Laughlin Memorial Hospital Inc: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: Laughlin Memorial Hospital Inc (EIN 62-0701119)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-10
IRS object ID: 201941309349300739
Schema version: 2017v2.3
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-10T08:46:59-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	620701119	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LAUGHLIN MEMORIAL HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	LAUG	BusinessNameControlTxt
Phone	4233023374	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1021 W OAKLAND AVENUE SUITE 103	AddressLine1Txt
City	JOHNSON CITY	CityNm
State Abbreviation	TN	StateAbbreviationCd
ZIP	37604	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	LINDSAY HAUN	PersonNm
Person Title	LMH CFO	PersonTitleTxt
Phone	4233023374	PhoneNum
Signature	2019-05-10	SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	151.102.241.104	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-05-10	IPDt
IP Tm	08:46:59	IPTm
IP Timezone	CD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	FD0FFD19B9E3749FA0504E1554544FF147349C8C	AtSubmissionCreationDeviceId
At Submission Filing Device Id	39095CF110B0C8EE9B5E629A9826572B753F4624	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	Yes (X)	AddressChangeInd
Principal Officer	CHARLES WHITFIELD LMH CEO	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1420 TUSCULUM BLVD	AddressLine1Txt
City	GREENEVILLE	CityNm
State Abbreviation	TN	StateAbbreviationCd
ZIP	37745	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$67,625,578	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	BALLADHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1966	FormationYr
Legal Domicile State	TN	LegalDomicileStateCd
Activity Or Mission	OUR MISSION: HONOR THOSE WE SERVE BY DELIVERING THE BEST POSSIBLE CARE OUR VISION: TO BUILD A LEGACY OF SUPERIOR HEALTH BY LISTENING TO AND CARING FOR THOSE WE SERVE	ActivityOrMissionDesc
Voting Members Governing Body	21	VotingMembersGoverningBodyCnt
Voting Members Independent	17	VotingMembersIndependentCnt
Total Employee	979	TotalEmployeeCnt
Total Volunteers	53	TotalVolunteersCnt
Total Gross UBI	$23,950	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$20,655	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$206,759	PYContributionsGrantsAmt
CY Contributions Grants	$54,125	CYContributionsGrantsAmt
PY Program Service Revenue	$63,152,246	PYProgramServiceRevenueAmt
CY Program Service Revenue	$64,100,922	CYProgramServiceRevenueAmt
PY Investment Income	$269,092	PYInvestmentIncomeAmt
CY Investment Income	$1,679,331	CYInvestmentIncomeAmt
PY Other Revenue	$759,371	PYOtherRevenueAmt
CY Other Revenue	$784,485	CYOtherRevenueAmt
PY Total Revenue	$64,387,468	PYTotalRevenueAmt
CY Total Revenue	$66,618,863	CYTotalRevenueAmt
CY Grants And Similar Paid	$55,845	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$43,838,627	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$37,356,108	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$340,122	CYTotalFundraisingExpenseAmt
PY Other Expenses	$33,757,396	PYOtherExpensesAmt
CY Other Expenses	$31,734,114	CYOtherExpensesAmt
PY Total Expenses	$77,596,023	PYTotalExpensesAmt
CY Total Expenses	$69,146,067	CYTotalExpensesAmt
PY Revenues Less Expenses	-$13,208,555	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$2,527,204	CYRevenuesLessExpensesAmt
Total Assets BOY	$102,776,886	TotalAssetsBOYAmt
Total Assets EOY	$78,576,820	TotalAssetsEOYAmt
Total Liabilities BOY	$12,487,635	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$12,420,425	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$90,289,251	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$66,156,395	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	HONOR THOSE WE SERVE BY DELIVERING THE BEST POSSIBLE CARE	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$63,161,481	ExpenseAmt
Grant	$55,845	GrantAmt
Revenue	$64,104,622	RevenueAmt
Desc	LAUGHLIN MEMORIAL HOSPITAL (LMH) IS LOCATED IN GREENEVILLE, TENNESSEE. IN ADDITION TO OUR 140-BED ACUTE CARE HOSPITAL, WE OPERATE LAUGHLIN HEALTHCARE CENTER, A 90-BED SKILLED NURSING FACILITY, AND A HOME HEALTH AGENCY. LMH IS ALSO THE SOLE OWNER OF NOLICHUCKEY MANAGEMENT SERVICES, A PHYSICIAN MEDICAL PRACTICE. LAUGHLIN HEALTH CARE FOUNDATION IS A SUPPORTING ORGANIZATION ORGANIZED FOR THE BENEFIT OF LMH. (CONTINUED ON SCHEDULE O) ON JUNE 30, 2017, MOUNTAIN STATES HEALTH ALLIANCE (MSHA) BECAME THE SOLE MEMBER OF LAUGHLIN MEMORIAL HOSPITAL. MOUNTAIN STATES HEALTH ALLIANCE IS A TAX-EXEMPT ENTITY WITH OPERATIONS PRIMARILY LOCATED IN WASHINGTON, SULLIVAN, UNICOI, GREENE, AND CARTER COUNTIES OF TENNESSEE AND SMYTH, WISE, DICKENSON, RUSSELL AND WASHINGTON COUNTIES OF VIRGINIA. OUR HOSPITAL AND MSHA HAVE ENJOYED A DECADES-LONG RELATIONSHIP AND THE MERGER ALLOWS LMH TO EXPAND SERVICES INTO AREAS WHERE THEY ARE MOST NEEDED. LMH REMAINS A SEPARATE LEGAL ENTITY; THUS FILING A SEPARATE FORM 990 RETURN. SHORTLY FOLLOWING LMH'S MERGER WITH MOUNTAIN STATES, THE TWO ORGANIZATIONS OFFICIALLY OPENED A NEW URGENT CARE CENTER IN GREENEVILLE. THE FACILITY'S OPENING REPRESENTS MOUNTAIN STATES' FIRST MAJOR INVESTMENT IN GREENE COUNTY FOLLOWING LMH JOINING MSHA. URGENT CARE PLAYS A VERY IMPORTANT ROLE IN HEALTH CARE. FREQUENTLY, AN ILLNESS OR INJURY MAY OCCUR AFTER PHYSICIAN OFFICES' NORMAL OFFICE HOURS, OR DURING A TIME WHEN A PERSON'S PRIMARY CARE PHYSICIAN DOESN'T HAVE AN AVAILABLE APPOINTMENT. URGENT CARE PROVIDES A COST-EFFECTIVE ALTERNATIVE TO THE EMERGENCY ROOM. PATIENTS CAN WALK INTO AN URGENT CARE CENTER WITHOUT AN APPOINTMENT, QUICKLY SEE A PROVIDER, AND RECEIVE MEDICAL CARE IN A CONVENIENT SETTING. THE URGENT CARE CENTER ALSO SERVES AS LIAISON BETWEEN THE PATIENT AND THEIR PRIMARY CARE PROVIDER BY INFORMING THE PATIENT'S PHYSICIAN THAT THEIR PATIENT IS BEING TREATED AND HOW THE PATIENT WAS TREATED SO THE PATIENT'S PHYSICIAN CAN FOLLOW UP IF NEEDED. THE NEW FACILITY HAS EXTENDED HOURS AND OFFERS URGENT CARE FOR ALL AGES. CARE IS PROVIDED BY PHYSICIANS, PHYSICIAN ASSISTANTS, NURSE PRACTITIONERS, NURSES, RADIOLOGY TECHS AND OTHER MEDICAL PROFESSIONALS. THE CENTER ALSO HAS SEAMLESS CONNECTIVITY TO LAUGHLIN MEMORIAL HOSPITAL AS WELL AS JOHNSON CITY MEDICAL CENTER, MOUNTAIN STATES' FLAGSHIP HOSPITAL, FOR CONDITIONS THAT REQUIRE A HIGHER LEVEL OF CARE. LMH ENGAGES WITH NUMEROUS COMMUNITY GROUPS TO IMPROVE THE OVERALL HEALTH, EDUCATION AND ECONOMY OF THE COMMUNITIES WE SERVE. A FEW OF THE SERVICE LINES UNIQUE TO LMH THAT ARE NOT OFFERED BY ANY OTHER PROVIDER IN THE COMMUNITY INCLUDE A CANCER CARE PROGRAM THAT IS ACCREDITED BY THE AMERICAN COLLEGE OF SURGEON'S COMMISSION ON CANCER, A DEDICATED CARDIAC CATHETERIZATION LAB, RADIATION ONCOLOGY SERVICES, A BARIATRIC SURGERY PROGRAM AND THE AREA'S ONLY DEDICATED WHEELCHAIR CLINIC. LMH ROUTINELY PROVIDES EDUCATIONAL OPPORTUNITIES FOR A LOCAL SENIOR CENTER, THE LOCAL YMCA, THE BOYS AND GIRLS CLUB, AND VARIOUS COMMUNITY AND CIVIC GROUPS. THROUGH FUNDING PROVIDED BY OUR FOUNDATION, WE SPONSOR EVENTS THROUGHOUT THE YEAR TO RAISE FUNDS FOR WORTHY CAUSES SUCH AS SECOND HARVEST FOOD BANK, RAM EYE CLINIC, VARIOUS SUPPORT GROUPS, AND A MEDICATION PROGRAM TO ASSIST WITH FILLING PRESCRIPTIONS FOR DISCHARGED PATIENTS WHO CANNOT AFFORD TO FILL THEIR PRESCRIPTIONS. UTILIZING STAFF MEMBERS, LMH PROMOTED PROPER HAND HYGIENE AT LOCAL SCHOOLS AND A LOCAL PARENTING FAIR, TYPICALLY ATTENDED BY 3,000 - 5,000. DURING THESE EVENTS, HAND SANITIZERS WERE DISTRIBUTED AND GLOGERM WAS UTILIZED TO GRAPHICALLY DEMONSTRATE TO PARTICIPANTS HOW GERMS ARE SPREAD. GLOGERM IS A LOTION OR POWDER THAT LETS STUDENTS AND OTHER PARTICIPANTS SEE HOW MANY "GERMS" ARE LEFT ON THEIR HANDS. USING AN ULTRAVIOLET LIGHT, THE PARTICIPANT IS ABLE TO SEE THE FLUORESCENT "GERMS" REMAINING ON THEIR HANDS AFTER WASHING AS THEY NORMALLY DO. THE HOSPITAL'S PHARMACY PROVIDED THE LOCAL EMS AGENCY WITH IV SETS AT NO CHARGE, A VALUE EXCEEDING 7,000. OUR DIABETES EDUCATOR PRESENTED THREE COMMUNITY PROGRAMS THAT PROVIDED GUIDANCE AND INFORMATIVE MATERIALS TO COMMUNITY MEMBERS REGARDING THE PREVALENCE OF DIABETES, THE RISK FACTORS FOR DIABETES, AND DIABETES PREVENTION AND BASIC CARE. APPROXIMATELY SIXTY COMMUNITY MEMBERS PARTICIPATED. A LMH NURSE EDUCATOR TAUGHT A "HEART SAVER CPR" CLASS AT A LOCAL CHURCH. LMH PROVIDED MANIKINS AND DISPOSABLE SUPPLIES FOR THE CLASS, WHICH WAS PROVIDED FREE OF CHARGE TO PARTICIPANTS, EXCEPT FOR THOSE INDIVIDUALS WANTING AN OFFICIAL AHA CARD ISSUED TO THEM. FOR THOSE NEEDING THE CARD, THE STANDARD FEE FOR THE CARD AND BOOKS WAS ASSESSED. THE HOSPITAL PROVIDES A MEETING SPACE AND FOOD EACH MONTH FOR A LOCAL CANCER SUPPORT GROUP. ON AVERAGE, NINE PEOPLE ATTEND THIS MONTHLY MEETING. THE HOSPITAL OFTEN PROVIDES MEETING SPACE FOR OTHER COMMUNITY GROUPS/CIVIC ORGANIZATIONS AT NO CHARGE. A HOSPITAL DIETITIAN PARTICIPATED IN NUMEROUS EVENTS THROUGHOUT THE YEAR TO PROMOTE HEALTHY EATING/HEALTHY CHOICES. A SAMPLING OF EVENTS: -BARIATRIC SUPPORT GROUP MEETINGS. THE DIETITIAN TEACHES PATIENTS HOW TO PREPARE FOR THEIR SURGERY AND HOW TO MAINTAIN THEIR WEIGHT LOSS POST- SURGERY. SHE PROVIDES INFORMATION ON PROTEIN BARS/POWDERS, VITAMIN AND MINERAL SUPPLEMENTS, DISCUSSES CALORIE-DENSE AND NUTRIENT-DENSE FOODS AND HOW TO AVOID WEIGHT GAIN DURING THE HOLIDAYS. SHE ALSO CONDUCTS A GROCERY STORE TOUR TO EDUCATE PARTICIPANTS ON MAKING HEALTHY CHOICES. DURING FY18, APPROXIMATELY SIXTY-EIGHT PEOPLE ATTENDED THE MEETINGS. -SHE PARTICIPATED IN A LOCAL COMPANY'S EMPLOYEE/SPOUSE HEALTH FAIR AND PROVIDED "LUNCH AND LEARN" EVENTS FOR THE SAME COMPANY. A TOTAL OF 365 PEOPLE ATTENDED. -SHE CONDUCTED "LUNCH AND LEARN" EVENTS FOR THE EMPLOYEES OF THE TOWN OF GREENEVILLE; 30 EMPLOYEES ATTENDED. -THE DIETICIAN PROVIDED EDUCATION TO A LOCAL STROKE SUPPORT GROUP CONCERNING HEALTHY EATING, HOW TO REDUCE SODIUM AND SUGAR INTAKE, HEALTHY DESSERTS AND HEALTHY PICNIC TIPS - 24 PEOPLE ATTENDED THE SESSION. -SHE SPOKE TO A LOCAL CIVIC CLUB ABOUT PRE-DIABETES/DIABETES AND HEALTHY EATING. LMH TEAM MEMBERS FROM THE RADIATION ONCOLOGY DEPARTMENT PARTICIPATED IN NUMEROUS EDUCATION/SUPPORT OPPORTUNITIES THROUGHOUT THE YEAR. THE FOLLOWING IS A PARTIAL LIST OF ACTIVITIES DURING FY18: -WITH FUNDING PROVIDED BY OUR FOUNDATION, TRANSPORTATION ASSISTANCE WAS PROVIDED FOR LOW INCOME RADIATION ONCOLOGY PATIENTS. -WITH FUNDING PROVIDED BY OUR FOUNDATION, THE DEPARTMENT WAS ABLE TO PROVIDE ASSISTANCE FOR SOME LOW-INCOME PATIENTS' UTILITIES. -THE DEPARTMENT PROVIDED NUTRITION DRINKS AND SUPPLEMENTS TO RADIATION ONCOLOGY PATIENTS. -AN ORAL CANCER SCREENING EVENT OPEN TO THE COMMUNITY WAS HELD. -A COLORECTAL CANCER PREVENTION EDUCATIONAL SESSION FOR MEMBERS OF A LOCAL CHURCH WAS HELD, PARTNERING WITH A LMH ONCOLOGIST. -A PROGRAM WAS OFFERED AT A LOCAL CIVIC CLUB ON THE IMPORTANCE OF PSA SCREENING; A LMH ONCOLOGIST CONDUCTED THE PRESENTATION. END OF LIFE ADVANCE CARE PLANNING WORKSHOPS WERE OFFERED THROUGHOUT THE YEAR TO EDUCATE PATIENTS AND COMMUNITY MEMBERS. THE WORKSHOPS COVERED THE IMPORTANCE OF APPOINTING A HEALTHCARE AGENT, UNDERSTANDING THE VARIOUS FORMS THE STATE OF TENNESSEE PROVIDES (ADVANCED DIRECTIVE FORMS, ETC.), AND PROVIDED OTHER RESOURCES. A LMH CERTIFIED WOUND CARE NURSE ROUTINELY PROVIDES SERVICES AT NO COST TO PATIENTS FOR WOUND CARE, BOTH FOR LMH'S PATIENTS AND FOR PATIENTS THAT CANNOT AFFORD THESE SERVICES WHO HAVE BEEN REFERRED BY THEIR PRIVATE PHYSICIANS. WHEN APPROPRIATE, THE HOSPITAL DISTRIBUTES FREE SAMPLES AND SUPPLIES TO THESE PATIENTS. IN OCTOBER, LMH'S OB DEPARTMENT WAS RECOGNIZED BY THE STATE OF TENNESSEE AS ONE OF SEVEN HOSPITALS STATEWIDE TO RECEIVE THE FIRST EVER "BEST FOR BABIES" AWARD. THIS AWARD CELEBRATES HOSPITALS' EFFORTS TO REDUCE INFANT DEATHS AND GIVE BABIES AND THEIR FAMILIES THE BEST POSSIBLE START. THE "BEST" AWARD STANDS FOR BREASTFEEDING, EARLY ELECTIVE DELIVERY REDUCTION AND SAFE SLEEP FOR TENNESSEE BABIES. OUR OB DEPARTMENT HAD PREVIOUSLY BEEN RECOGNIZED BY CRIBS FOR KIDS AS A GOLD SAFE SLEEP CHAMPION. THIS RECOGNITION WAS A RESULT OF LMH'S COMMITMENT TO COMMUNITY LEADERSHIP FOR BEST PRACTICES AND EDUCATION FOR INFANT SLEEP ACHIEVED THROUGH DEVELOPMENT OF HOSPITAL POLICY, STAFF TRAINING, PARENT EDUCATION, MODELING THROUGH A WEARABLE BLANKET PROGRAM AND AN AFFILIATION WITH THE CRIBS FOR KIDS PROGRAM. FOLLOWING MSHA AND WHS'S MERGER THIS YEAR TO FORM THE BALLAD HEALTH HEALTHCARE SYSTEM, TEAM MEMBERS FROM ALL OF BALLAD HEALTH'S HOSPITALS TRANSITIONED TO STANDARD SCRUB COLORS, WHICH MEANT TEAM MEMBERS' SCRUBS THROUGHOUT OUR MANY HOSPITALS AND CLINICS HAD TO BE REPLACED. A TEAM MEMBER FROM FRANKLIN WOODS COMMUNITY HOSPITAL RECOGNIZED AN OPPORTUNITY TO HELP OTHERS BY ORGANIZING A "SAVE OUR SCRUBS" PROGRAM TO COLLECT USED SCRUBS FOR DONATION TO A GLOBAL CHARITY. THE CHARITY IS A MEDICAL RELIEF ORGANIZATION THAT COLLECTS USED SCRUBS AND DONATES THEM TO HEALTHCARE WORKERS IN RESOURCE-POOR AREAS, INCLUDING COUNTRIES SUCH AS NICARAGUA, GUATEMALA, HAITI AND GUYANA	Desc
Total Program Service Expenses	$63,161,481	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	101	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	979	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	21	GoverningBodyVotingMembersCnt
Independent Voting Member	17	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	LINDSAY HAUN	PersonNm
Phone	4233023374	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1420 TUSCULUM BLVD	AddressLine1Txt
City	GREENEVILLE	CityNm
State Abbreviation	TN	StateAbbreviationCd
ZIP	37745	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
CHARLES WHITFIELD LMH CEO
LMH CEO	44.60	0.40	Yes (X)	Yes (X)	$928,863	$165,025	$25,620
MARVIN EICHORN EVP BALLAD HEALTH
LMH COMM. BR	1.00	54.00	Yes (X)		$0	$749,129	$42,742
MARK PATTERSON MD
LMH COMM BRD	48.00		Yes (X)		$474,964	$0	$19,736
ARTHUR ADAMS
LMH COMM BRD	1.00		Yes (X)		$0	$0	$0
ALAN CORLEY
LMH COMM BRD	1.00		Yes (X)		$0	$0	$0
DOMINICK JACKSON
LMH COMM BRD	1.00		Yes (X)	Yes (X)	$0	$0	$0
CHARLES MONTGOMERY
LMH COMM BRD	1.00		Yes (X)		$0	$0	$0
CRAIG SHEPHERD
LMH COMM BRD	1.00		Yes (X)		$0	$0	$0
CRAIG SCHMALZRIED
LMH COMM BRD	1.00		Yes (X)		$0	$0	$0
BOBBY WELLS
LMH COMM BRD	1.00		Yes (X)		$0	$0	$0
BARBARA ALLEN
BALLAD HEALT	0.10	3.70	Yes (X)	Yes (X)	$0	$0	$0
JULIE BENNETT
BALLAD HEALT	0.10	1.40	Yes (X)		$0	$0	$0
MICHAEL CHRISTIAN
MSHA TREASUR	0.10	3.30	Yes (X)	Yes (X)	$0	$0	$0
ROBERT FEATHERS
MSHA VICE CH	0.10	3.70	Yes (X)	Yes (X)	$0	$0	$0
JOANNE GILMER
MSHA SECRETA	0.10	6.30	Yes (X)	Yes (X)	$0	$0	$0
DAVID GOLDEN
BALLAD HEALT	0.10	2.30	Yes (X)		$0	$0	$0
DAVID LESTER
BH VICE CHAI	0.10	2.90	Yes (X)	Yes (X)	$0	$0	$0
DAVID MAY MD
BALLAD HEALT	0.10	2.90	Yes (X)		$0	$0	$0
BRENDAN MCSHEEHY
MSHA DIRECTO	0.10	4.80	Yes (X)		$0	$0	$0
DAVID MOULTON MD
MSHA DIRECTO	0.10	2.80	Yes (X)		$0	$0	$0
SCOTT NISWONGER
BALLAD HEALT	0.10	1.90	Yes (X)		$0	$0	$0
BRIAN NOLAND
BALLAD HEALT	0.10	1.90	Yes (X)		$0	$0	$0
GARY PEACOCK TREASURER
BALLAD HEALT	0.10	7.00	Yes (X)	Yes (X)	$0	$0	$0
BERT SMITH MD
MSHA DIRECTO	0.10	2.30	Yes (X)		$0	$0	$0
DOUG SPRINGER MD
BALLAD HEALT	0.10	1.70	Yes (X)	Yes (X)	$0	$0	$0
RICK STOREY
MSHA DIRECTO	0.10	2.30	Yes (X)		$0	$0	$0
GRANT SUMMERS
MSHA DIRECTO	0.10	1.80	Yes (X)		$0	$0	$0
CLEM WILKES JR
MSHA PAST CH	0.10	3.30	Yes (X)		$0	$0	$0
KEITH WILSON
BALLAD HEALT	0.10	1.70	Yes (X)		$0	$0	$0
ALAN LEVINE BALLAD HEALTH PRESCEO
BALLAD HEALT	0.10	54.90	Yes (X)	Yes (X)	$0	$0	$0
MARK COMPTON
LMH CFO	45.00			Yes (X)	$281,520	$0	$23,875
LINDSAY HAUN
LMH CFO	45.00			Yes (X)	$0	$52,552	$17,264
BRENDA CANNON LMH CNO
LMH CNO	45.00				$219,103	$0	$21,474	Yes (X)
BILLY PARSLEY MD
PHYSICIAN	40.00				$626,479	$0	$28,381		Yes (X)
RICHARD PECTOL MD
PHYSICIAN	40.00				$587,504	$0	$17,386		Yes (X)
ROBERT NORTHRUP MD
PHYSICIAN	40.00				$466,184	$0	$27,945		Yes (X)
KYLE BOREN MD
PHYSICIAN	45.00				$437,805	$0	$10,491		Yes (X)
NATALIE SCOTT MD
PHYSICIAN	40.00				$344,584	$0	$28,381		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,367,006	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$966,706	TotReportableCompRltdOrgAmt
Total Other Compensation	$263,295	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	33	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
DIVERSIFIED CLINICAL SERVICES INC
PO BOX 551187	JACKSONVILLE	FL	32255	WOUND CARE SVCS	$954,724
HANKINS & WEEMS
PO BOX 520	GREENEVILLE	TN	37744	LANDSCAPING	$597,936
ALIGN MD
5121 MARYLAND WAY STE 300	BRENTWOOD	TN	37027	HOSPITALISTS	$519,580
BRADLEY ARANT BOULT CUMMINGS LLP
PO BOX 340025	NASHVILLE	TN	37203	LEGAL SVCS	$519,327
ANGELICA CORPORATION
PO BOX 535122	ATLANTA	GA	30353	LINEN SVCS	$470,455

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	20	CntrctRcvdGreaterThan100KCnt
Related Organizations	$54,125	RelatedOrganizationsAmt
Total Contributions	$54,125	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE	622110	$63,778,290	$63,778,290
WELLNESS PROGRAMS	622110	$224,008	$224,008
P/S BUSINESS INCOME	541900	$98,624	$98,624

Field	Value	IRS element (for citing)
Total Program Service Revenue	$64,100,922	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$289,470	TotalRevenueColumnAmt
Exclusion	$289,470	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,246,653	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,006,715	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$239,938	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$239,938	TotalRevenueColumnAmt
Exclusion	$239,938	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,386,161	SecuritiesAmt
Other	$3,700	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,386,161	SecuritiesAmt
Other	$3,700	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,389,861	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,700	RelatedOrExemptFuncIncomeAmt
Exclusion	$1,386,161	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA SALES	722514	$374,246	$374,246
GIFT SHOP	453000	$85,295	$85,295
MEDICAL RECORDS COPIES	900099	$15,327	$15,327

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$69,679	TotalRevenueColumnAmt
Unrelated Business Revenue	$23,950	UnrelatedBusinessRevenueAmt
Exclusion	$45,729	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$544,547	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$66,618,863	TotalRevenueColumnAmt
Related Or Exempt Func Income	$64,104,622	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$23,950	UnrelatedBusinessRevenueAmt
Exclusion	$2,436,166	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$55,845	TotalAmt
Program Services	$55,845	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,794,068	TotalAmt
Program Services	$735,432	ProgramServicesAmt
Management And General	$1,058,636	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$27,663,784	TotalAmt
Program Services	$27,127,200	ProgramServicesAmt
Management And General	$368,549	ManagementAndGeneralAmt
Fundraising	$168,035	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,138,990	TotalAmt
Program Services	$1,087,578	ProgramServicesAmt
Management And General	$44,728	ManagementAndGeneralAmt
Fundraising	$6,684	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,605,292	TotalAmt
Program Services	$4,359,698	ProgramServicesAmt
Management And General	$209,605	ManagementAndGeneralAmt
Fundraising	$35,989	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,153,974	TotalAmt
Program Services	$2,026,996	ProgramServicesAmt
Management And General	$114,597	ManagementAndGeneralAmt
Fundraising	$12,381	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$198,227	TotalAmt
Management And General	$198,227	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$17,841	TotalAmt
Management And General	$17,841	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$55,308	TotalAmt
Management And General	$55,308	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$8,221,290	TotalAmt
Program Services	$5,835,294	ProgramServicesAmt
Management And General	$2,385,996	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$276,425	TotalAmt
Program Services	$34,006	ProgramServicesAmt
Management And General	$130,999	ManagementAndGeneralAmt
Fundraising	$111,420	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$582,665	TotalAmt
Program Services	$561,982	ProgramServicesAmt
Management And General	$20,683	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,458,284	TotalAmt
Program Services	$980,826	ProgramServicesAmt
Management And General	$477,458	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$43,522	TotalAmt
Program Services	$43,522	ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$90,755	TotalAmt
Program Services	$83,045	ProgramServicesAmt
Management And General	$7,318	ManagementAndGeneralAmt
Fundraising	$392	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$19,447	TotalAmt
Management And General	$19,447	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,904,096	TotalAmt
Program Services	$3,824,039	ProgramServicesAmt
Management And General	$80,030	ManagementAndGeneralAmt
Fundraising	$27	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$363,781	TotalAmt
Program Services	$337,726	ProgramServicesAmt
Management And General	$26,055	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	FundraisingFundraisingAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES AND DRUG	$11,974,663	$11,973,703	$960
REPAIRS AND MAINTENANCE	$3,664,630	$3,532,282	$3,474	$128,874
DUES & SUBSCRIPTIONS	$163,370	$102,071		$61,299
RETENTION & RECRUITMENT	$107,131	$7,577		$99,554

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$592,679	TotalAmt
Program Services	$452,659	ProgramServicesAmt
Management And General	$139,260	ManagementAndGeneralAmt
Fundraising	$760	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$69,146,067	TotalAmt
Program Services	$63,161,481	ProgramServicesAmt
Management And General	$5,644,464	ManagementAndGeneralAmt
Fundraising	$340,122	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$671,943	BOYAmt
EOY	$1,887,366	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
EOY	$156,959	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$10,133,069	BOYAmt
EOY	$13,790,403	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$250,081	BOYAmt
EOY	$168,567	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,632,979	BOYAmt
EOY	$2,533,612	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,288,318	BOYAmt
EOY	$1,117,964	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$32,225,788	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$3,207,815	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$60,113,615	BOYAmt
EOY	$29,017,973	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$24,934,767	BOYAmt
EOY	$15,121,054	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
EOY	$1,554,840	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,752,114	BOYAmt
EOY	$13,228,082	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$102,776,886	BOYAmt
EOY	$78,576,820	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$7,222,398	BOYAmt
EOY	$7,151,663	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
EOY	$297,513	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$880,969	BOYAmt
EOY	$325,613	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,384,268	BOYAmt
EOY	$4,645,636	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$12,487,635	BOYAmt
EOY	$12,420,425	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$89,650,656	BOYAmt
EOY	$65,517,800	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$638,595	BOYAmt
EOY	$638,595	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$90,289,251	BOYAmt
EOY	$66,156,395	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$102,776,886	BOYAmt
EOY	$78,576,820	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$2,527,204	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$906,404	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	$8,907,323	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$29,606,571	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$1,794	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$1,794	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1	FormAndLineReferenceDesc
Explanation	A PORTION OF DUES PAID TO TENNESSEE HOSPITAL ASSOCIATION IS ATTRIBUTABLE TO DIRECT LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,159,509	OtherCostOrOtherBasisAmt
Book Value	$3,159,509	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$20,630,074	OtherCostOrOtherBasisAmt
Depreciation	$700,436	DepreciationAmt
Book Value	$19,929,638	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,668,777	OtherCostOrOtherBasisAmt
Depreciation	$2,156,863	DepreciationAmt
Book Value	$4,511,914	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,767,428	OtherCostOrOtherBasisAmt
Depreciation	$350,516	DepreciationAmt
Book Value	$1,416,912	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$29,017,973	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM SUBSIDIARY	$11,600,085
LONG TERM COMPENSATION INVESTMENT	$1,104,833
ASSETS WHOSE USE IS LIMITED	$523,164

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$13,228,082	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
DUE TO THIRD PARTY PAYORS	$4,417,600
PROFESSIONAL LIABILITY RESERVE	$228,036

Field	Value	IRS element (for citing)
Total Liability	$4,645,636	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PAGE 3, PART X	FormAndLineReferenceDesc
Explanation	"BALLAD HEALTH IS CLASSIFIED AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS SUCH, NO PROVISION FOR FEDERAL INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS FOR BALLAD AND ITS TAX-EXEMPT SUBSIDIARIES. BALLAD'S TAXABLE SUBSIDIARIES ARE DISCUSSED IN NOTE L. BALLAD HAS NO SIGNIFICANT UNCERTAIN TAX POSITIONS AT JUNE 30, 2018. AT JUNE 30, 2018, TAX RETURNS FOR MSHA AND WHS FOR 2015 THROUGH 2017 ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE."	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	2.250000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	4.500000000000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$624,015	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$624,015	NetCommunityBenefitExpnsAmt
Total Expense	0.00900	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,700,009	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,000,486	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,699,523	NetCommunityBenefitExpnsAmt
Total Expense	0.03900	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,324,024	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,000,486	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,323,538	NetCommunityBenefitExpnsAmt
Total Expense	0.04810	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$395,186	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,627	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$373,559	NetCommunityBenefitExpnsAmt
Total Expense	0.00540	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,005,378	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$54,203	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,951,175	NetCommunityBenefitExpnsAmt
Total Expense	0.02820	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,750	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$13,750	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,414,314	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$75,830	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,338,484	NetCommunityBenefitExpnsAmt
Total Expense	0.03380	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,738,338	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,076,316	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,662,022	NetCommunityBenefitExpnsAmt
Total Expense	0.08190	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$500	NetCommunityBenefitExpnsAmt

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$500	NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,500	NetCommunityBenefitExpnsAmt

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$500	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,000	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$5,575,884	BadDebtExpenseAmt
Bad Debt Expense Attributable	$2,286,112	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$17,515,255	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$20,791,387	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$3,276,132	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LAUGHLIN MEMORIAL HOSPITAL INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1420 TUSCULUM BLVD	AddressLine1Txt
City	GREENEVILLE	CityNm
State Abbreviation	TN	StateAbbreviationCd
ZIP	37745	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.BALLADHEALTH.ORG	WebsiteAddressTxt
State License	0000000053	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	LAUGHLIN MEMORIAL HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.BALLADHEALTH.ORG	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	false	StrategyPostedWebsiteInd
Strategy Attached	Yes (true)	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	225.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	450.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	BALLADHEALTH.ORG/LOCATIONSHOSPITALS	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	BALLADHEALTH.ORG/LOCATIONSHOSPITALS	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	BALLADHEALTH.ORG/LOCATIONSHOSPITALS	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FACILITY 1, LAUGHLIN MEMORIAL HOSPITAL, INC. - PART V, LINE 3E	IT WAS CHALLENGING FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT COMMITTEE TO IDENTIFY THE TOP TEN HEALTH ISSUES IN OUR AREA DUE TO THE MANY FACTORS CONTRIBUTING TO POOR HEALTH IN OUR AREA. ACCORDING TO DATA FROM NATIONAL, REGIONAL AND COUNTY HEALTH RANKINGS, TOBACCO, OBESITY AND LACK OF PHYSICAL ACTIVITY REMAIN A STRONG CONCERN RELATIVE TO THE HEALTH STATUS OF GREENE COUNTY RESIDENTS. A HARD COPY QUESTIONNAIRE WAS DEVELOPED AND SENT TO OVER 650 COMMUNITY MEMBERS WITH AN EFFORT TO REACH ALL LEVELS OF THE COMMUNITY SOCIAL STRUCTURE TO ENSURE UNDERSERVED AND UNDERPRIVILEGED RESIDENTS WERE INCLUDED IN THE COLLECTION OF HEALTH DATA. SECONDARY DATA CONSISTED OF DEMOGRAPHIC AND HEALTH DATA FOR GREENE COUNTY, THE STATE OF TENNESSEE AND THE NATION. THE COMMITTEE USED A DECISION TREE TO FIRST IDENTIFY TEN HEALTH PRIORITIES. THE DECISION TREE WAS THEN UTILIZED TO DETERMINE WHICH OF THE TEN RECOGNIZED HEALTH NEEDS WOULD BE PRIORITIZED TO THE FINAL FOUR. AN ASSET INVENTORY REPORT WAS DEVELOPED TO LOOK AT PROGRAMS CURRENTLY OFFERED IN THE COMMUNITY, THE CURRENT PROGRAMS THE HOSPITAL OFFERS, AND POTENTIAL PROJECTS THAT COULD BE DEVELOPED IN EACH AREA OF FOCUS. AS EACH OF THE TEN WERE EVALUATED BY THE COMMITTEE, SEVERAL WERE ELIMINATED BECAUSE THERE ARE OTHER ORGANIZATIONS IN THE AREA ADDRESSING THEM. FOR EXAMPLE, DENTAL CARE IS VERY POOR IN GREENE COUNTY. THE PROBLEM APPEARS TO BE THE COSTS ASSOCIATED WITH DENTAL CARE AND/OR AVAILABLE TRANSPORTATION. BECAUSE THE GREENE COUNTY HEALTH DEPARTMENT PROVIDES DENTAL CARE, THE COMMITTEE FELT THE HOSPITAL'S LIMITED RESOURCES SHOULD BE DIRECTED TO OTHER PRIORITIES. LMH OPERATES AT A LOSS SO CAREFUL CONSIDERATION WAS GIVEN TO NARROWING THE FINAL SELECTION TO FOUR HEALTH PRIORITIES: SMOKING AND THE USE OF TOBACCO PRODUCTS PHYSICAL INACTIVITY POOR NUTRITION FOR BOTH ADULTS AND CHILDREN SUBSTANCE ABUSE
FACILITY 1, LAUGHLIN MEMORIAL HOSPITAL, INC. - PART V, LINE 5	LMH CREATED A COMMUNITY HEALTH NEEDS ASSESSMENT COMMITTEE (COMPRISED MOSTLY OF EXTERNAL INDIVIDUALS) TO GUIDE THE NEED'S ASSESSMENT PROCESS. EXTERNAL COMMITTEE MEMBERS RESPRESENTED A RANGE OF LOCAL ORGANIZATIONS THAT SERVE LOW-INCOME POPULATIONS, MEDICALLY UNDERSERVED INDIVIDUALS, MINORITY POPULATIONS, AND POPULATIONS WITH CHRONIC DISEASE NEEDS. EXTERNAL COMMITTEE MEMBERS REPRESENTED THE FOLLOWING ORGANIZATIONS: FOOD BANK OF GREENEVILLE RURAL RESOURCES WESLEY HEIGHTS TABERNACLE SOUP KITCHEN THE HOPE CENTER CITY AND COUNTY SCHOOL SYSTEMS THE COUNTY HEALTH DEPARTMENT FRONTIER HEALTH GREENEVILLE CITY MAYOR GREENE COUNTY MAYOR INTERNAL COMMITTEE MEMBERS INCLUDED LMH'S CEO, RADIOLOGY ONCOLOGY DIRECTOR, AND WELLNESS DIRECTOR. LMH'S PRIMARY SERVICE AREA INCLUDES TAKOMA REGIONAL HOSPITAL SO THE TWO HOSPITALS COMPLETED THE COMMUNITY HEALTH NEEDS ASSESSMENT BY WORKING TOGETHER. TAKOMA REGIONAL HOSPITAL'S COMMITTEE MEMBERS INCLUDED TAKOMA'S SR. VP OF PHYSICIAN SERVICES & MARKETING AND ITS WELLNESS DIRECTOR. THE PUBLIC HEALTH DEPARTMENT OF GREENE COUNTY WAS VERY INVOLVED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. THE COUNTY HEALTH DEPARTMENT PLAYED A KEY ROLE IN OUR CHNA DUE TO THE FACT THAT THEY UNDERTAKE A COMMUNITY HEALTH NEEDS ASSESSMENT PERIODICALLY AND ARE WELL VERSED IN THE PROCESS.
FACILITY 1, LAUGHLIN MEMORIAL HOSPITAL, INC. - PART V, LINE 6A	LAUGHLIN MEMORIAL HOSPITAL'S CHNA WAS CONDUCTED WITH TAKOMA REGIONAL HOSPITAL.
FACILITY 1, LAUGHLIN MEMORIAL HOSPITAL, INC. - PART V, LINE 11	LMH'S FY16 COMMUNITY HEALTH PLAN (IMPLEMENTATION STRATEGY) IDENTIFIED A NUMBER OF TARGETED INTERVENTIONS, MANY THAT ENGAGE VARIOUS COMMUNITY PARTNERS INCLUDING TAKOMA REGIONAL HOSPITAL (TRH), THE OTHER HOSPITAL IN OUR COUNTY THAT CONDUCTED THE CHNA WITH LMH. BELOW ARE PROJECTS FROM LMH'S IMPLEMENTATION STRATEGY: -THE DIABETES COALITION, A LOW-INCOME RESIDENTIAL PROJECT. THE GOAL IS TO PROVIDE A SERIES OF EDUCATIONAL MEETINGS WITH MEALS SERVED. DISCUSSIONS INCLUDE HOW TO AVOID DIABETES AND/OR MANAGE DIABETES. THE PROJECT HELPS FEED AT LEAST 3,500 RESIDENTS ONE FREE MEAL A WEEK. PARTNERS FOR THIS PROJECT INCLUDE LMH AND TRH, GREENE COUNTY DEPARTMENT OF HEALTH, SOME CHURCHES IN THE COMMUNITY, WESLEY HEIGHTS DIABETES COALITION, AND THE TABERNACLE CHURCH LOCATED IN THE WESLEY HEIGHTS COMMUNITY. OUR DIABETES DIRECTOR CONDUCTED OUTREACH EDUCATIONAL SESSIONS DURING THE YEAR. -ADDRESS OBESITY AND INACTIVITY, BOTH OF WHICH ARE MUCH HIGHER IN GREENE COUNTY THAN SEEN IN THE REST OF THE COUNTRY. LMH HAS A ONE-MILE WALKING TRAIL THAT CIRCLES THE HOSPITAL CAMPUS AND OPEN TO ALL COMMUNITY MEMBERS. LMH VOLUNTEERS ARE INVOLVED WITH THIS PROJECT; ENCOURAGING PARTICIPANTS TO WALK, JOG, OR RUN. THE LMH WELLNESS DIRECTOR IS RESPONSIBLE FOR OVERSEEING THIS PROJECT, INCLUDING ENSURING THE UPKEEP OF THE TRAIL IS MAINTAINED. THE HOSPITAL CONTINUES TO OFFER AN EXERCISE PROGRAM FOR COMMUNITY MEMBERS THAT IS WELL-ATTENDED. A HOSPITAL DIETITIAN CONDUCTS NUMEROUS EVENTS DURING THE YEAR TO PROMOTE HEALTHY EATING. -LMH, TRH AND GREENE COUNTY HEALTH DEPARTMENT ARE INVOLVED IN THE HEALTHIER TENNESSEE INITIATIVE, A GENERAL HEALTH PROGRAM THROUGH THE STATE OF TENNESSEE. THE PROGRAM PROMOTES FOOD ACCESS AND PHYSICAL ACTIVITY WITH A TARGETED AUDIENCE OF EMPLOYER WORKFORCES, HEALTHCARE AND THE LOCAL SCHOOL SYSTEM. THE GOAL IS TO INFLUENCE AT LEAST 1,000 PEOPLE'S HEALTH BY ENCOURAGING THEM TO PARTICIPATE IN THE HEALTHIER TENNESSEE PROGRAMS AND PROJECTS. -THE "LET'S MOVE" PROJECT. THIS IS ANOTHER PROGRAM WITH THE AIM OF LOWERING OBESITY AND INACTIVITY. THIS PROGRAM IS DIRECTED TO THE LOCAL CITY AND COUNTY GOVERNMENTS. GOALS INCLUDE IMPROVING NUTRITION AND PHYSICAL ACTIVITY, WHILE DECREASING SCREEN TIME. FOR INSTANCE, SMART FOOD SERVINGS TO STUDENTS; PROMOTING ACTIVE PLAY FOR KIDS; INCREASING THE NUMBER OF VENDING MACHINES THAT OFFER HEALTHIER CHOICES; ENSURING THAT AT LEAST 75% OF CITY AND COUNTY VENUES OFFER FOOD AND BEVERAGES THAT DISPLAY MYPLATE - MYPLATE HELPS US CHOOSE FOODS AND BEVERAGES THAT ARE HEALTHIER AND AVOID FOODS HIGH IN SATURATED FATS, SODIUM, AND ADDED SUGARS; AND, TO PROVIDE ACTIVITIES/EVENTS SUCH AS EXERCISE DEMONSTRATIONS, DISTRIBUTE HEALTH EDUCATIONAL MATERIALS, SCHEDULE GUEST SPEAKERS, AND DEVELOP A LIST OF LOCAL RESOURCES. -TO REDUCE THE INCIDENCE OF CANCER DUE TO SMOKING, THE TOBACCO COALITION OF GREENE COUNTY, PROMOTED THROUGH A GRANT BY THE GREENE COUNTY HEALTH DEPARTMENT, PROVIDED EDUCATION IN A VARIETY OF WAYS TO ENCOURAGE RESIDENTS TO NOT SMOKE. MULTIPLE BILLBOARD CAMPAIGNS ARE CHANGED OUT FROM TIME TO TIME, WITH THE BILLBOARDS DESIGNED TO TARGET SPECIFIC GROUPS: PREGNANT WOMEN, TEENS, OR ADULTS. THE PROJECT ALSO PURCHASED AND DISTRIBUTED IPADS TO ALL CITY AND COUNTY WELLNESS/PHYSICAL EDUCATION TEACHERS TO BE UTILIZED FOR LESSON PLANS AND TEACHING AIDS FOR TOBACCO PREVENTION. OUR RADIATION ONCOLOGY DEPARTMENT OFFERED AN ORAL CANCER SCREENING TO COMMUNITY MEMBERS THIS YEAR. IN ADDITION TO THE ABOVE PROGRAMS, THE HOSPITAL, IN COLLABORATION WITH FRONTIER HEALTH, PROVIDES SUBSTANCE ABUSE EDUCATION AND INFORMATION TO COMMUNITY MEMBERS. FRONTIER HEALTH IS A BEHAVIORAL HEALTH PROVIDER IN NORTHEAST TENNESSEE AND SOUTHWEST VIRGINIA. THE HOSPITAL DOES NOT ENJOY A HEALTHY FINANCIAL BOTTOM LINE. IN FACT, WE REPORTED A SIZEABLE LOSS IN FY18 AND THAT HAS BEEN THE CASE IN PRIOR YEARS AS WELL. WHILE THE HOSPITAL IS COMMITTED TO IMPROVING THE HEALTH OF ITS COMMUNITY MEMBERS, WE RECOGNIZE THAT WE LACK THE RESOURCES TO FULLY ADDRESS THE HEALTH PROBLEMS IN OUR SERVICE AREA. WE WORK CLOSELY WITH OTHER ORGANIZATIONS IN OUR AREA TO TARGET THE MOST URGENT HEALTH NEEDS OF OUR AREA'S CITIZENRY.
FACILITY 1, LAUGHLIN MEMORIAL HOSPITAL, INC. - PART V, LINE 13H	BALLAD HEALTH'S FINANCIAL ASSISTANCE POLICY ALLOWS FOR SOME EXCEPTIONS TO STRICTLY ADHERING TO FEDERAL POVERTY GUIDELINES WHEN AWARDING FINANCIAL ASSISTANCE. UNIQUE CIRCUMSTANCES MAY BE WEIGHED AND ASSESSED FOR FINANCIAL ASSISTANCE CONSIDERATION ON A CASE-BY-CASE BASIS. ALSO, THERE ARE SOME SERVICES WHERE FINANCIAL ASSISTANCE MAY BE PROVIDED OUTSIDE OF FEDERAL POVERTY GUIDELINES. THESE ARE NOTED IN BALLAD HEALTH'S FINANCIAL ASSISTANCE POLICY.

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
LAUGHLIN HEALTHCARE CENTER
801 E MCKEE STREET	GREENEVILLE	TN	37743	NURSING HOME
LAUGHLIN HOME HEALTH
1420 TUSCULUM BLVD	GREENEVILLE	TN	37745	HOME HEALTH AGENCY

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE	FINANCIAL ASSISTANCE APPROVAL CAN APPLY TO AN ASSORTMENT OF PATIENTS SUCH AS THOSE WHO HAVE EXHAUSTED THEIR TENNCARE/MEDICAID BENEFITS, THOSE WHO QUALIFIED FOR TENNCARE/MEDICAID AFTER THE DATE OF SERVICE, DECEASED PATIENTS WITH NO ESTATE OR ASSETS, UNINSURED PATIENTS, AND UNDERINSURED PATIENTS. WHILE BALLAD HEALTH'S QUALIFICATIONS FOR FINANCIAL ASSISTANCE IS BASED ON FEDERAL POVERTY GUIDELINES, ASSET VALUES MAY ALSO BE USED TO DETERMINE ELIGIBILITY. UNIQUE CIRCUMSTANCES MAY BE ASSESSED ON A CASE-BY-CASE BASIS. CHARITY APPROVAL COVERS ALL DATES OF SERVICE FOR THE PATIENT WHEN THEY ARE APPROVED AND THERE IS NO LIMITATION OR CAP ON THE AMOUNT OF CHARITY THAT A PATIENT MAY RECEIVE. BALLAD HEALTH HOSPITALS DO NOT STOP APPROVING FINANCIAL ASSISTANCE FOR PATIENT ACCOUNTS IF A HOSPITAL'S CHARITY WRITE-OFFS EXCEED THE HOSPITAL'S CHARITY BUDGET. ALL BALLAD HEALTH HOSPITALS PROVIDE AN UNINSURED DISCOUNT: LAUGHLIN'S UNINSURED DISCOUNT WAS 67% AT JUNE 30, 2018. IN ADDITION TO THE UNINSURED DISCOUNT, MANY PATIENTS WILL FURTHER QUALIFY FOR ADDITIONAL FINANCIAL ASSISTANCE. ALL PATIENTS SEEKING FINANCIAL ASSISTANCE MUST SUBMIT AN APPLICATION FOR FINANCIAL ASSISTANCE AND SUBMIT DOCUMENTS IN SUPPORT OF THE INFORMATION ON THE APPLICATION, UNLESS SPECIFICALLY EXCLUDED ACCORDING TO OUR POLICY GUIDELINES. MEDICAID ELIGIBLE PATIENTS WILL QUALIFY FOR 100% FINANCIAL ASSISTANCE AND NOT BE REQUIRED TO COMPLETE THE REQUIRED DOCUMENTATION WHEN: A) MEDICAID ELIGIBILITY REQUIREMENTS ARE MET AFTER THE SERVICE IS PROVIDED, B) NON-COVERED CHARGES OCCUR ON A MEDICAID ELIGIBLE ENCOUNTER, OR C) BENEFITS HAVE BEEN EXHAUSTED. DECEASED PATIENTS WITH NO ESTATE ALSO QUALIFY FOR 100% FINANCIAL ASSISTANCE. FINANCIAL ASSISTANCE DETERMINATIONS MAY BE RETROACTIVE FOR ALL OUTSTANDING BALANCES. IN ADDITION, WE HAVE A NUMBER OF PROGRAMS WITH SPECIAL DISCOUNTS SUCH AS LACTATION CONSULTATION SERVICES; ONCOLOGY TREATMENT REGIMENS; ENROLLMENT IN VARIOUS COMMUNITY PROGRAMS, AND PRESCRIPTION DRUGS FILLED POST-DISCHARGE.
PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION	PART I, LINE 7A FINANCIAL ASSISTANCE: A COST TO CHARGE RATIO WAS USED TO COMPUTE THE COST RELATED TO FINANCIAL ASSISTANCE (CHARITY) WRITEOFFS. COSTS REPORTED IN THE OTHER COMMUNITY BENEFIT CATEGORIES WERE NOT INCLUDED WHEN COMPUTING THE COST TO CHARGE RATIO IN ORDER TO AVOID DUPLICATION OF COST. PART I, LINE 7B TENNCARE AND MEDICAID COMMUNITY BENEFIT WAS COMPUTED APPLYING THE COST TO CHARGE RATIO. PART I, LINE 7E COMMUNITY HEALTH IMPROVEMENT: ACTUAL COSTS ASSOCIATED WITH PROGRAMS AND ACTIVITIES WERE USED. COSTS ARE GENERALLY WELL DEFINED FOR COMMUNITY HEALTH IMPROVEMENT ACTIVITIES IN A SPECIFIC COST CENTER (HOSPITAL DEPARTMENT). PART I, LINE 7G SUBSIDIZED HEALTH SERVICES: THE HOSPITAL'S SUBSIDY OF ITS WHOLLY OWNED PHYSICIAN PRACTICE COMPRISED THE SIGNIFICANT MAJORITY OF OUR SUBSIDIZED HEALTH. OUR RURAL AREA IS CONSIDERED A MEDICALLY UNDERSERVED POPULATION, AS REPORTED BY HEALTH RESOURCES & SERVICES ADMINISTRATION, AN AGENCY OF THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE HOSPITAL SUBSIDY OF THE PHYSICIAN CLINIC WAS 1,908,301. THE HOSPITAL COVERS THE LOSS OF THE PRACTICE TO ENSURE PHYSICIANS ARE AVAILABLE IN THE COMMUNITY TO CARE FOR OUR COUNTY'S RESIDENTS. THE OTHER SOURCE OF SUBSIDIZED HEALTH IS OUR CARDIOPULMONARY REHAB CENTER. PART I, LINE 7I: CONTRIBUTIONS DURING FY18 WERE ALL CASH DONATIONS.
PART II - COMMUNITY BUILDING ACTIVITIES	LMH LEADERS SUPPORT AND ENCOURAGE ALL TEAM MEMBERS TO VOLUNTEER TIME, MONEY AND SKILLS TO COMMUNITY SERVICE PROJECTS AND CHARITABLE ORGANIZATIONS. SENIOR LEADERS AND BOARD MEMBERS SET A POSITIVE EXAMPLE FOR LMH TEAM MEMBERS, SERVING VOLUNTARILY ON COMMITTEES AND BOARDS OF LOCAL SERVICE AND NONPROFIT ORGANIZATIONS. SOME ALSO SERVE AS MEMBERS AND CONSULTANTS ON PROFESSIONAL COMMITTEES AND TASK FORCES THAT AFFECT REGIONAL DEVELOPMENT IN HEALTHCARE AND EDUCATION. WE DO NOT CAPTURE COSTS ASSOCIATED WITH TEAM MEMBERS THAT SERVE ON OTHER NONPROFIT BOARDS OR PROVIDE SERVICES TO OTHER NONPROFITS. COMMUNITY BUILDING REPORTED ON THIS RETURN INCLUDES CHARITABLE CONTRIBUTIONS TO NONPROFITS DIRECTED TO PROVIDING ASSISTANCE TO LOW INCOME FAMILIES, MENTORING PROGRAMS FOR CHILDREN, ECONOMIC DEVELOPMENT AND OTHER PROGRAMS SPECIFIC TO CHILDREN. LMH, IN COLLABORATION WITH AREA HEALTH AGENCIES AND PROVIDERS, MAY OFFER ASSISTANCE WITH COORDINATION, ADVOCACY, PROVIDE SPACE, OR CONTRIBUTE SUPPLIES TO SUPPORT GROUPS FOR THEIR PROGRAM ACTIVITIES THAT SERVE TO ASSIST SPECIAL POPULATIONS WITHIN OUR AREA. MOST OF THESE ORGANIZATIONS WORK TO IMPROVE THE LIVES OF COMMUNITY MEMBERS THAT HAVE LIMITED, OR NO, FINANCIAL RESOURCES.
PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY	SELF-PAY BALANCES INCLUDE ACCOUNTS AFTER PAYMENTS AND CONTRACTUAL ADJUSTMENTS (DISCOUNTS) HAVE BEEN APPLIED FROM ALL THIRD-PARTY PAYERS SUCH AS MEDICARE, TENNCARE, COMMERCIAL INSURERS, AND OTHERS - GENERALLY LEAVING THE PATIENT RESPONSIBLE FOR ANY REMAINING DEDUCTIBLE AND/OR CO-PAYMENT. OTHER SELF-PAY ACCOUNTS ARE FROM PATIENTS WITH NO INSURANCE OR OTHER THIRD-PARTY COVERAGE. UNDER BALLAD HEALTH'S SELF-PAY POLICY, ANY PATIENT WHO HAS NO INSURANCE AND IS INELIGIBLE FOR ANY GOVERNMENT ASSISTANCE PROGRAM RECEIVED A 38% DISCOUNT THROUGH FEBRUARY 1, 2018, AT WHICH TIME THE UNINSURED DISCOUNT INCREASED TO 67%. MANY SELF-PAY PATIENTS WILL FURTHER QUALIFY FOR FINANCIAL ASSISTANCE (SOMETIMES REFERRED TO AS CHARITY CARE) IF THEY PROVIDE THE FINANCIAL INFORMATION WE NEED TO DEEM THEM ELIGIBLE. AFTER THE NORMAL COLLECTION PROCESS HAS INDICATED AN ACCOUNT IS UNCOLLECTIBLE, LMH WRITES THE ACCOUNT OFF TO BAD DEBT. THE HOSPITAL'S OVERALL SELF-PAY ACCOUNTS RECEIVABLE BALANCE IS EVALUATED ON AN ONGOING BASIS TO EVALUATE THE AGE OF ACCOUNTS RECEIVABLE, HISTORICAL WRITE-OFFS AND RECOVERIES AND ANY UNUSUAL INSTANCES (SUCH AS LOCAL, REGIONAL OR NATIONAL ECONOMIC CONDITIONS) WHICH AFFECT THE COLLECTIVITY OF RECEIVABLES.
PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE	OUR PRIMARY EXTERNAL COLLECTION AGENCY ESTIMATES THAT 41% OF LMH'S BAD DEBT WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE IF PATIENTS HAD PROVIDED OUR HOSPITAL WITH A FINANCIAL ASSISTANCE APPLICATION AND REQUIRED DOCUMENTATION. THE AGENCY BASED THEIR LIKELY ELIGIBLE FOR CHARITY ASSUMPTION ON INDIVIDUALS WITH A LOW SCORE. AN INDIVIDUAL'S SCORE IS BASED ON AN ALGORITHM THAT INCLUDES DATA POINTS SUCH AS FICO CREDIT SCORE, PROPERTY VALUE, YEARS AT CURRENT RESIDENCE, NUMBER OF TIMES AN INDIVIDUAL HAS MOVED AND AN INDIVIDUAL'S PROPENSITY TO PAY SCORE. JUST UNDER 83% OF COMPLETED FINANCIAL ASSISTANCE APPLICATIONS PROCESSED DURING FY18 RECEIVED A FULL DISCOUNT (COMPLETE WRITE-OFF). AN ADDITIONAL 12% RECEIVED A PARTIAL DISCOUNT, RESULTING IN AN OVERALL APPROVAL RATE OF 95% FOR COMPLETED APPLICATIONS. THEREFORE, ONLY 5% OF COMPLETED FINANCIAL ASSISTANCE APPLICATIONS WERE DENIED. UNFORTUNATELY, MANY PATIENTS EITHER DO NOT SUBMIT AN APPLICATION FOR FINANCIAL ASSISTANCE OR DO NOT PROVIDE A COMPLETE APPLICATION. INCOMPLETE APPLICATIONS ARE RETURNED TO PATIENTS ALONG WITH A NOTICE OF MISSING INFORMATION. THE NOTICE ALSO PROVIDES A CONTACT PHONE NUMBER PATIENTS MAY CALL FOR ASSISTANCE IN COMPLETING THE APPLICATION. ALL SELF-PAY PATIENTS RECEIVE FOLLOW UP CALLS EVERY 21 DAYS FROM A COMPANY LMH PAYS TO PROCESS CHARITY CARE APPLICATIONS FOR UNINSURED PATIENTS AND TO OFFER PATIENTS ENROLLMENT ASSISTANCE IN TENNCARE (TN) OR MEDICAID (VA). OUR FINANCIAL COUNSELORS FOLLOW UP WITH PATIENTS THAT HAVE A BALANCE AFTER INSURANCE HAS PAID. WE HAVE MANY INSTANCES OF PATIENTS WITH LARGE ACCOUNT BALANCES AND NO HEALTH INSURANCE COVERAGE THAT WE BELIEVE WOULD QUALIFY FOR FINANCIAL ASSISTANCE. ALTHOUGH PATIENTS ARE ENCOURAGED TO APPLY FOR ASSISTANCE, MANY WILL NOT DO SO. LMH WOULD PREFER FOR PATIENTS TO SUBMIT COMPLETED FINANCIAL ASSISTANCE APPLICATIONS GIVEN THAT HISTORICAL DATA CLEARLY INDICATES THAT MOST UNINSURED PATIENTS AND MANY UNDERINSURED WILL QUALIFY FOR FINANCIAL ASSISTANCE UNDER OUR PROGRAM. WITHOUT A COMPLETED APPLICATION, WE HAVE NO CHOICE OTHER THAN TO RECORD AN UNPAID ACCOUNT AS BAD DEBT INSTEAD OF CHARITY CARE.
BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS	BALLAD HEALTH'S AUDITED FINANCIAL STATEMENTS INCLUDE A FOOTNOTE ON PAGES 13-14 THAT DESCRIBES BAD DEBT. LMH IS INCLUDED IN THE JUNE 30, 2018 AUDITED FINANCIAL STATEMENTS OF BALLAD HEALTH. THE AUDITED FINANCIAL STATEMENTS ARE FOR THE FIVE MONTHS ENDING AFTER THE FEBRUARY 1, 2018 MERGER OF MOUNTAIN STATES HEALTH ALLIANCE AND WELLMONT HEALTH SYSTEM (ATTACHED).
PART III, LINE 8 - MEDICARE EXPLANATION	MEDICARE ALLOWABLE COSTS ARE REPORTED USING LMH'S FILED MEDICARE COST REPORT (C/R). THE C/R USES A COST TO CHARGE RATIO BASED ON A STEP-DOWN ALLOCATION METHODOLOGY. IN CARING FOR THE PATIENT, THERE ARE SEVERAL SERVICES THAT ARE CONSIDERED NON-ALLOWABLE SUCH AS TRANSPORTATION OF A PATIENT AND COMFORT ITEMS THAT INCLUDE A TELEVISION AND A TELEPHONE. THE RECRUITMENT OF PHYSICIANS ARE NON-ALLOWED COSTS BY THE MEDICARE PROGRAM EVEN THOUGH PHYSICIANS ARE RECRUITED BASED ON DOCUMENTED COMMUNITY NEED AND TO FEDERALLY RECOGNIZED MEDICALLY UNDERSERVED AREAS. A PORTION OF THE BAD DEBT ASSOCIATED WITH THE CARE OF THE PATIENT IS NOT AN ALLOWED COST BY MEDICARE, LEAVING THE HOSPITAL TO ABSORB THE LOSS. MEDICARE LOSSES, INCLUDING SOME NON-ALLOWABLE COSTS SUCH AS THOSE NOTED ABOVE, SHOULD BE COUNTED AS A COMMUNITY BENEFIT AS THIS IS THE COST OF CARE FOR SERVING THE AGING POPULATION. WHILE WE AGREE THAT COSTS SUCH AS MARKETING TO ATTRACT PATIENTS AND LOBBYING ARE REASONABLE TO EXCLUDE, IT DOES NOT SEEM REASONABLE TO EXCLUDE RECRUITMENT OF PHYSICIANS AND BASIC ITEMS SUCH AS A TELEVISION AND PHONE IN PATIENT ROOMS. WE BELIEVE MEDICARE LOSSES SHOULD BE ALLOWED AS A REPORTABLE COMMUNITY BENEFIT, SIMILAR TO GOVERNMENTAL PROGRAMS SUCH AS MEDICAID. AS A PARTICIPATING PROVIDER IN THE MEDICARE PROGRAM, HOSPITALS ARE REQUIRED TO PROVIDE THE FULL REGIMEN OF CARE FOR THE MEDICARE POPULATION. THERE ARE A NUMBER OF CARE REGIMENS THAT ARE COMPENSATED BY THE MEDICARE PROGRAM AT LEVELS BELOW COST. THEREFORE, IT IS ONLY LOGICAL TO ALLOW HOSPITALS TO REPORT THESE UNCOMPENSATED SERVICES AS A COMMUNITY BENEFIT. BY MAKING THIS CHANGE, NONPROFIT PROVIDERS WILL BE ENCOURAGED TO CONTINUE IMPORTANT CARE DELIVERY MODELS FOR OUR AGING POPULATION IN SPITE OF THE FACT IT MAY BE ECONOMICALLY INJURIOUS. OUR HOSPITAL INCURRED A MEDICARE LOSS OF 3.3 MILLION THIS YEAR. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION REQUESTS FOR FINANCIAL ASSISTANCE ARE EVALUATED USING ESTABLISHED GUIDELINES, WHILE ALLOWING FOR UNIQUE FINANCIAL CIRCUMSTANCES - FOR EXAMPLE, MEDICALLY INDIGENT PATIENTS WITH CATASTROPHIC MEDICAL COSTS THAT WOULD THREATEN THE PATIENT'S HOUSEHOLD FINANCIAL VIABILITY. WHEN A PATIENT REQUESTS FINANCIAL ASSISTANCE OR WHEN AN APPLICATION HAS BEEN RECEIVED, THE PATIENT'S ACCOUNT IS PLACED IN A HOLD STATUS TO PREVENT FURTHER COLLECTION ACTIVITIES UNTIL FINANCIAL ASSISTANCE ELIGIBILITY IS DETERMINED. ALL BALLAD HEALTH HOSPITALS COMPLY WITH IRS 501(R) REGULATORY GUIDELINES. OUR COLLECTION POLICY CLEARLY STATES THAT ALL PATIENTS ARE TREATED EQUALLY - WITH DIGNITY AND RESPECT. WE ENSURE THAT OUTSIDE COLLECTION AGENCIES USED BY OUR HOSPITALS ADHERE TO OUR BILLING AND COLLECTION GUIDELINES. OUR HOSPITAL'S COLLECTION PROGRAM INCLUDES COMMUNICATING EXPECTED FINANCIAL RESPONSIBILITY PRIOR TO SERVICE. OUR HOSPITAL PROVIDES ASSISTANCE TO HELP UNDERINSURED AND UNINSURED PATIENTS DETERMINE SOURCES OF PAYMENT FOR MEDICAL BILLS AND TO HELP PATIENTS DETERMINE ELIGIBILITY FOR PROGRAMS SUCH AS TENNCARE OR MEDICAID. AFTER INSURANCE BENEFIT VERIFICATION, OUR HOSPITALS BILL INSURANCE CARRIERS. IF THE INSURANCE CARRIER DENIES PAYMENT OF THE SERVICE/PROCEDURE AS NON-COVERED OR THE PATIENT HAS EXCEEDED THEIR MAXIMUM BENEFITS, THE SERVICE/PROCEDURE WILL QUALIFY FOR THE UNINSURED DISCOUNT. FINANCIAL COUNSELORS ARE AVAILABLE TO DISCUSS FINANCIAL ASSISTANCE WITH PATIENTS AND THEIR FAMILIES. OUR HOSPITALS PROVIDE A NUMBER OF PAYMENT OPTIONS: - A PRE-SERVICE DISCOUNT MAY BE OFFERED - A DISCOUNT IN EXCESS OF ESTABLISHED DISCOUNTING RATES MAY BE GRANTED FOR CATASTROPHIC HIGH DOLLAR ACCOUNTS - OUR HOSPITAL ACCEPTS ALL NON-CONTRACTED AND OUT-OF-NETWORK PAYERS AND WILL MAKE ATTEMPTS TO WORK WITH THESE PAYERS REGARDING APPROPRIATE REIMBURSEMENT AND BILLING TO THEIR MEMBERS - PAYMENT ARRANGEMENTS ARE AVAILABLE SO LONG AS THE ACCOUNT IS NOT WITH A COLLECTION AGENCY REASONABLE EFFORTS ARE MADE TO DETERMINE IF A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE - SEE SCHEDULE H, PART VI, LINE 3 FOR INFORMATION ON HOW PATIENTS ARE INFORMED ABOUT OUR FINANCIAL ASSISTANCE POLICY.
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	CONSISTENT WITH THE BALLAD HEALTH FINANCIAL ASSISTANCE POLICY, LMH COMMUNICATES WITH AND PROVIDES EDUCATION TO OUR PATIENTS THROUGH VARIOUS AVENUES REGARDING GOVERNMENTAL ASSISTANCE PROGRAMS AND HOSPITAL FINANCIAL ASSISTANCE. VARIOUS EDUCATIONAL AND APPLICATION DOCUMENTS RELATED TO OBTAINING FINANCIAL ASSISTANCE ARE WIDELY AVAILABLE AT LMH AND ALL DOCUMENTS ARE AVAILABLE ON THE BALLAD HEALTH WEBSITE. PRINTED FINANCIAL ASSISTANCE EDUCATIONAL MATERIALS ARE PART OF EACH REGISTRATION PACKET AND POSTERS ARE DISPLAYED IN HIGHLY VISIBLE AREAS OF THE HOSPITAL. OUR FINANCIAL ASSISTANCE POLICY AND DOCUMENTS ARE AVAILABLE IN OUR EMERGENCY DEPARTMENT AND ADMITTING AREAS. WE ARE ALSO HAPPY TO MAIL ALL DOCUMENTS TO PATIENTS. WE OFFER A PLAIN LANGUAGE SUMMARY AND ALL OF OUR DOCUMENTS ARE AVAILABLE IN ENGLISH AND SPANISH. FINANCIAL ASSISTANCE INFORMATION IS AVAILABLE DURING PRE-REGISTRATION, REGISTRATION AND/OR DURING FINANCIAL COUNSELING. WE OFFER GOVERNMENTAL PROGRAM ELIGIBILITY REPRESENTATIVES TO ASSIST PATIENTS IN SECURING ELIGIBILITY FOR TENNCARE OR MEDICAID, FEDERAL DISABILITY AND OTHER GOVERNMENTAL ASSISTANCE PROGRAMS. ADDITIONALLY, IF A PATIENT OR COMMUNITY RESIDENT EXPRESSES AN INTEREST IN THE ACA HEALTHCARE EXCHANGE, OUR REPRESENTATIVES HAVE THE QUALIFICATIONS AND EXPERIENCE TO ASSIST THEM THROUGH THE ENTIRE PROCESS. OUR FINANCIAL COUNSELORS OFFER FINANCIAL ASSISTANCE APPLICATIONS TO PATIENTS WHO DO NOT QUALIFY FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND ARE UNABLE TO PAY FOR SOME OR ALL OF THEIR HEALTHCARE. ALL PATIENT BILLING STATEMENTS HAVE VERBIAGE DISCUSSING FINANCIAL ASSISTANCE ALONG WITH CONTACT INFORMATION. OUR LAST LETTER TO THE PATIENT DISPLAYS THE PLAIN LANGUAGE SUMMARY. IN ALL ORAL CORRESPONDENCES WITH A PATIENT, IF IT IS IDENTIFIED THE PATIENT CANNOT MEET PAYMENT REQUIREMENTS ON THEIR ACCOUNT, FINANCIAL ASSISTANCE IS DISCUSSED AS AN OPTION. APPLICANTS ARE NOTIFIED OF FINANCIAL ASSISTANCE DETERMINATION IN WRITING.
PART VI, LINE 4 - COMMUNITY INFORMATION	LMH IS LOCATED IN GREENEVILLE, TENNESSEE (GREENE COUNTY) ON THE EASTERN BORDER OF THE STATE. THE COUNTY IS PRIMARILY RURAL AND THE POPULATION IS ESTIMATED BY UNITED STATES CENSUS BUREAU TO BE 68,808. THE LATEST CENSUS BUREAU DATA ESTIMATES THE MEDIAN AGE OF RESIDENTS OF GREENE COUNTY IS 44.3, WHICH IS OLDER THAN THE MEDIAN AGE OF 38.6 IN TENNESSEE. 20.3% OF THE COUNTY'S RESIDENTS ARE 65 OR OLDER COMPARED TO 15.4% FOR THE STATE. THE BUREAU ESTIMATES GREENE COUNTY'S MEDIAN HOUSEHOLD INCOME AT 38,266 (33,445 FOR THE TOWN OF GREENEVILLE) COMPARED TO 48,708 FOR THE STATE OF TENNESSEE. 23.9% OF THE COUNTY'S CHILDREN (UNDER 18 YEARS) LIVE IN POVERTY, WHILE 30.6% OF CHILDREN UNDER 5 YEARS LIVE BELOW THE POVERTY LEVEL. GREENE COUNTY IS 65.2% RURAL COMPARED WITH THE STATEWIDE RURAL RATE OF 33.6%. THIS IS A SIGNIFICANT CONTRIBUTING FACTOR IN INFLUENCING HEALTH OUTCOMES IN A POPULATION. MANY RURAL RESIDENTS MUST TRAVEL A GREATER DISTANCE TO ACCESS DIFFERENT POINTS OF THE HEALTH CARE DELIVERY SYSTEM. DUE TO GEOGRAPHIC DISTANCE, SOMETIMES EXTREME WEATHER CONDITIONS, LACK OF PUBLIC TRANSPORTATION AND CHALLENGING ROADS, RURAL RESIDENTS MAY BE LIMITED, AND IN SOME INSTANCES, EVEN PROHIBITED FROM ACCESSING HEALTH CARE SERVICES. ALTHOUGH 19% OF PEOPLE IN THE U.S. LIVE IN RURAL AREAS AND 30% OF THE VEHICLE MILES TRAVELED OCCUR IN RURAL AREAS, ALMOST HALF OF CRASH DEATHS OCCUR THERE. WITHIN OUR OWN COUNTY, UNINTENTIONAL INJURY DEATHS ARE 14.5% HIGHER THAN THE STATEWIDE RATE AND 72.7% HIGHER THAN TOP PERFORMING U.S. COUNTIES. AND, WHILE OUR AREA HAS GENERALLY UNFAVORABLE HEALTH STATISTICS, THE NUMBER OF RESIDENTS PER PRIMARY CARE PHYSICIAN IN OUR COUNTY IS 18% HIGHER THAN THE OVERALL STATE RATE AND 58% HIGHER THAN TOP PERFORMING U.S. COUNTIES. IT CAN BE DIFFICULT TO RECRUIT PHYSICIANS TO SMALL, RURAL COMMUNITIES, WHICH IS WHY LMH SUBSIDIZES THE LOSSES INCURRED BY OUR WHOLLY-OWNED PHYSICIAN ORGANIZATION. A CDC (CENTERS FOR DISEASE CONTROL AND PREVENTION) STUDY DEMONSTRATED THERE IS A SIGNIFICANT GAP IN HEALTH BETWEEN RURAL AND URBAN AMERICANS. THE CDC NOTED THAT DEMOGRAPHIC, ENVIRONMENTAL, ECONOMIC, AND SOCIAL FACTORS MAY PUT RURAL RESIDENTS AT HIGHER RISK OF DEATH. RESIDENTS IN RURAL AREAS TEND TO BE OLDER AND SICKER THAN THEIR URBAN COUNTERPARTS. THEY HAVE HIGHER RATES OF CIGARETTE SMOKING, HIGH BLOOD PRESSURE AND OBESITY. RURAL RESIDENTS ALSO REPORT LESS LEISURE-TIME PHYSICAL ACTIVITY AND LOWER SEATBELT USE. THEY HAVE HIGHER RATES OF POVERTY, LESS ACCESS TO HEALTHCARE, AND ARE LESS LIKELY TO HAVE HEALTH INSURANCE. THE CDC STUDY FOUND THAT UNINTENTIONAL INJURY DEATHS WERE APPROXIMATELY 50% HIGHER IN RURAL AREAS, PARTLY DUE TO A GREATER RISK OF MOTOR VEHICLE CRASHES AND OPIOID OVERDOSES. THE CDC BELIEVES THE GAPS IN HEALTH BETWEEN RURAL AND URBAN CAN BE ADDRESSED BY: -SCREENING PATIENTS FOR HIGH BLOOD PRESSURE -INCREASING CANCER PREVENTION AND EARLY DETECTION -ENCOURAGING PHYSICAL ACTIVITY AND HEALTHY EATING -PROMOTING SMOKING CESSATION - CIGARETTE SMOKING IS THE LEADING CAUSE OF PREVENTABLE DISEASE DEATH IN THE U.S. -PROMOTING MOTOR VEHICLE SAFETY -ENGAGING PROVIDERS IN SAFER PRESCRIBING OF OPIOIDS FOR PAIN AND EDUCATING CITIZENS ON THE RISKS OF OPIOIDS A NUMBER OF FACTORS CONTRIBUTE TO A UNIQUE AND CHALLENGING ENVIRONMENT THAT INFLUENCE OVERALL HEALTH STANDING IN OUR COUNTY. ACCORDING TO THE ROBERT WOOD JOHNSON FOUNDATION'S COUNTY HEALTH RANKINGS, 34% OF THE ADULTS IN LMH'S HOME COUNTY ARE OBESE. OBESITY INCREASES THE RISK FOR MANY HEALTH CONDITIONS SUCH AS CORONARY HEART DISEASE, TYPE 2 DIABETES, HYPERTENSION, STROKE, CANCER, SLEEP APNEA AND RESPIRATORY PROBLEMS, AND OSTEOARTHRITIS. EVIDENCE INDICATES PHYSICAL ACTIVITY, INDEPENDENT OF ITS EFFECT ON WEIGHT, HAS SUBSTANTIAL BENEFITS FOR HEALTH. OUR COUNTY'S INACTIVITY RATE OF 37% IS 23% HIGHER THAN THE STATEWIDE RATE AND ACCESS TO EXERCISE OPPORTUNITIES IN THE COUNTY IS 32% LOWER THAN THE OVERALL STATE RATE. LMH SEEKS TO ADDRESS THE OBESITY ISSUE BY OFFERING AN EXERCISE PROGRAM, MAINTAINING A MILE-LONG WALKING TRAIL AND INVOLVEMENT IN OTHER COMMUNITY ACTIVITIES THAT ENCOURAGE PHYSICAL ACTIVITY. ALL FOUR OF OUR CHNA HEALTH PRIORITIES ARE INCLUDED IN THE CDC LIST SHOWN ABOVE. SOME OF OUR COMMUNITY HEALTH IMPROVEMENT PROGRAMS AND ACTIVITIES ARE COVERED IN OTHER PARTS OF THIS RETURN. AS PREVIOUSLY NOTED, OUR COUNTY'S MEDIAN AGE IS OLDER THAN THAT OF THE STATE AND OUR MEDIAN HOUSEHOLD INCOME IS SIGNIFICANTLY LOWER. BASED ON THESE TWO DEMOGRAPHIC FACTORS, IT IS NO SURPRISE THAT OUR HOSPITAL'S MEDICARE RATE IS 57% AND OUR TENNCARE/MEDICAID AND SELF-PAY RATE IS 16%. AT LAUGHLIN HEALTHCARE CENTER, OUR NURSING HOME, THE MEDICARE RATE IS 39% AND TENNCARE/MEDICAID IS 37%.
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH	LMH WAS GOVERNED BY MOUNTAIN STATES HEALTH ALLIANCE, ITS SOLE MEMBER, UNTIL FEBRUARY, 2018. WHEN MOUNTAIN STATES MERGED WITH WELLMONT HEALTH SYSTEM IN FEBRUARY TO FORM THE BALLAD HEALTH HEALTHCARE SYSTEM, BALLAD HEALTH'S BOARD OF DIRECTORS ASSUMED BOARD RESPONSIBILITIES FOR BOTH MOUNTAIN STATES (INCLUDING LMH) AND WELLMONT. MOUNTAIN STATES AND WELLMONT STILL EXIST AS LEGAL ENTITIES AND CONTINUE TO OPERATE MULTIPLE HOSPITALS. MSHA REMAINS LMH'S SOLE MEMBER. LMH ALSO HAS A COMMUNITY BOARD THAT HAS COAPPROVAL VOTING RIGHTS FOR CERTAIN DECISIONS. BOARD STRUCTURE AND RIGHTS ARE DISCUSSED IN MORE DETAIL IN SCHEDULE O (FORM 990, PART VI, LINES 6 & 7). THE LMH COMMUNITY BOARD IS COMPRISED OF MEMBERS ALMOST ENTIRELY FROM GREENE COUNTY. COUNTY BOARD MEMBERS CHUCK WHITFIELD, LMH'S CEO, MARK PATTERSON, M.D., AND MARVIN EICHORN ARE COMMUNITY BOARD MEMBERS THAT ARE LMH OR MSHA EMPLOYEES. FOLLOWING THE FEBRUARY MSHA-WHS MERGER, ONLY ONE BALLAD HEALTH BOARD MEMBER LACKED INDEPENDENCE - BALLAD HEALTH'S CEO BECAUSE HE WAS COMPENSATED BY A RELATED ORGANIZATION. LMH EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN OUR COMMUNITY. LMH IS DEDICATED TO OPERATING EFFICIENTLY SO THAT WASTE IS MINIMIZED. VARIOUS CHECKS AND BALANCES ARE ESTABLISHED TO ENSURE THAT EXPENDITURES FOR OPERATING EXPENSES AND CAPITAL COSTS ARE REASONABLE AND NECESSARY.
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM	LMH IS A 140-BED ACUTE-CARE HOSPITAL THAT ALSO OPERATES A 90-BED SKILLED NURSING FACILITY. MOUNTAIN STATES HEALTH ALLIANCE (MSHA) IS THE SOLE MEMBER OF LMH. DURING FY18, MSHA MERGED WITH WELLMONT HEALTH SYSTEM (WHS) TO FORM BALLAD HEALTH. BALLAD HEALTH IS THE SOLE MEMBER OF MSHA AND WHS AND SERVES AS THE PARENT COMPANY. FOLLOWING MERGER, MSHA AND WHS CONTINUE TO EXIST AS SEPARATE LEGAL ENTITIES, EACH OPERATING MULTIPLE HOSPITALS. TAKOMA REGIONAL HOSPITAL (TRH), ALSO LOCATED IN LMH'S SERVICE AREA, IS OWNED BY WHS. WITH THE MERGER OF MSHA AND WHS, THE EXPECTATION IS THAT LMH AND TRH WILL WORK TOGETHER SO THAT COMBINED SYNERGIES WILL RESULT IN BETTER UTILIZATION OF LIMITED RESOURCES TO IMPROVE OVERALL DELIVERY OF HEALTHCARE IN THE AREA. BEING PART OF A 21-HOSPITAL HEALTHCARE SYSTEM BENEFITS PATIENTS WHERE THEY ARE ABLE TO BE MOVED EFFICIENTLY ALONG AN INTEGRATED, COMPREHENSIVE CONTINUUM OF CARE AS THEIR HEALTH STATUS DICTATES. IF NEEDED, AN LMH PATIENT MAY BE MOVED TO JOHNSON CITY MEDICAL CENTER, ONE OF BALLAD'S FLAGSHIP HOSPITALS AND THE TERTIARY REFERRAL CENTER FOR COMPLEX PATIENTS FROM LMH AND ITS SERVICE AREA.
PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT	TENNESSEE, VIRGINIA
ADDITIONAL INFORMATION	BALLAD HEALTH IS REQUIRED TO REPORT COMMUNITY BENEFIT ESTIMATES ON A QUARTERLY BASIS WITH THE STATES OF TENNESSEE AND VIRGINIA. THE REPORTING INCLUDES ALL OF BALLAD'S HOSPITAL ORGANIZATIONS AND IS REPORTED USING IRS FORM 990, SCHEDULE H INSTRUCTIONS FOR REPORTING COMMUNITY BENEFIT. BALLAD OPERATES UNDER A CERTIFICATE OF PUBLIC ADVANTAGE (COPA) IN TENNESSEE AND A COOPERATIVE AGREEMENT (CA) IN VIRGINIA AS OBLIGATED BY AGREEMENTS BETWEEN BALLAD AND THE TWO STATES TO ALLOW MOUNTAIN STATES HEALTH ALLIANCE AND WELLMONT HEALTH SYSTEM TO MERGE.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
GREEN LEAF
PO BOX 22	AFTON	TN	37616	454418460	501C3	$12,500	FUND COMPUTERS
GREENEVILLE CITY SCHOOLS FOUNDATION
PO BOX 1420	GREENEVILLE	TN	37744	621672018	501C3	$12,500	FUND COMPUTERS
BOYS & GIRLS CLUB OF GREENEVILLE
740 W CHURCH STREET	GREENEVILLE	TN	37745	621706248	501C3	$7,500	FUNDRAISER

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PAGE 1, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	DONATION REQUESTS REQUIRE THE CEO'S APPROVAL. LMH ADHERES TO THE BALLAD HEALTH CHARITABLE CONTRIBUTION POLICY. APPLICANTS REQUESTING DONATIONS FROM LMH MUST PROVIDE ADEQUATE DOCUMENTATION/JUSTIFICATION IN ORDER TO BE CONSIDERED FOR A DONATION. SOME OF THE INFORMATION APPLICANTS MUST PROVIDE INCLUDE: IF THE APPLICANT IS REQUESTING FUNDING FOR A SPECIFIC EVENT OR PROGRAM, THE DATE, LOCATION, AND TIME ARE REQUIRED DESCRIPTION OF THE EVENT/PROGRAM APPLICANT'S OTHER SOURCES OF INCOME EVENT/PROGRAM BUDGET HOW THE EVENT/PROGRAM SUPPORTS LMH'S MISSION WHO WILL BENEFIT FROM OUR CONTRIBUTION WHAT WILL THE EVENT/PROGRAM ACCOMPLISH HOW WILL THE EVENT/PROGRAM MEASURE ITS ACCOMPLISHMENTS APPLICANT ORGANIZATION'S MISSION STATEMENT NUMBER OF PEOPLE SERVED ANNUALLY BY THE APPLICANT APPLICANT'S WEBSITE TAX STATUS OF THE APPLICANT AND ITS FEDERAL TAXPAYER IDENTIFICATION NUMBER WITH FEW EXCEPTIONS, DONATIONS TO NATIONAL ORGANIZATIONS ARE FUNDED AT THE CORPORATE LEVEL, WHICH PREVENTS MULTIPLE CONTRIBUTIONS BEING MADE TO THE SAME NATIONAL ORGANIZATION AND ALLOWS THE HOSPITAL'S LIMITED CONTRIBUTION DOLLARS TO BE USED FOR REGION-SPECIFIC REQUESTS. ALL OF LMH'S FY18 DONATIONS WERE MADE TO LOCAL NONPROFIT ORGANIZATIONS. BALLAD HEALTH'S SOCIAL RESPONSIBILITY COMMITTEE IS COMPRISED OF COMMUNITY, VOLUNTEER AND BUSINESS LEADERS AS WELL AS THE PRESIDENT & CEO, COO, AND OTHER LEADERS FROM ACROSS THE BALLAD HEALTHCARE SYSTEM. COMMITTEE MEMBERS WERE SELECTED SO THAT MEMBERSHIP EXPERTISE INCLUDES PUBLIC HEALTH, HEALTH PROFESSIONS EDUCATION, KNOWLEDGE OF OTHER RESOURCES AVAILABLE TO CHARITABLE ORGANIZATIONS, AND INDIVIDUALS WITH HANDS-ON COMMUNITY VOLUNTEER EXPERIENCE.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt
CHARLES WHITFIELD LMH CEO
LMH CEO	$184,726	$155,721	$21,005	$723,132	$9,304	$9,452	$13,240	$2,928	$951,555	$167,953
MARVIN EICHORN EVP BALLAD HEALTH
LMH COMM. BRD DIR		$576,562			$43,977			$23,842		$791,871	$128,590	$18,900
MARK PATTERSON MD
LMH COMM BRD DIR	$356,162		$118,802			$13,500	$6,236		$494,700
MARK COMPTON
LMH CFO	$195,657		$84,061	$1,802		$10,059	$13,816		$305,395
BRENDA CANNON LMH CNO
LMH CNO	$109,440		$1,327	$108,336		$5,740	$15,734		$240,577
BILLY PARSLEY MD
PHYSICIAN	$576,479		$50,000			$13,500	$14,881		$654,860
RICHARD PECTOL MD
PHYSICIAN	$585,578			$1,926		$13,750	$3,636		$604,890
ROBERT NORTHRUP MD
PHYSICIAN	$296,798		$169,386			$13,500	$14,445		$494,129
KYLE BOREN MD
PHYSICIAN	$437,805					$10,491			$448,296
NATALIE SCOTT MD
PHYSICIAN	$296,362		$48,222			$13,500	$14,881		$372,965

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 4	CHARLES WHITFIELD, LMH CEO 500,000 221,852 0 BRENDA CANNON, LMH CNO 0 107,527 0
SCHEDULE J, PART III	CHARLES WHITFIELD RECEIVED A CHANGE OF CONTROL PAYMENT OF 500,000, PURSUANT TO HIS EMPLOYMENT AGREEMENT. MR. WHITFIELD AND MS. CANNON RECEIVED 457(F) DISTRIBUTIONS DUE TO THE PLAN BEING TERMINATED. ALL PAYMENTS WERE REPORTED AS TAXABLE INCOME WITH APPROPRIATE TAX WITHHELD AND REMITTED TO THE IRS.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
SUSAN COMPTON
FAMILY MEMBER	$86,044	SEE PART V	false
SUZANNE WILHOIT
FAMILY MEMBER	$90,514	SEE PART V	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART V	FormAndLineReferenceDesc
Explanation	(1) MARK COMPTON, LMH CFO, IS A FAMILY MEMBER OF SUSAN COMPTON, AN EMPLOYEE OF LMH. (2) BRENDA CANNON, LMH CNO, IS A FAMILY MEMBER OF SUZANNE WILHOIT, AN EMPLOYEE OF LMH.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PAGE 2, PART III, LINE 4A	ON JUNE 30, 2017, MOUNTAIN STATES HEALTH ALLIANCE (MSHA) BECAME THE SOLE MEMBER OF LAUGHLIN MEMORIAL HOSPITAL. MOUNTAIN STATES HEALTH ALLIANCE IS A TAX-EXEMPT ENTITY WITH OPERATIONS PRIMARILY LOCATED IN WASHINGTON, SULLIVAN, UNICOI, GREENE, AND CARTER COUNTIES OF TENNESSEE AND SMYTH, WISE, DICKENSON, RUSSELL AND WASHINGTON COUNTIES OF VIRGINIA. OUR HOSPITAL AND MSHA HAVE ENJOYED A DECADES-LONG RELATIONSHIP AND THE MERGER ALLOWS LMH TO EXPAND SERVICES INTO AREAS WHERE THEY ARE MOST NEEDED. LMH REMAINS A SEPARATE LEGAL ENTITY; THUS FILING A SEPARATE FORM 990 RETURN. SHORTLY FOLLOWING LMH'S MERGER WITH MOUNTAIN STATES, THE TWO ORGANIZATIONS OFFICIALLY OPENED A NEW URGENT CARE CENTER IN GREENEVILLE. THE FACILITY'S OPENING REPRESENTS MOUNTAIN STATES' FIRST MAJOR INVESTMENT IN GREENE COUNTY FOLLOWING LMH JOINING MSHA. URGENT CARE PLAYS A VERY IMPORTANT ROLE IN HEALTH CARE. FREQUENTLY, AN ILLNESS OR INJURY MAY OCCUR AFTER PHYSICIAN OFFICES' NORMAL OFFICE HOURS, OR DURING A TIME WHEN A PERSON'S PRIMARY CARE PHYSICIAN DOESN'T HAVE AN AVAILABLE APPOINTMENT. URGENT CARE PROVIDES A COST-EFFECTIVE ALTERNATIVE TO THE EMERGENCY ROOM. PATIENTS CAN WALK INTO AN URGENT CARE CENTER WITHOUT AN APPOINTMENT, QUICKLY SEE A PROVIDER, AND RECEIVE MEDICAL CARE IN A CONVENIENT SETTING. THE URGENT CARE CENTER ALSO SERVES AS LIAISON BETWEEN THE PATIENT AND THEIR PRIMARY CARE PROVIDER BY INFORMING THE PATIENT'S PHYSICIAN THAT THEIR PATIENT IS BEING TREATED AND HOW THE PATIENT WAS TREATED SO THE PATIENT'S PHYSICIAN CAN FOLLOW UP IF NEEDED. THE NEW FACILITY HAS EXTENDED HOURS AND OFFERS URGENT CARE FOR ALL AGES. CARE IS PROVIDED BY PHYSICIANS, PHYSICIAN ASSISTANTS, NURSE PRACTITIONERS, NURSES, RADIOLOGY TECHS AND OTHER MEDICAL PROFESSIONALS. THE CENTER ALSO HAS SEAMLESS CONNECTIVITY TO LAUGHLIN MEMORIAL HOSPITAL AS WELL AS JOHNSON CITY MEDICAL CENTER, MOUNTAIN STATES' FLAGSHIP HOSPITAL, FOR CONDITIONS THAT REQUIRE A HIGHER LEVEL OF CARE. LMH ENGAGES WITH NUMEROUS COMMUNITY GROUPS TO IMPROVE THE OVERALL HEALTH, EDUCATION AND ECONOMY OF THE COMMUNITIES WE SERVE. A FEW OF THE SERVICE LINES UNIQUE TO LMH THAT ARE NOT OFFERED BY ANY OTHER PROVIDER IN THE COMMUNITY INCLUDE A CANCER CARE PROGRAM THAT IS ACCREDITED BY THE AMERICAN COLLEGE OF SURGEON'S COMMISSION ON CANCER, A DEDICATED CARDIAC CATHETERIZATION LAB, RADIATION ONCOLOGY SERVICES, A BARIATRIC SURGERY PROGRAM AND THE AREA'S ONLY DEDICATED WHEELCHAIR CLINIC. LMH ROUTINELY PROVIDES EDUCATIONAL OPPORTUNITIES FOR A LOCAL SENIOR CENTER, THE LOCAL YMCA, THE BOYS AND GIRLS CLUB, AND VARIOUS COMMUNITY AND CIVIC GROUPS. THROUGH FUNDING PROVIDED BY OUR FOUNDATION, WE SPONSOR EVENTS THROUGHOUT THE YEAR TO RAISE FUNDS FOR WORTHY CAUSES SUCH AS SECOND HARVEST FOOD BANK, RAM EYE CLINIC, VARIOUS SUPPORT GROUPS, AND A MEDICATION PROGRAM TO ASSIST WITH FILLING PRESCRIPTIONS FOR DISCHARGED PATIENTS WHO CANNOT AFFORD TO FILL THEIR PRESCRIPTIONS. UTILIZING STAFF MEMBERS, LMH PROMOTED PROPER HAND HYGIENE AT LOCAL SCHOOLS AND A LOCAL PARENTING FAIR, TYPICALLY ATTENDED BY 3,000 - 5,000. DURING THESE EVENTS, HAND SANITIZERS WERE DISTRIBUTED AND GLOGERM WAS UTILIZED TO GRAPHICALLY DEMONSTRATE TO PARTICIPANTS HOW GERMS ARE SPREAD. GLOGERM IS A LOTION OR POWDER THAT LETS STUDENTS AND OTHER PARTICIPANTS SEE HOW MANY "GERMS" ARE LEFT ON THEIR HANDS. USING AN ULTRAVIOLET LIGHT, THE PARTICIPANT IS ABLE TO SEE THE FLUORESCENT "GERMS" REMAINING ON THEIR HANDS AFTER WASHING AS THEY NORMALLY DO. THE HOSPITAL'S PHARMACY PROVIDED THE LOCAL EMS AGENCY WITH IV SETS AT NO CHARGE, A VALUE EXCEEDING 7,000. OUR DIABETES EDUCATOR PRESENTED THREE COMMUNITY PROGRAMS THAT PROVIDED GUIDANCE AND INFORMATIVE MATERIALS TO COMMUNITY MEMBERS REGARDING THE PREVALENCE OF DIABETES, THE RISK FACTORS FOR DIABETES, AND DIABETES PREVENTION AND BASIC CARE. APPROXIMATELY SIXTY COMMUNITY MEMBERS PARTICIPATED. A LMH NURSE EDUCATOR TAUGHT A "HEART SAVER CPR" CLASS AT A LOCAL CHURCH. LMH PROVIDED MANIKINS AND DISPOSABLE SUPPLIES FOR THE CLASS, WHICH WAS PROVIDED FREE OF CHARGE TO PARTICIPANTS, EXCEPT FOR THOSE INDIVIDUALS WANTING AN OFFICIAL AHA CARD ISSUED TO THEM. FOR THOSE NEEDING THE CARD, THE STANDARD FEE FOR THE CARD AND BOOKS WAS ASSESSED. THE HOSPITAL PROVIDES A MEETING SPACE AND FOOD EACH MONTH FOR A LOCAL CANCER SUPPORT GROUP. ON AVERAGE, NINE PEOPLE ATTEND THIS MONTHLY MEETING. THE HOSPITAL OFTEN PROVIDES MEETING SPACE FOR OTHER COMMUNITY GROUPS/CIVIC ORGANIZATIONS AT NO CHARGE. A HOSPITAL DIETITIAN PARTICIPATED IN NUMEROUS EVENTS THROUGHOUT THE YEAR TO PROMOTE HEALTHY EATING/HEALTHY CHOICES. A SAMPLING OF EVENTS: -BARIATRIC SUPPORT GROUP MEETINGS. THE DIETITIAN TEACHES PATIENTS HOW TO PREPARE FOR THEIR SURGERY AND HOW TO MAINTAIN THEIR WEIGHT LOSS POST- SURGERY. SHE PROVIDES INFORMATION ON PROTEIN BARS/POWDERS, VITAMIN AND MINERAL SUPPLEMENTS, DISCUSSES CALORIE-DENSE AND NUTRIENT-DENSE FOODS AND HOW TO AVOID WEIGHT GAIN DURING THE HOLIDAYS. SHE ALSO CONDUCTS A GROCERY STORE TOUR TO EDUCATE PARTICIPANTS ON MAKING HEALTHY CHOICES. DURING FY18, APPROXIMATELY SIXTY-EIGHT PEOPLE ATTENDED THE MEETINGS. -SHE PARTICIPATED IN A LOCAL COMPANY'S EMPLOYEE/SPOUSE HEALTH FAIR AND PROVIDED "LUNCH AND LEARN" EVENTS FOR THE SAME COMPANY. A TOTAL OF 365 PEOPLE ATTENDED. -SHE CONDUCTED "LUNCH AND LEARN" EVENTS FOR THE EMPLOYEES OF THE TOWN OF GREENEVILLE; 30 EMPLOYEES ATTENDED. -THE DIETICIAN PROVIDED EDUCATION TO A LOCAL STROKE SUPPORT GROUP CONCERNING HEALTHY EATING, HOW TO REDUCE SODIUM AND SUGAR INTAKE, HEALTHY DESSERTS AND HEALTHY PICNIC TIPS - 24 PEOPLE ATTENDED THE SESSION. -SHE SPOKE TO A LOCAL CIVIC CLUB ABOUT PRE-DIABETES/DIABETES AND HEALTHY EATING. LMH TEAM MEMBERS FROM THE RADIATION ONCOLOGY DEPARTMENT PARTICIPATED IN NUMEROUS EDUCATION/SUPPORT OPPORTUNITIES THROUGHOUT THE YEAR. THE FOLLOWING IS A PARTIAL LIST OF ACTIVITIES DURING FY18: -WITH FUNDING PROVIDED BY OUR FOUNDATION, TRANSPORTATION ASSISTANCE WAS PROVIDED FOR LOW INCOME RADIATION ONCOLOGY PATIENTS. -WITH FUNDING PROVIDED BY OUR FOUNDATION, THE DEPARTMENT WAS ABLE TO PROVIDE ASSISTANCE FOR SOME LOW-INCOME PATIENTS' UTILITIES. -THE DEPARTMENT PROVIDED NUTRITION DRINKS AND SUPPLEMENTS TO RADIATION ONCOLOGY PATIENTS. -AN ORAL CANCER SCREENING EVENT OPEN TO THE COMMUNITY WAS HELD. -A COLORECTAL CANCER PREVENTION EDUCATIONAL SESSION FOR MEMBERS OF A LOCAL CHURCH WAS HELD, PARTNERING WITH A LMH ONCOLOGIST. -A PROGRAM WAS OFFERED AT A LOCAL CIVIC CLUB ON THE IMPORTANCE OF PSA SCREENING; A LMH ONCOLOGIST CONDUCTED THE PRESENTATION. END OF LIFE ADVANCE CARE PLANNING WORKSHOPS WERE OFFERED THROUGHOUT THE YEAR TO EDUCATE PATIENTS AND COMMUNITY MEMBERS. THE WORKSHOPS COVERED THE IMPORTANCE OF APPOINTING A HEALTHCARE AGENT, UNDERSTANDING THE VARIOUS FORMS THE STATE OF TENNESSEE PROVIDES (ADVANCED DIRECTIVE FORMS, ETC.), AND PROVIDED OTHER RESOURCES. A LMH CERTIFIED WOUND CARE NURSE ROUTINELY PROVIDES SERVICES AT NO COST TO PATIENTS FOR WOUND CARE, BOTH FOR LMH'S PATIENTS AND FOR PATIENTS THAT CANNOT AFFORD THESE SERVICES WHO HAVE BEEN REFERRED BY THEIR PRIVATE PHYSICIANS. WHEN APPROPRIATE, THE HOSPITAL DISTRIBUTES FREE SAMPLES AND SUPPLIES TO THESE PATIENTS. IN OCTOBER, LMH'S OB DEPARTMENT WAS RECOGNIZED BY THE STATE OF TENNESSEE AS ONE OF SEVEN HOSPITALS STATEWIDE TO RECEIVE THE FIRST EVER "BEST FOR BABIES" AWARD. THIS AWARD CELEBRATES HOSPITALS' EFFORTS TO REDUCE INFANT DEATHS AND GIVE BABIES AND THEIR FAMILIES THE BEST POSSIBLE START. THE "BEST" AWARD STANDS FOR BREASTFEEDING, EARLY ELECTIVE DELIVERY REDUCTION AND SAFE SLEEP FOR TENNESSEE BABIES. OUR OB DEPARTMENT HAD PREVIOUSLY BEEN RECOGNIZED BY CRIBS FOR KIDS AS A GOLD SAFE SLEEP CHAMPION. THIS RECOGNITION WAS A RESULT OF LMH'S COMMITMENT TO COMMUNITY LEADERSHIP FOR BEST PRACTICES AND EDUCATION FOR INFANT SLEEP ACHIEVED THROUGH DEVELOPMENT OF HOSPITAL POLICY, STAFF TRAINING, PARENT EDUCATION, MODELING THROUGH A WEARABLE BLANKET PROGRAM AND AN AFFILIATION WITH THE CRIBS FOR KIDS PROGRAM. FOLLOWING MSHA AND WHS'S MERGER THIS YEAR TO FORM THE BALLAD HEALTH HEALTHCARE SYSTEM, TEAM MEMBERS FROM ALL OF BALLAD HEALTH'S HOSPITALS TRANSITIONED TO STANDARD SCRUB COLORS, WHICH MEANT TEAM MEMBERS' SCRUBS THROUGHOUT OUR MANY HOSPITALS AND CLINICS HAD TO BE REPLACED. A TEAM MEMBER FROM FRANKLIN WOODS COMMUNITY HOSPITAL RECOGNIZED AN OPPORTUNITY TO HELP OTHERS BY ORGANIZING A "SAVE OUR SCRUBS" PROGRAM TO COLLECT USED SCRUBS FOR DONATION TO A GLOBAL CHARITY. THE CHARITY IS A MEDICAL RELIEF ORGANIZATION THAT COLLECTS USED SCRUBS AND DONATES THEM TO HEALTHCARE WORKERS IN RESOURCE-POOR AREAS, INCLUDING COUNTRIES SUCH AS NICARAGUA, GUATEMALA, HAITI AND GUYANA, WHERE HOSPITALS OFTEN HAVE A SHORTAGE OF UNIFORMS. PROVIDING SCRUBS TO THESE HOSPITALS ALLOWS OTHER CRITICAL MEDICAL NEEDS, SUCH AS MEDICINES AND SURGICAL SUPPLIES, TO BE MORE EASILY FUNDED. IN ADDITION TO GENTLY USED SCRUBS, OUR TEAM MEMBERS DONATED JACKETS, LAB COATS, HEALTHCARE SHOES, AND OTHER MEDICAL APPAREL. THE PROGRAM WAS A GREAT SUCCESS ACROSS OUR BALLAD HEALTH SYSTEM: OUR TEAM MEMBERS DONATED MORE THAN 2 TONS OF SCRUB
FORM 990, PAGE 6, PART VI, LINE 4	IN FEBRUARY OF 2017, A REORGANIZATION AGREEMENT WAS ENTERED INTO BETWEEN LAUGHLIN MEMORIAL HOSPITAL (LMH) AND MOUNTAIN STATES HEALTH ALLIANCE (MSHA). THE AGREEMENT RECORDED LMH'S DESIRE TO REORGANIZE ITS GOVERNANCE STRUCTURE TO ESTABLISH MSHA AS THE SOLE MEMBER OF LMH. THE AGREEMENT FURTHER STATED THAT LMH'S GOVERNING DOCUMENTS WOULD BE AMENDED AT CLOSING TO ACCOMPLISH THE FOLLOWING: - MSHA AS SOLE MEMBER - ESTABLISH MSHA BOARD OF DIRECTORS AS THE NEW BOARD OF DIRECTORS FOR LMH - ESTABLISH A COMMUNITY BOARD OF TRUSTEES IN ACCORDANCE WITH THE AMENDED AND RESTATED BYLAWS OF LMH AND THE COMMUNITY BOARD BYLAWS - ESTABLISH THE BOARD OF DIRECTORS AUTHORITY CLOSING TOOK PLACE ON JUNE 30, 2017 AND LMH COMMUNITY BOARD BYLAWS WERE ADOPTED JULY 1, 2017.
FORM 990, PAGE 6, PART VI, LINE 6	THE CORPORATION IS ORGANIZED AS A TENNESSEE NON-STOCK, NONPROFIT CORPORATION WITH MOUNTAIN STATES HEALTH ALLIANCE AS ITS SOLE MEMBER. MOUNTAIN STATES HEALTH ALLIANCE'S BOARD OF DIRECTORS ASSUMED THE FUNCTIONS OF LMH'S BOARD OF DIRECTORS WHEN LMH MERGED WITH MOUNTAIN STATES JUNE 30, 2017. SEVEN MONTHS LATER ON FEBRUARY 1, 2018, MOUNTAIN STATES AND WELLMONT HEALTH SYSTEM MERGED TO FORM BALLAD HEALTH, A NONPROFIT 21-HOSPITAL HEALTHCARE SYSTEM. CONCURRENT WITH THE MOUNTAIN STATES-WELLMONT MERGER, THE NEW BALLAD HEALTH BOARD OF DIRECTORS REPLACED THE MOUNTAIN STATES AND WELLMONT BOARDS. BOTH MOUNTAIN STATES HEALTH ALLIANCE AND WELLMONT HEALTH SYSTEM STILL EXIST AS ACTIVE LEGAL ENTITIES AND MOUNTAIN STATES REMAINS THE SOLE MEMBER OF LMH. WHEN LMH MERGED WITH MOUNTAIN STATES, A LMH COMMUNITY BOARD WAS ESTABLISHED CONSISTING OF INDIVIDUALS WHO HAVE RESPONSIBILITIES AND SPECIFIC COAPPROVAL RIGHTS WITH LMH'S GOVERNING BODY (BALLAD HEALTH'S BOARD OF DIRECTORS). THE COMMUNITY BOARD WAS ESTABLISHED FOR FIVE YEARS AT WHICH TIME THE BOARD OF DIRECTORS MAY CONTINUE OR DISSOLVE THE COMMUNITY BOARD. DURING A TWO-YEAR TRANSITION PERIOD FROM JULY 1, 2017 THROUGH JUNE 30, 2019, THE FOLLOWING DECISIONS ARE SUBJECT TO CONCURING APPROVAL BY THE COMMUNITY BOARD: 1) SALE OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS; 2) MERGER OR CONSOLIDATION OF THE CORPORATION WITH ANOTHER ENTITY; 3) DISSOLUTION AND LIQUIDATION OF THE CORPORATION; 4) A DECISION TO DISCONTINUE EXISTING HEALTH CARE SERVICE PROVIDED BY CERTAIN PROVIDERS, PROVIDED THAT SUCH ARRANGEMENT IS COMPLIANT WITH APPLICABLE LEGAL REQUIREMENTS FOR SUCH ARRANGEMENTS; 5) AMENDMENT OF THE CHARTER AND BYLAWS OF THE CORPORATION; 6) SELECTION AND REMOVAL OF THE INDIVIDUAL WHO IS THE PRESIDENT/CEO OF THE CORPORATION AND HOSPITAL; 7) DEVELOPMENT OF COMMUNITY OUTREACH PROGRAMS; AND 8) A DECISION TO APPROVE CAPITAL EXPENDITURES BY THE CORPORATION PURSUANT TO PROVISIONS OF THE REORGANIZATION AGREEMENT BETWEEN THE CORPORATION AND THE SOLE MEMBER.
FORM 990, PAGE 6, PART VI, LINE 7A	LAUGHLIN MEMORIAL HOSPITAL MERGED WITH MOUNTAIN STATES HEALTH ALLIANCE (MSHA) ON JUNE 30, 2017, WITH MSHA AS THE SOLE MEMBER OF LMH. AT MERGER DATE, MSHA'S BOARD OF DIRECTORS BECAME THE GOVERNING BODY OF LMH. ON FEBRUARY 1, 2018, MOUNTAIN STATES MERGED WITH WELLMONT HEALTH SYSTEM, WITH BALLAD HEALTH BECOMING THE SOLE MEMBER OF BOTH MOUNTAIN STATES AND WELLMONT. AT MERGER, BALLAD HEALTH'S BOARD OF DIRECTORS BECAME THE GOVERNING BODY FOR MOUNTAIN STATES (INCLUDING LMH) AND WELLMONT. THE BALLAD HEALTH BOARD HAS THE SOLE VOTE ON ALL MATTERS REQUIRING A VOTE OF THE SOLE MEMBER, SUBJECT ONLY TO THE TRANSITIONAL APPROVAL AUTHORITY GRANTED TO LMH'S COMMUNITY BOARD (AS DISCUSSED ON FORM 990, PART VI, LINE 6). THE SOLE MEMBER'S VOTING RIGHTS INCLUDE THE POWER (WITH AN AFFIRMATIVE VOTE OF A MAJORITY OF THE DIRECTORS AT A MEETING AT WHICH A QUORUM IS PRESENT) TO: (I) AMEND THE CHARTER OR BYLAWS OF BALLAD HEALTH; (II) SELL OR CLOSE ANY OF THE BALLAD HEALTH HOSPITALS; (III) ADOPT A PLAN OF DISSOLUTION FOR BALLAD HEALTH; (IV) SELL OR TRANSFER ALL OR SUBSTANTIALLY ALL OF BALLAD HEALTH'S ASSETS; (V) ENTER INTO A PLAN OF MERGER OR CONSOLIDATION OF BALLAD HEALTH WITH OR INTO AN UNRELATED ENTITY; (VI) INCURRENCE OF ANY INDEBTEDNESS, GUARANTEES, OR CAPITAL LEASE OBLIGATIONS EXCEEDING 100 MILLION IN THE AGGREGATE DURING ANY FISCAL YEAR, OTHER THAN TRADE PAYABLES AND OTHER SHORT-TERM LIABILITIES IN THE ORDINARY COURSE OF BUSINESS; (VII) DICONTINUE MAJOR SERVICE LINES WHERE ANY SUCH DISCONTINUATION WOULD RENDER THE SERVICE UNAVAILABLE IN THAT COMMUNITY; AND (VIII) FILE A PETITION REQUESTING OR CONSENTING TO AN ORDER FOR RELIEF UNDER THE FEDERAL BANKRUPTCY LAWS, OR OTHER ACTIONS WITH RESPECT TO BALLAD HEALTH OR ANY MEMBER OF ITS OBLIGATED GROUP AS A RESULT OF INSOLVENCY OR THE INABILITY TO PAY DEBTS GENERALLY AS SUCH DEBTS BECOME DUE.
FORM 990, PAGE 6, PART VI, LINE 11B	THE EXECUTIVE VICE PRESIDENT/CFO OF THE BALLAD HEALTH HEALTHCARE SYSTEM REVIEWED LAUGHLIN MEMORIAL HOSPITAL'S FORM 990 WITH THE BOARD OF DIRECTORS PRIOR TO THE RETURN BEING FILED WITH THE IRS. THE RETURN WAS MADE AVAILABLE TO EACH BOARD MEMBER PRIOR TO THE REVIEW.
FORM 990, PAGE 6, PART VI, LINE 12C	BALLAD HEALTH HAS A CONFLICT OF INTEREST POLICY FOR ALL MEMBERS OF THE BOARD OF DIRECTORS, THE EXECUTIVE CHAIR/PRESIDENT, EXECUTIVE VICE PRESIDENTS, SENIOR VICE PRESIDENTS, AND VICE PRESIDENTS, WHICH APPLIES TO ALL BALLAD HEALTH ORGANIZATIONS, INCLUDING LAUGHLIN MEMORIAL HOSPITAL. ALL PERSONS COVERED BY THIS POLICY ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM ON AN ANNUAL BASIS. SHOULD A CONFLICT ARISE, IT IS THE RESPONSIBILITY OF THE CONFLICTED INDIVIDUAL TO UPDATE HIS OR HER DISCLOSURE IMMEDIATELY. ALL MEETINGS OF THE BOARD OR BOARD COMMITTEES HAVE A STANDING AGENDA ITEM FIRST ON THE AGENDA TITLED "CONFLICTS OF INTEREST". IF A MEMBER OF THE BOARD OR BOARD COMMITTEE HAS A CONFLICT OF INTEREST INVOLVING ANY ISSUE ON THE BOARD AGENDA, HE OR SHE MUST DECLARE THE CONFLICT OF INTEREST DURING THE PERIOD ALLOTTED FOR DISCLOSURE. IF ANY ISSUE ARISES DURING A MEETING IN WHICH THE BOARD MEMBER HAS A CONFLICT OF INTEREST, HE OR SHE MUST IMMEDIATELY DECLARE THE CONFLICT. WHILE EACH MEMBER OF THE BOARD OR BOARD COMMITTEES IS RESPONSIBLE FOR DISCLOSING CONFLICTS OF INTEREST, IT IS ALSO THE RESPONSIBILITY OF ANY BOARD MEMBER AWARE OF A CONFLICT WHICH HAS NOT BEEN DISCLOSED TO ENSURE THE BOARD IS MADE AWARE. THE PRESIDING OFFICER OF A BOARD OR BOARD COMMITTEE MEETING MAY ASK A CONFLICTED MEMBER TO EXCUSE THEMSELVES FROM THE MEETING DURING THE DISCUSSION RELATED TO THE ISSUE WITH WHICH THE CONFLICT OF INTEREST APPLIES. UNDER NO CIRCUMSTANCES SHALL A MEMBER VOTE ON A MATTER THAT GIVES RISE TO A POTENTIAL CONFLICT.
FORM 990, PAGE 6, PART VI, LINE 15A	LMH'S CEO'S CALENDAR YEAR 2017 COMPENSATION, REPORTED ON THIS FORM 990, WAS REVIEWED AND APPROVED BY LMH'S GOVERNING BODY PRIOR TO THE ORGANIZATION MERGING WITH MOUNTAIN STATES HEALTH ALLIANCE. THE CEO'S CALENDAR YEAR 2017 COMPENSATION INCLUDED A CHANGE OF CONTROL PAYMENT AS WELL AS PAYOUT OF THE TERMINATED 457(F) PLAN. LMH'S CEO BECAME AN EMPLOYEE OF MOUNTAIN STATES JULY, 2018. EXECUTIVE COMPENSATION (VICE-PRESIDENT LEVEL AND ABOVE) WAS REVEIWED AND APPROVED DURING FY18 BY THE BOARD OF DIRECTORS FOR ALL BALLAD HEALTH ORGANIZATIONS. DATA OBTAINED BY AN INDEPENDENT, OUTSIDE CONSULTING FIRM WAS USED TO DETERMINE EXECUTIVE PAY SO THAT OUR EXECUTIVE COMPENSATION AND BENEFIT STRUCTURE IS COMPARABLE TO LIKE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS.
FORM 990, PAGE 6, PART VI, LINE 19	GOVERNING DOCUMENTS AND OUR CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE UPON REQUEST TO APPROPRIATE PARTIES REQUESTING THEM. FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST TO APPROPRIATE PARTIES REQUESTING THEM, AND THEY ARE MADE AVAILABLE TO THOSE PARTIES WHO OWN INDEBTEDNESS OF THE COMPANY.
FORM 990, PART IX, LINE 11G	PHYSICIAN FEES 914,188 0 0 LINEN SERVICES 445,145 0 0 COLLECTION FEES 0 584,320 0 PURCHASED SERVICES 4,475,961 1,801,676 0 TOTAL 5,835,294 2,385,996 0
FORM 990, PART XI, LINE 9	INVESTMENT TERMINATED IN A PRIOR YR. 7,704 PPE ADJUSTMENT AT MERGER -29,489,336 P/S ORDINARY INCOME NOT ON BOOKS -103,971 P/S INTEREST INCOME NOT ON BOOKS -2,365 PARKING - UBI -18,603 TOTAL -29,606,571
FORM 990, PAGE 12, PART XII, LINE 2C	LAUGHLIN MEMORIAL HOSPITAL DID NOT ENGAGE AN INDEPENDENT ACCOUNTANT TO AUDIT ITS FINANCIAL STATEMENTS FOR THE TAX YEAR ENDING JUNE 30, 2017. LMH MERGED WITH MOUNTAIN STATES HEALTH ALLIANCE (MSHA) ON JUNE 30, 2017 WITH MSHA BECOMING THE SOLE MEMBER OF LMH. ON FEBRUARY 1, 2018, MSHA MERGED WITH WELLMONT HEALTH SYSTEM (WHS) TO FORM BALLAD HEALTH HEALTH SYSTEM. BALLAD HEALTH IS THE PARENT CORPORATION OF MSHA AND WHS. AT THE TIME OF MERGER, BALLAD'S BOARD OF DIRECTORS BECAME THE BOARD OF DIRECTORS FOR MSHA AND WHS. BALLAD HEALTH'S AUDIT COVERED THE PERIOD FEBRUARY 1, 2018 (THE DATE OF MERGER) THROUGH JUNE 30, 2018. ALL BALLAD HEALTH ORGANIZATIONS WERE INCLUDED IN THE THE JUNE 30, 2018 CONSOLIDATED AUDITED FINANCIAL STATEMENTS. BALLAD'S AUDIT COMMITTEE IS RESPONSIBLE FOR OVERSIGHT OF AUDITED FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (22 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
MOUNTAIN STATES HEALTH ALLIANCE
303 MED TECH PARKWAY SUITE 220	JOHNSON CITY	TN	37604	620476282	HOSP. SYS.	TN	501C3	3	BALLAD	false
MOUNTAIN STATES FOUNDATION
2335 KNOB CREEK ROAD SUITE 101	JOHNSON CITY	TN	37604	581418862	FUNDRAISER	TN	501C3	12A	MSHA	false
MSHA AUXILIARY
400 N STATE OF FRANKLIN ROAD	JOHNSON CITY	TN	37604	581418345	SUPP. ORG.	TN	501C3	12A	MSHA	false
SMYTH COUNTY COMMUNITY HOSPITAL
245 MEDICAL PARK DRIVE	MARION	VA	24354	540794913	HOSPITAL	VA	501C3	3	MSHA	false
NORTON COMMUNITY HOSPITAL
100 15TH STREET NW	NORTON	VA	24273	540566029	HOSPITAL	VA	501C3	3	NA	false
DICKENSON COMMUNITY HOSPITAL
312 HOSPITAL DRIVE	CLINTWOOD	VA	24228	770599553	HOSPITAL	VA	501C3	3	NCH	false
JOHNSTON MEMORIAL HOSPITAL
16000 JOHNSTON MEMORIAL DRIVE	ABINGDON	VA	24211	540544705	HOSPITAL	VA	501C3	3	NA	false
ABINGDON PHYSICIAN PARTNERS
16000 JOHNSTON MEMORIAL DRIVE	ABINGDON	VA	24211	205485346	MED. SERV.	VA	501C3	12A	JMH	false
BALLAD HEALTH
303 MED TECH PARKWAY SUITE 220	JOHNSON CITY	TN	37604	611771290	SUPP. ORG.	TN	501C3	12B	NA	false
EAST TN HEALTHCARE HOLDINGS INC
203 GRAY COMMONS CIRCLE	GRAY	TN	37615	815475903	OPIOID TRT	TN	501C3	3	MSHA	false
WELLMONT HEALTH SYSTEM
1905 AMERICAN WAY	KINGSPORT	TN	37660	621636465	HOSP. SYS.	TN	501C3	3	BALLAD	false
WELLMONT HAWKINS CO MEMORIAL HOSP
851 LOCUST STREET	ROGERSVILLE	TN	37857	621816368	HOSPITAL	TN	501C3	3	WHS	false
TAKOMA REGIONAL HOSPITAL INC
401 TAKOMA AVENUE	GREENEVILLE	TN	37743	510603966	HOSPITAL	TN	501C3	3	WHS	false
TAKOMA REGIONAL HOSPITAL FDN INC
1905 AMERICAN WAY	KINGSPORT	TN	37660	471334302	FUNDRAISER	TN	501C3	7	WHS	false
WELLMONT CARDIOLOGY SERVICES
1905 AMERICAN WAY	KINGSPORT	TN	37660	263557623	MED. SERV.	TN	501C3	10	WHS	false
WELLMONT MEDICAL ASSOCIATES
1905 AMERICAN WAY	KINGSPORT	TN	37660	270898372	MED. SERV.	TN	501C3	7	WHS	false
WELLMONT FOUNDATION
1905 AMERICAN WAY	KINGSPORT	TN	37660	581594191	FUNDRAISER	TN	501C3	7	WHS	false
WELLMONT MADISON HOUSE
1905 AMERICAN WAY	KINGSPORT	TN	37660	621308216	ASST. LIV.	TN	501C3	10	WHS	false
WELLMONT WEXFORD HOUSE
1905 AMERICAN WAY	KINGSPORT	TN	37660	581859039	NSG. HOME	TN	501C3	10	WHS	false
WELLMONT IMAGING SERVICES INC
1905 AMERICAN WAY	KINGSPORT	TN	37660	861103148	HEALTHCARE	TN	501C3	12A	WHS	false
WELLMONT SLEEP SERVICES
1905 AMERICAN WAY	KINGSPORT	TN	37660	273777167	MED. SERV.	TN	501C3	3	WHS	false
LAUGHLIN HEALTHCARE FOUNDATION
1420 TUSCULUM BOULEVARD	GREENEVILLE	TN	37745	582105493	FUNDRAISER	TN	501C3	12A	MSHA	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
EMMAUS COMMUNITY HEALTHCARE PLLC
6070 HWY 11E	PINEY FLATS	TN	37686	200577483	MED. SERV.	TN	N/A	false	false
MEDICAL SPECIALISTS OF JC LLC
2528 WESLEY STREET SUITE 2	JOHNSON CITY	TN	37601	272199037	MED. SERV.	TN	N/A	false	false
EAST TN AMBULATORY SURGERY CNTR
701 MED TECH PARKWAY SUITE 100	JOHNSON CITY	TN	37604	621787537	MED. SERV.	TN	N/A	false	false
GREENEVILLE PHYSICIAN SERVICES LLC
1905 AMERICAN WAY	KINGSPORT	TN	37660	455070419	MED. SERV.	TN		false	false	LMH	RELATED	-$3,816	$237,805	0.75000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (16 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
BLUE RIDGE MEDICAL MANAGEMENT CORP
1905 AMERICAN WAY	KINGSPORT	TN	37660	621490616	MED. SERV.	TN	NA	C CORP	false
MEDISERVE MEDICAL EQUIPMENT
1905 AMERICAN WAY	KINGSPORT	TN	37660	621212286	DME	TN	NA	C CORP	false
MOUNTAIN STATES PROPERTIES
1905 AMERICAN WAY	KINGSPORT	TN	37660	621845895	PROP. MGMT	TN	NA	C CORP	false
MOUNTAIN STATES PHYSICIAN GROUP
1905 AMERICAN WAY	KINGSPORT	TN	37660	621700412	MED. SERV.	TN	NA	C CORP	false
COMMUNITY HOME CARE INC
1490 PARK AVENUE NW SUITE B	NORTON	VA	24273	541453810	DME	VA	NA	C CORP	false
WILSON PHARMACY INC
PO BOX 5289	JOHNSON CITY	TN	37604	620329587	PHARMACY	TN	NA	C CORP	false
CRESTPOINT HEALTH INSURANCE COMPANY
509 MED TECH PARKWAY SUITE 100	JOHNSON CITY	TN	37604	620381170	INSURANCE	TN	NA	C CORP	false
INTEGRATED SOLUTIONS HEALTH NETWORK
509 MED TECH PARKWAY SUITE 100	JOHNSON CITY	TN	37604	621711997	HLTH NETWK	TN	NA	C CORP	false
WELLMONT INC
1905 AMERICAN WAY	KINGSPORT	TN	37660	621320035	MED. SERV.	TN	NA	C CORP	false
MCOT INC
1905 AMERICAN WAY	KINGSPORT	TN	37660	621325938	BUS. SERV.	TN	NA	C CORP	false
MEDICAL MALL PHARMACY INC
1905 AMERICAN WAY	KINGSPORT	TN	37660	621565006	MED. SERV.	TN	NA	C CORP	false
WELLMONT PHYSICIAN SERVICES
1905 AMERICAN WAY	KINGSPORT	TN	37660	621567353	MED. SERV.	TN	NA	C CORP	false
WPS PROVIDERS INC
1905 AMERICAN WAY	KINGSPORT	TN	37660	205564642	MED. SERV.	TN	NA	C CORP	false
WELLMONT HEALTH SERVICES INC
1905 AMERICAN WAY	KINGSPORT	TN	37660	621254373	MED. SERV.	TN	NA	C CORP	false
WELLMONT INSURANCE CO SPC LTD
1905 AMERICAN WAY	KINGSPORT	TN	37660	981195624	INSURANCE				false	N/A
NOLICHUCKEY MANAGEMENT SVCS INC
1420 TUSCULUM BOULEVARD	GREENEVILLE	TN	37745	621776681	MED. SERV.	TN	LMH	C CORP	Yes (true)		$4,161,858	$801,596	1.00000

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
NOLICHUCKEY MANAGEMENT SVCS INC
A	$179,504	FMV
LAUGHLIN HEALTHCARE FOUNDATION
C	$54,124	FMV
NOLICHUCKEY MANAGEMENT SVCS INC
B	$111,661	FMV
NOLICHUCKEY MANAGEMENT SVCS INC
R	$1,908,301	FMV