MOUNTAIN STATES HEALTH ALLIANCE: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- MOUNTAIN STATES HEALTH ALLIANCE (EIN 62-0476282)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-07
- IRS object ID
- 201521279349300717
- Schema version
- 2013v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-07T08:19:00-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 620476282 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOUNTAIN STATES HEALTH ALLIANCE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MOUN | BusinessNameControlTxt |
| Phone | 4233023372 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 N STATE OF FRANKLIN ROAD | AddressLine1 |
| City | JOHNSON CITY | City |
| State | TN | State |
| ZIP Code | 37604 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LYNN KRUTAK | PersonNm |
| Person Title | SENIOR VP & CFO | PersonTitleTxt |
| Phone | 4233023372 | PhoneNum |
| Signature | 2015-05-07 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHNSON CITY MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ALAN LEVINE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 303 MED TECH PARKWAY STE 300 | AddressLine1 |
| City | JOHNSON CITY | City |
| State | TN | State |
| ZIP Code | 37604 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $707,518,372 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MSHA.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1945 | FormationYr |
| Legal Domicile State | TN | LegalDomicileStateCd |
| Activity Or Mission | MOUNTAIN STATES HEALTH ALLIANCE (MSHA) IS COMMITTED TO OUR MISSION OF BRINGING LOVING CARE TO HEALTH CARE. WE EXIST TO IDENTIFY AND RESPOND TO THE HEALTHCARE NEEDS OF INDIVIDUALS AND COMMUNITIES IN THE 29-COUNTY AREA WE SERVE, HELPING THEM ATTAIN THEIR HIGHEST LEVEL OF HEALTH. MSHA DELIVERS THIS CARE THROUGH THE PHILOSOPHY OF PATIENT-CENTERED CARE, AND THE DEVELOPMENT OF COMPREHENSIVE STRATEGIC PLANNING AND IMPLEMENTATION. SEE ATTACHED NARRATIVE-PROGRAM SERVICE ACCOMPLISHMENTS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 8659 | TotalEmployeeCnt |
| Total Volunteers | 2619 | TotalVolunteersCnt |
| Total Gross UBI | $916,236 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $222,370 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,474,339 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,260,554 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $674,372,724 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $670,231,172 | CYProgramServiceRevenueAmt |
| PY Investment Income | $31,675,503 | PYInvestmentIncomeAmt |
| CY Investment Income | $28,617,401 | CYInvestmentIncomeAmt |
| PY Other Revenue | $9,360,388 | PYOtherRevenueAmt |
| CY Other Revenue | $4,204,431 | CYOtherRevenueAmt |
| PY Total Revenue | $717,882,954 | PYTotalRevenueAmt |
| CY Total Revenue | $707,313,558 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $405,051 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $705,491 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $305,057,437 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $295,522,740 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $1,088,082 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $376,841,250 | PYOtherExpensesAmt |
| CY Other Expenses | $378,145,629 | CYOtherExpensesAmt |
| PY Total Expenses | $682,303,738 | PYTotalExpensesAmt |
| CY Total Expenses | $674,373,860 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $35,579,216 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $32,939,698 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,599,476,991 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,603,260,990 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,201,894,828 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,166,845,910 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $397,582,163 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $436,415,080 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | MOUNTAIN STATES HEALTH ALLIANCE (MSHA) IS COMMITTED TO OUR MISSION OF BRINGING LOVING CARE TO HEALTH CARE. WE EXIST TO IDENTIFY AND RESPOND TO THE HEALTHCARE NEEDS OF INDIVIDUALS AND COMMUNITIES IN THE 29-COUNTY AREA WE SERVE, HELPING THEM ATTAIN THEIR HIGHEST LEVEL OF HEALTH. MSHA DELIVERS THIS CARE THROUGH THE PHILOSOPHY OF PATIENT-CENTERED CARE, AND THE DEVELOPMENT OF COMPREHENSIVE STRATEGIC PLANNING AND IMPLEMENTATION. SEE ATTACHED NARRATIVE-PROGRAM SERVICE ACCOMPLISHMENTS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $552,836,339 | ExpenseAmt |
| Grant | $705,491 | GrantAmt |
| Revenue | $675,626,593 | RevenueAmt |
| Desc | SEE ATTACHED DOCUMENT: MSHA - PROGRAM SERVICE ACCOMPLISHMENTS FOR GUIDESTAR READERS, OUR PROGRAM SERVICE ACCOMPLISHMENTS MAY BE FOUND AT THE END. | Desc |
| Total Program Service Expenses | $552,836,339 | 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 | Yes (true) | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | Yes (true) | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (true) | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (true) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | 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 |
| IRP Document | 637 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 8659 | 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 |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | 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 | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | Yes (true) | LocalChaptersInd |
| Policies Reference Chapters | Yes (true) | PoliciesReferenceChaptersInd |
| 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 | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| 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 | LYNN KRUTAK | PersonNm |
| Phone | 4233023374 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 303 MED TECH PARKWAY | AddressLine1 |
| City | JOHNSON CITY | City |
| State | TN | State |
| ZIP Code | 37604 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| DENNIS VONDERFECHT | ||||||||||
| CEO | 51.00 | 9.00 | Yes (X) | Yes (X) | $1,058,195 | $0 | $68,381 | |||
| JEFF FARROW MD | ||||||||||
| DIRECTOR | 4.00 | Yes (X) | $36,835 | $475 | $0 | |||||
| CLEM WILKES JR | ||||||||||
| CHAIR | 8.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||||
| GARY PEACOCK | ||||||||||
| DIRECTOR | 5.00 | 8.00 | Yes (X) | $0 | $0 | $0 | ||||
| SANDRA BROOKS MD | ||||||||||
| DIRECTOR | 4.50 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| RICK STOREY | ||||||||||
| DIRECTOR | 5.00 | Yes (X) | $0 | $0 | $0 | |||||
| THOMAS FOWLKES | ||||||||||
| DIRECTOR | 4.50 | 6.00 | Yes (X) | $0 | $0 | $0 | ||||
| LINDA GARCEAU | ||||||||||
| DIRECTOR | 5.00 | Yes (X) | $0 | $0 | $0 | |||||
| JOANNE GILMER | ||||||||||
| VICE CHAIR | 6.00 | 13.00 | Yes (X) | $0 | $0 | $0 | ||||
| DAVID MAY MD | ||||||||||
| DIRECTOR | 5.50 | Yes (X) | $0 | $0 | $0 | |||||
| ROBERT FEATHERS | ||||||||||
| PAST CHAIR | 6.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL CHRISTIAN | ||||||||||
| TREASURER | 4.50 | Yes (X) | $0 | $0 | $0 | |||||
| BARBARA ALLEN | ||||||||||
| SECRETARY | 7.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| ALAN LEVINE | ||||||||||
| PRESIDENT & | 60.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||||
| MARVIN EICHORN | ||||||||||
| SENIOR VP/CF | 59.00 | 1.00 | Yes (X) | $626,635 | $0 | $47,303 | ||||
| ANN FLEMING | ||||||||||
| SR. VP | 45.00 | 15.00 | $753,909 | $0 | $73,411 | Yes (X) | ||||
| CANDACE JENNINGS | ||||||||||
| SR. VP TN OP | 60.00 | $523,529 | $0 | $85,889 | Yes (X) | |||||
| DAVID NICELY | ||||||||||
| VP/CEO WASHI | 55.00 | $342,553 | $0 | $54,931 | Yes (X) | |||||
| MONTY MCLAURIN | ||||||||||
| VP/IPMC CEO | 55.00 | $317,642 | $0 | $57,151 | Yes (X) | |||||
| TONY BENTON | ||||||||||
| INTERIM CEO | 55.00 | $299,304 | $0 | $37,624 | Yes (X) | |||||
| SHANE HILTON | ||||||||||
| VP/TN CFO | 55.00 | $286,898 | $0 | $38,039 | Yes (X) | |||||
| LYNN KRUTAK | ||||||||||
| VP/CORP. CFO | 55.00 | $265,010 | $0 | $36,445 | Yes (X) | |||||
| PATRICK BOLANDER | ||||||||||
| JCMC CFO | 55.00 | $206,144 | $0 | $28,052 | Yes (X) | |||||
| STEVE SAWYER | ||||||||||
| IPMC CFO | 55.00 | $153,220 | $0 | $21,317 | Yes (X) | |||||
| MORRIS SELIGMAN MD | ||||||||||
| SR. VP/CMO | 60.00 | $533,796 | $0 | $84,703 | Yes (X) | |||||
| BERT SMITH MD | ||||||||||
| VP HOSP. PRG | 55.00 | $395,458 | $0 | $22,368 | Yes (X) | |||||
| DOUGLAS EDEMA | ||||||||||
| VP PRES./CEO | 55.00 | $391,873 | $0 | $36,180 | Yes (X) | |||||
| STEVE KILGORE | ||||||||||
| PRESIDENT BR | 54.00 | 1.00 | $377,168 | $0 | $55,429 | Yes (X) | ||||
| MARK WILKINSON | ||||||||||
| CMO | 55.00 | $371,159 | $0 | $37,078 | Yes (X) | |||||
| DALE CLAYTORE | ||||||||||
| VP | 55.00 | $233,706 | $0 | $13,560 | Yes (X) | |||||
| PAT NIDAY | ||||||||||
| FORMER CNO W | 55.00 | $191,046 | $0 | $39,977 | Yes (X) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,364,080 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $475 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $837,838 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 195 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SKANSKA USA BUILDING INC | |||||
| 5000 MERIDIAN BLVD SUITE 100 | FRANKLIN | TN | 37067 | CONSTRUCTION | $27,432,371 |
| ANESTHESIA PAIN CONSULTANTS | |||||
| STE 4 1113 SUNSET DR PO BOX 3727 | JOHNSON CITY | TN | 376023727 | PHYSICIAN SVCS. | $4,571,599 |
| PREMIER ANESTHESIA SERVICES | |||||
| PO BOX 4653 | JOHNSON CITY | TN | 376024653 | PHYSICIAN SVCS. | $2,845,186 |
| PHILIPS HEALTHCARE | |||||
| PO BOX 100355 | ATLANTA | GA | 30384 | EQUIPMENT SVCS. | $2,695,286 |
| CROTHALL SERVICES EAST TN | |||||
| 13028 COLLECTIONS CENTER DRIVE | CHICAGO | IL | 60693 | LAUNDRY SVCS. | $2,674,201 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 108 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $3,515,325 | RelatedOrganizationsAmt |
| Government Grants | $667,665 | GovernmentGrantsAmt |
| All Other Contributions | $77,564 | AllOtherContributionsAmt |
| Total Contributions | $4,260,554 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT REVENUE-OTHER | 622110 | $648,737,836 | $648,737,836 | |
| WELLNESS PROGRAMS | 622110 | $18,193,332 | $18,193,332 | |
| P/S INCOME PREMIER-ISHN-MSJC | 900099 | $3,107,986 | $3,136,588 | -$28,602 |
| LAB UBI REVENUE | 621500 | $177,267 | $177,267 | |
| RENTAL TO EXEMPT AFFILIATE | 531120 | $14,751 | $14,751 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $670,231,172 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,157,320 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $21,781 | UnrelatedBusinessRevenueAmt |
| Exclusion | $13,135,539 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $227,071 | TotalRevenueColumnAmt |
| Exclusion | $227,071 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $213,236 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $83,196 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $130,040 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $130,040 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $42,772 | UnrelatedBusinessRevenueAmt |
| Exclusion | $87,268 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $9,837,589 | SecuritiesAmt |
| Other | $5,517,039 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $121,618 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $9,837,589 | SecuritiesAmt |
| Other | $5,395,421 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,233,010 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,395,421 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $9,837,589 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CAFE' SALES | 722210 | $3,943,462 | $3,943,462 |
| PREMIER IPO VENDOR INCENTIVE | 900099 | $2,202,302 | $2,202,302 |
| DAY CARE | 624410 | $1,080,183 | $1,080,183 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$3,151,556 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $703,018 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$3,854,574 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,074,391 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $707,313,558 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $675,477,928 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $916,236 | UnrelatedBusinessRevenueAmt |
| Exclusion | $26,658,840 | 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 | $705,491 | TotalAmt |
| Program Services | $705,491 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,535,708 | TotalAmt |
| Program Services | $38,163 | ProgramServicesAmt |
| Management And General | $5,497,545 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $227,756,974 | TotalAmt |
| Program Services | $215,290,820 | ProgramServicesAmt |
| Management And General | $11,677,610 | ManagementAndGeneralAmt |
| Fundraising | $788,544 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,821,500 | TotalAmt |
| Program Services | $9,365,543 | ProgramServicesAmt |
| Management And General | $421,656 | ManagementAndGeneralAmt |
| Fundraising | $34,301 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,490,957 | TotalAmt |
| Program Services | $31,001,196 | ProgramServicesAmt |
| Management And General | $3,480,662 | ManagementAndGeneralAmt |
| Fundraising | $9,099 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,917,601 | TotalAmt |
| Program Services | $15,610,114 | ProgramServicesAmt |
| Management And General | $2,262,804 | ManagementAndGeneralAmt |
| Fundraising | $44,683 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,606,661 | TotalAmt |
| Management And General | $1,606,661 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $312,624 | TotalAmt |
| Program Services | $5,100 | ProgramServicesAmt |
| Management And General | $288,404 | ManagementAndGeneralAmt |
| Fundraising | $19,120 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $147,043 | TotalAmt |
| Program Services | $147,043 | ProgramServicesAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $966,844 | TotalAmt |
| Management And General | $966,844 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,864,907 | TotalAmt |
| Program Services | $83,187,817 | ProgramServicesAmt |
| Management And General | $10,670,853 | ManagementAndGeneralAmt |
| Fundraising | $6,237 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,312,231 | TotalAmt |
| Program Services | $121,029 | ProgramServicesAmt |
| Management And General | $2,183,296 | ManagementAndGeneralAmt |
| Fundraising | $7,906 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,415,775 | TotalAmt |
| Program Services | $6,258,731 | ProgramServicesAmt |
| Management And General | $139,107 | ManagementAndGeneralAmt |
| Fundraising | $17,937 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,867,730 | TotalAmt |
| Program Services | $12,775,200 | ProgramServicesAmt |
| Management And General | $8,092,530 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,843,361 | TotalAmt |
| Program Services | $11,311,738 | ProgramServicesAmt |
| Management And General | $3,466,484 | ManagementAndGeneralAmt |
| Fundraising | $65,139 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,850,759 | TotalAmt |
| Program Services | $1,347,658 | ProgramServicesAmt |
| Management And General | $501,750 | ManagementAndGeneralAmt |
| Fundraising | $1,351 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,434 | TotalAmt |
| Program Services | $61,345 | ProgramServicesAmt |
| Management And General | $19,465 | ManagementAndGeneralAmt |
| Fundraising | $624 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,471,912 | TotalAmt |
| Management And General | $42,471,912 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,713,910 | TotalAmt |
| Program Services | $24,394,217 | ProgramServicesAmt |
| Management And General | $19,314,751 | ManagementAndGeneralAmt |
| Fundraising | $4,942 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,714,095 | TotalAmt |
| Program Services | $2,114 | ProgramServicesAmt |
| Management And General | $2,711,981 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES & DRUGS | $123,908,206 | $123,590,299 | $317,907 | |
| REPAIRS & MAINTENANCE | $15,117,008 | $14,004,298 | $1,071,399 | $41,311 |
| DUES & SUBSCRIPTIONS | $3,927,018 | $1,533,282 | $2,390,539 | $3,197 |
| UBI TAXES | $77,000 | $77,000 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,947,111 | TotalAmt |
| Program Services | $2,085,141 | ProgramServicesAmt |
| Management And General | $818,279 | ManagementAndGeneralAmt |
| Fundraising | $43,691 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $674,373,860 | TotalAmt |
| Program Services | $552,836,339 | ProgramServicesAmt |
| Management And General | $120,449,439 | ManagementAndGeneralAmt |
| Fundraising | $1,088,082 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,114,956 | BOYAmt |
| EOY | $78,251,832 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $96,609 | BOYAmt |
| EOY | $99,629 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117,265,071 | BOYAmt |
| EOY | $111,736,791 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,492,454 | BOYAmt |
| EOY | $8,988,974 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,189,476 | BOYAmt |
| EOY | $29,866,592 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,873,411 | BOYAmt |
| EOY | $15,723,351 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,850,577 | BOYAmt |
| EOY | $4,344,835 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,043,477,462 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $516,925,448 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $517,908,210 | BOYAmt |
| EOY | $526,552,014 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $285,653,065 | BOYAmt |
| EOY | $261,766,810 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $313,693,918 | BOYAmt |
| EOY | $324,481,069 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $144,707,541 | BOYAmt |
| EOY | $144,707,541 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $120,631,703 | BOYAmt |
| EOY | $96,741,552 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,599,476,991 | BOYAmt |
| EOY | $1,603,260,990 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,022,047 | BOYAmt |
| EOY | $63,659,832 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,130,026 | BOYAmt |
| EOY | $1,273,627 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $882,984,693 | BOYAmt |
| EOY | $981,126,646 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $145,411,405 | BOYAmt |
| EOY | $25,846,994 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,319,713 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,026,944 | BOYAmt |
| EOY | $94,938,811 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,201,894,828 | BOYAmt |
| EOY | $1,166,845,910 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $397,408,151 | BOYAmt |
| EOY | $436,180,033 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $174,012 | BOYAmt |
| EOY | $235,047 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $397,582,163 | BOYAmt |
| EOY | $436,415,080 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,599,476,991 | BOYAmt |
| EOY | $1,603,260,990 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $32,939,698 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $12,207,644 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$6,314,425 | 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 | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
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 | Yes (true) | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $258,825 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $258,825 | 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 | THE COMMUNITY & GOVERNMENT RELATIONS VICE PRESIDENT AND/OR THE DEPARTMENT'S MANAGER OR DIRECTOR ATTENDED THE FOLLOWING LEGISLATIVE CONFERENCES: - PREMIER FEDERAL AFFAIRS NETWORK MEETING - AMERICAN HOSPITAL ASSOCIATION ANNUAL MEETING - TENNESSEE HOSPITAL ASSOCIATION LEGISLATIVE ADVOCACY DAY - HOSPITAL ALLIANCE OF TENNESSEE ANNUAL MEETING - TENNESSEE PUBLIC & TEACHING HOSPITALS ASSOCIATION ANNUAL MEETING - VIRGINIA HOSPITAL & HEALTHCARE ASSOCIATION LEGISLATIVE ISSUES CONFERENCE THE COMMUNITY & GOVERNMENT RELATIONS VICE PRESIDENT AND/OR DEPARTMENTAL STAFF ALSO CONTACTED CONGRESSIONAL OFFICES CONCERNING THE FOLLOWING ISSUES: - SUPPORT FOR PROVISIONS TO EXPAND INSURANCE COVERAGE (HEALTH INSURANCE EXCHANGES AND MEDICAID EXPANSION) - SUPPORT FOR INITIATIVES TO IMPROVE PAYMENT DELIVERY REDESIGN; SUCH AS ACCOUNTABLE CARE ORGANIZATION DEVELOPMENT - SUPPORT FOR CONTINUATION OF TENNESSEE MEDICAID DISPROPORTIONATE SHARE HOSPITAL PAYMENTS - OPPOSITION TO ADDITIONAL CUTS IN MEDICARE/MEDICAID - SUPPORT FOR REAUTHORIZATION AND FUNDING OF CHILDREN'S HOSPITAL GRADUATE MEDICAL EDUCATION - SUPPORT FEDERAL FUNDING FOR TRAUMA CARE - SUPPORT CONTINUATION OF GRADUATE MEDICAL EDUCATIONAL FUNDING - SUPPORT OF STATE MEDICAID PROVIDER TAX PROVISIONS - SUPPORT CHANGES TO MEDICARE WAGE INDEX - SUPPORT CHANGES TO TWO MIDNIGHT RULE - SUPPORT RECOVERY AUDIT CONTRACTOR REFORM - SUPPORT OF MEDICARE DEPENDENT HOSPITAL AND LOW-VOLUME DESIGNATIONS THE COMMUNITY & GOVERNMENT RELATIONS VICE PRESIDENT AND/OR THE DEPARTMENTAL DIRECTOR RESPONDED VIA LETTER, PHONE, OR IN PERSON TO THE FOLLOWING TENNESSEE AND VIRGINIA LEGISLATIVE ISSUES: - MEDICAID EXPANSION - TENNESSEE AND VIRGINIA - STRONG CERTIFICATE OF NEED PROGRAMS IN TENNESSEE AND VIRGINIA - CONTINUATION OF HOSPITAL ASSESSMENT FEE IN TENNESSEE - FUNDING FOR PERINATAL CENTERS IN TENNESSEE - SAFETY NET FUNDING FOR PROJECT ACCESS - STABLE MEDICAID RATES IN VIRGINIA - LEGISLATION THAT ADDRESSES DRUG ADDICTED PREGNANT WOMEN AND THEIR BABIES (NEONATAL ABSTINENCE SYNDROME) - HELMET REQUIREMENT FOR MOTORCYCLISTS | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $50,465,142 | OtherCostOrOtherBasisAmt |
| Book Value | $50,465,142 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $518,039,628 | OtherCostOrOtherBasisAmt |
| Depreciation | $170,607,620 | DepreciationAmt |
| Book Value | $347,432,008 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $950,676 | OtherCostOrOtherBasisAmt |
| Depreciation | $528,730 | DepreciationAmt |
| Book Value | $421,946 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $474,022,016 | OtherCostOrOtherBasisAmt |
| Depreciation | $345,789,098 | DepreciationAmt |
| Book Value | $128,232,918 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $526,552,014 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| INVESTMENT IN JMH | $132,000,000 | C |
| INVESTMENT IN BRMMC | $100,273,634 | C |
| INVESTMENT IN SCCH | $67,400,494 | C |
| INVESTMENT IN ISHN | $25,579,937 | C |
| INVESTMENT IN OTHER | -$772,996 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $324,481,069 | TotalBookValueProgramRltdAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| AWUL-UNDER BOND INDENTURE AGREEMENT | $43,890,111 |
| AWUL - CURRENT | $25,028,568 |
| DEFERRED CHARGES AND OTHER | $14,755,160 |
| LONG TERM COMPENSATION INVESTMENT | $13,067,713 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $96,741,552 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED SALARIES, ABSENCES & W/H | $45,491,008 |
| ACCRUED INTEREST | $18,527,828 |
| EST. FAIR VALUE OF INT. RATE SWAP | $10,665,808 |
| OTHER LONG-TERM LIABILITIES | $10,324,133 |
| DUE TO THIRD-PARTY PAYERS | $9,930,034 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $94,938,811 | 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, 2014 AND 2013. AT JUNE 30, 2014, TAX RETURNS FOR 2010 THROUGH 2013 ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,107,968 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $16,107,968 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02390 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,007,589 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,414,212 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,593,377 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00680 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $78,916,606 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $59,293,227 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,623,379 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02910 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $117,032,163 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $76,707,439 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $40,324,724 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05980 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,528,009 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $595,650 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,932,359 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00580 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,534,585 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,168,169 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,366,416 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01240 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,141,775 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,904,595 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,237,180 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01370 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $258,391 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $31,886 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $226,505 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $468,791 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $468,791 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $40,931,551 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,700,300 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $22,231,251 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03300 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $157,963,714 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $95,407,739 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $62,555,975 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09280 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,062 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,062 | NetCommunityBenefitExpnsAmt |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,635 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $17,635 | NetCommunityBenefitExpnsAmt |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,000 | NetCommunityBenefitExpnsAmt |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,420 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,420 | NetCommunityBenefitExpnsAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $29,117 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $29,117 | NetCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $85,394,567 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $65,753,817 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $174,151,296 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $175,918,898 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,767,602 | 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 |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|
| MED'L SPEC OF JC LLC | ||
| MEDICAL SERVICES | 0.51000 | 0.49000 |
| EMMAUS COMM HLTHCR | ||
| MEDICAL SERVICES | 0.75000 | 0.25000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 7 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (7 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Childrens HospitalChildrensHospitalInd | Teaching HospitalTeachingHospitalInd | Research FacilityResearchFacilityInd | Emergency Room24 HrsEmergencyRoom24HrsInd | OtherOtherDesc | Critical Access HospitalCriticalAccessHospitalInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHNSON CITY MEDICAL CENTER | ||||||||||||
| 1 | 400 N STATE OF FRANKLIN ROAD | JOHNSON CITY | TN | 37604 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | REHABILITATION & MENTAL HEALTH | |
| INDIAN PATH MEDICAL CENTER | ||||||||||||
| 2 | 2000 BROOKSIDE DRIVE | KINGSPORT | TN | 37660 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | ||||
| FRANKLIN WOODS COMMUNITY HOSPITAL | ||||||||||||
| 3 | 300 MED TECH PARKWAY | JOHNSON CITY | TN | 37604 | Yes (X) | Yes (X) | Yes (X) | |||||
| SYCAMORE SHOALS HOSPITAL | ||||||||||||
| 4 | 1501 W ELK AVENUE | ELIZABETHTON | TN | 37643 | Yes (X) | Yes (X) | Yes (X) | |||||
| RUSSELL COUNTY MEDICAL CENTER | ||||||||||||
| 5 | 58 CARROLL STREET | LEBANON | VA | 24266 | Yes (X) | Yes (X) | Yes (X) | |||||
| JOHNSON COUNTY COMMUNITY HOSPITAL | ||||||||||||
| 6 | 16901 S SHADY STREET | MOUNTAIN CITY | TN | 37683 | Yes (X) | Yes (X) | Yes (X) | |||||
| UNICOI COUNTY MEMORIAL HOSPITAL | ||||||||||||
| 7 | 100 GREENWAY CIRCLE | ERWIN | TN | 37650 | Yes (X) | Yes (X) | Yes (X) | |||||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (7 entries)
| FacilityFacilityNum | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Rpt Available Upon RequestRptAvailableUponRequestInd | Adopt Implementation StrategyAdoptImplementationStrategyInd | Exec Implementation StrategyExecImplementationStrategyInd | Develop Community Wide PlanDevelopCommunityWidePlanInd | Include Operational PlanIncludeOperationalPlanInd | Prioritize Health NeedsPrioritizeHealthNeedsInd | Prioritize ServicesPrioritizeServicesInd | All Needs AddressedAllNeedsAddressedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Used Deter Elig Free CareFPGUsedDeterEligFreeCareInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Used Determ Elig Dscnt CareFPGUsedDetermEligDscntCareInd | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Explained BasisExplainedBasisInd | Income LevelIncomeLevelInd | Asset LevelAssetLevelInd | Medical IndigencyMedicalIndigencyInd | Insurance StatusInsuranceStatusInd | Uninsured DiscountUninsuredDiscountInd | State RegulationStateRegulationInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | Posted On WebsitePostedOnWebsiteInd | Posted In Emergency RoomPostedInEmergencyRoomInd | Posted In Admission OfficePostedInAdmissionOfficeInd | Provided On AdmissionProvidedOnAdmissionInd | Available On RequestAvailableOnRequestInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Collection ActivitiesCollectionActivitiesInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Other Method UsedOtherMethodUsedInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHNSON CITY MEDICAL CENTER | |||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 12 | Yes (true) | Yes (true) | Yes (true) | Yes (X) | WWW.MSHA.COM/JCMC | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | false | false | Yes (true) | Yes (true) | 200.000000000000 | Yes (true) | 400.000000000000 | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | false | Yes (true) | Yes (X) | false | false |
| INDIAN PATH MEDICAL CENTER | |||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 12 | Yes (true) | Yes (true) | Yes (true) | Yes (X) | WWW.MSHA.COM/IPMC | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | false | false | Yes (true) | Yes (true) | 200.000000000000 | Yes (true) | 400.000000000000 | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | false | Yes (true) | Yes (X) | false | false |
| FRANKLIN WOODS COMMUNITY HOSPITAL | |||||||||||||||||||||||||||||||||||||||||||||||||
| 3 | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 12 | Yes (true) | Yes (true) | Yes (true) | Yes (X) | WWW.MSHA.COM/FWCH | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | false | false | Yes (true) | Yes (true) | 200.000000000000 | Yes (true) | 400.000000000000 | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | false | Yes (true) | Yes (X) | false | false |
| SYCAMORE SHOALS HOSPITAL | |||||||||||||||||||||||||||||||||||||||||||||||||
| 4 | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 12 | Yes (true) | Yes (true) | Yes (true) | Yes (X) | WWW.MSHA.COM/SSH | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | false | false | Yes (true) | Yes (true) | 200.000000000000 | Yes (true) | 400.000000000000 | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | false | Yes (true) | Yes (X) | false | false |
| RUSSELL COUNTY MEDICAL CENTER | |||||||||||||||||||||||||||||||||||||||||||||||||
| 5 | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 12 | Yes (true) | Yes (true) | Yes (true) | Yes (X) | WWW.MSHA.COM/RCMC | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | false | false | Yes (true) | Yes (true) | 200.000000000000 | Yes (true) | 400.000000000000 | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | false | Yes (true) | Yes (X) | false | false |
| JOHNSON COUNTY COMMUNITY HOSPITAL | |||||||||||||||||||||||||||||||||||||||||||||||||
| 6 | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 12 | Yes (true) | Yes (true) | Yes (true) | Yes (X) | WWW.MSHA.COM/JCCH | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | false | false | Yes (true) | Yes (true) | 200.000000000000 | Yes (true) | 400.000000000000 | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | false | Yes (true) | Yes (X) | false | false |
| UNICOI COUNTY MEMORIAL HOSPITAL | |||||||||||||||||||||||||||||||||||||||||||||||||
| 7 | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (true) | Yes (true) | Yes (true) | Yes (X) | WWW.MSHA.COM/UCMH | Yes (X) | Yes (X) | Yes (true) | false | Yes (true) | Yes (true) | 200.000000000000 | Yes (true) | 400.000000000000 | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | false | Yes (true) | Yes (X) | false | false | |||||
Supplemental Information SupplementalInformationGrp (27 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, JOHNSON CITY MEDICAL CENTER - PART V, LINE 3 | MSHA MET WITH TEN FOCUS GROUPS EACH REPRESENTING ONE OF THE TEN HOSPITAL FACILITIES (INCLUDING ALL OF THE HOSPITALS INCLUDED IN THIS 990, WITH THE EXCEPTION OF UNICOI COUNTY MEMORIAL HOSPITAL, WHICH JOINED MSHA DURING THIS FISCAL YEAR) LOCATED WITHIN THE CORE COUNTIES OF MSHA FACILITIES (16 COUNTIES). EACH GROUP CONSISTED OF PUBLIC HEALTH LEADERS, NURSES, NON-PROFIT DIRECTORS, COMMUNITY DEVELOPERS, FAITH BASED LEADERS, PUBLIC OFFICIALS AND SCHOOL REPRESENTATIVES. EACH GROUP RANGED IN ATTENDANCE FROM 6 TO 21 INDIVIDUALS. PARTICIPANTS WERE GIVEN SURVEYS TO DETERMINE A COUNTY'S HEALTH STATUS RATING, AVAILABLE RESOURCES, TOP HEALTH PRIORITIES, AND SUGGESTIONS FOR IMPROVEMENT. OPEN DISCUSSION FOLLOWED. THE COLLECTED INFORMATION WAS THEN PAIRED WITH STATISTICAL DATA IN ORDER TO PRIORITIZE HEALTH NEEDS. THE SPECIFIC NEEDS FOR EACH COUNTY WERE INCLUDED IN THE APPROPRIATE FACILITY'S IMPLEMENTATION PLAN. |
| FACILITY 1, JOHNSON CITY MEDICAL CENTER - PART V, LINE 4 | EACH HOSPITAL WITHIN THE MSHA SYSTEM COMPLETED A CHNA. FOR THOSE HOSPITALS THAT ARE LOCATED IN THE SAME COUNTY, ONLY ONE COMMUNITY GROUP WAS SURVEYED. FOR INSTANCE, JOHNSON CITY MEDICAL CENTER AND FRANKLIN WOODS COMMUNITY HOSPITAL ARE BOTH LOCATED IN WASHINGTON COUNTY, TENNESSEE. JCMC'S CHNA WAS CONDUCTED WITH ALL MSHA HOSPITALS TO INCLUDE: FRANKLIN WOODS COMMUNITY HOSPITAL, INDIAN PATH MEDICAL CENTER, SYCAMORE SHOALS HOSPITAL, JOHNSON COUNTY COMMUNITY HOSPITAL, RUSSELL COUNTY MEDICAL CENTER, JOHNSTON MEMORIAL HOSPITAL, SMYTH COUNTY COMMUNITY HOSPITAL, NORTON COMMUNITY HOSPITAL AND DICKENSON COMMUNITY HOSPITAL. |
| FACILITY 1, JOHNSON CITY MEDICAL CENTER - PART V, LINE 7 | MSHA PUBLISHED ITS COMMUNITY HEALTH NEEDS ASSESSMENT ON JUNE 29, 2012. THE DATA INCLUDED WAS COLLECTED OVER THE COURSE OF 2011 AND 2012. AN IMPLEMENTATION PLAN WAS CREATED FOR EACH HOSPITAL, AND EACH HOSPITAL'S BOARD APPROVED THE IMPLEMENTATION PLAN DURING THE MONTHS OF MAY AND JUNE 2012. MSHA ANNUALLY TRACKS PROGRESS OF IMPLEMENTATION STRATEGIES FOR EACH HOSPITAL. DUE TO LACK OF RESOURCES, JCMC WAS UNABLE TO ADDRESS ISSUES RELATED TO END-OF-LIFE CARE THAT WERE IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. |
| FACILITY 1, JOHNSON CITY MEDICAL CENTER - PART V, LINE 20D | UNINSURED PATIENTS RECEIVE A 63% 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. |
| FACILITY 2, INDIAN PATH MEDICAL CENTER - PART V, LINE 3 | MSHA MET WITH TEN FOCUS GROUPS EACH REPRESENTING ONE OF THE TEN HOSPITAL FACILITIES (INCLUDING ALL OF THE HOSPITALS INCLUDED IN THIS 990, WITH THE EXCEPTION OF UNICOI COUNTY MEMORIAL HOSPITAL, WHICH JOINED MSHA DURING THIS FISCAL YEAR) LOCATED WITHIN THE CORE COUNTIES OF MSHA FACILITIES (16 COUNTIES). EACH GROUP CONSISTED OF PUBLIC HEALTH LEADERS, NURSES, NON-PROFIT DIRECTORS, COMMUNITY DEVELOPERS, FAITH BASED LEADERS, PUBLIC OFFICIALS AND SCHOOL REPRESENTATIVES. EACH GROUP RANGED IN ATTENDANCE FROM 6 TO 21 INDIVIDUALS. PARTICIPANTS WERE GIVEN SURVEYS TO DETERMINE A COUNTY'S HEALTH STATUS RATING, AVAILABLE RESOURCES, TOP HEALTH PRIORITIES, AND SUGGESTIONS FOR IMPROVEMENT. OPEN DISCUSSION FOLLOWED. THE COLLECTED INFORMATION WAS THEN PAIRED WITH STATISTICAL DATA IN ORDER TO PRIORITIZE HEALTH NEEDS. THE SPECIFIC NEEDS FOR EACH COUNTY WERE INCLUDED IN THE APPROPRIATE FACILITY'S IMPLEMENTATION PLAN. |
| FACILITY 2, INDIAN PATH MEDICAL CENTER - PART V, LINE 4 | EACH HOSPITAL WITHIN THE MSHA SYSTEM COMPLETED A CHNA. FOR THOSE HOSPITALS THAT ARE LOCATED IN THE SAME COUNTY, ONLY ONE COMMUNITY GROUP WAS SURVEYED. FOR INSTANCE, JOHNSON CITY MEDICAL CENTER AND FRANKLIN WOODS COMMUNITY HOSPITAL ARE BOTH LOCATED IN WASHINGTON COUNTY, TENNESSEE. IPMC'S CHNA WAS CONDUCTED WITH ALL MSHA HOSPITALS TO INCLUDE: FRANKLIN WOODS COMMUNITY HOSPITAL, JCMC, SYCAMORE SHOALS HOSPITAL, JOHNSON COUNTY COMMUNITY HOSPITAL, RUSSELL COUNTY MEDICAL CENTER, JOHNSTON MEMORIAL HOSPITAL, SMYTH COUNTY COMMUNITY HOSPITAL, NORTON COMMUNITY HOSPITAL AND DICKENSON COMMUNITY HOSPITAL. |
| FACILITY 2, INDIAN PATH MEDICAL CENTER - PART V, LINE 7 | MSHA PUBLISHED ITS COMMUNITY HEALTH NEEDS ASSESSMENT ON JUNE 29, 2012. THE DATA INCLUDED WAS COLLECTED OVER THE COURSE OF 2011 AND 2012. AN IMPLEMENTATION PLAN WAS CREATED FOR EACH HOSPITAL, AND EACH HOSPITAL'S BOARD APPROVED THE IMPLEMENTATION PLAN DURING THE MONTHS OF MAY AND JUNE 2012. MSHA ANNUALLY TRACKS PROGRESS OF IMPLEMENTATION STRATEGIES FOR EACH HOSPITAL. DUE TO LACK OF RESOURCES, IPMC WAS UNABLE TO ADDRESS ISSUES RELATED TO SUBSTANCE ABUSE/PRESCRIPTION DRUG ABUSE AND BEHAVIORAL HEALTH THAT WERE IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. |
| FACILITY 2, INDIAN PATH MEDICAL CENTER - PART V, LINE 20D | UNINSURED PATIENTS RECEIVE A 63% 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. |
| FACILITY 3, FRANKLIN WOODS COMMUNITY HOSPITAL - PART V, LINE 3 | MSHA MET WITH TEN FOCUS GROUPS EACH REPRESENTING ONE OF THE TEN HOSPITAL FACILITIES (INCLUDING ALL OF THE HOSPITALS INCLUDED IN THIS 990, WITH THE EXCEPTION OF UNICOI COUNTY MEMORIAL HOSPITAL, WHICH JOINED MSHA DURING THIS FISCAL YEAR) LOCATED WITHIN THE CORE COUNTIES OF MSHA FACILITIES (16 COUNTIES). EACH GROUP CONSISTED OF PUBLIC HEALTH LEADERS, NURSES, NON-PROFIT DIRECTORS, COMMUNITY DEVELOPERS, FAITH BASED LEADERS, PUBLIC OFFICIALS AND SCHOOL REPRESENTATIVES. EACH GROUP RANGED IN ATTENDANCE FROM 6 TO 21 INDIVIDUALS. PARTICIPANTS WERE GIVEN SURVEYS TO DETERMINE A COUNTY'S HEALTH STATUS RATING, AVAILABLE RESOURCES, TOP HEALTH PRIORITIES, AND SUGGESTIONS FOR IMPROVEMENT. OPEN DISCUSSION FOLLOWED. THE COLLECTED INFORMATION WAS THEN PAIRED WITH STATISTICAL DATA IN ORDER TO PRIORITIZE HEALTH NEEDS. THE SPECIFIC NEEDS FOR EACH COUNTY WERE INCLUDED IN THE APPROPRIATE FACILITY'S IMPLEMENTATION PLAN. DUE TO LACK OF RESOURCES, FWCH WAS UNABLE TO ADDRESS ISSUES RELATED TO SUBSTANCE ABUSE/PRESCRIPTION DRUG ABUSE AND END-OF-LIFE CARE THAT WERE IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. |
| FACILITY 3, FRANKLIN WOODS COMMUNITY HOSPITAL - PART V, LINE 4 | EACH HOSPITAL WITHIN THE MSHA SYSTEM COMPLETED A CHNA. FOR THOSE HOSPITALS THAT ARE LOCATED IN THE SAME COUNTY, ONLY ONE COMMUNITY GROUP WAS SURVEYED. FOR INSTANCE, JOHNSON CITY MEDICAL CENTER AND FRANKLIN WOODS COMMUNITY HOSPITAL ARE BOTH LOCATED IN WASHINGTON COUNTY, TENNESSEE. FWCH'S CHNA WAS CONDUCTED WITH ALL MSHA HOSPITALS TO INCLUDE: JCMC, INDIAN PATH MEDICAL CENTER, SYCAMORE SHOALS HOSPITAL, JOHNSON COUNTY COMMUNITY HOSPITAL, RUSSELL COUNTY MEDICAL CENTER, JOHNSTON MEMORIAL HOSPITAL, SMYTH COUNTY COMMUNITY HOSPITAL, NORTON COMMUNITY HOSPITAL AND DICKENSON COMMUNITY HOSPITAL. |
| FACILITY 3, FRANKLIN WOODS COMMUNITY HOSPITAL - PART V, LINE 7 | MSHA PUBLISHED ITS COMMUNITY HEALTH NEEDS ASSESSMENT ON JUNE 29, 2012. THE DATA INCLUDED WAS COLLECTED OVER THE COURSE OF 2011 AND 2012. AN IMPLEMENTATION PLAN WAS CREATED FOR EACH HOSPITAL, AND EACH HOSPITAL'S BOARD APPROVED THE IMPLEMENTATION PLAN DURING THE MONTHS OF MAY AND JUNE 2012. MSHA ANNUALLY TRACKS PROGRESS OF IMPLEMENTATION STRATEGIES FOR EACH HOSPITAL. |
| FACILITY 3, FRANKLIN WOODS COMMUNITY HOSPITAL - PART V, LINE 20D | UNINSURED PATIENTS RECEIVE A 63% 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. |
| FACILITY 4, SYCAMORE SHOALS HOSPITAL - PART V, LINE 3 | MSHA MET WITH TEN FOCUS GROUPS EACH REPRESENTING ONE OF THE TEN HOSPITAL FACILITIES (INCLUDING ALL OF THE HOSPITALS INCLUDED IN THIS 990, WITH THE EXCEPTION OF UNICOI COUNTY MEMORIAL HOSPITAL, WHICH JOINED MSHA DURING THIS FISCAL YEAR) LOCATED WITHIN THE CORE COUNTIES OF MSHA FACILITIES (16 COUNTIES). EACH GROUP CONSISTED OF PUBLIC HEALTH LEADERS, NURSES, NON-PROFIT DIRECTORS, COMMUNITY DEVELOPERS, FAITH BASED LEADERS, PUBLIC OFFICIALS AND SCHOOL REPRESENTATIVES. EACH GROUP RANGED IN ATTENDANCE FROM 6 TO 21 INDIVIDUALS. PARTICIPANTS WERE GIVEN SURVEYS TO DETERMINE A COUNTY'S HEALTH STATUS RATING, AVAILABLE RESOURCES, TOP HEALTH PRIORITIES, AND SUGGESTIONS FOR IMPROVEMENT. OPEN DISCUSSION FOLLOWED. THE COLLECTED INFORMATION WAS THEN PAIRED WITH STATISTICAL DATA IN ORDER TO PRIORITIZE HEALTH NEEDS. THE SPECIFIC NEEDS FOR EACH COUNTY WERE INCLUDED IN THE APPROPRIATE FACILITY'S IMPLEMENTATION PLAN. |
| FACILITY 4, SYCAMORE SHOALS HOSPITAL - PART V, LINE 4 | EACH HOSPITAL WITHIN THE MSHA SYSTEM COMPLETED A CHNA. FOR THOSE HOSPITALS THAT ARE LOCATED IN THE SAME COUNTY, ONLY ONE COMMUNITY GROUP WAS SURVEYED. FOR INSTANCE, JOHNSON CITY MEDICAL CENTER AND FRANKLIN WOODS COMMUNITY HOSPITAL ARE BOTH LOCATED IN WASHINGTON COUNTY, TENNESSEE. SSH'S CHNA WAS CONDUCTED WITH ALL MSHA HOSPITALS TO INCLUDE: FRANKLIN WOODS COMMUNITY HOSPITAL, INDIAN PATH MEDICAL CENTER, JCMC, JOHNSON COUNTY COMMUNITY HOSPITAL, RUSSELL COUNTY MEDICAL CENTER, JOHNSTON MEMORIAL HOSPITAL, SMYTH COUNTY COMMUNITY HOSPITAL, NORTON COMMUNITY HOSPITAL AND DICKENSON COMMUNITY HOSPITAL. |
| FACILITY 4, SYCAMORE SHOALS HOSPITAL - PART V, LINE 7 | MSHA PUBLISHED ITS COMMUNITY HEALTH NEEDS ASSESSMENT ON JUNE 29, 2012. THE DATA INCLUDED WAS COLLECTED OVER THE COURSE OF 2011 AND 2012. AN IMPLEMENTATION PLAN WAS CREATED FOR EACH HOSPITAL, AND EACH HOSPITAL'S BOARD APPROVED THE IMPLEMENTATION PLAN DURING THE MONTHS OF MAY AND JUNE 2012. MSHA ANNUALLY TRACKS PROGRESS OF IMPLEMENTATION STRATEGIES FOR EACH HOSPITAL. |
| FACILITY 4, SYCAMORE SHOALS HOSPITAL - PART V, LINE 20D | UNINSURED PATIENTS RECEIVE A 63% 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. |
| FACILITY 5, RUSSELL COUNTY MEDICAL CENTER - PART V, LINE 3 | MSHA MET WITH TEN FOCUS GROUPS EACH REPRESENTING ONE OF THE TEN HOSPITAL FACILITIES (INCLUDING ALL OF THE HOSPITALS INCLUDED IN THIS 990, WITH THE EXCEPTION OF UNICOI MEMORIAL HOSPITAL, WHICH JOINED MSHA DURING THIS FISCAL YEAR) LOCATED WITHIN THE CORE COUNTIES OF MSHA FACILITIES (16 COUNTIES). EACH GROUP CONSISTED OF PUBLIC HEALTH LEADERS, NURSES, NON-PROFIT DIRECTORS, COMMUNITY DEVELOPERS, FAITH BASED LEADERS, PUBLIC OFFICIALS AND SCHOOL REPRESENTATIVES. EACH GROUP RANGED IN ATTENDANCE FROM 6 TO 21 INDIVIDUALS. PARTICIPANTS WERE GIVEN SURVEYS TO DETERMINE A COUNTY'S HEALTH STATUS RATING, AVAILABLE RESOURCES, TOP HEALTH PRIORITIES, AND SUGGESTIONS FOR IMPROVEMENT. OPEN DISCUSSION FOLLOWED. THE COLLECTED INFORMATION WAS THEN PAIRED WITH STATISTICAL DATA IN ORDER TO PRIORITIZE HEALTH NEEDS. THE SPECIFIC NEEDS FOR EACH COUNTY WERE INCLUDED IN THE APPROPRIATE FACILITY'S IMPLEMENTATION PLAN. |
| FACILITY 5, RUSSELL COUNTY MEDICAL CENTER - PART V, LINE 4 | EACH HOSPITAL WITHIN THE MSHA SYSTEM COMPLETED A CHNA. FOR THOSE HOSPITALS THAT ARE LOCATED IN THE SAME COUNTY, ONLY ONE COMMUNITY GROUP WAS SURVEYED. FOR INSTANCE, JOHNSON CITY MEDICAL CENTER AND FRANKLIN WOODS COMMUNITY HOSPITAL ARE BOTH LOCATED IN WASHINGTON COUNTY, TENNESSEE. RCMC'S CHNA WAS CONDUCTED WITH ALL MSHA HOSPITALS TO INCLUDE:FRANKLIN WOODS COMMUNITY HOSPITAL, INDIAN PATH MEDICAL CENTER, SYCAMORE SHOALS HOSPITAL, JOHNSON COUNTY COMMUNITY HOSPITAL, JCMC, JOHNSTON MEMORIAL HOSPITAL, SMYTH COUNTY COMMUNITY HOSPITAL, NORTON COMMUNITY HOSPITAL AND DICKENSON COMMUNITY HOSPITAL. |
| FACILITY 5, RUSSELL COUNTY MEDICAL CENTER - PART V, LINE 7 | MSHA PUBLISHED ITS COMMUNITY HEALTH NEEDS ASSESSMENT ON JUNE 29, 2012. THE DATA INCLUDED WAS COLLECTED OVER THE COURSE OF 2011 AND 2012. AN IMPLEMENTATION PLAN WAS CREATED FOR EACH HOSPITAL, AND EACH HOSPITAL'S BOARD APPROVED THE IMPLEMENTATION PLAN DURING THE MONTHS OF MAY AND JUNE 2012. MSHA ANNUALLY TRACKS PROGRESS OF IMPLEMENTATION STRATEGIES FOR EACH HOSPITAL. DUE TO LACK OF RESOURCES, RCMC WAS UNABLE TO ADDRESS ISSUES RELATED TO SUBSTANCE ABUSE/PRESCRIPTION DRUG ABUSE AND CHILD MALNOURISHMENT THAT WERE IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. |
| FACILITY 5, RUSSELL COUNTY MEDICAL CENTER - PART V, LINE 20D | UNINSURED PATIENTS RECEIVE A 63% 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. |
| FACILITY 6, JOHNSON COUNTY COMMUNITY HOSPITAL - PART V, LINE 3 | MSHA MET WITH TEN FOCUS GROUPS EACH REPRESENTING ONE OF THE TEN HOSPITAL FACILITIES (INCLUDING ALL OF THE HOSPITALS INCLUDED IN THIS 990, WITH THE EXCEPTION OF UNICOI COUNTY MEMORIAL HOSPITAL, WHICH JOINED MSHA DURING THIS FISCAL YEAR) LOCATED WITHIN THE CORE COUNTIES OF MSHA FACILITIES (16 COUNTIES). EACH GROUP CONSISTED OF PUBLIC HEALTH LEADERS, NURSES, NON-PROFIT DIRECTORS, COMMUNITY DEVELOPERS, FAITH BASED LEADERS, PUBLIC OFFICIALS AND SCHOOL REPRESENTATIVES. EACH GROUP RANGED IN ATTENDANCE FROM 6 TO 21 INDIVIDUALS. PARTICIPANTS WERE GIVEN SURVEYS TO DETERMINE A COUNTY'S HEALTH STATUS RATING, AVAILABLE RESOURCES, TOP HEALTH PRIORITIES, AND SUGGESTIONS FOR IMPROVEMENT. OPEN DISCUSSION FOLLOWED. THE COLLECTED INFORMATION WAS THEN PAIRED WITH STATISTICAL DATA IN ORDER TO PRIORITIZE HEALTH NEEDS. THE SPECIFIC NEEDS FOR EACH COUNTY WERE INCLUDED IN THE APPROPRIATE FACILITY'S IMPLEMENTATION PLAN. |
| FACILITY 6, JOHNSON COUNTY COMMUNITY HOSPITAL - PART V, LINE 4 | EACH HOSPITAL WITHIN THE MSHA SYSTEM COMPLETED A CHNA. FOR THOSE HOSPITALS THAT ARE LOCATED IN THE SAME COUNTY, ONLY ONE COMMUNITY GROUP WAS SURVEYED. FOR INSTANCE, JOHNSON CITY MEDICAL CENTER AND FRANKLIN WOODS COMMUNITY HOSPITAL ARE BOTH LOCATED IN WASHINGTON COUNTY, TENNESSEE. JCCH'S CHNA WAS CONDUCTED WITH ALL MSHA HOSPITALS TO INCLUDE: FRANKLIN WOODS COMMUNITY HOSPITAL, INDIAN PATH MEDICAL CENTER, SYCAMORE SHOALS HOSPITAL, JCMC, RUSSELL COUNTY MEDICAL CENTER, JOHNSTON MEMORIAL HOSPITAL, SMYTH COUNTY COMMUNITY HOSPITAL, NORTON COMMUNITY HOSPITAL AND DICKENSON COMMUNITY HOSPITAL. |
| FACILITY 6, JOHNSON COUNTY COMMUNITY HOSPITAL - PART V, LINE 7 | MSHA PUBLISHED ITS COMMUNITY HEALTH NEEDS ASSESSMENT ON JUNE 29, 2012. THE DATA INCLUDED WAS COLLECTED OVER THE COURSE OF 2011 AND 2012. AN IMPLEMENTATION PLAN WAS CREATED FOR EACH HOSPITAL, AND EACH HOSPITAL'S BOARD APPROVED THE IMPLEMENTATION PLAN DURING THE MONTHS OF MAY AND JUNE 2012. MSHA ANNUALLY TRACKS PROGRESS OF IMPLEMENTATION STRATEGIES FOR EACH HOSPITAL. DUE TO LACK OF RESOURCES, JCCH WAS UNABLE TO ADDRESS ISSUES RELATED TO SUBSTANCE ABUSE/PRESCRIPTION DRUG ABUSE THAT WERE IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. |
| FACILITY 6, JOHNSON COUNTY COMMUNITY HOSPITAL - PART V, LINE 20D | UNINSURED PATIENTS RECEIVE A 50% 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. |
| FACILITY 7, UNICOI COUNTY MEMORIAL HOSPITAL - PART V, LINE 3 | DURING MAY 2013, THE MSHA STRATEGIC PLANNING DEPARTMENT WITH ASSISTANCE FROM LEADERSHIP OF UCMH, HOSTED A LUNCHEON IN ORDER TO CONNECT WITH COMMUNITY MEMBERS OF UNICOI COUNTY. UCMH'S HOSPITAL ADMINISTRATION IDENTIFIED INDIVIDUALS IN THE COMMUNITY WHO WERE CONSIDERED PUBLIC HEALTH OFFICIALS OR COMMUNITY LEADERS. THE 10 INTERVIEWEES FROM UNICOI COUNTY IN ATTENDANCE WERE A LOCAL PHYSICIAN, REPRESENTATION FROM UNICOI COUNTY SCHOOLS, NON-PROFIT DIRECTORS, HEALTH DEPARTMENT OFFICIALS, MINORITY GROUP LEADERS, AND UCMH LEADERSHIP. THE ORGANIZATIONS THAT WERE REPRESENTED WERE: TELAMON MIGRANT HEAD START; UNICOI COUNTY; UNICOI COUNTY HEALTH DEPARTMENT; UNICOI COUNTY SCHOOLS; UNICOI MEDICAL ASSOCIATES; TOWN OF ERWIN; UNICOI COUNTY CHAMBER OF COMMERCE; UNICOI COUNTY MEMORIAL HOSPITAL; UNICOI COUNTY FAMILY YMCA; AND UNICOI VALLEY INTERNAL MEDICINE. |
| FACILITY 7, UNICOI COUNTY MEMORIAL HOSPITAL - PART V, LINE 4 | MOUNTAIN STATES HEALTH ALLIANCE ASSISTED UCMH WITH ITS CHNA COMPLETION. THIS TOOK PLACE PRIOR TO UCMH JOINING MSHA. FACILITY 7, UNICOI COUNTY MEMORIAL HOSPITAL - PART V, LINE 6G: FOUR TOP HEALTH PRIORITIES WERE IDENTIFIED BY UNICOI COUNTY COMMUNITY MEMBERS. THESE PRIORITIES INCLUDE: OBESITY, CANCER, DIABETES, AND HEART DISEASE. BY UTILIZING EFFECTIVE MEASURES, AVAILABLE RESOURCES AND COMMUNITY MEMBER INVOLVEMENT, COUNTY-SPECIFIC PLANS HAVE BEEN DEVELOPED AND IMPLEMENTED WHICH FOCUS ON PREVENTING THE GROWTH OF THE FOUR IDENTIFIED HEALTH OUTCOMES. HOWEVER, IT IS APPARENT THAT IT TAKES MORE THAN JUST RESOURCES AND AN IMPLEMENTATION PLAN TO CHALLENGE THESE HEALTH PRIORITIES. UCMH IS NEVERTHELESS, COMMITTED TO SEEING CHANGE TAKE PLACE WITHIN THE COMMUNITY IT SERVES. THE 10 INTERVIEWEES AGREED ALL OF THE FOUR HEALTH PRIORITIES COULD BE POSITIVELY IMPACTED BY ADDRESSING THE OBESITY ISSUE AS IT IS A HEALTH RISK FACTOR FOR EACH OF THESE DISEASES. THE COMMUNITY MEMBERS WHO WERE SURVEYED PROVIDED HELPFUL IDEAS AS TO HOW TO BEGIN FORMULATING A PLAN TO IMPROVE THE HEALTH PRIORITIES WITHIN THE COMMUNITY. TO ENHANCE EXISTING RESOURCES, THE PARTICIPANTS STRESSED THE SIGNIFICANCE OF INCREASING PUBLIC AWARENESS OF BOTH ADDRESSING ONE'S HEALTH NEEDS AND THE AVAILABILITY OF HEALTH CARE OPTIONS WITHIN THE COUNTY. ADDITIONAL SUGGESTIONS AS TO HOW UCMH CAN IMPROVE THE PREVIOUSLY IDENTIFIED HEALTH PRIORITIES ARE: 1. EDUCATION CLASSES AND EVENTS TO PROVIDE AWARENESS TO THE COMMUNITY CONCERNING HEALTH ISSUES; 2. PROVIDE ACCESS TO A NUTRITIONIST/DIETICIAN; AND 3. EDUCATIONAL CAMPAIGNS TO ENCOURAGE ANNUAL CHECK-UPS WITH YOUR LOCAL PHYSICIAN. |
| FACILITY 7, UNICOI COUNTY MEMORIAL HOSPITAL - PART V, LINE 20D | UNINSURED PATIENTS RECEIVE A 63% 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 | 11 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (11 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| JCMC AMBULATORY SURGERY CENTER | ||||
| 400 N STATE OF FRANKLIN ROAD | JOHNSON CITY | TN | 37604 | LICENSED AMBULATORY SURGERY CENTER |
| MOUNTAIN STATES IMAGING CENTER | ||||
| 301 MED TECH PARKWAY SUITE 100 | JOHNSON CITY | TN | 37604 | LICENSED OUTPATIENT DIAGNOSTIC CENTER |
| PRINCETON TRANSITIONAL CARE | ||||
| 401 PRINCETON ROAD | JOHNSON CITY | TN | 37601 | LICENSED SKILLED NURSING FACILITY |
| INDIAN PATH TRANSITIONAL CARE | ||||
| 2000 BROOKSIDE DRIVE | KINGSPORT | TN | 37660 | LICENSED SKILLED NURSING FACILITY |
| MEDICAL CNTR HOME CARE-JOHNSON CITY | ||||
| 101 MED TECH PARKWAY SUITE 100 | JOHNSON CITY | TN | 37604 | LICENSED HOME HEALTH AGENCY |
| MEDICAL CNTR HOME CARE-KINGSPORT | ||||
| 2020 BROOKSIDE DRIVE 28 | KINGSPORT | TN | 37660 | LICENSED HOME HEALTH AGENCY |
| RUSSELL CO MEDICAL CNTR HOME HLTH | ||||
| 116 FLANNAGAN AVENUE | LEBANON | VA | 24266 | LICENSED HOME HEALTH AGENCY |
| MEDICAL CENTER HOSPICE | ||||
| 101 MED TECH PARKWAY SUITE 100 | JOHNSON CITY | TN | 37604 | LICENSED HOSPICE AGENCY |
| JOHNSON COUNTY HOME HEALTH | ||||
| 1987 SOUTH SHADY STREET | MOUNTAIN CITY | TN | 37683 | LICENSED HOME HEALTH AGENCY |
| RUSSELL COUNTY MEDICAL CNTR HOSPICE | ||||
| 116 FLANNAGAN AVENUE | LABANON | VA | 24266 | LICENSED HOSPICE AGENCY |
| UNICOI COUNTY LONG TERM CARE | ||||
| 100 GREENWAY CIRCLE | UNICOI | TN | 37650 | LICENSED LONG TERM CARE FACILITY |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 6A - RELATED ORGANIZATION INFORMATION | A COMMUNITY BENEFIT REPORT WAS NOT COMPLETED DURING FY14. WE ARE PREPARING A COMMUNITY BENEFIT REPORT IN FY15. |
| PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION | A COST TO CHARGE RATIO (WORKSHEET 2 "RATIO OF PATIENT CARE COST TO CHARGES")WAS USED TO CALCULATE LINE 7A FINANCIAL ASSISTANCE (CHARITY CARE)COST. OUR COST ACCOUNTING SYSTEM WAS USED TO DETERMINE LOSSES FROM MEDICAID(LINE 7B) AND TENNCARE (LINE 7C). LINE 7E COMMUNITY HEALTH IMPROVEMENT INCLUDES NUMEROUS SERVICES AND THESE COSTS ARE TAKEN DIRECTLY FROM DEPARTMENTAL EXPENSE REPORTS, WITH NO ADDITIONAL OVERHEAD INCLUDED IN THE COST. MOST OF THESE SERVICES DO NOT HAVE OFFSETTING REVENUE TO REPORT. LINE 7F HEALTH PROFESSIONS EDUCATION IS COMPRISED OF TWO PROGRAMS. ONE IS OUR MEDICAL RESIDENTS AND INTERNS PROGRAM AT TWO OF OUR HOSPITALS AND THAT INFORMATION IS TAKEN FROM OUR FILED MEDICARE COST REPORTS. THE SECOND ACTIVITY IS INTERNSHIPS WITH SCHOOLS AND UNIVERSITIES, ALLOWING THEIR HEALTH PROFESSION STUDENTS TO GET HANDS-ON TRAINING AT A HOSPITAL AS PART OF THEIR EDUCATION AND TRAINING. OUR ORGANIZATIONAL DEVELOPMENT DEPARTMENT KEEPS DETAILED RECORDS ON HOURS SPENT ON THESE STUDENT ACTIVITIES, THE NUMBER OF STUDENTS THAT ROTATE THROUGH OUR HOSPITALS, ETC. INFORMATION IS MAINTAINED FOR EACH HOSPITAL AND HOSPITAL UNIT THAT PARTICIPATES. WE ONLY INCLUDE LABOR COSTS AND WE ONLY ASSUME A PERCENTAGE OF OUR TEAM MEMBERS' TIME IS DEVOTED TO THESE STUDENTS. FOR LINE 7G SUBSIDIZED HEALTH CARE SERVICES, WE USE OUR COST ACCOUNTING SYSTEM FOR MOST OF THE REPORTED SERVICES. OUR COST ACCOUNTING SYSTEM INCLUDES ALL PATIENT SEGMENTS (INPATIENT, OUTPATIENT, EMERGENCY ROOM, ETC. AND ALL PAYER SOURCES, INCLUDING SELF-PAY). WE ARE CAREFUL TO ENSURE NO DOUBLE COUNTING OF COST (FOR EXAMPLE, WE DO NOT INCLUDE CHARITY AND TENNCARE/MEDICAID ALREADY REORTED ON LINES 7A AND 7B). ALTHOUGH WE HAVE MANY SERVICE LINES WITHIN OUR HOSPITALS THAT LOSE MONEY, WE DO NOT REPORT AS COMMUNITY BENEFIT SURGERY OR OTHER SERVICES THAT HOSPITALS ARE REQUIRED BY STATE LICENSURE TO PROVIDE. THERE ARE A FEW OTHER SUBSIDIZED SERVICES NOT SEPARATELY TRACKED BY OUR COST ACCOUNTING SYSTEM; FOR THESE, WE USE THEIR ACTUAL DEPARTMENTAL EXPENSE, WHICH DOES NOT INCLUDE AN OVERHEAD ALLOCATION. LINE 7H RESEARCH IS REPORTED USING THE RESEARCH DEPARTMENT'S ACTUAL EXPENSES AND NO OVERHEAD PROVISION IS ADDED. LINE 7I CASH AND IN-KIND CONTRIBUTIONS ARE VALUED AT ACTUAL COST. PART I, LINE 7G: SUBSIDIZED SERVICES WITHIN MSHA INCLUDE SKILLED NURSING FACILITIES, MENTAL HEALTH, OUR AIR TRANSPORT SERVICE ("WINGS"), BABY/CHILD GROUND TRANSPORT, AND WOUND CARE. WE ALSO INCLUDE A PHYSICIAN SPECIALTY CLINIC OPERATED BY JCCH, A FEDERALLY DESIGNATED CRITICAL ACCESS HOSPITAL. THIS CONTINUES TO BE A VALUABLE RESOURCE TO THE RESIDENTS OF THE AREA BY AIDING WITH TRANSPORTATION ISSUES (OTHER PHYSICIAN OFFICES ARE MORE THAN AN HOUR AWAY), RESOLVING ACCESS LIMITATIONS FOR SPECIALTY SERVICES, AND PROVIDING RELIEF TO THE SPECIAL HEALTH PROBLEMS OF A LARGELY ELDERLY POPULATION. THE CLINIC INCURRED A LOSS OF 46,904 DURING FY14. |
| PART II - COMMUNITY BUILDING ACTIVITIES | MSHA LEADERS SUPPORT AND ENCOURAGE ALL TEAM MEMBERS TO VOLUNTEER TIME, MONEY AND SKILLS TO COMMUNITY SERVICE PROJECTS AND CHARITABLE ORGANIZATIONS. SENIOR LEADERS AND BOARD MEMBERS SET A POSITIVE EXAMPLE FOR MSHA TEAM MEMBERS, SERVING VOLUNTARILY ON COMMITTEES AND MANAGING BOARDS OF LOCAL SERVICE AND NON-PROFIT ORGANIZATIONS. MANY ALSO SERVE AS MEMBERS AND CONSULTANTS ON PROFESSIONAL COMMITTEES AND TASK FORCES THAT AFFECT REGIONAL DEVELOPMENT IN HEALTHCARE AND EDUCATION. MSHA, IN COLLABORATION WITH AREA HEALTH AGENCIES AND PROVIDERS, MAY OFFER ASSISTANCE WITH COORDINATION, ADVOCACY AND PUBLICITY; PROVIDE SPACE; OR CONTRIBUTE SUPPLIES TO SUPPORT GROUPS FOR THEIR PROGRAM ACTIVITIES. MSHA INCURRED EXPENSES OF MORE THAN 1.6 MILLION ON PHYSICIAN RECRUITMENT TO REPLACE PHYSICIANS RETIRING OR LEAVING OUR SERVICE AREAS, INCLUDING RECRUITMENT TO FEDERALLY DESIGNATED UNDERSERVED COMMUNITIES. WITHOUT MSHA'S DEDICATION TO RURAL HEALTH, THERE WOULD NOT BE AN ADEQUATE NUMBER OF PHYSICIANS TO SERVE THIS PATIENT POPULATION. MSHA PROVIDES NUMEROUS CONTRIBUTIONS TO CHARITABLE ORGANIZATIONS 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. SOME OF THESE INCLUDE FEEDING THE POOR, ASSISTING FAMILIES WITH HOUSING, DENTAL CARE, HOMES FOR CHILDREN, IMPROVING ACCESS TO HEALTH CARE, AND SPORTS ACTIVITIES FOR AT-RISK CHILDREN. WE PROVIDED PRINTING ASSISTANCE FOR A LOCAL SENIOR CENTER THIS YEAR AND WE MADE DONATIONS THAT ARE SPECIFIC TO CHILDREN, SUCH AS AFTER SCHOOL ACTIVITIES AND MENTORING PROGRAMS. OTHER DONATIONS ARE MADE TO BROADER-BASED ORGANIZATIONS SUCH AS THE UNITED WAY AND AMERICAN HEART ASSOCIATION. |
| 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 DEDUCTIBLES AND/OR CO-PAYMENTS. OTHER SELF-PAY ACCOUNTS ARE FROM PATIENTS WITH NO INSURANCE OR THIRD-PARTY COVERAGE. ALL PATIENTS WITH NO FORM OF THIRD-PARTY PAYER COVERAGE RECEIVE A 63% CALCULATED DISCOUNT, AS REQUIRED BY TENNESSEE LAW. THE EXCEPTION IS OUR CRITICAL ACCESS HOSPITAL, JOHNSON COUNTY COMMUNITY HOSPITAL, WHICH PROVIDES THE UNINSURED WITH A 50% CALCULATED DISCOUNT. JCCH'S CALCULATED DISCOUNT, AS DETERMINED BY TENNESSEE LAW, IS LOWER DUE TO THE SMALL HOSPITAL'S LOWER COST STRUCTURE. AFTER THE NORMAL COLLECTION PROCESS HAS INDICATED AN ACCOUNT IS UNCOLLECTIBLE, MSHA 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 | MSHA'S PATIENT FINANCIAL SERVICES MANAGEMENT ESTIMATES THAT 77% OF BAD DEBT EXPENSE IS ASSUMED ATTRIBUTABLE TO PATIENTS LIKELY ELIGIBLE FOR 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. IT IS IMPLAUSIBLE TO DETERMINE THE AMOUNT OF MSHA'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 ASSESSMENT FORM IS VOLUNTARILY PROVIDED TO US. WE CAN ASSERT THAT MORE THAN 97% OF OUR PATIENTS WHO HAVE PROVIDED COMPLETED FINANCIAL ASSESSMENT FORMS HAVE BEEN APPROVED FOR AT LEAST PARTIAL FINANCIAL ASSISTANCE. |
| BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS | THE TEXT OF MSHA'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE APPEARS ON PAGES 15-16 IN OUR MOST RECENT AUDITED FINANCIAL STATEMENTS (ATTACHED). |
| PART III, LINE 8 - MEDICARE EXPLANATION | MEDICARE ALLOWABLE COSTS WERE REPORTED USING MSHA'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, COMFORT ITEMS TO INCLUDE A TELEVISION, MAGAZINES, OR A TELEPHONE. ADDITIONAL NON-ALLOWABLE COSTS INCLUDE THE RECRUITMENT OF PHYSICIANS, PHYSICIAN GUARANTEES AND A PORTION (ALMOST 16%) OF THE BAD DEBT ASSOCIATED WITH THE CARE OF THE PATIENT. MEDICARE LOSSES, INCLUDING SOME NON-ALLOWABLE COSTS, SHOULD BE COUNTED AS A COMMUNITY BENEFIT AS THIS IS THE COST OF CARE FOR SERVING THE AGING POPULATION. 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, MSHA 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 MSHA 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 | MSHA 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. MOUNTAIN STATES RECOGNIZES ITS OBLIGATION TO PROVIDE QUALITY HEALTH CARE TO THOSE WHO ARE UNABLE TO PAY. CHARITY ELIGIBILITY DETERMINATION IS MADE ON AN EPISODIC BASIS WITH SOME EXCEPTIONS, SUCH AS: LACTATION CONSULTATIONS, WHICH REMAIN IN EFFECT FOR THE DURATION OF THE MOTHER'S BREASTFEEDING; ONCOLOGY SERVICES, WHICH REMAIN IN EFFECT FOR SIX MONTHS OR THE DURATION OF TREATMENT REGIMENS; PATIENTS REFERRED TO MSHA BY APPALACHIAN MOUNTAIN PROJECT ACCESS, AN ORGANIZATION WITH THE PURPOSE OF INCREASING ACCESS TO MEDICAL CARE TO LOW INCOME, UNINSURED RESIDENTS; AND, OTHER SPECIFIC CASES. 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. MSHA 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 SERVICES. 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. TENNESSEE RANKS 45TH AND VIRGINIA RANKS 21ST; HOWEVER, IT SHOULD BE NOTED THAT SOUTHWEST VIRGINIA (WHERE SOME OF MSHA FACILITIES ARE 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 67 INDIVIDUALS REPRESENTING THE NINE 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 HEALTH STATUS, HEALTH PRIORITIES, AND SUGGESTIONS FOR IMPROVEMENT. THE MAJORITY OF RESPONSES SUGGESTED FOCUSING ON EDUCATION IN ORDER TO PROMOTE HEALTHY HABITS. 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 4.24 OUT OF 10 (1 BEING THE LOWEST, 10 BEING THE HIGHEST). ALSO, ALL 67 PARTICIPANTS AGREED THAT OBESITY, CANCER, HEART DISEASE AND DIABETES WERE THE TOP HEALTH PRIORITIES IN EACH COUNTY. AHR REPORTS THAT TENNESSEE AND VIRGINIA BOTH SAW AN INCREASE IN DIABETES AND OBESITY WITHIN THE PAST TEN YEARS. TENNESSEE ALSO RANKS 44TH FOR CARDIOVASCULAR DEATHS AND 44TH FOR CANCER DEATHS (46TH FOR SMOKING)AND 46TH FOR DIABETES. VIRGINIA OVERALL HAS A BETTER RANKING IN THESE THREE CATEGORIES, BUT AS STATED EARLIER, SOUTHWEST VIRGINIA CLOSELY RESEMBLES TENNESSEE. SINCE COMPLETION OF THE CHNA AND ITS IMPLEMENTATION PLAN, MSHA HAS PARTNERED WITH SCHOOLS, NON-PROFIT AGENCIES AND OTHERS ON VARIOUS INITIATIVES TO ADDRESS HEALTH ISSUES; CHILDHOOD OBESITY, IN PARTICULAR. |
| PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | MSHA PROVIDES COMMUNICATION OF FINANCIAL ASSISTANCE ON ITS WEBSITE AND ON POSTERS LOCATED IN PROMINENT AREAS OF OUR HOSPITALS SUCH AS ADMITTING AND EMERGENCY DEPARTMENTS. PRINTED EDUCATIONAL MATERIALS INCLUDING FINANCIAL ASSISTANCE CONTACT INFORMATION ARE ALSO PROVIDED IN EACH PATIENT'S PAPERWORK. POSTERS AND REFERENCE MATERIALS ARE WRITTEN IN BOTH ENGLISH AND SPANISH. ADMITTING STAFF ARE TRAINED TO EDUCATE PATIENTS ON MSHA'S FINANCIAL ASSISTANCE POLICY. MSHA ALSO HAS FINANCIAL COUNSELORS TO PROVIDE FURTHER INFORMATION AND ASSISTANCE TO MSHA PATIENTS REGARDING MSHA'S FINANCIAL ASSISTANCE POLICY. THESE COUNSELORS ALSO HELP UNINSURED PATIENTS DETERMINE SOURCES OF PAYMENT FOR MEDICAL BILLS AND HELP PATIENTS DETERMINE ELIGIBILITY FOR PROGRAMS SUCH AS TNCARE/MEDICAID. IN ADDITION, MSHA HAS PARTNERED WITH THE COMPANY FIRSTSOURCE SOLUTIONS USA, TO WORK WITH SELF-PAYING PATIENTS WHO HAVE LIMITED FINANCIAL RESOURCES. DURING FY14, FIRSTSOURCE REPRESENTATIVES WERE ABLE TO DETERMINE GOVERNMENTAL MEDICAL ASSISTANCE (TNCARE OR MEDICAID) ELIGIBILITY, AND TO HELP WITH THE APPLICATION PROCESS AND FOLLOW-UP. DURING FY14, 1,775 PATIENTS WERE APPROVED FOR COVERAGE. ONCE A PERSON IS APPROVED FOR TNCARE OR MEDICAID THROUGH THIS PROGRAM OFFERED THROUGH MSHA, THEY RETAIN COVERAGE FOR FUTURE MEDICAL CARE. FIRSTSOURCE IS COMPENSATED BY MSHA. DURING FY14, MSHA'S COST FOR THIS PROGRAM WAS 572,031. |
| PART VI, LINE 4 - COMMUNITY INFORMATION | MSHA SERVES THE HEALTHCARE NEEDS OF 29 APPALACHIAN COUNTIES IN TENNESSEE, SOUTHWEST VIRGINIA, KENTUCKY AND NORTH CAROLINA. SOME OF THE COUNTIES MSHA SERVES ARE FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS. MSHA OPERATES 2 CRITICAL ACCESS HOSPITALS: DICKENSON COMMUNITY HOSPITAL IN VIRGINIA, AND JOHNSON COUNTY COMMUNITY HOSPITAL IN TENNESSEE. THE HEALTH STATUS OF THE POPULATION IN MSHA'S SERVICE AREA IS GENERALLY POOR. THE SERVICE AREA EXTENDS TO SOME OF THE POOREST RURAL COUNTIES IN THE REGION WITH A POVERTY RATE OF ALMOST 30%. SOME OF THE MOST WELL-OFF COUNTIES IN MSHA'S SERVICE AREA STILL HAVE A MEDIAN HOUSEHOLD INCOME LOWER THAN STATE AND NATIONAL AVERAGES. RURAL SERVICE AREA COUNTIES SHARE COMMON CHALLENGES OF: 1. HIGH RATES OF UNINSURED 2. HIGH PREVALENCE OF OBESITY 3. HIGH PREVALENCE OF DIABETES 4. HIGH PREVALENCE OF CANCER 5. HIGH PREVALENCE OF POOR CARDIAC HEALTH |
| PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH | MSHA IS DEDICATED TO OPERATING EFFICIENTLY SO THAT WASTE IS MINIMIZED. MSHA'S LEADERSHIP REMAINS MINDFUL OF MANAGING THE ALLIANCE'S LIMITED RESOURCES SO THAT ADEQUATE FACILITIES AND EQUIPMENT ARE AVAILABLE FOR THE CARE OF OUR PATIENTS. VARIOUS CHECKS AND BALANCES ARE ESTABLISHED TO ENSURE THAT EXPENDITURES FOR OPERATING EXPENSES AND CAPITAL COSTS ARE REASONABLE AND NECESSARY. SURPLUS FUNDS ARE INVESTED IN IMPROVING HEALTHCARE WITHIN OUR COMMUNITIES. THE MAJORITY OF MSHA'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA. PHYSICIANS THAT REQUEST PRIVILEGES WHO ARE QUALIFIED AND CREDENTIALED ARE EXTENDED PRIVILEGES BY MSHA. |
| PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM | MSHA PROVIDES CARE TO PEOPLE IN 29 COUNTIES IN TENNESSEE, VIRGINIA, KENTUCKY AND NORTH CAROLINA. EACH HOSPITAL IS FULLY ACCREDITED BY THE JOINT COMMISSION, WITH THE EXCEPTION OF JCCH. JCCH RECEIVES CERTIFICATION THROUGH THE STATE OF TENNESSEE SINCE IT IS A CRITICAL ACCESS HOSPITAL. MSHA IS INTEGRATED BOTH VERTICALLY AND HORIZONTALLY AND IS THE LARGEST REGIONAL HEALTHCARE SYSTEM WITH 14 HOSPITALS. TEN FACILITIES ARE WHOLLY-OWNED FACILITIES: 9 FACILITIES IN TENNESSEE AND 1 IN VIRGINIA. IN ADDITION TO THE WHOLLY-OWNED HOSPITALS WITHIN THIS FORM 990, MSHA ALSO HAS MAJORITY OWNERSHIP IN 4 HOSPITALS IN SOUTHWEST VIRGINIA. IN ADDITION TO OUR ACUTE CARE HOSPITALS, OUR SYSTEM ALSO INCLUDES SUCH SERVICES AS: PRIMARY/SPECIALTY PHYSICIAN PRACTICES, URGENT CARE CENTERS, EMERGENCY DEPARTMENTS, OCCUPATIONAL MEDICINE, REHABILITATION, OUTREACH LABORATORY, MENTAL HEALTH, NEONATAL INTENSIVE CARE, A NACHRI-AFFILIATED CHILDREN'S HOSPITAL, RENAL DIALYSIS, ST. JUDE'S ONCOLOGY, INPATIENT/OUTPATIENT SURGERY, SKILLED NURSING, LONG-TERM CARE, HOME HEALTH, AIR AMBULANCE TRANSPORT AND MORE. WITH THESE ADDITIONAL FACILITIES AND SERVICES, MSHA EXTENDS A HIGHLY EFFECTIVE HEALTH CARE DELIVERY SYSTEM. SINCE OUR SYSTEM IS BOTH HORIZONTALLY AND VERTICALLY INTEGRATED, PATIENTS CAN BE EFFICIENTLY MOVED ALONG AN INTEGRATED, COMPREHENSIVE CONTINUUM OF CARE AS THEIR HEALTH STATUS DICTATES. OUR FLAGSHIP FACILITY, JOHNSON CITY MEDICAL CENTER IS AT THE CORE OF OUR SYSTEM OFFERING FULL-SERVICE TERTIARY CARE. IN ADDITION TO OUR HOSPITALS, MSHA IS THE SOLE MEMBER OF BLUE RIDGE MEDICAL MANAGEMENT CORPORATION (BRMMC). MSHA EXTENDS AN INTEGRATED HEALTHCARE DELIVERY SYSTEM THROUGH BRMMC TO INCLUDE MULTIPLE PRIMARY AND SPECIALTY CARE PATIENT ACCESS CENTERS AND NUMEROUS OUTPATIENT CARE SITES, INCLUDING URGENT CARE CENTERS, OCCUPATIONAL MEDICINE SERVICES, A SAME DAY SURGERY CENTER AND OUTPATIENT REHABILITATION. MSHA COUNTY-SPECIFIC OPERATIONS ARE GOVERNED BY A COMMUNITY BOARD OF DIRECTORS. COUNTY BOARDS REPORT TO A SYSTEM LEVEL BOARD OF DIRECTORS. ALL BOARDS ARE PRIMARILY COMPOSED OF LOCAL COMMUNITY RESIDENTS. |
| PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT | TENNESSEE, VIRGINIA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (19 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Non Cash AssistanceNonCashAssistanceAmt | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|---|---|---|---|
| AMERICAN CANCER SOCIETY | |||||||||
| 250 WILLIAMS STREET NW SUITE 400 | ATLANTA | GA | 30303 | 131788491 | 501C3 | $26,774 | PROGRAM SUPPORT | ||
| AMERICAN HEART ASSOCIATION | |||||||||
| 208 SUNSET DRIVE | JOHNSON CITY | TN | 37604 | 135613797 | 501C3 | $62,500 | MULTI-EVENT SPONSOR | $463 | PRINTING |
| APPALACHIAN MOUNTAIN PROJECT ACCESS | |||||||||
| 809 SOUTH ROAN STREET SUITE 4 | JOHNSON CITY | TN | 37601 | 262102040 | 501C3 | $116,964 | HEALTH ACCESS | ||
| BARTER THEATRE | |||||||||
| PO BOX 867 | ABINGDON | VA | 24212 | 546000120 | 501C3 | $18,800 | CONTRIBUTION | ||
| BOYS & GIRLS CLUB OF KINGSPORT | |||||||||
| PO BOX 784 213 LEE STREET | KINGSPORT | TN | 37662 | 620481370 | 501C3 | $62,000 | FITNESS PROGRAMS | ||
| EAST TENNESSEE STATE UNIVERSITY | |||||||||
| PO BOX 70732 | JOHNSON CITY | TN | 37614 | 626021046 | 501C3 | $20,000 | SUPPORT FIT KIDS | ||
| FAMILY PROMISE | |||||||||
| PO BOX 205 | JOHNSON CITY | TN | 37605 | 621808323 | 501C3 | NEWSLETTERS | $5,462 | PRINTING | |
| FRIENDS IN NEED HEALTH CENTER | |||||||||
| 1105 W STONE DRIVE | KINGSPORT | TN | 37660 | 621541637 | 501C3 | $10,000 | DENTAL CARE | $62 | PRINTING |
| GOV'S FNDTN FOR HEALTH & WELLNESS | |||||||||
| PO BOX 198198 | NASHVILLE | TN | 37219 | 453635908 | 501C3 | $25,000 | HEALTH INITIATIVE | ||
| HANDS ON REGIONAL MUSEUM | |||||||||
| 315 EAST MAIN STREET | JOHNSON CITY | TN | 37601 | 621282542 | 501C3 | $7,500 | HEALTH PROGRAM | ||
| ISHN CONTRIBUTIONS K-1 | |||||||||
| 509 MED TECH PARKWAY SUITE 100 | JOHNSON CITY | TN | 37604 | 621711997 | 501C3 | $61,028 | K-1 P/S CHAR. CONTR. | ||
| JC PARKS & RECREATION FOUNDATION | |||||||||
| 4137 BRISTOL HIGHWAY | JOHNSON CITY | TN | 37601 | 383731893 | 501C3 | $5,000 | SPONSORSHIP | $824 | PRINTING |
| JOHNSON CITY SYMPHONY ORCHESTRA | |||||||||
| PO BOX 533 | JOHNSON CITY | TN | 37605 | 620910261 | 501C3 | PRINT PROGRAMS | $7,246 | PRINTING | |
| MARCH OF DIMES | |||||||||
| PO BOX 799 2700 S ROAN ST 430 | JOHNSON CITY | TN | 37605 | 131846366 | 501C3 | $15,000 | MARCH FOR BABIES | ||
| MOUNTAIN STATES FOUNDATION | |||||||||
| 2335 KNOB CREEK ROAD SUITE 101 | JOHNSON CITY | TN | 37604 | 581418862 | 501C3 | $56,390 | LOCAL HEALTH PROGRAM | ||
| ST MARY'S CATHOLIC CHURCH | |||||||||
| 2211 EAST LAKEVIEW DRIVE | JOHNSON CITY | TN | 37601 | 620507470 | 501C3 | $11,710 | CHILDHOOD OBESITY | ||
| SYCAMORE SHOALS ST HISTORIC AREA | |||||||||
| 1651 WEST ELK AVENUE | ELIZABETHTON | TN | 37643 | 626011445 | 501C3 | 2014 EVENT BOOK | $5,592 | PRINTING | |
| TOWN OF JONESBOROUGH | |||||||||
| 123 BOONE STREET | JONESBOROUGH | TN | 37659 | 626000322 | 501C3 | VARIOUS PROGRAMS | $21,318 | PRINTING | |
| VIRGINIA HIGHALNDS COMM COLLEGE | |||||||||
| PO BOX 828 | ABINGDON | VA | 24212 | 541268289 | 501C3 | $30,000 | NURSING PROGRAM | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 19 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PAGE 1, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | MOST DONATION REQUESTS ARE MADE THROUGH AN APPLICATION PROCESS WHERE THE APPLICANT DESCRIBES HOW THE MONEY WILL BE USED, HOW IT BENEFITS THE COMMUNITY, HOW OUR DONATION WILL CORRELATE WITH HEALTH NEEDS IDENTIFIED BY OUR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), AND THE AGREEMENT THAT THE DONEE WILL PROVIDE FOLLOW-UP OF HOW OUR DONATION WAS USED (WHO BENEFITED, ETC.). NOT ALL OF OUR DONATIONS ARE RESTRICTED TO OUR CHNA, BUT MANY ARE. MSHA'S SOCIAL RESPONSIBILITY COMMITTEE REVIEWS MOST DONATION REQUESTS TO DETERMINE WHICH REQUESTS MSHA WILL FUND. THERE ARE MANY FACTORS THAT ARE CONSIDERED DURING THE REVIEW PROCESS BY THE COMMITTEE, SUCH AS OUR BUDGET CONSTRAINTS, IF THE APPLICANT HAS ALREADY RECEIVED A DONATION FROM A MSHA FACILITY, HOW THE REQUESTING ORGANIZATION FITS WITH OUR CHNA, ETC. MSHA ADHERED TO THE FOLLOWING CRITERIA FOR OUR CONTRIBUTIONS TO ORGANIZATIONS IN THE REGION: HEALTHCARE: THE ORGANIZATION ENHANCED OR IMPROVED ACCESS FOR THE UNINSURED OR UNDERINSURED POPULATION OR SUPPORTED A PROGRAM TO IMPROVE THE HEALTH OF OUR CHILDREN (I.E., CHILDHOOD OBESITY PREVENTION). EDUCATION: THE ORGANIZATION PROVIDED A PROGRAM TO IMPROVE EDUCATION OF THE RESIDENTS IN OUR REGION ALL THE WAY TO COLLEGE AGE STUDENTS (SUCH AS A NURSING PROGRAM). QUALITY OF LIFE: THE ORGANIZATION SUPPORTED PROGRAMS TO ENHANCE THE QUALITY OF LIFE, WHICH IS IMPORTANT IN THE RECRUITMENT EFFORTS OF BUSINESSES IN THE REGION AS WE WORK TO ATTRACT AND RETAIN THE BEST TALENT. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | Yes (X) | FirstClassOrCharterTravelInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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 (18 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt |
|---|---|---|---|---|---|---|---|
| DENNIS VONDERFECHT | |||||||
| CEO | $780,241 | $236,094 | $41,860 | $40,000 | $28,381 | $1,126,576 | |
| MARVIN EICHORN | |||||||
| SENIOR VP/CFO | $467,818 | $104,240 | $54,577 | $24,139 | $23,164 | $673,938 | |
| ANN FLEMING | |||||||
| SR. VP | $383,151 | $87,911 | $282,847 | $55,452 | $17,959 | $827,320 | $242,724 |
| CANDACE JENNINGS | |||||||
| SR. VP TN OPERATIONS | $419,157 | $85,228 | $19,144 | $60,753 | $25,136 | $609,418 | |
| DAVID NICELY | |||||||
| VP/CEO WASHINGTON CO | $296,697 | $37,743 | $8,113 | $28,014 | $26,917 | $397,484 | |
| MONTY MCLAURIN | |||||||
| VP/IPMC CEO | $263,158 | $39,707 | $14,777 | $28,734 | $28,417 | $374,793 | |
| TONY BENTON | |||||||
| INTERIM CEO WASH. CO | $239,245 | $51,354 | $8,705 | $16,273 | $21,351 | $336,928 | |
| SHANE HILTON | |||||||
| VP/TN CFO | $208,263 | $68,171 | $10,464 | $15,045 | $22,994 | $324,937 | |
| LYNN KRUTAK | |||||||
| VP/CORP. CFO | $220,630 | $41,691 | $2,689 | $17,952 | $18,493 | $301,455 | |
| PATRICK BOLANDER | |||||||
| JCMC CFO | $182,716 | $15,905 | $7,523 | $3,847 | $24,205 | $234,196 | |
| STEVE SAWYER | |||||||
| IPMC CFO | $137,425 | $7,708 | $8,087 | $4,278 | $17,039 | $174,537 | |
| MORRIS SELIGMAN MD | |||||||
| SR. VP/CMO | $429,033 | $92,121 | $12,642 | $58,911 | $25,792 | $618,499 | |
| BERT SMITH MD | |||||||
| VP HOSP. PRGM. | $305,739 | $62,736 | $26,983 | $4,869 | $17,499 | $417,826 | |
| DOUGLAS EDEMA | |||||||
| VP PRES./CEO MSPG | $298,019 | $61,739 | $32,115 | $12,398 | $23,782 | $428,053 | |
| STEVE KILGORE | |||||||
| PRESIDENT BRMMC | $305,723 | $59,559 | $11,886 | $32,848 | $22,581 | $432,597 | |
| MARK WILKINSON | |||||||
| CMO | $332,573 | $34,304 | $4,282 | $10,940 | $26,138 | $408,237 | |
| DALE CLAYTORE | |||||||
| VP | $177,276 | $36,009 | $20,421 | $10,636 | $2,924 | $247,266 | |
| PAT NIDAY | |||||||
| FORMER CNO WASH. CO. | $149,917 | $24,209 | $16,920 | $7,985 | $31,992 | $231,023 | |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PAGE 1, PART I, LINE 1A | BOARD MEMBERS AND TEAM MEMBERS OF MSHA ARE NOT PERMITTED TO TRAVEL FIRST-CLASS WITH THE EXCEPTION OF MSHA'S CEO. AS SANCTIONED BY MSHA'S BOARD OF DIRECTORS, MSHA'S CEO IS PERMITTED TO TRAVEL FIRST-CLASS WHEN THE FLIGHT'S DURATION IS GREATER THAN TWO HOURS. DUE TO THE LENGTH OF SUCH FLIGHTS, THE BOARD BELIEVES IT IS IN THE BEST INTEREST OF MSHA FOR THE CEO TO TRAVEL FIRST-CLASS. CHARTER TRAVEL IS LIMITED TO MSHA BUSINESS TRIPS THAT INCLUDE NUMEROUS TRAVELERS AND WHICH CAN BE JUSTIFIED BASED UPON FINANCIAL AND/OR ESSENTIAL TIME SAVINGS. CHARTER FLIGHTS MUST BE APPROVED BY THE CEO PRIOR TO BOOKING THE FLIGHT. |
| SCHEDULE J, PAGE 1, PART I, LINE 4 | ANN FLEMING 0 39,222 0 CANDACE JENNINGS 0 42,847 0 DAVID NICELY 0 15,208 0 MONTY MCLAURIN 0 13,653 0 MORRIS SELIGMAN, M.D. 0 43,541 0 STEVE KILGORE 0 15,550 0 |
| SCHEDULE J, PART III | THE FOLLOWING EXECUTIVES LISTED IN SCHEDULE J, PART II PARTICIPATED IN A 457(F) RETIREMENT PLAN PROVIDED BY MOUNTAIN STATES HEALTH ALLIANCE (MSHA): ANN FLEMING, CANDACE JENNINGS, MONTY MCLAURIN, MORRIS SELIGMAN, DAVID NICELY, AND STEVE KILGORE. THE 457(F)PLAN IS A NONQUALIFIED TAX-DEFERRED COMPENSATION PLAN AVAILABLE TO A SELECT GROUP OF KEY EXECUTIVES FOR THE INTENT OF SUPPORTING RETENTION AND TO OFFER A COMPETITIVE TOTAL RETIREMENT PROGRAM. ACCOUNT BALANCES HAVE A "SUBSTANTIAL RISK OF FORFEITURE". IN ADDITION TO CREDITOR RISK, SUBSTANTIAL RISK OF FORFEITURE IS CREATED THROUGH DEFAULT RISK IF THE PARTICIPANT'S EMPLOYMENT WITH MSHA IS TERMINATED PRIOR TO AGE 65. HOWEVER, THE 457(F) PLAN CONTAINS A NON-COMPETE PROVISION THAT PROVIDES THE ACCOUNT BALANCE TO BE PAID IN A LUMP SUM AFTER THE EXECUTIVE SATISFIES THE TWO-YEAR NON-COMPETE PERIOD. THIS PROVISION APPLIES TO EMPLOYER CONTRIBUTIONS IF THE EXECUTIVE HAS PROVIDED ELIGIBLE SERVICE FOR SIX OR MORE YEARS. (ELIGIBLE SERVICE IS OFFICER SERVICE THAT PERMITTED THE EXECUTIVE TO PARTICIPATE IN THE PLAN.) THE EXECUTIVE WILL RECEIVE THE ENTIRE ACCOUNT BALANCE IF HE/SHE BECOMES DISABLED, DIES OR IF THE EXECUTIVE TERMINATES FOR "GOOD REASON" OR IS INVOLUNTARILY TERMINATED WITHOUT "GOOD CAUSE" WITHIN A 24-MONTH PERIOD AFTER A CHANGE-OF-CONTROL OCCURS. DISTRIBUTIONS FROM THIS PLAN ARE SUBJECT TO FEDERAL, STATE, AND LOCAL TAXES ON THE ENTIRE ACCOUNT BALANCE UPON DISTRIBUTION. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Business Name Line2IssuerName/BusinessNameLine2 | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|---|
| HLTH & EDU FACIL BD 2011A&B&C&D | |||||||||
| A | OF THE CITY OF JOHNSON CITY TN | 621464028 | 478271JS9 | 2011-10-19 | $195,840,000 | CONSTRUCTION & EQUIP. | false | false | false |
| HLTH & EDU FACIL BD 2010A&B | |||||||||
| B | 621464028 | 478271JH3 | 2010-04-29 | $205,877,528 | PARTIAL REFUNDING | false | false | false | |
| HLTH & EDU FACIL BD 2009A&B&C | |||||||||
| C | 621464028 | 478271HT9 | 2009-03-31 | $124,301,533 | CONSTRUCTION & EQUIP. | false | false | false | |
| HLTH & EDU FACIL BD 2006A | |||||||||
| D | 621464028 | 478271GX1 | 2006-02-14 | $178,614,171 | CONSTRUCTION & EQUIP. | false | false | false | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Substantial CompletionSubstantialCompletionYr |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $118,910,000 | $195,840,938 | $2,353,905 | $157,897,796 | $34,166,505 | $619,419 | Yes (true) | false | false | Yes (true) | |
| B | $24,545,000 | $206,153,584 | $3,474,644 | $201,278,521 | $1,400,419 | Yes (true) | false | false | Yes (true) | ||
| C | $4,970,000 | $125,776,987 | $2,481,706 | $100,727,095 | $17,687,636 | $4,880,548 | false | false | Yes (true) | Yes (true) | 2014 |
| D | $5,295,000 | $185,261,811 | $2,383,533 | $101,295,664 | $64,674,434 | $16,908,180 | Yes (true) | Yes (true) | Yes (true) | Yes (true) | 2011 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|
| A | false | false | Yes (true) | Yes (true) | false | false | false | Yes (true) |
| B | false | false | Yes (true) | Yes (true) | false | false | false | Yes (true) |
| C | false | false | Yes (true) | Yes (true) | false | false | false | Yes (true) |
| D | false | false | Yes (true) | Yes (true) | false | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd | Business Name Line2HedgeProviderName/BusinessNameLine2 | Term Of HedgeTermOfHedgePct | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd | Business Name Line1GICProviderName/BusinessNameLine1 | Business Name Line2GICProviderName/BusinessNameLine2 | Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| (no name) | ||||||||||||||||
| A | false | Yes (true) | false | false | Yes (true) | false | false | false | Yes (true) | |||||||
| (no name) | ||||||||||||||||
| B | false | Yes (true) | false | false | false | false | false | Yes (true) | Yes (true) | |||||||
| (no name) | ||||||||||||||||
| C | false | false | false | Yes (true) | false | false | false | Yes (true) | Yes (true) | |||||||
| MERRILL LYNCH | ||||||||||||||||
| D | false | false | false | Yes (true) | false | Yes (true) | Yes (true) | Yes (true) | Yes (true) | PIERCE FENNER & SMITH INC | 0.200000000000 | false | false | JP MORGAN | CHASE BANK NA | false |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE K - PURPOSE OF ISSUE DESCRIPTION | HLTH & EDU. FACIL. BD. 2011A&B&C&D (LINE A) CONSTRUCT AND EQUIP HOSPITAL FACILITIES,INCLUDING REFINANCING TAXABLE DEBT RELATING THERETO, REFUND BONDS ISSUED 12/01/2001; REFINANCING LOANS AND EQUIPMENT LEASES. HLTH & EDU. FACIL. BD. 2010A&B (LINE B) PARTIAL REFUNDING OF BONDS ISSUED 12/14/2007 (2007A) AND (2007C) AND 2/20/2008 (2008A). HLTH & EDU. FACIL. BD. 2009A&B&C (LINE C) CONSTRUCT AND EQUIP HOSPITAL FACILITIES,INCLUDING REFINANCING OF TAXABLE INDEBTEDNESS RELATING THERETO. HLTH & EDU. FACIL. BD. 2006A (LINE E) CONSTRUCT AND EQUIP HOSPITAL FACILITIES,INCLUDING REFINANCING TAXABLE DEBT RELATING THERETO, AND COST OF INTEREST RATE HEDGE, REFUND BONDS ISSUED 3/28/01, 7/01/03, 7/08/04, 11/23/04, 9/7/05 AND 11/23/05. HLTH & EDU. FACIL. BD. 2012A&B&C (LINE F) CONSTRUCT AND EQUIP SURGERY CENTER AT JCMC; CONSTRUCT AND EQUIP HOSPITAL FACILITIES, INCLUDING REFINANCING OF INDEBTEDNESS RELATING THERETO. HLTH & EDU. FACIL. BD. 2013A&C&D&E (LINE G) CONSTRUCT & EQUIP HOSPITAL FACILITIES, INCLUDING REFINANCING OF INDEBTEDNESS RELATING THERETO, REFUND BONDS ISSUED 2/20/08, 10/19/11 & 9/18/12 |
| SCHEDULE K - DATE REBATE COMPUTATION PERFORMED | HLTH & EDU. FACIL. BD. 2009A&B&C 03/21/14 HLTH & EDU. FACIL. BD. 2006A 02/17/10 |
| SCHEDULE K - ADDITIONAL INFORMATION | HLTH & EDU. FACIL. BD. 2006A SCHEDULE K PART VI: 1.COMMENT ON SCHEDULE K, PART I, LINES A, B, C, E, AND F. MOUNTAIN STATES HEALTH ALLIANCE OWNS AND/OR OPERATES HOSPITALS IN A NUMBER OF DIFFERENT LOCATIONS BOTH IN TENNESSEE AND IN VIRGINIA. AS A RESULT, MSHA MUST UTILIZE CONDUIT GOVERNMENTAL BOND ISSUERS IN A NUMBER OF JURISDICTIONS IN ORDER TO FINANCE IMPROVEMENTS TO ITS HOSPITAL FACILITIES. IN 2009, 2010, 2011, 2012 AND 2013, MSHA WAS THE CONDUIT BORROWER OF TAX-EXEMPT BONDS ISSUED BY MULTIPLE ISSUERS IN TENNESSEE AND VIRGINIA. FOR FEDERAL TAX PURPOSES, EVEN THOUGH DIFFERENT GOVERNMENT ISSUERS WERE INVOLVED, THESE MULTIPLE ISSUES IN EACH YEAR WERE REQUIRED TO BE TREATED, AND WERE TREATED, AS A SINGLE "ISSUE" BECAUSE THEY MET THE SINGLE "ISSUE" TEST UNDER THE APPLICABLE FEDERAL TAX REGULATIONS. THEREFORE, MULTIPLE ISSUERS ARE LISTED UNDER LINES A, B, C, E AND F BECAUSE THE BONDS THAT WERE ISSUED WERE PART OF A SINGLE "ISSUE" FOR FEDERAL TAX PURPOSES. 2. COMMENT ON SCHEDULE K, PART II. LINE 3 EACH OF THE LISTED BOND ISSUES DO NOT MATCH THE APPLICABLE ISSUE PRICE BECAUSE OF INTEREST EARNINGS EARNED ON THE SALE PROCEEDS OF EACH BOND SERIES. 3. COMMENT ON SCHEDULE K, PART II, LINES 9 THROUGH 11. THE INSTRUCTIONS ARE UNCLEAR AS TO WHETHER AMOUNTS USED TO REFINANCE SHORT-TERM TAXABLE LOANS INCURRED TO TEMPORARILY FINANCE ELIGIBLE COSTS SHOULD BE SHOWN AS CAPITAL EXPENDITURES AND WORKING CAPITAL (LINES 9 AND 10) OR AS OTHER SPENT PROCEEDS (LINE 11). BASED UPON A REVIEW OF OTHER 990 FILINGS, IT APPEARS THAT MOST REPORTING ENTITIES HAVE LISTED THE APPLICATION OF PROCEEDS FOR SUCH PURPOSE UNDER OTHER SPENT PROCEEDS (LINE 11). THIS FILING TAKES THAT APPROACH. 4. COMMENT ON SCHEDULE K, PART II, LINE 12. IT IS UNCLEAR UNDER THE INSTRUCTIONS WHETHER TRANSFERRED PROCEEDS SHOULD BE TREATED AS OTHER UNSPENT PROCEEDS FOR REPORTING PURPOSES ON LINE 12. AS AN ABUNDANCE OF CAUTION, TRANSFERRED PROCEEDS HAVE BEEN INCLUDED ON LINE 12 FOR EACH ISSUE (BEING THOSE ISSUES LISTED ON LINES A, E AND F UNDER PART I) TO THE EXTENT APPLICABLE. ALSO, DURING ITS 2013 FISCAL YEAR, MSHA WAS ABLE TO REMOVE THE REQUIREMENT THAT CERTAIN DEBT SERVICE RESERVE FUNDS BE MAINTAINED. AS A RESULT, MSHA WAS ABLE TO TRANSFER PROCEEDS FROM DEBT SERVICE RESERVE FUNDS FOR CERTAIN ISSUES TO BOND SINKING FUNDS FOR THOSE ISSUES TO PAY PRINCIPAL ON THE ISSUE AND TO REDUCE THE AMOUNT OF TAX-EXEMPT BONDS OUTSTANDING IN THE MARKET. AS A RESULT, UNSPENT PROCEEDS HAVE INCREASED FOR CERTAIN ISSUES WHILE SUCH FUNDS ARE HELD IN THE BOND SINKING FUNDS, AND THE AMOUNTS PREVIOUSLY HELD IN DEBT SERVICE RESERVE FUNDS FOR SUCH ISSUES HAVE BEEN REDUCED. MSHA IS USING SUCH PROCEEDS TO PAY PRINCIPAL AS QUICKLY ON THOSE ISSUES AS THE BOND DOCUMENTS PERMIT. 5. COMMENT ON SCHEDULE K, PART IV, LINE 1. PRIOR TO JUNE 30, 2014, THE REPORTING DATE OF THE 990, THE ONLY ARBITRAGE REBATE CALCULATIONS THAT WERE REQUIRED RELATED TO THE BONDS DESCRIBED IN LINES C AND D OF PART I (THE SERIES 2006 AND 2009 BONDS). MSHA RETAINED A REBATE CALCULATION AGENT TO CALCULATE WHETHER ANY ARBITRAGE REBATE WAS DUE WITH RESPECT TO THOSE BONDS, AND THERE WAS NEGATIVE ARBITRAGE REBATE LIABILITY IN A SIGNIFICANT AMOUNT. THEREFORE, NO FORM 8038-T WAS REQUIRED TO BE FILED WITH RESPECT TO THOSE BOND ISSUES. 6. COMMENT ON SCHEDULE K, PART IV, LINE 5D. PART IV, LINE 5D RELATIVE TO THE BOND ISSUE DESCRIBED ON LINE D SHOWS THAT THE REGULATORY SAFE HARBOR FOR ESTABLISHING FAIR MARKET VALUE OF THE GIC DESCRIBED IN LINE 5A WAS NOT SATISFIED. DUE TO MARKET CONDITIONS AT THE TIME, MSHA DID NOT RECEIVE THREE BIDS FOR THIS GIC. HOWEVER, THE YIELD ON THE GIC WAS SO SUBSTANTIALLY BELOW THE YIELD ON THE RELEVANT BONDS THAT THERE WAS NO DOUBT THAT THE YIELD ON THE GIC DID NOT EXCEED THE APPROPRIATE YIELD ON THE RELEVANT BONDS. 7. COMMENT ON SCHEDULE K, PART IV, LINE 6. THE BOND ISSUES DESCRIBED IN LINES A, B, C, E AND F OF PART I HAVE TRANSFERRED PROCEEDS OF PRIOR BOND ISSUES THAT FINANCED SIGNIFICANT CAPITAL IMPROVEMENTS TO HOSPITAL FACILITIES OR PROCEEDS THAT ARE TO BE USED FOR SUCH PURPOSES. THERE HAVE BEEN UNEXPECTED DELAYS IN THE CONSTRUCTION AND EQUIPPING OF CERTAIN OF THESE HOSPITAL FACILITIES, AND THEREFORE NOT ALL OF SUCH PROCEEDS WERE SPENT WITHIN THE THREE-YEAR TEMPORARY PERIOD RELATIVE TO CONSTRUCTION PROJECTS. HOWEVER, MSHA HAS YIELD RESTRICTED THESE PROCEEDS AFTER THE END OF THE APPLICABLE TEMPORARY PERIOD AND/OR WILL BE MAKING A YIELD REDUCTION PAYMENT WITH RESPECT TO THOSE PROCEEDS, IF REQUIRED. ALSO, THE PROCEEDS HELD IN THE BOND SINKING FUNDS AS DESCRIBED IN COMMENT 4 ABOVE ARE NO LONGER ELIGIBLE FOR ANY TEMPORARY PERIOD AND WILL BE INVESTED AT A RESTRICTED YIELD OR WILL BE SUBJECT TO A YIELD REDUCTION PAYMENT. |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (5 entries)
| Loan PurposeLoanPurposeTxt | Loan From OrganizationLoanFromOrganizationInd | Original PrincipalOriginalPrincipalAmt | Balance DueBalanceDueAmt | DefaultDefaultInd | Board Or Committee ApprovalBoardOrCommitteeApprovalInd | Written AgreementWrittenAgreementInd |
|---|---|---|---|---|---|---|
| DENNIS VONDERFECHT | ||||||
| SPLIT LIFE INSUR.LOAN,INCL.PR.YRS | Yes (X) | $7,205,125 | $7,395,295 | false | Yes (true) | Yes (true) |
| MARVIN EICHORN | ||||||
| SPLIT DOLLAR LIFE INSURANCE LOAN | Yes (X) | $700,000 | $710,710 | false | Yes (true) | Yes (true) |
| MARVIN EICHORN | ||||||
| SPLIT DOLLAR LIFE INSURANCE LOAN | Yes (X) | $304,332 | $304,332 | false | Yes (true) | Yes (true) |
| MARVIN EICHORN | ||||||
| SPLIT LIFE INSUR.LOAN,INCL.PR.YRS | Yes (X) | $296,183 | $296,183 | false | Yes (true) | Yes (true) |
| MARVIN EICHORN | ||||||
| SPLIT DOLLAR LIFE INSURANCE LOAN | Yes (X) | $183,364 | $282,454 | false | Yes (true) | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $8,988,974 | TotalBalanceDueAmt |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (9 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| WATAUGA PATHOLOGY ASSOC PC | |||
| M.D. SERVICES | $410,197 | SEE PART V | false |
| PULMONARY ASSOCIATES OF EAST TENN | |||
| M.D. SERVICES | $42,125 | SEE PART V | false |
| WORKSPACE INTERIORS INC | |||
| VENDOR | $1,205,384 | SEE PART V | false |
| MATTHEW MARTIN | |||
| FAMILY MEMBER | $27,783 | SEE PART V | false |
| MITCH HATHAWAY | |||
| FAMILY MEMBER | $97,491 | SEE PART V | false |
| SYCAMORE SHOALS ANESTHESIA ASSOC | |||
| M.D. SERVICES | $819,996 | SEE PART V | false |
| CLEM WILKES III | |||
| FAMILY MEMBER | $71,145 | SEE PART V | false |
| PAULA CLAYTORE | |||
| FAMILY MEMBER | $270,782 | SEE PART V | false |
| JAMES TEIXEIRA | |||
| FAMILY MEMBER | $77,016 | SEE PART V | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART V | FormAndLineReferenceDesc |
| Explanation | (1) SANDRA BROOKS, M.D., MSHA BOARD MEMBER, IS A PARTNER WITH OWNERSHIP INTEREST IN WATAUGA PATHOLOGY ASSOCIATES, P.C., WATAUGA PATHOLOGY ASSOCIATES, P.C. PROVIDES MEDICAL SERVICES TO MSHA. (2) DR. JEFF FARROW, MSHA BOARD MEMBER, IS A KEY EMPLOYEE OF PULMONARY ASSOCIATES OF EAST TENNESSEE P.C. AND HAS AN OWNERSHIP IN THE PROFESSIONAL CORPORATION. PULMONARY ASSOCIATES OF EAST TENNESSEE P.C. PROVIDES MEDICAL SERVICES TO MSHA. (3) ROBERT FEATHERS, PAST CHAIR OF THE MSHA BOARD OF DIRECTORS, IS OWNER OF WORKSPACE INTERIORS,INC. WHICH PROVIDES COMMERCIAL FURNISHINGS AND DESIGN SERVICES TO MSHA. TRANSACTIONS ARE CONDUCTED AT ARMS-LENGTH. (4) JOANNE GILMER, VICE CHAIR OF THE MSHA BOARD OF DIRECTORS, IS A FAMILY MEMBER OF MATTHEW MARTIN, AN EMPLOYEE OF MSHA. (5) JOANNE GILMER, VICE CHAIR OF THE MSHA BOARD OF DIRECTORS, IS A FAMILY MEMBER OF MITCH HATHAWAY, AN EMPLOYEE OF MSHA. (6) DR. DAVID MAY, MSHA BOARD MEMBER, SERVES AS BOARD CHAIR FOR SYCAMORE SHOALS ANESTHESIA ASSOCIATES, P.C., AND HAS AN OWNERSHIP SHARE IN THE PROFESSIONAL CORPORATION. SYCAMORE SHOALS ANESTHESIA ASSOCIATES, P.C. PROVIDES MEDICAL SERVICES TO MSHA. (7) CLEM WILKES, JR., CHAIR OF THE MSHA BOARD OF DIRECTORS, IS A FAMILY MEMBER OF CLEM WILKES III, AN EMPLOYEE OF MSHA. (8) DALE CLAYTORE, FORMER KEY EMPLOYEE OF MSHA, IS A FAMILY MEMBER OF PAULA CLAYTORE, AN EMPLOYEE OF MSHA. (9) PAT NIDAY, FORMER KEY EMPLOYEE OF MSHA, IS A FAMILY MEMBER OF JAMES TEIXEIRA, AN EMPLOYEE OF MSHA. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 1, ITEM C | NISWONGER CHILDREN'S HOSPITAL; QUILLEN REHABILITATION HOSPITAL; FRANKLIN WOODS COMMUNITY HOSPITAL; INDIAN PATH MEDICAL CENTER; SYCAMORE SHOALS HOSPITAL; WOODRIDGE HOSPITAL FOR BEHAVIORAL HEALTH SERVICES; JOHNSON COUNTY COMMUNITY HOSPITAL; RUSSELL COUNTY MEDICAL CENTER; UNICOI COUNTY MEMORIAL HOSPITAL |
| FORM 990 - ORGANIZATION'S MISSION | MOUNTAIN STATES HEALTH ALLIANCE (MSHA) IS COMMITTED TO OUR MISSION OF BRINGING LOVING CARE TO HEALTH CARE. WE EXIST TO IDENTIFY AND RESPOND TO THE HEALTHCARE NEEDS OF INDIVIDUALS AND COMMUNITIES IN THE 29-COUNTY AREA WE SERVE, HELPING THEM ATTAIN THEIR HIGHEST LEVEL OF HEALTH. MSHA DELIVERS THIS CARE THROUGH THE PHILOSOPHY OF PATIENT-CENTERED CARE, AND THE DEVELOPMENT OF COMPREHENSIVE STRATEGIC PLANNING AND IMPLEMENTATION. SEE ATTACHED NARRATIVE-PROGRAM SERVICE ACCOMPLISHMENTS. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE CFO AND SENIOR VP REVIEWED THE FORM 990 WITH THE BOARD OF DIRECTORS PRIOR TO FILING 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. 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 CEO'S COMPENSATION AND BENEFITS ARE SUBJECT TO THE EXECUTIVE COMPENSATION POLICY OF MOUNTAIN STATES HEALTH ALLIANCE (MSHA). THE POLICY WAS ESTABLISHED BY MSHA'S BOARD OF DIRECTORS AND IS ALLIGNED WITH THE MSHA MISSION, VISION, AND VALUES, SUPPORTING THE ACHIEVEMENT OF THE HEALTH SYSTEM'S STRATEGIC PLANS AND ANNUAL GOALS AND OBJECTIVES. THE POLICY ENSURES THAT MSHA'S EXECUTIVE COMPENSATION IS COMPLIANT WITH THE LEGAL, REGULATORY, AND STATUTORY ENVIRONMENT AFFECTING COMPENSATION. MSHA'S PRESIDENT AND CEO MAKES RECOMMENDATIONS TO THE EXECUTIVE COMMITTEE OF THE MSHA BOARD FOR ALL ELEMENTS OF COMPENSATION FOR THE SENIOR MANAGEMENT TEAM. THE BOARD OF DIRECTORS MONITORS THE PERFORMANCE OF THE SENIOR MANAGEMENT TEAM ON AN ONGOING BASIS, BUT AT LEAST ANNUALLY. |
| FORM 990, PAGE 6, PART VI, LINE 15B | SIMILAR TO THE CEO'S COMPENSATION, THE CFO RECEIVES COMPENSATION AND BENEFITS THAT COMPLY WITH MSHA'S SALARY POLICY. HIS PAY IS SET AT A MARKET PERCENTILE SPECIFIC TO HIS POSITION. |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE UPON REQUEST TO APPROPRIATE PARTIES REQUESTING THEM. FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST TO APPROPRIATE PARTIES REQUESTING THEM, AND THEY ARE MADE AVAILABLE TO THOSE PARTIES WHO OWN INDEBTEDNESS OF THE COMPANY ON A QUARTERLY BASIS. |
| FORM 990, PAGE 7, PART VII | LYNN KRUTAK, CFO AND MSHA KEY EMPLOYEE, IS PAID BY MSHA. BLUE RIDGE MEDICAL MANAGEMENT CORPORATION (BRMMC) REIMBURSES MSHA FOR 50% OF KRUTAK'S SALARY AND BENEFITS. MSHA IS THE SOLE MEMBER OF BRMMC. KRUTAK DEVOTES AN EQUAL AMOUNT OF TIME BETWEEN MSHA AND BRMMC. DR. DOUGLAS EDEMA AND STEVE KILGORE, REPORTABLE AS HIGHEST COMPENSATED EMPLOYEES, ARE PAID BY MSHA AND THEIR SALARY AND BENEFITS ARE FULLY REIMBURSED TO MSHA BY BRMMC. CERTAIN EXECUTIVES OF THE ORGANIZATION, SUCH AS THE CEO AND SR VP/CFO, PROVIDE SERVICES TO SOME OR ALL OF THE ORGANIZATIONS RELATED TO MSHA. |
| FORM 990, PART IX, LINE 11G | PHYSICIAN FEES 24,631,544 0 0 DIETARY SERVICES 8,064,179 0 0 CONSULTING SERVICES 0 5,006,726 0 ENVIRONMENTAL SERVICES 4,346,007 0 0 LAUNDRY SERVICES 3,904,673 0 0 COLLECTION SERVICES 3,436,975 0 0 RETAIL PHARMACY 2,590,687 0 0 LABORATORY SERVICES 2,442,224 0 0 CONTRACT LABOR 1,797,398 0 0 PATIENT RESOURCE SERVICES 1,147,985 0 0 TRANSCRIPTION SERVICES 995,139 0 0 PHYSICIAN LOAN FORGIVENESS 656,530 0 0 OTHER FEES 29,174,476 5,664,127 6,237 |
| FORM 990, PART XI, LINE 9 | PARTNERSHIP CHARITABLE CONTRIBUTION NOT ON BOOKS 61,028 PARTNERSHIP GAIN NOT ON BOOKS -108,586 CHANGE IN FAIR VALUE OF DERIVATIVES -2,789,699 P/S ORDINARY INCOME/LOSS-NOT ON BOOKS -3,485,375 P/S INTEREST INCOME-NOT ON BOOKS -16,033 TRSFR OF UCMH INVSTMT. TO BRMMC -36,795 TEMPORARILY RESTRICTED GRANTS -61,035 TOTAL TO FORM 990, PART XI, LINE 9 -6,314,425 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| DICKENSON COMMUNITY HOSPITAL | ||||||||||
| ONE HOSPITAL DRIVE | CLINTWOOD | VA | 24228 | 770599553 | HOSPITAL | VA | 501C3 | 3 | NCH | 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 |
| SMYTH COUNTY COMMUNITY HOSPITAL | ||||||||||
| 245 MEDICAL PARK DRIVE | MARION | VA | 24354 | 540794913 | HOSPITAL | VA | 501C3 | 3 | MSHA | false |
| NORTON COMMUNITY HOSPITAL | ||||||||||
| 100 15TH STREET NW | NORTON | VA | 24273 | 540566029 | HOSPITAL | VA | 501C3 | 3 | NA | false |
| 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 |
| APPALACHIAN EMERGENCY PHYSICIANS | ||||||||||
| 1021 W OAKLAND AVENUE STE 207 | JOHNSON CITY | TN | 37604 | 800592504 | MED. SERV | VA | 501C3 | 11A | NA | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct | Business Name Line2DirectControllingEntityName/BusinessNameLine2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| INTEGRATED SOLUTIONS HEALTH NETWORK | ||||||||||||||
| 509 MED TECH PARKWAY SUITE 100 | JOHNSON CITY | TN | 37604 | 621711997 | INVESTMENT | TN | MSHA | EXCLUDED | $2,122,481 | $12,484,859 | false | false | 0.99830 | |
| EMMAUS COMMUNITY HEALTHCARE LLC | ||||||||||||||
| 6070 HWY 11E | PINEY FLATS | TN | 37686 | 200577483 | MED. SERV. | TN | BRMMC | false | false | BRMMC | ||||
| MEDICAL SPECIALISTS OF JC LLC | ||||||||||||||
| 2528 WESLEY STREET SUITE 2 | JOHNSON CITY | TN | 37601 | 272199037 | MED. SERV. | TN | MSHA | EXCLUDED | -$213,548 | $298,823 | false | false | 0.51000 | |
| EAST TN AMBULATORY SURGERY CNTR | ||||||||||||||
| 701 MED TECH PARKWAY SUITE 100 | JOHNSON CITY | TN | 37604 | 621787537 | MED. SERV. | TN | BRMMC | false | false | |||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BLUE RIDGE MEDICAL MANAGEMENT CORP | ||||||||||||
| 1021 W OAKLAND AVENUE STE 207 | JOHNSON CITY | TN | 37604 | 621490616 | MED. SERV. | TN | MSHA | C CORP | $111,802,020 | $234,434,921 | 1.00000 | false |
| MEDISERVE MEDICAL EQUIPMENT | ||||||||||||
| 1021 W OAKLAND AVENUE SUITE 207 | JOHNSON CITY | TN | 37604 | 621212286 | DME | TN | BRMMC | C CORP | $4,499,229 | $4,640,641 | 1.00000 | false |
| MOUNTAIN STATES PROPERTIES | ||||||||||||
| 1021 W OAKLAND AVENUE SUITE 207 | JOHNSON CITY | TN | 37604 | 621845895 | PROP. MGMT | TN | BRMMC | C CORP | $14,098,045 | $147,365,408 | 1.00000 | false |
| MOUNTAIN STATES PHYSICIAN GROUP | ||||||||||||
| 1021 W OAKLAND AVENUE SUITE 207 | JOHNSON CITY | TN | 37604 | 621700412 | MED. SERV. | TN | BRMMC | C CORP | $64,194,747 | $7,270,764 | 1.00000 | false |
| COMMUNITY HOME CARE INC | ||||||||||||
| 1460 PARK AVENUE | NORTON | VA | 24273 | 541453810 | DME | VA | NCH | C CORP | $391,958 | $495,203 | 0.50100 | false |
| SOUTHWEST COMMUNITY HEALTH SERV | ||||||||||||
| PO BOX 880 | MARION | VA | 24354 | 541460695 | MED. SERV. | VA | SCCH | C CORP | $76,200 | $592,392 | 0.80000 | false |
| WILSON PHARMACY INC | ||||||||||||
| PO BOX 5289 | JOHNSON CITY | TN | 37604 | 620329587 | PHARMACY | TN | BRMMC | C CORP | $4,350,967 | $5,666,405 | 1.00000 | false |
| CRESTPOINT HEALTH INSURANCE COMPANY | ||||||||||||
| 509 MED TECH PARKWAY SUITE 100 | JOHNSON CITY | TN | 37604 | 620381170 | INSURANCE | TN | ISHN | C CORP | $4,906,389 | $7,945,232 | 0.99830 | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | Yes (true) | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | Yes (true) | 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 | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (50 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt |
|---|---|
| MSHA AUXILIARY | |
| P | $104,826 |
| MSHA AUXILIARY | |
| Q | $859,493 |
| BLUE RIDGE MEDICAL MANAGMENT CORP | |
| A | $76,703 |
| BLUE RIDGE MEDICAL MANAGMENT CORP | |
| G | $120,724 |
| BLUE RIDGE MEDICAL MANAGMENT CORP | |
| H | $272,220 |
| BLUE RIDGE MEDICAL MANAGMENT CORP | |
| L | $419,838 |
| BLUE RIDGE MEDICAL MANAGEMENT CORP | |
| M | $31,202,130 |
| BLUE RIDGE MEDICAL MANAGEMENT CORP | |
| O | $265,230 |
| BLUE RIDGE MEDICAL MANAGEMENT CORP | |
| P | $3,839,569 |
| BLUE RIDGE MEDICAL MANAGEMENT CORP | |
| Q | $22,395,030 |
| HEALTHPLUS | |
| G | $3,632,525 |
| HEALTHPLUS | |
| J | $52,387 |
| HEALTHPLUS | |
| L | $181,190 |
| HEALTHPLUS | |
| M | $546,218 |
| HEALTHPLUS | |
| P | $75,640 |
| HEALTHPLUS | |
| Q | $12,552,650 |
| HEALTHPLUS | |
| S | $803,018 |
| MEDISERVE | |
| K | $220,973 |
| MEDISERVE | |
| L | $148,129 |
| MEDISERVE | |
| P | $214,778 |
| MEDISERVE | |
| Q | $3,382,559 |
| MOUNTAIN STATES PROPERTIES | |
| G | $2,211,449 |
| MOUNTAIN STATES PROPERTIES | |
| K | $1,087,854 |
| MOUNTAIN STATES PROPERTIES | |
| L | $315,609 |
| MOUNTAIN STATES PROPERTIES | |
| O | $254,250 |
| MOUNTAIN STATES PROPERTIES | |
| P | $157,048 |
| MOUNTAIN STATES PROPERTIES | |
| Q | $5,467,192 |
| MOUNTAIN STATES PROPERTIES | |
| R | $531,453 |
| MOUNTAIN STATES FOUNDATION | |
| B | $56,390 |
| MOUNTAIN STATES FOUNDATION | |
| C | $3,510,166 |
| NORTON COMMUNITY HOSPITAL | |
| D | $21,242,680 |
| NORTON COMMUNITY HOSPITAL | |
| L | $5,607,930 |
| NORTON COMMUNITY HOSPITAL | |
| O | $1,069,529 |
| NORTON COMMUNITY HOSPITAL | |
| P | $175,984 |
| NORTON COMMUNITY HOSPITAL | |
| Q | $4,477,436 |
| DICKENSON COMMUNITY HOSPITAL | |
| L | $834,997 |
| ISHN | |
| A | $21,781 |
| ISHN | |
| B | $11,181,720 |
| ISHN | |
| L | $297,641 |
| ISHN | |
| M | $3,470,413 |
| ISHN | |
| O | $76,381 |
| ISHN | |
| Q | $6,758,215 |
| SMYTH COUNTY COMMUNITY HOSPITAL | |
| D | $14,744,509 |
| SMYTH COUNTY COMMUNITY HOSPITAL | |
| L | $4,388,161 |
| SMYTH COUNTY COMMUNITY HOSPITAL | |
| Q | $50,381 |
| JOHNSTON MEMORIAL HOSPITAL | |
| L | $11,025,472 |
| JOHNSTON MEMORIAL HOSPTIAL | |
| O | $871,908 |
| JOHNSTON MEMORIAL HOSPITAL | |
| P | $57,248 |
| JOHNSTON MEMORIAL HOSPITAL | |
| R | $180,921 |
| APP | |
| M | $1,171,864 |