Norton Community Hospital: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- Norton Community Hospital (EIN 54-0566029)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-06-04
- IRS object ID
- 201231569349300253
- Schema version
- 2010v3.4
- 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 L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-06-04T07:57:37-05:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
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 | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 540566029 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTON COMMUNITY HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | NORT | NameControl |
| Phone | 2766799600 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 15TH STREET NW | AddressLine1 |
| City | NORTON | City |
| State | VA | State |
| ZIP Code | 24273 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | STEPHEN SAWYER | Name |
| Title | CFO | Title |
| Phone | 2766799600 | Phone |
| Date Signed | 2012-05-31 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DEBORAH O ERNSBERGER | Name |
| Phone | 8656730844 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | X | AmendedReturn |
| Name Of Principal Officer Person | MARK LEONARD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 15TH STREET NW | AddressLine1 |
| City | NORTON | City |
| State | VA | State |
| ZIP Code | 24273 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 64165314 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MSHA.COM/NCH | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1949 | YearFormation |
| State Legal Domicile | VA | StateLegalDomicile |
| Activity Or Mission Description | PROVISION OF ACUTE CARE MEDICAL SERVICES TO ALL PATIENTS, REGARDLESS OF ABILITY TO PAY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 3 | NbrIndependentVotingMembers |
| Total Nbr Employees | 744 | TotalNbrEmployees |
| Total Nbr Volunteers | 32 | TotalNbrVolunteers |
| Total Gross UBI | 56069 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 20344 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 118923 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 6082 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 58985684 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 60925539 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2048073 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2500603 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 680398 | OtherRevenuePriorYear |
| Other Revenue Current Year | 617298 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 61833078 | TotalRevenuePriorYear |
| Total Revenue Current Year | 64049522 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 117335 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 133970 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 36827153 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 36539760 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 26971793 | OtherExpensePriorYear |
| Other Expenses Current Year | 26191266 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 63916281 | TotalExpensesPriorYear |
| Total Expenses Current Year | 62864996 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -2083203 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1184526 | RevenuesLessExpensesCY |
| Total Assets BOY | 87020611 | TotalAssetsBOY |
| Total Assets EOY | 76345300 | TotalAssetsEOY |
| Total Liabilities BOY | 26240551 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 25223522 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 60780060 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 51121778 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE MISSION OF NORTON COMMUNITY HOSPITAL ("NCH") IS TO BE A LEADER IN IMPROVING THE HEALTH AND QUALITY OF LIFE IN THE COMMUNITY. WORKING TOGETHER AS A TEAM DEDICATED TO EXCELLENCE, WE ENDEAVOR TO:- PROVIDE A CONTINUUM OF HIGH QUALITY AND COST EFFECTIVE MEDICAL CARE FOCUSING ON THE NEEDS OF OUR PATIENTS AND THEIR FAMILIES.- CONTINUOUSLY IMPROVE HEALTH CARE IN OUR COMMUNITY THROUGH NEW PROGRAMS, SERVICES, AND TECHNOLOGIES.- FOCUS ON WELLNESS AND PREVENTION THROUGH COMMUNITY EDUCATION AND HEALTH AWARENESS PROGRAMS.- SERVE AS A CENTER FOR THE TRAINING OF AREA HEALTH CARE PROFESSIONALS.- FORGE HEALTH CARE ALLIANCES WITH OUR COMMUNITY IN ORDER TO CONTRIBUTE TO ITS GROWTH AND DEVELOPMENT. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 53802017 | Expense |
| Grants | 133970 | Grants |
| Revenue | 61121807 | Revenue |
| Description | LOCATED IN THE HEART OF SOUTHWEST VIRGINIA AND THE APPALACHIAN MOUNTAINS, NORTON COMMUNITY HOSPITAL INC., IS A NOT-FOR-PROFIT, 129-BED, ACUTE-CARE FACILITY, PROUDLY SERVING SOUTHWEST VIRGINIA AND SOUTHEASTERN KENTUCKY SINCE 1949. OUR MISSION 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. AS THE LARGEST HEALTHCARE FACILITY IN THE COALFIELD REGION, NORTON COMMUNITY HOSPITAL PROVIDES A WIDE ARRAY OF SERVICES THROUGH HIGHLY TRAINED PHYSICIANS AND SUPPORT STAFF. NORTON COMMUNITY HOSPITAL IS A MEMBER OF THE VHHA, THE VIRGINIA HOSPITAL AND HEALTHCARE ASSOCIATION AND IS ACCREDITED BY THE AMERICAN OSTEOPATHIC ASSOCIATION.NORTON COMMUNITY HOSPITAL WAS THE FIRST AOA ACCREDITED TEACHING FACILITY IN THE STATE OF VIRGINIA. THE INTERNAL MEDICINE RESIDENTS OF THIS PROGRAM ROTATE THROUGH ALL AREAS OF MEDICINE, FROM HEALTH MAINTENANCE TO CRITICAL CARE. THE RESIDENTS ASSIST OUR PHYSICIANS IN PROVIDING QUALITY HANDS ON PATIENT CARE, THROUGH OBSERVATION, EDUCATION AND BY PARTICIPATING IN GRAND ROUNDS. IN ADDITION TO THESE SERVICES WITHIN THE HOSPITAL SETTING, THE RESIDENTS ARE ALSO EXPOSED TO TREATING PATIENTS IN AN OFFICE SETTING AT THE COMMUNITY CLINIC (RESIDENT CONTINUITY CLINIC) IN WISE, VIRGINIA.TO IMPROVE ACCESS TO PRIMARY CARE, NORTON COMMUNITY HOSPITAL, INC. OPERATES SEVERAL CLINICS: COMMUNITY PHYSICIANS-NORTON, COMMUNITY PHYSICIANS-COEBURN, COMMUNITY PHYSICIANS-WISE, COMMUNITY ORTHOPEDICS, NORWISE OB/GYN, COMMUNITY CLINIC-WISE (RESIDENT CONTINUITY CLINIC), OCCUMED HEALTH CENTER AND THE WISE PROFESSIONAL OFFICE BUILDING WHICH OFFERS PHYSICIAN OFFICE SPACE AND IS HOME TO OUR COMPREHENSIVE HOME HEALTH SERVICES. OUR MEDICAL STAFF CONSISTS OF OVER 130 PHYSICIANS AND SURGEONS WITH SPECIALTY TRAINING IN: FAMILY PRACTICE, INTERNAL MEDICINE, EAR-NOSE-THROAT, GENERAL SURGERY, UROLOGY, PEDIATRICS, EMERGENCY MEDICINE, GERIATRIC MEDICINE, CRITICAL CARE, CARDIOLOGY, PULMONOLOGY, RADIOLOGY, ONCOLOGY, NEUROLOGY, ORTHOPEDICS, GASTROENTEROLOGY, OPHTHALMOLOGY, OBSTETRICS, GYNECOLOGY AND DENTISTRY. PROGRAMS AND SERVICES INCLUDE INTENSIVE CARE/CRITICAL CARE/CORONARY CARE, 24-HOUR EMERGENCY ROOM SERVICES, PEDIATRIC CARE, LASER SURGERY, OUTPATIENT SURGERY, LITHOTRIPSY SERVICES, HOME HEALTH, HYPERBARIC MEDICINE, DIETARY/NUTRITION SUPPORT, PHARMACY, INPATIENT AND OUTPATIENT SURGICAL SERVICES, 12-BED INTENSIVE CARE UNIT, PASTORAL CARE, VOLUNTEER SERVICES, HELPING HANDS GIFT SHOP,COMMUNITY OUTREACH AND EDUCATION PROGRAMS,SCREENING SERVICES, AND UVA TELEMEDICINE AND PAIN MANAGEMENT. OUR RADIOLOGICAL SERVICES INCLUDE ANGIOGRAPHY, MAMMOGRAPHY, ULTRASOUND, STEREOTACTIC BREAST BIOPSY, NUCLEAR MEDICINE, PET SCANS, IN-HOUSE MAGNETIC RESONANCE IMAGING UNIT (MRI), AND CT SCANNER. THE FAMILY BIRTHING CENTER HAS SIX (6) SEMI-PRIVATE GYNECOLOGICAL SUITES AND SEVEN (7) LDRP (LABOR, DELIVERY, RECOVERY, AND POSTPARTUM) SUITES THAT OFFER COMFORT, CARE, AND COMPASSION THAT IS UNPARALLELED IN THE REGION. WE OFFER PREPARED CHILDBIRTH, PARENTING, SIBLING AND SAFE-SITTER CLASSES, INCLUDING EDUCATION ON BREASTFEEDING AND WOMEN'S HEALTH. THE CENTER ALSO OFFERS A SPECIAL AREA FOR CESAREAN SECTIONS AND ROUTINE GYNECOLOGICAL PROCEDURES. OUR CARDIOPULMONARY SERVICES DEPARTMENT PROVIDES AN EXTENSIVE LINE OF CARDIAC, PULMONARY AND NEURO-DIAGNOSTIC SERVICES. THEY ALSO PROVIDE A COMPREHENSIVE SLEEP MEDICINE PROGRAM AS WELL AS AN APPROVED SITE FOR THE DEPARTMENT OF LABOR'S FEDERAL BLACK LUNG PROGRAM. THE REGIONAL REHAB CENTER OFFERS OCCUPATIONAL THERAPY, PHYSICAL THERAPY, SPEECH THERAPY, PULMONARY REHAB, ANODYNE THERAPY, CARDIAC REHABILITATION, CARDIOPULMONARY REHAB, SMOKING CESSATION CLASSES AND FIT-ONE, A COMMUNITY WELLNESS PROGRAM. OUR 3 YEAR, CARF ACCREDITED (COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES), 11-BED INPATIENT REHABILITATION UNIT PROVIDES A RESPONSIVE, CARING ENVIRONMENT THAT ENHANCES RECOVERY AND SPEEDS THE RETURN TO NORMAL LIFE FOR PATIENTS SUFFERING FROM STROKE, PARKINSON'S DISEASE, POLYNEUROPATHY, BRAIN INJURY AND HIP FRACTURES.NORTON COMMUNITY HOSPITAL HAS ENABLED BUSINESSES TO LOWER THEIR MEDICAL CARE COSTS THROUGH OUR COMPREHENSIVE OCCUPATIONAL MEDICINE PROGRAM AT OCCUMED HEALTH CENTER. OCCUMED OFFERS NURSING CASE MANAGEMENT, WORK-RELATED INJURY TREATMENT AND FOLLOW-UP, PRE-EMPLOYMENT PHYSICALS, DRUG SCREENINGS, VACCINATIONS, WORK-SITE SAFETY ANALYSIS, GENERAL HEALTH SCREENINGS, OSHA REGULATION COMPLIANCE ASSISTANCE, AND INDUSTRIAL REHABILITATION. COMMUNITY HOME CARE OFFERS DURABLE MEDICAL EQUIPMENT SUCH AS LIFT CHAIRS, MOTORIZED SCOOTERS, LIMB BRACES, DIABETIC SUPPLIES, TURBANS, AND A PRIVATE FITTING ROOM FOR MASTECTOMY FITTINGS. THE WANDA WAMPLER CENTER FOR WOMEN'S HEALTH HOUSES OUR COMPREHENSIVE WOMEN'S HEALTH SERVICES. THE CENTER OFFERS STEREOTACTIC BREAST BIOPSY, BONE DENSITOMETRY, AND DIGITAL MAMMOGRAPHY.NORTON COMMUNITY HOSPITAL IS ALSO AN APPROVED TRAINING CENTER FOR THE AMERICAN HEART ASSOCIATION (AHA). WE PROVIDE AHA HEARTSAVER PROGRAMS TO THE COMMUNITY AS WELL AS BASIC AND ADVANCED LIFE SUPPORT COURSES TO MEMBERS OF THE MEDICAL COMMUNITY. | Description |
| Total Program Service Expense | 53802017 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| 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 | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | 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 | 1 | 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 | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 171 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 744 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| 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 |
| Form8899 Filed | 0 | Form8899Filed |
| Form1098 C Filed | 0 | Form1098CFiled |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 3 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | 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 | 0 | 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 | STEPHEN SAWYER CFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2766799702 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 15TH STREET NW | AddressLine1 |
| City | NORTON | City |
| State | VA | State |
| ZIP Code | 24273 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (22 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 | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| HARRY DOTSON | ||||||||
| TREASURER | 2.00 | X | 612 | 0 | 0 | |||
| ROBERT LEONARD | ||||||||
| SECRETARY | 2.00 | X | 18750 | 0 | 0 | |||
| JIM MANICURE | ||||||||
| DIRECTOR | 2.00 | X | 14242 | 0 | 0 | |||
| WILLIE PRICE HARRIS | ||||||||
| DIRECTOR | 2.00 | X | 14242 | 0 | 0 | |||
| BUFORD STURGILL | ||||||||
| DIRECTOR | 2.00 | X | 14242 | 0 | 0 | |||
| WILLIAM WAMPLER | ||||||||
| DIRECTOR | 2.00 | X | 6585 | 0 | 0 | |||
| CHARLES WARD | ||||||||
| CHAIRMAN | 2.00 | X | 18750 | 0 | 0 | |||
| JOHN WRIGHT | ||||||||
| DIRECTOR | 2.00 | X | 7121 | 0 | 0 | |||
| ANN FLEMING | ||||||||
| DIRECTOR | 2.00 | X | 0 | 442795 | 65589 | |||
| JEFF WHITTON | ||||||||
| DIRECTOR | 2.00 | X | 0 | 213743 | 39898 | |||
| MARVIN EICHORN | ||||||||
| VICE-CHAIRMAN | 2.00 | X | 0 | 597053 | 209233 | |||
| SANDRA BROOKS MD | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| ALLEN MULLINS MD | ||||||||
| DIRECTOR | 2.00 | X | 269088 | 0 | 16858 | |||
| MARK LEONARD CEO | ||||||||
| CEO | 55.00 | 0 | 115119 | 9629 | X | |||
| STEPHEN SAWYER | ||||||||
| CFO | 55.00 | 0 | 61945 | 5893 | X | |||
| DAVID NAUSS MD | ||||||||
| PHYSICIAN | 40.00 | 412407 | 0 | 22535 | X | |||
| ISAM ZIBDEH MD | ||||||||
| PHYSICIAN | 40.00 | 406842 | 0 | 16374 | X | |||
| MATTHEW CUSANO MD | ||||||||
| PHYSICIAN | 40.00 | 364196 | 0 | 18047 | X | |||
| JODY BENTLEY MD | ||||||||
| PHYSICIAN | 40.00 | 339288 | 0 | 16024 | X | |||
| GAYLE VEST MD | ||||||||
| PHYSICIAN | 40.00 | 285416 | 0 | 21235 | X | |||
| CRAIG JAMES | ||||||||
| FORMER CEO | 55.00 | 0 | 108850 | 10575 | X | |||
| BARBARA HALE | ||||||||
| FORMER CFO | 55.00 | 0 | 107391 | 20905 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2171781 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1646896 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 472795 | TotalOtherCompensation |
| Number Individuals GT100 K | 34 | NumberIndividualsGT100K |
| Formers Listed | 1 | 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 |
|---|---|---|---|---|---|
| BALL CONSTRUCTION | |||||
| 1675 PARK AVE SW | NORTON | VA | 24273 | CONSTRUCTION | 555132 |
| INTERNETWORK ENGINEERING | |||||
| 13777 BALLANTYNE CORPORATE PLACE S | CHARLOTTE | NC | 28277 | CONSTRUCTION | 350104 |
| MARSH BLOOD CENTER | |||||
| 1 PROFESSIONAL PARK BOULEVARD SUIT | JOHNSON CITY | TN | 37604 | BLOOD SERVICES | 253889 |
| CROTHALL SERVICES | |||||
| 955 CHESTERBROOK BLVD | WAYNE | PA | 19087 | LINEN SERVICES | 241067 |
| WEATHERBY LOCUMS | |||||
| 6451 NORTH FEDERAL HIGHWAY SUITE 8 | FORT LAUDERDALE | FL | 33308 | STAFFING SERVICES | 226147 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 13 | NumberOfContractorsGT100K |
| Related Organizations | 6082 | RelatedOrganizations |
| Total Contributions | 6082 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT SERVICES | 621500 | 60854166 | 60798097 | 56069 |
| WELLNESS PROGRAMS | 621990 | 71373 | 71373 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 60925539 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2273742 | TotalRevenueColumn |
| Exclusion | $2,273,742 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 377833 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 115792 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 262041 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 262041 | TotalRevenueColumn |
| Exclusion | $262,041 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 226861 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 226861 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 226861 | TotalRevenueColumn |
| Exclusion | $226,861 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| OTHER OPERATING REV. | 621400 | 196268 | 196268 | |
| CAFETERIA | 722210 | 121500 | $121,500 | |
| VENDING | 722210 | 37489 | $37,489 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 355257 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 64049522 | TotalRevenueColumn |
| Related Or Exempt Function Income | 61065738 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 56069 | UnrelatedBusinessRevenue |
| Exclusion | $2,921,633 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 133970 | Total |
| Program Services | 133970 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 787610 | Total |
| Program Services | 302574 | ProgramServices |
| Management And General | 485036 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28035002 | Total |
| Program Services | 25155288 | ProgramServices |
| Management And General | 2879714 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 970442 | Total |
| Program Services | 878575 | ProgramServices |
| Management And General | 91867 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5018688 | Total |
| Program Services | 4980178 | ProgramServices |
| Management And General | 38510 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1728018 | Total |
| Program Services | 1695509 | ProgramServices |
| Management And General | 32509 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26171 | Total |
| Management And General | 26171 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 278479 | Total |
| Program Services | 66488 | ProgramServices |
| Management And General | 211991 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 115895 | Total |
| Program Services | 38751 | ProgramServices |
| Management And General | 77144 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61812 | Total |
| Management And General | 61812 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4531949 | Total |
| Program Services | 3477855 | ProgramServices |
| Management And General | 1054094 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 201535 | Total |
| Program Services | 164353 | ProgramServices |
| Management And General | 37182 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1242103 | Total |
| Program Services | 1150839 | ProgramServices |
| Management And General | 91264 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 136813 | Total |
| Program Services | 135978 | ProgramServices |
| Management And General | 835 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 853583 | Total |
| Program Services | 799279 | ProgramServices |
| Management And General | 54304 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 267112 | Total |
| Program Services | 249677 | ProgramServices |
| Management And General | 17435 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4624 | Total |
| Program Services | 4624 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 711481 | Total |
| Program Services | 194818 | ProgramServices |
| Management And General | 516663 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3443279 | Total |
| Program Services | 2087459 | ProgramServices |
| Management And General | 1355820 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1007361 | Total |
| Program Services | 665090 | ProgramServices |
| Management And General | 342271 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES & DRUG | 8109867 | 8076027 | 33840 |
| OTHER EXPENSES | 2095285 | 1772257 | 323028 |
| MANAGEMENT FEES | 1315641 | 1315641 | |
| REPAIRS & MAINTENANCE | 1184073 | 1168225 | 15848 |
| BAD DEBT | 603537 | 603537 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 666 | Total |
| Program Services | 666 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 62864996 | Total |
| Program Services | 53802017 | ProgramServices |
| Management And General | 9062979 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 637589 | BOY |
| EOY | 1017164 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6271530 | BOY |
| EOY | 6472714 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1578102 | BOY |
| EOY | 1099598 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1224398 | BOY |
| EOY | 1300500 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 506475 | BOY |
| EOY | 804090 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 61132048 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 33821759 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25096402 | BOY |
| EOY | 27310289 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14838532 | BOY |
| EOY | 16275360 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -4942347 | BOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41809930 | BOY |
| EOY | 22065585 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 87020611 | BOY |
| EOY | 76345300 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12524479 | BOY |
| EOY | 13183759 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1101554 | BOY |
| EOY | 146255 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12546960 | BOY |
| EOY | 11876127 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 67558 | BOY |
| EOY | 17381 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26240551 | BOY |
| EOY | 25223522 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60770349 | BOY |
| EOY | 51032560 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9711 | BOY |
| EOY | 89218 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60780060 | BOY |
| EOY | 51121778 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 87020611 | BOY |
| EOY | 76345300 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 1184526 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -10842808 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 0 | 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 | 2111034 | OtherCostOrOtherBasis |
| Book Value | 2111034 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 28841592 | OtherCostOrOtherBasis |
| Depreciation | 14015907 | Depreciation |
| Book Value | 14825685 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 551090 | OtherCostOrOtherBasis |
| Depreciation | 319876 | Depreciation |
| Book Value | 231214 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 27468914 | OtherCostOrOtherBasis |
| Depreciation | 19485976 | Depreciation |
| Book Value | 7982938 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2159418 | OtherCostOrOtherBasis |
| Book Value | 2159418 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 27310289 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | INVESTMENTS IN SECURITIES | Description |
| Book Value | 16275360 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 16275360 | TotalOfBookValueSecurities |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| OTHER ASSETS | 840026 |
| DUE FROM AFFILIATES, NET | -537350 |
| UNDER BOND INDENTURE AGREEMENTS | 21762909 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 22065585 | TotalBookValueOtherAssets |
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 PREVIOUSLY ADOPTED THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) NO. 740, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THIS PROVISION PROVIDES GUIDANCE FOR HOW UNCERTAIN TAX POSITIONS SHOULD BE RECOGNIZED, MEASURED, PRESENTED AND DISCLOSED IN THE CONSOLIDATED FINANCIAL STATEMENTS. FASB 740 REQUIRES THE EVALUATION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN THE COURSE OF PREPARING TAX RETURNS TO DETERMINE WHETHER THE TAX POSITIONS ARE "MORE LIKELY THAN NOT" OF BEING SUSTAINED BY THE APPLICABLE TAX AUTHORITY, INCLUDING RESOLUTION OF ANY APPEALS OR LITIGATION, BASED ON THE TECHNICAL MERITS OF THE POSITION, INCLUDING ADMINISTRATIVE PRACTICES AND PRECEDENTS. THE TAX BENEFIT TO BE RECOGNIZED IS MEASURED AS THE LARGEST AMOUNT OF BENEFIT THAT IS GREATER THAN FIFTY PERCENT LIKELY OF BEING REALIZED UPON ULTIMATE SETTLEMENT WHICH COULD RESULT IN THE HOSPITAL RECORDING A TAX LIABILITY THAT WOULD REDUCE NET ASSETS. TAX POSITIONS NOT DEEMED TO MEET A "MORE LIKELY THAN NOT" THRESHOLD WOULD BE RECORDED AS TAX EXPENSE IN THE CURRENT YEAR. THE HOSPITAL HAS NOT IDENTIFIED ANY SIGNIFICANT UNCERTAIN TAX POSITIONS AT JUNE 30, 2011. | 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 |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 380.000000000000 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 0 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 583744 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 583744 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00940 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11286937 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10514211 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 772726 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01240 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11870681 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10514211 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1356470 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02180 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 64510 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 64510 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00100 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2066671 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 993361 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1073310 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01720 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8918547 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 8918547 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.14320 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 91667 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 91667 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00150 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11141395 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 993361 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10148034 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.16290 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 23012076 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11507572 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11504504 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.18470 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 42303 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 42303 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 42303 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 42303 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $2,561,170 | BadDebtExpenseAmount |
| Amount Attributable To | 1536702 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 16633424 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 17140390 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -506966 | 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 | NORTON COMMUNITY HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 15TH ST NW NORTON | AddressLine1 |
| City | NORTON | City |
| State | VA | State |
| ZIP Code | 24273 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| 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 | NORTON COMMUNITY HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART I, LINE 6A: MOUNTAIN STATES HEALTH ALLIANCE (MSHA) PREPARED AN ANNUAL WRITTEN REPORT THAT DESCRIBES THE ORGANIZATION'S PROGRAMS AND SERVICES THAT PROMOTE THE HEALTH OF THE COMMUNITIES IT SERVES. NCH, AS A MEMBER OF MSHA, IS INCLUDED IN MSHA'S REPORT. | ||
| PART I, LINE 7: A COST TO CHARGE RATIO WAS USED TO CALCULATE LINE 7 UTILIZING THE SCHEDULE H APPLICABLE WORKSHEETS, INCLUDING WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGES. | ||
| PART I, L7 COL(F): BAD DEBT EXPENSE OF $603,537 IS INCLUDED IN TOTAL EXPENSES ON FORM 990, PART IX, STATEMENT OF FUNCTIONAL EXPENSES, LINE 25 BUT HAS BEEN SUBTRACTED FROM TOTAL EXPENSES FOR PURPOSES OF CALCULATING COLUMN (F) PERCENTAGES. | ||
| 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: WORKSHEET A WAS USED FOR PART III, LINES 2 AND 3 IN DETERMINING BAD DEBT AT COST. FOOTNOTE DISCLOSURE FROM NCH'S FY11 AUDITED FINANCIAL STATEMENT READS "IN NOVEMEBER 2006, THE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION'S (HFMA) PRINCIPLES AND PRACTICES BOARD ISSUED STATEMENT 15: VALUATION AND FINANCIAL STATEMENT PRESENTATION OF CHARITY CARE AND BAD DEBTS BY INSTITUTIONAL HEALTHCARE PROVIDERS (THE "STATEMENT"). THE STATEMENT PROVIDES GUIDANCE ON COLLECTABILITY CRITERIA AND EMPHASIZES REVENUE RECOGNITION ONLY WHEN COLLECTIONS ARE REASONABLY ASSURED. THE HOSPITAL ADOPTED THE STATEMENT IN 2008 AND EVALUATED ITS REVENUE RECOGNITION POLICIES RELATED TO CERTAIN TYPES OF PATIENT REVENUE (PRIMARILY SELF-PAY). AS A RESULT, AMOUNTS PREVIOUSLY RECOGNIZED AS NET PATIENT SERVICE REVENUE AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS ARE NO LONGER RECOGNIZED AS NET PATIENT REVENUE IN THE ACCOMPANYING FINANCIAL STATEMENTS."TO FURTHER EXPLAIN NCH'S REPORTING OF BAD DEBT EXPENSE, NCH'S FINANCIAL STATEMENT ACCOUNTS FOR BAD DEBT EXPENSES IN TWO LOCATIONS. FIRST, A DEDUCTION FROM REVENUE LINE CALLED "CONTRA-REVENUE" CONTAINS THE MAJORITY OF NCH'S ESTIMATED SELF-PAY BAD DEBT. FOR FY11, 95% OF TOTAL BAD DEBT WAS MOVED TO THIS LINE. THIS PERCENTAGE IS SIMPLY AN ESTIMATE OF WHAT PATIENT FINANCIAL SERVICES ANTICIPATES WILL NOT BE COLLECTED AFTER ALL DEBT COLLECTION EFFORTS HAVE BEEN EXHAUSTED. THIS ESTIMATE IS BASED ON HISTORICAL INFORMATION. THE REMAINING 5% OF BAD DEBT IS RECORDED IN THE EXPENSE SECTION APPROPRIATELY CALLED "BAD DEBT". THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENT REPORT THE AMOUNT OF ESTIMATED UNCOLLECTIBLE SELF-PAY AND EXPLAINS THAT UNCOLLECTIBLE PATIENT ACOUNTS 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.REGARDING LINE 3, IT IS IMPLAUSIBLE TO DETERMINE THE AMOUNT OF NCH'S BAD DEBT ASSOCIATED WITH THOSE PATIENTS WHO MAY HAVE MET THE CRITERIA SET FORTH IN OUR FINANCIAL ASSISTANCE POLICY WITHOUT HAVING A COMPLETED FINANCIAL ASSESSMENT. WE ARE UNABLE TO DETERMINE OUR PATIENTS' FINANCIAL CIRCUMSTANCES UNLESS A COMPLETED FINANCIAL 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. OUR VICE PRESIDENT OF PATIENT FINANCIAL SERVICES CONSERVATIVELY ESTIMATES THAT 60% OF TOTAL BAD DEBT EXPENSE WAS ASSUMED ATTRIBUTABLE TO PATIENTS POTENTIALLY ELIGIBLE FOR FINANCIAL ASSISTANCE. | ||
| PART III, LINE 8: MEDICARE ALLOWABLE COSTS WERE REPORTED USING NCH'S FILED MEDICARE COST REPORT (C/R). THE C/R USES A COST TO CHARGE RATIO BASED ON A STEP-DOWN ALLOCATION METHODOLOGY. IN CARING FOR THE PATIENT, THERE ARE SEVERAL SERVICES THAT ARE CONSIDERED NON-ALLOWABLE SUCH AS: TRANSPORTATION OF A PATIENT, 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, NCH 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 NCH 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: NCH FOLLOWS A STRONG COLLECTION PROGRAM THAT COMMUNICATES FINANCIAL RESPONSIBILITY TO THE PATIENT PRIOR TO SERVICE. 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. NCH 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 LATER 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 VI, LINE 8: NCH SUBMITS COMMUNITY BENEFIT DATA TO THE VIRGINIA HEALTH AND HOSPITAL ASSOCIATION (VHHA). VHHA COMBINES DATA FROM ALL SOURCES TO DEMONSTRATE THE COMMUNITY BENEFITS PROVIDED BY BOTH FOR-PROFIT AND NOT-FOR-PROFIT HOSPITALS AND HEALTH SYSTEMS TO THE STATE OF VIRGINIA. | ||
| PART VI, LINE 2: NCH IS A MEMBER OF MOUNTAIN STATES HEALTH ALLIANCE (MSHA). DURING FY08 AND FY09, MSHA CONDUCTED THE LARGEST COMMUNITY HEALTH NEEDS ASSESSMENT IN ITS HISTORY IN AN EFFORT TO PROFILE THE HEALTH OF THE RESIDENTS WITHIN THE LOCAL REGION. THE ASSESSMENT FOCUSED ON STATE, REGIONAL, AND COUNTY SPECIFIC DATA COLLECTION. THIS ASSESSMENT ALSO INCLUDED PRIMARY DATA COLLECTED THROUGH APPROXIMATELY 50 ONE-ON-ONE INTERVIEWS. THOSE INTERVIEWED WERE INDIVIDUALS FROM AROUND THE REGION WHICH INCLUDED LOCAL AND STATE GOVERNMENT OFFICIALS, HEALTH DEPARTMENT REPRESENTATIVES, PHYSICIANS, GENERAL PUBLIC, LOCAL INDUSTRY, CIVIC ORGANIZATIONS, EDUCATION OFFICIALS, AND COMMUNITY RESOURCE GROUPS. THIS INFORMATION WAS COLLECTED, THEN ANALYZED, AND A SUMMARY OF THE FINDINGS WAS LISTED IN AN EFFORT TO OBTAIN A MORE DETAILED SNAPSHOT SPECIFIC TO EACH COUNTY LOCATED THROUGHOUT THE MSHA SERVICE AREA. THIS INFORMATION WAS REVIEWED BY MSHA'S STRATEGIC PLANNING TEAM ALONG WITH GOVERNMENT RELATIONS AND QUALITY DEPARTMENTS. THE MSHA STEERING COMMITTEE IDENTIFIED OBESITY AS THE HEALTH DISPARITY TARGETED FOR IMPROVEMENT, INCLUDING THE COMMUNITY SERVED BY NCH.DURING FY09, MSHA BEGAN COLLABORATIVE EFFORTS WITH EAST TENNESSEE STATE UNIVERSITY'S COLLEGE OF PUBLIC HEALTH TO DEVELOP THE MSHA-ETSU OBESITY COLLABORATIVE COMMITTEE. THE FOCUS OF THIS COMMITTEE IS TO PULL TOGETHER MANY PARTNERS AND ORGANIZATIONS IN COLLABORATION TO REDUCE THE LEVEL OF CHILDHOOD OBESITY THROUGHOUT NORTHEAST TENNESSEE AND SOUTHWEST VIRGINIA. DURING FY11, THE COMMITTEE OFFERED 25 SEED GRANTS OF $2,000 EACH TO LOCAL COMMUNITY ORGANIZATIONS SUCH AS CHURCHES, COMMUNITY GROUPS, SCHOOLS, AND EMPLOYERS THAT WANT TO EXPLORE OBESITY REDUCTION EFFORTS. IN ADDITION TO THE GRANTS PROGRAM, AN ANNUAL SYMPOSIUM IS PROVIDED FREE TO THE REGION. NATIONAL, REGIONAL, AND LOCAL EXPERTS SHARE INFORMATION ON TRENDS REGARDING CHILDHOOD OBESITY AND PROVEN COMMUNITY-BASED STRATEGIES TO REDUCE THE PREVALENCE.MOUNTAIN STATES HEALTH ALLIANCE DOCUMENTED ITS CORPORATE RESPONSIBILITY PROGRAMS, PARTNERSHIPS, AND ACTIVITIES FOR COMMUNITY BENEFIT AND SOCIAL RESPONSIBILITY IN THE 2011 SOCIAL RESPONSIBILITY PLAN (THE PLAN). THE PLAN PROVIDES THE STRATEGIC DIRECTION OF SOCIAL RESPONSIBILITY FOR THE ORGANIZATION. MSHA CREATED A SOCIAL RESPONSIBILITY COMMITTEE TO ENSURE A STRATEGIC COMMITMENT TO THE ORGANIZATION'S SOCIAL RESPONSIBILITY THROUGH NEEDS PRIORITIZED FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE CHNA IDENTIFIES SEVERAL PRIORITIES TO FOCUS THE ORGANIZATION'S COMMUNITY BENEFIT, COMMUNITY BUILDING AND OTHER INITIATIVES TO IMPACT THE HEALTH OF INDIVIDUALS AND COMMUNITIES WITHIN THE DEFINED SERVICE AREA. THE COMMITTEE MEETS ON A QUARTERLY BASIS AND INCLUDES MSHA BOARD MEMBERS; THE DEAN OF PUBLIC HEALTH AT EAST TENNESSEE STATE UNIVERSITY; THE PRESIDENT AND CEO OF UNITED WAY OF WASHINGTON COUNTY, TENNESSEE; MSHA'S CEO AND OTHER EXECUTIVES AS WELL AS OTHER COMMUNITY LEADERS. THE FOUNDATION OF MSHA'S SOCIAL RESPONSIBILITY IS THE CHNA TO PRIORITIZE FUTURE HEALTH IMPROVEMENT INITIATIVES TO BE COMPLETED IN COLLABORATION WITH LOCAL RESOURCES. THE PROJECT FULLY SUPPORTS THE MSHA MISSION 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". THE ASSESSMENT FOCUSES ON MSHA'S THIRTEEN CORE COUNTIES. ACTIVITIES ASSOCIATED WITH THE DEVELOPMENT OF THIS ASSESSMENT INCLUDE STATE, REGIONAL AND COUNTY-SPECIFIC SECONDARY DATA COLLECTION AND PRIMARY DATA OBTAINED THROUGH OVER 56 SURVEYS WITH INDIVIDUALS FROM THE LOCAL COMMUNITIES. | ||
| PART VI, LINE 3: NCH PROVIDES COMMUNICATION OF FINANCIAL ASSISTANCE ON ITS WEBSITE AND ON POSTERS LOCATED IN PROMINENT AREAS OF THE HOSPITAL SUCH AS ADMITTING AREAS, EMERGENCY DEPARTMENT, AND PATIENT PAYMENT (CASHIER) LOCATIONS. PRINTED EDUCATIONAL MATERIALS INCLUDING FINANCIAL ASSISTANCE CONTACT INFORMATION ARE ALSO PROVIDED IN EACH PATIENT'S ADMITTING PAPERWORK. POSTERS AND REFERENCE MATERIALS ARE WRITTEN IN BOTH ENGLISH AND SPANISH. ADMITTING STAFF ARE TRAINED TO EDUCATE PATIENTS ON NCH'S FINANCIAL ASSISTANCE POLICY. NCH ALSO HAS FINANCIAL COUNSELORS TO PROVIDE FURTHER INFORMATION AND ASSISTANCE TO NCH PATIENTS REGARDING NCH'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, NCH 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. NCH BEARS THE COST FOR THE FIRSTSOURCE SOLUTIONS USA PROGRAM. | ||
| PART VI, LINE 4: NCH IS LOCATED IN NORTON, WISE COUNTY, WHICH IS IN RURAL SOUTHWEST VIRGINIA. WISE COUNTY HAS A HIGH RATE OF INDIVIDUALS WHO ARE UNINSURED. THE POPULATION OF WISE COUNTY IS JUST OVER 41,450 AND ACCORDING TO THE U.S. CENSUS BUREAU, THE CITY OF NORTON HAS A POPULATION OF 3,958. THE MEDIAN AGE OF RESIDENTS OF NORTON IS 39, WHICH IS OLDER THAN THE AVERAGE AGE OF 36.5 IN THE UNITED STATES. NORTON HAS A MEDIAN HOUSEHOLD INCOME OF $22,788, WHICH IS SIGNIFICANTLY BELOW VIRGINIA'S MEDIAN HOUSEHOLD INCOME. 35.7% OF NORTON'S CHILDREN LIVE IN POVERTY COMPARED TO 14% STATEWIDE. | ||
| PART VI, LINE 7: NCH IS A 129-BED, ACUTE-CARE FACILITY OPERATED UNDER THE DIRECTION OF A 13-MEMBER BOARD OF DIRECTORS PRIMARILY COMPRISED OF LOCAL COMMUNITY RESIDENTS. NCH IS ACCREDITED BY THE AMERICAN OSTEOPATHIC ASSOCIATION. NCH IS MAJORITY OWNED BY MOUNTAIN STATES HEALTH ALLIANCE (MSHA) BASED IN JOHNSON CITY, TENNESSEE. MSHA PROVIDES CARE TO PEOPLE IN 29 COUNTIES IN TENNESSEE, VIRGINIA, KENTUCKY, AND NORTH CAROLINA. MSHA IS INTEGRATED BOTH VERTICALLY AND HORIZONTALLY AND IS THE LARGEST REGIONAL HEALTHCARE SYSTEM WITH 13 HOSPITALS. IN ADDITION TO ACUTE CARE HOSPITALS, THE SYSTEM ALSO INCLUDES SUCH SERVICES AS: PRIMARY / SPECIALTY PHYSICIAN PRACTICES, URGENT CARE CENTERS, EMERGENCY DEPARTMENTS, OCCUPATIONAL MEDICINE, REHABILITATION, TRANSPLANT, OUTREACH LABORATORY, MENTAL HEALTH, NEONATAL INTENSIVE CARE, A NACHRI AFFILIATED CHILDREN'S HOSPITAL, RENAL DIALYSIS, ST. JUDE'S ONCOLOGY, INPATIENT / OUTPATIENT SURGERY, SKILLED NURSING, HOME HEALTH, AIR AMBULANCE TRANSPORT, AN ORGAN TRANSPLANT DEPARTMENT, AND MORE. WITH THESE ADDITIONAL FACILITIES AND SERVICES, MSHA EXTENDS A HIGHLY EFFECTIVE HEALTH CARE DELIVERY SYSTEM. NCH SERVES AS ITS COUNTY'S PRIMARY HEALTH SERVICE PROVIDER. PATIENTS BENEFIT FROM NCH'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 (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance |
|---|---|---|---|---|---|---|---|---|---|
| UVA WISE | |||||||||
| ONE COLLEGE AVE | WISE | VA | 24293 | 541638774 | 501(C)(3) | 35417 | SCHOLARSHIPS | ||
| ST MARY'S HEALTH WAGON | |||||||||
| 119 NUMBER 10 ST | CLINCHO | VA | 24226 | 043739083 | 501(C)(3) | 91667 | PROVIDE QUALITY HEALTH CARE TO THE MEDICALLY UNDERSERVED | 234 | DRUGS DONATED TO HEALTH WAGON |
| COMMUNITY HEALTHCARE FOUNDATION | |||||||||
| 100 15TH STREET NW | NORTON | VA | 24273 | 542002314 | 501(C)(3) | 6652 | CONTRIBUTION TO SUPPORT LOCAL HEALTHCARE INITIATIVES | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 3 | 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: GRANTS ARE APPROVED BY THE BOARD OF DIRECTORS. FUNDING MAY BE PROVIDED TO LOCAL 501(C)(3) ORGANIZATIONS WHOSE FOCUS IS ON HEALTH AND CHILD SAFETY. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | X | FirstClassOrCharterTravel |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ANN FLEMING | |||||||||||||
| 0 | 328461 | 0 | 72944 | 0 | 41390 | 0 | 48481 | 0 | 17108 | 0 | 508384 | 0 | 0 |
| JEFF WHITTON | |||||||||||||
| 0 | 165968 | 0 | 37281 | 0 | 10494 | 0 | 18940 | 0 | 20958 | 0 | 253641 | 0 | 0 |
| MARVIN EICHORN | |||||||||||||
| 0 | 422229 | 0 | 115646 | 0 | 59178 | 0 | 188316 | 0 | 20917 | 0 | 806286 | 0 | 0 |
| ALLEN MULLINS MD | |||||||||||||
| 260496 | 0 | 7923 | 0 | 669 | 0 | 7400 | 0 | 9458 | 0 | 285946 | 0 | 0 | 0 |
| DAVID NAUSS MD | |||||||||||||
| 411432 | 0 | 0 | 0 | 975 | 0 | 7350 | 0 | 15185 | 0 | 434942 | 0 | 0 | 0 |
| ISAM ZIBDEH MD | |||||||||||||
| 379879 | 0 | 8463 | 0 | 18500 | 0 | 7096 | 0 | 9278 | 0 | 423216 | 0 | 0 | 0 |
| MATTHEW CUSANO MD | |||||||||||||
| 308984 | 0 | 54629 | 0 | 583 | 0 | 7336 | 0 | 10711 | 0 | 382243 | 0 | 0 | 0 |
| JODY BENTLEY MD | |||||||||||||
| 261266 | 0 | 61617 | 0 | 16405 | 0 | 5472 | 0 | 10552 | 0 | 355312 | 0 | 0 | 0 |
| GAYLE VEST MD | |||||||||||||
| 281687 | 0 | 0 | 0 | 3729 | 0 | 7350 | 0 | 13885 | 0 | 306651 | 0 | 0 | 0 |
| CRAIG JAMES | |||||||||||||
| 0 | 73387 | 0 | 0 | 0 | 35463 | 0 | 2997 | 0 | 7578 | 0 | 119425 | 0 | 0 |
| BARBARA HALE | |||||||||||||
| 0 | 86729 | 0 | 0 | 0 | 20662 | 0 | 3972 | 0 | 16933 | 0 | 128296 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART I, LINE 1A | 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. HOWEVER, CHARTER TRAVEL IS AVAILABLE TO CERTAIN EXECUTIVES, BOARD MEMBERS, AND APPROVED BUSINESS PERSONNEL IN LIMITED CIRCUMSTANCES DEEMED TO INVOLVE BUSINESS NECESSITY. | |
| PART III | PART I, LINE 4B: ANN FLEMING, JEFF WHITTON AND CRAIG JAMES PARTICIPATED IN A 457 (F) RETIREMENT PLAN PROVIDED BY MOUNTAIN STATES HEALTH ALLIANCE (MSHA). MSHA CONTRIBUTES 10% OF CALENDAR YEAR BASE PAY FOR SENIOR VICE PRESIDENTS AND 5% OF BASE PAY FOR SELECTED VICE PRESIDENTS. | SUPPLEMENTAL INFORMATION |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JAMIE FLEMING | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | FAMILY MEMBER OF JAMES MANICURE, NCH BOARD MEMBER | Relationship |
| Amount Of Transaction | 26103 | AmountOfTransaction |
| Description Of Transaction | JAMES MANICURE, BOARD MEMBER OF NCH, IS A FAMILY MEMBER OF JAMIE FLEMING, AN EMPLOYEE OF NCH. | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | MOUNTAIN STATES HEALTH ALLIANCE IS THE 50.1% MEMBER OF NORTON COMMUNITY HOSPITAL, INC. NORTON COMMUNITY HEALTH FOUNDATION IS THE 49.9% MEMBER OF NORTON COMMUNITY HOSPITAL, INC. | |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MOUNTAIN STATES HEALTH ALLIANCE'S BOARD OF DIRECTORS ELECTS THE MEMBERS OF THE GOVERNING BODY FOR NORTON COMMUNITY HOSPITAL, INC. THE NORTON COMMUNITY HEALTH FOUNDATION'S BOARD OF DIRECTORS ELECTS THE MEMBERS OF THE GOVERNING BODY FOR NORTON COMMUNITY HOSPITAL, INC. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE TAX RETURN IS PREPARED BY AN UNRELATED, INDEPENDENT ACCOUNTING FIRM AND THEN SUBMITTED TO INTERNAL MANAGEMENT FOR INTERNAL REVIEW. COPIES ARE THEN PROVIDED TO THE ENTIRE BOARD FOR REVIEW. | |
| 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 THOSE 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 ENGAGE IN A CONFLICTED TRANSACTION. | FORM 990, PART VI, SECTION B, LINE 12C | |
| THE COMPENSATION COMMITTEE, WHICH CONSISTS OF THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS, OBTAINS THE SERVICES OF AN OUTSIDE, INDEPENDENT COMPENSATION CONSULTANT TO PROVIDE THE COMMITTEE WITH RELEVANT MARKET DATA FROM COMPENSATATION SURVEYS AND WITH ADVICE WHEN THE COMMITTEE MAKES RECOMMENDATIONS ON PAY AND BENEFITS FOR THE CEO. | FORM 990, PART VI, SECTION B, LINE 15 | |
| THE CONFLICT OF INTEREST POLICY, IN ADDITION TO OTHER GOVERNING POLICIES, IS AVAILABLE UPON REQUEST. ALL CORPORATE POLICIES AND CORPORATE FINANCIAL STATEMENTS ARE ALSO AVAILABLE UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 19 | |
| NORTON COMMUNITY HOSPITAL, INC. BOARD OF DIRECTORS MEMBER, MARVIN EICHORN, IS THE CFO FOR THE MOUNTAIN STATES HEALTH ALLIANCE SYSTEM AS A WHOLE AND RECEIVES FORM 990 REPORTABLE COMPENSATION DERIVED FROM HIS SERVICES AS THE CFO. HE DOES NOT RECEIVE COMPENSATION FOR SERVICES AS A NORTON COMMUNITY HOSPITAL, INC. BOARD MEMBER. NORTON COMMUNITY HOSPITAL, INC. BOARD OF DIRECTORS MEMBERS, ANN FLEMING AND JEFF WHITTON, ARE OFFICERS OF MOUNTAIN STATES HEALTH ALLIANCE AND HAVE FORM 990 REPORTABLE COMPENSATION DERIVED FROM SERVICES PROVIDED AS MSHA OFFICERS. THEY DO NOT RECEIVE COMPENSATION FOR SERVICES AS NORTON COMMUNITY HOSPITAL, INC. BOARD MEMBERS. | FORM 990, PART VII, SECTION A, DIRECTOR COMPENSATION: | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED GAINS ON INVESTMENTS: 691,505. CHANGE IN PENSION LIABILITIES 1,209,182. ELIMINATION OF INTERCOMPANY RECEIVABLES/PAYABLES -14,801,855. OTHER CHANGES IN NET ASSETS 2,058,360. TOTAL TO FORM 990, PART XI, LINE 5: -10,842,808. | FORM 990, PART XI, LINE 5: |
| THE TAXPAYER IS AMENDING FORM 990 TO UPDATE THE FIVE HIGHEST PAID INDEPENDENT CONTRACTORS AS REPORTED IN PART VII, SECTION B. THE TAXPAYER INADVERTENTLY REPORTED COMPENSATION OF $1,776,693 TO HANCOCK DANIEL JOHNSON ON THE ORIGINAL FORM 990; HOWEVER, ACTUAL COMPENSATION WAS $177,663. | FORM 990, PART VII, SECTION B, INDEPENDENT CONTRACTORS - AMENDED |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTON COMMUNITY PHYSICIAN SERVICES LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 96 15TH ST NW | AddressLine1 |
| City | NORTON | City |
| State | VA | State |
| ZIP Code | 24273 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 260868690 | EIN |
| Primary Activities | PHYSICIAN SERVICES | PrimaryActivities |
| Legal Domicile State | VA | LegalDomicileState |
| Total Income | 12561927 | TotalIncome |
| EOY Assets | 2424227 | EOYAssets |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
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 | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MOUNTAIN STATES HEALTH ALLIANCE | |||||||||||
| 400 N ST OF FRANKLIN ROAD | JOHNSON CITY | TN | 37604 | 620476282 | HOSPITAL | TN | 501(C)(3) | LINE 3 | N/A | 0 | |
| DICKENSON COMMUNITY HOSPITAL | |||||||||||
| ONE HOSPITAL DRIVE | CLINTWOOD | VA | 24228 | 770599553 | HOSPITAL | VA | 501(C)(3) | LINE 3 | 0 | NORTON COMMUNITY HOSPITAL INC | |
| JOHNSTON MEMORIAL HOSPITAL | |||||||||||
| 16000 JOHNSTON MEMORIAL DRIVE | ABINGDON | VA | 24211 | 540544705 | HOSPITAL | VA | 501(C)(3) | LINE 3 | 0 | MOUNTAIN STATE HEALTH ALLIANCE | |
| ABINGDON PHYSICIAN PARTNERS | |||||||||||
| 351 COURT STREET NE | ABINGDON | VA | 24210 | 205485346 | MEDICAL SERVICES | VA | 501(C)(3) | LINE 11A, I | 0 | JOHNSTON MEMORIAL HOSPITAL | |
| SMYTH COUNTY COMMUNITY HOSPITAL | |||||||||||
| 565 RADIO HILL ROAD | MARION | VA | 24354 | 540794913 | HOSPITAL | VA | 501(C)(3) | LINE 3 | 0 | MOUNTAIN STATE HEALTH ALLIANCE | |
| COMMUNITY HEALTHCARE FOUNDATION | |||||||||||
| 100 15TH STREET NW | NORTON | VA | 24273 | 542002314 | SUPPORT ORGANIZATION TO NCH | VA | 501(C)(3) | LINE 11A, I | N/A | 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 | N/A | 0 | |
| MOUNTAIN STATES FOUNDATION | |||||||||||
| 2335 KNOB CREEK ROAD SUITE 101 | JOHNSON CITY | TN | 37604 | 581418862 | FUNDRAISING FOR MSHA HOSPITALS | TN | 501(C)(3) | LINE 11A, I | 0 | MOUNTAIN STATE HEALTH ALLIANCE | |
| MSHA AUXILIARY | |||||||||||
| 400 N ST OF FRANKLIN ROAD | JOHNSON CITY | TN | 37604 | 581418345 | SUPPORTING ORGANIZATION TO MSHA HOSPITALS | TN | 501(C)(3) | LINE 11A, I | N/A | 0 | |
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 | |||||||
| WESLEY ST STE 2 | JOHNSON CITY | TN | 37604 | 272199037 | MEDICAL SERVICES | TN | N/A |
Form990 Schedule R Part IV Form990ScheduleRPartIV (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|
| COMMUNITY HOME CARE INC | |||||||||||
| 1460 PARK AVENUE | NORTON | VA | 24273 | 541453810 | MEDICAL PRODUCTS | VA | N/A | C | 674932 | 828062 | 1.00000 |
| COMMUNITY PHYSICIAN SERVICES CORP | |||||||||||
| 100 15TH ST NW | NORTON | VA | 24273 | 541641446 | PHYSICIAN SERVICES | VA | N/A | C | 4613 | 186 | 1.00000 |
| 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 | 37604 | 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 MEDICAL GROUP | |||||||||||
| 1021 W OAKLAND AVENUE STE 207 | JOHNSON CITY | TN | 37604 | 621700412 | HEALTHCARE SERVICES | TN | N/A | C | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | 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 | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | 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 | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HOME CARE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | A | TransactionType |
| Amount Involved | 30875 | AmountInvolved |
| Method Of Amt Determination | FAIR MARKET VALUE | MethodOfAmtDetermination |
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