SMYTH COUNTY COMMUNITY HOSPITAL: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- SMYTH COUNTY COMMUNITY HOSPITAL (EIN 54-0794913)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-05-03
- IRS object ID
- 201621249349301052
- 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 J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-05-03T10:25:44-05:00 | 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 | 540794913 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SMYTH COUNTY COMMUNITY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SMYT | BusinessNameControlTxt |
| Phone | 2763781202 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 880 | AddressLine1Txt |
| City | MARION | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24354 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAMES TYLER | PersonNm |
| Person Title | AVP & CFO | PersonTitleTxt |
| Phone | 2763781202 | PhoneNum |
| Signature | 2016-04-14 | 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 | JAMES TYLER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 880 | AddressLine1Txt |
| City | MARION | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24354 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $45,789,071 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MOUNTAINSTATESHEALTH.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1961 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | PART I, LINE I - ORGANIZATION'S MISSION: SMYTH COUNTY COMMUNITY HOSPITAL (SCCH) 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 | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 1 | TotalEmployeeCnt |
| Total Volunteers | 38 | TotalVolunteersCnt |
| Total Gross UBI | $129,094 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $45,535 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $63,167 | PYContributionsGrantsAmt |
| CY Contributions Grants | $15,712 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $42,512,540 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $43,201,932 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,272,026 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,487,190 | CYInvestmentIncomeAmt |
| PY Other Revenue | $601,310 | PYOtherRevenueAmt |
| CY Other Revenue | $830,811 | CYOtherRevenueAmt |
| PY Total Revenue | $44,449,043 | PYTotalRevenueAmt |
| CY Total Revenue | $45,535,645 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $45,627 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $9,151 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $21,563,319 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $21,911,072 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $24,806,946 | PYOtherExpensesAmt |
| CY Other Expenses | $24,262,807 | CYOtherExpensesAmt |
| PY Total Expenses | $46,415,892 | PYTotalExpensesAmt |
| CY Total Expenses | $46,183,030 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,966,849 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$647,385 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $104,960,023 | TotalAssetsBOYAmt |
| Total Assets EOY | $104,500,332 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $22,752,602 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $22,377,677 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $82,207,421 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $82,122,655 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PART I, LINE I - ORGANIZATION'S MISSION: SMYTH COUNTY COMMUNITY HOSPITAL (SCCH) 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 | $33,063,813 | ExpenseAmt |
| Grant | $9,151 | GrantAmt |
| Revenue | $37,090,963 | RevenueAmt |
| Desc | SMYTH COUNTY COMMUNITY HOSPITAL (SCCH) HAS A 45-PLUS YEAR HISTORY OF PROVIDING HEALTHCARE SERVICES WITHIN THE COMMUNITY OF MARION, VIRGINIA. SCCH IS A 44-BED COMMUNITY-BASED HOSPITAL THAT OFFERS BOTH ACUTE CARE AND INPATIENT REHABILITATION CARE. THE HOSPITAL PROVIDES COMPREHENSIVE OUTPATIENT SERVICES AND A VARIETY OF OUTREACH PROGRAMS SUCH AS HOMECARE. ADDITIONALLY, SCCH HAS A 109-BED NURSING CARE FACILITY, FRANCIS MARION MANOR HEALTH AND REHABILITATION (FMM). FMM PROVIDES BOTH SKILLED-LEVEL AND NURSING FACILITY-LEVEL HEALTH CARE SERVICES. (CONTINUED ON SCHEDULE O) AS A NOT-FOR-PROFIT HOSPITAL, ALL OF SCCH'S SURPLUSES ARE INVESTED IN IMPROVING HEALTHCARE IN THE COMMUNITY. WITH A STRONG COMMITMENT TO QUALITY PATIENT CARE AND A HERITAGE OF SERVICES, SCCH CONTINUES TO MEET THE HEALTHCARE NEEDS OF SMYTH AND THE ADJOINING COUNTIES. FOR THE YEAR ENDING JUNE 30, 2015, SCCH RECORDED 1,596 INPATIENT ADMISSIONS, AND PROVIDED FOR 81,804 OUTPATIENT VISITS. THERE WERE 17,949 EMERGENCY VISITS, 13,685 HOME HEALTH VISITS AND 366 NURSING HOME ADMISSIONS. SCCH SERVES AS A CLINICAL TRAINING FACILITY FOR HEALTH PROFESSIONAL EDUCATION STUDENTS. WE HAVE DEDICATED STAFF TO 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 HEALTH CARE STUDENTS ENTERING OUR SYSTEM ARE REQUIRED TO HAVE ORIENTATION AND COMPUTER TRAINING. PARTICIPANTS RECEIVING CLINICAL EXPERIENCE AT SCCH DURING FY15 INCLUDED 60 NURSING STUDENTS FROM VARIOUS COLLEGES, UNIVERSITIES AND PROGRAMS. THIS NURSING CLINICAL EXPERIENCE REQUIRED EXTENSIVE SCCH NURSING STAFF INVOLVEMENT. THE CLINICAL SETTING AND HANDS-ON INSTRUCTION COST SCCH 119,438. SCCH PROVIDED A CLINICAL SETTING FOR ANOTHER 17 STUDENTS TRAINING IN HEALTH-RELATED PROGRAMS SUCH AS RADIOLOGY, PHARMACY, PHYSICAL THERAPY, EMT/PARAMEDIC AND OTHER ALLIED-HEALTH DISCIPLINES. THESE ADDITIONAL CLINICAL STUDENTS COST SCCH 16,352. IN FURTHERANCE OF OUR COMMITMENT TO AREA SCHOOLS WITH HEALTH PROFESSIONS PROGRAMS, SCCH DONATED 15,000 THIS YEAR TO VIRGINIA HIGHLANDS COMMUNITY COLLEGE TO SUPPORT ITS NURSING PROGRAM. SCCH PARTNERED WITH THE COMPANIES FIRSTSOURCE SOLUTIONS USA AND ADVANCED PATIENT ADVOCACY TO WORK WITH SELF-PAYING PATIENTS WHO HAVE LIMITED FINANCIAL RESOURCES. REPRESENTATIVES WERE ABLE TO DETERMINE GOVERNMENTAL MEDICAL ASSISTANCE (MEDICAID) ELIGIBILITY, AND TO HELP WITH THE APPLICATION PROCESS AND FOLLOW-UP. DURING FY15, 435 PATIENTS WERE APPROVED FOR COVERAGE. ONCE A PERSON IS APPROVED FOR MEDICAID THROUGH THIS PROGRAM OFFERED THROUGH SCCH, THEY RETAIN COVERAGE FOR FUTURE MEDICAL CARE. SCCH'S COST FOR THIS PROGRAM WAS 36,375. SMYTH COUNTY'S FIRST URGENT CARE FACILITY WAS OPENED IN SEPTEMBER 2014 TO OFFER THE COMMUNITY ACCESS TO LOCAL PRIMARY CARE PROVIDERS AFTER NORMAL BUSINESS HOURS. THE STATE-OF-THE-ART FACILITY IS LOCATED ON THE SCCH GROUNDS AND OFFERS TREATMENT OF MINOR ILLNESSES AND INJURIES IN A SETTING THAT IS BOTH CONVENIENT AND COST EFFECTIVE. LAB AND X-RAY SERVICES ARE AVAILABLE ON-SITE. PREMIER HEALTHCARE ALLIANCE'S 2014 AWARD WINNERS INCLUDED SMYTH COUNTY COMMUNITY HOSPITAL. OUR HOSPITAL EARNED THE HIGHEST HONOR BY ACHIEVING TOP PERFORMANCE IN ALL OF THE SIX AREAS MEASURED IN PREMIER'S QUEST COLLABORATIVE. SCCH, ALONG WITH SYCAMORE SHOALS HOSPITAL (ANOTHER MOUNTAIN STATES HEALTH ALLIANCE HOSPITAL) WERE AMONG ONLY 18 HOSPITALS NATIONWIDE TO RECEIVE THE QUEST AWARD FOR HIGH-VALUE HEALTHCARE. THE HIGH-VALUE HEALTHCARE AWARDS ARE DETERMINED BASED ON SIX MEASURES: COST OF CARE, EVIDENCE-BASED CARE; MORTALITY; POTENTIAL HARM; PATIENT EXPERIENCE; AND, READMISSIONS. FOR MANY YEARS, SCCH HAS PROVIDED ASSISTANCE TO LOCAL NON-PROFIT LIFESAVING ORGANIZATIONS SUCH AS AMBULANCE SERVICES AND RESCUE SQUADS. SCCH DONATES FREE MEDICATIONS AND PHARMACEUTICAL SUPPLIES TO THESE ORGANIZATIONS. THE COST OF DONATED MEDICATIONS TO RESCUE ORGANIZATIONS DURING FY15 WAS MORE THAN 6,000. A VARIETY OF SCREENINGS, SUPPORT GROUPS, HEALTH EDUCATION, AND HEALTH FAIRS WERE PROVIDED ON AN ONGOING BASIS THROUGHOUT THE YEAR. SOME OF THE SERVICES PROVIDED DURING THE YEAR INCLUDE: LAB SERVICES FOR A FREE PUBLIC CLINIC AND A HEALTH FAIR, CPR TRAINING TO THE PUBLIC, AND FIRST AID CLASSES. SCCH OFFERS A SUPPORT GROUP FOR PEOPLE WITH DIABETES. EVERY OTHER MONTH A SCCH TEAM MEMBER PROVIDES EDUCATION REGARDING SELF-CARE, INCLUDING NUTRITION COUNSELING. SCCH HOSTS AN ANNUAL ADVANCED DIRECTIVES DAY TO EDUCATE COMMUNITY MEMBERS ABOUT LEGAL DOCUMENTS THEY MAY WISH TO HAVE IN ORDER TO EXPRESS THE TYPE OF MEDICAL CARE WANTED WHEN ILL AND TO MAKE CLEAR THEIR DECISIONS FOR THEIR OWN END OF LIFE CARE. SINCE A MEDICAL CRISIS CAN OCCUR AT ANY AGE, THIS ADVANCED CARE PLANNING IS AN IMPORTANT STEP TOWARD ENSURING AN INDIVIDUAL'S WISHES ARE FOLLOWED IF HE/SHE IS TOO ILL TO MAKE HIS/HER OWN HEALTHCARE DECISIONS. TEN SCCH TEAM MEMBERS WERE INVOLVED WITH THIS EDUCATION DAY. SCCH HELPED WITH A FIRST-EVER DAY CAMP FOR CHILDREN WITH TYPE 1 DIABETES. THE CAMP WAS HELD AT THE HUNGRY MOTHER LUTHERAN RETREAT CENTER IN SMYTH COUNTY. THERE WERE MANY ACTIVITIES FOR THE CHILDREN SUCH AS A TREASURE HUNT, CRAFTING, PADDLE BOATING, A SHORT HIKE TO THE PARK'S WATERFALL, TEAM- BUILDING ACTIVITIES, VEGETABLE HARVESTING FROM THE COMMUNITY GARDEN, AND PREPARING DINNER FOR THEMSELVES AND THEIR PARENTS. THE CAMP GAVE THE KIDS AN OPPORTUNITY TO MAKE NEW FRIENDS AND LEARN FROM EACH OTHER. DURING FY15, SCCH ESTABLISHED A VOLUNTEER CHAPLAIN PROGRAM. A SPIRITUAL CARE TEAM COMPOSED OF FELLOW SCCH TEAM MEMBERS WAS ESTABLISHED TO PROVIDE SUPPORT TO PATIENTS AND THEIR FAMILIES WHILE THEY WAIT FOR THEIR OWN PASTOR OR OUR VOLUNTEER CHAPLAINS TO ARRIVE. THE TEAM RECEIVED TRAINING RELATIVE TO THE PURPOSE AND FUNCTION OF SPIRITUAL CARE. THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) CONDUCTED A PREVALENCE SURVEY TO ESTIMATE THE OVERALL PROBLEM OF HOSPITAL ACQUIRED INFECTIONS (HAI'S) IN U.S. HOSPITALS. THE SURVEY FOUND THAT ON ANY GIVEN DAY, ABOUT 1 IN 25 HOSPITAL PATIENTS HAS AT LEAST ONE HEALTHCARE-ASSOCIATED INFECTION. THIS ESTIMATE IS BASED ON 2011 DATA REPORTED ON THE CDC'S WEBPAGE "HEALTHCARE-ASSOCIATED INFECTIONS". THE CDC ALSO REPORTS 2013 UPDATES, BY STATE, FOR CHANGES FROM NATIONAL BASELINES. THERE ARE SIX TYPES OF HOSPITAL ACQUIRED INFECTIONS REPORTED FOR VIRGINIA HOSPITALS. ONLY ONE INFECTION TYPE WAS DEEMED REDUCED FROM BASELINE RESULTS IN VIRGINIA, WHILE FIVE DID NOT SHOW A STATISTICALLY SIGNIFICANT CHANGE. AT SMYTH COUNTY COMMUNITY HOSPITAL, AN EFFORT WAS PUT INTO PLACE TO "HARD-WIRE" ALL TEAM MEMBERS AND PHYSICIANS TO KNOW AND PRACTICE INFECTION PREVENTION. DURING FY15, SCCH HAD GONE MORE THAN A YEAR WITHOUT A HOSPITAL ACQUIRED INFECTION. THE JOINT COMMISSION, AN INDEPENDENT, NON-PROFIT ORGANIZATION THAT ACCREDITS AND CERTIFIES NEARLY 21,000 HEALTH CARE ORGANIZATIONS AND PROGRAMS IN THE U.S., NAMED SCCH AS A TOP PERFORMER IN PNEUMONIA CARE, SURGICAL CARE, AND IMMUNIZATIONS FOR PNEUMOCOCCAL AND INFLUENZA. TO EARN "TOP PERFORMER" STATUS, A HOSPITAL MUST RECEIVE A 95% SCORE THAT INDICATES THE HOSPITAL PROVIDED AN EVIDENCE-BASED PRACTICE 95 TIMES OUT OF EVERY 100 OPPORTUNITIES. HEALTHGRADES AWARDED THE HIGHEST, 5-STAR RATING TO SCCH FOR HEART ATTACK, SEPSIS IN-HOSPITAL, AND SEPSIS WITHIN 30 DAYS FOLLOWING ADMISSION TO THE HOSPITAL. A 5-STAR RATING INDICATES THE HOSPITAL ACHIEVED A BETTER THAN EXPECTED MORTALITY RATE. HEALTHGRADES IS AN ONLINE RESOURCE FOR COMPREHENSIVE INFORMATION ABOUT HOSPITALS AND PHYSICIANS. MORE THAN ONE MILLION PEOPLE A DAY RELY UPON HEALTHGRADES TO RESEARCH, COMPARE AND CONNECT WITH HEALTHCARE PROVIDERS. SCCH CONTINUED THE VALUE OPTIMIZATION PROGRAM DURING FY15. VOS ALLOWS A TRANSFORMATION OF CARE BY PROVIDING TRAINING AND TOOLS TO REDUCE WASTE, MEET PATIENTS' EXPECTATIONS OF HIGH QUALITY AND EFFICIENT CARE, WHILE ACHIEVING OUTSTANDING OUTCOMES. THE PROGRAM IS STRUCTURED FOR CONTINUOUS MONITORING AND IMPROVEMENT. IDENTIFIED PROJECTS ARE REFERRED TO AS "STREAMS". THERE WERE TWO VALUE STREAMS, ONE FOR THE HOSPITAL "THE PATIENT CARE EXPERIENCE", AND THE SECOND FOR FRANCIS MARION MANOR, OUR NURSING HOME. OVER THE COURSE OF THE YEAR, WE HAD EIGHT RAPID IMPROVEMENT EVENTS (RIE) AND WORKED ON MORE THAN TWENTY PROJECTS. RIE'S ARE GENERALLY WEEK-LONG, INTENSE WORK GROUPS THAT BRING TEAM MEMBERS TOGETHER TO IMPROVE SPECIFIC AREAS. RIE'S ARE FACILITATED BY A TEAM MEMBER TRAINED TO GUIDE THE GROUP. SOME DATA HIGHLIGHTS FROM THE EVENTS TAKING PLACE DURING FY15 INCLUDE: - THE TIME A DISCHARGE ORDER IS WRITTEN UNTIL THE PATIENT LEAVES THE FACILITY DECREASED BY ALMOST 29% - DOOR TO DOOR (IN/OUT) OBSERVATION HOURS DECREASED BY 18% - THE NUMBER OF SKILLED REFERRALS THAT WERE ACCEPTED AND RECEIVED TO OUR LONG TERM CARE FACILITY INCREASED FROM 62% TO 76% - A PROCESS FOR COLLABORATIVE ASSESSMENT WAS IMPLEMENTED FOR A PROVIDER, A PHARMACY DEPARTMENT REPRESENTATIVE, AND A NURSE TO SEE A PATIENT WITHIN 30 MINUTES OF ADMISSION TO A UNIT. ALTHOUGH NOT AT 100%, WE | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,371,320 | ExpenseAmt |
| Revenue | $6,734,400 | RevenueAmt |
| Desc | FRANCIS MARION MANOR HEALTH AND REHABILITATION (FMM) THERE WERE 366 ADMISSIONS AND 34,684 PATIENT DAYS DURING FY15. FMM HAS SEEN A SIGNIFICANT GROWTH IN OUR PATIENT ADMISSIONS RATE OVER THE LAST TWO FISCAL YEARS. FROM FY13 TO FY14 THERE WAS AN INCREASE OF 15% AND FROM FY14 TO FY15 THERE WAS AN ADDITIONAL 10% INCREASE IN OUR PATIENT ADMISSIONS. WE WERE ABLE TO ACCEPT REFERRALS FOR NEW RESIDENTS THAT WE PREVIOUSLY HAD NOT BEEN ABLE TO ACCEPT, INCLUDING: WOUND VACS AND TRACHS(DEPENDING ON SEVERITY), AND LIFE VEST (WITH AN EXTERNAL DEFIBRILLATOR IN IT). WE RECEIVED THE 2015 BEST OF SMYTH COUNTY AWARD FOR BEING THE BEST NURSING HOME/ASSISTED LIVING FACILITY, AS VOTED BY READERS OF THE SMYTH COUNTY NEWS AND MESSENGER IN OCTOBER 2015. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $39,435,133 | 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 | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 70 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1 | 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 | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | 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 JETER | PersonNm |
| Phone | 2762582830 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 880 | AddressLine1Txt |
| City | MARION | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24354 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 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 |
|---|---|---|---|---|---|---|---|---|---|
| ERIC SACKNOFF MD | |||||||||
| DIRECTOR | 0.50 | 39.50 | Yes (X) | $0 | $423,234 | $31,323 | |||
| SEAN MCMURRAY | |||||||||
| JMH CEO | 1.50 | 49.50 | Yes (X) | $0 | $343,681 | $52,389 | |||
| JOHN JETER | |||||||||
| JMH/SCCH CFO | 6.00 | 39.00 | Yes (X) | $0 | $163,027 | $24,277 | Yes (X) | ||
| ALLEN ABEL | |||||||||
| DIRECTOR | 1.25 | Yes (X) | $0 | $0 | $0 | ||||
| JIM BEAR JR | |||||||||
| VICE CHAIR | 0.75 | Yes (X) | $0 | $0 | $0 | ||||
| RUTH COX | |||||||||
| DIRECTOR | 0.75 | Yes (X) | $0 | $0 | $0 | ||||
| BOB FEATHERS | |||||||||
| DIRECTOR | 0.50 | 7.00 | Yes (X) | $0 | $0 | $0 | |||
| JOANNE GROSECLOSE | |||||||||
| CHAIR | 0.75 | Yes (X) | $0 | $0 | $0 | ||||
| ANDY BLEVINS | |||||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||||
| JIM MCDOWELL MD | |||||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||||
| JAMES PATTERSON MD | |||||||||
| DIRECTOR | 0.75 | Yes (X) | $0 | $0 | $0 | ||||
| BOB SHULTS | |||||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| CLEM WILKES JR | |||||||||
| DIRECTOR | 0.50 | 7.00 | Yes (X) | $0 | $0 | $0 | |||
| JAMES TYLER | |||||||||
| VP & CEO | 45.00 | $0 | $65,486 | $2,133 | Yes (X) | ||||
| CATHY MAINE | |||||||||
| CNO | 40.00 | $0 | $138,535 | $10,884 | Yes (X) | ||||
| BELDON FLEMING | |||||||||
| PHARMACY MAN | 40.00 | $0 | $137,782 | $30,629 | Yes (X) | ||||
| BRUCE BRIGGS | |||||||||
| PHARMACIST | 40.00 | $0 | $120,612 | $27,924 | Yes (X) | ||||
| ROBERT O'DONNELL | |||||||||
| REHAB. THER. | 40.00 | $0 | $109,702 | $26,878 | Yes (X) | ||||
| RAMZI K HUMSI MD | |||||||||
| HIGHEST COMP | 40.00 | $0 | $266,331 | $23,054 | Yes (X) | ||||
| RALPH A PARKS MD | |||||||||
| HIGHEST COMP | 40.00 | $0 | $155,104 | $16,211 | Yes (X) | ||||
| MATTHEW L JUSTUS MD | |||||||||
| HIGHEST COMP | 40.00 | $0 | $143,523 | $22,003 | Yes (X) | ||||
| LINDY WHITE | |||||||||
| VP/CEO FWCH/ | 45.00 | $0 | $267,119 | $43,807 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Reportable Comp Rltd Org | $2,334,136 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $311,512 | TotalOtherCompensationAmt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 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 | 242121476 | ANESTHESIA SVCS | $686,945 |
| CROTHALL LAUNDRY SERVICES EAST TN | |||||
| 13028 COLLECTIONS CENTER DRIVE | CHICAGO | IL | 60693 | LINEN SERVICES | $224,496 |
| SIMPLER NORTH AMERICA LP | |||||
| PO BOX 36 104 E JEFFERSON | BLOOMFIELD | IA | 52537 | CONSULTING SVCS | $111,829 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $250 | RelatedOrganizationsAmt |
| Government Grants | $8,539 | GovernmentGrantsAmt |
| All Other Contributions | $6,923 | AllOtherContributionsAmt |
| Total Contributions | $15,712 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT SERVICES | 622110 | $42,909,004 | $42,909,004 | |
| WELLNESS PROGRAMS | 622110 | $163,834 | $163,834 | |
| LABORATORY | 621500 | $129,094 | $129,094 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $43,201,932 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,021,302 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $581,366 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $439,936 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $286,733 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $134,641 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $152,092 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $152,092 | TotalRevenueColumnAmt |
| Exclusion | $152,092 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $423,823 | SecuritiesAmt |
| Other | $160,850 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $118,785 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $423,823 | SecuritiesAmt |
| Other | $42,065 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $465,888 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $42,065 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $423,823 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| PREMIER VENDOR INCENTIVE | 900099 | $314,055 | $314,055 |
| CAFETERIA SALES | 722210 | $296,364 | $296,364 |
| REVENUE FROM PARENT | 900099 | $41,615 | $41,615 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $26,685 | TotalRevenueColumnAmt |
| Exclusion | $26,685 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $678,719 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $45,535,645 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $43,696,269 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $129,094 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,694,570 | 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 | $9,151 | TotalAmt |
| Program Services | $9,151 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $198,716 | TotalAmt |
| Management And General | $198,716 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,351,210 | TotalAmt |
| Program Services | $15,336,989 | ProgramServicesAmt |
| Management And General | $2,014,221 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $602,034 | TotalAmt |
| Program Services | $526,230 | ProgramServicesAmt |
| Management And General | $75,804 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,562,462 | TotalAmt |
| Program Services | $2,133,115 | ProgramServicesAmt |
| Management And General | $429,347 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,196,650 | TotalAmt |
| Program Services | $1,110,058 | ProgramServicesAmt |
| Management And General | $86,592 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,691 | TotalAmt |
| Management And General | $2,691 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $145,331 | TotalAmt |
| Management And General | $145,331 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,384 | TotalAmt |
| Management And General | $19,384 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,460 | TotalAmt |
| Management And General | $37,460 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,064,845 | TotalAmt |
| Program Services | $9,054,658 | ProgramServicesAmt |
| Management And General | $10,187 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,734 | TotalAmt |
| Program Services | $3,880 | ProgramServicesAmt |
| Management And General | $87,854 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $344,557 | TotalAmt |
| Program Services | $282,755 | ProgramServicesAmt |
| Management And General | $61,802 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,053,364 | TotalAmt |
| Program Services | $1,004,975 | ProgramServicesAmt |
| Management And General | $48,389 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $996,850 | TotalAmt |
| Program Services | $938,812 | ProgramServicesAmt |
| Management And General | $58,038 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $163,513 | TotalAmt |
| Program Services | $141,263 | ProgramServicesAmt |
| Management And General | $22,250 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $135,090 | TotalAmt |
| Management And General | $135,090 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,234,668 | TotalAmt |
| Program Services | $2,075,106 | ProgramServicesAmt |
| Management And General | $2,159,562 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $159,497 | TotalAmt |
| Management And General | $159,497 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES & DRUGS | $5,254,517 | $5,235,296 | $19,221 |
| REPAIRS & MAINTENANCE | $1,173,083 | $1,141,140 | $31,943 |
| MANAGEMENT FEES | $768,359 | $47,127 | $721,232 |
| UBI TAXES | $15,173 | $15,173 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $602,691 | TotalAmt |
| Program Services | $394,578 | ProgramServicesAmt |
| Management And General | $208,113 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,183,030 | TotalAmt |
| Program Services | $39,435,133 | ProgramServicesAmt |
| Management And General | $6,747,897 | 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 | $2,081,936 | BOYAmt |
| EOY | $2,939,379 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,098,784 | BOYAmt |
| EOY | $6,294,996 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $918,723 | BOYAmt |
| EOY | $948,864 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $264,367 | BOYAmt |
| EOY | $269,817 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $119,183,860 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $51,634,025 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,818,151 | BOYAmt |
| EOY | $67,549,835 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,335,171 | BOYAmt |
| EOY | $24,807,217 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $741,011 | BOYAmt |
| EOY | $741,011 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,701,880 | BOYAmt |
| EOY | $949,213 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $104,960,023 | BOYAmt |
| EOY | $104,500,332 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,311,972 | BOYAmt |
| EOY | $4,451,185 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $909,430 | BOYAmt |
| EOY | $1,142,696 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,067,737 | BOYAmt |
| EOY | $15,965,896 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $463,463 | BOYAmt |
| EOY | $817,900 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,752,602 | BOYAmt |
| EOY | $22,377,677 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,197,669 | BOYAmt |
| EOY | $82,113,596 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,752 | BOYAmt |
| EOY | $9,059 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,207,421 | BOYAmt |
| EOY | $82,122,655 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $104,960,023 | BOYAmt |
| EOY | $104,500,332 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$647,385 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$174,865 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $737,484 | 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 | Yes (true) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $1,976 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $1,976 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1 | FormAndLineReferenceDesc |
| Explanation | 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 | $2,152,969 | OtherCostOrOtherBasisAmt |
| Book Value | $2,152,969 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $57,018,542 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,925,081 | DepreciationAmt |
| Book Value | $49,093,461 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $72,169 | OtherCostOrOtherBasisAmt |
| Depreciation | $67,236 | DepreciationAmt |
| Book Value | $4,933 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $59,156,748 | OtherCostOrOtherBasisAmt |
| Depreciation | $43,009,621 | DepreciationAmt |
| Book Value | $16,147,127 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $783,432 | OtherCostOrOtherBasisAmt |
| Depreciation | $632,087 | DepreciationAmt |
| Book Value | $151,345 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $67,549,835 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| PROFESSIONAL LIABILITIES RESERVE | $441,510 |
| DUE TO AFFILIATES | $341,754 |
| OTHER LONG-TERM LIABILITIES | $34,636 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $817,900 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 3, PART X | FormAndLineReferenceDesc |
| Explanation | "THE ALLIANCE IS CLASSIFIED AS AN ORGANIZATION EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS SUCH, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS FOR THE ALLIANCE AND ITS TAX-EXEMPT SUBSIDIARIES. THE ALLIANCE'S TAXABLE SUBSIDIARIES ARE DISCUSSED IN NOTE L. THE ALLIANCE 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 | false | ExpensesExceedBudgetInd |
| 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 | $550,871 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $550,871 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01190 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,526,169 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,605,922 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,920,247 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04160 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,077,040 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,605,922 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,471,118 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05350 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $194,770 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $194,770 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00420 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $135,789 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $135,789 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00290 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,604,615 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,052,357 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,552,258 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03360 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,147 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,147 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,941,321 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,052,357 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,888,964 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04090 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,018,361 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,658,279 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,360,082 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09440 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $5,332,153 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $3,679,186 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $14,497,921 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $14,012,826 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $485,095 | 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 | SMYTH COUNTY COMMUNITY HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 880 | AddressLine1Txt |
| City | MARION | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24354 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.MOUNTAINSTATESHEALTH.COM | WebsiteAddressTxt |
| State License | H 1902 | 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 | SMYTH COUNTY COMMUNITY HOSPITAL | 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, SMYTH COUNTY COMMUNITY HOSPITAL - PART V, LINE 5 | MSHA MET WITH TEN FOCUS GROUPS, EACH REPRESENTING ONE OF THE THIRTEEN HOSPITAL FACILITIES, INCLUDING SCCH. EACH GROUP CONSISTED OF PUBLIC HEALTH LEADERS, NURSES, NON-PROFIT DIRECTORS, COMMUNITY DEVELOPERS, FAITH BASED LEADERS, PUBLIC OFFICIALS AND SCHOOL REPRESENTATIVES. SPECIFIC TO SCCH, THE GROUP CONSISTED OF REPRESENTATIVES FROM THE SMYTH COUNTY SCHOOL BOARD, MOUNT ROGERS HEALTH DEPARTMENT, SMYTH COUNTY PUBLIC SCHOOLS, SMYTH COUNTY COMMUNITY HOSPITAL, AND THE TOWN OF CHILHOWIE. 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 SCCH'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, SMYTH COUNTY COMMUNITY HOSPITAL - PART V, LINE 6A | EACH HOSPITAL WITHIN THE MSHA SYSTEM COMPLETED A CHNA. SCCH'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, JOHNSTON MEMORIAL HOSPITAL, NORTON COMMUNITY HOSPITAL AND DICKENSON COMMUNITY HOSPITAL. |
| FACILITY 1, SMYTH COUNTY COMMUNITY HOSPITAL - 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, SMYTH COUNTY COMMUNITY HOSPITAL - 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 NEGOTIATED RATE WITH COMMERCIAL INSURANCE OR MEDICARE. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FRANCIS MARION MANOR HEALTH & | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | REHABILITATION | AddressLine1Txt |
| Address Line2 | 100 FRANCIS MARION LANE | AddressLine2Txt |
| City | MARION | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24354 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | NURSING HOME | FacilityTxt |
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 SCCH. MSHA IS SCCH'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 OUR SMALL PHYSICIAN CLINICS BECAUSE THEIR DATA ARE NOT AVAILABLE IN OUR COST ACCOUNTING SOFTWARE. THE PHYSICIAN CLINICS' MEDICAID LOSS WAS 14,776. 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 OF 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 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/TENNCARE ALREADY REPORTED ON LINES 7A AND 7B). AND, PURSUANT TO IRS INSTRUCTIONS, WE DO NOT INCLUDE BAD DEBT LOSSES. ALTHOUGH WE HAVE MANY SERVICE LINES WITHIN OUR HOSPITAL THAT LOSE MONEY, WE DO NOT REPORT SERVICES THAT HOSPITALS ARE REQUIRED BY STATE LICENSURE TO PROVIDE. FOR THE SERVICE LINES WE DO REPORT, SUCH AS OUTPATIENT REHABILITATION, WE USED OUR COST ACCOUNTING SYSTEM SINCE THESE SERVICES HAVE ESTABLISHED, STANDARD FINANCIAL REPORTS. THE HOSPITAL SUBSIDIZED A CLINIC OWNED AND OPERATED BY SCCH. THE CLINIC IS LOCATED IN A RURAL, MEDICALLY UNDERSERVED AREA. WE INCLUDED THE HOSPITAL'S 11,815 SUBSIDY IN LINE 7G. LINE 7I CASH AND IN-KIND CONTRIBUTIONS INCLUDES IN-KIND DONATIONS OF MEDICATIONS AND SUPPLIES TO LOCAL NON-PROFIT RESCUE SQUADS. IN-KIND DONATIONS OF MEDICATIONS ARE BASED ON OUR ACTUAL COST FOR THESE ITEMS. |
| PART II - COMMUNITY BUILDING ACTIVITIES | SCCH LEADERS SUPPORT AND ENCOURAGE ALL TEAM MEMBERS TO VOLUNTEER THEIR 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. SCCH, 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, SCCH 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 | SCCH'S PATIENT FINANCIAL SERVICES MANAGEMENT ESTIMATE THAT 69% 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 SCCH'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 MSHA'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE APPEARS ON PAGE 13 IN OUR MOST RECENT AUDITED FINANCIAL STATEMENTS (ATTACHED). |
| PART III, LINE 8 - MEDICARE EXPLANATION | MEDICARE ALLOWABLE COSTS ARE REPORTED USING SCCH'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, SCCH 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 SCCH 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. SMYTH COUNTY COMMUNITY HOSPITAL RECOGNIZES ITS OBLIGATION TO PROVIDE QUALITY HEALTH CARE 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. SCCH 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 SCCH 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). SCCH WAS GIVEN A HEALTH STATUS RANKING OF 5.0. 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 22% OF SMYTH COUNTY'S CITIZENS SMOKE COMPARED TO 18% IN THE STATE OF VIRGINIA. AND, 31% OF OUR COUNTY'S ADULTS ARE CONSIDERED OBESE. SMYTH COUNTY'S HEALTH RANKING IS 123 OUT OF 133 STATEWIDE (1 BEING THE BEST AND 133 BEING THE WORST). |
| PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | SCCH PROVIDES COMMUNICATION OF FINANCIAL ASSISTANCE ON OUR 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. SCCH ALSO HAS FINANCIAL COUNSELORS TO PROVIDE FURTHER INFORMATION AND ASSISTANCE TO PATIENTS REGARDING THE HOSPITAL'S 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. SCCH 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 SCCH 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 SCCH, THEY RETAIN COVERAGE FOR FUTURE MEDICAL CARE. 435 PATIENTS WERE APPROVED FOR GOVERNMENTAL ASSISTANCE DURING THE YEAR. FIRSTSOURCE AND ADVANCED PATIENT ADVOCACY ARE COMPENSATED BY SCCH. DURING FY15, OUR COST FOR THIS PROGRAM WAS 36,375. |
| PART VI, LINE 4 - COMMUNITY INFORMATION | SCCH IS LOCATED IN THE TOWN OF MARION, SMYTH 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 MARION HAS A POPULATION OF APPROXIMATELY 5,900, WHILE SMYTH COUNTY'S POPULATION IS JUST UNDER 32,000. THE LATEST CENSUS BUREAU DATA ESTIMATES THE MEDIAN AGE OF RESIDENTS OF SMYTH COUNTY IS 43.9 WHICH IS OLDER THAN THE MEDIAN AGE OF 37.6 IN VIRGINIA. THE BUREAU ESTIMATES SMYTH COUNTY MEDIAN HOUSEHOLD INCOME AT 37,880 COMPARED TO 64,792 FOR THE STATE OF VIRGINIA. 26% OF SMYTH COUNTY'S CHILDREN LIVE IN POVERTY COMPARED TO 16% STATEWIDE. SMYTH COUNTY'S HEALTH OUTCOMES RANK 123 OUT OF 133 IN THE STATE. |
| PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH | SCCH 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 SCCH'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREAS. THERE ARE THREE DIRECTORS DEEMED NON-INDEPENDENT, PER IRS INSTRUCTIONS. ONE IS SCCH'S CFO, RESPONSIBLE FOR BOTH SCCH AND JOHNSTON MEMORIAL HOSPITAL (JMH), A RELATED ORGANIZATION. ANOTHER MEMBER OF SCCH'S BOARD IS THE CEO OF JMH AS WELL AS HAVING OVERSIGHT RESPONSIBILITIES FOR SCCH. THE THIRD IS A PHYSICIAN EMPLOYED BY A RELATED ORGANIZATION. PHYSICIANS THAT REQUEST PRIVILEGES WHO ARE QUALIFIED AND CREDENTIALED ARE EXTENDED PRIVILEGES BY SCCH. |
| PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM | SCCH IS A 44-BED, ACUTE-CARE FACILITY OPERATED UNDER THE DIRECTION OF A 12-MEMBER BOARD OF DIRECTORS PRIMARILY COMPRISED OF LOCAL COMMUNITY RESIDENTS. SCCH 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. SCCH SERVES AS THE COUNTY'S PRIMARY HEALTH SERVICE PROVIDER. PATIENTS BENEFIT FROM SCCH'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 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. AND, AS NOTED EARLIER, TWO OF SCCH'S BOARD MEMBERS HAVE SHARED RESPONSIBILITIES BETWEEN SCCH AND JMH. |
| PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT | VIRGINIA |
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 (8 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt |
|---|---|---|---|---|---|---|
| ERIC SACKNOFF MD | ||||||
| DIRECTOR | $404,169 | $19,065 | $12,347 | $18,976 | $454,557 | |
| SEAN MCMURRAY | ||||||
| JMH CEO | $275,074 | $5,305 | $29,701 | $22,688 | $396,070 | $63,302 |
| JOHN JETER | ||||||
| JMH/SCCH CFO SEC. | $153,135 | $3,342 | $6,341 | $17,936 | $187,304 | $6,550 |
| BELDON FLEMING | ||||||
| PHARMACY MANAGER | $136,192 | $15 | $8,490 | $22,139 | $168,411 | $1,575 |
| RAMZI K HUMSI MD | ||||||
| HIGHEST COMP. EMPL. | $234,243 | $8,664 | $7,599 | $15,455 | $289,385 | $23,424 |
| RALPH A PARKS MD | ||||||
| HIGHEST COMP. EMPL. | $152,214 | $2,890 | $7,839 | $8,372 | $171,315 | |
| MATTHEW L JUSTUS MD | ||||||
| HIGHEST COMP. EMPL. | $143,508 | $15 | $5,944 | $16,059 | $165,526 | |
| LINDY WHITE | ||||||
| VP/CEO FWCH/WR | $212,669 | $6,173 | $23,936 | $19,871 | $310,926 | $48,277 |
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 LINDY WHITE 0 10,880 0 |
| SCHEDULE J, PART III | PART I, LINE 4B SEAN MCMURRAY AND LINDY WHITE 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 L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UMS UROLOGY SERVICES OF SMYTH CO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | VENDOR | RelationshipDescriptionTxt |
| Transaction | $101,095 | TransactionAmt |
| Transaction | SEE PART V | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART V | FormAndLineReferenceDesc |
| Explanation | ERIC SACKNOFF, M.D., BOARD MEMBER OF SCCH, HAS PARTNERSHIP INTEREST IN UMS UROLOGY SERVICES OF SMYTH COUNTY (UMS). UMS PROVIDES UROLOGY SERVICES TO SCCH. TRANSACTIONS ARE CONDUCTED AT ARMS-LENGTH. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | PART I, LINE I - ORGANIZATION'S MISSION: SMYTH COUNTY COMMUNITY HOSPITAL (SCCH) 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 | AS A NOT-FOR-PROFIT HOSPITAL, ALL OF SCCH'S SURPLUSES ARE INVESTED IN IMPROVING HEALTHCARE IN THE COMMUNITY. WITH A STRONG COMMITMENT TO QUALITY PATIENT CARE AND A HERITAGE OF SERVICES, SCCH CONTINUES TO MEET THE HEALTHCARE NEEDS OF SMYTH AND THE ADJOINING COUNTIES. FOR THE YEAR ENDING JUNE 30, 2015, SCCH RECORDED 1,596 INPATIENT ADMISSIONS, AND PROVIDED FOR 81,804 OUTPATIENT VISITS. THERE WERE 17,949 EMERGENCY VISITS, 13,685 HOME HEALTH VISITS AND 366 NURSING HOME ADMISSIONS. SCCH SERVES AS A CLINICAL TRAINING FACILITY FOR HEALTH PROFESSIONAL EDUCATION STUDENTS. WE HAVE DEDICATED STAFF TO 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 HEALTH CARE STUDENTS ENTERING OUR SYSTEM ARE REQUIRED TO HAVE ORIENTATION AND COMPUTER TRAINING. PARTICIPANTS RECEIVING CLINICAL EXPERIENCE AT SCCH DURING FY15 INCLUDED 60 NURSING STUDENTS FROM VARIOUS COLLEGES, UNIVERSITIES AND PROGRAMS. THIS NURSING CLINICAL EXPERIENCE REQUIRED EXTENSIVE SCCH NURSING STAFF INVOLVEMENT. THE CLINICAL SETTING AND HANDS-ON INSTRUCTION COST SCCH 119,438. SCCH PROVIDED A CLINICAL SETTING FOR ANOTHER 17 STUDENTS TRAINING IN HEALTH-RELATED PROGRAMS SUCH AS RADIOLOGY, PHARMACY, PHYSICAL THERAPY, EMT/PARAMEDIC AND OTHER ALLIED-HEALTH DISCIPLINES. THESE ADDITIONAL CLINICAL STUDENTS COST SCCH 16,352. IN FURTHERANCE OF OUR COMMITMENT TO AREA SCHOOLS WITH HEALTH PROFESSIONS PROGRAMS, SCCH DONATED 15,000 THIS YEAR TO VIRGINIA HIGHLANDS COMMUNITY COLLEGE TO SUPPORT ITS NURSING PROGRAM. SCCH PARTNERED WITH THE COMPANIES FIRSTSOURCE SOLUTIONS USA AND ADVANCED PATIENT ADVOCACY TO WORK WITH SELF-PAYING PATIENTS WHO HAVE LIMITED FINANCIAL RESOURCES. REPRESENTATIVES WERE ABLE TO DETERMINE GOVERNMENTAL MEDICAL ASSISTANCE (MEDICAID) ELIGIBILITY, AND TO HELP WITH THE APPLICATION PROCESS AND FOLLOW-UP. DURING FY15, 435 PATIENTS WERE APPROVED FOR COVERAGE. ONCE A PERSON IS APPROVED FOR MEDICAID THROUGH THIS PROGRAM OFFERED THROUGH SCCH, THEY RETAIN COVERAGE FOR FUTURE MEDICAL CARE. SCCH'S COST FOR THIS PROGRAM WAS 36,375. SMYTH COUNTY'S FIRST URGENT CARE FACILITY WAS OPENED IN SEPTEMBER 2014 TO OFFER THE COMMUNITY ACCESS TO LOCAL PRIMARY CARE PROVIDERS AFTER NORMAL BUSINESS HOURS. THE STATE-OF-THE-ART FACILITY IS LOCATED ON THE SCCH GROUNDS AND OFFERS TREATMENT OF MINOR ILLNESSES AND INJURIES IN A SETTING THAT IS BOTH CONVENIENT AND COST EFFECTIVE. LAB AND X-RAY SERVICES ARE AVAILABLE ON-SITE. PREMIER HEALTHCARE ALLIANCE'S 2014 AWARD WINNERS INCLUDED SMYTH COUNTY COMMUNITY HOSPITAL. OUR HOSPITAL EARNED THE HIGHEST HONOR BY ACHIEVING TOP PERFORMANCE IN ALL OF THE SIX AREAS MEASURED IN PREMIER'S QUEST COLLABORATIVE. SCCH, ALONG WITH SYCAMORE SHOALS HOSPITAL (ANOTHER MOUNTAIN STATES HEALTH ALLIANCE HOSPITAL) WERE AMONG ONLY 18 HOSPITALS NATIONWIDE TO RECEIVE THE QUEST AWARD FOR HIGH-VALUE HEALTHCARE. THE HIGH-VALUE HEALTHCARE AWARDS ARE DETERMINED BASED ON SIX MEASURES: COST OF CARE, EVIDENCE-BASED CARE; MORTALITY; POTENTIAL HARM; PATIENT EXPERIENCE; AND, READMISSIONS. FOR MANY YEARS, SCCH HAS PROVIDED ASSISTANCE TO LOCAL NON-PROFIT LIFESAVING ORGANIZATIONS SUCH AS AMBULANCE SERVICES AND RESCUE SQUADS. SCCH DONATES FREE MEDICATIONS AND PHARMACEUTICAL SUPPLIES TO THESE ORGANIZATIONS. THE COST OF DONATED MEDICATIONS TO RESCUE ORGANIZATIONS DURING FY15 WAS MORE THAN 6,000. A VARIETY OF SCREENINGS, SUPPORT GROUPS, HEALTH EDUCATION, AND HEALTH FAIRS WERE PROVIDED ON AN ONGOING BASIS THROUGHOUT THE YEAR. SOME OF THE SERVICES PROVIDED DURING THE YEAR INCLUDE: LAB SERVICES FOR A FREE PUBLIC CLINIC AND A HEALTH FAIR, CPR TRAINING TO THE PUBLIC, AND FIRST AID CLASSES. SCCH OFFERS A SUPPORT GROUP FOR PEOPLE WITH DIABETES. EVERY OTHER MONTH A SCCH TEAM MEMBER PROVIDES EDUCATION REGARDING SELF-CARE, INCLUDING NUTRITION COUNSELING. SCCH HOSTS AN ANNUAL ADVANCED DIRECTIVES DAY TO EDUCATE COMMUNITY MEMBERS ABOUT LEGAL DOCUMENTS THEY MAY WISH TO HAVE IN ORDER TO EXPRESS THE TYPE OF MEDICAL CARE WANTED WHEN ILL AND TO MAKE CLEAR THEIR DECISIONS FOR THEIR OWN END OF LIFE CARE. SINCE A MEDICAL CRISIS CAN OCCUR AT ANY AGE, THIS ADVANCED CARE PLANNING IS AN IMPORTANT STEP TOWARD ENSURING AN INDIVIDUAL'S WISHES ARE FOLLOWED IF HE/SHE IS TOO ILL TO MAKE HIS/HER OWN HEALTHCARE DECISIONS. TEN SCCH TEAM MEMBERS WERE INVOLVED WITH THIS EDUCATION DAY. SCCH HELPED WITH A FIRST-EVER DAY CAMP FOR CHILDREN WITH TYPE 1 DIABETES. THE CAMP WAS HELD AT THE HUNGRY MOTHER LUTHERAN RETREAT CENTER IN SMYTH COUNTY. THERE WERE MANY ACTIVITIES FOR THE CHILDREN SUCH AS A TREASURE HUNT, CRAFTING, PADDLE BOATING, A SHORT HIKE TO THE PARK'S WATERFALL, TEAM- BUILDING ACTIVITIES, VEGETABLE HARVESTING FROM THE COMMUNITY GARDEN, AND PREPARING DINNER FOR THEMSELVES AND THEIR PARENTS. THE CAMP GAVE THE KIDS AN OPPORTUNITY TO MAKE NEW FRIENDS AND LEARN FROM EACH OTHER. DURING FY15, SCCH ESTABLISHED A VOLUNTEER CHAPLAIN PROGRAM. A SPIRITUAL CARE TEAM COMPOSED OF FELLOW SCCH TEAM MEMBERS WAS ESTABLISHED TO PROVIDE SUPPORT TO PATIENTS AND THEIR FAMILIES WHILE THEY WAIT FOR THEIR OWN PASTOR OR OUR VOLUNTEER CHAPLAINS TO ARRIVE. THE TEAM RECEIVED TRAINING RELATIVE TO THE PURPOSE AND FUNCTION OF SPIRITUAL CARE. THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) CONDUCTED A PREVALENCE SURVEY TO ESTIMATE THE OVERALL PROBLEM OF HOSPITAL ACQUIRED INFECTIONS (HAI'S) IN U.S. HOSPITALS. THE SURVEY FOUND THAT ON ANY GIVEN DAY, ABOUT 1 IN 25 HOSPITAL PATIENTS HAS AT LEAST ONE HEALTHCARE-ASSOCIATED INFECTION. THIS ESTIMATE IS BASED ON 2011 DATA REPORTED ON THE CDC'S WEBPAGE "HEALTHCARE-ASSOCIATED INFECTIONS". THE CDC ALSO REPORTS 2013 UPDATES, BY STATE, FOR CHANGES FROM NATIONAL BASELINES. THERE ARE SIX TYPES OF HOSPITAL ACQUIRED INFECTIONS REPORTED FOR VIRGINIA HOSPITALS. ONLY ONE INFECTION TYPE WAS DEEMED REDUCED FROM BASELINE RESULTS IN VIRGINIA, WHILE FIVE DID NOT SHOW A STATISTICALLY SIGNIFICANT CHANGE. AT SMYTH COUNTY COMMUNITY HOSPITAL, AN EFFORT WAS PUT INTO PLACE TO "HARD-WIRE" ALL TEAM MEMBERS AND PHYSICIANS TO KNOW AND PRACTICE INFECTION PREVENTION. DURING FY15, SCCH HAD GONE MORE THAN A YEAR WITHOUT A HOSPITAL ACQUIRED INFECTION. THE JOINT COMMISSION, AN INDEPENDENT, NON-PROFIT ORGANIZATION THAT ACCREDITS AND CERTIFIES NEARLY 21,000 HEALTH CARE ORGANIZATIONS AND PROGRAMS IN THE U.S., NAMED SCCH AS A TOP PERFORMER IN PNEUMONIA CARE, SURGICAL CARE, AND IMMUNIZATIONS FOR PNEUMOCOCCAL AND INFLUENZA. TO EARN "TOP PERFORMER" STATUS, A HOSPITAL MUST RECEIVE A 95% SCORE THAT INDICATES THE HOSPITAL PROVIDED AN EVIDENCE-BASED PRACTICE 95 TIMES OUT OF EVERY 100 OPPORTUNITIES. HEALTHGRADES AWARDED THE HIGHEST, 5-STAR RATING TO SCCH FOR HEART ATTACK, SEPSIS IN-HOSPITAL, AND SEPSIS WITHIN 30 DAYS FOLLOWING ADMISSION TO THE HOSPITAL. A 5-STAR RATING INDICATES THE HOSPITAL ACHIEVED A BETTER THAN EXPECTED MORTALITY RATE. HEALTHGRADES IS AN ONLINE RESOURCE FOR COMPREHENSIVE INFORMATION ABOUT HOSPITALS AND PHYSICIANS. MORE THAN ONE MILLION PEOPLE A DAY RELY UPON HEALTHGRADES TO RESEARCH, COMPARE AND CONNECT WITH HEALTHCARE PROVIDERS. SCCH CONTINUED THE VALUE OPTIMIZATION PROGRAM DURING FY15. VOS ALLOWS A TRANSFORMATION OF CARE BY PROVIDING TRAINING AND TOOLS TO REDUCE WASTE, MEET PATIENTS' EXPECTATIONS OF HIGH QUALITY AND EFFICIENT CARE, WHILE ACHIEVING OUTSTANDING OUTCOMES. THE PROGRAM IS STRUCTURED FOR CONTINUOUS MONITORING AND IMPROVEMENT. IDENTIFIED PROJECTS ARE REFERRED TO AS "STREAMS". THERE WERE TWO VALUE STREAMS, ONE FOR THE HOSPITAL "THE PATIENT CARE EXPERIENCE", AND THE SECOND FOR FRANCIS MARION MANOR, OUR NURSING HOME. OVER THE COURSE OF THE YEAR, WE HAD EIGHT RAPID IMPROVEMENT EVENTS (RIE) AND WORKED ON MORE THAN TWENTY PROJECTS. RIE'S ARE GENERALLY WEEK-LONG, INTENSE WORK GROUPS THAT BRING TEAM MEMBERS TOGETHER TO IMPROVE SPECIFIC AREAS. RIE'S ARE FACILITATED BY A TEAM MEMBER TRAINED TO GUIDE THE GROUP. SOME DATA HIGHLIGHTS FROM THE EVENTS TAKING PLACE DURING FY15 INCLUDE: - THE TIME A DISCHARGE ORDER IS WRITTEN UNTIL THE PATIENT LEAVES THE FACILITY DECREASED BY ALMOST 29% - DOOR TO DOOR (IN/OUT) OBSERVATION HOURS DECREASED BY 18% - THE NUMBER OF SKILLED REFERRALS THAT WERE ACCEPTED AND RECEIVED TO OUR LONG TERM CARE FACILITY INCREASED FROM 62% TO 76% - A PROCESS FOR COLLABORATIVE ASSESSMENT WAS IMPLEMENTED FOR A PROVIDER, A PHARMACY DEPARTMENT REPRESENTATIVE, AND A NURSE TO SEE A PATIENT WITHIN 30 MINUTES OF ADMISSION TO A UNIT. ALTHOUGH NOT AT 100%, WE HAVE ACHIEVED 90%. - READMISSIONS WERE REDUCED BY 32% - AT OUR LONG TERM CARE FACILITY, A PROJECT WAS COMPLETED TO STANDARDIZE THE CLEAN UTLITY ROOMS, THE MEDICATION ROOMS, AND SUPPLY ROOMS. AN AUDIT SCORE SHOWED A REMARKABLE IMPROVEMENT, MOVING THE SCORE FROM 36% TO 96%. THE VOS PROGRAM USES THE "6S" SCORING SYSTEM FOR AREAS SUCH AS A MEDICATION, SUPPLY, OR UTILITY ROOM. "6S" REFERS TO SORTED, STRAIGHTENED, SCRUBBED, SAFE, STANDARDIZED (EVERYTHING HAVING ITS PLACE), THEN SUSTAINED. THE AUDIT TOOL ENSURES WE MONITOR AREAS TO ENSURE SUSTAINMENT. THE 6S PROGRAM ESTAB |
| FORM 990, PART V | PART V, LINE 2A MSHA, SCCH'S MAJORITY OWNER, PROCESSES PAYROLL FOR SCCH. SCCH REIMBURSES MSHA FOR ALL SALARY AND BENEFITS. THE SALARY AND BENEFITS ARE RECORDED ON SCCH'S BOOKS. SCCH OPERATES A RURAL HEALTH CLINIC. UNDER CURRENT CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) REGULATIONS GOVERNING STAFFING AT A RURAL HEALTH CLINIC, AT LEAST ONE MIDLEVEL PROVIDER (NURSE PRACTITIONER, PHYSICIAN ASSISTANT, ETC.) MUST BE A W-2 EMPLOYEE OF THE CLINIC. THEREFORE, SCCH PAYS ONE MIDLEVEL PROVIDER DIRECTLY (RATHER THAN MSHA PAYING THIS TEAM MEMBER'S SALARY, AND SCCH REIMBURSING MSHA, AS IT DOES FOR ALL OTHER SCCH EMPLOYEES). |
| FORM 990, PAGE 6, PART VI, LINE 6 | MOUNTAIN STATES HEALTH ALLIANCE IS THE 80% MEMBER OF SMYTH COUNTY COMMUNITY HOSPITAL. SMYTH COUNTY COMMUNITY HOSPITAL FOUNDATION IS THE 20% MEMBER OF SMYTH COUNTY COMMUNITY HOSPITAL. |
| 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 (MSHA) CLASS IS ELECTED BY THE MSHA BOARD OF DIRECTORS AND THE SMYTH COUNTY COMMUNITY HOSPITAL CLASS IS ELECTED BY THE SMYTH COUNTY COMMUNITY HOSPITAL FOUNDATION 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 WITH THE IRS AND 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, INCLUDING THOSE AT SCCH. 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 SCCH'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 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 SCCH'S CFO IS ESTABLISHED THE SAME WAY AS THE CEO'S, DESCRIBED IN 15A ABOVE. |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS AND OUR CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE UPON REQUEST TO APPROPRIATE PARTIES REQUESTING THEM. FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THOSE PARTIES WHO OWN INDEBTEDNESS OF THE COMPANY ON A QUARTERLY BASIS. |
| FORM 990, PART VII | FORM 990, PART VII - RELATED ORGANIZATIONS TRUSTEE COMPENSATION: HOSPITAL BOARD OF TRUSTEES MEMBERS JOHN JETER, SEAN MCMURRAY, AND ERIC SACKNOFF, M.D. HAVE FORM 990 REPORTABLE COMPENSATION DERIVED FROM SERVICES THEY PROVIDE TO RELATED ORGANIZATIONS AND TO SCCH. THEY DO NOT RECEIVE COMPENSATION FOR THEIR SERVICE AS A BOARD TRUSTEE. |
| FORM 990, PART IX, LINE 11G | HOSPITAL SUPPORTED CLINICS 4,132,132 0 0 PHYSICIAN FEES 1,370,437 0 0 DIETARY FEES 1,374,037 0 0 LAUNDRY SERVICES 231,130 0 0 ENVIRONMENTAL SERVICES 147,583 0 0 LABORATORY SERVICES 136,184 0 0 OTHER 1,663,155 10,187 0 |
| FORM 990, PART X | PART IV, LINE 24A AND PART X, LINE 20 - TAX EXEMPT BOND LIABILITY THE TAX EXEMPT BOND LIABILITY REFLECTS THE PORTION OF BONDS ISSUED BY MOUNTAIN STATES HEALTH ALLIANCE, SCCH'S MAJORITY OWNER, ON BEHALF OF SCCH FOR CAPITAL NEEDS. SCCH PAYS ALL COSTS RELATED TO THIS PORTION OF THE BOND ISSUE. |
| FORM 990, PART XI, LINE 9 | CAPITAL CONTRIBUTION FROM SUBSIDIARY 738,177 TEMPORARILY RESTRICTED GRANTS -693 TOTAL TO FORM 990, PART XI, LINE 9 737,484 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 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 | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MOUNTAIN STATES HEALTH ALLIANCE | |||||||||||
| 400 N STATE OF FRANKLIN ROAD | JOHNSON CITY | TN | 37604 | 620476282 | HOSPITAL | TN | 501C3 | 3 | NA | false | |
| SMYTH COUNTY COMM FOUNDATION | |||||||||||
| 1 HEALTH WAY | MARION | VA | 24354 | 311650055 | SUPPORT | VA | 501C3 | 11A | NA | false | |
| NORTON COMMUNITY HOSPITAL | |||||||||||
| 100 15TH STREET NORTHWEST | NORTON | VA | 24273 | 540566029 | HOSPITAL | VA | 501C3 | 3 | NA | false | |
| DICKENSON COMMUNITY HOSPITAL | |||||||||||
| ONE HOSPITAL DRIVE | CLINTWOOD | VA | 24238 | 770599553 | HOSPITAL | VA | 501C3 | 3 | NCH | false | |
| JOHNSTON MEMORIAL HOSPITAL | |||||||||||
| 16000 JOHNSTON MEMORIAL DRIVE | ABINGDON | VA | 24211 | 540544705 | HOSPITAL | VA | 501C3 | 3 | NA | false | |
| ABINGDON PHYSICIAN PARTNERS | |||||||||||
| 16000 JOHNSTON MEMORIAL DRIVE | ABINGDON | VA | 24211 | 205485346 | MED. SERV. | VA | 501C3 | 11A | JMH | false | |
| MOUNTAIN STATES FOUNDATION | |||||||||||
| 2335 KNOB CREEK ROAD STE 101 | JOHNSON CITY | TN | 37604 | 581418862 | FUNDRAISER | TN | 501C3 | 11A | MSHA | false | |
| MSHA AUXILIARY | |||||||||||
| 400 N STATE OF FRANKLIN ROAD | JOHNSON CITY | TN | 37604 | 581418345 | SUPPORT | TN | 501C3 | 11A | MSHA | false | |
| APPALACHIAN EMERGENCY PHYSICIANS | |||||||||||
| 1021 W OAKLAND AVENUE STE 207 | JOHNSON CITY | TN | 37604 | 800592504 | MED. SERV | VA | 501C3 | 11A | false | N/A | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| INTEGRATED SOLUTIONS HLTH NTWK LLC | |||||||||
| 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 J C LLC | |||||||||
| 2528 WESLEY STREET SUITE 2 | JOHNSON CITY | TN | 37604 | 272199037 | MED. SERV. | TN | NA | false | false |
| EAST TN AMBULATORY SURGERY CNTR | |||||||||
| 701 MED TECH PARKWAY SUITE 100 | JOHNSON CITY | TN | 37604 | 621787537 | MED. SERV. | TN | NA | false | false |
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 | Share Of Total IncomeShareOfTotalIncomeAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SOUTHWEST COMMUNITY HEALTH SERVICES | |||||||||||
| P O BOX 880 | MARION | VA | 24354 | 541460695 | MED. SERV. | VA | SCCH | C CORP | $246 | 1.00000 | false |
| BLUE RIDGE MEDICAL MANAGEMENT CORP | |||||||||||
| 1021 W OAKLAND AVENUE SUITE 207 | JOHNSON CITY | TN | 37604 | 621490616 | MED. SERV. | TN | NA | C CORP | false | ||
| MEDISERVE MED EQUIP OF KINGSPORT | |||||||||||
| 1021 W OAKLAND AVENUE SUITE 207 | JOHNSON CITY | TN | 37604 | 621212286 | DME | TN | NA | C CORP | false | ||
| MOUNTAIN STATES PROPERTIES | |||||||||||
| 1021 W OAKLAND AVENUE SUITE 207 | JOHNSON CITY | TN | 37604 | 621845895 | PROP MGMT | TN | NA | C CORP | false | ||
| MOUNTAIN STATES PHYSICIANS GRP INC | |||||||||||
| 1021 W OAKLAND AVENUE SUITE 207 | JOHNSON CITY | TN | 37604 | 621700412 | HEALTHCARE | TN | NA | C CORP | false | ||
| COMMUNITY HOME CARE INC | |||||||||||
| 1460 PARK AVENUE | NORTON | VA | 24273 | 541453810 | MED. EQUIP | TN | NA | C CORP | false | ||
| WILSON PHARMACY INC | |||||||||||
| PO BOX 5289 | JOHNSON CITY | TN | 37602 | 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 | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | 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 | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTHWEST COMMUNITY HEALTH SERVICES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionTypeTxt |
| Involved | $738,177 | InvolvedAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R | FormAndLineReferenceDesc |
| Explanation | SMYTH COUNTY COMMUNITY HOSPITAL WAS THE 100% OWNER OF SOUTHWEST COMMUNITY HEALTH SERVICES (SWCHS). SWCHS WAS TERMINATED IN FY15 AND IT'S FINAL FORM 1120 HAS BEEN FILED. | ExplanationTxt |