JOHNSTON MEMORIAL HOSPITAL INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- JOHNSTON MEMORIAL HOSPITAL INC (EIN 54-0544705)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-14
- IRS object ID
- 201341349349303224
- Schema version
- 2011v1.5
- 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 D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-14T12:06:07-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 621517792 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PERSHING YOAKLEY & ASSOCIATES P C | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE CHEROKEE MILLS 2220 SUTHERLAND | AddressLine1 |
| City | KNOXVILLE | City |
| State | TN | State |
| ZIP Code | 379192363 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | 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 DRIVE | AddressLine1 |
| City | ABINGDON | City |
| State | VA | State |
| ZIP Code | 24211 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOHN JETER | Name |
| Title | CFO | Title |
| Phone | 2762581000 | Phone |
| Date Signed | 2013-05-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DEBORAH O ERNSBERGER | Name |
| PTIN | P00364912 | PTIN |
| Phone | 8656730844 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JOHN L JETER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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) |
|---|---|---|
| Gross Receipts | 122110940 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | HTTP://WWW.JMH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1917 | YearFormation |
| State Legal Domicile | VA | StateLegalDomicile |
| Activity Or Mission Description | TO RESPOND TO THE HEALTHCARE 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 | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 249 | TotalNbrVolunteers |
| Total Gross UBI | 11972 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 9875 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 18506 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 43128 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 111418571 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 117916395 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3914394 | InvestmentIncomePriorYear |
| Investment Income Current Year | -457034 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 635944 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1375328 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 115987415 | TotalRevenuePriorYear |
| Total Revenue Current Year | 118877817 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 90098 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 63766 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 48436329 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 52153382 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 4706 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 58964455 | OtherExpensePriorYear |
| Other Expenses Current Year | 67924644 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 107490882 | TotalExpensesPriorYear |
| Total Expenses Current Year | 120141792 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 8496533 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -1263975 | RevenuesLessExpensesCY |
| Total Assets BOY | 349751817 | TotalAssetsBOY |
| Total Assets EOY | 311573030 | TotalAssetsEOY |
| Total Liabilities BOY | 64585564 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 54093206 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 285166253 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 257479824 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | JOHNSTON MEMORIAL HOSPITAL, INC. 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 | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 84591440 | Expense |
| Grants | 63766 | Grants |
| Revenue | 117916395 | Revenue |
| Description | JOHNSTON MEMORIAL HOSPITAL ("HOSPITAL") IS A TAX-EXEMPT COMMUNITY-BASED HOSPITAL, WHICH IS COMMITTED TO BRINGING LOVING CARE TO HEALTH CARE. WE EXIST TO IDENTIFY AND RESPOND TO THE HEALTHCARE NEEDS OF INDIVIDUALS AND COMMUNITIES IN OUR REGION AND TO ASSIST THEM IN ATTAINING THEIR HIGHEST POSSIBLE LEVEL OF HEALTH. TEAM MEMBERS OF JOHNSTON MEMORIAL HOSPITAL RECOGNIZE A CORE SET OF VALUES TO HELP ASSURE OUR PATIENTS RECEIVE HIGH QUALITY AND COMPASSIONATE CARE AT A REASONABLE COST. THESE VALUES ARE:- INTEGRITY - HONESTY IN EVERYTHING WE DO- SERVICE - WITH CARING AND COMPASSION- LEADERSHIP - WITH CREATIVITY AND INNOVATION- EXCELLENCE - ALWAYS PURSUING A HIGHER STANDARDIN FISCAL YEAR 2012, JOHNSTON MEMORIAL HOSPITAL PROVIDED PATIENT CARE TO OVER 7,135 IN-PATIENTS, REPRESENTING 25,511 INPATIENT DAYS AND 1,595 NEWBORN DAYS. WE ALSO PROVIDED OUTPATIENT SERVICES TO OVER 121,711 PATIENTS. CARE GIVEN TO MEDICARE AND MEDICAID PATIENTS MAKE UP APPROXIMATELY 64% OF THE HOSPITAL'S TOTAL PATIENT REVENUE.COMMUNITY HEALTH EDUCATION AND OTHER COMMUNITY SUPPORTRECOGNIZING OUR MISSION TO THE COMMUNITY IN THE AREA OF HEALTH CARE EDUCATION, JOHNSTON MEMORIAL HOSPITAL AND ITS TEAM MEMBERS OFFER MANY FREE PROGRAMS THROUGHOUT THE YEAR AIMED AT IMPROVING COMMUNITY HEALTH. WE OFFERED THE FOLLOWING EDUCATIONAL CLASSES AND PROGRAMS:- ONGOING CANCER EDUCATION CLASSES- ONGOING DIABETES EDUCATION- ADVANCED CARDIAC LIFE SUPPORT CERTIFICATION COURSE- PEDIATRIC ADVANCED LIFE SUPPORT CERTIFICATION COURSE- CARDIO PULMONARY RESUSCITATION CERTIFICATION COURSE- TOTAL JOINT CLASSES- BABY ON THE WAY, BREASTFEEDING, PARENTING COURSES- ANNUAL BABY FAIR- PROSTATE CANCER SCREENING- AED TRAINING AND EDUCATION- DIABETES EDUCATION HEALTH FAIR- HEART SAVER FIRST AID CLASSES FOR DAY CARE, SCHOOLS, CHURCHES, ETC.- MONTHLY LUNCH AND LEARN AT LOCAL RECREATION CENTER- HEALTHY COOKING DEMONSTRATION- ANNUAL SPORTS PHYSICALS FOR LOCAL HIGH SCHOOLSWE SPONSORED OR ASSISTED LOCAL SUPPORT GROUPS IN THE FOLLOWING PROGRAMS:- HEART-TO-HEART EDUCATIONAL SUPPORT GROUP- CANCER EDUCATION SUPPORT GROUP- DIABETES EDUCATION SUPPORT GROUP- RESOLVE THROUGH SHARING SUPPORT GROUP - FOR THOSE GRIEVING THE LOSS OF NEWBORNS- ANNUAL ASTHMA CAMP- LADIES NIGHT OUT (BREAST CANCER AWARENESS EVENT)JOHNSTON MEMORIAL HOSPITAL RECOGNIZES THE IMPORTANCE OF HEALTH CARE EDUCATIONAL PROGRAMS TOWARD PROVIDING QUALITY HEALTH CARE TO OUR COMMUNITIES. IN FISCAL YEAR 2012, WE SUPPORTED A NURSING INSTRUCTOR POSITION AT THE LOCAL COMMUNITY COLLEGE TO ASSIST IN MAINTAINING AND DEVELOPING THE NURSING PROGRAM. IN ADDITION, WE PROVIDED A CLINICAL SETTING FOR MANY STUDENTS TRAINING IN HEALTH RELATED PROGRAMS SUCH AS REGISTERED NURSING, LICENSED PRACTICAL NURSING, RADIOLOGY, LAB, AND RESPIRATORY. JOHNSTON MEMORIAL HOSPITAL ALSO RECOGNIZES THE IMPORTANCE OF SUPPORTING OUR NOT-FOR-PROFIT COMMUNITY BASED ORGANIZATIONS IN FUNDRAISING AND OTHER EVENTS. THE HOSPITAL AND OUR EMPLOYEES CONTRIBUTED OVER $64,000 IN CASH AND IN-KIND CONTRIBUTIONS TO OUR COMMUNITY IN FISCAL YEAR 2012 TO SUCH ORGANIZATIONS AS THE AMERICAN LUNG ASSOCIATION, MARCH OF DIMES, UNITED WAY, RELAY FOR LIFE CANCER FUNDRAISER, AND MANY OTHERS. | Description |
| Total Program Service Expense | 84591440 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 130 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | VA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHN L JETER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2762581000 | TelephoneNumber |
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) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (23 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| KATHY MITCHELL | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| EMORY ROBINETTE MD | |||||||
| TRUSTEE/PHYSICIAN | 1.00 | X | 0 | 0 | 0 | ||
| MICHAEL SPIEGLER | |||||||
| TRUSTEE | 1.00 | X | 16250 | 0 | 0 | ||
| CHARLES SYDNOR JR | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| LARAMIE TRIPLETT MD | |||||||
| TRUSTEE/PHYSICIAN | 1.00 | X | 68259 | 0 | 0 | ||
| DENNIS VONDERFECHT | |||||||
| TRUSTEE | 1.00 | X | 0 | 1099588 | 167285 | ||
| PAUL ARMSTRONG MD | |||||||
| TRUSTEE/PHYSICIAN | 1.00 | X | 626 | 325458 | 26597 | ||
| OTEY DUDLEY | |||||||
| TRUSTEE CHAIR | 1.00 | X | 0 | 0 | 0 | ||
| HUGH FERGUSON | |||||||
| TRUSTEE SECRETARY | 1.00 | X | 0 | 0 | 0 | ||
| ANN FLEMING | |||||||
| TRUSTEE/MSHA SVP | 1.00 | X | 0 | 501320 | 66728 | ||
| TOM FOWLKES | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| JOANNE GILMER | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| DONALD JEANES | |||||||
| TRUSTEE TREASURER | 1.00 | X | 0 | 0 | 0 | ||
| BRENDAN MCSHEEHY JR | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| SEAN MCMURRAY | |||||||
| VP & CHIEF EXECUTIVE OFFICE | 55.00 | 0 | 337488 | 46968 | X | ||
| JOHN JETER | |||||||
| CHIEF FINANCIAL OFFICER | 55.00 | 0 | 141277 | 20972 | X | ||
| TIMOTHY EVANS | |||||||
| CHIEF FINANCIAL OFFICER | 55.00 | 0 | 121572 | 15299 | X | ||
| STEPHEN GIVENS | |||||||
| CHIEF OPERATING OFFICER | 55.00 | 0 | 193040 | 29104 | X | ||
| DAMIAN SOOKLAL MD | |||||||
| PHYSICIAN | 55.00 | 0 | 341099 | 24078 | X | ||
| STEVEN SIKORA MD | |||||||
| PHYSICIAN | 55.00 | 0 | 334496 | 27151 | X | ||
| STEVEN BLANKENSHIP MD | |||||||
| PHYSICIAN | 55.00 | 0 | 314529 | 29661 | X | ||
| DOUGLAS LAWLER MD | |||||||
| PHYSICIAN | 55.00 | 0 | 319066 | 31139 | X | ||
| JACQUELYN EARLY MD | |||||||
| PHYSICIAN | 55.00 | 0 | 314729 | 17862 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 85135 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 4343662 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 502844 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| RJ GRIFFIN & COMPANY | |||||
| 800 MT VERNON HWY SUITE 200 | ATLANTA | GA | 30328 | CONSTRUCTION MANAGEMENT | 17560976 |
| VIRGINIA HIGHLANDS ANESTHESIA | |||||
| PO BOX 1476 | ABINGDON | VA | 24210 | ANESTHESIA | 2613092 |
| ABINGDON PHYS AMB SURG MGMT GROUP | |||||
| 613 CAMPUS DRIVE STE 300 | ABINGDON | VA | 24210 | ASC MANAGEMENT | 524620 |
| MEDIAS LLC | |||||
| PO BOX 10452 | BLACKSBURG | VA | 24062 | SLEEP STUDY | 472812 |
| LINDE HEALTHCARE STAFFING INC | |||||
| PO BOX 915241 | DALLAS | TX | 753915241 | HEALTHCARE STAFFING | 376302 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 9 | NumberOfContractorsGT100K |
| Related Organizations | 22805 | RelatedOrganizations |
| Government Grants | 3347 | GovernmentGrants |
| All Other Contributions | 16976 | AllOtherContributions |
| Total Contributions | 43128 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| NET PATIENT REVENUE | 621500 | 117602923 | 117595117 | 7806 | |
| PARTNERSHIP INCOME | 561000 | 313472 | 4166 | $309,306 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 117916395 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2681953 | TotalRevenueColumn |
| Exclusion | $2,681,953 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 557381 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 557381 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 557381 | TotalRevenueColumn |
| Exclusion | $557,381 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 94136 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3233123 | Securities |
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -3233123 | Securities |
| Other | 94136 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -3138987 | TotalRevenueColumn |
| Exclusion | -$3,138,987 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| CAFETERIA | 722100 | 643084 | $643,084 |
| MANAGEMENT FEE | 561000 | 155845 | $155,845 |
| MISCELLANEOUS | 900099 | 18488 | $18,488 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 530 | TotalRevenueColumn |
| Exclusion | $530 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 817947 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 118877817 | TotalRevenueColumn |
| Related Or Exempt Function Income | 117595117 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 11972 | UnrelatedBusinessRevenue |
| Exclusion | $1,227,600 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 63766 | Total |
| Program Services | 63766 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 960810 | Total |
| Program Services | 27500 | ProgramServices |
| Management And General | 933310 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 43528224 | Total |
| Program Services | 36998407 | ProgramServices |
| Management And General | 6529817 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1582560 | Total |
| Program Services | 1354262 | ProgramServices |
| Management And General | 228298 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3431053 | Total |
| Program Services | 3384809 | ProgramServices |
| Management And General | 46006 | ManagementAndGeneral |
| Fundraising | 238 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2650735 | Total |
| Program Services | 2509142 | ProgramServices |
| Management And General | 141593 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41576 | Total |
| Management And General | 41576 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 85052 | Total |
| Program Services | 375 | ProgramServices |
| Management And General | 84677 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1362 | Total |
| Management And General | 1362 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 218248 | Total |
| Management And General | 218248 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15211736 | Total |
| Program Services | 11699621 | ProgramServices |
| Management And General | 3507597 | ManagementAndGeneral |
| Fundraising | 4518 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 403890 | Total |
| Program Services | 323966 | ProgramServices |
| Management And General | 79924 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1956905 | Total |
| Program Services | 1435421 | ProgramServices |
| Management And General | 521534 | ManagementAndGeneral |
| Fundraising | -50 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 726949 | Total |
| Program Services | 719382 | ProgramServices |
| Management And General | 7567 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1718494 | Total |
| Program Services | 1130472 | ProgramServices |
| Management And General | 588022 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 259758 | Total |
| Program Services | 244182 | ProgramServices |
| Management And General | 15576 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 109575 | Total |
| Program Services | 67714 | ProgramServices |
| Management And General | 41861 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2455844 | Total |
| Management And General | 2455844 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15619712 | Total |
| Program Services | 30984 | ProgramServices |
| Management And General | 15588728 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 279341 | Total |
| Program Services | 15109 | ProgramServices |
| Management And General | 264232 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES & DRUG | 21608445 | 21608445 | |
| MANAGEMENT FEES | 3569684 | 3569684 | |
| REPAIRS & MAINTENANCE | 3090804 | 2552149 | 538655 |
| TAXES | -5581 | -5581 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 572850 | Total |
| Program Services | 425734 | ProgramServices |
| Management And General | 147116 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 120141792 | Total |
| Program Services | 84591440 | ProgramServices |
| Management And General | 35545646 | ManagementAndGeneral |
| Fundraising | 4706 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2305269 | BOY |
| EOY | 9921892 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16224301 | BOY |
| EOY | 19599621 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 984575 | BOY |
| EOY | 787969 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4049872 | BOY |
| EOY | 3256748 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 822058 | BOY |
| EOY | 1071588 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 241593248 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 61637467 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 180381769 | BOY |
| EOY | 179955781 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 116676009 | BOY |
| EOY | 90279466 | 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 | 28272764 | BOY |
| EOY | 6664765 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 349751817 | BOY |
| EOY | 311573030 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18255842 | BOY |
| EOY | 10337254 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14115000 | BOY |
| EOY | 24870000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32214722 | BOY |
| EOY | 18885952 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64585564 | BOY |
| EOY | 54093206 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 285151875 | BOY |
| EOY | 257479989 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14378 | BOY |
| EOY | -165 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 285166253 | BOY |
| EOY | 257479824 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 349751817 | BOY |
| EOY | 311573030 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -1263975 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -26422454 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | 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 D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4896776 | OtherCostOrOtherBasis |
| Book Value | 4896776 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 145199774 | OtherCostOrOtherBasis |
| Depreciation | 11878220 | Depreciation |
| Book Value | 133321554 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6087656 | OtherCostOrOtherBasis |
| Depreciation | 349660 | Depreciation |
| Book Value | 5737996 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 83605341 | OtherCostOrOtherBasis |
| Depreciation | 49321544 | Depreciation |
| Book Value | 34283797 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1803701 | OtherCostOrOtherBasis |
| Depreciation | 88043 | Depreciation |
| Book Value | 1715658 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 179955781 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| CAPITAL LEASE OBLIGATIONS | $17,083,432 |
| MEDICARE AND MEDICAID, NET | $1,225,518 |
| DUE TO AFFILIATES | $577,002 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 18885952 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X: | ReturnReference |
| Explanation | THE HOSPITAL AND ABINGDON PHYSICIAN PARTNERS ("APP") ARE CLASSIFIED AS ORGANIZATIONS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS SUCH, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. AT JUNE 30, 2012, TAX RETURNS FOR FISCAL YEARS 2009 THROUGH 2011 ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE HOSPITAL HAS NO UNCERTAIN TAX POSITIONS AT JUNE 30, 2012 AND 2011. AS SUCH, NO INTEREST OR PENALTIES ARE RECOGNIZED IN THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS RELATED TO UNCERTAIN TAX POSITIONS. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2175436 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2175436 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01830 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 13965412 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9843178 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4122234 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03460 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 16140848 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9843178 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6297670 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05290 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 153304 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 153304 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00130 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 381194 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 381194 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00320 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 27524 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 27524 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 562022 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 562022 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00470 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 16702870 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9843178 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6859692 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05760 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 18500 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 18500 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 18500 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 18500 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $3,639,092 | BadDebtExpenseAmount |
| Amount Attributable To | 1819546 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 37843855 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 48010733 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -10166878 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | 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 | 1 | 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 | 1 | TakeIntoAccount |
| Other Facilities | 1 | OtherFacilities |
| CHNA Widely Available | 1 | 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 | 0 | AllNeedsAddressed |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 400.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Uninsured Discount | X | UninsuredDiscount |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | 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 | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (18 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART I, LINE 6A: MOUNTAIN STATES HEALTH ALLIANCE (MSHA) HAS HISTORICALLY PREPARED AND MADE PUBLIC A COMMUNITY BENEFIT REPORT TO INCLUDE INFORMATION FOR ALL OF THE HOSPITALS WITHIN THE HEALTH SYSTEM. DURING FY12, MSHA DID NOT ISSUE A COMMUNITY BENEFIT REPORT. HOWEVER, MSHA INTENDS TO PREPARE A COMMUNITY BENEFIT REPORT DURING FY13. | ||
| PART I, LINE 7: A COST TO CHARGE RATIO WAS DERIVED FROM THE SCHEDULE H APPLICABLE WORKSHEETS, INCLUDING WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGES. | ||
| PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 965830. | ||
| PART II: THE ACTIVITIES REPORTED IN PART II SEEK TO ACHIEVE SPECIFIED OBJECTIVES, INCLUDING: IMPROVING ACCESS TO HEALTH SERVICES, ENHANCING PUBLIC HEALTH, AND RELIEF OF GOVERNMENT BURDEN. THE ACTIVITIES ARE AVAILABLE TO THE GENERAL PUBLIC, FOCUSING ON LOW-INCOME CONSUMERS. | ||
| PART III, LINE 4: THE CALCULATED COST TO CHARGE RATIO (WORKSHEET 2) WAS APPLIED TO BAD DEBT CONTRA REVENUE AND PROVISION FOR BAD DEBT, IN DETERMINING LINE 2.THE VICE PRESIDENT OF PATIENT FINANCIAL SERVICES AND CFO ESTIMATE THAT 50% 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 JMH'S BAD DEBT ASSOCIATED WITH THOSE PATIENTS WHO MAY HAVE MET THE CRITERIA SET FORTH IN OUR FINANCIAL ASSISTANCE POLICY WITHOUT HAVING A COMPLETE 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 90% OF OUR PATIENTS WHO HAVE PROVIDED COMPLETED FINANCIAL ASSESSMENT FORMS HAVE BEEN APPROVED FOR AT LEAST PARTIAL FINANCIAL ASSISTANCE.FOOTNOTE DISCLOSURE FROM JMH'S FY12 AUDITED FINANCIAL STATEMENT READS "NEW ACCOUNTING PRONOUNCEMENTS: IN JULY 2011, THE FASB ISSUED ACCOUNTING STANDARD UPDATE (ASU) 2011-07, PRESENTATION AND DISCLOSURE OF PATIENT SERVICE REVENUE, PROVISION FOR BAD DEBTS, AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTH CARE ENTITIES. THE ASU REQUIRES THE CHANGE OF PRESENTATION OF THE ESTIMATED PROVISION FOR BAD DEBTS IN THE CONSOLIDATED STATEMENTS OF OPERATIONS FROM AN OPERATING EXPENSE TO A DEDUCTION FROM PATIENT SERVICE REVENUE, NET OF CONTRACTUAL DEDUCTIONS AND DISCOUNTS, ALONG WITH ADDITIONAL DISCLOSURES ABOUT THE POLICIES FOR RECOGNIZING REVENUE AND ASSESSING BAD DEBTS, AND QUALITATIVE INFORMATION ABOUT CHANGES IN THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE HOSPITAL RETROACTIVELY ADOPTED ASU 2011-07 IN FISCAL YEAR 2012. THE ADOPTION OF ASU 2011-07 DID NOT HAVE A MATERIAL IMPACT ON THE CONSOLIDATED FINANCIAL STATEMENTS."THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENT REPORT THE AMOUNT OF ESTIMATED UNCOLLECTIBLE SELF-PAY AND EXPLAIN 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. | ||
| PART III, LINE 8: MEDICARE ALLOWABLE COSTS WERE REPORTED USING JMH'S FILED MEDICARE COST REPORT (C/R). THE C/R USES A COST TO CHARGE RATIO BASED ON A STEP DOWN METHOD. IN CARING FOR THE PATIENT, THERE ARE SEVERAL SERVICES THAT ARE CONSIDERED NON-ALLOWABLE SUCH AS: TRANSPORTATION OF A PATIENT, COMFORT ITEMS TO INCLUDE A TELEVISION, MAGAZINES, OR A TELEPHONE. ADDITIONAL NON-ALLOWABLE COSTS INCLUDE THE RECRUITMENT OF PHYSICIANS, PHYSICIAN GUARANTEES AND A PORTION OF THE BAD DEBT (30%) ASSOCIATED WITH THE CARE OF THE PATIENT. MEDICARE LOSSES, INCLUDING SOME NON-ALLOWABLE COSTS, SHOULD BE COUNTED AS A COMMUNITY BENEFIT AS THIS IS THE COST OF CARE FOR SERVING THE AGING POPULATION. AS A NOT-FOR-PROFIT ORGANIZATION, WE EXIST TO IDENTIFY AND RESPOND TO THE HEALTH CARE NEEDS OF THE COMMUNITY AND THE INDIVIDUAL WHILE MAINTAINING A HIGH LEVEL OF HEALTH CARE SERVICES WITHOUT LOSSES. SINCE LOSSES DO OCCUR THROUGH THE CMS SYSTEM OF REIMBURSEMENT, THESE LOSSES ARE A COST OF DOING BUSINESS FOR OUR COMMUNITY AND SHOULD BE CONSIDERED A COMMUNITY BENEFIT. 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 MSHA TO REPORT THESE UNCOMPENSATED SERVICES AS A COMMUNITY BENEFIT ON THIS DOCUMENT. BY MAKING THIS CHANGE, NON-PROFIT PROVIDERS WILL BE ENCOURAGED TO SUSTAIN IMPORTANT CARE DELIVERY MODELS FOR OUR AGING POPULATION IN SPITE OF THE FACT IT IS SOMETIMES ECONOMICALLY INJURIOUS. | ||
| PART III, LINE 9B: 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 PATIENT'S 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 NON-CHARITY. IN ROUTINE CIRCUMSTANCES WHEN IT IS DETERMINED THAT A PATIENT HAS NOT RESPONDED TO REQUESTS FOR PAYMENT, 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 COLLECTION AGENCY IT CAN BE RETRACTED IF IT IS DETERMINED 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. | ||
| PART V, SECTION B, LINE 3: MSHA MET WITH TEN FOCUS GROUPS, EACH REPRESENTING ONE OF THE TEN HOSPITAL FACILITIES, INCLUDING JMH, LOCATED IN NINE COUNTIES WITHIN MSHA'S CORE SERVICE AREA. EACH GROUP CONSISTED OF PUBLIC HEALTH LEADERS, NURSES, NON-PROFIT DIRECTORS, COMMUNITY DEVELOPERS, FAITH BASED LEADERS, PUBLIC OFFICIALS AND SCHOOL REPRESENTATIVES. EACH GROUP RANGED IN ATTENDANCE FROM 6 TO 21 INDIVIDUALS. PARTICIPANTS WERE GIVEN SURVEYS TO DETERMINE A COUNTY'S 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. | |
| PART V, SECTION B, LINE 4: EACH HOSPITAL WITHIN THE MSHA SYSTEM COMPLETED A CHNA. FOR THOSE HOSPITALS 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 COUNTY COMMUNITY HOSPITAL AND NORTON COMMUNITY HOSPITAL ALSO HAS ONE COMMUNITY GROUP SURVEYED. THESE TWO COUNTIES SERVE SIMILAR COMMUNITIES AND HAVE SIMILAR HEALTH RANKINGS ACCORDING TO AMERICA'S HEALTH RANKINGS. EVEN THOUGH ONLY TWO COMMUNITY GROUPS SERVED ON BEHALF OF THE FOUR HOSPITALS LISTED, STATISTICAL DATA WAS COLLECTED FOR EACH INDIVIDUALLY.JMH'S CHNA WAS CONDUCTED WITH ALL MSHA HOSPITALS TO INCLUDE: JOHNSON CITY MEDICAL CENTER, FRANKLIN WOODS COMMUNITY HOSPITAL, WOODRIDGE PSYCHIATRIC HOSPITAL, JAMES H. & CECILE C. QUILLEN REHABILITATION HOSPITAL, INDIAN PATH MEDICAL CENTER, SYCAMORE SHOALS HOSPITAL, JOHNSON COUNTY COMMUNITY HOSPITAL, RUSSELL COUNTY MEDICAL CENTER, SMYTH COUNTY COMMUNITY HOSPITAL, DICKENSON COMMUNITY HOSPITAL, AND NORTON COMMUNITY HOSPITAL. | JOHNSTON MEMORIAL HOSPITAL, INC. | |
| PART V, SECTION B, LINE 7: MSHA PUBLISHED ITS COMMUNITY HEALTH NEEDS ASSESSMENT ON JUNE 29 OF FY 12. THE DATA INCLUDED WAS COLLECTED OVER THE COURSE OF 2011 AND 2012. AN IMPLEMENTATION PLAN WAS CREATED FOR EACH HOSPITAL, AND EACH HOSPITAL'S BOARD APPROVED THE IMPLEMENTATION PLAN DURING THE MONTHS OF MAY AND JUNE 2012. NOW THAT THE IMPLEMENTATION PLANS HAVE BEEN ADOPTED, MSHA WILL BE ABLE TO BEGIN TAKING ACTION TO IMPROVE THE HEALTH PRIORITIES IN EACH COUNTY, THOUGH AT THIS POINT, NOT ALL OF THE PRIORITIES HAVE BEEN ADDRESSED. DUE TO LACK OF RESOURCES, SOME OF THE MSHA FACILITIES WERE UNABLE TO ADDRESS ISSUES THAT WERE IDENTIFIED. | JOHNSTON MEMORIAL HOSPITAL, INC. | |
| PART V, SECTION B, LINE 13G: DURING THE ADMISSION PROCESS, PATIENTS ARE TOLD THAT THE HOSPITAL HAS A FINANCIAL ASSISTANCE POLICY AND ADMISSION PAPERS ARE GIVEN TO EACH PATIENT ADVISING 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. | |
| PART V, SECTION B, LINE 19D: UNINSURED PATIENTS RECEIVE A 50% DISCOUNT; AND, BASED ON OTHER FACTORS SUCH AS INCOME OR MEDICAL INDIGENCY, MAY QUALIFY FOR AN ADDITIONAL DISCOUNT. | JOHNSTON MEMORIAL HOSPITAL, INC. | |
| PART VI, LINE 2: MSHA INCLUDED AMERICA'S HEALTH RANKINGS (AHR) IN ITS ASSESSMENT IN ORDER TO BETTER DEFINE THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. TENNESSEE RANKED 39TH AND VIRGINIA RANKED 20TH; HOWEVER, IT SHOULD BE NOTED THAT SOUTHWEST VIRGINIA (WHERE MSHA FACILITIES ARE LOCATED) CLOSELY RESEMBLES THE HEALTH RANKINGS FOR TENNESSEE. AMERICA'S HEALTH RANKINGS ARE BASED ON A SERIES OF MEASURES INCLUDING SEVERAL HEALTH OUTCOMES AND HEALTH FACTORS. A SURVEY WAS GIVEN TO 67 INDIVIDUALS REPRESENTING THE NINE COUNTIES IN WHICH MSHA OWNS A FACILITY. THESE INDIVIDUALS INCLUDED PHYSICIANS, PUBLIC HEALTH LEADERS, NON-PROFIT 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 SMOKE-FREE AREAS, PARTNER WITH LOCAL FARMER'S MARKETS, SHARE HEALTH INFORMATION BETWEEN PHARMACIES, NETWORK WITH SMALL BUSINESSES AND NON-PROFITS IN ORDER TO AVOID DUPLICATING RESOURCES, AND PROVIDE EARLY SCREENINGS FOR THE UNINSURED OR UNDERINSURED. OVERALL, THE COMMUNITY MEMBERS GAVE MSHA'S CORE SERVICE AREA A HEALTH STATUS RANKING OF 4.24 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 RANKED 44TH FOR CARDIOVASCULAR DISEASE AND 46TH FOR CANCER DEATHS. VIRGINIA OVERALL HAD A BETTER RANKING IN THESE TWO CATEGORIES, BUT AS STATED EARLIER, SOUTHWEST VIRGINIA CLOSELY RESEMBLES TENNESSEE. MSHA PLANS TO USE THE AVAILABLE RESOURCES TO START IMPROVING THE HEALTH STATUS OF NORTHEAST TENNESSEE AND SOUTHWEST VIRGINIA. | ||
| PART VI, LINE 3: JMH PROVIDES COMMUNICATION OF FINANCIAL ASSISTANCE ON ITS WEB SITE AND ON POSTERS PLACED IN PROMINENT AREAS SUCH AS ADMITTING AREAS, EMERGENCY DEPARTMENTS AND PATIENT PAYMENT (CASHIER) LOCATIONS. PRINTED EDUCATIONAL MATERIALS INCLUDING FINANCIAL ASSISTANCE CONTACT INFORMATION ARE ALSO PROVIDED IN THE PATIENT'S ADMITTING PAPERWORK. POSTERS AND REFERENCE MATERIALS ARE WRITTEN IN BOTH ENGLISH AND SPANISH. ADMITTING STAFF ARE TRAINED TO EDUCATE PATIENTS ON JMH'S FINANCIAL ASSISTANCE POLICY. JMH ALSO HAS FINANCIAL COUNSELORS WHICH COMMUNICATE THE PATIENT'S FINANCIAL RESPONSIBILITY PRIOR TO SERVICE AS WELL AS PROVIDE EDUCATION ON JMH'S 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 SELF-PAYING PATIENTS WHO HAVE LIMITED FINANCIAL RESOURCES. FIRSTSOURCE SOLUTIONS USA DETERMINES A PATIENT'S ELIGIBILITY IN MEDICAL COVERAGE OPTIONS AND ASSISTS WITH THEIR ENROLLMENT. JMH BEARS THE COST FOR THE FIRSTSOURCE SOLUTIONS USA PROGRAM. | ||
| PART VI, LINE 4: JMH IS LOCATED IN ABINGDON, 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 TENNSSEE VALLEY. SWVA IS CONSIDERED RURAL AND MUCH DIFFERENT THAN THE REST OF THE STATE. SWVA HAS BEEN AND REMAINS A MAJOR COAL MINING REGION. THE POPULATION OF WASHINGTON COUNTY IS 55,190 AND ACCORDING TO THE U.S. CENSUS BUREAU, THE CITY OF ABINGDON HAS A POPULATION OF 8,183. 20.5% OF ABINGDON'S POPULATION IS AGE 65 AND OVER. ABINGDON HAS A MEDIAN HOUSEHOLD INCOME OF $39,393, WHICH IS SIGNIFICANTLY BELOW VIRGINIA'S MEDIAN HOUSEHOLD INCOME. IT IS ESTIMATED THAT 19.3% OF WASHINGTON COUNTY'S RESIDENTS LIVE IN POVERTY COMPARED TO 10.7% STATEWIDE. | ||
| PART VI, LINE 5: THE MAJORITY OF JMH'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA. PHYSICIANS THAT REQUEST PRIVILEGES WHO ARE QUALIFIED AND CREDENTIALED ARE EXTENDED PRIVILEGES BY JMH.JMH IS DEDICATED TO OPERATING ITS FACILITIES EFFICIENTLY SO THAT WASTE IS MINIMIZED AND SURPLUSES MAY BE APPLIED TO MAINTAINING ADEQUATE FACILITIES AND EQUIPMENT 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. | ||
| PART VI, LINE 6: 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 COUNTY'S PRIMARY HEALTH SERVICE PROVIDER. PATIENTS BENEFIT FROM JMH'S AFFILIATION WITH A HEALTHCARE SYSTEM WHERE THEY CAN BE EFFICIENTLY MOVED ALONG AN INTEGRATED, COMPREHENSIVE CONTINUUM OF CARE AS THEIR HEALTH STATUS DICTATES. PATIENTS CAN BE MOVED TO THE SYSTEM'S FLAGSHIP FACILITY, JOHNSON CITY MEDICAL CENTER, WHICH IS A TERTIARY CARE FACILITY PROVIDING ADVANCED TREATMENT OPTIONS. | ||
| VA | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance | Purpose Of GrantPurposeOfGrant | Amount Of Cash GrantAmountOfCashGrant |
|---|---|---|---|---|---|---|---|---|---|---|
| ABINGDON AMBULANCE SERVICE | ||||||||||
| 611 CAMPUS DRIVE SUITE 600 | ABINGDON | VA | 24210 | 541061835 | 501(C)(3) | 6929 | FMV | MEDICAL SUPPLIES | TO RESTOCK EMS VEHICLES | |
| AMERICAN CANCER SOCIETY | ||||||||||
| PO BOX 246 | ABINGDON | VT | 24212 | 237040934 | 501(C)(3) | GENERAL DONATION | 5000 | |||
| EMORY AND HENRY COLLEGE | ||||||||||
| PO BOX 947 | EMORY | VA | 24327 | 540505892 | 501(C)(3) | GENERAL SUPPORT AND SCHOLARSHIPS | 10500 | |||
| DISPENSARY OF HOPE | ||||||||||
| 401A ELM STREET | JOHNSON CITY | TN | 37601 | 620476282 | 501(C)(3) | 10999 | MEDICAL SUPPLIES | DONATION OF MEDICAL SUPPLIES FOR THE INDIGENT | ||
| 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 | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: THE ORGANIZATION HAS GUIDELINES IN PLACE THAT ARE TO BE USED IN REVIEWING THE ELIGIBILITY OF GRANTEES. ALL GRANTS REQUIRE WRITTEN DOCUMENTATION AND APPROPRIATE LEVELS OF APPROVAL. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | X | TravelForCompanions |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DENNIS VONDERFECHT | |||||||||||||
| 0 | 764230 | 0 | 252675 | 0 | 82683 | 0 | 144600 | 0 | 22685 | 0 | 1266873 | 0 | 0 |
| PAUL ARMSTRONG MD | |||||||||||||
| 0 | 317538 | 0 | 7920 | 626 | 0 | 0 | 12564 | 0 | 14033 | 626 | 352055 | 0 | 0 |
| ANN FLEMING | |||||||||||||
| 0 | 345309 | 0 | 116778 | 0 | 39233 | 0 | 47553 | 0 | 19175 | 0 | 568048 | 0 | 0 |
| SEAN MCMURRAY | |||||||||||||
| 0 | 249976 | 0 | 71152 | 0 | 16360 | 0 | 27987 | 0 | 18981 | 0 | 384456 | 0 | 0 |
| JOHN JETER | |||||||||||||
| 0 | 128011 | 0 | 7225 | 0 | 6041 | 0 | 3955 | 0 | 17017 | 0 | 162249 | 0 | 0 |
| STEPHEN GIVENS | |||||||||||||
| 0 | 176859 | 0 | 5240 | 0 | 10941 | 0 | 11026 | 0 | 18078 | 0 | 222144 | 0 | 0 |
| DAMIAN SOOKLAL MD | |||||||||||||
| 0 | 236665 | 0 | 81429 | 0 | 23005 | 0 | 11358 | 0 | 12720 | 0 | 365177 | 0 | 0 |
| STEVEN SIKORA MD | |||||||||||||
| 0 | 284157 | 0 | 49193 | 0 | 1146 | 0 | 9418 | 0 | 17733 | 0 | 361647 | 0 | 0 |
| STEVEN BLANKENSHIP MD | |||||||||||||
| 0 | 247685 | 0 | 56086 | 0 | 10758 | 0 | 11868 | 0 | 17793 | 0 | 344190 | 0 | 0 |
| DOUGLAS LAWLER MD | |||||||||||||
| 0 | 318251 | 0 | 0 | 0 | 815 | 0 | 20174 | 0 | 10965 | 0 | 350205 | 0 | 0 |
| JACQUELYN EARLY MD | |||||||||||||
| 0 | 247229 | 0 | 57350 | 0 | 10150 | 0 | 3763 | 0 | 14099 | 0 | 332591 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART I, LINE 1A | JMH PAYS TRAVEL EXPENSES FOR COMPANIONS OF BOARD MEMBERS AND EXECUTIVE STAFF DURING THE ANNUAL BOARD RETREAT. AN ITEMIZED LIST OF EXPENDITURES IS PROVIDED BY THE HOSTING RESORT TO JMH FOR APPROVAL AND SUBSEQUENT PAYMENT. EXPENSES NOT INCURRED FOR BONA FIDE BUSINESS PURPOSES ARE ANALYZED AND REPORTED AS PRESCRIBED BY APPLICABLE TAX LAWS. FIRST-CLASS OR CHARTER TRAVEL IS NOT A COVERED TRAVEL EXPENSE FOR EXECUTIVES; THEY ARE LIMITED TO BUSINESS OR COACH CLASS FARES ON COMMERCIAL FLIGHTS. | |
| PART I, LINE 4B | PART I, LINE 4B: SEVERANCE NON-QUALIFIED EQUITY-BASED ANN FLEMING 0 35,303 0 ANN FLEMING PARTICIPATED IN A 457(F) RETIREMENT PLAN PROVIDED BY MOUNTAIN STATES HEALTH ALLIANCE (MSHA). THE 457(F) PLAN IN A NON-QUALIFIED 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 SATISIFIES 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 SESRVICE IS OFFICER SERVICE THAT PERMITTED THE EXECUTIVE TO PARTICIPATE INTHE 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 OCCURES. DISTRIBUTIONS FROM THIS PLAN ARE SUBJECT TO FEDERAL, STATE, AND LOCAL TAXES ON THE ENTIRE ACCOUNT BALANCE UPON DISTRIBUTION. | |
| PART III | PART I, LINE 3 JMH'S CEO 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 AND ALL OTHER EXECUTIVES WITHIN MSHA. | SUPPLEMENTAL INFORMATION |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | THE CORPORATION CONTRACTED WITH MOUNTAIN STATES HEALTH ALLIANCE (MSHA), A 50.1% MEMBER, TO PERFORM MANAGEMENT DUTIES. | |
| FORM 990, PART VI, SECTION A, LINE 6 | THE CORPORATION IS ORGANIZED AS A VIRGINIA NON-STOCK, NONPROFIT ORGANIZATION WITH TWO MEMBERS: MOUNTAIN STATES HEALTH ALLIANCE WHICH MAINTAINS A 50.1% MEMBERSHIP AND JOHNSTON MEMORIAL HEALTHCARE FOUNDATION WHICH MAINTAINS A 49.9% INTEREST. | |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MSHA CLASS IS ELECTED BY THE MSHA BOARD OF DIRECTORS AND THE JOHNSTON MEMORIAL HOSPITAL CLASS IS ELECTED BY THE JOHNSTON MEMORIAL HEALTHCARE FOUNDATION'S BOARD OF DIRECTORS. NEITHER SIDE CAN VETO AN APPOINTMENT. | |
| FORM 990, PART VI, SECTION A, LINE 7B | CERTAIN DECISIONS OF THE BOARD OF TRUSTEES ARE, PURSUANT TO CHARTER AND VIRGINIA STATUTE, SUBJECT TO APPROVAL OF THE MEMBERS. THESE DECISIONS INCLUDE: DISSOLUTION OF THE CORPORATION; MERGER OF THE CORPORATION; NON-ORDINARY COURSE OF BUSINESS SALE OF ASSETS; ETC. NO ORDINARY, DAY TO DAY DECISIONS ARE SUBJECT TO MEMBER APPROVAL. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990, WHICH WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM, WAS REVIEWED BY FINANCIAL MANAGEMENT PRIOR TO FILING. COPIES OF THE RETURN WERE MADE AVAILABLE TO THE BOARD TRUSTEES. | |
| FORM 990, PART VI, SECTION B, LINE 12C | ANNUALLY, THE AUDIT AND COMPLIANCE DEPARTMENT PROVIDES THE POLICY AND CONFLICT OF INTEREST DISCLOSURE FORMS TO ALL COVERED PERSONS. EACH PERSON IS REQUIRED TO PROVIDE A COMPLETED DISCLOSURE FORM, NOTING ANY CONFLICTS OR ATTESTING THEY HAVE "NONE", AND RETURN THE FORMS 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 THEY ENGAGE IN A CONFLICTED TRANSACTION. | |
| FORM 990, PART VI, SECTION B, LINE 15 | LINE 15A - COMPENSATION PROCESS FOR TOP OFFICIAL THE CEO COMPENSATION IS SUBJECT TO THE 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, JUST LIKE ANY OTHER MSHA EXECUTIVE BELOW THE MSHA CEO AND CFO LEVEL. LINE 15B - COMPENSATION PROCESS FOR OFFICERS THE BOARD ALSO APPROVES PAY AND BENEFITS FOR THE CFO. THE COMPENSATION COMMITTEE REVIEWS AND HAS FINAL APPROVAL OF CEO RECOMMENDATIONS FOR PAY AND BENEFITS FOR ALL OTHER EXECUTIVES. | |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST TO APPROPRIATE PARTIES REQUESTING THEM. FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST TO APPROPRIATE PARTIES REQUESTING THEM, AND THEY ARE MADE AVAILABLE TO THOSE PARTIES WHO OWN INDEBTEDNESS OF THE COMPANY ON A QUARTERLY BASIS. | |
| FORM 990, PART VII, SECTION A, | HOSPITAL BOARD OF TRUSTEES MEMBERS PAUL ARMSTRONG, M.D., ANN FLEMING, LARAMIE TRIPLETT, MICHAEL SPIEGLER, AND DENNIS VONDERFECHT HAVE FORM 990 REPORTABLE RELATED COMPENSATION DERIVED FROM SERVICES THEY PROVIDED TO RELATED ORGANIZATIONS. THEY DO NOT RECEIVE COMPENSATION FOR SERVICES AS HOSPITAL BOARD TRUSTEES. | TRUSTEE COMPENSATION: |
| FORM 990, PART XI, LINE 5: | INTERCOMPANY DEBT FORGIVENESS ADJUSTMENT -27,911,988. CHANGE IN TEMPORARILY RESTRICTED NET ASSETS -14,543. OTHER CHANGES -6. BOOK/TAX DIFFERENCE FROM INVESTMENT PARTNERSHIP 20,570. NET UNREALIZED GAINS ON INVESTEMENTS 1,483,513. TOTAL TO FORM 990, PART XI, LINE 5: -26,422,454. | CHANGES IN NET ASSETS OR FUND BALANCES: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (9 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 | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ABINGDON PHYSICIAN PARTNERS | |||||||||||
| 16000 JOHNSTON MEMORIAL DRIVE | ABINGDON | VA | 24211 | 205485346 | MEDICAL SERVICES | VA | 501(C)(3) | LINE 11A, I | JOHNSTON MEMORIAL HOSPITAL INC | 0 | |
| MOUNTAIN STATES HEALTH ALLIANCE | |||||||||||
| 400 N STATE OF FRANKLIN ROAD | JOHNSON CITY | TN | 37604 | 620476282 | HOSPITAL | TN | 501(C)(3) | LINE 3 | 0 | N/A | |
| DICKENSON COMMUNITY HOSPITAL | |||||||||||
| ONE HOSPITAL DRIVE | CLINTWOOD | VA | 24228 | 770599553 | HOSPITAL | VA | 501(C)(3) | LINE 3 | NORTON COMMUNITY HOSPITAL INC | 0 | |
| SMYTH COUNTY COMMUNITY HOSPITAL | |||||||||||
| 565 RADIO HILL ROAD | MARION | VA | 24354 | 540794913 | HOSPITAL | VA | 501(C)(3) | LINE 3 | MOUNTAIN STATES HEALTH ALLIANCE | 0 | |
| NORTON COMMUNITY HOSPITAL INC | |||||||||||
| 100 15TH STREET NW | NORTON | VA | 24273 | 540566029 | HOSPITAL | VA | 501(C)(3) | LINE 3 | MOUNTAIN STATES HEALTH ALLIANCE | 0 | |
| JOHNSTON MEMORIAL HEALTHCARE FOUNDATION INC | |||||||||||
| 16000 JOHNSTON MEMORIAL DRIVE | ABINGDON | VA | 24211 | 262870970 | SUPPORTING ORGANIZATION TO JMH | VA | 501(C)(3) | LINE 11B, II | 0 | N/A | |
| MOUNTIAN STATES FOUNDATION | |||||||||||
| 2335 KNOB CREEK ROAD STE 101 | JOHNSON CITY | TN | 37604 | 581418862 | FUNDRAISING FOR MSHA HOSPITALS | TN | 501(C)(3) | LINE 11A, I | MOUNTAIN STATES HEALTH ALLIANCE | 0 | |
| MSHA AUXILIARY | |||||||||||
| 400 N STATE OF FRANKLIN ROAD | JOHNSON CITY | TN | 37604 | 581418345 | SUPPORTING ORGANIZATION TO MSHA HOSPITALS | TN | 501(C)(3) | LINE 11A, I | 0 | N/A | |
| COMMUNITY HEALTHCARE FOUNDATION | |||||||||||
| 100 15TH STREET NW | NORTON | VA | 24273 | 542002314 | SUPPORTING ORGANIZATION TO NCH | VA | 501(C)(3) | LINE 11A, I | 0 | N/A | |
Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|
| INTEGRATED SOLUTIONS HEALTH | |||||||
| 400 N STATE OF FRANKLIN ROAD | JOHNSON CITY | TN | 37604 | 621711997 | INVESTMENT COMPANY | TN | N/A |
| EMMAUS COMMUNITY HEALTHCARE PLLC | |||||||
| 6070 HWY 11E | PINEY FLATS | TN | 37686 | 200577483 | MEDICAL SERVICES | TN | N/A |
| MEDICAL SPECIALISTS OF JOHNSON CITY LLC | |||||||
| 2528 WESLEY ST STE 2 | JOHNSON CITY | TN | 37604 | 272199037 | MEDICAL SERVICES | TN | N/A |
Form990 Schedule R Part IV Form990ScheduleRPartIV (9 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| COMMUNITY HOME CARE INC | ||||||||
| 1640 PARK AVENUE | NORTON | VA | 24273 | 541453810 | MEDICAL PRODUCTS | VA | N/A | C |
| COMMUNITY PHYSICIAN SERVICES CORP | ||||||||
| 100 15TH STREET NW | NORTON | VA | 24273 | 541641446 | PHYSICIAN SERVICES | VA | N/A | C |
| SOUTHWEST COMMUNITY HEALTH SERVICES | ||||||||
| PO BOX 880 | MARION | VA | 24354 | 541460695 | HEALTH SERVICES | VA | N/A | C |
| BLUE RIDGE MEDICAL MANAGEMENT CORPORATION | ||||||||
| 1021 W OAKLAND AVENUE STE 207 | JOHNSON CITY | TN | 37604 | 621490616 | PHYSICIAN OFFICES | TN | N/A | C |
| MEDISERVE MEDICAL EQUIP OF KINGSPORT | ||||||||
| 1021 W OAKLAND AVENUE STE 207 | JOHNSON CITY | TN | 37064 | 621212286 | DURABLE MEDICAL EQUIPMENT | TN | N/A | C |
| MOUNTAIN STATES PROPERTIES | ||||||||
| 1021 W OAKLAND AVENUE STE 207 | JOHNSON CITY | TN | 37604 | 621845895 | PROPERTY MANAGEMENT | TN | N/A | C |
| MOUNTAIN STATES PHYSICIANS GROUP INC | ||||||||
| 1021 W OAKLAND AVENUE STE 207 | JOHNSON CITY | TN | 37604 | 621700412 | HEALTHCARE SERVICES | TN | N/A | C |
| WILSON PHARMACY INC | ||||||||
| PO BOX 5289 | JOHNSON CITY | TN | 37602 | 620329587 | PHARMACY | TN | N/A | C |
| CRESTPOINT HEALTH INSURANCE CO INC | ||||||||
| 208 SUNSET DRIVE SUITE 101 | JOHNSON CITY | TN | 37604 | 620381170 | INSURANCE | TN | N/A | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ABINGDON PHYSICIAN PARTNERS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | B | TransactionType |
| Amount Involved | 7975295 | AmountInvolved |
| Method Of Amt Determination | COST | MethodOfAmtDetermination |
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