30000 | ProgramServices |
| Management And General | 616432 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 43580134 | Total |
| Program Services | 37271377 | ProgramServices |
| Management And General | 6308757 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1669420 | Total |
| Program Services | 1440126 | ProgramServices |
| Management And General | 229294 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4507358 | Total |
| Program Services | 4428195 | ProgramServices |
| Management And General | 79163 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2652955 | Total |
| Program Services | 2491832 | ProgramServices |
| Management And General | 161123 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 78285 | Total |
| Management And General | 78285 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 71551 | Total |
| Management And General | 71551 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 146275 | Total |
| Management And General | 146275 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 181933 | Total |
| Management And General | 181933 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15047272 | Total |
| Program Services | 13060086 | ProgramServices |
| Management And General | 1981552 | ManagementAndGeneral |
| Fundraising | 5634 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 219886 | Total |
| Program Services | 171288 | ProgramServices |
| Management And General | 48598 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1518977 | Total |
| Program Services | 1200271 | ProgramServices |
| Management And General | 318281 | ManagementAndGeneral |
| Fundraising | 425 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 625068 | Total |
| Program Services | 618437 | ProgramServices |
| Management And General | 6631 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5000 | Total |
| Program Services | 5000 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2598154 | Total |
| Program Services | 2075558 | ProgramServices |
| Management And General | 522596 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 293029 | Total |
| Program Services | 253920 | ProgramServices |
| Management And General | 39109 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 60794 | Total |
| Program Services | 59711 | ProgramServices |
| Management And General | 1083 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 734754 | Total |
| Management And General | 734754 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14426588 | Total |
| Program Services | 2139738 | ProgramServices |
| Management And General | 12286850 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 173662 | Total |
| Program Services | 19592 | ProgramServices |
| Management And General | 154070 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES & DRUGS | 19316254 | 19316254 | |
| MGMT FEES & CORP. ALLOC. | 4583380 | 297944 | 4285436 |
| REPAIRS AND MAINTENANCE | 3299774 | 3050353 | 249421 |
| ALL OTHER | 515746 | 302504 | 213242 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16999 | Total |
| Management And General | 16999 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 117086357 | Total |
| Program Services | 88348863 | ProgramServices |
| Management And General | 28731435 | ManagementAndGeneral |
| Fundraising | 6059 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9921892 | BOY |
| EOY | 11763287 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19599621 | BOY |
| EOY | 20851685 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 787969 | BOY |
| EOY | 3140677 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3256748 | BOY |
| EOY | 2990250 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1071588 | BOY |
| EOY | 875233 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 252988512 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 75877601 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 179955781 | BOY |
| EOY | 177110911 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 90279466 | BOY |
| EOY | 105055305 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35200 | BOY |
| EOY | 35200 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6664765 | BOY |
| EOY | 1491766 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 311573030 | BOY |
| EOY | 323314314 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10337254 | BOY |
| EOY | 11747745 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24870000 | BOY |
| EOY | 40701627 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18885952 | BOY |
| EOY | 1470511 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 54093206 | BOY |
| EOY | 53919883 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 257479989 | BOY |
| EOY | 269395885 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -165 | BOY |
| EOY | -1454 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 257479824 | BOY |
| EOY | 269394431 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 311573030 | BOY |
| EOY | 323314314 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 17275678 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 2681028 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -8042099 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $5,476 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 5476 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ADDITIONAL INFORMATION | Identifier |
| Return Reference | SCHEDULE C, PART IV | ReturnReference |
| Explanation | SCHEDULE C, PART II-B, LINE 1 PORTION OF DUES PAID TO VIRGINIA HOSPITAL AND HEALTHCARE ASSOCIATION THAT ARE ATTRIBUTABLE TO DIRECT LOBBYING. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6411168 | OtherCostOrOtherBasis |
| Book Value | 6411168 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 147696881 | OtherCostOrOtherBasis |
| Depreciation | 16294930 | Depreciation |
| Book Value | 131401951 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6087656 | OtherCostOrOtherBasis |
| Depreciation | 1109592 | Depreciation |
| Book Value | 4978064 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 91180962 | OtherCostOrOtherBasis |
| Depreciation | 58299874 | Depreciation |
| Book Value | 32881088 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1611845 | OtherCostOrOtherBasis |
| Depreciation | 173205 | Depreciation |
| Book Value | 1438640 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 177110911 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| CAPITAL LEASE OBLIGATIONS | $1,208,234 |
| DUE TO THIRD-PARTY | $262,277 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1470511 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | LIABILITY UNDER FIN 48 FOOTNOTE | Identifier |
| Return Reference | SCHEDULE D, PAGE 3, PART X | ReturnReference |
| Explanation | "THE HOSPITAL AND ABINGDON PHYSICIAN PARTNERS (APP) ARE CLASSIFIED AS AN ORGANIZATION EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3)OF THE INTERNAL REVENUE CODE. JOHNSTON MEMORIAL HOSPITAL EMERGENCY PHYSICIANS (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. AT JUNE 30, 2013, TAX RETURNS FOR FISCAL YEARS 2010 THROUGH 2012 ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE HOSPITAL HAS NO UNCERTAIN TAX POSITIONS AT JUNE 30, 2013 AND 2012. AS SUCH, NO INTEREST OR PENALTIES WERE RECOGNIZED IN THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS RELATED TO UNRECOGNIZED TAX BENEFITS". | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1759355 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1759355 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01500 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 17335937 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12673673 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4662264 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03980 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 19095292 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12673673 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6421619 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05480 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 196092 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 196092 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00170 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 508189 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 508189 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00430 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3228888 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1650607 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1578281 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01350 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 58201 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 58201 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3991370 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1650607 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2340763 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02000 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 23086662 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 14324280 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8762382 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07480 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 372374 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 372374 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00320 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 58476 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 58476 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 430850 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 430850 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00370 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $19,146,046 | BadDebtExpenseAmount |
| Amount Attributable To | 14742455 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 38893892 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 42953283 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -4059391 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHNSTON MEMORIAL HOSPITAL INC | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 16000 JOHNSTON MEMORIAL DRIVE | AddressLine1 |
| City | ABINGDON | City |
| State | VA | State |
| ZIP Code | 24211 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHNSTON MEMORIAL HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | true | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Needs Assessment Conducted | 11 | NeedsAssessmentConducted |
| Take Into Account | true | TakeIntoAccount |
| Other Facilities | true | OtherFacilities |
| CHNA Widely Available | true | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Include Operational Plans | X | IncludeOperationalPlans |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | false | AllNeedsAddressed |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 200.0 | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 400.0 | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| RELATED ORGANIZATION INFORMATION | PART I LINE 6A | MOUNTAIN STATES HEALTH ALLIANCE PREPARED AND MADE PUBLIC A COMMUNITY BENEFIT REPORT TO INCLUDE INFORMATION FOR ALL OF THE HOSPITALS WITHIN THE HEALTH SYSTEM INCLUDING JMH |
| COSTING METHODOLOGY EXPLANATION | PART I LINE 7 | A COST TO CHARGE RATIO WAS USED TO CALCULATE LINE 7A UTILIZING THE SCHEDULE H APPLICABLE WORKSHEETS INCLUDING WORKSHEET 2 RATIO OF PATIENT CARE COST TO CHARGES OUR COST ACCOUNTING SYSTEM WAS USED TO PROVIDE DATA FOR LINES 7B AND 7G LINES 7E AND 7F ARE DIRECT COSTS OF SPECIFIC PROGRAMS LINE 7I REFLECTS CHARITABLE CONTRIBUTIONS AT COST WE SUBTRACTED LINES 7BI COLUMNC EXPENSE FROM WORKSHEET 2 LINE 4 SO THAT THE EXPENSE WOULD NOT BE DUPLICATED |
| BAD DEBT EXPENSE EXPLANATION | PART III LINE 4 | OUR VICE PRESIDENT OF PATIENT FINANCIAL SERVICES ESTIMATES THAT 77 OF TOTAL BAD DEBT EXPENSE WAS ASSUMED ATTRIBUTABLE TO PATIENTS LIKELY ELIGIBLE FOR FINANCIAL ASSISTANCE WE HAVE MANY INSTANCES DURING THE YEAR OF PATIENTS WITH LARGE ACCOUNT BALANCES AND NO HEALTH INSURANCE COVERAGE THAT WE ARE SURE WOULD QUALIFY FOR CHARITY CARE ALTHOUGH HOSPITAL TEAM MEMBERS ENCOURAGE THESE INDIVIDUALS TO COMPLETE OUR FINANCIAL ASSISTANCE APPLICATION MANY WILL NOT DO SO EVEN WHEN THESE INDIVIDUALS ARE TOLD WE FEEL SURE THEY DO QUALIFY FOR FULL OR PARTIAL ASSISTANCE THEY STILL REFUSE TO COMPLETE OUR FINANCIAL ASSISTANCE APPLICATION REGARDING LINE 3 IT IS IMPLAUSIBLE TO DETERMINE THE AMOUNT OF JMHS 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 ASSESSMENT FORM IS VOLUNTARILY PROVIDED TO US WE CAN ASSERT THAT MORE THAN 97 OF OUR PATIENTS WHO HAVE PROVIDED COMPLETED FINANCIAL ASSESSMENT FORMS HAVE BEEN APPROVED FOR AT LEAST PARTIAL FINANCIAL ASSISTANCE THE FOLLOWING TEXT IS INCLUDED IN JMHS FY13 AUDITED FINANCIAL STATEMENTS CURRENT OPERATIONS ARE CHARGED WITH AN ESTIMATED PROVISION FOR BAD DEBTS BASED UPON HISTORICAL EXPERIENCE KNOWN COLLECTION RISKS AND OTHER ENVIRONMENTAL FACTORS INCLUDING THE AGE OF THE RECEIVABLES ADDITIONS TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS RESULT FROM THE PROVISION FOR BAD DEBTS PATIENT ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENTS REPORT THE AMOUNT OF ESTIMATED UNCOLLECTIBLE SELFPAY AND EXPLAINS THAT UNCOLLECTIBLE PATIENT ACCOUNTS RECEIVABLE ESTIMATED RESERVES ARE BASED UPON PRIOR COLLECTION HISTORY FOR GROUPS OF RECEIVABLES KNOWN COLLECTION RISKS AND OTHER ENVIRONMENTAL FACTORS INCLUDING THE AGE OF THE RECEIVABLES |
| MEDICARE EXPLANATION | PART III LINE 8 | MEDICARE ALLOWABLE COSTS WERE REPORTED USING JMHS FILED MEDICARE COST REPORT CR THE CR USES A COST TO CHARGE RATIO BASED ON A STEPDOWN ALLOCATION METHODOLOGY IN CARING FOR THE PATIENT THERE ARE SEVERAL SERVICES THAT ARE CONSIDERED NONALLOWABLE SUCH AS TRANSPORTATION OF A PATIENT COMFORT ITEMS TO INCLUDE A TELEVISION MAGAZINES OR A TELEPHONE ADDITIONAL NONALLOWABLE COSTS INCLUDE THE RECRUITMENT OF PHYSICIANS PHYSICIAN GUARANTEES AND A PORTION OF THE BAD DEBT 12 ASSOCIATED WITH THE CARE OF THE PATIENT MEDICARE LOSSES INCLUDING SOME NONALLOWABLE COSTS SHOULD BE COUNTED AS A COMMUNITY BENEFIT AS THIS IS THE COST OF CARE FOR SERVING THE AGING POPULATION AS A PARTICIPATING PROVIDER IN THE MEDICARE PROGRAM JMH IS REQUIRED TO PROVIDE THE FULL REGIMEN OF CARE FOR OUR MEDICARE POPULATION THERE ARE A NUMBER OF CARE REGIMENS THAT ARE COMPENSATED BY THE MEDICARE PROGRAM AT LEVELS BELOW OUR COST THEREFORE IT IS ONLY LOGICAL TO ALLOW JMH TO REPORT THESE UNCOMPENSATED SERVICES AS A COMMUNITY BENEFIT ON THIS DOCUMENT BY MAKING THIS CHANGE NONPROFIT PROVIDERS WILL BE ENCOURAGED TO SUSTAIN IMPORTANT CARE DELIVERY MODELS FOR OUR AGING POPULATION IN SPITE OF THE FACT IT IS SOMETIMES ECONOMICALLY INJURIOUS |
| COLLECTION PRACTICES EXPLANATION | PART III LINE 9B | JMH PROVIDES A PATIENT FRIENDLY BILLING FLOW CHART ON ITS WEBSITE THAT GUIDES A PATIENT THROUGH THE PROCESS BEGINNING WITH ADMISSION AND ENDING WITH THE PATIENTS ACCOUNT BEING SUCCESSFULLY RESOLVED JMH FOLLOWS A STRONG COLLECTION PROGRAM THAT COMMUNICATES FINANCIAL RESPONSIBILITY TO THE PATIENT COLLECTION PRACTICES APPLY TO ALL PATIENTS CHARITY AND NONCHARITY CARE IN ROUTINE CIRCUMSTANCES WHEN IT IS DETERMINED THAT A PATIENT HAS NOT RESPONDED TO REQUESTS FOR PAYMENT AND HAS NOT PROVIDED INFORMATION TO ASCERTAIN ABILITY TO PAY AN ACCOUNT CAN BE REFERRED TO AN OUTSIDE COLLECTION AGENCY FOR COLLECTION ASSISTANCE JMH ENSURES THAT OUTSIDE COLLECTION AGENCIES FOLLOW HOSPITAL BILLING AND COLLECTION GUIDELINES ONCE A DELINQUENT PATIENT ACCOUNT HAS BEEN SUBMITTED TO AN OUTSIDE AGENCY IT CAN BE ADJUSTED TO CHARITY IF THE DETERMINATION IS LATER MADE THAT THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE ALL REQUESTS FOR FINANCIAL ASSISTANCE MUST BE ACCOMPANIED BY A COMPLETED FINANCIAL ASSESSMENT FORM AND SUPPORTING DOCUMENTATION |
| NEEDS ASSESSMENT | PART VI | PART VI LINE 2 MSHA INCLUDED AMERICAS HEALTH RANKINGS AHR IN ITS ASSESSMENT IN ORDER TO BETTER DEFINE THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES TENNESSEE RANKS 42ND AND VIRGINIA RANKS 26TH HOWEVER IT SHOULD BE NOTED THAT SOUTHWEST VIRGINIA WHERE MSHA FACILITIES ARE LOCATED CLOSELY RESEMBLES THE HEALTH RANKINGS FOR TENNESSEE AMERICAS HEALTH RANKINGS ARE BASED ON A SERIES OF MEASURES INCLUDING SEVERAL HEALTH OUTCOMES AND HEALTH FACTORS A SURVEY WAS GIVEN TO 67 INDIVIDUALS REPRESENTING THE NINE 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 HEALTH STATUS HEALTH PRIORITIES AND SUGGESTIONS FOR IMPROVEMENT THE MAJORITY OF RESPONSES SUGGESTED FOCUSING ON EDUCATION IN ORDER TO PROMOTE HEALTHY HABITS OTHER RESPONSES INCLUDED MAKE PHYSICAL EDUCATION A REQUIREMENT AS PART OF SCHOOL CURRICULUM IMPROVE NATURAL TRAILS AND WALKWAYS INCREASE COMMUNITY SUPPORT FOR SMOKEFREE AREAS PARTNER WITH LOCAL FARMERS MARKETS SHARE HEALTH INFORMATION BETWEEN PHARMACIES NETWORK WITH SMALL BUSINESSES AND NONPROFITS IN ORDER TO AVOID DUPLICATING RESOURCES AND PROVIDE EARLY SCREENINGS FOR THE UNINSURED OR UNDERINSURED OVERALL THE COMMUNITY MEMBERS GAVE MSHAS CORE SERVICE AREA A HEALTH STATUS RANKING OF 424 OUT OF 10 1 BEING THE LOWEST 10 BEING THE HIGHEST ALSO ALL 67 PARTICIPANTS AGREED THAT OBESITY CANCER HEART DISEASE AND DIABETES WERE THE TOP HEALTH PRIORITIES IN EACH COUNTY AHR REPORTS THAT TENNESSEE AND VIRGINIA BOTH SAW AN INCREASE IN DIABETES AND OBESITY WITHIN THE PAST TEN YEARS TENNESSEE ALSO RANKS 44TH FOR CARDIOVASCULAR DEATHS 45TH FOR CANCER DEATHS AND 46TH FOR DIABETES VIRGINIA OVERALL HAS A BETTER RANKING IN THESE THREE CATEGORIES BUT AS STATED EARLIER SOUTHWEST VIRGINIA CLOSELY RESEMBLES TENNESSEE SINCE COMPLETION OF THE CHNA AND ITS IMPLEMENTATION PLAN MSHA HAS PARTNERED WITH SCHOOLS NONPROFIT AGENCIES AND OTHERS ON VARIOUS INITIATIVES TO ADDRESS HEALTH ISSUES CHILDHOOD OBESITY IN PARTICULAR |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | PART VI | PART VI LINE 3 JMH PROVIDES COMMUNICATION OF FINANCIAL ASSISTANCE ON ITS WEBSITE AND ON POSTERS LOCATED IN PROMINENT AREAS OF THE HOSPITAL SUCH AS ADMITTING AND THE EMERGENCY DEPARTMENT PRINTED EDUCATIONAL MATERIALS INCLUDING FINANCIAL ASSISTANCE CONTACT INFORMATION ARE ALSO PROVIDED IN EACH PATIENTS PAPERWORK POSTERS AND REFERENCE MATERIALS ARE WRITTEN IN BOTH ENGLISH AND SPANISH ADMITTING STAFF ARE TRAINED TO EDUCATE PATIENTS ON JMHS FINANCIAL ASSISTANCE POLICY JMH ALSO HAS FINANCIAL COUNSELORS TO PROVIDE FURTHER INFORMATION AND ASSISTANCE TO JMH PATIENTS REGARDING JMHS FINANCIAL ASSISTANCE POLICY THESE COUNSELORS ALSO HELP UNINSURED PATIENTS DETERMINE SOURCES OF PAYMENT FOR MEDICAL BILLS AND HELP PATIENTS DETERMINE ELIGIBILITY FOR PROGRAMS SUCH AS MEDICAID IN ADDITION JMH CONTRACTS WITH THE COMPANY FIRSTSOURCE SOLUTIONS USA TO WORK WITH SELFPAYING PATIENTS WHO HAVE LIMITED FINANCIAL RESOURCES FIRSTSOURCE SOLUTIONS USA DETERMINES A PATIENTS ELIGIBILITY IN MEDICAL COVERAGE OPTIONS AND ASSISTS WITH THEIR ENROLLMENT JMH BEARS THE COST FOR THE FIRSTSOURCE SOLUTIONS PROGRAM |
| COMMUNITY INFORMATION | PART VI | PART VI LINE 4 JMH IS LOCATED IN ABINDGON WASHINGTON COUNTY WHICH IS IN RURAL SOUTHWEST VIRGINIA BOTH NORTHEAST TENNESSEE AND SOUTHWEST VIRGINIA SWVA ARE LOCATED WITHIN THE APPALACHIAN MOUNTAINS SPECIFICALLY THE BLUE RIDGE MOUNTAIN REGION AND TENNESSEE VALLEY SWVA IS CONSIDERED RURAL AND MUCH DIFFERENT THAN THE REST OF THE STATE SWVA HAS BEEN AND REMAINS A MAJOR COAL MINING REGION WASHINGTON COUNTY IS A FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREA AND HAS A HIGH RATE OF INDIVIDUALS WHO ARE UNINSURED THE POPULATION OF WASHINGTON COUNTY IS JUST OVER 54875 AND ACCORDING TO THE US CENSUS BUREAU THE TOWN OF ABINGDON HAS A POPULATION OF 8191 THE LATEST CENSUS BUREAU DATA ESTIMATES THE MEDIAN AGE OF RESIDENTS OF WASHINGTON COUNTY IS 437 WHICH IS OLDER THAN THE MEDIAN AGE OF 375 IN VIRGINIA THE BUREAU ESTIMATES WASHINGTON COUNTY MEDIAN HOUSEHOLD INCOME AT 42844 COMPARED TO 61741 FOR THE STATE OF VIRGINIA 20 OF WASHINGTON COUNTYS CHILDREN LIVE IN POVERTY COMPARED TO 16 STATEWIDE |
| HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE | PART VI | PART VI LINE 5 JMH IS DEDICATED TO OPERATING EFFICIENTLY SO THAT WASTE IS MINIMIZED JMHS LEADERSHIP REMAINS MINDFUL OF MANAGING THE HOSPITALS LIMITED RESOURCES SO THAT ADEQUATE FACILITIES AND EQUIPMENT ARE AVAILABLE FOR THE CARE OF OUR PATIENTS VARIOUS CHECKS AND BALANCES ARE ESTABLISHED TO ENSURE THAT EXPENDITURES FOR OPERATING EXPENSES AND CAPITAL COSTS ARE REASONABLE AND NECESSARY THE MAJORITY OF JMHS GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATIONS PRIMARY SERVICE AREAS PHYSICIANS THAT REQUEST PRIVILEGES WHO ARE QUALIFIED AND CREDENTIALED ARE EXTENDED PRIVILEGES BY JMH |
| AFFILIATED HEALTH CARE INFORMATION | PART VI | PART VI LINE 6 JMH IS A 116BED ACUTECARE FACILITY OPERATED UNDER THE DIRECTION OF A 15MEMBER BOARD OF DIRECTORS PRIMARILY COMPRISED OF LOCAL COMMUNITY RESIDENTS JMH IS MAJORITY OWNED BY MOUNTAIN STATES HEALTH ALLIANCE MSHA BASED IN JOHNSON CITY TENNESSEE MSHA IS INTEGRATED BOTH VERTICALLY AND HORIZONTALLY AND IS 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 THE COUNTYS PRIMARY HEALTH SERVICE PROVIDER PATIENTS BENEFIT FROM JMHS AFFILIATION WITH A HEALTHCARE SYSTEM WHERE THEY CAN BE EFFICIENTLY MOVED ALONG AN INTEGRATED COMPREHENSIVE CONTINUUM OF CARE AS THEIR HEALTH STATUS DICTATES PATIENTS CAN BE MOVED TO THE SYSTEMS FLAGSHIP FACILITY JOHNSON CITY MEDICAL CENTER WHICH IS A TERTIARY CARE FACILITY PROVIDING ADVANCED TREATMENT OPTIONS |
| LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILED | PART VI | VIRGINIA |
| JOHNSTON MEMORIAL HOSPITAL INC LINE NUMBER 1 PART V LINE 3 | PART V LINE 3 | MSHA MET WITH TEN FOCUS GROUPS EACH REPRESENTING ONE OF THE TEN HOSPITAL FACILITIES INCLUDING JMH LOCATED WITHIN THE CORE COUNTIES OF MSHA FACILITIES 16 COUNTIES EACH GROUP CONSISTED OF PUBLIC HEALTH LEADERS NURSES NONPROFIT DIRECTORS COMMUNITY DEVELOPERS FAITH BASED LEADERS PUBLIC OFFICIALS AND SCHOOL REPRESENTATIVES EACH GROUP RANGED IN ATTENDANCE FROM 6 TO 21 INDIVIDUALS PARTICIPANTS WERE GIVEN SURVEYS TO DETERMINE A COUNTYS HEALTH STATUS RATING AVAILABLE RESOURCES TOP HEALTH PRIORITIES AND SUGGESTIONS FOR IMPROVEMENT OPEN DISCUSSION FOLLOWED THE COLLECTED INFORMATION WAS THEN PAIRED WITH STATISTICAL DATA IN ORDER TO PRIORITIZE HEALTH NEEDS THE SPECIFIC NEEDS FOR EACH COUNTY WERE INCLUDED IN THE APPROPRIATE FACILITY IMPLEMENTATION PLAN |
| JOHNSTON MEMORIAL HOSPITAL INC LINE NUMBER 1 PART V LINE 4 | PART V LINE 4 | EACH HOSPITAL WITHIN THE MSHA SYSTEM COMPLETED A CHNA FOR THOSE HOSPITALS THAT ARE LOCATED IN THE SAME COUNTY ONLY ONE COMMUNITY GROUP WAS SURVEYED FOR INSTANCE JOHNSON CITY MEDICAL CENTER AND FRANKLIN WOODS COMMUNITY HOSPITAL ARE BOTH LOCATED IN WASHINGTON COUNTY TENNESSEE WE SURVEYED 21 INDIVIDUALS FROM WASHINGTON COUNTY IN ORDER TO DETERMINE HEALTH PRIORITIES DICKENSON COMMUNITY HOSPITAL AND NORTON COMMUNITY HOSPITAL ALSO HAD ONE COMMUNITY GROUP SURVEYED THESE TWO COUNTIES SERVE SIMILAR COMMUNITIES AND HAVE SIMILAR HEALTH RANKINGS ACCORDING TO AMERICAS HEALTH RANKINGS EVEN THOUGH ONLY TWO COMMUNITY GROUPS SERVED ON BEHALF OF THE FOUR HOSPITALS LISTED STATISTICAL DATA WAS COLLECTED FOR EACH INDIVIDUALLY JMHS CHNA WAS CONDUCTED WITH ALL MSHA HOSPITALS TO INCLUDE JOHNSON CITY MEDICAL CENTER FRANKLIN WOODS COMMUNITY HOSPITAL INDIAN PATH MEDICAL CENTER SYCAMORE SHOALS HOSPITAL JOHNSON COUNTY COMMUNITY HOSPITAL RUSSELL COUNTY MEDICAL CENTER DICKENSON COMMUNITY HOSPITAL SMYTH COUNTY COMMUNITY HOSPITAL AND NORTON COMMUNITY HOSPITAL |
| JOHNSTON MEMORIAL HOSPITAL INC LINE NUMBER 1 PART V LINE 7 | PART V LINE 7 | MSHA PUBLISHED ITS COMMUNITY HEALTH NEEDS ASSESSMENT ON JUNE 29 OF FY12 THE DATA INCLUDED WAS COLLECTED OVER THE COURSE OF 2011 AND 2012 AN IMPLEMENTATION PLAN WAS CREATED FOR EACH HOSPITAL AND EACH HOSPITALS BOARD APPROVED THE IMPLEMENTATION PLAN DURING THE MONTHS OF MAY AND JUNE 2012 MSHA ANNUALLY TRACKS PROGRESS OF IMPLEMENTATION STRATEGIES FOR EACH HOSPITAL DUE TO LACK OF RESOURCES SOME OF MSHA FACILITIES WERE UNABLE TO ADDRESS ISSUES THAT WERE IDENTIFIED |
| JOHNSTON MEMORIAL HOSPITAL INC LINE NUMBER 1 PART V LINE 14G | PART V LINE 14G | THE MOUNTAIN STATES HEALTH ALLIANCE FINANCIAL ASSISTANCE POLICY HAS BEEN APPROVED BY ITS BOARD OF DIRECTORS AND APPLIES TO ALL MSHA HOSPITALS DURING THE ADMISSION PROCESS PATIENTS ARE TOLD THAT THE HOSPITAL HAS A FINANCIAL ASSISTANCE POLICY AND ADMISSION PAPERS GIVEN TO EACH PATIENT ADVISES THEM OF THE POLICY BILLING CORRESPONDENCE ALSO ADVISES THAT FINANCIAL ASSISTANCE MAY BE AVAILABLE A COMMUNITY RESOURCE GUIDE REPORTS THAT THE HOSPITAL HAS A FINANCIAL ASSISTANCE POLICY |
| JOHNSTON MEMORIAL HOSPITAL INC LINE NUMBER 1 PART V LINE 20D | PART V LINE 20D | UNINSURED PATIENTS RECEIVE A 62 DISCOUNT AND BASED ON OTHER FACTORS SUCH AS INCOME OR MEDICAL INDIGENCY MAY QUALIFY FOR AN ADDITIONAL DISCOUNT |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| BARTER THEATRE | |||||||
| PO BOX 867 | ABINGDON | VA | 24212 | 546000120 | 501C3 | 19000 | SPONSORSHIP |
| VIRGINIA HIGHLANDS COMM COLLEGE | |||||||
| P O BOX 828 | ABINGDON | VA | 24212 | 521225133 | 501C3 | 39953 | FUND NURSING INSTR. |
| WASHINGTON COUNTY PUBLIC SCHOOLS | |||||||
| 812 THOMPSON DRIVE | ABINGDON | VA | 24210 | 546001671 | 501C3 | 21323 | SPONSORSHIP |
| WILLIAM KING MUSEUM | |||||||
| PO BOX 2256 | ABINGDON | VA | 24210 | 541144120 | 501C3 | 10000 | SPONSORSHIP |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 4 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES | Identifier |
| Return Reference | SCHEDULE I, PAGE 1, PART I, LINE 2 | ReturnReference |
| Explanation | FUNDING MAY BE PROVIDED TO LOCAL 501(C)(3) ORGANIZATIONS WHOSE FOCUS IS ON HEALTH AND EDUCATION. FOR MANY YEARS, JMH HAS MADE DONATIONS OF MEDICATIONS TO AREA NON-PROFIT EMERGENCY MEDICAL SERVICE COMPANIES. WE ARE PROVIDING ASSISTANCE TO A LOCAL COLLEGE TO HELP FUND A NURSING INSTRUCTOR. ADDITIONAL DONATIONS ARE MADE TO THE UNITED WAY, LOCAL SCHOOLS, AND THE LOCAL ARTS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)
| TitleTitle | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|
| DENNIS VONDERFECHT | |||||||
| TRUSTEE | 777545 | 1900431 | 485771 | 20000 | 22698 | 3206445 | 125000 |
| ANN FLEMING | |||||||
| TREASURER | 351697 | 51836 | 22747 | 48425 | 17857 | 492562 | |
| PAUL ARMSTRONG MD | |||||||
| TRUSTEE | 317538 | 150 | 12798 | 24847 | 355333 | ||
| LARAMIE TRIPLETT MD | |||||||
| TRUSTEEPHYSICIAN | 132850 | 62603 | 76848 | 9963 | 25538 | 307802 | |
| SEAN MCMURRAY | |||||||
| CEO | 256438 | 37750 | 37587 | 28465 | 20357 | 380597 | |
| STEPHEN GIVENS | |||||||
| COO | 80743 | 2000 | 93805 | 4657 | 10020 | 191225 | |
| JOHN JETER | |||||||
| CFO | 143531 | 1953 | 4442 | 19148 | 169074 | ||
| DAMIAN SOOKLAL MD | |||||||
| 289409 | 62936 | 673 | 12872 | 15335 | 381225 | ||
| KELLY CARTER MD | |||||||
| 264534 | 37450 | 50448 | 13154 | 14655 | 380241 | ||
| STEPHEN BLANKENSHIP MD | |||||||
| 265074 | 35874 | 50482 | 14014 | 18892 | 384336 | ||
| DAVID SIMMONS MD | |||||||
| 246409 | 35137 | 50454 | 11140 | 20401 | 363541 | ||
| JACQUELINE DAVID MD | |||||||
| 235008 | 73318 | 20180 | 19366 | 347872 | |||
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS | SCHEDULE J, PAGE 1, PART I, LINE 4 | ANN FLEMING 0 35,925 0 SEAN MCMURRAY 0 12,946 0 |
| OTHER ADDITIONAL INFORMATION | SCHEDULE J, PART III | PART I, LINE 3: JMH'S CEO'S SALARY AND BENEFITS ARE SUBJECT TO THE MOUNTAIN STATES HEALTH ALLIANCE (MSHA) COMPENSATION COMMITTEE PROCESS, WHEREBY THE MSHA CEO RECOMMENDS THE SALARY AND IT IS REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE, BASED UPON MARKET DATA, MADE AVAILABLE BY THIRD PARTY CONSULTANTS. THE COMPENSATION COMMITTEE HAS FINAL APPROVAL OF MSHA'S CEO RECOMMENDATIONS FOR PAY AND BENEFITS FOR THE JMH CEO. WE USE AN OUTSIDE, INDEPENDENT CONSULTING FIRM TO PROVIDE CONSULTATION ON EXECUTIVE PAY AS WELL AS OUR EXECUTIVE PAY AT RISK PLAN. PART I, LINE 4B: DENNIS VONDERFECHT RECEIVED PAYMENT OF 1,683,614 DURING THE REPORTING PERIOD FROM A 457(F) DEFERRED COMPENSATION PLAN THAT SPANNED A NUMBER OF YEARS. MR. VONDERFECHT MET THE CONDITIONS FOR PAYOUT FROM THE AT-RISK PLAN AND MSHA WITHHELD FEDERAL, STATE AND LOCAL TAXES AS REQUIRED BY LAW. MR. VONDERFECHT SERVED AS MSHA'S CEO FOR 24 YEARS AND RETIRED AT THE END OF 2013. ANN FLEMING AND 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 K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 2011 HOSPITAL FACILITY INVEST BOND | BusinessNameLine1 |
| Business Name Line2 | INDUSTRIAL DEV AUTHORITY OF SMYTH | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 541758381 | IssuerEIN |
| Date Issued | 2011-11-16 | DateIssued |
| Issue Price | 24870000 | IssuePrice |
| Description Of Purpose | REFINANCE CANCER CTR. | DescriptionOfPurpose |
| Defeased | false | Defeased |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Pool Financing | false | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Amount Retired | 1775000 | AmountRetired |
| Total Proceeds | 24870000 | TotalProceeds |
| Issuance Costs From Proceeds | 238423 | IssuanceCostsFromProceeds |
| Other Spent Proceeds | 24631577 | OtherSpentProceeds |
| Year Of Subst Completion | 2012 | YearOfSubstCompletion |
| Current Refunding | true | CurrentRefunding |
| Advance Refunding | false | AdvanceRefunding |
| Final Allocation Made | true | FinalAllocationMade |
| Adequate Books And Recds Maintaind | true | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedProperty |
| Any Lease Arrangements | false | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | true | MngmentCntrctBondFinancdPrprty |
| Engage Bond Counsel Contracts | true | EngageBondCounselContracts |
| Any Research Agreements | false | AnyResearchAgreements |
| Bond Iss Meet Prvt Security Pay Test | false | BondIssMeetPrvtSecurityPayTest |
| Change In Use Bond Financed Prop | true | ChangeInUseBondFinancedProp |
| Remedial Action Taken | false | RemedialActionTaken |
| Non Qualified Bond Remed Procdrs | true | NonQualifiedBondRemedProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiled |
| Rebate Not Due Yet | false | RebateNotDueYet |
| Exception To Rebate | true | ExceptionToRebate |
| No Rebate Due | false | NoRebateDue |
| Variable Rate Issue | true | VariableRateIssue |
| Hedge Identified In Books And Recds | false | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | false | GrossProceedsInvested |
| Written Proc To Monitor Reqs | false | WrittenProcToMonitorReqs |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Proc To Undertk Corrective Action | true | ProcToUndertkCorrectiveAction |
Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PURPOSE OF ISSUE DESCRIPTION | SCHEDULE K | 2011 HOSPITAL FACILITY INVEST BOND LINE A REFINANCE OF CANCER TREATMENT CENTER AND REFINANCING OF SERIES 1998 BONDS |
| ADDITIONAL INFORMATION | SCHEDULE K | 2011 HOSPITAL FACILITY INVEST BOND A PORTION OF THE BONDS ISSUED IN 1998 THAT WAS REFUNDED WITH A PORTION OF THE REPORTED BOND ISSUE FINANCED HOSPITAL IMPROVEMENTS FOR A FACILITY THAT BECAME OUTMODED AND OBSOLETE THE OBSOLETE FACILITY WAS SUBSEQUENTLY SOLD FOR A MINIMAL AMOUNT LESS THAN 5 OF THE PROCEEDS OF THE BONDS BASED ON THE AVAILABLE RECORDS IT IS NOT POSSIBLE TO GIVE A PRECISE AMOUNT OF THE 1998 BOND PROCEEDS THAT WERE USED TO FINANCE THE PROPERTY THAT WAS DISPOSED BECAUSE THE AMOUNT OF PRIVATE PAYMENTS WAS LESS THAN THE PERMITTED THRESHOLD NO REMEDIAL ACTION WAS REQUIRED |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | EMORY ROBINETTE MD | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | M.D. SERVICES | Relationship |
| Amount Of Transaction | 32500 | AmountOfTransaction |
| Description Of Transaction | MEDICAL DIRECTOR | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ADDITIONAL INFORMATION | Identifier |
| Return Reference | SCHEDULE L PART V | ReturnReference |
| Explanation | 1 EMORY ROBINETTE MD JMH BOARD MEMBER PROVIDES MEDICAL DIRECTOR SERVICES TO JMH | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (13 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION | FORM 990 - ORGANIZATION'S MISSION | PART I, LINE I - 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. |
| FIRST ACCOMPLISHMENT DESCRIPTION | FORM 990, PAGE 2, PART III, LINE 4A | JMH OFFERS A FULL ARRAY OF MEDICAL SERVICES THROUGH HIGHLY TRAINED PHYSICIANS AND SUPPORT STAFF, PROUDLY SERVING SOUTHWEST VIRGINIA SINCE 1917. OUR GOAL IS TO BE A LEADER IN IMPROVING THE HEALTH AND QUALITY OF LIFE IN THE COMMUNITY, BY WORKING TOGETHER AS A TEAM DEDICATED TO EXCELLENCE. DURING FY13, WE EXPERIENCED 7,310 ADMISSIONS, WITH ALMOST 24,000 PATIENT DAYS. THERE WERE AN ADDITIONAL 4,645 OBSERVATION DAYS. OUR OUTPATIENT VISITS WERE JUST UNDER 131,000. THERE WERE 42,434 VISITS TO OUR EMERGENCY DEPARTMENT, WITH MORE THAN 5,000 RESULTING IN AN INPATIENT STAY. MORE THAN 7,200 SURGERIES WERE PERFORMED DURING THE YEAR AND WE DELIVERED MORE THAN 740 BABIES. JMH IS THE FIRST "GREEN" HOSPITAL IN SOUTHWEST VIRGINIA AND IS FOCUSED ON BEING AN ENVIRONMENTALLY SUSTAINABLE FACILITY FOLLOWING THE U.S. GREEN BUILDING COUNCIL'S LEED (LEADERSHIP IN ENERGY AND ENVIRONMENTAL DESIGN) GUIDELINES. JMH EARNED GOLD LEED CERTIFICATION SHORTLY AFTER OPENING. LEED IS AN INTERNATIONALLY RECOGNIZED GREEN BUILDING CERTIFICATION SYSTEM, PROVIDING THIRD-PARTY VERIFICATION THAT A BUILDING OR COMMUNITY WAS DESIGNED IN AN ENVIRONMENTALLY FRIENDLY MANNER, INCLUDING ENERGY SAVINGS, WATER EFFICIENCY, CO2 EMISSIONS REDUCTION, IMPROVED INDOOR ENVIRONMENTAL QUALITY, AND STEWARDSHIP OF RESOURCES AS WELL AS SENSITIVITY TO THEIR IMPACT. FIFTY PERCENT OF THE JMH SITE IS RESERVED FOR VEGETATED OPEN SPACE. WATER USAGE FOR LANDSCAPING IS 50 PERCENT LOWER THAN TRADITIONAL LANDSCAPE DESIGNS. THE HOSPITAL BUILDING USED LOW-EMITTING MATERIALS AND CONSTRUCTION WASTE WAS RECYCLED, DIVERTING MORE THAN 75% OF NORMAL WASTE MATERIAL AWAY FROM THE LANDFILL. INDOOR AIR QUALITY IS SUPERIOR DUE TO EFFICIENT VENTILATION AND ONGOING MONITORING AND WATER USE IS REDUCED THROUGH INSTALLATION OF HIGH EFFICIENCY PLUMBING FIXTURES. WATER USE IS REDUCED BY 40 PERCENT, A SAVINGS OF UP TO 1.6 MILLION GALLONS OF WATER PER YEAR. FURTHER ENERGY USAGE REDUCTIONS WERE ACHIEVED BY INSTALLING EFFICIENT HEATING AND COOLING SYSTEMS. BEYOND SMART ENERGY SAVINGS IMPLEMENTED WITH THE HOSPITAL'S CONSTRUCTION, JMH RECYCLES ON AN ONGOING BASIS AND ENCOURAGES THE USE OF FUEL EFFICIENT CARS BY DESIGNATING PARKING SPACES FOR LOW EMISSION VEHICLES CLOSE TO THE BUILDING. THE VIRGINIA HEALTH QUALITY CENTER (VHQC), A NON-PROFIT HEALTH QUALITY CONSULTING COMPANY, SELECTED WINNERS IN SIX CATEGORIES FOR THEIR CONTRIBUTIONS TO IMPROVING HEALTH CARE FOR PATIENTS IN VIRGINIA. MOUNTAIN STATES HEALTH ALLIANCE'S VIRGINIA HOSPITALS, INCLUDING JMH, EARNED THE HONOR FOR THEIR PATIENT-CENTERED CARE. THE WINNERS WERE ANNOUNCED DURING QUALITYSYNC, VHQC'S ANNUAL LEARNING EVENT, HELD IN RICHMOND, AND WERE SELECTED FROM NEARLY 30 NOMINATIONS. "MSHA'S VIRGINIA HOSPITALS DEVELOPED AN INNOVATIVE APPROACH TO BRINGING A PATIENT-CENTERED APPROACH TO ALL OF ITS FACILITIES", THE VHQC STATED IN A NEWS RELEASE. "BY ESTABLISHING 10 GUIDING PRINCIPLES AND INCORPORATING THEM INTO EACH HOSPITAL'S OPERATIONS, THIS ORGANIZATION HAS SIGNIFICANTLY IMPROVED PATIENT-PROVIDER RELATIONSHIPS, ENVIRONMENTS AND SERVICE DELIVERY". DURING FY13, TWO JMH PHYSICIANS, DOCTORS CARTER AND DAWSON, RECEIVED STATE AND NATIONAL RECOGNITION FOR TWO NEW COMPUTER-BASED TOOLS THEY DEVELOPED THAT DIRECTLY HELP DOCTORS AND PATIENTS. ONE TOOL, CALLED ALIGN, ANALYZES DATA ON PATIENTS THAT ARE SEEN OFTEN IN THE ER. THE SYSTEM PRESENTS KEY DATA IN SECONDS, WHICH ALLOWS THE PHYSICIAN TO MAKE FASTER AND MORE WELL-INFORMED DECISIONS. PLUS, THERE ARE FEWER REPEATED TESTS AND THE LENGTH OF STAY IS SHORTENED. THE SECOND TOOL, CALLED RADIATION RECONCILIATION, IS A SAFETY MEASURE THAT QUICKLY COUNTS RADIOLOGY STUDIES AND ESTIMATES RADIATION EXPOSURE, RAISING AWARENESS OF RADIATION EXPOSURE FOR PATIENTS AND THE MEDICAL COMMUNITY. THE INFORMATION IS PRESENTED IN A GRAPHICAL WAY TO HELP PATIENTS UNDERSTAND THEIR MEDICAL RADIATION EXPOSURE WITH SOME MEANINGFUL POINTS OF REFERENCE. THE DOCTORS WORKED WITH JMH IT STAFF TO DEVELOP THE PROGRAMS. THE JMH DIABETES EDUCATION CENTER HAS ASSISTED PATIENTS IN DIABETES CARE SINCE 1999. DR. ANDREW RHINEHART, DIRECTOR OF THE CENTER, WAS RECENTLY AWARDED RECOGNITION BY THE PRESTIGIOUS NATIONAL COMMITTEE FOR QUALITY ASSURANCE DIABETES RECOGNITION PROGRAM, A PRIVATE, NONPROFIT ORGANIZATION DEDICATED TO IMPROVING HEALTH CARE QUALITY. DR. RHINEHART IS BOARD-CERTIFIED IN ADVANCED DIABETES MANAGEMENT AND WAS THE FIRST PHYSICIAN IN THE U.S. TO GAIN THESE CREDENTIALS. HE RECENTLY BECAME ONE OF THE FIRST PHYSICIANS TO EARN DISTINCTION AS A CERTIFIED DIABETES TECHNOLOGY CLINICIAN (CDTC), THE HIGHEST PROFESSIONAL CREDENTIAL THAT RECOGNIZES A PHYSICIAN AS AN EXPERT IN USING TECHNOLOGY TO MANAGE DIABETES. A STAFF OF CERTIFIED DIABETES EDUCATORS ASSISTS HIM AT THE DIABETES CARE CENTER. JMH IS COMMITTED TO PROVIDING COMPREHENSIVE MEDICAL EDUCATION TO AID IN PATIENT RECOVERY AND DISEASE MANAGEMENT. WE OFFER MANY CLASSES AND SUPPORT GROUPS, SUCH AS: CPR AND LIFE SAVING CLASSES; CARDIAC CARE; TOTAL JOINT; CANCER EDUCATION; PRENATAL AND PARENTING; AND, OTHERS. THE JMH CENTER FOR COMPREHENSIVE WOUND CARE IS ONE OF ONLY A FEW FACILITIES IN THE REGION THAT OFFERS HYPERBARIC OXYGEN THERAPY- THE DELIVERY OF OXYGEN AT LEVELS HIGHER THAN ATMOSPHERIC PRESSURE IN A CHAMBER SETTING THAT STIMULATES THE HEALING PROCESS. OUR TRAINED STAFF FOLLOW A TEAM APPROACH TO WOUND HEALING. AFTER AN INITIAL EVALUATION, 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. JMH HAS PARTNERED WITH THE COMPANY FIRSTSOURCE SOLUTIONS USA TO WORK WITH SELF-PAYING PATIENTS WHO HAVE LIMITED FINANCIAL RESOURCES. DURING FY13, FIRSTSOURCE REPRESENTATIVES WERE AVAILABLE AT JMH TO ASSIST PATIENTS. THE REPRESENTATIVES WERE ABLE TO DETERMINE GOVERNMENTAL MEDICAL ASSISTANCE (MEDICAID OR TENNCARE) ELIGIBILITY, AND TO HELP WITH THE APPLICATION PROCESS AND FOLLOW-UP. ONCE A PERSON IS APPROVED FOR MEDICAID OR TENNCARE THROUGH THE PROGRAM OFFERED THROUGH JMH, THEY RETAIN COVERAGE FOR FUTURE MEDICAL CARE. 1,097 PATIENTS WERE APPROVED FOR GOVERNMENTAL ASSISTANCE DURING THE YEAR. FIRSTSOURCE IS COMPENSATED BY JMH. DURING FY13, JMH'S COST FOR THIS PROGRAM WAS 183,566. JMH SIGNED A NON-PROFIT BLOOD CENTER TENANT TO A ONE YEAR LEASE FOR ONLY 1. THE ANNUAL FAIR MARKET VALUE OF THE LEASE IS 32,770. THE FMV FOR THE FOUR MONTHS FALLING WITHIN FY13 IS 10,923. JMH SERVES AS A CLINICAL TRAINING HOSPITAL FOR HEALTH PROFESSIONAL EDUCATION STUDENTS. WE HAVE DEDICATED STAFF TO WORK WITH REGIONAL COLLEGES AND UNIVERSITIES TO COORDINATE THE PLACEMENT OF HEALTHCARE PROFESSIONAL STUDENTS AS PART OF THEIR EDUCATIONAL CURRICULUM. IN ADDITION TO CLINICAL TRAINING, THE HEALTH CARE STUDENTS ENTERING OUR SYSTEM ARE REQUIRED TO HAVE ORIENTATION AND COMPUTER TRAINING. PARTICIPANTS RECEIVING CLINICAL EXPERIENCE AT JMH DURING FY13 INCLUDED 174 NURSING STUDENTS FROM VARIOUS COLLEGES, UNIVERSITIES AND PROGRAMS. THIS NURSING CLINICAL EXPERIENCE REQUIRED EXTENSIVE JMH NURSING STAFF INVOLVEMENT. THE CLINICAL SETTING AND HANDS-ON INSTRUCTION COST JMH 349,140. JMH PROVIDED A CLINICAL SETTING FOR ANOTHER 156 STUDENTS TRAINING IN HEALTH-RELATED PROGRAMS SUCH AS RADIOLOGY, PHARMACY, PHYSICAL THERAPY, EMT/PARAMEDIC AND OTHER ALLIED-HEALTH DISCIPLINES. THESE ADDITIONAL CLINICAL STUDENTS COST JMH 159,049. JMH SUPPORTS OTHER LOCAL NON-PROFIT ORGANIZATIONS THAT PROVIDE HEALTHCARE SERVICES TO OUR RESIDENTS. WE DONATE MEDICATIONS AND SUPPLIES TO AREA RESCUE SQUADS AND FIRE DEPARTMENTS AT A COST TO JMH OF MORE THAN 15,000 IN FY13. WE PROVIDED FINANCIAL ASSISTANCE TO A LOCAL COLLEGE FOR ITS NURSING PROGRAM. DURING FY13, WE CONTRIBUTED ALMOST 40,000 TO THE PROGRAM. MANY OTHER DONATIONS WERE MADE TO SUPPORT OUR SCHOOLS, LIBRARY, YMCA, ETC. BASED ON COMMUNITY NEEDS, JMH INCURRED EXPENSE OF 372,374 TO RECRUIT PHYSICIANS INTO OUR COMMUNITY. PHYSICIANS ARE RECRUITED TO REPLACE PHYSICIANS THAT RETIRE OR LEAVE THE AREA. ALL PHYSICIAN RECRUITMENT ACTIVITIES ARE BASED ON DOCUMENTED COMMUNITY NEED. TEAM MEMBERS AT JMH INTERESTED IN EDUCATING THE COMMUNITY ABOUT HEART DISEASE AND STROKE VISITED A LOCAL SENIOR CENTER TO INVOLVE SENIORS IN AN AMERICAN HEART ASSOCIATION (AHA) EVENT. TEAM MEMBERS DONATED ITEMS TO THE EVENT WHICH WERE RAFFLED TO RAISE MONEY FOR AHA. |
| ADDITIONAL INFORMATION | FORM 990, PART V | LINE 2A: W-2 EMPLOYEES JOHNSTON MEMORIAL HOSPITAL (JMH) TEAM MEMBERS ARE PAID BY MOUNTAIN STATES HEALTH ALLIANCE (MSHA). MSHA BILLS JMH FOR SALARY AND BENEFITS AND THE EXPENSE IS RECORDED ON JMH'S BOOKS. |
| CLASSES OF MEMBERS OR STOCKHOLDERS | FORM 990, PAGE 6, PART VI, LINE 6 | THE CORPORATION IS ORGANIZED AS A VIRGINIA NON-STOCK, NON-PROFIT 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. |
| ELECTION OF MEMBERS AND THEIR RIGHTS | 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. |
| DECISIONS SUBJECT TO APPROVAL OF MEMBERS | 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. |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | THE CFO REVIEWED THE FORM 990 WITH THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS AND THE RETURN WAS MADE AVAILABLE TO EACH BOARD MEMBER IN AN ELECTRONIC FORMAT PRIOR TO THE REVIEW. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | ANNUALLY, THE CORPORATE AUDIT AND COMPLIANCE DEPARTMENT OF MSHA FORWARDS THE CONFLICT OF INTEREST POLICY AND DISCLOSURE FORM TO ALL MSHA MANAGEMENT TEAM MEMBERS AND BOARD MEMBERS. EMPLOYEES AND BOARD MEMBERS MUST NOTE ANY CONFLICTS OR ATTEST THEY HAVE "NONE", AND RETURN THE FORM TO THE AUDIT AND COMPLIANCE DEPARTMENT. ANY NOTED DISCLOSURES ARE FORWARDED TO THE APPROPRIATE MANAGEMENT OR BOARD PERSONNEL TO EVALUATE AND UTILIZE WHEN A TRANSACTION INVOLVING A CONFLICTED PERSON ARISES. 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. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | FORM 990, PAGE 6, PART VI, LINE 15A | THE CEO'S COMPENSATION AND BENEFITS ARE SUBJECT TO THE EXECUTIVE COMPENSATION POLICY OF MOUNTAIN STATES HEALTH ALLIANCE (MSHA). THE POLICY WAS ESTABLISHED BY MSHA'S BOARD OF DIRECTORS AND IS ALLIGNED WITH THE MSHA MISSION, VISION, AND VALUES, SUPPORTING THE ACHIEVEMENT OF THE HEALTH SYSTEM'S STRATEGIC PLANS AND ANNUAL GOALS AND OBJECTIVES. THE POLICY ENSURES THAT MSHA'S EXECUTIVE COMPENSATION IS COMPLIANT WITH THE LEGAL, REGULATORY, AND STATUTORY ENVIRONMENT AFFECTING COMPENSATION. MSHA'S PRESIDENT AND CEO MAKES RECOMMENDATIONS TO THE EXECUTIVE COMMITTEE OF THE MSHA BOARD FOR ALL ELEMENTS OF COMPENSATION FOR THE SENIOR MANAGEMENT TEAM, INCLUDING JOHNSTON MEMORIAL HOSPITAL'S CEO, SEAN MCMURRAY. THE BOARD OF DIRECTORS MONITORS THE PERFORMANCE OF THE SENIOR MANAGEMENT TEAM ON AN ONGOING BASIS, BUT AT LEAST ANNUALLY. |
| COMPENSATION PROCESS FOR OFFICERS | FORM 990, PAGE 6, PART VI, LINE 15B | SIMILAR TO THE CEO'S COMPENSATION, THE CFO RECEIVES COMPENSATION AND BENEFITS THAT COMPLY WITH MSHA'S SALARY POLICY. HIS PAY IS SET AT A MARKET PERCENTILE SPECIFIC TO HIS POSITION. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | 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 INDEBTNESS OF THE COMPANY ON A QUARTERLY BASIS. |
| OTHER FEES FOR SERVICES | FORM 990, PART IX, LINE 11G | HOSPITAL BASED PROVIDERS 5,910,277 0 0 HOSPITAL SUPPORTED CLINIC 3,871,933 0 0 PHYSICIAN FEES 793,240 0 0 COLLECTION SERVICE FEES 0 591,432 0 JANITORIAL & LINEN FEES 0 585,162 0 MEDICAL MGMT-COMPLIANCE 0 600,449 0 HEMODIALYSIS 179,081 0 0 HYPERBARIC SERVICES 144,218 0 0 SLEEP DIAGNOSTICS 477,521 0 0 PET SCANS 292,306 0 0 LABORATORY 601,170 0 0 AMBULATORY SURGERY CENTER 493,584 0 0 ENGINEERING SERVICES 0 172,596 0 OTHER FEES 296,756 31,913 5,634 |
| OTHER CHANGES IN NET ASSETS EXPLANATION | FORM 990, PART XI, LINE 9 | CHANGE IN VALUE OF DERIVATIVES 132,744 ELIMINATION OF INTERCOMPANY REC/PAY -7,701,035 P/S INCOME NOT ON BOOKS -470,469 P/S INTEREST INCOME NOT ON BOOKS -2,078 P/S CAPITAL GAIN NOT ON BOOKS -26 P/S PORTFOLIO FEES 1 P/S CHARITABLE CONTRIBUTIONS NOT ON BOOKS 53 TEMPORARILY RESTRICTED -1,289 TOTAL TO FORM 990, PART XI, LINE 9 -8,042,099 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JMH EMERGENCY PHYSICIANS LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 16000 JOHNSTON MEMORIAL DRIVE | AddressLine1 |
| City | ABINGDON | City |
| State | VA | State |
| ZIP Code | 24211 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 454786385 | EIN |
| Primary Activities | MED. SERV. | PrimaryActivities |
| Legal Domicile State | VA | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JMH | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| JOHNSTON MEMORIAL HEALTHCARE FND | ||||||||||
| 16000 JOHNSTON MEMORIAL DRIVE | ABINGDON | VA | 24211 | 262870970 | SUPPORT | VA | 501C3 | 11B | NA | false |
| ABINGDON PHYSICIAN PARTNERS | ||||||||||
| 16000 JOHNSTON MEMORIAL DRIVE | ABINGDON | VA | 24211 | 205485346 | MED. SERV. | VA | 501C3 | 11A | JMH | false |
| MOUNTAIN STATES HEALTH ALLIANCE | ||||||||||
| 400 N STATE OF FRANKLIN ROAD | JOHNSON CITY | TN | 37604 | 620476282 | HOSPITAL | TN | 501C3 | 3 | NA | false |
| MOUNTAIN STATES FOUNDATION | ||||||||||
| 2335 KNOB CREEK ROAD SUITE 101 | JOHNSON CITY | TN | 37604 | 581418862 | FUNDRAISER | TN | 501C3 | 11A | NA | false |
| MSHA AUXILIARY | ||||||||||
| 400 N STATE OF FRANKLIN ROAD | JOHNSON CITY | TN | 37604 | 581418345 | SUPPORT | TN | 501C3 | 11A | NA | false |
| NORTON COMMUNITY HOSPITAL | ||||||||||
| 100 15TH STREET NW | NORTON | VA | 24273 | 540566029 | HOSPITAL | VA | 501C3 | 3 | MSHA | false |
| COMMUNITY HEALTHCARE FOUNDATION | ||||||||||
| 100 15TH STREET NW | NORTON | VA | 24273 | 542002314 | SUPPORT | VA | 501C3 | 11A | 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 |
| APPALACHIAN EMERGENCY PHYSICIANS | ||||||||||
| 1021 W OAKLAND AVENUE SUITE 207 | JOHNSON CITY | TN | 37604 | 800592504 | MED. SERV. | VA | 501C3 | 11A | NA | false |
Form990 Schedule R Part III Form990ScheduleRPartIII (8 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| INTEGRATED SOLUTIONS HEALTH NETWORK | |||||||||||||
| 400 N STATE OF FRANKLIN ROAD | JOHNSON CITY | TN | 37604 | 621711997 | INVESTMENT | TN | NA | EXCLUDED | -14 | -473 | false | false | 0.00070 |
| EMMAUS COMMUNITY HEALTHCARE PLLC | |||||||||||||
| 6070 HWY 11E | PINEY FLATS | TN | 37686 | 200577483 | MED. SERV. | TN | NA | EXCLUDED | false | false | |||
| MEDICAL SPECIALISTS OF JC LLC | |||||||||||||
| 2528 WESLEY STREET SUITE 2 | JOHNSON CITY | TN | 37601 | 272199037 | MED. SERV. | TN | NA | EXCLUDED | false | false | |||
| ANEWCARE COLLABORATIVE LLC | |||||||||||||
| 208 SUNCREST DRIVE SUITE 403 | JOHNSON CITY | TN | 37604 | 453232366 | ACO | TN | NA | EXCLUDED | false | false | |||
| INTEGRATED SOLUTIONS HEALTH NETWORK | |||||||||||||
| 400 N STATE OF FRANKLIN ROAD | JOHNSON CITY | TN | 37604 | 621711997 | INVESTMENT | TN | NA | EXCLUDED | -14 | -473 | false | false | 0.00070 |
| EMMAUS COMMUNITY HEALTHCARE PLLC | |||||||||||||
| 6070 HWY 11E | PINEY FLATS | TN | 37686 | 200577483 | MED. SERV. | TN | NA | EXCLUDED | false | false | |||
| MEDICAL SPECIALISTS OF JC LLC | |||||||||||||
| 2528 WESLEY STREET SUITE 2 | JOHNSON CITY | TN | 37601 | 272199037 | MED. SERV. | TN | NA | EXCLUDED | false | false | |||
| ANEWCARE COLLABORATIVE LLC | |||||||||||||
| 208 SUNCREST DRIVE SUITE 403 | JOHNSON CITY | TN | 37604 | 453232366 | ACO | TN | NA | EXCLUDED | false | false | |||
Form990 Schedule R Part IV Form990ScheduleRPartIV (16 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| 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 | BRMMC | C CORP | false |
| MOUNTAIN STATES PROPERTIES | |||||||||
| 1021 W OAKLAND AVE SUITE 207 | JOHNSON CITY | TN | 37604 | 621845895 | PROP. MGMT | TN | BRMMC | C CORP | false |
| MOUNTAIN STATES PHYSICIAN GRP INC | |||||||||
| 1021 W OAKLAND AVENUE SUITE 207 | JOHNSON CITY | TN | 37604 | 621700412 | MED. SERV. | TN | BRMMC | C CORP | false |
| COMMUNITY HOME CARE INC | |||||||||
| 1460 PARK AVENUE | NORTON | VA | 24273 | 541453810 | DME | VA | NCH | C CORP | false |
| SOUTHWEST COMMUNITY HEALTH SERVICES | |||||||||
| PO BOX 880 | MARION | VA | 24354 | 541460695 | MED. SERV. | VA | SCCH | C CORP | false |
| WILSON PHARMACY INC | |||||||||
| P O BOX 5289 | JOHNSON CITY | TN | 37604 | 620329587 | PHARMACY | TN | BRMMC | C CORP | false |
| CRESTPOINT HEALTH INSURANCE CO INC | |||||||||
| 208 SUNSET DRIVE SUITE 101 | JOHNSON CITY | TN | 37604 | 620381170 | INSURANCE | TN | ISHN | C CORP | false |
| 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 | BRMMC | C CORP | false |
| MOUNTAIN STATES PROPERTIES | |||||||||
| 1021 W OAKLAND AVE SUITE 207 | JOHNSON CITY | TN | 37604 | 621845895 | PROP. MGMT | TN | BRMMC | C CORP | false |
| MOUNTAIN STATES PHYSICIAN GRP INC | |||||||||
| 1021 W OAKLAND AVENUE SUITE 207 | JOHNSON CITY | TN | 37604 | 621700412 | MED. SERV. | TN | BRMMC | C CORP | false |
| COMMUNITY HOME CARE INC | |||||||||
| 1460 PARK AVENUE | NORTON | VA | 24273 | 541453810 | DME | VA | NCH | C CORP | false |
| SOUTHWEST COMMUNITY HEALTH SERVICES | |||||||||
| PO BOX 880 | MARION | VA | 24354 | 541460695 | MED. SERV. | VA | SCCH | C CORP | false |
| WILSON PHARMACY INC | |||||||||
| P O BOX 5289 | JOHNSON CITY | TN | 37604 | 620329587 | PHARMACY | TN | BRMMC | C CORP | false |
| CRESTPOINT HEALTH INSURANCE CO INC | |||||||||
| 208 SUNSET DRIVE SUITE 101 | JOHNSON CITY | TN | 37604 | 620381170 | INSURANCE | TN | ISHN | C CORP | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | APPALACHIAN PHYSICIAN PARTNERS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | B | TransactionType |
| Amount Involved | 7701036 | AmountInvolved |
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