JOHNSTON MEMORIAL HOSPITAL INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- JOHNSTON MEMORIAL HOSPITAL INC (EIN 54-0544705)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-04-13
- IRS object ID
- 201611049349300401
- Schema version
- 2014v6.0
- 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 K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-04-13T06:11:50-05:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | 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 INC | 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 | 16000 JOHNSTON MEMORIAL DR | AddressLine1Txt |
| City | ABINGDON | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24211 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN JETER | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 2762582800 | PhoneNum |
| Signature | 2016-04-11 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SEAN MCMURRAY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 16000 JOHNSTON MEMORIAL DR | AddressLine1Txt |
| City | ABINGDON | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24211 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $148,018,635 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTPS://MOUNTAINSTATESHEALTH.COM/JMH | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1917 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | JOHNSTON MEMORIAL HOSPITAL (JMH) IS COMMITTED TO BRINGING LOVING CARE TO HEALTH CARE. WE EXIST TO IDENTIFY AND RESPOND TO THE HEALTH CARE NEEDS OF INDIVIDUALS AND COMMUNITIES IN OUR REGION AND TO ASSIST THEM IN ATTAINING THEIR HIGHEST POSSIBLE LEVEL OF HEALTH. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 29 | TotalEmployeeCnt |
| Total Volunteers | 355 | TotalVolunteersCnt |
| Total Gross UBI | $89,403 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $11,447 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $101,108 | PYContributionsGrantsAmt |
| CY Contributions Grants | $201,573 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $119,469,249 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $141,532,395 | CYProgramServiceRevenueAmt |
| PY Investment Income | $7,163,382 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,942,994 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,472,331 | PYOtherRevenueAmt |
| CY Other Revenue | $1,918,651 | CYOtherRevenueAmt |
| PY Total Revenue | $128,206,070 | PYTotalRevenueAmt |
| CY Total Revenue | $147,595,613 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $280,949 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $215,442 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $49,011,100 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $49,514,279 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $69,605,077 | PYOtherExpensesAmt |
| CY Other Expenses | $71,507,692 | CYOtherExpensesAmt |
| PY Total Expenses | $118,897,126 | PYTotalExpensesAmt |
| CY Total Expenses | $121,237,413 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $9,308,944 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $26,358,200 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $335,681,718 | TotalAssetsBOYAmt |
| Total Assets EOY | $357,363,368 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $54,271,755 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $51,294,925 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $281,409,963 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $306,068,443 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | JOHNSTON MEMORIAL HOSPITAL (JMH) IS COMMITTED TO BRINGING LOVING CARE TO HEALTH CARE. WE EXIST TO IDENTIFY AND RESPOND TO THE HEALTH CARE NEEDS OF INDIVIDUALS AND COMMUNITIES IN OUR REGION AND TO ASSIST THEM IN ATTAINING THEIR HIGHEST POSSIBLE LEVEL OF HEALTH. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $96,683,051 | ExpenseAmt |
| Grant | $215,442 | GrantAmt |
| Revenue | $141,536,911 | RevenueAmt |
| Desc | JOHNSTON MEMORIAL HOSPITAL, INC. (JMH) IS A 116-BED NOT-FOR-PROFIT HOSPITAL LOCATED IN ABINGDON, VIRGINIA. JMH IS THE SOLE MEMBER OF ABINGDON PHYSICIAN PARTNERS, A TAX EXEMPT ORGANIZATION THAT OWNS AND OPERATES PHYSICIAN PRACTICES. JMH'S MEMBERSHIP CONSISTS OF MOUNTAIN STATES HEALTH ALLIANCE (MAJORITY OWNER) AND JOHNSTON MEMORIAL HEALTHCARE FOUNDATION, INC. (CONTINUED ON SCHEDULE O) (CONT'D)JMH OFFERS A FULL ARRAY OF MEDICAL SERVICES THROUGH HIGHLY TRAINED PHYSICIANS AND SUPPORT STAFF, PROUDLY SERVING SOUTHWEST VIRGINIA SINCE 1917. OUR GOAL IS TO BE A LEADER IN IMPROVING THE HEALTH AND QUALITY OF LIFE IN THE COMMUNITY, BY WORKING TOGETHER AS A TEAM DEDICATED TO EXCELLENCE. DURING FY15, WE EXPERIENCED 9,009 INPATIENT ADMISSIONS, WITH ALMOST 30,000 PATIENT DAYS. THERE WERE AN ADDITIONAL 3,159 OBSERVATION DAYS. OUR OUTPATIENT VISITS WERE JUST UNDER 154,000. THERE WERE 41,308 VISITS TO OUR EMERGENCY DEPARTMENT. 6,733 SURGERIES WERE PERFORMED DURING THE YEAR AND WE DELIVERED 746 BABIES. JMH RECEIVED HEALTHGRADES 2015 EXCELLENCE AWARD FOR PATIENT SAFETY. THE SAFETY AWARD PLACES JMH IN THE TOP 5% OF THE NATION FOR PATIENT SAFETY. HEALTHGRADES IS A COMPANY THAT PROVIDES INFORMATION ABOUT HOSPITALS, PHYSICIANS, AND HEALTHCARE PROVIDERS. THE PATIENT SAFETY AWARD RECOGNIZES HOSPITALS FOR HOW WELL A HOSPITAL PREVENTS INFECTIONS, MEDICAL ERRORS, AND OTHER COMPLICATIONS BASED ON 13 STANDARD PATIENT SAFETY INDICATORS. PATIENTS RECEIVING CARE AT PATIENT SAFETY EXCELLENCE AWARD RECIPIENT HOSPITALS HAVE, ON AVERAGE, A LOWER RISK OF EXPERIENCING PATIENT SAFETY EVENTS. IN ADDITION TO HEALTHGRADES SAFETY AWARD, JMH WAS NAMED ONE OF THE NATION'S NINE BEST HOSPITALS FOR INFECTION PREVENTION BY CONSUMER REPORTS. CONSUMER REPORTS RELEASED RATINGS ON HOW MORE THAN 3,000 U.S. HOSPITALS FARED AT PREVENTING HOSPITAL-ACQUIRED INFECTIONS WITH NINE FACILITIES RECEIVING THE HIGHEST RANKING FOR AVOIDING POTENTIALLY DEADLY PATHOGENS. CONSUMER REPORTS INCLUDED CENTER FOR DISEASE CONTROL DATA ON MRSA AND C DIFF IN ITS HOSPITAL RATINGS. THE RATINGS ALSO USED DATA ON CENTRAL-LINE ASSOCIATED BLOOD STREAM INFECTIONS, SURGICAL-SITE INFECTIONS, AND CATHETER-ASSOCIATED URINARY TRACT INFECTIONS TO GENERATE AN OVERALL INFECTION PREVENTION SCORE. JMH WAS THE ONLY FACILITY IN VIRGINIA TO BE NAMED TO THE LIST. CONSUMER REPORTS IS A NATIONALLY RECOGNIZED ORGANIZATION SERVING THE PUBLIC THROUGH "UNBIASED PRODUCT TESTING AND RATINGS, RESEARCH, JOURNALISM, PUBLIC EDUCATION, AND ADVOCACY". JMH EARNED THE U.S. ENVIRONMENTAL PROTECTION AGENCY'S (EPA'S) ENERGY STAR CERTIFICATION, WHICH SIGNIFIES THAT THE BUILDING PERFORMS IN THE TOP 25 PERCENT OF SIMILAR FACILITIES NATIONWIDE FOR ENERGY EFFICIENCY AND MEETS STRICT ENERGY EFFICIENCY PERFORMANCE LEVELS SET BY THE EPA. COMMERCIAL BUILDINGS THAT EARN EPA'S ENERGY STAR CERTIFICATION USE AN AVERAGE OF 35 PERCENT LESS ENERGY THAN TYPICAL BUILDINGS AND ALSO RELEASE 35 PERCENT LESS CARBON DIOXIDE INTO THE ATMOSPHERE. THERE IS A NATIONAL SHORTAGE OF FAMILY MEDICINE DOCTORS, BUT A COLLABORATIVE EFFORT BY JMH AND THE EDWARD VIA COLLEGE OF OSTEOPATHIC MEDICINE (VCOM) IS HELPING TO FILL THAT NEED IN OUR REGION. THE TWO ORGANIZATIONS PARTNERED TO CREATE A RESIDENCY PROGRAM AT JMH. THE FIRST CLASS OF NEW RESIDENTS WILL BEGIN TO PRACTICE ACROSS ALL SPECIALTIES AT JMH IN JULY 2015. THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES RECENTLY PREDICTED A SHORTAGE OF NEARLY 100,000 PHYSICIANS IN THE U.S. BY 2020. NOWHERE IN VIRGINIA IS THE DOCTOR SHORTAGE MORE CRITICAL THAN IN THE SOUTHWESTERN PART OF THE STATE. LIKE ALLOPATHIC PHYSICIANS (MD), OSTEOPATHIC PHYSICIANS (DO) ALSO COMPLETE FOUR YEARS OF MEDICAL SCHOOL PRIOR TO ENTERING RESIDENCY TRAINING. VCOM'S MISSION READS "THE MISSION OF THE EDWARD VIA COLLEGE OF OSTEOPATHIC MEDICINE IS TO PREPARE GLOBALLY- MINDED, COMMUNITY-FOCUSED PHYSICIANS TO MEET THE NEEDS OF RURAL AND MEDICALLY UNDERSERVED POPULATIONS AND PROMOTE RESEARCH TO IMPROVE HUMAN HEALTH." JMH AND ITS AFFILIATES LOCATED IN SOUTHWEST VIRGINIA SERVE RURAL COMMUNITIES SO VCOM'S MISSION ALIGNS WELL WITH JMH'S OWN MISSION AND VALUES. BECKER HOSPITAL REVIEW NAMED JMH AS ONE OF THE 50 GREENEST HOSPITALS IN AMERICA. THE HOSPITAL IS ALSO LEED (LEADERSHIP IN ENERGY AND ENVIRONMENTAL DESIGN) GOLD CERTIFIED. LEED-CERTIFIED BUILDINGS ARE RESOURCE EFFICIENT. THEY USE LESS WATER AND ENERGY AND REDUCE GREENHOUSE GAS EMISSIONS. LEED IS AN INTERNATIONALLY RECOGNIZED GREEN BUILDING CERTIFICATION SYSTEM THAT PROVIDES THIRD-PARTY VERIFICATION OF DESIGN AND ENVIRONMENTAL BENEFICIAL RESULTS. IN A MOVE THAT WILL SAVE LIVES AND IMPROVE HEALTH CARE FOR SOUTHWEST VIRGINIA, JMH IMPLEMENTED A NEW INTERVENTIONAL CARDIOLOGY PROGRAM THIS YEAR, ALLOWING HIGHLY EXPERIENCED DOCTORS TO NOT JUST DIAGNOSE BUT ALSO TO TREAT PATIENTS FOR URGENT HEART PROBLEMS. THIS LIFESAVING SERVICE IS AVAILABLE 24 HOURS A DAY. THE AMERICAN COLLEGE OF CARDIOLOGY AND THE AMERICAN HEART ASSOCIATION AGREE THAT THE TIME BETWEEN A PATIENT'S ARRIVAL AT A HOSPITAL TO THE TIME HE OR SHE RECEIVES PERCUTANEOUS INTERVENTION (A PROCEDURE THAT OPENS BLOCKED ARTERIES AND RESTORES BLOOD FLOW TO THE HEART MUSCLE) SHOULD BE 90 MINUTES OR LESS IN ORDER TO MINIMIZE DAMAGE TO THE PATIENT'S HEART. WITH THE NEW SERVICES IN PLACE, JMH HAS BEEN ABLE TO ACHIEVE A TREATMENT TIME FROM DOOR-TO-INTERVENTION OF 20 TO 30 MINUTES. BY OFFERING THIS NEW SERVICE AT JMH, PATIENTS' TRAVEL TIME IS REDUCED AND THAT MAY BE THE DIFFERENCE BETWEEN LIFE AND DEATH. THE HOSPITAL ASSEMBLED A TEAM OF HIGHLY TRAINED AND EXPERIENCED CARDIOLOGISTS AND STAFF MEMBERS TO PROVIDE THESE EXPANDED SERVICES. THE HOSPITAL HAS ALSO WORKED WITH LOCAL EMERGENCY MEDICAL SERVICES PROVIDERS TO TRAIN THEM TO INITIATE ON- THE-SPOT DIAGNOSTIC PROCEDURES AND STABILIZATION BEFORE THE PATIENT ARRIVES AT THE HOSPITAL. THAT WAY, JMH WILL BE NOTIFIED WHILE THE PATIENT IS IN TRANSPORT SO THE HOSPITAL WILL BE READY AS SOON AS THE PATIENT ARRIVES. JMH IS COMMITTED TO PROVIDING COMPREHENSIVE MEDICAL EDUCATION TO AID IN PATIENT RECOVERY AND DISEASE MANAGEMENT. WE OFFER MANY CLASSES AND SUPPORT GROUPS, SUCH AS: A DIABETES EDUCATION CENTER, CPR AND LIFE SAVING CLASSES; CARDIAC CARE EDUCATION AND SUPPORT; TOTAL JOINT REPLACEMENT; CANCER EDUCATION AND SUPPORT; PRENATAL PARENTING; AND, OTHERS. THE TOTAL ATHLETE PROGRAM (TAP) IS A NEW SPORTS-EDUCATION FOCUSED PROGRAM OFFERED AT JMH FOR HIGH SCHOOL ATHLETES AND COACHES. DURING THE SIX EDUCATION SESSIONS, SPORTS-RELATED INJURIES AND INJURY PREVENTION, CONCUSSIONS, SPORTS NUTRITION AND TIPS FOR PREPARING FOR COLLEGE ATHLETICS WILL BE DISCUSSED. THE PROGRAM IS OPEN TO HIGH SCHOOL STUDENTS AGES 14-18. JMH SERVES AS A CLINICAL TRAINING HOSPITAL FOR HEALTH PROFESSIONAL EDUCATION STUDENTS. OUR DEDICATED STAFF WORK WITH REGIONAL COLLEGES AND UNIVERSITIES TO COORDINATE THE PLACEMENT OF HEALTHCARE PROFESSIONAL STUDENTS AS PART OF THEIR EDUCATIONAL CURRICULUM. IN ADDITION TO CLINICAL TRAINING, THE HEALTHCARE STUDENTS ENTERING OUR SYSTEM ARE REQUIRED TO HAVE ORIENTATION AND COMPUTER TRAINING. PARTICIPANTS RECEIVING CLINICAL EXPERIENCE AT JMH DURING FY15 INCLUDED 308 NURSING STUDENTS FROM VARIOUS COLLEGES, UNIVERSITIES AND PROGRAMS. THIS NURSING CLINICAL EXPERIENCE REQUIRED EXTENSIVE JMH NURSING STAFF INVOLVEMENT. THE CLINICAL SETTING AND HANDS-ON INSTRUCTION COST JMH 617,104. JMH PROVIDED A CLINICAL SETTING FOR ANOTHER 260 STUDENTS TRAINING IN HEALTH-RELATED PROGRAMS SUCH AS RADIOLOGY, PHARMACY, PHYSICAL THERAPY, EMT/PARAMEDIC, SOCIAL WORK, AND OTHER ALLIED-HEALTH DISCIPLINES. TRAINING FOR THESE CLINICAL STUDENTS COST JMH 266,357. IN ADDITION TO THE HANDS-ON TRAINING OF CLINICAL STUDENTS, JMH PROVIDES CASH DONATIONS TO LOCAL SCHOOLS. DURING FY15, JMH DONATED OVER 81,000 TO A LOCAL COLLEGE TO BE USED FOR NURSING FACULTY AND PLEDGED ANOTHER 37,000 FOR THE SAME PURPOSE, WHICH WAS PAID TO THE SCHOOL SHORTLY FOLLOWING THE END OF FY15. JMH PARTNERED WITH THE COMPANIES FIRSTSOURCE SOLUTIONS USA AND ADVANCED PATIENT ADVOCACY TO WORK WITH SELF-PAYING PATIENTS WHO HAVE LIMITED FINANCIAL RESOURCES. DURING FY15, REPRESENTATIVES WERE AVAILABLE AT JMH TO ASSIST PATIENTS. THE REPRESENTATIVES WERE ABLE TO DETERMINE GOVERNMENTAL MEDICAL ASSISTANCE (MEDICAID OR TENNCARE) ELIGIBILITY, AND TO HELP WITH THE APPLICATION PROCESS AND FOLLOW-UP. ONCE A PERSON IS APPROVED FOR MEDICAID OR TENNCARE THROUGH THE PROGRAM OFFERED THROUGH JMH, THEY RETAIN COVERAGE FOR FUTURE MEDICAL CARE. 1,524 PATIENTS WERE APPROVED FOR GOVERNMENTAL ASSISTANCE DURING THE YEAR. FIRSTSOURCE AND ADVANCED PATIENT ADVOCACY ARE COMPENSATED BY JMH. DURING FY15, OUR COST FOR THIS PROGRAM WAS 144,608. THE JMH CENTER FOR COMPREHENSIVE WOUND CARE IS ONE OF ONLY A FEW FACILITIES IN THE REGION THAT OFFER HYPERBARIC OXYGEN THERAPY -THE DELIVERY OF OXYGEN AT LEVELS HIGHER THAN ATMOSPHERIC PRESSURE IN A CHAMBER SETTING THAT STIMULATES THE HEALING PROCESS. OUR TRAINED STAFF FOLLOW A TEAM APPROACH TO WOUND HEALING. AFTER AN INITIAL EVALUATION, EACH PATIENT RECEIVES A COMPREHENSIVE INDIVIDUALIZED PLAN DESIGNED TO H | Desc |
| Total Program Service Expenses | $96,683,051 | 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 | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| 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 | Yes (true) | 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 | 29 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | 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 | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | VA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN L JETER | PersonNm |
| Phone | 2762582800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 16000 JOHNSTON MEMORIAL DR | AddressLine1Txt |
| City | ABINGDON | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24211 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| MARVIN EICHORN | |||||||||
| MSHA EVP. CO | 7.00 | 48.00 | Yes (X) | $0 | $705,370 | $42,125 | |||
| BRIAN DAWSON MD | |||||||||
| TRUSTEE | 2.00 | 38.00 | Yes (X) | $0 | $315,348 | $33,444 | |||
| JIM GARDNER MD | |||||||||
| TRUSTEE | 2.00 | 38.00 | Yes (X) | $0 | $223,671 | $27,740 | |||
| KATHY MITCHELL MD | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| GARY PEACOCK | |||||||||
| TRUSTEE | 2.00 | 6.00 | Yes (X) | $0 | $0 | $0 | |||
| OTEY DUDLEY | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| HUGH FERGUSON | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOANNE GILMER | |||||||||
| VICE-CHAIR | 3.00 | 7.00 | Yes (X) | $0 | $0 | $0 | |||
| BILL HAYTER | |||||||||
| SECRETARY | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| RACHEL FOWLKES EDD | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| ERIC MILLER | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| SANDRA BROOKS MD | |||||||||
| TRUSTEE | 2.00 | 5.00 | Yes (X) | $0 | $0 | $0 | |||
| RICHARD DICK GAIL | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOSEPH B LYLE | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| BRENDAN MCSHEEHY | |||||||||
| CHAIR | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| SEAN MCMURRAY | |||||||||
| CEO | 39.50 | 5.50 | $0 | $343,681 | $52,389 | Yes (X) | |||
| JOHN JETER | |||||||||
| CFO | 29.00 | 16.00 | $0 | $163,027 | $24,277 | Yes (X) | |||
| KELLY CARTER MD | |||||||||
| PHYSICIAN | 40.00 | $0 | $362,035 | $31,165 | Yes (X) | ||||
| DAVID SIMMONS MD | |||||||||
| PHYSICIAN | 40.00 | $0 | $339,939 | $26,973 | Yes (X) | ||||
| STEPHEN SIKORA MD | |||||||||
| PHYSICIAN | 40.00 | $0 | $327,723 | $33,098 | Yes (X) | ||||
| MATHEW DYE MD | |||||||||
| PHYSICIAN | 40.00 | $0 | $322,490 | $27,979 | Yes (X) | ||||
| JACQUELYN EARLY MD | |||||||||
| PHYSICIAN | 40.00 | $0 | $310,596 | $32,212 | Yes (X) | ||||
| DAMIAN SOOKLAL MD | |||||||||
| MSMG PHYSIC | 0.00 | 40.00 | $0 | $395,464 | $32,423 | Yes (X) | |||
| STEPHEN GIVENS | |||||||||
| RCMC AVP | 0.00 | 45.00 | $0 | $186,357 | $25,844 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Reportable Comp Rltd Org | $3,995,701 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $389,669 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 29 | IndivRcvdGreaterThan100KCnt |
| 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 |
|---|---|---|---|---|---|
| VIRGINIA HIGHLANDS ANESTHESIA | |||||
| PO BOX 1476 | ABINGDON | VA | 24212 | ANESTHESIA | $3,778,282 |
| ABINGDON PHYSICIANS ASC GROUP | |||||
| 613 CAMPUS DRIVE SUITE 300 | ABINGDON | VA | 24210 | SURG. CTR. MGMT | $661,286 |
| HANCOCK DANIEL JOHNSON & NAGEL PC | |||||
| PO BOX 72050 | RICHMOND | VA | 232552050 | LEGAL SERVICES | $506,227 |
| CROTHALL SERVICES EAST TN | |||||
| 13028 COLLECTIONS CENTER DRIVE | CHICAGO | IL | 60693 | LINEN SERVICES | $437,321 |
| STAFF CARE INC | |||||
| PO BOX 281923 | ATLANTA | GA | 303841923 | STAFFING AGENCY | $426,757 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 21 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $194,650 | RelatedOrganizationsAmt |
| All Other Contributions | $6,923 | AllOtherContributionsAmt |
| Total Contributions | $201,573 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| PATIENT SERVICE REVENUE | 622110 | $141,183,307 | $141,183,307 | ||
| WELLNESS PROGRAMS | 622110 | $276,287 | $276,287 | ||
| LABORATORY | 621500 | $89,403 | $89,403 | ||
| RENT TO EXEMPT AFFILIATES | 621110 | -$16,602 | -$16,602 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $141,532,395 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,608,715 | TotalRevenueColumnAmt |
| Exclusion | $2,608,715 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $755,498 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $423,022 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $332,476 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $332,476 | TotalRevenueColumnAmt |
| Exclusion | $332,476 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,329,763 | SecuritiesAmt |
| Other | $4,516 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,329,763 | SecuritiesAmt |
| Other | $4,516 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,334,279 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,516 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $1,329,763 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| PREMIER VENDOR INCENTIVE | 900099 | $719,709 | $719,709 |
| CAFETERIA & VENDING | 722210 | $696,568 | $696,568 |
| REVENUE FROM PARENT | 900099 | $106,338 | $106,338 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $63,560 | TotalRevenueColumnAmt |
| Exclusion | $63,560 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,586,175 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $147,595,613 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $141,464,110 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $89,403 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,840,527 | 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 | $215,442 | TotalAmt |
| Program Services | $215,442 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $602,211 | TotalAmt |
| Management And General | $602,211 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,705,332 | TotalAmt |
| Program Services | $34,598,197 | ProgramServicesAmt |
| Management And General | $5,107,135 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,366,924 | TotalAmt |
| Program Services | $1,199,784 | ProgramServicesAmt |
| Management And General | $167,140 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,307,253 | TotalAmt |
| Program Services | $4,233,423 | ProgramServicesAmt |
| Management And General | $1,073,830 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,532,559 | TotalAmt |
| Program Services | $2,329,370 | ProgramServicesAmt |
| Management And General | $203,189 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,047 | TotalAmt |
| Management And General | $16,047 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,844 | TotalAmt |
| Management And General | $38,844 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,340 | TotalAmt |
| Management And General | $39,340 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $299,292 | TotalAmt |
| Management And General | $299,292 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,283,393 | TotalAmt |
| Program Services | $20,462,168 | ProgramServicesAmt |
| Management And General | $3,821,225 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $466,562 | TotalAmt |
| Program Services | $29,059 | ProgramServicesAmt |
| Management And General | $437,503 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,131,524 | TotalAmt |
| Program Services | $844,986 | ProgramServicesAmt |
| Management And General | $286,538 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,576,657 | TotalAmt |
| Program Services | $2,454,859 | ProgramServicesAmt |
| Management And General | $121,798 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,749,102 | TotalAmt |
| Program Services | $1,979,638 | ProgramServicesAmt |
| Management And General | $769,464 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $210,793 | TotalAmt |
| Program Services | $166,506 | ProgramServicesAmt |
| Management And General | $44,287 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,150 | TotalAmt |
| Program Services | $45,939 | ProgramServicesAmt |
| Management And General | $5,211 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $452,796 | TotalAmt |
| Management And General | $452,796 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,192,375 | TotalAmt |
| Program Services | $3,435,545 | ProgramServicesAmt |
| Management And General | $7,756,830 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $879,794 | TotalAmt |
| Program Services | $9,875 | ProgramServicesAmt |
| Management And General | $869,919 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES & DRUGS | $21,158,512 | $21,158,512 | |
| REPAIRS AND MAINTENANCE | $3,131,315 | $2,993,717 | $137,598 |
| MANAGEMENT FEES TO PARENT | $1,829,645 | $1,829,645 | |
| TAXES UBI | $1,717 | $1,717 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $998,834 | TotalAmt |
| Program Services | $526,031 | ProgramServicesAmt |
| Management And General | $472,803 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $121,237,413 | TotalAmt |
| Program Services | $96,683,051 | ProgramServicesAmt |
| Management And General | $24,554,362 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,263,537 | BOYAmt |
| EOY | $7,500,362 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,502,390 | BOYAmt |
| EOY | $20,618,495 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,501,943 | BOYAmt |
| EOY | $1,958,992 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,954,107 | BOYAmt |
| EOY | $2,934,503 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $851,748 | BOYAmt |
| EOY | $817,019 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $257,973,988 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $99,634,518 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $167,245,691 | BOYAmt |
| EOY | $158,339,470 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $130,127,592 | BOYAmt |
| EOY | $164,507,633 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $199,510 | BOYAmt |
| EOY | $199,510 | 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) |
|---|---|---|
| EOY | $452,184 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $335,681,718 | BOYAmt |
| EOY | $357,363,368 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,358,879 | BOYAmt |
| EOY | $11,063,228 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,084,434 | BOYAmt |
| EOY | $2,662,198 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,218,067 | BOYAmt |
| EOY | $35,684,507 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,610,375 | BOYAmt |
| EOY | $1,884,992 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,271,755 | BOYAmt |
| EOY | $51,294,925 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $281,409,482 | BOYAmt |
| EOY | $306,067,962 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $481 | BOYAmt |
| EOY | $481 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $281,409,963 | BOYAmt |
| EOY | $306,068,443 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $335,681,718 | BOYAmt |
| EOY | $357,363,368 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $26,358,200 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,051,859 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$647,861 | OtherChangesInNetAssetsAmt |
| 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
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
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 | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $6,211 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $6,211 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART IV | FormAndLineReferenceDesc |
| Explanation | PART II-B, LINE 1 PORTION OF DUES PAID TO VIRGINIA HOSPITAL AND HEALTHCARE ASSOCIATION THAT ARE ATTRIBUTABLE TO DIRECT LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,758,717 | OtherCostOrOtherBasisAmt |
| Book Value | $6,758,717 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $148,364,436 | OtherCostOrOtherBasisAmt |
| Depreciation | $28,978,801 | DepreciationAmt |
| Book Value | $119,385,635 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,106,231 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,912,549 | DepreciationAmt |
| Book Value | $4,193,682 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $95,819,076 | OtherCostOrOtherBasisAmt |
| Depreciation | $68,394,125 | DepreciationAmt |
| Book Value | $27,424,951 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $925,528 | OtherCostOrOtherBasisAmt |
| Depreciation | $349,043 | DepreciationAmt |
| Book Value | $576,485 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $158,339,470 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| PROF. LIABILITIES, ETC. | $1,013,939 |
| DUE TO THIRD-PARTY | $520,466 |
| CAPITAL LEASE OBLIGATIONS | $350,587 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,884,992 | 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 | FOOTNOTES FROM JOHNSTON MEMORIAL HOSPITAL'S JUNE 30, 2015 CONSOLIDATED AUDITED FINANCIAL STATEMENTS INCLUDE THE FOLLOWING TEXT: "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, 2015 AND 2014. AT JUNE 30, 2015, TAX RETURNS FOR 2011 THROUGH 2014 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 |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,472,492 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,472,492 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01210 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,384,204 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,754,875 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,629,329 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01340 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,856,696 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,754,875 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,101,821 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02560 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $539,516 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $539,516 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00450 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $883,460 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $883,460 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00730 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,218,457 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,183,931 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,034,526 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00850 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $165,517 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $165,517 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,806,950 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,183,931 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,623,019 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02160 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,663,646 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,938,806 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,724,840 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04720 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $19,534,549 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $14,260,221 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $43,518,100 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $43,352,590 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $165,510 | 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 | WWW.MOUNTAINSTATESHEALTH.COM | WebsiteAddressTxt |
| State License | H 1864 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 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 |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.MOUNTAINSTATESHEALTH.COM | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | 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 | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| 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 |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWWMOUNTAINSTATESHEALTHCOM | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWWMOUNTAINSTATESHEALTHCOM | FAPAppAvailableOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | Yes (true) | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, JOHNSTON MEMORIAL HOSPITAL, INC. - PART V, LINE 5 | MSHA MET WITH TEN FOCUS GROUPS, EACH REPRESENTING ONE OF THE THIRTEEN HOSPITAL FACILITIES, INCLUDING JMH. EACH GROUP CONSISTED OF PUBLIC HEALTH LEADERS, NURSES, NON-PROFIT DIRECTORS, COMMUNITY DEVELOPERS, FAITH BASED LEADERS, PUBLIC OFFICIALS AND SCHOOL REPRESENTATIVES. EACH GROUP RANGED IN ATTENDANCE FROM 5 TO 18 INDIVIDUALS. PARTICIPANTS WERE GIVEN SURVEYS TO DETERMINE A COUNTY'S PERCEIVED HEALTH STATUS RATING, AVAILABLE RESOURCES, TOP HEALTH PRIORITIES (DISEASE CONDITIONS, HEALTH BEHAVIORS, AND SOCIOECONOMIC FACTORS), AND SUGGESTIONS FOR IMPROVEMENT. OPEN DISCUSSION FOLLOWED. THE COLLECTED INFORMATION WAS THEN PAIRED WITH STATISTICAL DATA IN ORDER TO PRIORITIZE HEALTH NEEDS. THE FACILITY COMMUNITY BOARDS (SUCH AS JMH'S BOARD) WERE PRESENTED THIS INFORMATION AND SHARED THEIR THOUGHTS AS WELL ON THE HEALTH NEEDS TO PRIORITIZE. THE SPECIFIC NEEDS FOR EACH COUNTY WERE THEN ADDRESSED IN THE RESPECTIVE FACILITY IMPLEMENTATION PLAN WHICH WAS ADOPTED SEVERAL MONTHS LATER. |
| FACILITY 1, JOHNSTON MEMORIAL HOSPITAL, INC. - PART V, LINE 6A | EACH HOSPITAL WITHIN THE MSHA SYSTEM 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, SYCAMORE SHOALS HOSPITAL, JOHNSON COUNTY COMMUNITY HOSPITAL, UNICOI COUNTY MEMORIAL HOSPITAL, RUSSELL COUNTY MEDICAL CENTER, SMYTH COUNTY COMMUNITY HOSPITAL, NORTON COMMUNITY HOSPITAL AND DICKENSON COMMUNITY HOSPITAL. |
| FACILITY 1, JOHNSTON MEMORIAL HOSPITAL, INC. - PART V, LINE 11 | MSHA PUBLISHED ITS COMMUNITY HEALTH NEEDS ASSESSMENT ON JUNE 29, 2015. THE DATA INCLUDED WAS COLLECTED OVER THE COURSE OF 2014 AND 2015. AN IMPLEMENTATION PLAN WAS CREATED FOR EACH HOSPITAL, AND EACH HOSPITAL'S BOARD APPROVED THE IMPLEMENTATION PLAN DURING THE MONTHS OF NOVEMBER AND DECEMBER 2015. MSHA ANNUALLY TRACKS PROGRESS OF IMPLEMENTATION STRATEGIES FOR EACH HOSPITAL. DUE TO LACK OF RESOURCES, SOME OF MSHA FACILITIES WERE UNABLE TO ADDRESS ISSUES THAT WERE IDENTIFIED. |
| FACILITY 1, JOHNSTON MEMORIAL HOSPITAL, INC. - PART V, LINE 22D | UNINSURED PATIENTS RECEIVE A 66% DISCOUNT; AND, BASED ON OTHER FACTORS SUCH AS INCOME OR MEDICAL INDIGENCY, MAY QUALIFY FOR AN ADDITIONAL DISCOUNT. ALLOWABLE AMOUNTS FOR INSURED PATIENTS ARE BASED ON THE NEGOIATED RATE WITH COMMERCIAL INSURANCE OR MEDICARE. |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 6A - RELATED ORGANIZATION INFORMATION | MSHA'S COMMUNITY BENEFIT REPORT COMPLETED IN FY15 INCLUDES JMH. MSHA IS JMH'S MAJORITY OWNER. |
| 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 COST. OUR COST ACCOUNTING SYSTEM PROVIDED MEDICAID/TENNCARE LOSSES REPORTED ON LINE 7B, WITH THE EXCEPTION OF HOME HEALTH AND OUR PHYSICIAN CLINICS. WE USED COST TO CHARGE RATIOS FOR HOME HEALTH AND THE PHYSICIAN CLINICS BECAUSE THEIR DATA ARE NOT AVAILABLE IN OUR COST ACCOUNTING SOFTWARE. THE PHYSICIAN CLINICS' MEDICAID LOSS WAS 60,957. LINE 7E COMMUNITY HEALTH IMPROVEMENT INCLUDES COSTS THAT ARE TAKEN DIRECTLY FROM DEPARTMENTAL OPERATING REPORTS, WITH NO ADDITIONAL OVERHEAD INCLUDED IN THE COST. LINE 7F HEALTH PROFESSIONS EDUCATION IS COMPRISED OF INTERNSHIPS (PRIMARILY NURSING AND PHARMACY STUDENTS) WITH SCHOOLS AND UNIVERSITIES, ALLOWING THEIR HEALTH PROFESSION STUDENTS TO GET HANDS-ON TRAINING AT A HOSPITAL AS PART OF THEIR EDUCATION AND TRAINING. OUR ORGANIZATIONAL DEVELOPMENT DEPARTMENT KEEPS DETAILED RECORDS ON HOURS SPENT ON THESE STUDENT ACTIVITIES, THE NUMBER OF STUDENTS THAT ROTATE THROUGH OUR HOSPITAL, ETC. INFORMATION IS MAINTAINED FOR EACH HOSPITAL UNIT THAT PARTICIPATES. WE ONLY INCLUDE LABOR COSTS AND WE ONLY ASSUME A PERCENTAGE OF OUR TEAM MEMBERS' TIME IS DEVOTED TO THESE STUDENTS. FOR LINE 7G SUBSIDIZED HEALTH SERVICES, WE USE OUR COST ACCOUNTING SYSTEM. WE ARE CAREFUL TO ENSURE NO DOUBLE COUNTING OF COST (FOR EXAMPLE, WE DO NOT INCLUDE CHARITY AND MEDICAID/TNCARE 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. FOR THE SERVICE LINES WE DO REPORT, SUCH AS OUTPATIENT DIABETES, NEONATOLOGY, AND WOUND CARE, WE USED OUR COST ACCOUNTING SYSTEM SINCE THESE SERVICES HAVE ESTABLISHED, STANDARD FINANCIAL REPORTS. LINE 7I CASH AND IN-KIND CONTRIBUTIONS INCLUDES CASH DISBURSEMENTS AND THE IN-KIND DONATIONS OF MEDICATIONS TO LOCAL NON-PROFIT 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 TEAM MEMBERS, SERVING VOLUNTARILY ON COMMITTEES AND MANAGING BOARDS OF LOCAL SERVICE AND NON-PROFIT ORGANIZATIONS. SOME ALSO SERVE AS MEMBERS AND CONSULTANTS ON PROFESSIONAL COMMITTEES AND TASK FORCES THAT AFFECT REGIONAL DEVELOPMENT IN HEALTHCARE AND EDUCATION. 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 POSTED FROM ALL THIRD-PARTY PAYERS- 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. ALL PATIENTS WITH NO FORM OF THIRD-PARTY PAYER COVERAGE RECEIVE A 66% CALCULATED DISCOUNT, AS REQUIRED BY TENNESSEE LAW. MSHA APPLIES TENNESSEE LAW TO OUR VIRGINIA HOSPITALS' PATIENT ACCOUNTS. 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 GATHER HISTORICAL INFORMATION TO APPLY TO THE CURRENT BALANCE. IN OTHER WORDS, THE HOSPITAL EVALUATES PAST COLLECTION HISTORY ON ACCOUNTS WRITTEN OFF TO BAD DEBT AND APPLIES THE HISTORICAL UNPAID RATE TO THE CURRENT SELF-PAY ACCOUNTS RECEIVABLE BALANCE. |
| PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE | JMH'S PATIENT FINANCIAL SERVICES MANAGEMENT ESTIMATE THAT 73% OF BAD DEBT EXPENSE IS ASSUMED ATTRIBUTABLE TO PATIENTS LIKELY ELIGIBLE FOR FINANCIAL ASSISTANCE. WE BASE THIS PERCENTAGE ON THE COMPOSITION OF BAD DEBTS ATTRIBUTABLE TO PEOPLE WITH NO FORM OF INSURANCE OR OTHER THIRD-PARTY COVERAGE, WHICH REPRESENTS THE MAJORITY OF BAD BEBT ACCOUNTS. WE ALSO ESTIMATE A MUCH SMALLER PERCENTAGE OF LIKELY CHARITY-ELIGIBLE ACCOUNTS TO PEOPLE WITH BALANCES AFTER INSURANCE/THIRD-PARTY COVERAGE HAS PAID (E.G. DEDUCTIBLES AND CO-PAYMENT BALANCES). IT IS IMPLAUSIBLE TO DETERMINE WITH EXACTITUDE THE AMOUNT OF JMH'S BAD DEBT ASSOCIATED WITH THOSE PATIENTS WHO MAY HAVE MET THE CRITERIA SET FORTH IN OUR FINANCIAL ASSISTANCE POLICY WITHOUT HAVING A COMPLETED FINANCIAL ASSESSMENT. WE ARE UNABLE TO DETERMINE OUR PATIENTS' FINANCIAL CIRCUMSTANCES UNLESS A COMPLETED FINANCIAL ASSISTANCE FORM IS VOLUNTARILY PROVIDED TO US. WE CAN ASSERT THAT MORE THAN 97% OF OUR PATIENTS WHO HAVE PROVIDED COMPLETED FINANCIAL ASSISTANCE FORMS HAVE BEEN APPROVED FOR AT LEAST PARTIAL FINANCIAL ASSISTANCE. WE HAVE MANY INSTANCES OF PATIENTS WITH LARGE ACCOUNT BALANCES AND NO HEALTH INSURANCE COVERAGE THAT WE ARE SURE WOULD QUALIFY FOR CHARITY CARE. ALTHOUGH HOSPITAL TEAM MEMBERS ENCOURAGE THESE INDIVIDUALS TO COMPLETE OUR FINANCIAL ASSISTANCE APPLICATION, MANY WILL NOT DO SO. EVEN WHEN THESE INDIVIDUALS ARE TOLD WE FEEL SURE THEY DO QUALIFY FOR FULL OR PARTIAL ASSISTANCE, THEY STILL REFUSE TO COMPLETE OUR FINANCIAL ASSISTANCE APPLICATION. |
| BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS | THE TEXT OF JMH'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE APPEARS ON PAGE 10 IN OUR MOST RECENT AUDITED FINANCIAL STATEMENTS (ATTACHED). |
| PART III, LINE 8 - MEDICARE EXPLANATION | 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 TO INCLUDE A TELEVISION AND A TELEPHONE. THE RECRUITMENT OF PHYSICIANS AND PHYSICIAN GUARANTEES ARE NON-ALLOWED COSTS BY THE MEDICARE PROGRAM EVEN THOUGH PHYSICIANS ARE RECRUITED BASED ON DOCUMENTED COMMUNITY NEED. ALSO, A PORTION OF THE BAD DEBT ASSOCIATED WITH THE CARE OF THE PATIENT IS NOT AN ALLOWED COST BY MEDICARE. 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 TELEVISIONS IN PATIENT ROOMS. AS A NOT-FOR-PROFIT ORGANIZATION, WE EXIST TO IDENTIFY AND RESPOND TO THE HEALTH CARE NEEDS OF THE COMMUNITY AND THE INDIVIDUAL WHILE MAINTAINING A HIGH LEVEL OF HEALTH CARE SERVICES WITHOUT LOSSES. SINCE LOSSES DO OCCUR THROUGH THE CMS SYSTEM OF REIMBURSEMENT, THESE LOSSES ARE A COST OF DOING BUSINESS FOR OUR COMMUNITY AND SHOULD BE CONSIDERED A COMMUNITY BENEFIT. AS A PARTICIPATING PROVIDER IN THE MEDICARE PROGRAM, JMH IS REQUIRED TO PROVIDE THE FULL REGIMEN OF CARE FOR OUR MEDICARE POPULATION. THERE ARE A NUMBER OF CARE REGIMENS THAT ARE COMPENSATED BY THE MEDICARE PROGRAM AT LEVELS BELOW OUR COST. THEREFORE, IT IS ONLY LOGICAL TO ALLOW HOSPITALS TO REPORT THESE UNCOMPENSATED SERVICES AS A COMMUNITY BENEFIT. BY MAKING THIS CHANGE, NON-PROFIT PROVIDERS WILL BE ENCOURAGED TO SUSTAIN IMPORTANT CARE DELIVERY MODELS FOR OUR AGING POPULATION IN SPITE OF THE FACT IT IS SOMETIMES ECONOMICALLY INJURIOUS. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION JMH HAS ESTABLISHED A STRONG COMMITMENT TO MEET THE MEDICAL NEEDS OF THE COMMUNITIES WE SERVE. ALL REQUESTS FOR FINANCIAL ASSISTANCE ARE EVALUATED USING ESTABLISHED GENERAL GUIDELINES, WHILE ALLOWING FOR UNIQUE FINANCIAL CIRCUMSTANCES. JOHNSTON MEMORIAL HOSPITAL RECOGNIZES ITS OBLIGATION TO PROVIDE QUALITY HEALTHCARE TO THOSE WHO ARE UNABLE TO PAY. FINANCIAL ASSISTANCE ELIGIBILITY ENCOMPASSES A VARIETY OF PATIENTS, SUCH AS THOSE WITH MEDICAID ELIGIBILITY AFTER THE DATE OF SERVICE, PATIENTS THAT ARE DECEASED WITH NO ESTATE, MEDICAID ELIGIBLE ENCOUNTERS WHERE BENEFITS HAVE BEEN EXHAUSTED, ETC. JMH CHARITY GUIDELINES ARE BASED ON THE NATIONAL POVERTY GUIDELINES. HOWEVER, FINANCIAL ASSISTANCE IS NOT BASED SOLELY ON INCOME. UNIQUE FINANCIAL CIRCUMSTANCES ARE CONSIDERED, WHICH CAN CHANGE THE CATEGORY OF ELIGIBILITY. IN ADDITION, CHARITY DETERMINATION MAY BE RETROACTIVE FOR ALL DATES OF SERVICE. WHEN A PATIENT REQUESTS FINANCIAL ASSISTANCE OR WHEN AN APPLICATION HAS BEEN RECEIVED, THE PATIENT ACCOUNT IS PLACED IN A HOLD STATUS TO PREVENT FURTHER COLLECTION ACTIVITIES UNTIL FINANCIAL ASSISTANCE ELIGIBILITY IS DETERMINED. |
| PART VI, LINE 2 - NEEDS ASSESSMENT | MSHA INCLUDED AMERICA'S HEALTH RANKINGS (AHR) IN ITS ASSESSMENT IN ORDER TO BETTER DEFINE THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. VIRGINIA RANKED 21ST AND TENNESSEE RANKED 43RD. HOWEVER, IT SHOULD BE NOTED THAT SOUTHWEST VIRGINIA (WHERE JMH IS LOCATED) CLOSELY RESEMBLES THE HEALTH RANKINGS FOR TENNESSEE. AMERICA'S HEALTH RANKINGS ARE BASED ON A SERIES OF MEASURES INCLUDING SEVERAL HEALTH OUTCOMES AND HEALTH FACTORS. A SURVEY WAS GIVEN TO 106 INDIVIDUALS REPRESENTING THE TEN COUNTIES IN WHICH MSHA OWNS A FACILITY. THESE INDIVIDUALS INCLUDED PHYSICIANS, PUBLIC HEALTH LEADERS, NON-PROFIT DIRECTORS, SCHOOL NURSES AND OFFICIALS, AND BUSINESS LEADERS. A SURVEY WAS GIVEN TO EACH INDIVIDUAL SEEKING FEEDBACK REGARDING AVAILABLE RESOURCES IN EACH AREA, THE PERCEIVED HEALTH STATUS, HEALTH PRIORITIES (DISEASE CONDITIONS, HEALTH BEHAVIORS AND SOCIOECONOMIC FACTORS), AND SUGGESTIONS FOR IMPROVEMENT. THE MAJORITY OF RESPONSES SUGGESTED FOCUSING ON EDUCATION IN ORDER TO PROMOTE HEALTHY HABITS AND INCREASED ACCESS TO RESOURCES. OTHER RESPONSES INCLUDED: MAKE PHYSICAL EDUCATION A REQUIREMENT AS PART OF SCHOOL CURRICULUM, IMPROVE NATURAL TRAILS AND WALKWAYS, INCREASE COMMUNITY SUPPORT FOR SMOKE-FREE AREAS, PARTNER WITH LOCAL FARMER'S MARKETS, SHARE HEALTH INFORMATION BETWEEN PHARMACIES, NETWORK WITH SMALL BUSINESSES AND NON-PROFITS IN ORDER TO AVOID DUPLICATING RESOURCES, AND PROVIDE EARLY SCREENINGS FOR THE UNINSURED OR UNDERINSURED. OVERALL, THE COMMUNITY MEMBERS GAVE MSHA'S CORE SERVICE AREA A HEALTH STATUS RANKING OF 4.55 OUT OF 10 (1 BEING THE LOWEST, 10 BEING THE HIGHEST). AMONG THE 106 PARTICIPANTS, THE AREAS OF OBESITY, CANCER, HEART DISEASE, SMOKING, SUBSTANCE/PRESCRIPTION DRUG ABUSE, AND DIABETES WERE THE TOP HEALTH PRIORITIES IN OUR REGION. AHR REPORTS THAT VIRGINIA AND TENNESSEE BOTH SAW AN INCREASE IN DIABETES AND OBESITY WITHIN THE PAST TEN YEARS. VIRGINIA RANKS 25TH FOR CARDIOVASCULAR DEATHS, 23RD FOR CANCER DEATHS (31ST FOR SMOKING) AND 21ST FOR DIABETES. THE ROBERT WOOD JOHNSON FOUNDATION REPORTS 24% OF WASHINGTON COUNTY'S CITIZENS SMOKE COMPARED TO 18% IN THE STATE OF VIRGINIA. AND, 32% OF WASHINGTON COUNTY'S ADULTS ARE CONSIDERED OBESE. |
| PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | JMH PROVIDES COMMUNICATION OF FINANCIAL ASSISTANCE ON ITS WEBSITE AND ON POSTERS LOCATED IN PROMINENT AREAS OF THE HOSPITAL SUCH AS ADMITTING AND THE EMERGENCY DEPARTMENT. PRINTED EDUCATIONAL MATERIALS INCLUDING FINANCIAL ASSISTANCE CONTACT INFORMATION ARE ALSO PROVIDED IN EACH PATIENT'S REGISTRATION PAPERWORK. POSTERS AND REFERENCE MATERIALS ARE WRITTEN IN BOTH ENGLISH AND SPANISH. ADMITTING STAFF ARE TRAINED TO EDUCATE PATIENTS ON OUR FINANCIAL ASSISTANCE POLICY. THESE COUNSELORS HELP UNINSURED PATIENTS DETERMINE SOURCES OF PAYMENT FOR MEDICAL BILLS AND HELP PATIENTS DETERMINE ELIGIBILITY FOR PROGRAMS SUCH AS MEDICAID/TENNCARE. JMH PARTNERED WITH THE COMPANIES FIRSTSOURCE SOLUTIONS USA AND ADVANCED PATIENT ADVOCACY TO WORK WITH SELF-PAYING PATIENTS WHO HAVE LIMITED FINANCIAL RESOURCES. REPRESENTATIVES WERE AVAILABLE AT JMH TO ASSIST PATIENTS. THE REPRESENTATIVES WERE ABLE TO DETERMINE GOVERNMENTAL MEDICAL ASSISTANCE (MEDICAID OR TENNCARE) ELIGIBILITY, AND TO HELP WITH THE APPLICATION PROCESS AND FOLLOW-UP. ONCE A PERSON IS APPROVED FOR MEDICAID OR TENNCARE THROUGH THE PROGRAM OFFERED THROUGH JMH, THEY RETAIN COVERAGE FOR FUTURE MEDICAL CARE. 1,524 PATIENTS WERE APPROVED FOR GOVERNMENTAL ASSISTANCE DURING THE YEAR. FIRSTSOURCE AND ADVANCED PATIENT ADVOCACY ARE COMPENSATED BY JMH. DURING FY15, OUR COST FOR THIS PROGRAM WAS 144,608. |
| PART VI, LINE 4 - COMMUNITY INFORMATION | JMH IS LOCATED IN THE TOWN OF ABINDGON, WASHINGTON COUNTY, WHICH IS IN RURAL 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 INDIVIDUALS WHO ARE UNINSURED. ACCORDING TO U.S. CENSUS BUREAU ESTIMATES, THE TOWN OF ABINGDON HAS A POPULATION OF 8,146, WHILE WASHINGTON COUNTY'S POPULATION IS 54,729. THE LATEST CENSUS BUREAU DATA ESTIMATES THE MEDIAN AGE OF RESIDENTS OF WASHINGTON COUNTY IS 44.1 WHICH IS OLDER THAN THE MEDIAN AGE OF 37.6 IN VIRGINIA. THE BUREAU ESTIMATES WASHINGTON COUNTY MEDIAN HOUSEHOLD INCOME AT 42,458 COMPARED TO 64,792 FOR THE STATE OF VIRGINIA. 21% OF WASHINGTON COUNTY'S CHILDREN LIVE IN POVERTY COMPARED TO 16% STATEWIDE. |
| PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH | JMH IS DEDICATED TO OPERATING EFFICIENTLY SO THAT WASTE IS MINIMIZED. OPERATING SURPLUSES ARE INVESTED INTO IMPROVING TREATMENT OPTIONS FOR OUR PATIENTS THROUGH NEW TECHNOLOGIES, RECRUITING PHYSICIANS AND TRAINED STAFF IN SHORTAGE AREAS, AND IMPROVING OUR FACILITIES AND EQUIPMENT. VARIOUS CHECKS AND BALANCES ARE ESTABLISHED TO ENSURE THAT EXPENDITURES FOR OPERATING EXPENSES AND CAPITAL COSTS ARE REASONABLE AND NECESSARY. THE MAJORITY OF JMH'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREAS. ONLY THREE DIRECTORS: MARVIN ECIHORN, DR. SANDRA BROOKS, AND JOANNE GILMER LIVE OUTSIDE THE AREA. THERE ARE FIVE DIRECTORS DEEMED NON-INDEPENDENT, PER IRS INSTRUCTIONS: TWO ARE EMPLOYED PHYSICIANS, ONE IS AN EMPLOYEE OF MSHA, AND ONE HAS A FAMILY MEMBER EMPLOYED BY JMH IN A NURSING ROLE, AND ANOTHER HAS A FAMILY MEMBER EMPLOYED AT A RELATED ORGANIZATION IN A NON-MANAGERIAL POSITION. 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. JMH IS MAJORITY OWNED BY MOUNTAIN STATES HEALTH ALLIANCE (MSHA) BASED IN JOHNSON CITY, TENNESSEE. MSHA IS INTEGRATED BOTH VERTICALLY AND HORIZONTALLY AND IS THE LARGEST REGIONAL HEALTHCARE SYSTEM WITH 13 HOSPITALS. MSHA PROVIDES CARE TO PEOPLE IN 29 COUNTIES IN TENNESSEE, VIRGINIA, KENTUCKY, AND NORTH CAROLINA. JMH SERVES AS THE COUNTY'S PRIMARY HEALTH SERVICE PROVIDER. PATIENTS BENEFIT FROM JMH'S AFFILIATION WITH A HEALTHCARE SYSTEM WHERE THEY CAN BE EFFICIENTLY MOVED ALONG AN INTEGRATED, COMPREHENSIVE CONTINUUM OF CARE AS THEIR HEALTH STATUS DICTATES. IF NEEDED, PATIENTS CAN BE MOVED TO THE SYSTEM'S FLAGSHIP FACILITY, JOHNSON CITY MEDICAL CENTER, WHICH IS A TERTIARY CARE FACILITY PROVIDING ADVANCED TREATMENT OPTIONS. MSHA HOSPITALS WORK CLOSELY WITH ONE ANOTHER TO SHARE EXPERTISE AND RESOURCES. FOR EXAMPLE, JMH ASSISTED SMYTH COUNTY COMMUNITY HOSPITAL (SCCH) ESTABLISH A DIABETES CENTER. JMH'S CENTER HAS BEEN OPERATIONAL FOR MANY YEARS SO THE EXPERIENCED CLINICAL TEAM AT JMH PROVIDED VALUABLE INSIGHT THAT SAVED SCCH TIME, MONEY, AND MISTAKES. THERE ARE MANY OTHER EXAMPLES OF SHARED EXPERTISE AND SERVICES BETWEEN MSHA FACILITIES - LABORATORY, CARDIAC SERVICES, ADMINISTRATIVE, ETC. |
| PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT | VIRGINIA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Non Cash AssistanceNonCashAssistanceAmt |
|---|---|---|---|---|---|---|---|---|
| AMERICAN CANCER SOCIETY | ||||||||
| 230 CHARWOOD DRIVE | ABINGDON | VA | 24212 | 237040934 | 501C3 | $9,795 | GENERAL SPONSORSHIP | |
| BARTER THEATRE | ||||||||
| PO BOX 867 | ABINGDON | VA | 24212 | 546000120 | 501C3 | $37,600 | SPONSORSHIP | |
| DAMASCUS VOLUNTEER RESCUE SQUAD | ||||||||
| 32094 GOVERNMENT ROAD | DAMASCUS | VA | 24236 | 541456223 | 501C3 | DRUG BOX REFILLS | $16,055 | |
| VHCC EDUCATIONAL FOUNDATION | ||||||||
| PO BOX 828 | ABINGDON | VA | 24212 | 521225133 | 501C3 | $38,133 | FUND NURSING PROGRAM | |
| VIRGINIA HIGHLANDS COMM COLLEGE | ||||||||
| P O BOX 828 | ABINGDON | VA | 24212 | 541268289 | 501C3 | $80,000 | FUND NURSING PROGRAM | |
| WASHINGTON COUNTY LIFE SAVING CREW | ||||||||
| 237 PARK STREET SE | ABINGDON | VA | 24212 | 541103215 | 501C3 | DRUG BOX REFILLS | $5,430 | |
| WILLIAM KING MUSEUM | ||||||||
| PO BOX 2256 | ABINGDON | VA | 24210 | 541144120 | 501C3 | $12,000 | SPONSORSHIP | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 7 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PAGE 1, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | FUNDING MAY BE PROVIDED TO LOCAL 501(C)(3) ORGANIZATIONS WHOSE FOCUS IS ON HEALTH AND EDUCATION. FOR MANY YEARS, JMH HAS MADE DONATIONS OF MEDICATIONS TO AREA NON-PROFIT EMERGENCY MEDICAL SERVICE COMPANIES. WE ALSO PROVIDE ASSISTANCE TO A LOCAL COLLEGE TO HELP FUND AN INSTRUCTOR FOR ITS NURSING PROGRAM. ADDITIONAL DONATIONS WERE MADE TO CROSSROADS MEDICAL MISSION, LOCAL SCHOOLS,AND THE LOCAL ARTS. CROSSROADS MEDICAL MISSION DELIVERS PREVENTATIVE AND URGENT MEDICAL CARE VIA A MOBILE UNIT TO RESIDENTS WHO HAVE DIFFICULTY ACCESSING MEDICAL CARE. MOST DONATION REQUESTS ARE MADE THROUGH AN APPLICATION PROCESS WHERE THE APPLICANT DESCRIBES HOW THE MONEY WILL BE USED, HOW IT BENEFITS THE COMMUNITY, HOW OUR DONATION WILL CORRELATE WITH HEALTH NEEDS IDENTIFIED BY OUR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), AND THE AGREEMENT THAT THE DONEE WILL PROVIDE FOLLOW-UP OF HOW OUR DONATION WAS USED (WHO BENEFITED, ETC.). NOT ALL OF OUR DONATIONS ARE RESTRICTED TO OUR CHNA, BUT MANY ARE. MSHA'S SOCIAL RESPONSIBILITY COMMITTEE REVIEWS MOST DONATION REQUESTS TO DETERMINE WHICH REQUESTS MSHA, INCLUDING JMH, WILL FUND. THERE ARE MANY FACTORS THAT ARE CONSIDERED DURING THE REVIEW PROCESS BY THE COMMITTEE, SUCH AS OUR BUDGET CONSTRAINTS, IF THE APPLICANT HAS ALREADY RECEIVED A DONATION FROM A MSHA FACILITY, HOW THE REQUESTING ORGANIZATION FITS WITH OUR CNHA, ETC. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 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 | ||||||
| MSHA EVP. COO/TREAS. | $513,864 | $140,426 | $51,080 | $18,788 | $23,337 | $747,495 |
| BRIAN DAWSON MD | ||||||
| TRUSTEE | $226,152 | $19,436 | $69,760 | $11,902 | $21,542 | $348,792 |
| JIM GARDNER MD | ||||||
| TRUSTEE | $171,815 | $51,725 | $131 | $9,191 | $18,549 | $251,411 |
| SEAN MCMURRAY | ||||||
| CEO | $275,074 | $63,302 | $5,305 | $29,701 | $22,688 | $396,070 |
| JOHN JETER | ||||||
| CFO | $153,135 | $6,550 | $3,342 | $6,341 | $17,936 | $187,304 |
| KELLY CARTER MD | ||||||
| PHYSICIAN | $291,008 | $25,179 | $45,848 | $11,534 | $19,631 | $393,200 |
| DAVID SIMMONS MD | ||||||
| PHYSICIAN | $272,272 | $23,485 | $44,182 | $10,365 | $16,608 | $366,912 |
| STEPHEN SIKORA MD | ||||||
| PHYSICIAN | $272,393 | $15,314 | $40,016 | $12,216 | $20,882 | $360,821 |
| MATHEW DYE MD | ||||||
| PHYSICIAN | $257,064 | $21,244 | $44,182 | $11,663 | $16,316 | $350,469 |
| JACQUELYN EARLY MD | ||||||
| PHYSICIAN | $232,681 | $21,899 | $56,016 | $10,604 | $21,608 | $342,808 |
| DAMIAN SOOKLAL MD | ||||||
| MSMG PHYSICIAN | $208,498 | $179,461 | $7,505 | $17,971 | $14,452 | $427,887 |
| STEPHEN GIVENS | ||||||
| RCMC AVP | $160,080 | $17,281 | $8,996 | $5,002 | $20,842 | $212,201 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PAGE 1, PART I, LINE 4 | SEAN MCMURRAY 0 14,112 0 |
| SCHEDULE J, PART III | PART I, LINE 4B: SEAN MCMURRAY PARTICIPATED IN A 457(F)RETIREMENT PLAN PROVIDED BY MOUNTAIN STATES HEALTH ALLIANCE (MSHA). THE 457(F)PLAN IS A NONQUALIFIED TAX- DEFERRED COMPENSATION PLAN AVAILABLE TO A SELECT GROUP OF KEY EXECUTIVES FOR THE INTENT OF SUPPORTING RETENTION AND TO OFFER A COMPETITIVE TOTAL RETIREMENT PROGRAM. ACCOUNT BALANCES HAVE A "SUBSTANTIAL RISK OF FORFEITURE". IN ADDITION TO CREDITOR RISK, SUBSTANTIAL RISK OF FORFEITURE IS CREATED THROUGH DEFAULT RISK IF THE PARTICIPANT'S EMPLOYMENT WITH MSHA IS TERMINATED PRIOR TO AGE 65. HOWEVER, THE 457(F) PLAN CONTAINS A NON- COMPETE PROVISION THAT PROVIDES THE ACCOUNT BALANCE TO BE PAID IN A LUMP SUM AFTER THE EXECUTIVE SATISFIES THE TWO-YEAR NON-COMPETE PERIOD. THIS PROVISION APPLIES TO EMPLOYER CONTRIBUTIONS IF THE EXECUTIVE HAS PROVIDED ELIGIBLE SERVICE FOR SIX OR MORE YEARS. (ELIGIBLE SERVICE IS OFFICER SERVICE THAT PERMITTED THE EXECUTIVE TO PARTICIPATE IN THE PLAN). THE EXECUTIVE WILL RECEIVE THE ENTIRE ACCOUNT BALANCE IF HE/SHE BECOMES DISABLED, DIES OR IF THE EXECUTIVE TERMINATES FOR "GOOD REASON- OR IS INVOLUNTARILY TERMINATED WITHOUT "GOOD CAUSE" WITHIN A 24-MONTH PERIOD AFTER A CHANGE-OF-CONTROL OCCURS. DISTRIBUTIONS FROM THIS PLAN ARE SUBJECT TO FEDERAL, STATE, AND LOCAL TAXES ON THE ENTIRE ACCOUNT BALANCE UPON DISTRIBUTION. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 2011 HOSPITAL FACILITY INVEST BOND | BusinessNameLine1Txt |
| Business Name Line2 | INDUSTRIAL DEV AUTHORITY OF SMYTH | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 541758381 | BondIssuerEIN |
| Bond Issued | 2011-11-16 | BondIssuedDt |
| Issue Price | $24,870,000 | IssuePriceAmt |
| Purpose | REFINANCE CANCER CTR. | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $5,345,000 | RetiredAmt |
| Total Proceeds | $24,870,000 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $238,423 | IssuanceCostsFromProceedsAmt |
| Other Spent Proceeds | $24,631,577 | OtherSpentProceedsAmt |
| Substantial Completion | 2012 | SubstantialCompletionYr |
| Current Refunding | Yes (true) | CurrentRefundingInd |
| Advance Refunding | false | AdvanceRefundingInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | Yes (true) | MgmtContractBondFincdPropInd |
| Engage Bond Counsel Contracts | Yes (true) | EngageBondCounselContractsInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | Yes (true) | ChangeInUseBondFinancedPropInd |
| Remedial Action Taken | false | RemedialActionTakenInd |
| Procs Nonqualified Bond Remdtd | Yes (true) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (true) | RebateNotDueYetInd |
| Exception To Rebate | Yes (true) | ExceptionToRebateInd |
| No Rebate Due | false | NoRebateDueInd |
| Variable Rate Issue | Yes (true) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (true) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (true) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K - PURPOSE OF ISSUE DESCRIPTION | FormAndLineReferenceDesc |
| Explanation | 2011 HOSPITAL FACILITY INVEST. BOND (LINE A) REFINANCE OF CANCER TREATMENT CENTER AND REFINANCING OF SERIES 1998 BONDS PART III, LINES 8B & 8C: A PORTION OF THE BONDS ISSUED IN 1998 THAT WAS REFUNDED WITH A PORTION OF THE REPORTED BOND ISSUE FINANCED HOSPITAL IMPROVEMENTS FOR A FACILITY THAT BECAME OUTMODED AND OBSOLETE. THE OBSOLETE FACILITY WAS SUBSEQUENTLY SOLD FOR A MINIMAL AMOUNT (LESS THAN 5% OF THE PROCEEDS OF THE BONDS). BASED ON THE AVAILABLE RECORDS, IT IS NOT POSSIBLE TO GIVE A PRECISE AMOUNT OF THE 1998 BOND PROCEEDS THAT WERE USED TO FINANCE THE PROPERTY THAT WAS DISPOSED. BECAUSE THE AMOUNT OF PRIVATE PAYMENTS WAS LESS THAN THE PERMITTED THRESHOLD, NO REMEDIAL ACTION WAS REQUIRED. PART IV, LINE 2C: THE 2011 BOND ISSUE HAS NO ARBITRAGE REBATE DUE SO THERE HAS BEEN NO REBATE COMPUTATION PERFORMED. | ExplanationTxt |
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 | $60,645 | TransactionAmt |
| Transaction | EMPLOYMENT | 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 | (A) NAME OF PERSON: GINGER MCSHEEHY (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF BRENDAN MCSHEEHY, JMH BOARD MEMBER (D) DESCRIPTION OF TRANSACTION: BRENDAN MCSHEEHY,JMH BOARD MEMBER, IS A FAMILY MEMBER OF GINGER MCSHEEHY, AN EMPLOYEE OF JOHNSTON MEMORIAL HOSPITAL. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | JOHNSTON MEMORIAL HOSPITAL (JMH) IS COMMITTED TO BRINGING LOVING CARE TO HEALTH CARE. WE EXIST TO IDENTIFY AND RESPOND TO THE HEALTH CARE NEEDS OF INDIVIDUALS AND COMMUNITIES IN OUR REGION AND TO ASSIST THEM IN ATTAINING THEIR HIGHEST POSSIBLE LEVEL OF HEALTH. |
| FORM 990, PAGE 2, PART III, LINE 4A | (CONT'D)JMH OFFERS A FULL ARRAY OF MEDICAL SERVICES THROUGH HIGHLY TRAINED PHYSICIANS AND SUPPORT STAFF, PROUDLY SERVING SOUTHWEST VIRGINIA SINCE 1917. OUR GOAL IS TO BE A LEADER IN IMPROVING THE HEALTH AND QUALITY OF LIFE IN THE COMMUNITY, BY WORKING TOGETHER AS A TEAM DEDICATED TO EXCELLENCE. DURING FY15, WE EXPERIENCED 9,009 INPATIENT ADMISSIONS, WITH ALMOST 30,000 PATIENT DAYS. THERE WERE AN ADDITIONAL 3,159 OBSERVATION DAYS. OUR OUTPATIENT VISITS WERE JUST UNDER 154,000. THERE WERE 41,308 VISITS TO OUR EMERGENCY DEPARTMENT. 6,733 SURGERIES WERE PERFORMED DURING THE YEAR AND WE DELIVERED 746 BABIES. JMH RECEIVED HEALTHGRADES 2015 EXCELLENCE AWARD FOR PATIENT SAFETY. THE SAFETY AWARD PLACES JMH IN THE TOP 5% OF THE NATION FOR PATIENT SAFETY. HEALTHGRADES IS A COMPANY THAT PROVIDES INFORMATION ABOUT HOSPITALS, PHYSICIANS, AND HEALTHCARE PROVIDERS. THE PATIENT SAFETY AWARD RECOGNIZES HOSPITALS FOR HOW WELL A HOSPITAL PREVENTS INFECTIONS, MEDICAL ERRORS, AND OTHER COMPLICATIONS BASED ON 13 STANDARD PATIENT SAFETY INDICATORS. PATIENTS RECEIVING CARE AT PATIENT SAFETY EXCELLENCE AWARD RECIPIENT HOSPITALS HAVE, ON AVERAGE, A LOWER RISK OF EXPERIENCING PATIENT SAFETY EVENTS. IN ADDITION TO HEALTHGRADES SAFETY AWARD, JMH WAS NAMED ONE OF THE NATION'S NINE BEST HOSPITALS FOR INFECTION PREVENTION BY CONSUMER REPORTS. CONSUMER REPORTS RELEASED RATINGS ON HOW MORE THAN 3,000 U.S. HOSPITALS FARED AT PREVENTING HOSPITAL-ACQUIRED INFECTIONS WITH NINE FACILITIES RECEIVING THE HIGHEST RANKING FOR AVOIDING POTENTIALLY DEADLY PATHOGENS. CONSUMER REPORTS INCLUDED CENTER FOR DISEASE CONTROL DATA ON MRSA AND C DIFF IN ITS HOSPITAL RATINGS. THE RATINGS ALSO USED DATA ON CENTRAL-LINE ASSOCIATED BLOOD STREAM INFECTIONS, SURGICAL-SITE INFECTIONS, AND CATHETER-ASSOCIATED URINARY TRACT INFECTIONS TO GENERATE AN OVERALL INFECTION PREVENTION SCORE. JMH WAS THE ONLY FACILITY IN VIRGINIA TO BE NAMED TO THE LIST. CONSUMER REPORTS IS A NATIONALLY RECOGNIZED ORGANIZATION SERVING THE PUBLIC THROUGH "UNBIASED PRODUCT TESTING AND RATINGS, RESEARCH, JOURNALISM, PUBLIC EDUCATION, AND ADVOCACY". JMH EARNED THE U.S. ENVIRONMENTAL PROTECTION AGENCY'S (EPA'S) ENERGY STAR CERTIFICATION, WHICH SIGNIFIES THAT THE BUILDING PERFORMS IN THE TOP 25 PERCENT OF SIMILAR FACILITIES NATIONWIDE FOR ENERGY EFFICIENCY AND MEETS STRICT ENERGY EFFICIENCY PERFORMANCE LEVELS SET BY THE EPA. COMMERCIAL BUILDINGS THAT EARN EPA'S ENERGY STAR CERTIFICATION USE AN AVERAGE OF 35 PERCENT LESS ENERGY THAN TYPICAL BUILDINGS AND ALSO RELEASE 35 PERCENT LESS CARBON DIOXIDE INTO THE ATMOSPHERE. THERE IS A NATIONAL SHORTAGE OF FAMILY MEDICINE DOCTORS, BUT A COLLABORATIVE EFFORT BY JMH AND THE EDWARD VIA COLLEGE OF OSTEOPATHIC MEDICINE (VCOM) IS HELPING TO FILL THAT NEED IN OUR REGION. THE TWO ORGANIZATIONS PARTNERED TO CREATE A RESIDENCY PROGRAM AT JMH. THE FIRST CLASS OF NEW RESIDENTS WILL BEGIN TO PRACTICE ACROSS ALL SPECIALTIES AT JMH IN JULY 2015. THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES RECENTLY PREDICTED A SHORTAGE OF NEARLY 100,000 PHYSICIANS IN THE U.S. BY 2020. NOWHERE IN VIRGINIA IS THE DOCTOR SHORTAGE MORE CRITICAL THAN IN THE SOUTHWESTERN PART OF THE STATE. LIKE ALLOPATHIC PHYSICIANS (MD), OSTEOPATHIC PHYSICIANS (DO) ALSO COMPLETE FOUR YEARS OF MEDICAL SCHOOL PRIOR TO ENTERING RESIDENCY TRAINING. VCOM'S MISSION READS "THE MISSION OF THE EDWARD VIA COLLEGE OF OSTEOPATHIC MEDICINE IS TO PREPARE GLOBALLY- MINDED, COMMUNITY-FOCUSED PHYSICIANS TO MEET THE NEEDS OF RURAL AND MEDICALLY UNDERSERVED POPULATIONS AND PROMOTE RESEARCH TO IMPROVE HUMAN HEALTH." JMH AND ITS AFFILIATES LOCATED IN SOUTHWEST VIRGINIA SERVE RURAL COMMUNITIES SO VCOM'S MISSION ALIGNS WELL WITH JMH'S OWN MISSION AND VALUES. BECKER HOSPITAL REVIEW NAMED JMH AS ONE OF THE 50 GREENEST HOSPITALS IN AMERICA. THE HOSPITAL IS ALSO LEED (LEADERSHIP IN ENERGY AND ENVIRONMENTAL DESIGN) GOLD CERTIFIED. LEED-CERTIFIED BUILDINGS ARE RESOURCE EFFICIENT. THEY USE LESS WATER AND ENERGY AND REDUCE GREENHOUSE GAS EMISSIONS. LEED IS AN INTERNATIONALLY RECOGNIZED GREEN BUILDING CERTIFICATION SYSTEM THAT PROVIDES THIRD-PARTY VERIFICATION OF DESIGN AND ENVIRONMENTAL BENEFICIAL RESULTS. IN A MOVE THAT WILL SAVE LIVES AND IMPROVE HEALTH CARE FOR SOUTHWEST VIRGINIA, JMH IMPLEMENTED A NEW INTERVENTIONAL CARDIOLOGY PROGRAM THIS YEAR, ALLOWING HIGHLY EXPERIENCED DOCTORS TO NOT JUST DIAGNOSE BUT ALSO TO TREAT PATIENTS FOR URGENT HEART PROBLEMS. THIS LIFESAVING SERVICE IS AVAILABLE 24 HOURS A DAY. THE AMERICAN COLLEGE OF CARDIOLOGY AND THE AMERICAN HEART ASSOCIATION AGREE THAT THE TIME BETWEEN A PATIENT'S ARRIVAL AT A HOSPITAL TO THE TIME HE OR SHE RECEIVES PERCUTANEOUS INTERVENTION (A PROCEDURE THAT OPENS BLOCKED ARTERIES AND RESTORES BLOOD FLOW TO THE HEART MUSCLE) SHOULD BE 90 MINUTES OR LESS IN ORDER TO MINIMIZE DAMAGE TO THE PATIENT'S HEART. WITH THE NEW SERVICES IN PLACE, JMH HAS BEEN ABLE TO ACHIEVE A TREATMENT TIME FROM DOOR-TO-INTERVENTION OF 20 TO 30 MINUTES. BY OFFERING THIS NEW SERVICE AT JMH, PATIENTS' TRAVEL TIME IS REDUCED AND THAT MAY BE THE DIFFERENCE BETWEEN LIFE AND DEATH. THE HOSPITAL ASSEMBLED A TEAM OF HIGHLY TRAINED AND EXPERIENCED CARDIOLOGISTS AND STAFF MEMBERS TO PROVIDE THESE EXPANDED SERVICES. THE HOSPITAL HAS ALSO WORKED WITH LOCAL EMERGENCY MEDICAL SERVICES PROVIDERS TO TRAIN THEM TO INITIATE ON- THE-SPOT DIAGNOSTIC PROCEDURES AND STABILIZATION BEFORE THE PATIENT ARRIVES AT THE HOSPITAL. THAT WAY, JMH WILL BE NOTIFIED WHILE THE PATIENT IS IN TRANSPORT SO THE HOSPITAL WILL BE READY AS SOON AS THE PATIENT ARRIVES. JMH IS COMMITTED TO PROVIDING COMPREHENSIVE MEDICAL EDUCATION TO AID IN PATIENT RECOVERY AND DISEASE MANAGEMENT. WE OFFER MANY CLASSES AND SUPPORT GROUPS, SUCH AS: A DIABETES EDUCATION CENTER, CPR AND LIFE SAVING CLASSES; CARDIAC CARE EDUCATION AND SUPPORT; TOTAL JOINT REPLACEMENT; CANCER EDUCATION AND SUPPORT; PRENATAL PARENTING; AND, OTHERS. THE TOTAL ATHLETE PROGRAM (TAP) IS A NEW SPORTS-EDUCATION FOCUSED PROGRAM OFFERED AT JMH FOR HIGH SCHOOL ATHLETES AND COACHES. DURING THE SIX EDUCATION SESSIONS, SPORTS-RELATED INJURIES AND INJURY PREVENTION, CONCUSSIONS, SPORTS NUTRITION AND TIPS FOR PREPARING FOR COLLEGE ATHLETICS WILL BE DISCUSSED. THE PROGRAM IS OPEN TO HIGH SCHOOL STUDENTS AGES 14-18. JMH SERVES AS A CLINICAL TRAINING HOSPITAL FOR HEALTH PROFESSIONAL EDUCATION STUDENTS. OUR DEDICATED STAFF WORK WITH REGIONAL COLLEGES AND UNIVERSITIES TO COORDINATE THE PLACEMENT OF HEALTHCARE PROFESSIONAL STUDENTS AS PART OF THEIR EDUCATIONAL CURRICULUM. IN ADDITION TO CLINICAL TRAINING, THE HEALTHCARE STUDENTS ENTERING OUR SYSTEM ARE REQUIRED TO HAVE ORIENTATION AND COMPUTER TRAINING. PARTICIPANTS RECEIVING CLINICAL EXPERIENCE AT JMH DURING FY15 INCLUDED 308 NURSING STUDENTS FROM VARIOUS COLLEGES, UNIVERSITIES AND PROGRAMS. THIS NURSING CLINICAL EXPERIENCE REQUIRED EXTENSIVE JMH NURSING STAFF INVOLVEMENT. THE CLINICAL SETTING AND HANDS-ON INSTRUCTION COST JMH 617,104. JMH PROVIDED A CLINICAL SETTING FOR ANOTHER 260 STUDENTS TRAINING IN HEALTH-RELATED PROGRAMS SUCH AS RADIOLOGY, PHARMACY, PHYSICAL THERAPY, EMT/PARAMEDIC, SOCIAL WORK, AND OTHER ALLIED-HEALTH DISCIPLINES. TRAINING FOR THESE CLINICAL STUDENTS COST JMH 266,357. IN ADDITION TO THE HANDS-ON TRAINING OF CLINICAL STUDENTS, JMH PROVIDES CASH DONATIONS TO LOCAL SCHOOLS. DURING FY15, JMH DONATED OVER 81,000 TO A LOCAL COLLEGE TO BE USED FOR NURSING FACULTY AND PLEDGED ANOTHER 37,000 FOR THE SAME PURPOSE, WHICH WAS PAID TO THE SCHOOL SHORTLY FOLLOWING THE END OF FY15. JMH PARTNERED WITH THE COMPANIES FIRSTSOURCE SOLUTIONS USA AND ADVANCED PATIENT ADVOCACY TO WORK WITH SELF-PAYING PATIENTS WHO HAVE LIMITED FINANCIAL RESOURCES. DURING FY15, REPRESENTATIVES WERE AVAILABLE AT JMH TO ASSIST PATIENTS. THE REPRESENTATIVES WERE ABLE TO DETERMINE GOVERNMENTAL MEDICAL ASSISTANCE (MEDICAID OR TENNCARE) ELIGIBILITY, AND TO HELP WITH THE APPLICATION PROCESS AND FOLLOW-UP. ONCE A PERSON IS APPROVED FOR MEDICAID OR TENNCARE THROUGH THE PROGRAM OFFERED THROUGH JMH, THEY RETAIN COVERAGE FOR FUTURE MEDICAL CARE. 1,524 PATIENTS WERE APPROVED FOR GOVERNMENTAL ASSISTANCE DURING THE YEAR. FIRSTSOURCE AND ADVANCED PATIENT ADVOCACY ARE COMPENSATED BY JMH. DURING FY15, OUR COST FOR THIS PROGRAM WAS 144,608. THE JMH CENTER FOR COMPREHENSIVE WOUND CARE IS ONE OF ONLY A FEW FACILITIES IN THE REGION THAT OFFER HYPERBARIC OXYGEN THERAPY -THE DELIVERY OF OXYGEN AT LEVELS HIGHER THAN ATMOSPHERIC PRESSURE IN A CHAMBER SETTING THAT STIMULATES THE HEALING PROCESS. OUR TRAINED STAFF FOLLOW A TEAM APPROACH TO WOUND HEALING. AFTER AN INITIAL EVALUATION, 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. THERE WERE 4,275 WOUND CARE VISITS DURING FY15, AN INCREASE OVER PRIOR YEAR OF ALMOST 14%. THE DIABETES CARE CENTER (CENTER) IS AN OUTPATIENT DEPARTMENT OF JMH THAT PROVIDES MEDICAL MANAGEMENT OF DIABETES AND DIABETES-RELATE |
| FORM 990, PART V | LINE 2A: W-2 EMPLOYEES EXCEPT FOR OUR EMPLOYED PHYSICIANS AND PHYSICIAN ASSISTANTS ENGAGED IN DIRECT PATIENT CARE, JMH TEAM MEMBERS ARE PAID BY MOUNTAIN STATES HEALTH ALLIANCE (MSHA). JMH REIMBURSES MSHA FOR ALL SALARY AND BENEFITS AND THE EXPENSE IS RECORDED ON JMH'S BOOKS. |
| FORM 990, PAGE 6, PART VI, LINE 6 | THE CORPORATION IS ORGANIZED AS A VIRGINIA NON-STOCK, NON-PROFIT 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 JOHNSTON 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 | ANNUALLY, THE CORPORATE AUDIT AND COMPLIANCE DEPARTMENT OF MSHA FORWARDS THE CONFLICT OF INTEREST POLICY AND DISCLOSURE FORM TO ALL MSHA MANAGEMENT TEAM MEMBERS AND BOARD MEMBERS. EMPLOYEES AND BOARD MEMBERS MUST NOTE ANY CONFLICTS OR ATTEST THEY HAVE "NONE", AND RETURN THE FORM TO THE AUDIT AND COMPLIANCE DEPARTMENT. ANY NOTED DISCLOSURES ARE FORWARDED TO THE APPROPRIATE MANAGEMENT OR BOARD PERSONNEL TO EVALUATE AND UTILIZE WHEN A TRANSACTION INVOLVING A CONFLICTED PERSON ARISES. ADDITIONALLY, PERSONNEL WHO HAVE A CONFLICT ARISE BETWEEN THE ANNUAL DISTRIBUTION OF THE POLICY AND FORMS ARE REQUIRED TO DISCLOSE THE CONFLICT AND WOULD BE DISCIPLINED IN ANY INSTANCE WHERE THEY HAVE NOT DISCLOSED AND ENGAGED IN A CONFLICTED TRANSACTION. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE COMPENSATION OF JMH'S CEO IS INITIALLY DETERMINED BY MOUNTAIN STATES HEALTH ALLIANCE'S HUMAN RESOURCE DEPARTMENT BASED ON MARKET DATA OF COMPARABLE POSITIONS IN SIMILAR SETTINGS. EXECUTIVE SALARIES ARE EVALUATED ON AN ANNUAL OR NEAR-ANNUAL BASIS. MSHA OFFERS AN INCENTIVE PLAN TO EXECUTIVES BASED ON TARGETED ACHIEVEMENT METRICS SET IN ADVANCE OF THE PAY YEAR. ESTABLISHED METRICS INCLUDE: COMMUNICATION WITH PATIENTS, PATIENT EVIDENCE BASED CARE SCORES AND PATIENT SAFETY, VALUE BASED PURCHASING, ETC. THESE SAME METRICS ARE USED FOR ALL MSHA EMPLOYEES WITHIN MSHA, WITH A SMALL NUMBER OF EXCEPTIONS FOR COMPANIES THAT DO NOT PROVIDE DIRECT PATIENT CARE. MSHA USES AN OUTSIDE AND INDEPENDENT COMPENSATION CONSULTING FIRM TO ESTABLISH REASONABLE COMPENSATION. |
| FORM 990, PAGE 6, PART VI, LINE 15B | COMPENSATION FOR JMH'S CFO IS ESTABLISHED THE SAME WAY AS THE CEO'S, DESCRIBED ABOVE (LINE 15A). |
| 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 UPON REQUEST TO APPROPRIATE PARTIES REQUESTING THEM, AND THEY ARE MADE AVAILABLE TO THOSE PARTIES WHO OWN INDEBTNESS OF THE COMPANY ON A QUARTERLY BASIS. |
| FORM 990, PART IX, LINE 11G | HOSPITAL BASED PROVIDERS 5,097,756 0 0 HOSPITAL SUPPORTED CLINICS 9,122,981 0 0 PHYSICIAN FEES 3,978,876 0 0 COLLECTION SERVICE FEES 0 860,174 0 JANITORIAL & LINEN FEES 0 740,847 0 DIALYSIS SERVICES 312,485 0 0 HYPERBARIC SERVICES 103,554 0 0 SLEEP DIAGNOSTICS SERVICES 478,795 0 0 NUC. MED./ONCOLOGY /RADIOLOGY 467,898 0 0 LABORATORY TESTS 460,023 0 0 AMBULATORY SURGERY CENTER 291,909 0 0 ENGINEERING SERVICES 0 214,029 0 DIETARY 0 1,480,249 0 TRANSCRIPTION & CODING 0 471,375 0 OTHER FEES 147,891 54,551 0 |
| FORM 990, PART XI, LINE 9 | ELIMINATION OF INTERCOMPANY REC/PAY -647,861 TOTAL TO FORM 990, PART XI, LINE 9 -647,861 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JMH EMERGENCY PHYSICIANS LLC | 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) |
|---|---|---|
| EIN | 454786385 | EIN |
| Primary Activities | MED. SERV. | PrimaryActivitiesTxt |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Total Income | $2,007,762 | TotalIncomeAmt |
| End Of Year Assets | $721,214 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JMH | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| JOHNSTON MEMORIAL HEALTHCARE FND | ||||||||||
| 16000 JOHNSTON MEMORIAL DRIVE | ABINGDON | VA | 24211 | 262870970 | SUPPORT | VA | 501C3 | 11B | NA | false |
| ABINGDON PHYSICIAN PARTNERS | ||||||||||
| 16000 JOHNSTON MEMORIAL DRIVE | ABINGDON | VA | 24211 | 205485346 | MED. SERV. | VA | 501C3 | 11A | JMH | false |
| MOUNTAIN STATES HEALTH ALLIANCE | ||||||||||
| 400 N STATE OF FRANKLIN ROAD | JOHNSON CITY | TN | 37604 | 620476282 | HOSP. SYS. | TN | 501C3 | 3 | NA | false |
| MOUNTAIN STATES FOUNDATION | ||||||||||
| 2335 KNOB CREEK ROAD SUITE 101 | JOHNSON CITY | TN | 37604 | 581418862 | FUNDRAISER | TN | 501C3 | 11A | MSHA | false |
| APPALACHIAN EMERGENCY PHYSICIANS | ||||||||||
| 1021 W OAKLAND AVENUE SUITE 207 | JOHNSON CITY | TN | 37604 | 800592504 | MED. SERV. | VA | 501C3 | 11A | NA | false |
| AUXILIARY TO JOHNSTON MEMORIAL HOSP | ||||||||||
| 1600 JOHNSTON MEMORIAL DRIVE | ABINGDON | VA | 24211 | 540917478 | SUPPORT | VA | 501C3 | 11A | NA | false |
| MSHA AUXILIARY | ||||||||||
| 400 N STATE OF FRANKLIN ROAD | JOHNSON CITY | TN | 37604 | 581418345 | SUPPORT | TN | 501C3 | 11A | MSHA | false |
| NORTON COMMUNITY HOSPITAL | ||||||||||
| 100 15TH STREET NW | NORTON | VA | 24273 | 540566029 | HOSPITAL | VA | 501C3 | 3 | NA | false |
| DICKENSON COMMUNITY HOSPITAL | ||||||||||
| ONE HOSPITAL DRIVE | CLINTWOOD | VA | 24228 | 770599553 | HOSPITAL | VA | 501C3 | 3 | NCH | false |
| SMYTH COUNTY COMMUNITY HOSPITAL | ||||||||||
| 245 MEDICAL PARK DRIVE | MARION | VA | 24354 | 540794913 | HOSPITAL | VA | 501C3 | 3 | MSHA | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 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 |
|---|---|---|---|---|---|---|---|---|---|
| INTEGRATED SOLUTIONS HEALTH NETWORK | |||||||||
| 509 MED TECH PARKWAY SUITE 100 | JOHNSON CITY | TN | 37604 | 621711997 | INVESTMENT | TN | NA | false | false |
| 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 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 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 |
|---|---|---|---|---|---|---|---|---|---|
| BLUE RIDGE MEDICAL MANAGEMENT CORP | |||||||||
| 1021 W OAKLAND AVENUE SUITE 207 | JOHNSON CITY | TN | 37604 | 621711997 | MED. SERV. | TN | NA | C CORP | false |
| MEDISERVE MED EQUIP OF KINGSPORT | |||||||||
| 1021 W OAKLAND AVE SUITE 207 | JOHNSON CITY | TN | 37604 | 621212286 | DME | TN | NA | C CORP | false |
| MOUNTAIN STATES PROPERTIES | |||||||||
| 1021 W OAKLAND AVE SUITE 207 | JOHNSON CITY | TN | 37604 | 621845895 | PROP. MGMT | TN | NA | C CORP | false |
| MOUNTAIN STATES PHYSICIAN GROUP | |||||||||
| 1021 W OAKLAND AVENUE SUITE 207 | JOHNSON CITY | TN | 37604 | 621700412 | MED. SERV. | TN | NA | C CORP | false |
| COMMUNITY HOME CARE INC | |||||||||
| 1460 PARK AVENUE | NORTON | VA | 24273 | 541453810 | DME | VA | NA | C CORP | false |
| SOUTHWEST COMMUNITY HEALTH SERVICES | |||||||||
| PO BOX 880 | MARION | VA | 24354 | 541460695 | MED. SERV. | VA | NA | C CORP | false |
| WILSON PHARMACY INC | |||||||||
| P O BOX 5289 | JOHNSON CITY | TN | 37604 | 620329587 | PHARMACY | TN | NA | C CORP | false |
| CRESTPOINT HEALTH INSURANCE CO INC | |||||||||
| 509 MED TECH PARKWAY SUITE 100 | JOHNSON CITY | TN | 37604 | 620381170 | INSURANCE | TN | NA | C CORP | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | 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 | false | 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 | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt |
|---|---|
| APPALACHIAN PHYSICIAN PARTNERS | |
| B | $647,185 |
| APPALACHIAN PHYSICIAN PARTNERS | |
| J | $536,542 |