2014-05-12T14:35:09-05:00 2013-06-30 990 2012-07-01 540544705 JOHNSTON MEMORIAL HOSPITAL INC JOHN 2762581000 16000 JOHNSTON MEMORIAL DR ABINGDON VA 24211 JOHN L JETER 2762581000 2014-05-12 false 2012 2015-11-30 17:44:51Z JOHN JETER 16000 JOHNSTON MEMORIAL DR ABINGDON VA 24211 134362035 false X HTTP://WWW.MSHA.COM X 1917 VA 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. 15 10 0 287 31266 27239 43128 54039 117916395 126824002 -457034 4913544 1375328 2570450 118877817 134362035 63766 116677 0 52153382 53056299 0 6059 67924644 63913381 120141792 117086357 -1263975 17275678 311573030 323314314 54093206 53919883 257479824 269394431 X 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. false false 88348863 116677 126871264 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. 88348863 true true false true false false false false false false true false false false true true false true false false false false false false false false true true true false true true false false false false false false false true false false false false false false true true true true false false true X 92 0 true 0 true true false false false false false false false false false X 15 10 false false false false true true true true true false false true true true true true true true true false VA X JOHN L JETER 2762581000 16000 JOHNSTON MEMORIAL DR ABINGDON VA 24211 DENNIS VONDERFECHT 1.00 59.00 X 0 3163747 42698 ANN FLEMING 1.00 59.00 X 0 426280 66282 PAUL ARMSTRONG MD 40.00 X 0 317688 37645 LARAMIE TRIPLETT MD 40.00 X 0 272301 35501 EMORY ROBINETTE MD 1.00 X 32500 0 0 KATHY MITCHELL 1.00 X 0 0 0 MICHAEL SPIEGLER 1.00 X 0 0 0 GARY PEACOCK 1.00 7.00 X 0 0 0 OTEY DUDLEY 1.00 X 0 0 0 HUGH FERGUSON 1.00 X 0 0 0 TOM FOWLKES 1.00 5.00 X 0 0 0 RACHEL FOWLKES EDD 1.00 X 0 0 0 JOANNE GILMER 1.00 9.00 X 0 0 0 KATHI LOWE 1.00 X 0 0 0 BRENDAN MCSHEEHY JR 1.00 X 0 0 0 SEAN MCMURRAY 1.00 54.00 X 0 331775 48822 STEPHEN GIVENS 1.00 54.00 X 0 176548 14677 JOHN JETER 1.00 54.00 X 0 145484 23590 DAMIAN SOOKLAL MD X 0 353018 28207 KELLY CARTER MD X 0 352432 27809 STEPHEN BLANKENSHIP MD X 0 351430 32906 DAVID SIMMONS MD X 0 332000 31541 JACQUELINE DAVID MD X 0 328506 19366 32500 6551209 409044 false true false 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 31 39942 5634 8463 54039 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 126824002 1874540 1874540 1599021 1599021 1599021 1599021 2991716 47288 2991716 47288 3039004 47262 2991742 CAFETERIA & VENDING 722210 699032 699032 MANAGEMENT FEES 900099 216014 216014 OTHER REVENUE 900099 56383 56383 971429 134362035 126839998 31266 7436732 X 116677 116677 646432 30000 616432 43580134 37271377 6308757 1669420 1440126 229294 4507358 4428195 79163 2652955 2491832 161123 78285 78285 71551 71551 146275 146275 181933 181933 15047272 13060086 1981552 5634 219886 171288 48598 1518977 1200271 318281 425 625068 618437 6631 5000 5000 2598154 2075558 522596 293029 253920 39109 60794 59711 1083 734754 734754 14426588 2139738 12286850 173662 19592 154070 MEDICAL SUPPLIES & DRUGS 19316254 19316254 MGMT FEES & CORP. ALLOC. 4583380 297944 4285436 REPAIRS AND MAINTENANCE 3299774 3050353 249421 ALL OTHER 515746 302504 213242 16999 16999 117086357 88348863 28731435 6059 9921892 11763287 19599621 20851685 787969 3140677 3256748 2990250 1071588 875233 252988512 75877601 179955781 177110911 90279466 105055305 35200 35200 6664765 1491766 311573030 323314314 10337254 11747745 24870000 40701627 18885952 1470511 54093206 53919883 X 257479989 269395885 -165 -1454 257479824 269394431 311573030 323314314 X 17275678 2681028 -8042099 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 5476 false false 5476 false ADDITIONAL INFORMATION SCHEDULE C, PART IV SCHEDULE C, PART II-B, LINE 1 PORTION OF DUES PAID TO VIRGINIA HOSPITAL AND HEALTHCARE ASSOCIATION THAT ARE ATTRIBUTABLE TO DIRECT LOBBYING. 6411168 6411168 147696881 16294930 131401951 6087656 1109592 4978064 91180962 58299874 32881088 1611845 173205 1438640 177110911 CAPITAL LEASE OBLIGATIONS 1208234 DUE TO THIRD-PARTY 262277 1470511 X LIABILITY UNDER FIN 48 FOOTNOTE SCHEDULE D, PAGE 3, PART X "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". true true X true X true X true true true false true true 1759355 1759355 0.01500 17335937 12673673 4662264 0.03980 19095292 12673673 6421619 0.05480 196092 196092 0.00170 508189 508189 0.00430 3228888 1650607 1578281 0.01350 58201 58201 0.00050 3991370 1650607 2340763 0.02000 23086662 14324280 8762382 0.07480 372374 372374 0.00320 58476 58476 0.00050 430850 430850 0.00370 true 19146046 14742455 38893892 42953283 -4059391 X true true 1 1 JOHNSTON MEMORIAL HOSPITAL INC

16000 JOHNSTON MEMORIAL DRIVE ABINGDON VA 24211

X X X JOHNSTON MEMORIAL HOSPITAL INC 1 true X X X X X X X X 11 true true true X X X X X X X X false false true true 200.0 true 400.0 true X X X X X true true X X X X X true false true X false false 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 true 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 4 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES SCHEDULE I, PAGE 1, PART I, LINE 2 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. X X X X X false true false false false false false false false DENNIS VONDERFECHT 777545 1900431 485771 20000 22698 3206445 125000 ANN FLEMING 351697 51836 22747 48425 17857 492562 PAUL ARMSTRONG MD 317538 150 12798 24847 355333 LARAMIE TRIPLETT MD 132850 62603 76848 9963 25538 307802 SEAN MCMURRAY 256438 37750 37587 28465 20357 380597 STEPHEN GIVENS 80743 2000 93805 4657 10020 191225 JOHN JETER 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 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. A 2011 HOSPITAL FACILITY INVEST BOND INDUSTRIAL DEV AUTHORITY OF SMYTH 541758381 2011-11-16 24870000 REFINANCE CANCER CTR. false false false A 1775000 24870000 238423 24631577 2012 true false true true A false false true true false false true false true A false false true false true false false false false A true 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 EMORY ROBINETTE MD M.D. SERVICES 32500 MEDICAL DIRECTOR false ADDITIONAL INFORMATION SCHEDULE L PART V 1 EMORY ROBINETTE MD JMH BOARD MEMBER PROVIDES MEDICAL DIRECTOR SERVICES TO JMH 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 JMH EMERGENCY PHYSICIANS LLC 16000 JOHNSTON MEMORIAL DRIVE ABINGDON VA 24211 454786385 MED. SERV. 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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 false true true false false false false false false false false true true true false true true false false APPALACHIAN PHYSICIAN PARTNERS B 7701036