JOHNSTON MEMORIAL HOSPITAL INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- JOHNSTON MEMORIAL HOSPITAL INC (EIN 54-0544705)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-16
- IRS object ID
- 201111369349304801
- Schema version
- 2009v1.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-16T13:55:48-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | 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 | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 540544705 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Johnston Memorial Hospital Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | JOHN | NameControl |
| Phone | 2766767000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 351 Court Street NE | AddressLine1 |
| City | Abingdon | City |
| State | VA | State |
| ZIP Code | 24210 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Timothy G Evans | Name |
| Title | CFO | Title |
| Phone | 2766767000 | Phone |
| Date Signed | 2011-05-16 | 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 | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Timothy G Evans | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 351 Court Street NE | AddressLine1 |
| City | Abingdon | City |
| State | VA | State |
| ZIP Code | 24210 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 112517482 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | http://www.jmh.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1917 | YearFormation |
| State Legal Domicile | VA | StateLegalDomicile |
| Activity Or Mission Description | TO RESPOND TO THE HEALTHCARE NEEDS OF INDIVIDUALS AND COMMUNITIES IN OUR REGION ANd TO ASSIST THEM IN ATTAINING THEIR HIGHEST POSSIBLE LEVEL OF HEALTH. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 902 | TotalNbrEmployees |
| Total Nbr Volunteers | 188 | TotalNbrVolunteers |
| Total Gross UBI | 13013 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 9468 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 50918 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 85272 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 98318601 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 105584171 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 6699371 | InvestmentIncomePriorYear |
| Investment Income Current Year | 6294232 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 353072 | OtherRevenuePriorYear |
| Other Revenue Current Year | 382119 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 105421962 | TotalRevenuePriorYear |
| Total Revenue Current Year | 112345794 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 20000 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 88355 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 46057010 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 45020126 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 51663294 | OtherExpensePriorYear |
| Other Expenses Current Year | 58620461 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 97740304 | TotalExpensesPriorYear |
| Total Expenses Current Year | 103728942 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 7681658 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 8616852 | RevenuesLessExpensesCY |
| Total Assets BOY | 308624515 | TotalAssetsBOY |
| Total Assets EOY | 321503562 | TotalAssetsEOY |
| Total Liabilities BOY | 48720992 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 49582770 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 259903523 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 271920792 | NetAssetsOrFundBalancesEOY |
| Mission Description | Johnston memorial hospital, inc. IS COMMITTED TO BRINGING LOVING CARE TO HEALTH CARE. WE EXIST TO IDENTIFY AND RESPOND TO THE HEALTH CARE NEEDS OF INDIVIDUALS AND COMMUNITIES IN OUR REGION AND TO ASSIST THEM IN ATTAINING THEIR HIGHEST POSSIBLE LEVEL OF HEALTH. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 78622660 | Expense |
| Grants | 88355 | Grants |
| Revenue | 105286010 | Revenue |
| Description | Johnston Memorial Hospital ("hospital") is a tax-exempt community-based hospital, which is committed to Bringing Loving Care to Health Care. We exist to identify and respond to the healthcare needs of individuals and communities in our region and to assist them in attaining their highest possible level of health. Team Members of Johnston Memorial Hospital recognize a core set of values to help assure our patients receive high quality and compassionate care at a reasonable cost. These values are:- Integrity - honesty in everything we do- Service - with caring and compassion- Leadership - with creativity and innovation- Excellence - always pursuing a higher standardIn fiscal year 2010, Johnston Memorial Hospital provided patient care to over 5,883 In-Patients, representing 22,427 Inpatient days and 1,311 Newborn Days. We also provided outpatient services to over 154,021 patients. Care given to Medicare and Medicaid patients make up approximately 67% of the hospital's total patient revenue.Community Health Education and other Community SupportRecognizing our mission to the community in the area of healthcare education, Johnston Memorial Hospital and its team members offer many free programs throughout the year aimed at improving community health. We offered the following educational classes and programs:- Ongoing Cancer Education Classes- Ongoing Diabetes Education- Advanced Cardiac Life Support Certification Course- Pediatric Advanced Life Support Certification Course- Cardio Pulmonary Resuscitation Certification Course- Total Joint Classes- Baby on the Way, Breastfeeding, Parenting Courses- Annual Baby Fair- Prostate Cancer Screening- AED Training and Education- Diabetes Education Health Fair- Heart Saver First Aid Classes for Day Care, schools, churches, etc.- Monthly Lunch and Learn at local recreation center- Healthy Cooking Demonstration- Annual Sports Physicals for local high schoolsWe sponsored or assisted local support groups in the following programs:- Heart-to-Heart Educational Support Group- Cancer Education Support Group- Diabetes Education Support Group- Resolve Through Sharing Support Group - for those grieving the loss of newborns- Annual Asthma Camp- Ladies Night Out (Breast Cancer Awareness Event)Johnston Memorial Hospital recognizes the importance of healthcare educational programs toward providing quality healthcare to our communities. In fiscal year 2010, we supported a nursing instructor position at the local community college to assist in maintaining and developing the nursing program. In addition, we provided a clinical setting for many students training in health related programs such as registered nursing, licensed practical nursing, radiology, lab, and respiratory. Johnston Memorial Hospital also recognizes the importance of supporting our not-for-profit community based organizations in fundraising and other events. The hospital and our employees contributed over $150,000 in cash and in-kind contributions to our community in fiscal year 2009 to such organizations as the American Lung Association, March of Dimes, United Way, Relay for Life Cancer Fundraiser, and many others. | Description |
| Total Program Service Expense | 78622660 | 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 |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 153 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 902 | 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 |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | VA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Sean McMurray | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2766767000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 351 Court Street NE | AddressLine1 |
| City | Abingdon | City |
| State | VA | State |
| ZIP Code | 24210 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (24 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 |
|---|---|---|---|---|---|---|---|
| barbara allen | |||||||
| trustee | 1.00 | X | 0 | 0 | 0 | ||
| Paul armstrong md | |||||||
| trustee | 1.00 | X | 0 | 369612 | 21562 | ||
| otey dudley | |||||||
| board vice-president | 1.00 | X | 0 | 0 | 0 | ||
| W Hugh Ferguson | |||||||
| board secretary | 1.00 | X | 0 | 0 | 0 | ||
| Ann Fleming | |||||||
| trustee/MSHA SVP | 1.00 | X | 0 | 427191 | 59477 | ||
| J Thomas Fowlkes | |||||||
| board president | 1.00 | X | 0 | 0 | 0 | ||
| Don Jeanes | |||||||
| trustee | 1.00 | X | 0 | 0 | 0 | ||
| Karl Kindig | |||||||
| trustee | 1.00 | X | 0 | 0 | 0 | ||
| Brendan Mcsheehy | |||||||
| trustee | 1.00 | X | 0 | 0 | 0 | ||
| emory robinette MD | |||||||
| trustee | 1.00 | X | 15000 | 0 | 0 | ||
| Mary Russell | |||||||
| trustee | 1.00 | X | 0 | 0 | 0 | ||
| Mike Spiegler | |||||||
| board treasurer | 1.00 | X | 0 | 0 | 0 | ||
| Laramie Triplett MD | |||||||
| trustee | 1.00 | X | 0 | 189220 | 4635 | ||
| William Walker MD | |||||||
| trustee | 1.00 | X | 0 | 577986 | 1928 | ||
| Chris Walters | |||||||
| trustee | 1.00 | X | 0 | 0 | 0 | ||
| Sean S McMurray | |||||||
| Chief Executive Officer | 55.00 | 77198 | 175199 | 23324 | X | ||
| Timothy G Evans | |||||||
| Chief Financial Officer | 55.00 | 47372 | 111791 | 9257 | X | ||
| Stephen K Givens | |||||||
| Chief Operating Officer | 55.00 | 52905 | 123637 | 18828 | X | ||
| Karen Pennington | |||||||
| Chief Nursing Officer | 55.00 | 40137 | 88475 | 10916 | X | ||
| Stephen Blankenship MD | |||||||
| ER Physician | 55.00 | 105926 | 235174 | 19881 | X | ||
| Gaoyong Zhu MD | |||||||
| Internist | 55.00 | 104824 | 182120 | 13584 | X | ||
| Jennifer A Jonkers MD | |||||||
| Pediatric Specialist | 55.00 | 101750 | 169618 | 19734 | X | ||
| John Ray MD | |||||||
| Hospitalist | 55.00 | 101392 | 171648 | 16551 | X | ||
| Damian Sooklal MD | |||||||
| Hospitalist | 55.00 | 102650 | 177517 | 17843 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 749154 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2999188 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 237520 | TotalOtherCompensation |
| Number Individuals GT100 K | 5 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| RJ Griffin & COmpany | |||||
| 800 Mt Vernon Hwy Ste 200 | atlanta | GA | 30328 | construction | 21934874 |
| cardinal health inc | |||||
| po box 402574 | atlanta | GA | 30384 | drugs/medical supplies | 2799208 |
| earl swensson associates | |||||
| PO Box 410628 | nashville | TN | 37241 | Architecture | 2666433 |
| virginia highlands anesthesia | |||||
| po box 1476 | abingdon | VA | 24210 | anesthesia | 2098417 |
| ownens & minor | |||||
| po box 84120 | dallas | TX | 75284 | drugs/medical supplies | 937251 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 22 | NumberOfContractorsGT100K |
| Related Organizations | 36506 | RelatedOrganizations |
| All Other Contributions | 48766 | AllOtherContributions |
| Total Contributions | 85272 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| Net Patient Revenue | 621500 | 105286010 | 105286010 | ||
| Partnership Income | 561000 | 298161 | 13013 | $285,148 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 105584171 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5583552 | TotalRevenueColumn |
| Exclusion | $5,583,552 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 197457 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 117222 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 80235 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 80235 | TotalRevenueColumn |
| Exclusion | $80,235 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 754774 | Securities |
| Other | 10372 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 47829 | Securities |
| Other | 6637 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 706945 | Securities |
| Other | 3735 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 710680 | TotalRevenueColumn |
| Exclusion | $710,680 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| Cafeteria Revenue | 722100 | 185509 | $185,509 |
| medical records | 518210 | 31288 | $31,288 |
| Purchase discounts | 900099 | 23946 | $23,946 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 61141 | TotalRevenueColumn |
| Exclusion | $61,141 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 301884 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 112345794 | TotalRevenueColumn |
| Related Or Exempt Function Income | 105286010 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 13013 | UnrelatedBusinessRevenue |
| Exclusion | $6,961,499 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 88355 | Total |
| Program Services | 88355 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 729065 | Total |
| Management And General | 729065 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36750795 | Total |
| Program Services | 33430180 | ProgramServices |
| Management And General | 3320615 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1240079 | Total |
| Program Services | 1106089 | ProgramServices |
| Management And General | 133990 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3876865 | Total |
| Program Services | 3722821 | ProgramServices |
| Management And General | 154044 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2423322 | Total |
| Program Services | 2395154 | ProgramServices |
| Management And General | 28168 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 82318 | Total |
| Management And General | 82318 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 69309 | Total |
| Management And General | 69309 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 43441 | Total |
| Management And General | 43441 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 131389 | Total |
| Management And General | 131389 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9348481 | Total |
| Program Services | 8503987 | ProgramServices |
| Management And General | 844494 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 244983 | Total |
| Program Services | 196337 | ProgramServices |
| Management And General | 48646 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2405559 | Total |
| Program Services | 1798978 | ProgramServices |
| Management And General | 606581 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 930091 | Total |
| Program Services | 866242 | ProgramServices |
| Management And General | 63849 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2191183 | Total |
| Program Services | 2043244 | ProgramServices |
| Management And General | 147939 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 82823 | Total |
| Program Services | 74243 | ProgramServices |
| Management And General | 8580 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 97602 | Total |
| Program Services | 84226 | ProgramServices |
| Management And General | 13376 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2423189 | Total |
| Management And General | 2423189 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14569725 | Total |
| Program Services | 138724 | ProgramServices |
| Management And General | 14431001 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 472070 | Total |
| Program Services | 8021 | ProgramServices |
| Management And General | 464049 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES & DRUG | 20287464 | 20287464 | |
| Repairs & Maintenance | 2727672 | 2693666 | 34006 |
| Other | 1475162 | 146929 | 1328233 |
| Bad Debt | 905997 | 905997 | |
| Retention and Recruitme | 132003 | 132003 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 103728942 | Total |
| Program Services | 78622660 | ProgramServices |
| Management And General | 25106282 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16299289 | BOY |
| EOY | 10247304 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3110762 | BOY |
| EOY | 1545175 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15959687 | BOY |
| EOY | 18087850 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1704292 | BOY |
| EOY | 1397394 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1402635 | BOY |
| EOY | 3820438 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 972336 | BOY |
| EOY | 974053 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 196285128 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 88465502 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 67487171 | BOY |
| EOY | 107819626 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 72564258 | BOY |
| EOY | 86216282 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61600 | BOY |
| EOY | 35200 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 129062485 | BOY |
| EOY | 91360240 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 308624515 | BOY |
| EOY | 321503562 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14314226 | BOY |
| EOY | 16442094 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16310000 | BOY |
| EOY | 15240000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18096766 | BOY |
| EOY | 17900676 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 48720992 | BOY |
| EOY | 49582770 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 259903523 | BOY |
| EOY | 271920792 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 259903523 | BOY |
| EOY | 271920792 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 308624515 | BOY |
| EOY | 321503562 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5009848 | OtherCostOrOtherBasis |
| Book Value | 5009848 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 50517574 | OtherCostOrOtherBasis |
| Depreciation | 45474745 | Depreciation |
| Book Value | 5042829 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 885909 | OtherCostOrOtherBasis |
| Depreciation | 290533 | Depreciation |
| Book Value | 595376 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 71981970 | OtherCostOrOtherBasis |
| Depreciation | 41283569 | Depreciation |
| Book Value | 30698401 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 67889827 | OtherCostOrOtherBasis |
| Depreciation | 1416655 | Depreciation |
| Book Value | 66473172 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 107819626 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Deferred Charge | 99661 |
| Other Assets | 566417 |
| Due from affiliates | 44023129 |
| bond indenture agreement | 3323716 |
| MSHA 2009 Project FUnd | 43347317 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 91360240 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| capital lease obligations | $16,587,227 |
| medicare and medicaid, net | $1,313,449 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 17900676 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part X: | Identifier |
| Return Reference | Description of Uncertain Tax Positions Under FIN 48: | ReturnReference |
| Explanation | JMH previously adopted the provisions of Financial Accounting Standards Board (FASB) ASC 740, Income Taxes, Relating to Uncertain Tax Positions. ASC 740 provided guidance for how uncertain tax positions should be recognized, measured, presented and disclosed in the consolidated financial statements. ASC 740 requires the evaluation of the 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. JMH has not identified any significant uncertain tax positions at June 30, 2010. | 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 |
| Pcent200 D | X | Pcent200D |
| 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 | 1104716 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1104716 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01070 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 13685296 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7042524 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6642772 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06460 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14790012 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7042524 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7747488 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07530 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 115039 | PersonsServed |
| Total Community Benefit Expense | 115039 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 115039 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 48231 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 48231 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 115039 | PersonsServed |
| Total Community Benefit Expense | 163270 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 163270 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00160 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 115039 | PersonsServed |
| Total Community Benefit Expense | 14953282 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7042524 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7910758 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07690 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 35750 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 35750 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 35750 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 35750 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $1,774,507 | BadDebtExpenseAmount |
| Amount Attributable To | 1064704 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 29255351 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 34110699 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -4855348 | 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 |
Form990 Schedule H Part V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Johnston memorial Hostpital Inc | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 351 Court Street NE | AddressLine1 |
| City | Abingdon | City |
| State | VA | State |
| ZIP Code | 24210 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Annual Community Benefit Expln | 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. jmh, as a member of MSHA, is included in MSHA's report. | AnnualCommunityBenefitExpln |
| Costing Method Used | 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. | CostingMethodUsed |
| Percent Of Total Expense Expln | Part I, Line 7f: Bad Debt expense of $905,997 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. | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | Part III, Line 4: Worksheet A was used for Part III, lines 2 and 3 in determining bad debt at cost. Footnote disclosure from JMH's fiscal year 2010 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 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 and estimated provision for bad debt in the accompanying financial statements."To further explain JMH's reporting of bad debt expense, JMH's financial statement accounts for bad debt expenses in two locations. First, a deduction from revenue line called "Contra-Revenue" contains the majority of JMH's estimated self-pay bad debt. For fiscal year 2010, 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 JMH'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 for each patient. 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. 16% of those patients approved for financial assistance were bad debt transfers. We find it unreasonable to apply either of these percentages to our bad debt population as there are many additional variables that must be considered. 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. | BadDebtFootnote |
| Shortfall As Community Benefit | Part III, Line 8: Medicare allowable costs were reported using JMH's filed Medicare Cost Report (C/R). The C/R uses a cost to charge ratio based on a step down method. In caring for the patient, there are several services that are considered non-allowable such as: transportation of a patient, comfort items to include a television, magazines, or a telephone. Additional non-allowable costs include the recruitment of physicians, physician guarantees and a portion of the Bad Debt (30%) associated with the care of the patient. Medicare losses, including some non-allowable costs, should be counted as a community benefit as this is the cost of care for serving the aging population. As a not-for-profit organization, we exist to identify and respond to the health care needs of the community and the individual while maintaining a high level of health care services without losses. Since losses do occur through the CMS system of reimbursement, these losses are a cost of doing business for our community and should be considered a community benefit. As a participating provider in the Medicare program, JMH is required to provide the full regimen of care for our Medicare population. There are a number of care regimens that are compensated by the Medicare program at levels below our cost. Therefore it is only logical to allow MSHA to report these uncompensated services as a community benefit on this document. By making this change, non-profit providers will be encouraged to sustain important care delivery models for our aging population in spite of the fact it is sometimes economically injurious. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | Part III, Line 9b: JMH follows a strong collection program that communicates financial responsibility to the patient. In routine circumstances when it is determined that a patient has not responded to requests for payment and has not provided information to ascertain ability to pay, an account can be referred to an outside collection agency for collection assistance. JMH ensures that outside collection agencies follow hospital billing and collection guidelines. Once a delinquent patient account has been submitted to an outside 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. | DebtCollectionPolicy |
| Needs Assessment | Part VI, Line 2: JMH is a member of Mountain States Health Alliance (MSHA). During fiscal year 2008 and fiscal year 2009, 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, Government Relations, and Quality departments. The MSHA Steering Committee identified obesity as the health disparity targeted for improvement, including the community served by JMH.During fiscal year 2009, 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 FY10, 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. This arrangement calls for MSHA to provide the initial funding, while ETSU works on research efforts. | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: JMH provides communication of financial assistance on its website and on posters located in prominent areas of the hospital such as Admitting areas and the Emergency Department. Printed educational materials including financial assistance contact information are also provided in each patient's paperwork. Admitting staff are trained to educate patients on JMH's financial assistance policy. JMH also has financial counselors to provide further information and assistance to JMH patients regarding JMH's financial assistance policy. These counselors also help uninsured patients determine sources of payment for medical bills and help patients determine eligibility for programs such as Medicaid. In addition, JMH contracts with the company MedAssist to work with self-paying patients who have limited financial resources. MedAssist determines a patient's eligibility in medical coverage options and assists with their enrollment. | PatientEducationAssistance |
| Community Information | Part VI, Line 4: JMH is located in abingdon, Washington County, which is in rural Southwest Virginia. The population of Washington County is just over 68,400 and according to the U.S. Census Bureau, the city of abingdon has a population of 8,191. The median age of residents of abingdon is 42.4, which is older than the average age of 36.5 in the United States. Abingdon has a median household income of $33,724, which is significantly below Virginia's median household income. | CommunityInformation |
| Community Building Activities | Part VI, Line 5: 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. | CommunityBuildingActivities |
| Affiliated Health Care System | Part VI, Line 7: JMH is majority owned by Mountain States Health Alliance (MSHA) based in Johnson City, Tennessee. MSHA is integrated both vertically and horizontally and is the largest regional healthcare system with 14 hospitals. MSHA provides care to people in 29 counties in Tennessee, Virginia, Kentucky, and North Carolina. NCH serves as the county's primary health service provider. Patients benefit from JMH's affiliation with a healthcare system where they can be efficiently moved along an integrated, comprehensive continuum of care as their health status dictates. Patients can be moved to the system's flagship facility - Johnson City Medical Center which is a tertiary care facility providing advanced treatment options. | AffiliatedHealthCareSystem |
| Reports Filed With States | VA | ReportsFiledWithStates |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (7 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 | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance |
|---|---|---|---|---|---|---|---|---|---|---|
| BARTER THEatre | ||||||||||
| PO BOX 867 | ABINGDON | VA | 24212 | 546000120 | 501(c)(3) | 20000 | general donation | |||
| VA Foundation for Community College Education | ||||||||||
| 101 N 14th Street 15 Floor | Richmond | VA | 23219 | 237004354 | 501(C)(3) | 10000 | general donation | |||
| William King Museum | ||||||||||
| PO Box 2256 | AbingDON | VA | 24210 | 541144120 | 501(c)(3) | 8000 | Support for the Center for Art and Cultural Heritage | |||
| Washington County Life Saving Crew Inc | ||||||||||
| 237 Park Street SE | AbingDON | VA | 24210 | 541103215 | 501(c)(3) | To restock EMS vehicles | 6211 | FMV | Donation medical supplies | |
| Abingdon Ambulance Service | ||||||||||
| 611 Campus Drive Suite 600 | Abingdon | VA | 24210 | 541061835 | 501(c)(3) | To restock EMS Vehicles | 5469 | FMV | Donation medical supplies | |
| Advance Abingdon | ||||||||||
| PO Box 1537 | ABINGDON | VA | 24212 | 260873176 | 501(c)(3) | 5000 | general donation | |||
| American Cancer Society-Washington | ||||||||||
| PO Box 246 | ABINGDON | VA | 24212 | 237040934 | 501(c)(3) | 5000 | general donation | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 7 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | Schedule I, Part I, Line 2: THE ORGANIZATION HAS GUIDELINES IN PLACE THAT ARE TO BE USED IN REVIEWING THE ELIGIBILITY OF GRANTEES. ALL GRANTS REQUIRE WRITTEN DOCUMENTATION AND APPROPRIATE LEVELS OF APPROVAL. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | X | TravelForCompanions |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | 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 | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Paul armstrong md | |||||||||||||
| 0 | 324002 | 0 | 45610 | 0 | 0 | 0 | 13403 | 0 | 8159 | 0 | 391174 | 0 | 0 |
| Ann Fleming | |||||||||||||
| 0 | 294561 | 0 | 110625 | 0 | 22005 | 0 | 39321 | 0 | 20156 | 0 | 486668 | 0 | 0 |
| Laramie Triplett MD | |||||||||||||
| 0 | 189220 | 0 | 0 | 0 | 0 | 0 | 4635 | 0 | 0 | 0 | 193855 | 0 | 0 |
| William Walker MD | |||||||||||||
| 0 | 549042 | 0 | 27765 | 0 | 1179 | 0 | 0 | 0 | 1928 | 0 | 579914 | 0 | 0 |
| Sean S McMurray | |||||||||||||
| 77198 | 170694 | 0 | 0 | 0 | 4505 | 0 | 16028 | 0 | 7296 | 77198 | 198523 | 0 | 0 |
| Timothy G Evans | |||||||||||||
| 47372 | 104083 | 0 | 0 | 0 | 7708 | 0 | 5646 | 0 | 3611 | 47372 | 121048 | 0 | 0 |
| Stephen K Givens | |||||||||||||
| 52905 | 119891 | 0 | 0 | 0 | 3746 | 2668 | 7498 | 161 | 8501 | 55734 | 139636 | 0 | 0 |
| Stephen Blankenship MD | |||||||||||||
| 105926 | 207628 | 0 | 25756 | 0 | 1790 | 5324 | 6628 | 63 | 7866 | 111313 | 249668 | 0 | 0 |
| Gaoyong Zhu MD | |||||||||||||
| 104824 | 145471 | 0 | 35918 | 0 | 731 | 5244 | 5262 | 161 | 2917 | 110229 | 190299 | 0 | 0 |
| Jennifer A Jonkers MD | |||||||||||||
| 101750 | 131980 | 0 | 35918 | 0 | 1720 | 5115 | 5262 | 63 | 9294 | 106928 | 184174 | 0 | 0 |
| John Ray MD | |||||||||||||
| 101392 | 134079 | 0 | 35918 | 0 | 1651 | 5072 | 5262 | 161 | 6056 | 106625 | 182966 | 0 | 0 |
| Damian Sooklal MD | |||||||||||||
| 102650 | 140376 | 0 | 35918 | 0 | 1223 | 5158 | 5262 | 105 | 7318 | 107913 | 190097 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 1a | JMH pays travel expenses for companions of Board members and executive staff during the annual Board retreat. AN itemized list of expenditures is provided by the hosting resort to JMH for approval and subsequent payment. expenses not incurred for bona fide business purposes are analyzed and reported as prescribed by applicable tax laws. |
| Part I, Line 7 | discretionary bonuses are provided to employees when applicable. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section A, line 3 | the corporation contracted with mountain states health alliance, a 50.1% member, to perform management duties. | |
| Form 990, Part VI, Section A, line 6 | the corporation is organized as a virginia non-stock, nonprofit organization with two members: mountain states health alliance which maintains a 50.1% membership and johnston memorial healthcare foundation which maintains a 49.9% interest. | |
| Form 990, Part VI, Section A, line 7a | mountain states health alliance's board of directors elects the members of the governing body for Jmh. johnston memorial healthcare founation's board of directors elects the members of the governing body for jmh. | |
| Form 990, Part VI, Section A, line 7b | certain decisions of the board of trustees such as, dissolution of the corporation, merger of the corporation, etc., are subject to approval by the membership. Decisions relating to the ordinary course of business are not subject to member approval. | |
| Form 990, Part VI, Section B, line 11 | the form 990, which was prepared by an independent accounting firm, was reviewed by financial management prior to filing. Copies of the return were made available to the board trustees. | |
| Form 990, Part VI, Section B, line 12c | annually, the audit and compliance department provides the policy and conflict of interest disclosure forms to all covered persons. each person is required to provide a completed disclosure form, noting any conflicts of attesting they have "none", and return those to the audit and compliance department. any notes 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 compensation 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. | |
| Part XI, line 2c, | The hospital's audit committee did not change either its oversight process or selection process during the tax year. | audit committee: |
| form 990, part vii, section a, | Hospital board of trustees members, Paul Armstrong, M.d., Ann Fleming, William Walker, m.d. and Laramie Triplett, M.d., have 990 reportable related compensation derived from services they provided to related organizations as employees. They do not receive compensation for services as hospital board trustees. In addition, hospital board of trustees member, Emory Robinette, M.d., has 990 reportable compensation derived from medical services he provided to hospital. He did not receive compensation for services as hospital board trustees. | trustee compensation: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (6 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 |
|---|---|---|---|---|---|---|---|---|---|
| Abingdon Physician Partners | |||||||||
| 351 court street ne | abingdon | VA | 24210 | 205485346 | medical services | VA | 501(c)(3) | Line 11a, I | N/A |
| mountain states health alliance | |||||||||
| 400 n state of franklin road | johnson city | TN | 37604 | 620476282 | hospital | TN | 501(c)(3) | Line 3 | N/A |
| dickenson community hospital | |||||||||
| PO Box 1440 hospital drive | clintwood | VA | 24228 | 770599553 | hospital | VA | 501(c)(3) | Line 3 | N/A |
| smyth county community hospital | |||||||||
| 565 radio hill road | marion | VA | 24354 | 540794913 | hospital | VA | 501(c)(3) | Line 3 | N/A |
| norton community hospital inc | |||||||||
| 100 15th street nw | norton | VA | 24273 | 540566029 | hospital | VA | 501(c)(3) | Line 3 | N/A |
| johnston memorial healthcare foundation inc | |||||||||
| 351 court street ne | abingdon | VA | 24210 | 262870970 | supporting organization | VA | 501(c)(3) | Line 11b, II | N/A |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|
| integrated solutions health network llc | |||||||
| 400 n state of franklin rd | 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 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (8 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 | |||||||||||
| 1640 park avenue | norton | VA | 24273 | 541453810 | medical products | VA | N/A | C | |||
| community physician services corp | |||||||||||
| 100 15th street nw | norton | VA | 24273 | 541641446 | physician services | VA | N/A | C | |||
| southwest community health services | |||||||||||
| po box 880 | marion | VA | 24354 | 541460695 | health services | VA | N/A | C | |||
| blue ridge medical management corporation | |||||||||||
| 1019 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 103 | johnson city | TN | 37064 | 621212286 | durable medical equipment | TN | N/A | C | |||
| mountain states properties | |||||||||||
| 1021 w oakland avenue ste 207 | johnson city | TN | 37604 | 621845895 | property management | TN | N/A | C | |||
| blue ridge physician group | |||||||||||
| 1019 w oakland avenue ste 5 | johnson city | TN | 37604 | 621700412 | healthcare services | TN | N/A | C | |||
| southwest virginia health network inc | |||||||||||
| 351 north court street | abingdon | VA | 24210 | 541717927 | healthcare services | VA | N/A | C | 158892 | 321045 | 1.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | abingdon physician partners | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | B | TransactionType |
| Amount Involved | 3519671 | AmountInvolved |
Comments