Norton Community Hospital: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
Norton Community Hospital (EIN 54-0566029)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-10
IRS object ID
201121309349300712
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-10T07:57:46-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Pershing Yoakley & Associates P CBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1One Cherokee Mills 2220 SutherlandAddressLine1
CityKnoxvilleCity
StateTNState
ZIP Code379192363ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN540566029EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Norton Community Hospital IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNORTNameControl
Phone2766799600Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 15th Street NWAddressLine1
CityNortonCity
StateVAState
ZIP Code24273ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameStephen SawyerName
TitleCFOTitle
Phone2766799600Phone
Date Signed2011-05-06DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone8656730844Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMark LeonardNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1100 15th Street NWAddressLine1
CityNortonCity
StateVAState
ZIP Code24273ZIPCode
FieldValueIRS element (for citing)
Gross Receipts62128144GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitehttp://www.msha.com/nch.cfm?id=885WebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1949YearFormation
State Legal DomicileVAStateLegalDomicile
Activity Or Mission DescriptionPROVISION OF ACUTE CARE MEDICAL SERVICES TO ALL PATIENTS, REGARDLESS OF ABILITY TO PAY.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees770TotalNbrEmployees
Total Nbr Volunteers35TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year5500ContributionsGrantsPriorYear
Contributions Grants Current Year118923ContributionsGrantsCurrentYear
Program Service Revenue Prior Year56408534ProgramServiceRevenuePriorYear
Program Service Revenue CY58985684ProgramServiceRevenueCY
Investment Income Prior Year1489941InvestmentIncomePriorYear
Investment Income Current Year2048073InvestmentIncomeCurrentYear
Other Revenue Prior Year908876OtherRevenuePriorYear
Other Revenue Current Year680398OtherRevenueCurrentYear
Total Revenue Prior Year58812851TotalRevenuePriorYear
Total Revenue Current Year61833078TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year167507GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY117335GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year32901302SalariesEtcPriorYear
Salaries Etc Current Year36827153SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1033TotalFundrsngExpCurrentYear
Other Expense Prior Year25987803OtherExpensePriorYear
Other Expenses Current Year26971793OtherExpensesCurrentYear
Total Expenses Prior Year59056612TotalExpensesPriorYear
Total Expenses Current Year63916281TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-243761RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-2083203RevenuesLessExpensesCY
Total Assets BOY88561455TotalAssetsBOY
Total Assets EOY87020611TotalAssetsEOY
Total Liabilities BOY27715722TotalLiabilitiesBOY
Total Liabilities EOY26240551TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY60845733NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY60780060NetAssetsOrFundBalancesEOY
Mission DescriptionTHE MISSION OF Norton Community Hospital ("NCH") IS TO BE A LEADER IN IMPROVING THE HEALTH AND QUALITY OF LIFE IN THE COMMUNITY. WORKING TOGETHER AS A TEAM DEDICATED TO EXCELLENCE, WE ENDEAVOR TO:- PROVIDE A CONTINUUM OF HIGH QUALITY AND COST EFFECTIVE MEDICAL CARE FOCUSING ON THE NEEDS OF OUR PATIENTS AND THEIR FAMILIES.- CONTINUOUSLY IMPROVE HEALTH CARE IN OUR COMMUNITY THROUGH NEW PROGRAMS, SERVICES, AND TECHNOLOGIES.- FOCUS ON WELLNESS AND PREVENTION THROUGH COMMUNITY EDUCATION AND HEALTH AWARENESS PROGRAMS.- SERVE AS A CENTER FOR THE TRAINING OF AREA HEALTH CARE PROFESSIONALS.- FORGE HEALTHCARE ALLIANCES WITH OUR COMMUNITY IN ORDER TO CONTRIBUTE TO ITS GROWTH AND DEVELOPMENT.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense56034745Expense
Grants117335Grants
Revenue59152768Revenue
DescriptionLocated in the heart of Southwest Virginia and the Appalachian Mountains, Norton Community Hospital Inc., is a not-for-profit, 129-bed, acute-care facility, proudly serving Southwest Virginia and Southeastern Kentucky since 1949. Our Mission is to be a leader in improving the health and quality of life in the community, by working together as a team dedicated to excellence. As the largest healthcare facility in the coalfield region, Norton Community Hospital provides a wide array of services through highly trained physicians and support staff. Norton Community Hospital is a member of the VHHA, the Virginia Hospital and Healthcare Association and is accredited by the American Osteopathic Association.Norton Community Hospital was the first AOA accredited teaching facility in the state of Virginia. The Internal Medicine residents of this program rotate through all areas of medicine, from health maintenance to critical care. The residents assist our physicians in providing quality hands on patient care, through observation, education and by participating in grand rounds. In addition to these services within the hospital setting, the Residents are also exposed to treating patients in an office setting at The Community Clinic (Resident Continuity Clinic) in Wise, VIrginia.To improve access to primary care, Norton Community Hospital, Inc. operates several clinics: Community Physicians-Norton, Community Physicians-Coeburn, Community Physicians-Wise, Community Orthopedics, NorWise OB/GYN, Community Clinic-Wise (Resident Continuity Clinic), OccuMed Health Center and the Wise Professional Office Building which offers Physician Office Space and is home to our comprehensive Home Health Services. Our medical staff consists of over 130 physicians and surgeons with specialty training in: family practice, internal medicine, ear-nose-throat, general surgery, urology, pediatrics, emergency medicine, geriatric medicine, critical care, cardiology, pulmonology, radiology, oncology, neurology, orthopedics, gastroenterology, ophthalmology, obstetrics, gynecology and dentistry. Programs and services include intensive care/critical care/coronary care, 24-hour emergency room services, pediatric care, laser surgery, outpatient surgery, lithotripsy services, home health, hyperbaric medicine, dietary/nutrition support, pharmacy, inpatient and outpatient surgical services, 12-bed Intensive Care Unit, pastoral care, volunteer services, Helping Hands Gift Shop,community outreach and education programs,screening services, and UVA Telemedicine and pain management. Our radiological services include angiography, mammography, ultrasound, stereotactic breast biopsy, nuclear medicine, PET Scans, in-house magnetic resonance imaging unit (MRI), and CT scanner. The Family Birthing Center has six (6) semi-private Gynecological suites and seven (7) LDRP (Labor, Delivery, Recovery, and Postpartum) suites that offer comfort, care, and compassion that is unparalleled in the region. We offer prepared childbirth, parenting, sibling and safe-sitter classes, including education on breastfeeding and women's health. The center also offers a special area for Cesarean Sections and routine gynecological procedures. Our Cardiopulmonary Services department provides an extensive line of cardiac, pulmonary and neuro-diagnostic services. They also provide a comprehensive Sleep Medicine Program as well as an approved site for the Department of Labor's Federal Black Lung Program. The Regional Rehab Center offers occupational therapy, physical therapy, speech therapy, pulmonary rehab, anodyne therapy, cardiac rehabilitation, Cardiopulmonary Rehab, Smoking Cessation classes and Fit-One, a community wellness program. Our 3 year, CARF accredited (Commission on Accreditation of Rehabilitation Facilities), 11-bed Inpatient Rehabilitation unit provides a responsive, caring environment that enhances recovery and speeds the return to normal life for patients suffering from stroke, Parkinson's Disease, polyneuropathy, brain injury and hip fractures.Norton Community Hospital has enabled businesses to lower their medical care costs through our comprehensive occupational medicine program at OccuMed Health Center. OccuMed offers nursing case management, work-related injury treatment and follow-up, pre-employment physicals, drug screenings, vaccinations, work-site safety analysis, general health screenings, OSHA regulation compliance assistance, and industrial rehabilitation. Community Home Care offers durable medical equipment such as lift chairs, motorized scooters, limb braces, diabetic supplies, turbans, and a private fitting room for mastectomy fittings. The Wanda Wampler Center for Women's Health houses our comprehensive women's health services. The center offers Stereotactic Breast Biopsy, Bone Densitometry, and digital Mammography.Norton Community Hospital is also an approved Training Center for the American Heart Association. We provide AHA HeartSaver programs to the community as well as basic and advanced life support courses to members of the medical community.Description
Total Program Service Expense56034745TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096171NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees770NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledVAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Stephen Sawyer CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2766799702TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1100 15th Street NWAddressLine1
CityNortonCity
StateVAState
ZIP Code24273ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Harry Dotson
Treasurer2.00X61100
Robert Leonard
Secretary2.00X1822900
Jim Manicure
Director2.00X1385000
Willie Price Harris
Director2.00X1057200
Buford Sturgill
Director2.00X1407500
William Wampler
Director2.00X640200
Charles Ward
Chairman2.00X1822900
John Wright
Director2.00X000
Ann Fleming
Director2.00X042719159477
Jeff Whitton
Director2.00X024232640452
Marvin Eichorn
Vice-Chairman2.00X0649704213607
James Potter
Director2.00X000
Sandra Brooks md
Director2.00X000
craig james
CEO55.00024892735419X
barbara hale
CFO55.00013570630671X
Sharon Nixon
CNO40.00016060618601X
Brian Farland
pharmacist40.00138401016692X
glynn helbert
pharmacist40.00153497022802X
cindy elkins
pharmacist40.00137675020930X
paula scott
pharmacist40.00151470020962X
valeri colyer
HR Director40.00127075014077X
FieldValueIRS element (for citing)
Total Reportable Comp From Org790086TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1864460TotalReportableCompFrmRltdOrgs
Total Other Compensation493690TotalOtherCompensation
Number Individuals GT100 K7NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Quesenberry's
104 E 19th St NBig Stone GapVA24219construction400934
Crothall Services
955 Chesterbrook BlvdwaynePA19087linen services217579
Securitas Security Services
2840 Electric Road SWRoanokeVA24018security services102378
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Related Organizations6830RelatedOrganizations
Government Grants112093GovernmentGrants
Total Contributions118923TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Patient Services6215005890594458905944
Wellness Programs6219907974079740
FieldValueIRS element (for citing)
Total Program Service Revenue58985684TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2195210TotalRevenueColumn
Exclusion$2,195,210ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real432951Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real147929Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real285022Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column285022TotalRevenueColumn
Exclusion$285,022ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities147137Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-147137Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-147137TotalRevenueColumn
Exclusion-$147,137ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Cafeteria722210184255$184,255
Other operating Rev.621400167084167084
vending72221044037$44,037
FieldValueIRS element (for citing)
Total Other Revenue395376TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column61833078TotalRevenueColumn
Related Or Exempt Function Income59152768RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,561,387ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total117335Total
Program Services117335ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total599042Total
Management And General599042ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total28050871Total
Program Services25910161ProgramServices
Management And General2140710ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1196196Total
Program Services1104908ProgramServices
Management And General91288ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5032498Total
Program Services4889941ProgramServices
Management And General142557ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1948546Total
Program Services1898684ProgramServices
Management And General49862ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total12010Total
Management And General12010ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total344343Total
Program Services58978ProgramServices
Management And General285365ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total87413Total
Program Services26144ProgramServices
Management And General61269ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total49238Total
Management And General49238ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4739794Total
Program Services4204867ProgramServices
Management And General534927ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total154914Total
Program Services128381ProgramServices
Management And General26533ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1781477Total
Program Services1615068ProgramServices
Management And General166409ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total238043Total
Program Services234503ProgramServices
Management And General3540ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1009014Total
Program Services945341ProgramServices
Management And General63673ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total272864Total
Program Services257691ProgramServices
Management And General14140ManagementAndGeneral
Fundraising1033Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total3238Total
Program Services2838ProgramServices
Management And General400ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1059438Total
Program Services102868ProgramServices
Management And General956570ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3125996Total
Program Services1690380ProgramServices
Management And General1435616ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1057835Total
Program Services571889ProgramServices
Management And General485946ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Medical Supplies & Drug8851353883467116682
Repairs & Maintenance1513532148580927723
Other Expenses1457513757907699606
Bad Debt11239271123927
Retention & Recruitment777236032617397

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total12128Total
Program Services12128ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total63916281Total
Program Services56034745ProgramServices
Management And General7880503ManagementAndGeneral
Fundraising1033Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY12878632BOY
EOY637589EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY7367676BOY
EOY6271530EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1060884BOY
EOY1578102EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1403916BOY
EOY1224398EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY461519BOY
EOY506475EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis55619293LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec30522891LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY23518110BOY
EOY25096402EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY4331138BOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY14838532EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY-4942347BOY
EOY-4942347EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY42481927BOY
EOY41809930EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY88561455BOY
EOY87020611EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY12583818BOY
EOY12524479EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY367601BOY
EOY1101554EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY13182550BOY
EOY12546960EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1581753BOY
EOY67558EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY27715722BOY
EOY26240551EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY60760252BOY
EOY60770349EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY85481BOY
EOY9711EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY60845733BOY
EOY60780060EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY88561455BOY
EOY87020611EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2111034OtherCostOrOtherBasis
Book Value2111034BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis28263693OtherCostOrOtherBasis
Depreciation13167342Depreciation
Book Value15096351BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis547718OtherCostOrOtherBasis
Depreciation288616Depreciation
Book Value259102BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis22328282OtherCostOrOtherBasis
Depreciation17066933Depreciation
Book Value5261349BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2368566OtherCostOrOtherBasis
Book Value2368566BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings25096402TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionInvestments in SecuritiesDescription
Book Value14838532BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities14838532TotalOfBookValueSecurities

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
Other Assets829539
Due from affiliates, net15466520
Under Bond Indenture Agreements25513871
FieldValueIRS element (for citing)
Total Book Value Other Assets41809930TotalBookValueOtherAssets

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart X:Identifier
Return ReferenceDescription of Uncertain Tax Positions Under FIN 48:ReturnReference
ExplanationTHE HOSPITAL PREVIOUSLY ADOPTED THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) NO. 740, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. This provision PROVIDES GUIDANCE FOR HOW UNCERTAIN TAX POSITIONS SHOULD BE RECOGNIZED, MEASURED, PRESENTED AND DISCLOSED IN THE CONSOLIDATED FINANCIAL STATEMENTS. FASB 740 REQUIRES THE EVALUATION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN THE COURSE OF PREPARING TAX RETURNS TO DETERMINE WHETHER THE TAX POSITIONS ARE "MORE LIKELY THAN NOT" OF BEING SUSTAINED BY THE APPLICABLE TAX AUTHORITY, INCLUDING RESOLUTION OF ANY APPEALS OR LITIGATION, BASED ON THE TECHNICAL MERITS OF THE POSITION, INCLUDING ADMINISTRATIVE PRACTICES AND PRECEDENTS. THE TAX BENEFIT TO BE RECOGNIZED IS MEASURED AS THE LARGEST AMOUNT OF BENEFIT THAT IS GREATER THAN FIFTY PERCENT LIKELY OF BEING REALIZED UPON ULTIMATE SETTLEMENT WHICH COULD RESULT IN THE HOSPITAL RECORDING A TAX LIABILITY THAT WOULD REDUCE NET ASSETS. TAX POSITIONS NOT DEEMED TO MEET A "MORE LIKELY THAN NOT" THRESHOLD WOULD BE RECORDED AS TAX EXPENSE IN THE CURRENT YEAR. THE HOSPITAL HAS NOT IDENTIFIED ANY SIGNIFICANT UNCERTAIN TAX POSITIONS AT JUNE 30, 2010.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available0ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1409317TotalCommunityBenefitExpense
Net Community Benefit Expense1409317NetCommunityBenefitExpense
Percent Of Total Expense0.02240PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense12222781TotalCommunityBenefitExpense
Direct Offsetting Revenue10600958DirectOffsettingRevenue
Net Community Benefit Expense1621823NetCommunityBenefitExpense
Percent Of Total Expense0.02580PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense13632098TotalCommunityBenefitExpense
Direct Offsetting Revenue10600958DirectOffsettingRevenue
Net Community Benefit Expense3031140NetCommunityBenefitExpense
Percent Of Total Expense0.04820PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense63124TotalCommunityBenefitExpense
Net Community Benefit Expense63124NetCommunityBenefitExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense1192150TotalCommunityBenefitExpense
Direct Offsetting Revenue803882DirectOffsettingRevenue
Net Community Benefit Expense388268NetCommunityBenefitExpense
Percent Of Total Expense0.00620PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense100668TotalCommunityBenefitExpense
Net Community Benefit Expense100668NetCommunityBenefitExpense
Percent Of Total Expense0.00160PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense1355942TotalCommunityBenefitExpense
Direct Offsetting Revenue803882DirectOffsettingRevenue
Net Community Benefit Expense552060NetCommunityBenefitExpense
Percent Of Total Expense0.00880PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense14988040TotalCommunityBenefitExpense
Direct Offsetting Revenue11404840DirectOffsettingRevenue
Net Community Benefit Expense3583200NetCommunityBenefitExpense
Percent Of Total Expense0.05700PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense16667TotalCommunityBuildingExpense
Net Community Building Expense16667NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense16667TotalCommunityBuildingExpense
Net Community Building Expense16667NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$4,571,815BadDebtExpenseAmount
Amount Attributable To2743089AmountAttributableTo
Amount Reimbursed By Medicare14829473AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare14668263CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall161210MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

FieldValueIRS element (for citing)
Business Name Line1Norton Community HospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1100 15th St NW NortonAddressLine1
CityNortonCity
StateVAState
ZIP Code24273ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Annual Community Benefit ExplnPart I, Line 6a: mountain states health alliance (MSHA) prepared an annual written report that describes the organization's programs and services that promote the health of the communities it serves. NCH, as a member of MSHA, is included in MSHA's report.AnnualCommunityBenefitExpln
Costing Method UsedPart 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 ExplnPart I, Line 7f: Bad Debt expense of $1,123,927 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 FootnotePart III, Line 4: Worksheet A was used for Part III, lines 2 and 3 in determining bad debt at cost. Footnote disclosure from NCH's FY10 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 NCH's reporting of bad debt expense, NCH's financial statement accounts for bad debt expenses in two locations. First, a deduction from revenue line called "Contra-Revenue" contains the majority of NCH's estimated self-pay bad debt. For FY10, 95% of total bad debt was moved to this line. This percentage is simply an estimate of what Patient Financial Services anticipates will not be collected after all debt collection efforts have been exhausted. This estimate is based on historical information. The remaining 5% of bad debt is recorded in the expense section appropriately called "Bad Debt". The footnotes to the audited financial statement report the amount of estimated uncollectible self-pay and explains that uncollectible patient acounts receivable estimated reserves are based upon prior collection history for groups of receivables, known collection risks and other environmental factors, including the age of the receivables.Regarding line 3, it is implausible to determine the amount of NCH's bad debt associated with those patients who may have met the criteria set forth in our financial assistance policy without having a completed financial assessment 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 BenefitPart III, Line 8: MEDICARE ALLOWABLE COSTS WERE REPORTED USING NCH'S FILED MEDICARE COST REPORT (C/R). THE C/R USES A COST TO CHARGE RATIO BASED ON A STEP-DOWN ALLOCATION METHODOLOGY. IN CARING FOR THE PATIENT, THERE ARE SEVERAL SERVICES THAT ARE CONSIDERED NON-ALLOWABLE BY CMS SUCH AS: TRANSPORTATION OF A PATIENT, COMFORT ITEMS TO INCLUDE A TELEVISION 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. WHILE NCH DID NOT SUFFER LOSSES DURING FY10 FROM SERVING MEDICARE PATIENTS, WE REALIZE WE ARE AN EXCEPTION.ShortfallAsCommunityBenefit
Debt Collection PolicyPart III, Line 9b: NCH 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. NCH ensures that outside collection agencies follow hospital billing and collection guidelines. Once a delinquent patient account has been submitted to an outside collection agency, it can be retracted if it is later determined that the patient is eligible for financial assistance. All requests for financial assistance must be accompanied by a completed financial assessment form and supporting documentation.DebtCollectionPolicy
Needs AssessmentPart VI, Line 2: NCH is a member of Mountain States Health Alliance (MSHA). During FY08 and FY09, MSHA conducted the largest community health needs assessment in its history in an effort to profile the health of the residents within the local region. The assessment focused on state, regional, and county specific data collection. This assessment also included primary data collected through approximately 50 one-on-one interviews. Those interviewed were individuals from around the region which included local and state government officials, health department representatives, physicians, general public, local industry, civic organizations, education officials, and community resource groups. This information was collected, then analyzed, and a summary of the findings was listed in an effort to obtain a more detailed snapshot specific to each county located throughout the MSHA service area. This information was reviewed by MSHA's Strategic Planning team, Government Relations, and Quality departments. The MSHA Steering Committee identified obesity as the health disparity targeted for improvement, including the community served by NCH.During FY09, MSHA began collaborative efforts with East Tennessee State University's College of Public Health to develop the MSHA-ETSU Obesity Collaborative Committee. The focus of this committee is to pull together many partners and organizations in collaboration to reduce the level of childhood obesity throughout Northeast Tennessee and Southwest Virginia. During 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 AssistancePart VI, Line 3: NCH provides communication of financial assistance on its website and on posters located in prominent areas of the hospital such as Admitting areas 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 NCH's financial assistance policy. NCH also has financial counselors to provide further information and assistance to NCH patients regarding NCH's financial assistance policy. These counselors also help uninsured patients determine sources of payment for medical bills and help patients determine eligibility for programs such as Medicaid. In addition, NCH contracts with the company 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 InformationPart VI, Line 4: NCH is located in Norton, Wise County, which is in rural Southwest Virginia. Wise County has a high rate of individuals who are uninsured. The population of Wise County is just over 41,700 and according to the U.S. Census Bureau, the city of Norton has a population of 3,958. The median age of residents of Norton is 39, which is older than the average age of 36.5 in the United States. Norton has a median household income of $22,788, which is significantly below Virginia's median household income. 35.7% of Norton's children live in poverty compared to 14% statewide.CommunityInformation
Community Building ActivitiesPart 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 SystemPart VI, Line 7: NCH is a 129-bed, acute-care facility operated under the direction of a 13-member Board of Directors primarily comprised of local community residents. NCH is accredited by the American Osteopathic Association. NCH is majority owned by Mountain States Health Alliance (MSHA) based in Johnson City, Tennessee. MSHA 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 NCH's affiliation with a healthcare system where they can be efficiently moved along an integrated, comprehensive continuum of care as their health status dictates. Patients can be moved to the system's flagship facility - Johnson City Medical Center which is a tertiary care facility providing advanced treatment options.AffiliatedHealthCareSystem
Reports Filed With StatesVAReportsFiledWithStates

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
UVA Wise
One College AveWiseVA24293541638774501c316667Scholarships
the Health wagon
119 Number 10 StClinchcoVA24226043739083501c3100000Provide quality health care to the medically underserved
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: Grants are approved by the board of directors. Funding may be provided to local 501(c)(3) organizations whose focus is on health and child safety.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelXFirstClassOrCharterTravel
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Ann Fleming
02945610110625022005039321020156048666800
Jeff Whitton
0166254062980013092019481020971028277800
Marvin Eichorn
042068901713930576220187084026523086331100
craig james
019124605363004051017234018185028434600
barbara hale
01208180392901095905595025076016637700
Sharon Nixon
0780920008251406542012059017920700
Brian Farland
1272260389010786041610125310155093000
glynn helbert
13390201980017615046000182020176299000
cindy elkins
129608038907678041700167600158605000
paula scott
1388630389012218042060167560172432000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 1afirst-class or charter travel is not a covered travel expense for executives; they are limited to business or coach class fares on commercial flights. However, charter travel is available to certain executives, board members, and approved business personnel in limited circumstances deemed to involve business necessity.
Part IIIPART I, LINE 4B: Ann Fleming, Jeff Whitton AND Craig James PARTICIPATED IN A 457 (F) RETIREMENT PLAN PROVIDED BY MOUNTAIN STATES HEALTH ALLIANCE (MSHA). MSHA CONTRIBUTES 10% OF CALENDAR YEAR BASE PAY FOR SENIOR VICE PRESIDENTS AND 5% OF BASE PAY FOR SELECTED VICE PRESIDENTS.Supplemental Information

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, line 6Mountain States Health Alliance is the 50.1% member of Norton Community Hospital, Inc. Norton Community Health foundation is the 49.9% member of Norton Community Hospital, Inc.
Form 990, Part VI, Section A, line 7aThe Mountain States health alliance's board of directors elects the members of the governing body for Norton Community Hospital, Inc. The norton community health foundation's board of directors elects the members of the governing body for norton community hospital, inc.
Form 990, Part VI, Section B, line 11The tax return is prepared by an unrelated, independent accounting firm and then submitted to internal management for internal review. Copies are then provided to the entire Board for Review.
Form 990, Part VI, Section B, line 12cANNUALLY, THE AUDIT AND COMPLIANCE DEPARTMENT PROVIDES THE POLICY AND CONFLICT OF INTEREST DISCLOSURE FORMS TO ALL COVERED PERSONS. EACH PERSON IS REQUIRED TO PROVIDE A COMPLETED DISCLOSURE FORM, NOTING ANY CONFLICTS OR ATTESTING THEY HAVE "NONE", AND RETURN THOSE TO THE AUDIT AND COMPLIANCE DEPARTMENT. ANY NOTED DISCLOSURES ARE FORWARDED TO THE APPROPRIATE MANAGEMENT OR BOARD PERSONNEL TO EVALUATE AND UTILIZE WHEN A TRANSACTION INVOLVING A CONFLICTED PERSON ARISES. ADDITIONALLY, PERSONNEL WHO HAVE A CONFLICT ARISE BETWEEN THE ANNUAL DISTRIBUTION OF THE POLICY AND FORMS ARE REQUIRED TO DISCLOSE THE CONFLICT AND WOULD BE DISCIPLINED IN ANY INSTANCE WHERE THEY HAVE NOT DISCLOSED AND ENGAGE IN A CONFLICTED TRANSACTION.
Form 990, Part VI, Section B, line 15THE COMPENSTATION COMMITTEE, WHICH CONSISTS OF THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS, OBTAINS THE SERVICES OF AN OUTSIDE, INDEPENDENT COMPENSATION CONSULTANT TO PROVIDE THE COMMITTEE WITH RELEVANT MARKET DATA FROM COMPENSATATION SURVEYS AND WITH ADVICE WHEN THE COMMITTEE MAKES RECOMMENDATIONS ON PAY AND BENEFITS FOR THE CEO.
Form 990, Part VI, Section C, line 19THE CONFLICT OF INTEREST POLICY, IN ADDITION TO OTHER GOVERNING POLICIES, IS AVAILABLE UPON REQUEST. ALL CORPORATE POLICIES AND CORPORATE FINANCIAL STATEMENTS ARE ALSO AVAILABLE UPON REQUEST.
Form 990, Part VII, Section A, Director Compensation:Norton Community Hospital, Inc. board of directors member, Marvin Eichorn, is the CFO for the Mountain States Health Alliance system as a whole and receives Form 990 reportable compensation derived from his services as the CFO. He does not receive compensation for services as a Norton Community Hospital, Inc. board member. Norton Community Hospital, Inc. board of directors members, Ann Fleming and Jeff Whitton, are officers of Mountain States Health Alliance and have Form 990 reportable compensation derived from services provided as MSHA officers. They do not receive compensation for services as Norton Community Hospital, Inc. board members.
Form 990, Part IX, Line 2b,CONSOLIDATED AUDITED FINANCIAL STATEMENTS:ALTHOUGH THE ORGANIZATION DOES NOT RECEIVE STAND ALONE GAAP FINANCIAL STATEMENTS IT DOES RECEIVE ON AN ANNUAL BASIS FROM INDEPENDENT AUDITORS CONSOLIDATED ENTITY GAAP FINANCIAL STATEMENTS FOR IT AND ITS AFFILIATES.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1NORTON COMMUNITY PHYsician SERvices LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line196 15th ST NWAddressLine1
CityNORTONCity
StateVAState
ZIP Code24273ZIPCode
FieldValueIRS element (for citing)
EIN260868690EIN
Primary ActivitiesPHYSICIAN SERVICESPrimaryActivities
Legal Domicile StateVALegalDomicileState
Total Income13257989TotalIncome
EOY Assets2383019EOYAssets
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNA
MOUNTAIN STATES HEALTH ALLIANCE
400 N ST OF FRANKLIN ROADJOHNSON CITYTN37604620476282HOSPITALTN501(c)(3)Line 3N/A
DICKENSON COMMUNITY HOSPITAL
ONE HOSPITAL DRIVECLINTWOODVA24228770599553HOSPITALVA501(c)(3)Line 3N/A
JOHNSTON MEMORIAL HOSPITAL
351 COURT STREET NWABINGDONVA24210540544705HOSPITALVA501(c)(3)Line 3N/A
Abingdon Physician Partners
351 Court Street NEAbingdonVA24210205485346Medical ServicesVA501(c)(3)Line 11aN/A
Smyth County Community Hospital
565 Radio Hill RoadMarionVA24354540794913hoSPITALVA501(c)(3)Line 3N/A
Community Healthcare Foundation
100 15th street nwnortonVA24273542002314Support organization to nchVA501(c)(3)Line 11aN/A

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPredominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
Integrated Solutions Health
400 N State of Franklin RoadJohnson CityTN37604621711997Investment CompanyTNN/An/a00
EMMAUS Community Healthcare PLLC
6070 HWY 11EPiney FlatsTN37686200577483Medical ServicesTNN/An/a00

Form990 Schedule R Part IV Form990ScheduleRPartIV (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
COMMUNITY HOME CARE inc
1460 PARK AVENUENORTONVA24273541453810Medical ProductsVAN/AC6492996711581.00000
COMMUNITY PHYSICIAN SERVICES CORP
100 15th ST NWNORTONVA24273541641446Physician ServicesVAN/AC5466099681.00000
SOUTHWEST COMMUNITY HEALTH SERVICES
PO BOX 880MarionVA24354541460695Health ServicesVAN/AC
Blue Ridge Medical Management Corporation
1019 W Oakland Avenue Ste 5Johnson CityTN37604621490616Physician OfficesTNN/AC
Mediserve Medical Equip of Kingsport
1021 W Oakland Avenue STE 103Johnson CityTN37604621212286Durable Medical EquipmentTNN/AC
Health Alliance Physician Hospital Organization
400 N State of Franklin RoadJohnson CityTN37604621544522ManagementTNN/AC
Mountain States Properties
1021 W Oakland Avenue STE 207Johnson CityTN37604621845895Property ManagementTNN/AC
blue ridge physician group
1019 W Oakland Avenue Ste 5Johnson CityTN37604621700412Healthcare servicesTNN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1Community Home Care IncBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeATransactionType
Amount Involved33450AmountInvolved

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