2011-05-10T07:57:46-05:00 2010-06-30 Pershing Yoakley & Associates P C One Cherokee Mills 2220 Sutherland Knoxville TN 379192363 990 2009-07-01 540566029 Norton Community Hospital Inc NORT 2766799600 100 15th Street NW Norton VA 24273 Stephen Sawyer 2766799600 2011-05-06 1 8656730844 2009 2016-02-24 21:20:13Z Mark Leonard 100 15th Street NW Norton VA 24273 62128144 0 X http://www.msha.com/nch.cfm?id=885 X 1949 VA PROVISION OF ACUTE CARE MEDICAL SERVICES TO ALL PATIENTS, REGARDLESS OF ABILITY TO PAY. 13 10 770 35 0 0 5500 118923 56408534 58985684 1489941 2048073 908876 680398 58812851 61833078 167507 117335 0 32901302 36827153 0 1033 25987803 26971793 59056612 63916281 -243761 -2083203 88561455 87020611 27715722 26240551 60845733 60780060 THE MISSION OF Norton Community Hospital ("NCH") IS TO BE A LEADER IN IMPROVING THE HEALTH AND QUALITY OF LIFE IN THE COMMUNITY. WORKING TOGETHER AS A TEAM DEDICATED TO EXCELLENCE, WE ENDEAVOR TO:- PROVIDE A CONTINUUM OF HIGH QUALITY AND COST EFFECTIVE MEDICAL CARE FOCUSING ON THE NEEDS OF OUR PATIENTS AND THEIR FAMILIES.- CONTINUOUSLY IMPROVE HEALTH CARE IN OUR COMMUNITY THROUGH NEW PROGRAMS, SERVICES, AND TECHNOLOGIES.- FOCUS ON WELLNESS AND PREVENTION THROUGH COMMUNITY EDUCATION AND HEALTH AWARENESS PROGRAMS.- SERVE AS A CENTER FOR THE TRAINING OF AREA HEALTH CARE PROFESSIONALS.- FORGE HEALTHCARE ALLIANCES WITH OUR COMMUNITY IN ORDER TO CONTRIBUTE TO ITS GROWTH AND DEVELOPMENT. 0 0 56034745 117335 59152768 Located in the heart of Southwest Virginia and the Appalachian Mountains, Norton Community Hospital Inc., is a not-for-profit, 129-bed, acute-care facility, proudly serving Southwest Virginia and Southeastern Kentucky since 1949. Our Mission is to be a leader in improving the health and quality of life in the community, by working together as a team dedicated to excellence. As the largest healthcare facility in the coalfield region, Norton Community Hospital provides a wide array of services through highly trained physicians and support staff. Norton Community Hospital is a member of the VHHA, the Virginia Hospital and Healthcare Association and is accredited by the American Osteopathic Association.Norton Community Hospital was the first AOA accredited teaching facility in the state of Virginia. The Internal Medicine residents of this program rotate through all areas of medicine, from health maintenance to critical care. The residents assist our physicians in providing quality hands on patient care, through observation, education and by participating in grand rounds. In addition to these services within the hospital setting, the Residents are also exposed to treating patients in an office setting at The Community Clinic (Resident Continuity Clinic) in Wise, VIrginia.To improve access to primary care, Norton Community Hospital, Inc. operates several clinics: Community Physicians-Norton, Community Physicians-Coeburn, Community Physicians-Wise, Community Orthopedics, NorWise OB/GYN, Community Clinic-Wise (Resident Continuity Clinic), OccuMed Health Center and the Wise Professional Office Building which offers Physician Office Space and is home to our comprehensive Home Health Services. Our medical staff consists of over 130 physicians and surgeons with specialty training in: family practice, internal medicine, ear-nose-throat, general surgery, urology, pediatrics, emergency medicine, geriatric medicine, critical care, cardiology, pulmonology, radiology, oncology, neurology, orthopedics, gastroenterology, ophthalmology, obstetrics, gynecology and dentistry. Programs and services include intensive care/critical care/coronary care, 24-hour emergency room services, pediatric care, laser surgery, outpatient surgery, lithotripsy services, home health, hyperbaric medicine, dietary/nutrition support, pharmacy, inpatient and outpatient surgical services, 12-bed Intensive Care Unit, pastoral care, volunteer services, Helping Hands Gift Shop,community outreach and education programs,screening services, and UVA Telemedicine and pain management. Our radiological services include angiography, mammography, ultrasound, stereotactic breast biopsy, nuclear medicine, PET Scans, in-house magnetic resonance imaging unit (MRI), and CT scanner. The Family Birthing Center has six (6) semi-private Gynecological suites and seven (7) LDRP (Labor, Delivery, Recovery, and Postpartum) suites that offer comfort, care, and compassion that is unparalleled in the region. We offer prepared childbirth, parenting, sibling and safe-sitter classes, including education on breastfeeding and women's health. The center also offers a special area for Cesarean Sections and routine gynecological procedures. Our Cardiopulmonary Services department provides an extensive line of cardiac, pulmonary and neuro-diagnostic services. They also provide a comprehensive Sleep Medicine Program as well as an approved site for the Department of Labor's Federal Black Lung Program. The Regional Rehab Center offers occupational therapy, physical therapy, speech therapy, pulmonary rehab, anodyne therapy, cardiac rehabilitation, Cardiopulmonary Rehab, Smoking Cessation classes and Fit-One, a community wellness program. Our 3 year, CARF accredited (Commission on Accreditation of Rehabilitation Facilities), 11-bed Inpatient Rehabilitation unit provides a responsive, caring environment that enhances recovery and speeds the return to normal life for patients suffering from stroke, Parkinson's Disease, polyneuropathy, brain injury and hip fractures.Norton Community Hospital has enabled businesses to lower their medical care costs through our comprehensive occupational medicine program at OccuMed Health Center. OccuMed offers nursing case management, work-related injury treatment and follow-up, pre-employment physicals, drug screenings, vaccinations, work-site safety analysis, general health screenings, OSHA regulation compliance assistance, and industrial rehabilitation. Community Home Care offers durable medical equipment such as lift chairs, motorized scooters, limb braces, diabetic supplies, turbans, and a private fitting room for mastectomy fittings. The Wanda Wampler Center for Women's Health houses our comprehensive women's health services. The center offers Stereotactic Breast Biopsy, Bone Densitometry, and digital Mammography.Norton Community Hospital is also an approved Training Center for the American Heart Association. We provide AHA HeartSaver programs to the community as well as basic and advanced life support courses to members of the medical community. 56034745 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 1 1 1 0 0 1 171 0 1 770 1 0 0 0 0 0 0 0 0 0 0 0 13 10 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 VA X Stephen Sawyer CFO 2766799702 100 15th Street NW Norton VA 24273 Harry Dotson 2.00 X 611 0 0 Robert Leonard 2.00 X 18229 0 0 Jim Manicure 2.00 X 13850 0 0 Willie Price Harris 2.00 X 10572 0 0 Buford Sturgill 2.00 X 14075 0 0 William Wampler 2.00 X 6402 0 0 Charles Ward 2.00 X 18229 0 0 John Wright 2.00 X 0 0 0 Ann Fleming 2.00 X 0 427191 59477 Jeff Whitton 2.00 X 0 242326 40452 Marvin Eichorn 2.00 X 0 649704 213607 James Potter 2.00 X 0 0 0 Sandra Brooks md 2.00 X 0 0 0 craig james 55.00 X 0 248927 35419 barbara hale 55.00 X 0 135706 30671 Sharon Nixon 40.00 X 0 160606 18601 Brian Farland 40.00 X 138401 0 16692 glynn helbert 40.00 X 153497 0 22802 cindy elkins 40.00 X 137675 0 20930 paula scott 40.00 X 151470 0 20962 valeri colyer 40.00 X 127075 0 14077 790086 1864460 493690 7 0 1 0 Quesenberry's 104 E 19th St N Big Stone Gap VA 24219 construction 400934 Crothall Services 955 Chesterbrook Blvd wayne PA 19087 linen services 217579 Securitas Security Services 2840 Electric Road SW Roanoke VA 24018 security services 102378 3 6830 112093 118923 Patient Services 621500 58905944 58905944 Wellness Programs 621990 79740 79740 58985684 2195210 2195210 432951 147929 285022 285022 285022 147137 -147137 -147137 -147137 Cafeteria 722210 184255 184255 Other operating Rev. 621400 167084 167084 vending 722210 44037 44037 395376 61833078 59152768 0 2561387 117335 117335 599042 599042 28050871 25910161 2140710 1196196 1104908 91288 5032498 4889941 142557 1948546 1898684 49862 12010 12010 344343 58978 285365 87413 26144 61269 49238 49238 4739794 4204867 534927 154914 128381 26533 1781477 1615068 166409 238043 234503 3540 1009014 945341 63673 272864 257691 14140 1033 3238 2838 400 1059438 102868 956570 3125996 1690380 1435616 1057835 571889 485946 Medical Supplies & Drug 8851353 8834671 16682 Repairs & Maintenance 1513532 1485809 27723 Other Expenses 1457513 757907 699606 Bad Debt 1123927 1123927 Retention & Recruitment 77723 60326 17397 12128 12128 63916281 56034745 7880503 1033 12878632 637589 7367676 6271530 1060884 1578102 1403916 1224398 461519 506475 55619293 30522891 23518110 25096402 4331138 14838532 -4942347 -4942347 42481927 41809930 88561455 87020611 12583818 12524479 367601 1101554 13182550 12546960 1581753 67558 27715722 26240551 X 60760252 60770349 85481 9711 60845733 60780060 88561455 87020611 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2111034 2111034 28263693 13167342 15096351 547718 288616 259102 22328282 17066933 5261349 2368566 2368566 25096402 Investments in Securities 14838532 F 14838532 Other Assets 829539 Due from affiliates, net 15466520 Under Bond Indenture Agreements 25513871 41809930 Part X: Description of Uncertain Tax Positions Under FIN 48: THE HOSPITAL PREVIOUSLY ADOPTED THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) NO. 740, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. This provision PROVIDES GUIDANCE FOR HOW UNCERTAIN TAX POSITIONS SHOULD BE RECOGNIZED, MEASURED, PRESENTED AND DISCLOSED IN THE CONSOLIDATED FINANCIAL STATEMENTS. FASB 740 REQUIRES THE EVALUATION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN THE COURSE OF PREPARING TAX RETURNS TO DETERMINE WHETHER THE TAX POSITIONS ARE "MORE LIKELY THAN NOT" OF BEING SUSTAINED BY THE APPLICABLE TAX AUTHORITY, INCLUDING RESOLUTION OF ANY APPEALS OR LITIGATION, BASED ON THE TECHNICAL MERITS OF THE POSITION, INCLUDING ADMINISTRATIVE PRACTICES AND PRECEDENTS. THE TAX BENEFIT TO BE RECOGNIZED IS MEASURED AS THE LARGEST AMOUNT OF BENEFIT THAT IS GREATER THAN FIFTY PERCENT LIKELY OF BEING REALIZED UPON ULTIMATE SETTLEMENT WHICH COULD RESULT IN THE HOSPITAL RECORDING A TAX LIABILITY THAT WOULD REDUCE NET ASSETS. TAX POSITIONS NOT DEEMED TO MEET A "MORE LIKELY THAN NOT" THRESHOLD WOULD BE RECORDED AS TAX EXPENSE IN THE CURRENT YEAR. THE HOSPITAL HAS NOT IDENTIFIED ANY SIGNIFICANT UNCERTAIN TAX POSITIONS AT JUNE 30, 2010. 1 1 X 1 X 1 X 1 1 1 0 1 0 1409317 1409317 0.02240 12222781 10600958 1621823 0.02580 13632098 10600958 3031140 0.04820 63124 63124 0.00100 1192150 803882 388268 0.00620 100668 100668 0.00160 1355942 803882 552060 0.00880 14988040 11404840 3583200 0.05700 16667 16667 0.00030 16667 16667 0.00030 1 4571815 2743089 14829473 14668263 161210 X 1 1 Norton Community Hospital

100 15th St NW Norton Norton VA 24273

X 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. NCH, as a member of MSHA, is included in MSHA's report. Part I, Line 7: A cost to charge ratio was used to calculate line 7 utilizing the Schedule H applicable worksheets, including Worksheet 2, Ratio of Patient Care Cost to Charges. Part I, 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. Part III, Line 4: Worksheet A was used for Part III, lines 2 and 3 in determining bad debt at cost. Footnote disclosure from NCH's 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. Part III, Line 8: MEDICARE ALLOWABLE COSTS WERE REPORTED USING NCH'S FILED MEDICARE COST REPORT (C/R). THE C/R USES A COST TO CHARGE RATIO BASED ON A STEP-DOWN ALLOCATION METHODOLOGY. IN CARING FOR THE PATIENT, THERE ARE SEVERAL SERVICES THAT ARE CONSIDERED NON-ALLOWABLE 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. Part 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. Part VI, Line 2: NCH is a member of Mountain States Health Alliance (MSHA). During FY08 and FY09, MSHA conducted the largest community health needs assessment in its history in an effort to profile the health of the residents within the local region. The assessment focused on state, regional, and county specific data collection. This assessment also included primary data collected through approximately 50 one-on-one interviews. Those interviewed were individuals from around the region which included local and state government officials, health department representatives, physicians, general public, local industry, civic organizations, education officials, and community resource groups. This information was collected, then analyzed, and a summary of the findings was listed in an effort to obtain a more detailed snapshot specific to each county located throughout the MSHA service area. This information was reviewed by MSHA's Strategic Planning team, 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. Part VI, Line 3: NCH provides communication of financial assistance on its website and on posters located in prominent areas of the hospital such as Admitting areas 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. Part VI, Line 4: NCH is located in Norton, Wise County, which is in rural Southwest Virginia. Wise County has a high rate of individuals who are uninsured. The population of Wise County is just over 41,700 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. 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: 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. VA 1 UVA Wise One College Ave Wise VA 24293 541638774 501c3 16667 Scholarships the Health wagon 119 Number 10 St Clinchco VA 24226 043739083 501c3 100000 Provide quality health care to the medically underserved 2 0 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: Grants are approved by the board of directors. Funding may be provided to local 501(c)(3) organizations whose focus is on health and child safety. X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 Ann Fleming 0 294561 0 110625 0 22005 0 39321 0 20156 0 486668 0 0 Jeff Whitton 0 166254 0 62980 0 13092 0 19481 0 20971 0 282778 0 0 Marvin Eichorn 0 420689 0 171393 0 57622 0 187084 0 26523 0 863311 0 0 craig james 0 191246 0 53630 0 4051 0 17234 0 18185 0 284346 0 0 barbara hale 0 120818 0 3929 0 10959 0 5595 0 25076 0 166377 0 0 Sharon Nixon 0 78092 0 0 0 82514 0 6542 0 12059 0 179207 0 0 Brian Farland 127226 0 389 0 10786 0 4161 0 12531 0 155093 0 0 0 glynn helbert 133902 0 1980 0 17615 0 4600 0 18202 0 176299 0 0 0 cindy elkins 129608 0 389 0 7678 0 4170 0 16760 0 158605 0 0 0 paula scott 138863 0 389 0 12218 0 4206 0 16756 0 172432 0 0 0 Part I, Line 1a first-class or charter travel is not a covered travel expense for executives; they are limited to business or coach class fares on commercial flights. However, charter travel is available to certain executives, board members, and approved business personnel in limited circumstances deemed to involve business necessity. Supplemental Information Part III PART I, LINE 4B: Ann Fleming, Jeff Whitton AND Craig James PARTICIPATED IN A 457 (F) RETIREMENT PLAN PROVIDED BY MOUNTAIN STATES HEALTH ALLIANCE (MSHA). MSHA CONTRIBUTES 10% OF CALENDAR YEAR BASE PAY FOR SENIOR VICE PRESIDENTS AND 5% OF BASE PAY FOR SELECTED VICE PRESIDENTS. Form 990, Part VI, Section A, line 6 Mountain States Health Alliance is the 50.1% member of Norton Community Hospital, Inc. Norton Community Health foundation is the 49.9% member of Norton Community Hospital, Inc. Form 990, Part VI, Section A, line 7a The Mountain States health alliance's board of directors elects the members of the governing body for Norton Community Hospital, Inc. The norton community health foundation's board of directors elects the members of the governing body for norton community hospital, inc. Form 990, Part VI, Section B, line 11 The tax return is prepared by an unrelated, independent accounting firm and then submitted to internal management for internal review. Copies are then provided to the entire Board for Review. Form 990, Part VI, Section B, line 12c ANNUALLY, THE AUDIT AND COMPLIANCE DEPARTMENT PROVIDES THE POLICY AND CONFLICT OF INTEREST DISCLOSURE FORMS TO ALL COVERED PERSONS. EACH PERSON IS REQUIRED TO PROVIDE A COMPLETED DISCLOSURE FORM, NOTING ANY CONFLICTS OR ATTESTING THEY HAVE "NONE", AND RETURN THOSE TO THE AUDIT AND COMPLIANCE DEPARTMENT. ANY NOTED DISCLOSURES ARE FORWARDED TO THE APPROPRIATE MANAGEMENT OR BOARD PERSONNEL TO EVALUATE AND UTILIZE WHEN A TRANSACTION INVOLVING A CONFLICTED PERSON ARISES. ADDITIONALLY, PERSONNEL WHO HAVE A CONFLICT ARISE BETWEEN THE ANNUAL DISTRIBUTION OF THE POLICY AND FORMS ARE REQUIRED TO DISCLOSE THE CONFLICT AND WOULD BE DISCIPLINED IN ANY INSTANCE WHERE THEY HAVE NOT DISCLOSED AND ENGAGE IN A CONFLICTED TRANSACTION. Form 990, Part VI, Section B, line 15 THE 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 19 THE CONFLICT OF INTEREST POLICY, IN ADDITION TO OTHER GOVERNING POLICIES, IS AVAILABLE UPON REQUEST. ALL CORPORATE POLICIES AND CORPORATE FINANCIAL STATEMENTS ARE ALSO AVAILABLE UPON REQUEST. Form 990, Part VII, Section A, Director Compensation: Norton Community Hospital, Inc. board of directors member, Marvin Eichorn, is the CFO for the Mountain States Health Alliance system as a whole and receives Form 990 reportable compensation derived from his services as the CFO. He does not receive compensation for services as a Norton Community Hospital, Inc. board member. Norton Community Hospital, Inc. board of directors members, Ann Fleming and Jeff Whitton, are officers of Mountain States Health Alliance and have Form 990 reportable compensation derived from services provided as MSHA officers. They do not receive compensation for services as Norton Community Hospital, Inc. board members. 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. NORTON COMMUNITY PHYsician SERvices LLC 96 15th ST NW NORTON VA 24273 260868690 PHYSICIAN SERVICES VA 13257989 2383019 N/A MOUNTAIN STATES HEALTH ALLIANCE 400 N ST OF FRANKLIN ROAD JOHNSON CITY TN 37604 620476282 HOSPITAL TN 501(c)(3) Line 3 N/A DICKENSON COMMUNITY HOSPITAL ONE HOSPITAL DRIVE CLINTWOOD VA 24228 770599553 HOSPITAL VA 501(c)(3) Line 3 N/A JOHNSTON MEMORIAL HOSPITAL 351 COURT STREET NW ABINGDON VA 24210 540544705 HOSPITAL VA 501(c)(3) Line 3 N/A Abingdon Physician Partners 351 Court Street NE Abingdon VA 24210 205485346 Medical Services VA 501(c)(3) Line 11a N/A Smyth County Community Hospital 565 Radio Hill Road Marion VA 24354 540794913 hoSPITAL VA 501(c)(3) Line 3 N/A Community Healthcare Foundation 100 15th street nw norton VA 24273 542002314 Support organization to nch VA 501(c)(3) Line 11a N/A Integrated Solutions Health 400 N State of Franklin Road Johnson City TN 37604 621711997 Investment Company TN N/A n/a 0 0 EMMAUS Community Healthcare PLLC 6070 HWY 11E Piney Flats TN 37686 200577483 Medical Services TN N/A n/a 0 0 COMMUNITY HOME CARE inc 1460 PARK AVENUE NORTON VA 24273 541453810 Medical Products VA N/A C 649299 671158 1.00000 COMMUNITY PHYSICIAN SERVICES CORP 100 15th ST NW NORTON VA 24273 541641446 Physician Services VA N/A C 54660 9968 1.00000 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 5 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 37604 621212286 Durable Medical Equipment TN N/A C Health Alliance Physician Hospital Organization 400 N State of Franklin Road Johnson City TN 37604 621544522 Management 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 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 Community Home Care Inc A 33450