2012-06-04T07:57:37-05:00 2011-06-30 PERSHING YOAKLEY & ASSOCIATES P C ONE CHEROKEE MILLS 2220 SUTHERLAND KNOXVILLE TN 379192363 990 2010-07-01 540566029 NORTON COMMUNITY HOSPITAL INC NORT 2766799600 100 15TH STREET NW NORTON VA 24273 STEPHEN SAWYER 2766799600 2012-05-31 1 DEBORAH O ERNSBERGER 8656730844 2010 2016-02-24 21:20:13Z X MARK LEONARD 100 15TH STREET NW NORTON VA 24273 64165314 0 X WWW.MSHA.COM/NCH X 1949 VA PROVISION OF ACUTE CARE MEDICAL SERVICES TO ALL PATIENTS, REGARDLESS OF ABILITY TO PAY. 13 3 744 32 56069 20344 118923 6082 58985684 60925539 2048073 2500603 680398 617298 61833078 64049522 117335 133970 0 0 36827153 36539760 0 0 0 26971793 26191266 63916281 62864996 -2083203 1184526 87020611 76345300 26240551 25223522 60780060 51121778 X 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. 0 0 53802017 133970 61121807 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. 53802017 1 1 0 0 0 0 0 0 0 1 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 171 0 1 744 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 13 3 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 VA X STEPHEN SAWYER CFO 2766799702 100 15TH STREET NW NORTON VA 24273 X HARRY DOTSON 2.00 X 612 0 0 ROBERT LEONARD 2.00 X 18750 0 0 JIM MANICURE 2.00 X 14242 0 0 WILLIE PRICE HARRIS 2.00 X 14242 0 0 BUFORD STURGILL 2.00 X 14242 0 0 WILLIAM WAMPLER 2.00 X 6585 0 0 CHARLES WARD 2.00 X 18750 0 0 JOHN WRIGHT 2.00 X 7121 0 0 ANN FLEMING 2.00 X 0 442795 65589 JEFF WHITTON 2.00 X 0 213743 39898 MARVIN EICHORN 2.00 X 0 597053 209233 SANDRA BROOKS MD 2.00 X 0 0 0 ALLEN MULLINS MD 2.00 X 269088 0 16858 MARK LEONARD CEO 55.00 X 0 115119 9629 STEPHEN SAWYER 55.00 X 0 61945 5893 DAVID NAUSS MD 40.00 X 412407 0 22535 ISAM ZIBDEH MD 40.00 X 406842 0 16374 MATTHEW CUSANO MD 40.00 X 364196 0 18047 JODY BENTLEY MD 40.00 X 339288 0 16024 GAYLE VEST MD 40.00 X 285416 0 21235 CRAIG JAMES 55.00 X 0 108850 10575 BARBARA HALE 55.00 X 0 107391 20905 2171781 1646896 472795 34 1 1 0 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 13 6082 6082 PATIENT SERVICES 621500 60854166 60798097 56069 WELLNESS PROGRAMS 621990 71373 71373 60925539 2273742 2273742 377833 115792 262041 262041 262041 226861 226861 226861 226861 OTHER OPERATING REV. 621400 196268 196268 CAFETERIA 722210 121500 121500 VENDING 722210 37489 37489 355257 64049522 61065738 56069 2921633 133970 133970 787610 302574 485036 28035002 25155288 2879714 970442 878575 91867 5018688 4980178 38510 1728018 1695509 32509 26171 26171 278479 66488 211991 115895 38751 77144 61812 61812 4531949 3477855 1054094 201535 164353 37182 1242103 1150839 91264 136813 135978 835 853583 799279 54304 267112 249677 17435 4624 4624 711481 194818 516663 3443279 2087459 1355820 1007361 665090 342271 MEDICAL SUPPLIES & DRUG 8109867 8076027 33840 OTHER EXPENSES 2095285 1772257 323028 MANAGEMENT FEES 1315641 1315641 REPAIRS & MAINTENANCE 1184073 1168225 15848 BAD DEBT 603537 603537 666 666 62864996 53802017 9062979 0 637589 1017164 6271530 6472714 1578102 1099598 1224398 1300500 506475 804090 61132048 33821759 25096402 27310289 14838532 16275360 -4942347 41809930 22065585 87020611 76345300 12524479 13183759 1101554 146255 12546960 11876127 67558 17381 26240551 25223522 X 60770349 51032560 9711 89218 60780060 51121778 87020611 76345300 X 1184526 -10842808 X 0 1 0 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2111034 2111034 28841592 14015907 14825685 551090 319876 231214 27468914 19485976 7982938 2159418 2159418 27310289 INVESTMENTS IN SECURITIES 16275360 F 16275360 OTHER ASSETS 840026 DUE FROM AFFILIATES, NET -537350 UNDER BOND INDENTURE AGREEMENTS 21762909 22065585 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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. 1 1 X 1 X 1 X 380.000000000000 1 1 1 0 1 0 583744 583744 0.00940 11286937 10514211 772726 0.01240 11870681 10514211 1356470 0.02180 64510 64510 0.00100 2066671 993361 1073310 0.01720 8918547 8918547 0.14320 91667 91667 0.00150 11141395 993361 10148034 0.16290 23012076 11507572 11504504 0.18470 42303 42303 0.00070 42303 42303 0.00070 1 2561170 1536702 16633424 17140390 -506966 X 1 1 1 1 NORTON COMMUNITY HOSPITAL

100 15TH ST NW NORTON NORTON VA 24273

X X X X NORTON COMMUNITY HOSPITAL 1 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. REPORTS FILED WITH STATES PART VI, LINE 7 VA 1 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 234 DRUGS DONATED TO HEALTH WAGON PROVIDE QUALITY HEALTH CARE TO THE MEDICALLY UNDERSERVED COMMUNITY HEALTHCARE FOUNDATION 100 15TH STREET NW NORTON VA 24273 542002314 501(C)(3) 6652 CONTRIBUTION TO SUPPORT LOCAL HEALTHCARE INITIATIVES 3 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: 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. X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 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 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. SUPPLEMENTAL INFORMATION 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. JAMIE FLEMING FAMILY MEMBER OF JAMES MANICURE, NCH BOARD MEMBER 26103 JAMES MANICURE, BOARD MEMBER OF NCH, IS A FAMILY MEMBER OF JAMIE FLEMING, AN EMPLOYEE OF NCH. 0 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. 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 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 15 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 C, LINE 19 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 VII, SECTION A, DIRECTOR COMPENSATION: 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: 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 VII, SECTION B, INDEPENDENT CONTRACTORS - AMENDED 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. NORTON COMMUNITY PHYSICIAN SERVICES LLC 96 15TH ST NW NORTON VA 24273 260868690 PHYSICIAN SERVICES VA 12561927 2424227 N/A 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 NORTON COMMUNITY HOSPITAL INC 0 JOHNSTON MEMORIAL HOSPITAL 16000 JOHNSTON MEMORIAL DRIVE ABINGDON VA 24211 540544705 HOSPITAL VA 501(C)(3) LINE 3 MOUNTAIN STATE HEALTH ALLIANCE 0 ABINGDON PHYSICIAN PARTNERS 351 COURT STREET NE ABINGDON VA 24210 205485346 MEDICAL SERVICES VA 501(C)(3) LINE 11A, I JOHNSTON MEMORIAL HOSPITAL 0 SMYTH COUNTY COMMUNITY HOSPITAL 565 RADIO HILL ROAD MARION VA 24354 540794913 HOSPITAL VA 501(C)(3) LINE 3 MOUNTAIN STATE HEALTH ALLIANCE 0 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 MOUNTAIN STATE HEALTH ALLIANCE 0 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 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 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 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 COMMUNITY HOME CARE INC A 30875 FAIR MARKET VALUE