JOHNSTON MEMORIAL HOSPITAL INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- JOHNSTON MEMORIAL HOSPITAL INC (EIN 54-0544705)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-05-11
- IRS object ID
- 201941319349300204
- 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 | 2019-05-11T06:56:01-05:00 | 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 | 540544705 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHNSTON MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | JOHN | BusinessNameControlTxt |
| Phone | 2762582800 | 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 | JOHN JETER | PersonNm |
| Person Title | JMH CEO | PersonTitleTxt |
| Phone | 2762582800 | PhoneNum |
| Signature | 2019-05-11 | 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 | 2019-05-11 | IPDt |
| IP Tm | 06:56:01 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 87E77A894FBEAE8A07458463D987FBB2F40DF0C9 | 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 | JOHN JETER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 16000 JOHNSTON MEMORIAL DRIVE | AddressLine1Txt |
| City | ABINGDON | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24211 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $165,143,618 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | BALLADHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1917 | FormationYr |
| Legal Domicile State | VA | 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 | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 154 | TotalVolunteersCnt |
| Total Gross UBI | $104,474 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $47,774 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $58,108 | PYContributionsGrantsAmt |
| CY Contributions Grants | $111,403 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $156,156,912 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $156,513,664 | CYProgramServiceRevenueAmt |
| PY Investment Income | $6,200,963 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,079,914 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,127,365 | PYOtherRevenueAmt |
| CY Other Revenue | $1,446,173 | CYOtherRevenueAmt |
| PY Total Revenue | $163,543,348 | PYTotalRevenueAmt |
| CY Total Revenue | $164,151,154 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $154,224 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $144,694 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $51,640,203 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $53,745,939 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $82,608,524 | PYOtherExpensesAmt |
| CY Other Expenses | $83,909,880 | CYOtherExpensesAmt |
| PY Total Expenses | $134,402,951 | PYTotalExpensesAmt |
| CY Total Expenses | $137,800,513 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $29,140,397 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $26,350,641 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $381,668,757 | TotalAssetsBOYAmt |
| Total Assets EOY | $409,773,302 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $17,620,555 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $11,799,102 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $364,048,202 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $397,974,200 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | OUR MISSION: HONOR THOSE WE SERVE BY DELIVERING THE BEST POSSIBLE CARE | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $113,888,360 | ExpenseAmt |
| Grant | $144,694 | GrantAmt |
| Revenue | $156,169,655 | RevenueAmt |
| Desc | JOHNSTON MEMORIAL HOSPITAL (JMH) IS LOCATED IN ABINGDON, VIRGINIA (WASHINGTON COUNTY). THE HOSPITAL OWNS AND OPERATES A 116-BED NONPROFIT ACUTE CARE HOSPITAL AND HOME HEALTH AGENCY. OUR PRIMARY SERVICE AREA ENCOMPASSES 7 COUNTIES IN SOUTHWEST VIRGINIA. JMH IS THE SOLE MEMBER OF ABINGDON PHYSICIAN PARTNERS, A TAX EXEMPT ORGANIZATION THAT OWNS AND OPERATES PHYSICIAN PRACTICES. ITS MEMBERSHIP CONSISTS OF MOUNTAIN STATES HEALTH ALLIANCE (MAJORITY OWNER) AND JOHNSTON MEMORIAL HEALTHCARE FOUNDATION, INC. MSHA, INCLUDING JMH, IS PART OF THE BALLAD HEALTH NETWORK. (CONTINUED ON SCHEDULE O) | Desc |
| Total Program Service Expenses | $113,888,360 | 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 | false | 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 |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 142 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| 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 | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | 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 | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | VA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | TN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LYNN KRUTAK | PersonNm |
| Phone | 4233023374 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 303 MED TECH PARKWAY SUITE 300 | AddressLine1Txt |
| City | JOHNSON CITY | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37604 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 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 | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MARVIN EICHORN | ||||||||||
| EVP/COO, VIC | 4.00 | 51.00 | Yes (X) | Yes (X) | $0 | $749,129 | $42,742 | |||
| JOHN PATTERSON MD | ||||||||||
| PHYSICIAN | 3.00 | 37.00 | Yes (X) | $0 | $744,134 | $25,881 | ||||
| AMIT VASHIST MD | ||||||||||
| PHYSICIAN | 3.00 | 37.00 | Yes (X) | $0 | $406,915 | $31,602 | ||||
| GARY PEACOCK | ||||||||||
| DIRECTOR | 3.00 | 4.10 | Yes (X) | $0 | $0 | $0 | ||||
| BILL HAYTER | ||||||||||
| DIRECTOR | 3.00 | Yes (X) | $0 | $0 | $0 | |||||
| JOHN FOWLKES | ||||||||||
| TREASURER | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||||
| BRENDAN MCSHEEHY | ||||||||||
| DIRECTOR | 3.00 | 1.90 | Yes (X) | $0 | $0 | $0 | ||||
| RACHEL FOWLKES EDD | ||||||||||
| DIRECTOR | 3.00 | Yes (X) | $0 | $0 | $0 | |||||
| JOANNE GILMER | ||||||||||
| DIRECTOR | 3.00 | 3.40 | Yes (X) | $0 | $0 | $0 | ||||
| ERIC MILLER | ||||||||||
| SECRETARY | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||||
| KATHY MITCHELL | ||||||||||
| DIRECTOR | 3.00 | Yes (X) | $0 | $0 | $0 | |||||
| DICK GAIL | ||||||||||
| CHAIR | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||||
| MARVIN GILLIAM | ||||||||||
| DIRECTOR | 3.00 | Yes (X) | $0 | $0 | $0 | |||||
| MIKE SPIEGLER | ||||||||||
| DIRECTOR | 3.00 | Yes (X) | $0 | $0 | $0 | |||||
| DONNIE MEADOWS | ||||||||||
| DIRECTOR | 3.00 | Yes (X) | $0 | $0 | $0 | |||||
| STAN HICKSON | ||||||||||
| JMH CEO/VP S | 40.75 | 4.25 | Yes (X) | $0 | $383,274 | $20,856 | ||||
| JOHN JETER | ||||||||||
| JMH CEO | 38.80 | 6.20 | Yes (X) | $0 | $211,825 | $29,199 | ||||
| JUSTIN IVORY | ||||||||||
| JMH CFO | 18.00 | 27.00 | Yes (X) | $0 | $88,532 | $14,065 | ||||
| BRYAN MULLINS | ||||||||||
| JMH COO | 45.00 | $0 | $188,446 | $27,744 | Yes (X) | |||||
| BRIAN CONDIT MD | ||||||||||
| VP/CMO NORTH | 45.00 | $0 | $379,905 | $35,408 | Yes (X) | |||||
| SCOTT HUNTER PA | ||||||||||
| PHYSICIAN AS | 40.00 | $0 | $227,284 | $32,418 | Yes (X) | |||||
| KENT WILEY PA | ||||||||||
| PHYSICIAN AS | 40.00 | $0 | $157,480 | $26,480 | Yes (X) | |||||
| LEA MULLINS | ||||||||||
| PHARMACY DIR | 40.00 | $0 | $148,817 | $31,661 | Yes (X) | |||||
| JAMES WHITE | ||||||||||
| PHARMACIST | 40.00 | $0 | $142,562 | $16,116 | Yes (X) | |||||
| JOHN RAY MD HOSPITALIST | ||||||||||
| FMR JMH HIGH | 40.00 | $0 | $199,644 | $18,008 | Yes (X) | |||||
| JIM GARDNER MD APP PHYSICIAN | ||||||||||
| FMR JMH BOAR | 40.00 | $0 | $200,873 | $23,633 | Yes (X) | |||||
| STEPHEN GIVENS AVPRCMC ADMIN | ||||||||||
| FMR JMH KEY | 45.00 | $0 | $211,966 | $26,319 | Yes (X) | |||||
| DAMIAN SOOKLAL MD MSMG PHYSICIAN | ||||||||||
| FMR JMH HIGH | 40.00 | $0 | $508,867 | $25,112 | Yes (X) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Reportable Comp Rltd Org | $4,949,653 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $427,244 | TotalOtherCompensationAmt |
| Former Ofcr Employees Listed | Yes (true) | 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 |
|---|---|---|---|---|---|
| VARIAN MEDICAL SYSTEMS INC | |||||
| 70140 NETWORK PLACE | CHICAGO | IL | 606731701 | MAINT. SERVS. | $3,207,969 |
| VIRGINIA HIGHLANDS ANESTHESIA | |||||
| PO BOX 1476 | ABINGDON | VA | 24212 | ANESTHESIA | $3,151,831 |
| BURWIL CONSTRUCTION CO INC | |||||
| PO BOX 637 | BRISTOL | TN | 37621 | CONSTRUCTION | $1,028,072 |
| COVE CREEK EMERGENCY PHYSICIANS | |||||
| MEDICAL GROUP INC SUITE 400 | CONCORD | CA | 94520 | PHYSICIAN SERVS | $1,023,994 |
| MEDIAS INC | |||||
| PO BOX 10452 | BLACKSBURG | VA | 24062 | SLEEP STUDIES | $553,319 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 27 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $104,249 | RelatedOrganizationsAmt |
| All Other Contributions | $7,154 | AllOtherContributionsAmt |
| Total Contributions | $111,403 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT SERVICE REVENUE | 622110 | $155,577,607 | $155,577,607 | |
| RENT TO EXEMPT AFFILIATES | 622110 | $345,991 | $345,991 | |
| P/S BUSINESS INCOME | 541900 | $288,437 | $288,437 | |
| WELLNESS PROGRAMS | 622110 | $228,059 | $228,059 | |
| LAB OUTREACH INCOME | 621500 | $73,570 | $73,570 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $156,513,664 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,035,171 | TotalRevenueColumnAmt |
| Exclusion | $4,035,171 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $796,985 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $520,262 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $276,723 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $276,723 | TotalRevenueColumnAmt |
| Exclusion | $276,723 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,516,945 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $472,202 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,516,945 | SecuritiesAmt |
| Other | -$472,202 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,044,743 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$472,202 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $2,516,945 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| VENDOR SETTLEMENT | 900099 | $639,702 | $639,702 | |
| REVENUE FROM PARENT | 900099 | $128,193 | $128,193 | |
| CAFETERIA & VENDING | 722514 | $27,724 | $27,724 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $373,831 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $30,904 | UnrelatedBusinessRevenueAmt |
| Exclusion | $342,927 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,169,450 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $164,151,154 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $156,096,085 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $104,474 | UnrelatedBusinessRevenueAmt |
| Exclusion | $7,839,192 | 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 | $144,694 | TotalAmt |
| Program Services | $144,694 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $868,673 | TotalAmt |
| Management And General | $868,673 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,531,935 | TotalAmt |
| Program Services | $36,124,921 | ProgramServicesAmt |
| Management And General | $5,407,014 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,570,297 | TotalAmt |
| Program Services | $1,370,771 | ProgramServicesAmt |
| Management And General | $199,526 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,992,343 | TotalAmt |
| Program Services | $5,110,249 | ProgramServicesAmt |
| Management And General | $1,882,094 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,782,691 | TotalAmt |
| Program Services | $2,615,426 | ProgramServicesAmt |
| Management And General | $167,265 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,608 | TotalAmt |
| Management And General | $39,608 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $154,742 | TotalAmt |
| Management And General | $154,742 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,457 | TotalAmt |
| Management And General | $36,457 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $398,440 | TotalAmt |
| Management And General | $398,440 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,468,186 | TotalAmt |
| Program Services | $27,725,408 | ProgramServicesAmt |
| Management And General | $2,742,778 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $317,250 | TotalAmt |
| Program Services | $14,103 | ProgramServicesAmt |
| Management And General | $303,147 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,239,187 | TotalAmt |
| Program Services | $991,611 | ProgramServicesAmt |
| Management And General | $247,576 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,863,411 | TotalAmt |
| Program Services | $2,769,649 | ProgramServicesAmt |
| Management And General | $93,762 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,395,295 | TotalAmt |
| Program Services | $2,027,350 | ProgramServicesAmt |
| Management And General | $367,945 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $249,260 | TotalAmt |
| Program Services | $210,611 | ProgramServicesAmt |
| Management And General | $38,649 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,660,566 | TotalAmt |
| Program Services | $4,050,185 | ProgramServicesAmt |
| Management And General | $7,610,381 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $165,085 | TotalAmt |
| Program Services | $32,698 | ProgramServicesAmt |
| Management And General | $132,387 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| TAXES - UBI | $3,570 | $3,570 | |
| MEDICAL SUPPLIES & DRUGS | $26,945,792 | $26,945,792 | |
| REPAIRS & MAINTENANCE | $3,176,081 | $152,898 | $3,023,183 |
| MANAGEMENT FEES TO PARENT | $2,671,786 | $2,671,786 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,125,164 | TotalAmt |
| Program Services | $731,709 | ProgramServicesAmt |
| Management And General | $393,455 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $137,800,513 | TotalAmt |
| Program Services | $113,888,360 | ProgramServicesAmt |
| Management And General | $23,912,153 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,432,434 | BOYAmt |
| EOY | $5,040,226 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,869,482 | BOYAmt |
| EOY | $23,980,702 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $83,824 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,128,400 | BOYAmt |
| EOY | $2,931,544 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,045,287 | BOYAmt |
| EOY | $781,738 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $254,409,489 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $110,843,068 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $152,739,526 | BOYAmt |
| EOY | $143,566,421 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $189,998,223 | BOYAmt |
| EOY | $231,091,062 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113,590 | BOYAmt |
| EOY | $84,950 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,200 | BOYAmt |
| EOY | $35,200 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,306,615 | BOYAmt |
| EOY | $2,177,635 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $381,668,757 | BOYAmt |
| EOY | $409,773,302 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,457,685 | BOYAmt |
| EOY | $8,862,485 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,555,687 | BOYAmt |
| EOY | $1,078,294 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,607,183 | BOYAmt |
| EOY | $1,858,323 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,620,555 | BOYAmt |
| EOY | $11,799,102 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $363,910,905 | BOYAmt |
| EOY | $397,974,200 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $137,297 | BOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $364,048,202 | BOYAmt |
| EOY | $397,974,200 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $381,668,757 | BOYAmt |
| EOY | $409,773,302 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $26,350,641 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $7,786,758 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$211,401 | 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 | $14,215 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $14,215 | 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 | JMH HAD LOBBYING EXPENSES OF 14,215 WHICH REPRESENTS THE PORTION OF DUES PAID TO VIRGINIA HOSPITAL AND HEALTHCARE ASSOCIATION ATTRIBUTABLE TO DIRECT LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,014,450 | OtherCostOrOtherBasisAmt |
| Book Value | $7,014,450 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $155,854,624 | OtherCostOrOtherBasisAmt |
| Depreciation | $47,989,796 | DepreciationAmt |
| Book Value | $107,864,828 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,106,231 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,064,795 | DepreciationAmt |
| Book Value | $3,041,436 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $84,358,141 | OtherCostOrOtherBasisAmt |
| Depreciation | $59,153,921 | DepreciationAmt |
| Book Value | $25,204,220 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,076,043 | OtherCostOrOtherBasisAmt |
| Depreciation | $634,556 | DepreciationAmt |
| Book Value | $441,487 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $143,566,421 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| PHARMACY, MEDICAL & WORKER'S COMP. | $890,574 |
| RESERVE FOR PROFESSIONAL LIABILITES | $849,068 |
| CAPITAL LEASE OBLIGATIONS | $103,619 |
| OTHER LONG-TERM LIABILITIES | $15,062 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,858,323 | 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 | "THE HOSPITAL AND APP ARE CLASSIFIED AS ORGANIZATIONS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. JMH ER IS ORGANIZED AS A LIMITED LIABILITY CORPORATION AND IS CONSIDERED A DISREGARDED ENTITY FOR TAX PURPOSES. AS SUCH, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE HOSPITAL HAS NO SIGNIFICANT UNCERTAIN TAX POSITIONS AT JUNE 30, 2018 AND 2017. AT JUNE 30, 2018, TAX RETURNS 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 | $1,234,203 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,234,203 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00900 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,629,254 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,734,561 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,894,693 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02830 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,863,457 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,734,561 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,128,896 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03720 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $593,488 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $593,488 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00430 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,410,382 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,501,961 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,908,421 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02110 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,954,928 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,089,368 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,865,560 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01350 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $92,284 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $92,284 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,051,082 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,591,329 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,459,753 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03960 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,914,539 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,325,890 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,588,649 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07680 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,850 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,850 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,850 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,850 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $17,168,505 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $6,524,032 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $46,514,612 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $42,843,861 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $3,670,751 | 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 | JOHNSTON MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 16000 JOHNSTON MEMORIAL DRIVE | AddressLine1Txt |
| City | ABINGDON | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24211 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | BALLADHEALTH.ORG/LOCATIONSHOSPITALS | WebsiteAddressTxt |
| State License | H 1864 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHNSTON 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 | 18 | 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 | BALLADHEALTH.ORG/LOCATIONSHOSPITALS | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | 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 | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | BALLADHEALTH.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | BALLADHEALTH.ORG | 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, JOHNSTON MEMORIAL HOSPITAL, INC. - PART V, LINE 3E | DURING FY18, JMH WAS OPERATING UNDER THE CHNA APPROVED BY ITS BOARD OF DIRECTORS AT THE END OF FY15. PRIORITIES ESTABLISHED FOR THEIR CHNA WERE DETERMINED BY THE MOST SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY. MSHA HOSPITALS, INCLUDING JMH, CONDUCTED THEIR THIRD CHNA THIS TAX REPORTING PERIOD WITH BOARD APPROVAL AND PUBLICATION OCCURRING AT THE END OF FY18. FOR THE NEW FY18 CHNA, BALLAD HEALTH AND ITS HOSPITALS AND ENTITIES AGREED TO FOCUS ON AN INDEX OF 25 ACTIVE POPULATION HEALTH INDEX MEASURES (PLUS AN ADDITIONAL 31 MEASURES FOR MONITORING). THE POPULATION HEALTH INDEX ITSELF IS BASED ON THE FOCUS AREAS OUTLINED IN THE PREVIOUS FY15 CHNA AND ALIGN WITH NATIONAL HEALTH IMPROVEMENT EFFORTS, SUCH AS HEALTHY PEOPLE 2020. TO UNDERSTAND EACH COMMUNITY'S INDIVIDUAL NEEDS, BALLAD HEALTH CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR EACH BALLAD HOSPITAL TO PROFILE THE HEALTH OF THE RESIDENTS WITHIN ITS SERVICE AREA. THROUGHOUT THE CHNA PROCESS, HIGH PRIORITY WAS GIVEN TO DETERMINING THE HEALTH DISPARITIES AND AVAILABLE RESOURCES WITHIN EACH COMMUNITY. COMMUNITY MEMBERS FROM EACH COUNTY MET WITH BALLAD REPRESENTATIVES TO DISCUSS CURRENT HEALTH PRIORITIES AND IDENTIFY POTENTIAL SOLUTIONS. JMH IS LOCATED IN WASHINGTON COUNTY, VIRGINIA. THE WASHINGTON COUNTY CHNA COMMUNITY MEMBERS EVALUATED MEASURES THAT MAKE UP BALLAD HEALTH'S POPULATION HEALTH INDEX AND A FEW ADDITIONAL MEASURES RELATED TO ACCESS TO HEALTH SCREENINGS. THE WASHINGTON COUNTY GROUP'S MEMBERS COMPLETED A SURVEY RELATIVE TO WHAT HEALTH PRIORITIES SHOULD BE A FOCUS FOR THEIR SPECIFIC COMMUNITY OVER THE NEXT THREE YEARS. AFTER ALL THE DETAILS AND DATA COLLECTION WAS COMPLETE AND INTERVIEWS WITH VARIOUS FOCUS GROUPS WERE COMPLETE, THE WASHINGTON COUNTY REPRESENTATIVES IDENTIFIED THE TOP FOCUS AREAS. FOUR KEY PRIORITIES WERE IDENTIFIED: -SMOKING -PHYSICAL ACTIVITY/OBESITY -SUBSTANCE ABUSE/MENTAL HEALTH -MATERNAL/INFANT HEALTH |
| FACILITY 1, JOHNSTON MEMORIAL HOSPITAL, INC. - PART V, LINE 5 | AS PART OF THE FY18 BALLAD HEALTH CHNA PROCESS, BALLAD CONDUCTED LOCALIZED COMMUNITY FOCUS GROUPS WITH ORGANIZATION REPRESENTATIVES SUCH AS THOSE FROM LOCAL HEALTH DEPARTMENTS, SCHOOL SYSTEMS, HEALTH CLINICS, EMERGENCY SERVICES, BUSINESSES, AND PHILANTHROPIC BOARDS. THE INDIVIDUALS IN JMH'S COMMUNITY WERE SELECTED FOR PARTICIPATION BY THE HOSPITAL'S CEO. THE JMH FOCUS GROUP MEMBERS WERE REPRESENTED BY VIRGINIA DEPARTMENT OF HEALTH, CHILDREN'S ADVOCACY CENTER OF HIGHLANDS COMMUNITY SERVICE, BALLAD HEALTH GOVERNMENT RELATIONS, UNITED WAY OF SOUTHWEST VIRGINIA, WASHINGTON COUNTY SERVICES, WASHINGTON COUNTY EMERGENCY MANAGEMENT, VIRGINIA HIGHLANDS COMMUNITY COLLEGE, WASHINGTON COUNTY HIGHER EDUCATION, WASHINGTON COUNTY CHAMBER OF COMMERCE, HIGHLANDS COMMUNITY SERVICE BOARD, MOUNT ROGERS HEALTH DISTRICT, FAITH IN ACTION, WASHINGTON COUNTY PUBLIC SCHOOLS AND JOHNSTON MEMORIAL HOSPITAL FOUNDATION BOARD. LOW INCOME, MINORITY AND MEDICALLY UNDERSERVED POPULATIONS WERE REPRESENTED BY MOUNT ROGERS HEALTH DEPARTMENT, VIRGINIA DEPARTMENT OF HEALTH, UNITED WAY OF SWVA, FAITH IN ACTION AND CHILDREN'S ADVOCACY CENTER OF HIGHLANDS COMMUNITY SERVICE. ALSO, BETWEEN THE FOUNDATION BOARD AND THE COMMUNITY BOARD, THERE ARE A NUMBER OF INDIVIDUALS THAT SIT ON THESE BOARDS THAT REPRESENT LOW INCOME, MINORITY POPULATIONS, AND MEDICALLY UNDERSERVED. ACTIVITIES ASSOCIATED WITH THE JUNE 2018 ASSESSMENT TOOK PLACE FROM FALL OF 2017 THROUGH THE SPRING OF 2018. COMMUNITY MEMBERS FROM WASHINGTON COUNTY MET WITH BALLAD HEALTH REPRESENTATIVES TO DISCUSS HEALTH PRIORITIES AND IDENTIFY POTENTIAL SOLUTIONS. COMMUNITY MEMBERS WERE MADE AWARE OF THE 25 MEASURES THAT MAKE UP BALLAD HEALTH'S POPULATION HEALTH INDEX PLUS 3 ADDITIONAL MEASURES RELATED TO ACCESS TO HEALTH SCREENING. PARTICIPANTS THEN COMPLETED A SURVEY TO INDICATE THEIR OPINION ON WHAT HEALTH PRIORITIES SHOULD BE A FOCUS FOR THEIR COMMUNITY. |
| FACILITY 1, JOHNSTON MEMORIAL HOSPITAL, INC. - PART V, LINE 6A | EACH HOSPITAL WITHIN MOUNTAIN STATES HEALTH ALLIANCE COMPLETED A CHNA. JMH'S CHNA WAS CONDUCTED WITH ALL MSHA HOSPITALS TO INCLUDE: JOHNSON CITY MEDICAL CENTER (INCLUDES NISWONGER CHILDREN'S HOSPITAL AND WOODRIDGE HOSPITAL), FRANKLIN WOODS COMMUNITY HOSPITAL, INDIAN PATH MEDICAL CENTER, JOHNSON COUNTY COMMUNITY HOSPITAL, JOHNSTON MEMORIAL HOSPITAL, NORTON COMMUNITY HOSPITAL, DICKENSON COMMUNITY HOSPITAL, RUSSELL COUNTY MEDICAL CENTER, SMYTH COUNTY COMMUNITY HOSPITAL, SYCAMORE SHOALS HOSPITAL, AND UNICOI COUNTY MEMORIAL HOSPITAL. |
| FACILITY 1, JOHNSTON MEMORIAL HOSPITAL, INC. - PART V, LINE 11 | DURING THE YEAR, JMH CONTINUED TO FOCUS ON ITS CHNA PRIORITIES AS IDENTIFIED IN ITS FY15 REPORT. JMH'S PRIMARY AREAS OF FOCUS INCLUDED: DIABETES, CARDIOVASCULAR DISEASE, CANCER, OBESITY AND MENTAL HEALTH. MANY ADDITIONAL COMMUNITY NEEDS EXIST IN OUR REGION. IT IS FISCALLY IMPOSSIBLE FOR A HOSPITAL TO ADDRESS EVERY HEALTH NEED IN A COMMUNITY, WHICH IS WHY THE CHNA PROCESS IS USED TO IDENTIFY AND PRIORITIZE AREAS OF FOCUS. A THOUGHTFUL CHNA EVALUATES OVERALL COMMUNITY HEALTH NEEDS TO DETERMINE WHICH ONES THE HOSPITAL CAN BEST INFLUENCE IN A POSITIVE WAY. CONSIDERATION IS GIVEN TO OTHER ORGANIZATIONS IN THE HOSPITAL'S GEOGRAPHIC AREA THAT ALREADY OFFER SERVICES ADDRESSING SPECIFIC HEALTH NEEDS. IN SOME CASES, IT IS BEST TO SIMPLY SUPPORT AN IDENTIFIED HEALTH NEED THROUGH A FINANCIAL DONATION TO ANOTHER NONPROFIT ORGANIZATION SKILLED IN CERTAIN AREAS: TEEN PREGNANCY, DENTAL HEALTH, FIGHTING HOMELESSNESS, ETC. HOSPITALS ALSO LEND SUPPORT TO OTHER NONPROFIT ORGANIZATIONS BY SERVING ON THEIR BOARDS, COMMITTEES, AND ASSISTING WITH FUNDRAISING EFFORTS. JMH MADE FINANCIAL CONTRIBUTIONS TO OTHER NONPROFIT ORGANIZATIONS PROVIDING COMMUNITY SERVICES THAT SUPPORT THE HOSPITAL'S CHNA. JMH CONTRIBUTED TO AN ORGANIZATION FOCUSED ON PROVIDING QUALITY PRIMARY MEDICAL SERVICES TO LOW INCOME RESIDENTS IN APPALACHIA, AN ORGANIZATION THAT PROVIDES NUTRITIOUS FOOD FOR LOW INCOME FAMILIES IN WASHINGTON COUNTY, AND AN ORGANIZATION THAT PROVIDES MENTAL HEALTH, SUBSTANCE ABUSE, AND DEVELOPMENTAL SERVICES TO THE RESIDENTS OF WASHINGTON COUNTY. JMH OFFERED FREE LOW DOSE CT SCANS TO A NUMBER OF PATIENTS IN FY18 AND THE FAMILY BIRTH CENTER STAFF PROVIDED EDUCATION FOR AT RISK MOTHERS RELATED TO SUBSTANCE ABUSE. FREE MEDICATIONS WERE PROVIDED TO SOME LOW-INCOME PATIENTS AT THE TIME OF THEIR DISCHARGE. THE HOSPITAL CONTINUED ITS PRACTICE OF PROVIDING MEDICATIONS AND SUPPLIES TO AREA RESCUE SQUADS THIS YEAR. |
| FACILITY 1, JOHNSTON 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. |
Supplemental Information Detail SupplementalInformationDetail (14 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 MEDICAID/TENNCARE BENEFITS, THOSE WHO QUALIFIED FOR MEDICAID/TENNCARE 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; THE CURRENT UNINSURED DISCOUNT IS 80%. 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 | THE COST TO CHARGE RATIO (WORKSHEET 2 "RATIO OF PATIENT CARE COST TO CHARGES") WAS USED TO CALCULATE LINE 7A FINANCIAL ASSISTANCE (CHARITY CARE) COST. OUR COST ACCOUNTING SYSTEM WAS USED TO DETERMINE LOSSES FROM MEDICAID AND TENNCARE REPORTED ON LINE 7B, WITH THE EXCEPTION OF HOME HEALTH. WE USED THE COST TO CHARGE RATIO FOR HOME HEALTH MEDICAID LOSSES BECAUSE THEIR DATA IS NOT AVAILABLE IN OUR COST ACCOUNTING SOFTWARE. LINE 7E COMMUNITY HEALTH IMPROVEMENT INCLUDES COSTS THAT ARE TAKEN DIRECTLY FROM DEPARTMENTAL OPERATING REPORTS OR EXPENSES SPECIFIC TO A COMMUNITY HEALTH EVENT, WITH NO ADDITIONAL OVERHEAD INCLUDED IN THE COST. LINE 7F HEALTH PROFESSIONS EDUCATION IS COMPRISED OF INTERNSHIPS (PRIMARILY NURSING, PHARMACY, AND THERAPY STUDENTS) WITH SCHOOLS AND UNIVERSITIES, ALLOWING THEIR HEALTH PROFESSION STUDENTS TO GET HANDS-ON TRAINING IN A HOSPITAL SETTING. ANOTHER SOURCE OF HEALTH PROFESSIONS EDUCATION REPORTED ON LINE 7F IS OUR MEDICARE-APPROVED FAMILY MEDICINE AND INTERNAL MEDICINE PROGRAMS (IN THEIR THIRD YEAR). THE MEDICAL RESIDENT PROGRAM COST AND REIMBURSEMENT INFORMATION COMES FROM OUR FILED MEDICARE COST REPORT. FOR LINE 7G SUBSIDIZED HEALTH CARE SERVICES, WE USE OUR COST ACCOUNTING SYSTEM BECAUSE WE HAVE ESTABLISHED, STANDARD COSTING REPORTS FOR THESE SERVICES. WE ARE CAREFUL TO ENSURE NO DOUBLE COUNTING OF COST (FOR EXAMPLE, WE DO NOT INCLUDE CHARITY OR MEDICAID/TENNCARE ALREADY REPORTED ON LINES 7A AND 7B). AND, PURSUANT TO IRS INSTRUCTIONS, WE DO NOT INCLUDE BAD DEBT LOSSES. ALTHOUGH WE HAVE MANY SERVICE LINES WITHIN OUR HOSPITAL THAT LOSE MONEY, WE DO NOT REPORT SERVICES THAT HOSPITALS ARE REQUIRED BY STATE LICENSURE TO PROVIDE, ROUTINE SERVICES OR ANCILLARY SERVICES. LINE 7I CASH AND IN-KIND CONTRIBUTIONS INCLUDE CASH DISBURSEMENTS AND IN-KIND DONATIONS OF MEDICATIONS TO LOCAL NONPROFIT RESCUE SQUADS AND FIRE DEPARTMENTS. IN-KIND DONATIONS OF MEDICATIONS ARE BASED ON OUR ACTUAL COST FOR THESE ITEMS. |
| PART II - COMMUNITY BUILDING ACTIVITIES | JMH 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 JMH 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. JMH, IN COLLABORATION WITH AREA HEALTH AGENCIES AND PROVIDERS, MAY OFFER ASSISTANCE WITH COORDINATION, ADVOCACY, 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, MEDICAID, 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 71% DISCOUNT UNTIL FEBRUARY 1, 2018, AT WHICH TIME THE UNINSURED DISCOUNT INCREASED TO 80%. 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, JMH 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 COLLECTABILITY OF RECEIVABLES. |
| PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE | OUR PRIMARY EXTERNAL COLLECTION AGENCY ESTIMATES THAT 38% OF JMH'S BAD DEBT WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE IF PATIENTS HAD PROVIDED OUR HOSPITALS 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 JMH PAYS TO PROCESS CHARITY CARE APPLICATIONS FOR UNINSURED PATIENTS AND TO OFFER PATIENTS ENROLLMENT ASSISTANCE IN MEDICAID (VA) OR TENNCARE (TN). 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. JMH 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 | THE TEXT OF JMH'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE APPEARS ON PAGE 11 IN OUR MOST RECENT AUDITED FINANCIAL STATEMENTS (ATTACHED). |
| PART III, LINE 8 - MEDICARE EXPLANATION | SCHEDULE H PART III, SECTION B REPORTS A JMH MEDICARE GAIN DURING FY18. THE GAIN REPORTED IN PART III EXCLUDES MEDICARE LOSSES OF 964,472 REPORTED IN PART I, LINE 7G SUBSIDIZED HEALTH SERVICES RELATED TO PROGRAMS SUCH AS WOUND CARE AND OUTPATIENT DIABETES. EXCLUDING MEDICARE LOSSES REPORTED IN PART I SUBSIDIZED HEALTH, PART III MEDICARE ALLOWABLE COSTS ARE REPORTED USING JMH'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, INCLUDING 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. 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 HOSPITAL 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 MEDICAID OR TENNCARE. AFTER INSURANCE BENEFIT VERIFICATION, THE HOSPITAL BILLS 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 HOSPITAL PROVIDES 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 2 - NEEDS ASSESSMENT | FOCUSING ON 25 ACTIVE POPULATION HEALTH INDEX MEASURES ALLOWS BALLAD HEALTH TO FURTHER ENGAGE THE EFFORTS OF ITS HOSPITALS IN PARTNERSHIP WITH COMMUNITIES IN OUR SERVICE AREAS. IT HAS HELPED BALLAD TO BETTER IDENTIFY HEALTH DISPARITIES THAT APPEAR ACROSS THE INDIVIDUAL COMMUNITIES AND HAS HELPED BALLAD TO PRIORITIZE ISSUES THAT ARE MOST IMPORTANT IN EACH HOSPITAL'S COMMUNITY. ENGAGING LOCAL COMMUNITY ORGANIZATIONS WILL EXPAND PARTNERSHIPS SO THAT ORGANIZATIONS WORK TOGETHER MORE TO ADDRESS COMMUNITY HEALTH NEEDS. BALLAD HEALTH DEVELOPED A COMPREHENSIVE PROCESS TO GATHER INPUT FOR AND DRAFT A POPULATION HEALTH PLAN DURING FY18. AN EXECUTIVE STEERING TEAM WAS ESTABLISHED, AIDED BY NATIONAL EXPERTS WITH EXPERIENCE IN LARGE-SCALE POPULATION HEALTH IMPROVEMENT. BECAUSE OUR HOSPITALS ARE LOCATED IN A REGION WITH MANY CHRONIC DISEASE CHALLENGES, BALLAD HEALTH'S GOAL IS TO TARGET POPULATION HEALTH ISSUES TO MAKE LASTING IMPROVEMENTS. BALLAD CONDUCTED APPROXIMATELY 150 INTERVIEWS AND HELD 40 MEETINGS WITH EXTERNAL GROUPS, INCLUDING THE REGIONAL HEALTH DEPARTMENTS, UNITED WAY AGENCIES, CHAMBERS OF COMMERCE, SCHOOLS AND COMMUNITY ORGANIZATIONS, THE REGIONAL ACCOUNTABLE CARE COMMUNITY STEERING COMMITTEE, AS WELL AS INTERNAL GROUPS SUCH AS OUR POPULATION HEALTH AND SOCIAL RESPONSIBILITY COMMITTEE OF THE BALLAD HEALTH BOARD OF DIRECTORS, THE BALLAD HEALTH POPULATION HEALTH CLINICAL COMMITTEE, AND OUR HOSPITAL COMMUNITY BOARDS. |
| PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | CONSISTENT WITH THE BALLAD HEALTH FINANCIAL ASSISTANCE POLICY, JMH 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 JMH 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 MEDICAID OR TENNCARE, 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 | JMH IS LOCATED IN ABINGTON, VIRGINIA (WASHINGTON COUNTY), WHICH IS IN SOUTHWEST VIRGINIA. SOUTHWEST VIRGINIA (SWVA) IS LOCATED WITHIN THE APPALACHIAN MOUNTAINS, SPECIFICALLY THE BLUE RIDGE MOUNTAIN REGION. SWVA IS CONSIDERED RURAL AND MUCH DIFFERENT THAN THE REST OF THE STATE. SWVA HAS BEEN AND REMAINS A MAJOR COAL MINING REGION AND HAS A HIGH RATE OF UNINSURED ADULTS. ACCORDING TO U.S. CENSUS BUREAU ESTIMATES, THE TOWN OF ABINGDON HAS A POPULATION OF 8,044, WHILE WASHINGTON COUNTY'S POPULATION IS 54,457. THE LATEST CENSUS BUREAU DATA ESTIMATES THE MEDIAN AGE OF RESIDENTS OF WASHINGTON COUNTY IS 45.5 WHICH IS OLDER THAN THE MEDIAN AGE OF 38.0 IN VIRGINIA. 20.9% OF WASHINGTON COUNTY'S RESIDENTS ARE 65 OR OLDER COMPARED TO 14.2% FOR THE STATE. WHILE THE OVERALL POPULATION OF WASHINGTON COUNTY IS PROJECTED TO REMAIN RELATIVELY FLAT OVER THE NEXT FIVE YEARS, THE 65+ AGE GROUP IS EXPECTED TO GROW SIGNIFICANTLY (BY 11.3%) OVER THE SAME FIVE- YEAR PERIOD. THE AGING POPULATION OF THE COUNTY PRESENTS OPPORTUNITIES FOR EARLIER IDENTIFICATION AND BETTER MANAGEMENT OF HEALTH CONDITIONS THAT OFTENTIMES AFFECT ELDERLY POPULATIONS IN RURAL AREAS. THE BUREAU ESTIMATES WASHINGTON COUNTY MEDIAN HOUSEHOLD INCOME AT 44,844 (38,338 FOR THE TOWN OF ABINGDON) COMPARED TO 68,766 FOR THE STATE OF VIRGINIA. 19% OF WASHINGTON COUNTY'S CHILDREN LIVE IN POVERTY COMPARED TO 14% STATEWIDE. WASHINGTON COUNTY IS 71.7% RURAL COMPARED WITH THE STATEWIDE RURAL RATE OF 24.5%. THIS FACTOR 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; HOWEVER, 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. MORE THAN 50% OF VEHICLE CRASH-RELATED FATALITIES OCCUR IN RURAL AREAS, EVEN THOUGH LESS THAN ONE-THIRD OF MILES TRAVELED IN A VEHICLE OCCUR THERE AND THERE IS AN ADDITIONAL 22% RISK OF INJURY-RELATED DEATHS IN RURAL COMMUNITIES. WITHIN OUR OWN COUNTY, INJURY DEATHS ARE 26% HIGHER THAN THE STATEWIDE RATE. AND, WHILE OUR AREA HAS GENERALLY UNFAVORABLE HEALTH STATISTICS, THE NUMBER OF RESIDENTS PER PRIMARY CARE PHYSICIAN IN OUR COUNTY IS 12% HIGHER THAN THE OVERALL STATE RATE AND 42% HIGHER THAN TOP PERFORMING U.S. COUNTIES. RECRUITING PHYSICIANS TO RURAL AREAS IS OFTEN CHALLENGING DUE TO A MYRIAD OF FACTORS, SUCH AS GEOGRAPHY, ECONOMICS, CULTURE AND EDUCATION. GEOGRAPHICALLY, RURAL COMMUNITIES ARE OFTEN FAR REMOVED FROM SUBURBAN AND URBAN CENTERS THAT PROVIDE ACCESS TO EDUCATION, CULTURAL AND ECONOMIC OPPORTUNITIES. THESE LIMITATIONS INFLUENCE THE RELOCATION DECISION OF THE PHYSICIAN CANDIDATE AND HIS/HER SPOUSE/CHILDREN TO LOCATE TO A RURAL AREA. 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, 30% OF THE ADULTS IN JMH'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 26% IS 19% HIGHER THAN THE STATEWIDE RATE AND ACCESS TO EXERCISE OPPORTUNITIES IN THE COUNTY IS 20% LOWER THAN THE OVERALL STATE RATE. ACCORDING TO THE 2018 COUNTY HEALTH RANKINGS, WASHINGTON COUNTY IS RANKED 63RD OUT OF 133 IN VIRGINIA FOR HEALTH OUTCOMES AND 60TH IN HEALTH BEHAVIORS. AS FOR SOCIAL AND ECONOMIC FACTORS, WASHINGTON COUNTY RANKS 52ND PRIMARILY DUE TO HIGH RATES OF CHILDREN IN POVERTY AND ABOVE AVERAGE UNEMPLOYMENT RATES. |
| PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH | JMH IS DEDICATED TO OPERATING EFFICIENTLY SO THAT WASTE IS MINIMIZED. JMH'S LEADERSHIP REMAINS MINDFUL OF MANAGING LIMITED RESOURCES SO THAT ADEQUATE FACILITIES AND EQUIPMENT ARE AVAILABLE FOR THE CARE OF OUR PATIENTS. SURPLUS FUNDS ARE INVESTED INTO IMPROVING TREATMENT OPTIONS FOR OUR PATIENTS THROUGH NEW TECHNOLOGIES, RECRUITING PHYSICIANS AND TRAINED STAFF IN SHORTAGE AREAS, AND IMPROVING OUR FACILITIES. VARIOUS CHECKS AND BALANCES ARE ESTABLISHED TO ENSURE THAT EXPENDITURES FOR OPERATING EXPENSES AND CAPITAL COSTS ARE REASONABLE AND NECESSARY. JMH SERVES AS A TRAINING SITE FOR MANY TYPES OF HEALTH PROFESSIONS: NURSING, PHARMACY, PSYCHOLOGY, LAB, RESPIRATORY THERAPY, EMT, PUBLIC HEALTH, ETC. STUDENTS FROM SEVERAL COLLEGES RECEIVE TRAINING AND EXPERIENCE IN OUR HOSPITALS. WE DEVOTE RESOURCES TO HEALTH CONFERENCES FOR LOCAL HEALTH PROFESSIONALS AND OFFER OTHER PROGRAMS FOCUSED ON IMPROVING THE HEALTH OF OUR RESIDENTS. WHILE WE OPERATE IN A PREDOMINANTLY LOW-INCOME, RURAL AREA, WE CONTINUE TO OFFER SERVICES THAT OPERATE AT A LOSS BECAUSE WASHINGTON COUNTY RESIDENTS WOULD OTHERWISE NEED TO LEAVE THEIR HOME TOWN OR COUNTY TO RECEIVE NEEDED CARE. THE MAJORITY OF JMH'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREAS. ONLY TWO DIRECTORS: MARVIN EICHORN AND JOANNE GILMER LIVE OUTSIDE THE AREA. THERE ARE FOUR DIRECTORS DEEMED NON-INDEPENDENT, PER IRS INSTRUCTIONS: TWO ARE PHYSICIANS EMPLOYED BY A JMH SUBSIDIARY; ONE HAS A FAMILY MEMBER EMPLOYED BY JMH; THE OTHER IS AN EMPLOYEE OF MSHA, JMH'S MAJORITY MEMBER. PHYSICIANS THAT REQUEST PRIVILEGES WHO ARE QUALIFIED AND CREDENTIALED ARE EXTENDED PRIVILEGES BY JMH. |
| PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM | JMH IS A 116-BED, ACUTE-CARE FACILITY OPERATED UNDER THE DIRECTION OF A 15-MEMBER BOARD OF DIRECTORS PRIMARILY COMPRISED OF LOCAL COMMUNITY RESIDENTS. IT IS ONE OF THE HOSPITALS WITHIN THE BALLAD HEALTH SYSTEM. BALLAD HEALTH OPERATES A FAMILY OF 21 HOSPITALS, INCLUDING THREE TERTIARY CARE FACILITIES, A DEDICATED CHILDREN'S HOSPITAL, COMMUNITY HOSPITALS, THREE CRITICAL ACCESS HOSPITALS, A BEHAVIORAL HEALTH HOSPITAL, AN ADDICTION TREATMENT FACILITY, LONG-TERM CARE FACILITIES, HOME CARE AND HOSPICE SERVICES, RETAIL PHARMACIES, OUTPATIENT SERVICES AND A COMPREHENSIVE MEDICAL MANAGEMENT CORPORATION. PATIENTS BENEFIT FROM JMH'S AFFILIATION WITH A HEALTHCARE SYSTEM WHERE THEY CAN BE EFFICIENTLY MOVED ALONG AN INTEGRATED, COMPREHENSIVE CONTINUUM OF CARE AS THEIR HEALTH STATUS DICTATES. IF NEEDED, PATIENTS CAN BE MOVED TO ONE OF BALLAD HEALTH'S TERTIARY CARE FACILITIES PROVIDING ADVANCED TREATMENT OPTIONS. HOSPITALS IN THE BALLAD HEALTH SYSTEM WORK CLOSELY WITH ONE ANOTHER TO SHARE EXPERTISE AND RESOURCES. |
| PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT | VIRGINIA, TENNESSEE |
| 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 COOPERATIVE AGREEMENT (CA) IN VIRGINIA AND A CERTIFICATE OF PUBLIC ADVANTAGE (COPA) IN TENNESSEE 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 (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| BARTER THEATRE | |||||||
| PO BOX 867 | ABINGDON | VA | 24212 | 546000120 | 501C3 | $27,900 | SPONSORSHIP |
| VHCC EDUCATIONAL FOUNDATION | |||||||
| PO BOX 828 | ABINGDON | VA | 24212 | 521225133 | 501C3 | $80,000 | ADJ. NSG. FACULTY |
| WASHINGTON COUNTY PUBLIC SCHOOLS | |||||||
| 812 THOMPSON DRIVE | ABINGDON | VA | 24210 | 546001671 | 501C3 | $7,250 | ANNUAL DONATION |
| WILLIAM KING MUSEUM | |||||||
| PO BOX 2256 | ABINGDON | VA | 24210 | 541144120 | 501C3 | $10,000 | SPONSORSHIP |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 4 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PAGE 4, PART IV | FormAndLineReferenceDesc |
| Explanation | PART I, LINE 2 - PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS DONATION REQUESTS THAT WILL BE EXPENSED AT THE CORPORATE DIVISION REQUIRE TWO LEVELS OF APPROVAL, WITH FINAL REVIEW BY EITHER THE VP OF MARKETING OR PRESIDENT & CEO OF BALLAD HEALTH. DONATIONS THAT WILL BE EXPENSED BY ONE OF OUR HOSPITALS REQUIRES FINAL APPROVAL BY THE INDIVIDUAL HOSPITAL'S CEO. ALL REQUESTS ARE NOW REQUIRED TO USE THE ONLINE APPLICATION FORM. THE ONLINE FORM PROVIDES CONSISTENCY AMONG APPLICANTS AND GIVES US THE INFORMATION WE NEED TO MAKE A VETTED FUNDING DECISION. SOME OF THE INFORMATION WE REQUIRE FROM APPLICANTS INCLUDES: -IF THE APPLICANT IS REQUESTING FUNDING FOR A SPECIFIC EVENT OR PROGRAM, THE DATE, LOCATION, TIME ARE REQUIRED -DESCRIPTION OF THE EVENT/PROGRAM -APPLICANT'S OTHER SOURCES OF INCOME -EVENT/PROGRAM BUDGET -HOW THE EVENT/PROGRAM SUPPORTS BALLAD HEALTH'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 -YEAR THE APPLICANT ORGANIZATION WAS FOUNDED -NUMBER OF PEOPLE SERVED ANNUALLY BY THE APPLICANT -APPLICANT'S WEBSITE -TAX STATUS OF THE APPLICANT AND FEDERAL TAXPAYER ID NUMBER WITH FEW EXCEPTIONS, DONATIONS TO NATIONAL ORGANIZATIONS ARE HANDLED AT THE CORPORATE LEVEL, WHICH PREVENTS MULTIPLE CONTRIBUTIONS BEING MADE TO THE SAME NATIONAL ORGANIZATION AND ALLOWS ADDITIONAL CONTRIBUTION DOLLARS TO BE USED FOR REGION-SPECIFIC REQUESTS. DONATIONS FROM OUR HOSPITALS ARE ALMOST ENTIRELY DIRECTED TO LOCAL NONPROFIT ORGANIZATIONS. BALLAD HEALTH'S SOCIAL RESPONSIBILITY COMMITTEE IS COMPRISED OF COMMUNITY, VOLUNTEER AND BUSINESS LEADERS AS WELL AS THE PRESIDENT & CEO, CHIEF OPERATING OFFICER AND OTHER LEADERS FROM ACROSS THE 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. SOME OF THE ROUTINE ACTIVITIES OF THE COMMITTEE DURING QUARTERLY MEETINGS INCLUDE: -QUARTERLY REVIEW OF THE SOCIAL RESPONSIBILITY SCORECARD; A MEASUREMENT OF ACTUAL ACCOMPLISHMENTS IN THE YEAR COMPARED TO TARGETS SET AT THE BEGINNING OF THE YEAR -REVIEW OF CHARITABLE CONTRIBUTION GIVING FOR THE PREVIOUS QUARTER -OPPORTUNITY FOR LOCAL TAX-EXEMPT ORGANIZATIONS TO PRESENT TO THE COMMITTEE PROGRAMS THEY OFFER, ACHIEVEMENTS, AND FUNDING NEEDS -THE COMMITTEE MAY OR MAY NOT RECOMMEND BALLAD HEALTH FUNDING OF PROGRAMS -SOMETIMES, BALLAD HEALTH DEPARTMENTS WILL BRING PROPOSALS FOR NEW PROGRAMS TO BENEFIT A SPECIFIC POPULATION, SUCH AS CHILDREN | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | 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 (15 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt |
|---|---|---|---|---|---|---|
| MARVIN EICHORN | ||||||
| EVP/COO, VICE-CHAIR | $576,562 | $128,590 | $43,977 | $18,900 | $23,842 | $791,871 |
| JOHN PATTERSON MD | ||||||
| PHYSICIAN | $634,630 | $88,335 | $21,169 | $8,100 | $17,781 | $770,015 |
| AMIT VASHIST MD | ||||||
| PHYSICIAN | $336,470 | $63,675 | $6,770 | $8,453 | $23,149 | $438,517 |
| STAN HICKSON | ||||||
| JMH CEO/VP SW MKT | $314,961 | $66,794 | $1,519 | $20,856 | $404,130 | |
| JOHN JETER | ||||||
| JMH CEO | $180,862 | $30,559 | $404 | $10,107 | $19,092 | $241,024 |
| BRYAN MULLINS | ||||||
| JMH COO | $160,690 | $24,672 | $3,084 | $7,580 | $20,164 | $216,190 |
| BRIAN CONDIT MD | ||||||
| VP/CMO NORTHEAST MKT | $304,044 | $71,546 | $4,315 | $10,624 | $24,784 | $415,313 |
| SCOTT HUNTER PA | ||||||
| PHYSICIAN ASSISTANT | $94,079 | $127,436 | $5,769 | $13,270 | $19,148 | $259,702 |
| KENT WILEY PA | ||||||
| PHYSICIAN ASSISTANT | $67,969 | $89,283 | $228 | $9,716 | $16,764 | $183,960 |
| LEA MULLINS | ||||||
| PHARMACY DIRECTOR | $137,510 | $9,406 | $1,901 | $8,837 | $22,824 | $180,478 |
| JAMES WHITE | ||||||
| PHARMACIST | $134,565 | $2,890 | $5,107 | $7,314 | $8,802 | $158,678 |
| JOHN RAY MD HOSPITALIST | ||||||
| FMR JMH HIGHEST PAID | $163,909 | $32,081 | $3,654 | $9,777 | $8,231 | $217,652 |
| JIM GARDNER MD APP PHYSICIAN | ||||||
| FMR JMH BOARD MEMBER | $171,870 | $28,988 | $15 | $4,148 | $19,485 | $224,506 |
| STEPHEN GIVENS AVPRCMC ADMIN | ||||||
| FMR JMH KEY EMPLOYEE | $169,815 | $27,690 | $14,461 | $10,558 | $15,761 | $238,285 |
| DAMIAN SOOKLAL MD MSMG PHYSICIAN | ||||||
| FMR JMH HIGHEST PAID | $251,194 | $247,108 | $10,565 | $9,483 | $15,629 | $533,979 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GINGER MCSHEEHY | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | FAMILY MEMBER | RelationshipDescriptionTxt |
| Transaction | $63,926 | TransactionAmt |
| Transaction | SEE PART V | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART V | FormAndLineReferenceDesc |
| Explanation | (D1) BRENDAN MCSHEEHY, JMH BOARD MEMBER, IS A FAMILY MEMBER OF GINGER MCSHEEHY, AN EMPLOYEE OF JMH. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III | (CONT'D) IN FEBRUARY 2018, MOUNTAIN STATES HEALTH ALLIANCE (MSHA) AND WELLMONT HEALTH SYSTEM (WHS) MERGED TO FORM BALLAD HEALTH, A TAX-EXEMPT ENTITY AND PARENT COMPANY OF MSHA AND WHS. BALLAD OPERATES 3,293 LICENSED BEDS IN 21 HOSPITALS, AN OUTPATIENT ADDICTION TREATMENT FACILITY, LONG-TERM CARE FACILITIES, HOME CARE AND HOSPICE SERVICES, RETAIL PHARMACIES, OUTPATIENT SERVICES AND A COMPREHENSIVE MEDICAL MANAGEMENT CORPORATION. DURING FY18, 7,637 PATIENTS WERE ADMITTED TO OUR HOSPITAL, WITH JUST UNDER 29,000 PATIENT DAYS. THERE WERE AN ADDITIONAL 4,330 OBSERVATION DAYS AND 1,473 NEWBORN DAYS. WE EXPERIENCED 226,201 OUTPATIENT VISITS THIS YEAR. THERE WERE 35,462 VISITS TO OUR EMERGENCY DEPARTMENT, 6,860 SURGERIES PERFORMED AND WE DELIVERED 602 BABIES. PROMOTE COMMUNITY HEALTH: THE REGIONAL CANCER CENTER AT JMH HONORED ITS 10TH ANNIVERSARY WITH AN OPEN HOUSE CELEBRATION. THE CENTER OPENED WITH RADIATION ONCOLOGY IN APRIL OF 2007 AND EXPANDED TO OFFER MEDICAL ONCOLOGY A LITTLE OVER A YEAR LATER. IT IS NOW ABLE TO SUPPORT THOSE SERVICES WITH ACCESS TO A WIDE RANGE OF SPECIALISTS, DIAGNOSTIC RADIOLOGY AND LABORATORY SERVICES, CANCER EDUCATION, SCREENING PROGRAMS, NUTRITIONAL EVALUATIONS, GENETIC TESTING AND THE TRIUMPH CANCER NAVIGATOR PROGRAM. LAST YEAR THERE WERE OVER 16,000 PATIENT ENCOUNTERS IN MEDICAL ONCOLOGY AND 9,000 IN RADIATION ONCOLOGY. THE MEDICAL ONCOLOGY PROVIDERS MANAGED THE CARE OF 1,781 PATIENTS. IN 10 YEARS, THE CANCER CENTER HAS GROWN TO A STAFF OF FOUR PHYSICIANS, FOUR MID-LEVEL PROVIDERS, THREE SITES INCLUDING MARION AND LEBANON, VIRGINIA, AND NEARLY 50 TEAM MEMBERS FROM ONCOLOGY, REGISTRATION, PHARMACY, LAB AND OTHER DEPARTMENTS AT THE JOHNSTON MEMORIAL SITE ALONE. IN ORDER TO INCREASE PUBLIC AWARENESS OF EARLY DETECTION FOR LUNG CANCER, JMH OFFERED LOW-DOSE CT LUNG SCREENINGS FREE OF CHARGE TO 64 COMMUNITY MEMBERS. THE HOSPITAL NOTIFIED THE PUBLIC AS WELL AS LOCAL PHYSICIAN OFFICES OF THE FREE SERVICE. THE OUTPATIENT DIABETES CARE CENTER (CENTER) AT JMH CONTINUES TO EXPERIENCE INCREASED VOLUMES. AFTER AN INCREASE OF ALMOST 170% FROM FY14 TO FY15, OUR VOLUME GREW 43% IN FY16, 15% IN FY17 AND AN ADDITIONAL 7.5% IN FY18. THE CENTERS FOR DISEASE CONTROL AND PREVENTION IDENTIFIES THE COUNTIES SERVED BY JMH AS BEING LOCATED IN WHAT IS REFERRED TO AS THE "DIABETES BELT" OF THE U.S. DIABETES PREVALENCE IS 30% HIGHER IN WASHINGTON COUNTY THAN THE STATEWIDE RATE. JMH'S DIABETES CENTER PROVIDES MEDICAL MANAGEMENT OF DIABETES AND DIABETES-RELATED CONDITIONS FOR PATIENTS AGED 12 AND UP. A COMPREHENSIVE DIABETES EDUCATION PROGRAM THAT IS RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION IS PART OF THE CENTER'S PROGRAM OF CARE. THE JMH CENTER FOR COMPREHENSIVE WOUND CARE IS THE ONLY FACILITY IN SOUTHWEST VIRGINIA OFFERING HYPERBARIC OXYGEN THERAPY - THE DELIVERY OF OXYGEN AT LEVELS HIGHER THAN ATMOSPHERIC PRESSURE IN A CHAMBER SETTING THAT STIMULATES THE HEALING PROCESS. THE NEAREST FACILITY OFFERING HYPERBARIC OXYGEN THERAPY IS AN HOUR AWAY. OUR TRAINED STAFF FOLLOW A TEAM APPROACH TO WOUND HEALING. EACH PATIENT RECEIVES A COMPREHENSIVE INDIVIDUALIZED PLAN DESIGNED TO HELP DIFFICULT-TO-HEAL WOUNDS. JMH STAFF STRIVE TO ADDRESS THE UNDERLYING CAUSE OF THE PROBLEM, CONTROL INFECTION, AND IMPROVE THE OVERALL HEALTH OF OUR PATIENTS. WE OFFER A NUMBER OF SERVICES AT A SIGNIFICANT FINANCIAL LOSS TO THE HOSPITAL, SUCH AS OUR CENTER FOR COMPREHENSIVE WOUND CARE DESCRIBED ABOVE. SOME OTHER SUBSIDIZED SERVICES INCLUDE HYPERBARIC OXYGEN, OUR OUTPATIENT DIABETES PROGRAM, INPATIENT NEONATOLOGY, AND OTHERS. THE HOSPITAL CONTINUES TO INVEST RESOURCES IN THESE VALUABLE SERVICES DESPITE FINANCIAL LOSS SO THAT COMMUNITY MEMBERS DO NOT NEED TO LEAVE THE AREA TO OBTAIN NEEDED CARE. OUR DIAPER ASSISTANCE PROGRAM PROVIDES DIAPERS TO LOW-INCOME FAMILIES THAT DELIVER AT JMH FOR THE FIRST 6 MONTHS OF THE BABY'S LIFE. WE HAD 448 WOMEN ENROLL WITH THEIR BABIES THIS YEAR AND INCURRED EXPENSE OF 10,942 FOR THIS PROGRAM. WE ASSISTED SOME PATIENTS WHO COULD NOT PAY FOR THEIR PRESCRIPTIONS UPON DISCHARGE FROM THE HOSPITAL. OUR UNREIMBURSED COST FOR THESE PRESCRIPTIONS WAS 13,563. THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES (AAMC) ISSUED A PRESS RELEASE DATED APRIL 11, 2018 STATING THAT THE UNITED STATES COULD SEE A SHORTAGE OF UP TO 120,000 PHYSICIANS BY 2030. THE U.S. POPULATION IS ESTIMATED TO GROW BY NEARLY 11%, WITH THOSE OVER AGE 65 INCREASING 50% BY 2030. MUCH OF THE INCREASED DEMAND COMES FROM A GROWING, AGING POPULATION. THE AGING POPULATION WILL ALSO AFFECT PHYSICIAN SUPPLY SINCE ONE-THIRD OF ALL CURRENTLY ACTIVE DOCTORS WILL BE OLDER THAN 65 IN THE NEXT DECADE AND LIKELY TO RETIRE. THE AAMC POINTS OUT THAT DATA CONDUCTED IN 2017 INDICATED THAT AN ADDITIONAL 31,600 PHYSICIANS WOULD HAVE BEEN NEEDED IF UNDERSERVED POPULATIONS UTILIZED THE SAME HEALTH CARE SERVICES AS INSURED INDIVIDUALS. THE DATA LOOKED AT PEOPLE IN NON-METROPOLITAN AREAS AND PEOPLE WITHOUT INSURANCE COMPARED TO PEOPLE LIVING IN METROPOLITAN AREAS. FURTHERMORE, THE STUDY INDICATED NEARLY HALF OF THE SHORTAGE WAS IN THE SOUTH. JMH SPENT 364,331 DURING FY18 TO RECRUIT AND RETAIN PHYSICIANS AND MID-LEVEL PROVIDERS SUCH AS HOSPITALISTS, FAMILY PRACTICE PHYSICIANS, NURSE PRACTITIONERS, AND SPECIALISTS. JMH RECRUITMENT EFFORTS ARE BASED ON DOCUMENTED COMMUNITY NEED. OUR HOSPITAL IS LOCATED IN A MUA (MEDICALLY UNDERSERVED AREAS/POPULATIONS), AS DESIGNATED BY THE U.S. HEALTH RESOURCES & SERVICES ADMINISTRATION (HRSA). MUA DESIGNATION INDICATES AN AREA AS: HAVING TOO FEW PRIMARY CARE PROVIDERS, HAVING A HIGH INFANT MORTALITY, A HIGH POVERTY RATE OR A HIGH ELDERLY POPULATION. BASED ON OUR FY18 INPATIENT DISCHARGE DATA, 87% OF OUR PATIENTS LIVE IN A MEDICALLY UNDERSERVED AREA. AS WE NOTED ON JMH'S FY17 FORM 990, MSHA IS ONE OF ONLY 32 ORGANIZATIONS IN THE COUNTRY SELECTED TO BE PART OF THE U.S. CENTERS FOR MEDICARE & MEDICAID SERVICES' (CMS) NEW INITIATIVE, ACCOUNTABLE HEALTH COMMUNITIES (AHC), AIMED AT IMPROVING THE HEALTH OF MEDICARE AND MEDICAID BENEFICIARIES. THE NEW CMS PROGRAM IS DESIGNED TO INTEGRATE CARE FOR HEALTH-RELATED SOCIAL NEEDS INTO USUAL CARE BY IMPLEMENTING SYSTEMATIC SCREENING, REFERRAL, AND PATIENT NAVIGATION SERVICES FOR NEEDS SUCH AS FOOD INSECURITY, HOUSING INSTABILITY, SAFETY, TRANSPORTATION NEEDS, AND UTILITY ASSISTANCE. MOUNTAIN STATES SERVES AS THE BRIDGE ORGANIZATION FOR THE PROJECT LOCALLY, LEADING A COLLABORATIVE OF MULTIPLE ORGANIZATIONS AND CLINICAL DELIVERY SITES TO BRING NEEDED SERVICES TO BENEFICIARIES RESIDING IN SOUTHWEST VIRGINIA. THE FIRST STEPS IN IMPLEMENTING THE AHC COOPERATIVE AGREEMENT WERE COMPLETED DURING FY18. SIX FULL-TIME TEAM MEMBERS WERE HIRED, WHOSE POSITIONS ARE FINANCED BY THE FEDERAL FUNDS, (3 NAVIGATORS, 1 LEAD NAVIGATOR, 1 SCREENING AND REFERRAL SPECIALIST, AND 1 PROGRAM MANAGER), WHILE THREE FULL-TIME AND ONE PART-TIME NAVIGATOR POSITIONS REMAINED OPEN AS OF 6/30/18. IN ADDITION, MSHA ADMINISTRATIVE TEAM MEMBERS PROVIDED MORE THAN 700 HOURS OF THEIR TIME TO THIS INITIATIVE. WHEN FULLY IMPLEMENTED, OVER 50 UNITS AT CLINICAL DELIVERY SITES IN SOUTHWEST VIRGINIA, INCLUDING JOHNSTON MEMORIAL HOSPITAL, AND NORTHEAST TENNESSEE WILL HAVE A SCREENING PROCESS IN PLACE TO IDENTIFY HEALTH-RELATED SOCIAL NEEDS. PATIENTS THAT SCREEN POSITIVE FOR HEALTH- RELATED SOCIAL NEEDS ARE GIVEN A "COMMUNITY REFERRAL SUMMARY", WHICH CONTAINS CONTACT AND PROGRAM INFORMATION FOR RELEVANT RESOURCES THAT ASSIST WITH THE NEEDS IDENTIFIED BY THE SCREENING. DURING FY18, EDUCATION AND PILOT TESTING FOR SCREENING PROCESSES OCCURRED AT 17 PRIMARY CARE PHYSICIAN OFFICES, TEN EMERGENCY DEPARTMENTS, THREE INPATIENT LABOR AND DELIVERY UNITS, THREE INPATIENT PSYCHIATRY UNITS, AND ONE INTENSIVE OUTPATIENT PSYCHIATRY UNIT. DURING THE FALL OF 2017 AND WINTER OF 2018, A PROCESS WAS TESTED USING A DATA SYSTEM DEVELOPED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. IN TOTAL, 2,547 HEALTH-RELATED SOCIAL NEEDS SCREENINGS OF VIRGINIA MEDICARE AND MEDICAID BENEFICIARIES WERE COMPLETED USING THE SYSTEM. DURING THIS PILOT TESTING, A NUMBER OF OPERATIONAL OBSTACLES WERE IDENTIFIED, INCLUDING DUPLICATIVE DATA ENTRY TASKS, LENGTHY LOG-IN STEPS, AND MANUAL CREATION OF THE COMMUNITY REFERRAL SUMMARIES. DATA ENTRY TIME TOOK TOO LONG, SO MOUNTAIN STATES TRANSITIONED FROM THE CMS DATA SYSTEM TO AN INTERNALLY-PRODUCED SYSTEM. THIS TRANSITION IMPROVED OPERATIONAL EFFICIENCY BY AT LEAST FIVE-FOLD. PATIENT NAVIGATORS WERE TRAINED IN DISCIPLINES SUCH AS MENTAL HEALTH FIRST AID, INTERPERSONAL COMMUNICATION, AND MANY OTHER RELATED TOPICS. THE NAVIGATORS WERE DEPLOYED TO WORK FROM FIVE VIRGINIA COMMUNITY SERVICES BOARDS IN OUR SERVICE AREA. NAVIGATORS WORK FROM COMMUNITY SERVICES BOARDS TO IMPROVE THE REFERRAL PROCESS, AS WE EXPECT A LARGE NUMBER OF BEHAVIORAL HEALTH-RELATIVE NEEDS TO BE IDENTIFIED DURING NAVIGATION SERVICES. LAPTOPS AND CELL PHONES WERE PURCHASED FOR THE NAVIGATORS TO HAVE THE ABILITY TO WORK FROM THE COMMUNITY SERVICES BOARDS, CLINICAL DELIVERY SITES, AND POTENTIALLY OTHER LOCATIO |
| FORM 990, PART V | LINE 2A: W-2 EMPLOYEES JMH TEAM MEMBERS ARE PAID BY MOUNTAIN STATES HEALTH ALLIANCE (MSHA). JMH REIMBURSES MSHA FOR ALL SALARY AND BENEFITS RELATED TO OUR TEAM MEMBERS AND THE EXPENSE IS RECORDED ON JMH'S BOOKS. THE NUMBER OF JMH TEAM MEMBERS THAT RECEIVED REPORTABLE COMPENSATION IN EXCESS OF 100,000 WAS 28. |
| FORM 990, PAGE 6, PART VI, LINE 6 | THE CORPORATION IS ORGANIZED AS A VIRGINIA NON-STOCK, NONPROFIT CORPORATION WITH TWO MEMBERS: MOUNTAIN STATES HEALTH ALLIANCE, WHICH MAINTAINS A 50.1% INTEREST AND JOHNSTON MEMORIAL HEALTHCARE FOUNDATION, WHICH MAINTAINS A 49.9% INTEREST. |
| FORM 990, PAGE 6, PART VI, LINE 7A | THERE ARE TWO CLASSES OF MEMBERS, AND EACH CLASS IS ENTITLED TO ELECT A SPECIFIED NUMBER OF DIRECTORS TO THE BOARD. THE MOUNTAIN STATES HEALTH ALLIANCE CLASS IS ELECTED BY THE MSHA BOARD OF DIRECTORS AND THE JOHNSTON MEMORIAL HOSPITAL CLASS IS ELECTED BY THE JOHNSON MEMORIAL HEALTHCARE FOUNDATION'S BOARD OF DIRECTORS. NEITHER SIDE CAN VETO AN APPOINTMENT. |
| FORM 990, PAGE 6, PART VI, LINE 7B | CERTAIN DECISIONS OF THE BOARD ARE PURSUANT TO CHARTER AND VIRGINIA STATUTE, SUBJECT TO APPROVAL OF THE MEMBERS. THESE DECISIONS INCLUDE: DISSOLUTION OF THE CORPORATION; MERGER OF THE CORPORATION; NON-ORDINARY COURSE OF BUSINESS SALE OF ASSETS, ETC. NO ORDINARY DAY-TO-DAY DECISIONS ARE SUBJECT TO MEMBER APPROVAL. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE CFO REVIEWED THE FORM 990 WITH THE BOARD OF DIRECTORS PRIOR TO FILING THE RETURN WITH THE IRS. THE RETURN WAS MADE AVAILABLE TO EACH BOARD MEMBER IN AN ELECTRONIC FORMAT 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, AND APPLIES TO ALL BALLAD HEALTH ORGANIZATIONS, INCLUDING JOHNSTON 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 | ON AN ANNUAL BASIS, BALLAD HEALTH'S HUMAN RESOURCES (H/R) DEPARTMENT EVALUATES COMPENSATION FOR ALL EXECUTIVES AT A POSITION LEVEL OF ASSISTANT VICE PRESIDENT AND ABOVE. THE REVIEW INCLUDES JMH/APP'S CEO. H/R'S EVALUATION IS BASED ON MARKET DATA OBTAINED FROM INDEPENDENT THIRD-PARTY CONSULTANTS FOR POSITIONS WITH SIMILAR RESPONSIBILITIES AT SIMILARLY SITUATED ORGANIZATIONS. BASED ON THIS COMPARABLE DATA, BALLAD HEALTH'S PRESIDENT & CEO EVALUATES THE DATA AND SUBMITS HIS RECOMMENDATIONS TO BALLAD HEALTH'S BOARD OF DIRECTORS FOR THEIR FINAL REVIEW AND APPROVAL. |
| FORM 990, PAGE 6, PART VI, LINE 15B | SIMILAR TO JMH/APP'S CEO, JMH/APP'S CFO RECEIVES COMPENSATION THAT COMPLIES WITH BALLAD HEALTH'S SALARY POLICY. HIS PAY IS SET AT A MARKET PERCENTILE SPECIFIC TO HIS POSITION AS CFO OF JMH AND APP. KEY EMPLOYEE BRYAN MULLINS, JMH COO, IS NOT A VICE-PRESIDENT OR IN A SENIOR LEADERSHIP POSITION, THEREFORE HIS COMPENSATION AND BENEFITS ARE CONSISTENT WITH OTHER JMH NON- EXECUTIVE POSITIONS. |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE UPON REQUEST TO APPROPRIATE PARTIES REQUESTING THEM. FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THOSE PARTIES WHO OWN INDEBTEDNESS OF THE COMPANY ON A QUARTERLY BASIS. |
| FORM 990, PART VII | JOHN JETER SERVED AS JMH CFO UNTIL FEB. 2018, WHEN HE BEGAN SERVING IN HIS NEW ROLE AS JMH CEO. JUSTIN IVORY BEGAN SERVING AS JMH CFO IN FEB. 2018. |
| FORM 990, PAGE 7, PART VII | DIRECTOR COMPENSATION: JOHNSTON MEMORIAL HOSPITAL'S BOARD MEMBERS, MARVIN EICHORN, JOHN PATTERSON, M.D. AND AMIT VASHIST, M.D. RECEIVE COMPENSATION FOR SERVICES PROVIDED TO RELATED ORGANIZATIONS AND DO NOT RECEIVE COMPENSATION FOR SERVICES AS A JMH BOARD MEMBER. |
| FORM 990, PART IX, LINE 11G | HOSPITAL SUPPORTED CLINICS 9,752,695 0 0 HOSPITAL BASED PROVIDERS 5,464,069 0 0 PHYSICIAN FEES 4,533,699 0 0 DIETARY SERVICES 1,867,171 0 0 COLLECTION FEES 0 1,034,713 0 LAUNDRY/HSKPG. SERVICES 1,915,979 0 0 CONSULTING FEES 0 437,341 0 ENGINEERING SERVICES 0 311,346 0 LABORATORY 667,755 0 0 DIALYSIS 417,763 0 0 NUC. MED./ONCOLOGY/RADIOLOGY 717,810 0 0 TRANSCRIPTION & CODING 0 477,531 0 SLEEP DIAGNOSTICS SERVICES 460,161 0 0 AMBULATORY SURGERY CENTER 325,822 0 0 OTHER 1,602,484 481,847 0 TOTAL 27,725,408 2,742,778 0 |
| FORM 990, PART XI, LINE 9 | ELIMINATION OF INTERCOMPANY REC/PAY 210,883 PARTNERSHIP EXPENSE NOT ON BOOKS 40,305 TEMPORARILY RESTRICTED NET ASSET CHANGE -137,297 PARTNERSHIP INCOME NOT ON BOOKS -301,890 PARTNERSHIP INTEREST INCOME NOT ON BOOKS -5,951 EMPLOYER PROVIDED PARKING NOT ON BOOKS -17,451 TOTAL -211,401 |
| FORM 990, PAGE 12, PART XII, LINE 2C | BALLAD HEALTH (BALLAD) IS A TAX-EXEMPT ENTITY AND THE PARENT CORPORATION OF BOTH MOUNTAIN STATES HEALTH ALLIANCE (MSHA) AND WELLMONT HEALTH SYSTEM (WHS). THE TWO HEALTHCARE SYSTEMS CAME TOGETHER ON FEBRUARY 1, 2018 AS A RESULT OF A MERGER APPROVED BY BOTH TENNESSEE AND VIRGINIA DEPARTMENTS OF HEALTH. THE INDIVIDUALS SERVING AS THE BOARD OF DIRECTORS OF BALLAD ALSO SERVE AS THE BOARD OF DIRECTORS OF WHS AND MSHA. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF BALLAD INCLUDE WHS, MSHA AND THEIR SUBSIDIARIES AND AFFILIATES WHICH WERE PREVIOUSLY INCLUDED IN EITHER WHS OR MSHA AUDITED CONSOLIDATED FINANCIAL STATEMENTS. BALLAD HAS AN AUDIT COMMITTEE WHICH ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (24 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 |
| AUXILIARY TO JOHNSTON MEMORIAL HOSP | ||||||||||
| 16000 JOHNSTON MEMORIAL DRIVE | ABINGDON | VA | 24211 | 540917478 | SUPP. ORG. | VA | 501C3 | 12A | NA | false |
| ABINGDON PHYSICIAN PARTNERS | ||||||||||
| 16000 JOHNSTON MEMORIAL DRIVE | ABINGDON | VA | 24211 | 205485346 | MED. SERV. | VA | 501C3 | 12A | JMH | Yes (true) |
| JOHNSTON MEMORIAL HEALTHCARE FDN | ||||||||||
| 16000 JOHNSTON MEMORIAL DRIVE | ABINGDON | VA | 24211 | 262870970 | FUNDRAISER | VA | 501C3 | 12B | NA | false |
| BALLAD HEALTH | ||||||||||
| 303 MED TECH PARKWAY SUITE 220 | JOHNSON CITY | TN | 37604 | 611771290 | SUPP. ORG. | TN | 501C3 | 12B | NA | false |
| EAST TN 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 MEMORIAL HOSPITAL INC | ||||||||||
| 1420 TUSCULUM BOULEVARD | GREENEVILLE | TN | 37745 | 620701119 | HOSPITAL | TN | 501C3 | 3 | MSHA | 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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| EMMAUS COMMUNITY HEALTHCARE PLLC | |||||||||
| 6070 HWY 11E | PINEY FLATS | TN | 37686 | 200577483 | MED. SERV. | TN | NA | false | false |
| MEDICAL SPECIALISTS OF JC LLC | |||||||||
| 2528 WESLEY STREET SUITE 2 | JOHNSON CITY | TN | 37601 | 272199037 | MED. SERV. | TN | NA | false | false |
| EAST TN AMBULATORY SURGERY CNTR | |||||||||
| 701 MED TECH PARKWAY SUITE 100 | JOHNSON CITY | TN | 37604 | 621787537 | MED. SERV. | TN | NA | false | false |
| GREENEVILLE PHYSICIAN SERVICES LLC | |||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 455070419 | MED. SERV. | TN | NA | false | false |
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 |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||
| P B 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 | WHS | 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 | NA | C CORP | false | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | 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 | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ABINGDON PHYSICIAN PARTNERS | ||
| A | $799,630 | FMV |
| ABINGDON PHYSICIAN PARTNERS | ||
| C | $210,883 | FMV |