2011-05-16T13:55:48-05:00 2010-06-30 Pershing Yoakley & Associates P C One Cherokee Mills 2220 Sutherland Knoxville TN 379192363 990 2009-07-01 540544705 Johnston Memorial Hospital Inc JOHN 2766767000 351 Court Street NE Abingdon VA 24210 Timothy G Evans 2766767000 2011-05-16 1 DEBORAH O ERNSBERGER 8656730844 2009 2016-02-24 21:20:13Z Timothy G Evans 351 Court Street NE Abingdon VA 24210 112517482 0 X http://www.jmh.org X 1917 VA 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. 15 10 902 188 13013 9468 50918 85272 98318601 105584171 6699371 6294232 353072 382119 105421962 112345794 20000 88355 0 46057010 45020126 0 0 51663294 58620461 97740304 103728942 7681658 8616852 308624515 321503562 48720992 49582770 259903523 271920792 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. 0 0 78622660 88355 105286010 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. 78622660 1 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 153 0 902 1 1 1 0 0 0 0 0 0 0 0 15 10 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 VA X Sean McMurray 2766767000 351 Court Street NE Abingdon VA 24210 barbara allen 1.00 X 0 0 0 Paul armstrong md 1.00 X 0 369612 21562 otey dudley 1.00 X 0 0 0 W Hugh Ferguson 1.00 X 0 0 0 Ann Fleming 1.00 X 0 427191 59477 J Thomas Fowlkes 1.00 X 0 0 0 Don Jeanes 1.00 X 0 0 0 Karl Kindig 1.00 X 0 0 0 Brendan Mcsheehy 1.00 X 0 0 0 emory robinette MD 1.00 X 15000 0 0 Mary Russell 1.00 X 0 0 0 Mike Spiegler 1.00 X 0 0 0 Laramie Triplett MD 1.00 X 0 189220 4635 William Walker MD 1.00 X 0 577986 1928 Chris Walters 1.00 X 0 0 0 Sean S McMurray 55.00 X 77198 175199 23324 Timothy G Evans 55.00 X 47372 111791 9257 Stephen K Givens 55.00 X 52905 123637 18828 Karen Pennington 55.00 X 40137 88475 10916 Stephen Blankenship MD 55.00 X 105926 235174 19881 Gaoyong Zhu MD 55.00 X 104824 182120 13584 Jennifer A Jonkers MD 55.00 X 101750 169618 19734 John Ray MD 55.00 X 101392 171648 16551 Damian Sooklal MD 55.00 X 102650 177517 17843 749154 2999188 237520 5 0 1 0 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 22 36506 48766 85272 Net Patient Revenue 621500 105286010 105286010 Partnership Income 561000 298161 13013 285148 105584171 5583552 5583552 197457 117222 80235 80235 80235 754774 10372 47829 6637 706945 3735 710680 710680 Cafeteria Revenue 722100 185509 185509 medical records 518210 31288 31288 Purchase discounts 900099 23946 23946 61141 61141 301884 112345794 105286010 13013 6961499 88355 88355 729065 729065 36750795 33430180 3320615 1240079 1106089 133990 3876865 3722821 154044 2423322 2395154 28168 82318 82318 69309 69309 43441 43441 131389 131389 9348481 8503987 844494 244983 196337 48646 2405559 1798978 606581 930091 866242 63849 2191183 2043244 147939 82823 74243 8580 97602 84226 13376 2423189 2423189 14569725 138724 14431001 472070 8021 464049 MEDICAL SUPPLIES & DRUG 20287464 20287464 Repairs & Maintenance 2727672 2693666 34006 Other 1475162 146929 1328233 Bad Debt 905997 905997 Retention and Recruitme 132003 132003 103728942 78622660 25106282 0 16299289 10247304 3110762 1545175 15959687 18087850 1704292 1397394 1402635 3820438 972336 974053 196285128 88465502 67487171 107819626 72564258 86216282 61600 35200 129062485 91360240 308624515 321503562 14314226 16442094 16310000 15240000 18096766 17900676 48720992 49582770 X 259903523 271920792 259903523 271920792 308624515 321503562 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5009848 5009848 50517574 45474745 5042829 885909 290533 595376 71981970 41283569 30698401 67889827 1416655 66473172 107819626 Deferred Charge 99661 Other Assets 566417 Due from affiliates 44023129 bond indenture agreement 3323716 MSHA 2009 Project FUnd 43347317 91360240 capital lease obligations 16587227 medicare and medicaid, net 1313449 17900676 Part X: Description of Uncertain Tax Positions Under FIN 48: 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. 1 1 X 1 X 1 X 1 1 1 0 1 0 1104716 0 1104716 0.01070 13685296 7042524 6642772 0.06460 0 0 14790012 7042524 7747488 0.07530 115039 115039 0 115039 0.00110 0 0 0 0 0 0 48231 0 48231 0.00050 115039 163270 163270 0.00160 115039 14953282 7042524 7910758 0.07690 35750 35750 0.00030 35750 35750 0.00030 1 1774507 1064704 29255351 34110699 -4855348 X 1 1 Johnston memorial Hostpital Inc

351 Court Street NE Abingdon VA 24210

X X X 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. 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, 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. 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. Part III, Line 8: Medicare allowable costs were reported using JMH's filed Medicare Cost Report (C/R). The C/R uses a cost to charge ratio based on a step down method. In caring for the patient, there are several services that are considered non-allowable such as: transportation of a patient, comfort items to include a television, magazines, or a telephone. Additional non-allowable costs include the recruitment of physicians, physician guarantees and a portion of the Bad Debt (30%) associated with the care of the patient. Medicare losses, including some non-allowable costs, should be counted as a community benefit as this is the cost of care for serving the aging population. As a not-for-profit organization, we exist to identify and respond to the health care needs of the community and the individual while maintaining a high level of health care services without losses. Since losses do occur through the CMS system of reimbursement, these losses are a cost of doing business for our community and should be considered a community benefit. As a participating provider in the Medicare program, JMH is required to provide the full regimen of care for our Medicare population. There are a number of care regimens that are compensated by the Medicare program at levels below our cost. Therefore it is only logical to allow MSHA to report these uncompensated services as a community benefit on this document. By making this change, non-profit providers will be encouraged to sustain important care delivery models for our aging population in spite of the fact it is sometimes economically injurious. Part III, Line 9b: JMH 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. 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. 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. 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. 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. 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. VA 1 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) 6211 FMV Donation medical supplies To restock EMS vehicles Abingdon Ambulance Service 611 Campus Drive Suite 600 Abingdon VA 24210 541061835 501(c)(3) 5469 FMV Donation medical supplies To restock EMS Vehicles 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 7 0 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: 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. X 1 1 X X X 0 0 0 0 0 0 0 1 0 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 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. 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, audit committee: The hospital's audit committee did not change either its oversight process or selection process during the tax year. form 990, part vii, section a, trustee compensation: 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. 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 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 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 0 1 1 0 0 0 0 0 1 0 0 1 0 1 1 1 0 1 abingdon physician partners B 3519671