Norton Community Hospital: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- Norton Community Hospital (EIN 54-0566029)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-06
- IRS object ID
- 201541269349300724
- 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 L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-06T09:41:07-05:00 | 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 | 540566029 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTON COMMUNITY HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NORT | BusinessNameControlTxt |
| Phone | 2766799600 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 15TH STREET NW | AddressLine1 |
| City | NORTON | City |
| State | VA | State |
| ZIP Code | 24273 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KEVIN MORRISON | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 2766799600 | PhoneNum |
| Signature | 2015-04-30 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARK LEONARD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 15TH STREET NW | AddressLine1 |
| City | NORTON | City |
| State | VA | State |
| ZIP Code | 24273 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $65,512,284 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MSHA.COM/NCH | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1949 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | NORTON COMMUNITY HOSPITAL (NCH) IS COMMITTED TO BRINGING LOVING CARE TO HEALTH CARE. WE EXIST TO IDENTIFY AND RESPOND TO THE HEALTH CARE NEEDS OF INDIVIDUALS AND COMMUNITIES IN OUR REGION AND TO ASSIST THEM IN ATTAINING THEIR HIGHEST POSSIBLE LEVEL OF HEALTH. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 2 | VotingMembersIndependentCnt |
| Total Employee | 524 | TotalEmployeeCnt |
| Total Volunteers | 29 | TotalVolunteersCnt |
| Total Gross UBI | $69,192 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $47,244 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $46,598 | PYContributionsGrantsAmt |
| CY Contributions Grants | $11,240 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $62,231,683 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $64,087,799 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,032,218 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,265,555 | CYInvestmentIncomeAmt |
| PY Other Revenue | $702,525 | PYOtherRevenueAmt |
| CY Other Revenue | $26,834 | CYOtherRevenueAmt |
| PY Total Revenue | $64,013,024 | PYTotalRevenueAmt |
| CY Total Revenue | $65,391,428 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $125,100 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $86,652 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $35,223,910 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $34,144,220 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $27,863,770 | PYOtherExpensesAmt |
| CY Other Expenses | $29,251,782 | CYOtherExpensesAmt |
| PY Total Expenses | $63,212,780 | PYTotalExpensesAmt |
| CY Total Expenses | $63,482,654 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $800,244 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,908,774 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $88,215,652 | TotalAssetsBOYAmt |
| Total Assets EOY | $90,682,634 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $37,707,405 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $36,935,287 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $50,508,247 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $53,747,347 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | NORTON COMMUNITY HOSPITAL (NCH) IS COMMITTED TO BRINGING LOVING CARE TO HEALTH CARE. WE EXIST TO IDENTIFY AND RESPOND TO THE HEALTH CARE NEEDS OF INDIVIDUALS AND COMMUNITIES IN OUR REGION AND TO ASSIST THEM IN ATTAINING THEIR HIGHEST POSSIBLE LEVEL OF HEALTH. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $52,347,328 | ExpenseAmt |
| Grant | $86,652 | GrantAmt |
| Revenue | $63,768,776 | RevenueAmt |
| Desc | NORTON COMMUNITY HOSPITAL (NCH) IS LOCATED IN THE HEART OF SOUTHWEST VIRGINIA AND THE APPALACHIAN MOUNTAINS. IT IS A NOT-FOR-PROFIT, 129-BED, ACUTE-CARE FACILITY, PROUDLY SERVING SOUTHWEST VIRGINIA AND SOUTHEASTERN KENTUCKY SINCE 1949. OUR MISSION IS TO BE A LEADER IN IMPROVING THE HEALTH AND QUALITY OF LIFE IN THE COMMUNITY, BY WORKING TOGETHER AS A TEAM DEDICATED TO EXCELLENCE. AS THE LARGEST HEALTHCARE FACILITY IN THE COALFIELD REGION, NCH PROVIDES A WIDE ARRAY OF SERVICES THROUGH HIGHLY TRAINED PHYSICIANS AND SUPPORT STAFF. NCH IS A MEMBER OF THE VIRGINIA HOSPITAL AND HEALTHCARE ASSOCIATION AND IS ACCREDITED BY THE AMERICAN OSTEOPATHIC ASSOCIATION. NCH WAS THE FIRST AOA ACCREDITED TEACHING FACILITY IN THE STATE OF VIRGINIA. (CONT'D ON SCHEDULE O) (CONT'D) THE INTERNAL MEDICINE RESIDENTS OF THIS PROGRAM ROTATE THROUGH ALL AREAS OF MEDICINE, FROM HEALTH MAINTENANCE TO CRITICAL CARE. THE RESIDENTS ASSIST OUR PHYSICIANS IN PROVIDING QUALITY HANDS-ON PATIENT CARE, THROUGH OBSERVATION, EDUCATION AND BY PARTICIPATING IN GRAND ROUNDS. IN ADDITION TO THESE SERVICES WITHIN THE HOSPITAL SETTING, THE RESIDENTS ARE ALSO EXPOSED TO TREATING PATIENTS IN AN OFFICE SETTING AT THE COMMUNITY CLINIC (RESIDENT CONTINUITY CLINIC)IN WISE, VIRGINIA. DURING FY14, NCH'S INTENSIVE CARE UNIT (ICU) UNDERWENT A 3 MILLION RENOVATION IN ORDER TO PROVIDE BETTER TREATMENT AND RECOVERY FOR PATIENTS. TWELVE NEW PATIENT BEDS WERE PURCHASED THAT AUTOMATICALLY WEIGH PATIENTS AND ALL HAVE SPECIAL MATTRESSES TO HELP PREVENT SKIN BREAKDOWN. SOME HAVE TECHNOLOGY TO HELP TURN THE PATIENT IN BED. SIX OF THE NEW BEDS ARE TOTAL CARE BEDS THAT INCLUDE A TURN ASSIST FEATURE WITH A SETTING OPTION TO AUTOMATICALLY TURN THE PATIENT. ADDITIONAL IMPROVEMENTS WERE ALSO MADE TO THE REST OF THE ICU AREA, INCLUDING A NEW PRIVATE PHYSICIAN DICTATION ROOM TO PROTECT PATIENT PRIVACY; NEW DOORS FOR PATIENT ROOMS DESIGNED TO ENHANCE PATIENT PRIVACY AND ASSIST WITH INFECTION PREVENTION, AND MANY OTHER FEATURES TO IMPROVE PATIENT CARE, SAFETY AND COMFORT. THE RENOVATIONS SHOULD PROVIDE A BETTER OVERALL EXPERIENCE FOR THE PATIENTS, THEIR FAMILY AND FRIENDS WHO VISIT. NCH'S INPATIENT REHABILITATION UNIT IS ONE OF THE BEST IN THE NATION. FOR THE EIGHTH STRAIGHT YEAR, THE NCH INPATIENT REHAB UNIT HAS BEEN RANKED IN THE TOP 10 PERCENT NATIONALLY AMONG QUALIFYING INPATIENT REHABILITATION FACILITIES, ACCORDING TO THE UNIFORM DATA SYSTEM FOR MEDICAL REHABILITATION. FOR 2014, NCH WAS AT THE 96TH PERCENTILE OUT OF 774 INPATIENT REHAB FACILITIES THAT QUALIFIED TO BE RANKED IN THE INPATIENT REHAB FACILITY DATABASE. THE RANKINGS WERE DETERMINED BY USING UNIFORM DATA SYSTEM'S PROGRAM EVALUATION MODEL, WHICH RANKS NEARLY THREE-QUARTERS OF ALL INPATIENT REHAB FACILITIES IN THE COUNTRY. NCH IS PROUD TO BE RECOGNIZED AGAIN FOR DELIVERY OF QUALITY PATIENT CARE THAT IS EFFECTIVE, EFFICIENT, TIMELY AND PATIENT-CENTERED. OUR INPATIENT REHABILITATION UNIT IS THE ONLY ONE IN OUR GEOGRAPHIC AREA TO PROVIDE COMPREHENSIVE REHABILITATION SERVICES. DURING FY14, NCH OPENED A NEW INPATIENT REHAB THERAPY GARDEN AS A PART OF ITS AWARD-WINNING INPATIENT REHABILITATION UNIT. THE COURTYARD AREA WILL HELP PATIENTS HEAL BOTH PHYSICALLY AND EMOTIONALLY AS THEY GO THROUGH THE REHABILITATION PROCESS. THE GOAL IS TO RETURN PATIENTS TO THEIR HOMES AT THE SAFEST LEVEL POSSIBLE, WITH THE HIGHEST LEVEL OF FUNCTIONALITY. THE AVERAGE AGE OF THE PATIENTS IS 72, WITH COMMON REHAB IMPAIRMENTS SUCH AS STROKE, BRAIN INJURIES, FRACTURES AND OTHER MEDICAL CONDITIONS THAT CAUSE DIFFICULTY IN NORMAL FUNCTION. DURING FY14, NCH IMPLEMENTED AN ONLINE TOOL CALLED OWL (ONLINE WELLNESS LINK). OWL PROVIDES INPATIENTS WITH BETTER ACCESS TO THEIR HEALTH CARE INFORMATION SO THEY CAN VIEW A PORTION OF THEIR HEALTH CARE INFORMATION ONLINE, INCLUDING: -A CONTINUITY OF CARE DOCUMENT WHICH PROVIDES A SUMMARY OF THE HOSPITAL VISIT -CURRENT MEDICATIONS -ALLERGIES AND ADVERSE REACTIONS -PAST MEDICAL HISTORY -CERTAIN LABORATORY AND RADIOLOGY RESULTS THE OWL PORTAL ALSO ALLOWS NCH CAREGIVERS TO EXCHANGE HEALTH INFORMATION, WHICH HAS LED TO SAFER, MORE QUALTIY-ORIENTED AND STREAMLINED CARE FOR OUR PATIENTS. DURING FY14, NCH RECEIVED NATIONAL RECOGNITION BY BECKER'S HOSPITAL REVIEW FOR HIGH QUALITY CARE OF PNEUMONIA PATIENTS AND BEING AMONG THE NATION'S 53 HOSPITALS WITH THE BEST OUTCOME FOR PNEUMONIA PATIENTS. USING DATA OBTAINED FROM THE CENTERS FOR MEDICARE AND MEDICAID SERVICES, BECKER'S IDENTIFIED 53 HOSPITALS IN THE U.S. WHOSE PNEMONIA PATIENTS HAD A 30-DAY MORTALITY RATE AT OR BELOW 8.4, WHICH IS WELL BELOW THE NATIONAL AVERAGE OF 11.9. NCH SERVES AS A CLINICAL TRAINING HOSPITAL FOR HEALTH PROFESSIONAL EDUCATION STUDENTS. WE HAVE DEDICATED STAFF TO WORK WITH REGIONAL COLLEGES AND UNIVERSITIES TO COORDINATE THE PLACEMENT OF HEALTHCARE PROFESSIONAL STUDENTS AS PART OF THEIR EDUCATIONAL CURRICULUM. IN ADDITION TO CLINICAL TRAINING, THE HEALTH CARE STUDENTS ENTERING OUR SYSTEM ARE REQUIRED TO HAVE ORIENTATION AND COMPUTER TRAINING. PARTICIPANTS RECEIVING CLINICAL EXPERIENCE AT NCH DURING FY14 INCLUDED 85 NURSING STUDENTS FROM VARIOUS COLLEGES, UNIVERSITIES AND PROGRAMS. THIS NURSING CLINICAL EXPERIENCE REQUIRED EXTENSIVE NCH NURSING STAFF INVOLVEMENT. THE CLINICAL SETTING AND HANDS-ON INSTRUCTION COST NCH 175,385. NCH PROVIDED A CLINICAL SETTING FOR ANOTHER 143 STUDENTS TRAINING IN HEALTH-RELATED PROGRAMS SUCH AS RADIOLOGY, PHARMACY, PHYSICAL THERAPY, EMT/PARAMEDIC AND OTHER ALLIED-HEALTH DISCIPLINES. THESE ADDITIONAL CLINICAL STUDENTS COST NCH 124,578. NORTON COMMUNITY HOSPITAL IS ALSO AN APROVED TRAINING CENTER FOR THE AMERICAN HEART ASSOCIATION (AHA). WE PROVIDE AHA HEARTSAVER PROGRAMS TO THE COMMUNITY AS WELL AS BASIC AND ADVANCED LIFE SUPPORT COURSES TO MEMBERS OF THE MEDICAL COMMUNITY. THE HEAL (HEALTHLY EATING ACTIVE LIVING) APPALACHIA PROGRAM, WHICH BATTLES CHILDHOOD OBESITY IN OUR REGION, HAS BEEN SELECTED AS A 2014 INDUCTEE INTO THE FIRST LADY OF VIRGINIA'S OPPORTUNITY HALL OF FAME. THIS HONOR RELATES TO HEAL APPALACHIA'S WORK IN SOUTHWEST VIRGINIA. HEAL APPALACHIA IS A COLLABORATIVE EFFORT OF MOUNTAIN STATES HEALTH ALLIANCE (MSHA) AND EAST TENNESSEE STATE UNIVERSITY. IT WAS CREATED TO BUILD MOMENTUM IN THE FIGHT AGAINST CHILDHOOD OBESITY IN SOUTHERN APPALACHIA. MSHA PROVIDES FUNDING FOR HEAL APPALACHIA ANNUAL GRANTS TO SUPPORT AND EMPOWER LOCAL ORGANIZATIONS TO CARRY OUT ACTIVITIES THAT MEASURABLY IMPACT CHILDHOOD OBESITY. HEAL GRANTS HAVE BEEN AWARDED TO VIRGINIA SCHOOLS, NON-PROFIT AGENCIES AND COMMUNITIES PROMOTING YOUTH ACTIVITIES. CHILDREN AND FAMILIES HAVE BEEN IMPACTED BY HEAL APPALACHIA IN SOUTHWEST VIRGINIA. THE INCIDENCE OF DIABETES IS ON THE RISE IN THE UNITED STATES WITH AN ALARMING NUMBER OF UNDIAGNOSED DIABETIC AND PRE-DIABETIC PATIENTS THAT ACTUALLY EXCEED THE NUMBER OF PATIENTS THAT HAVE BEEN DIAGNOSED WITH DIABETES. THE VIRGINIA DEPARTMENT OF HEALTH REPORTS THAT DIABETES IS THE 6TH LEADING CAUSE OF DEATH IN OUR STATE. IN ADDITION, THE SOUTHWEST VIRGINIA AND THE APPALACHIAN REGION EXCEEDS THE NATIONAL DIABETES PREVALENCE RATE. A SATELLITE PROGRAM WAS ESTABLISHED AT NCH THROUGH THE JOHNSTON MEMORIAL HOSPITAL (JMH) PROGRAM. JMH IS AN AFFILIATE OF NCH LOCATED IN ABINGDON, VIRGINIA. NCH IS CERTIFIED BY THE AMERICAN DIABETES ASSOCIATION. PRIOR TO ESTABLISHING THIS PROGRAM AT NCH MANY PATIENTS HAD TO TRAVEL AT LEAST 1 TO 2 HOURS TO ACCESS THIS TYPE OF CARE. ALSO, MEDICARE PATIENTS CAN NOW RECEIVE 2 HOURS OF ONE-ON-ONE EDUCATION AND PARTICIPATE IN 8 HOURS OF GROUP EDUCATION IN THEIR FIRST YEAR OF PROGRAM PARTICIPATION SO THE ESTABLISHMENT OF THE DIABETES PROGRAM IN NORTON IS OF GREAT BENEFIT TO OUR MEDICARE-AGE RESIDENTS. WE ARE EXCITED THAT THIS SERVICE IS NOW AVAILABLE TO THE SOUTHWEST VIRGINIA REGION AND THE POSITIVE IMPACT THE DIABETES PROGRAM HAS ON THE HEALTH OF OUR COMMUNITY MEMBERS. NORTON COMMUNITY HOSPITAL OPENED A STATE-OF-THE-ART SURGICAL ADDITION. THIS CONSTRUCTION WAS INITIATED DUE TO THE DILAPIDATED APPEARANCE AND DISREPAIR OF THE OLD SURGERY SUITE. THE ADDITION ADDED NEW TECHNOLOGIES THAT ARE AVAILABLE IN TODAY'S MARKET TO IMPROVE NCH'S ABILITY TO PROVIDE THE BEST PROVISION OF SURGICAL SERVICES TO OUR PATIENTS. REPLACING OUR OLD ANTIQUATED SURGICAL SUITE ALSO PROVIDES AN INCENTIVE FOR RECRUITMENT OF SURGEONS TO OUR RURAL COMMUNITY. THE NEW ADDITION WAS DESIGNED WITH AN INPATIENT ENTRANCE FROM THE HOSPITAL AS WELL AS A PICK-UP/DROP-OFF AREA TO ACCOMMODATE OUR PATIENTS AND MEET THEIR REQUESTS FOR IMPROVING INCOMING/OUTGOING TRANSPORT. OUR NEW SURGERY SUITE ALLOWS OUR PATIENTS TO HAVE THE SAME TYPE OF CARE THAT THEY WOULD PREVIOUSLY HAVE HAD TO ENDURE EXCESSIVE TRAVEL FOR IN ORDER TO REACH A LARGE HOSPITAL. OUR NEW SURGERY SUITE IS ALSO BEING USED BY THE REMOTE AREA MEDICAL (RAM) PROGRAM. RAM PROVIDES FREE HEALTHCARE TO MANY CITIZENS FROM THE COUNTIES THAT ARE WITHIN OUR SERVICE AREA THAT DO NOT HAVE HEALTH INSURANCE. WE OFFER OUR SURGERY SUITE FREE OF CHARGE TO RAM FOR USE BY ORAL SURGEONS TO PERFORM PEDIATRIC DENTAL SURGERY. THE | Desc |
| Total Program Service Expenses | $52,347,328 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 137 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 524 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 2 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | 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 | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | VA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KEVIN MORRISON | PersonNm |
| Phone | 2764391011 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 15TH STREET NW | AddressLine1 |
| City | NORTON | City |
| State | VA | State |
| ZIP Code | 24273 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| ANN FLEMING | ||||||||
| CHAIR | 1.00 | 59.00 | Yes (X) | $0 | $753,909 | $73,411 | ||
| MARVIN EICHORN | ||||||||
| DIRECTOR | 1.00 | 59.00 | Yes (X) | $0 | $626,635 | $47,303 | ||
| MATTHEW CUSANO MD | ||||||||
| DIRECTOR | 40.00 | Yes (X) | $367,071 | $0 | $32,728 | |||
| JOHN DOYLE | ||||||||
| DIRECTOR | 20.50 | 29.50 | Yes (X) | $0 | $254,343 | $34,109 | ||
| TOM TULL | ||||||||
| DIRECTOR | 1.00 | 39.00 | Yes (X) | $0 | $140,849 | $31,648 | ||
| ROBERT LEONARD | ||||||||
| SECRETARY/TR | 1.00 | 0.50 | Yes (X) | $21,860 | $0 | $0 | ||
| BUFORD STURGILL | ||||||||
| DIRECTOR | 1.00 | 0.50 | Yes (X) | $18,170 | $0 | $0 | ||
| JOHN WRIGHT | ||||||||
| DIRECTOR | 1.00 | 0.50 | Yes (X) | $16,424 | $0 | $0 | ||
| JAMES MANICURE | ||||||||
| DIRECTOR | 1.00 | 0.50 | Yes (X) | $15,359 | $0 | $0 | ||
| CHARLES WARD | ||||||||
| VICE-CHAIR | 1.00 | Yes (X) | $15,359 | $0 | $0 | |||
| BILL WAMPLER | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $7,669 | $0 | $0 | |||
| WILLIE PRICE-HARRIS | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $7,440 | $0 | $0 | |||
| CHARLES SLEMP | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SANDRA BROOKS MD | ||||||||
| DIRECTOR | 1.00 | 4.50 | Yes (X) | $0 | $0 | $0 | ||
| ERNIE WARD | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARK LEONARD | ||||||||
| CEO | 49.00 | 6.00 | $0 | $277,284 | $46,286 | Yes (X) | ||
| STEPHEN SAWYER | ||||||||
| CFO | 49.00 | 6.00 | $0 | $153,220 | $21,317 | Yes (X) | ||
| KEVIN MORRISON | ||||||||
| CFO | 49.00 | 6.00 | $0 | $51,448 | $8,234 | Yes (X) | ||
| ALLEN MULLINS MD | ||||||||
| PHYSICIAN | 40.00 | $346,729 | $0 | $27,212 | Yes (X) | |||
| CHARLES BEGLEY MD | ||||||||
| PHYSICIAN | 40.00 | $333,325 | $0 | $28,035 | Yes (X) | |||
| BERNIE SERGENT MD | ||||||||
| PHYSICIAN | 40.00 | $316,048 | $0 | $27,216 | Yes (X) | |||
| ISAM ZIBDEH MD | ||||||||
| PHYSICIAN | 40.00 | $300,672 | $0 | $22,493 | Yes (X) | |||
| LATISHA HILTON MD | ||||||||
| PHYSICIAN | 40.00 | $298,272 | $0 | $9,724 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,064,398 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,257,688 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $409,716 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 28 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| WEATHERBY LOCUMS INC | |||||
| PO BOX 972633 | DALLAS | TX | 753972633 | PHYSICIAN FEES | $2,106,153 |
| VIRGINIA HIGHLANDS ANESTHESIA | |||||
| PO BOX 1476 | ABINGDON | VA | 24212 | ANESTHESIA SERV | $1,155,871 |
| ARAMARK HEALTHCARE | |||||
| PO BOX 510467 | NEW BERLIN | WI | 53151 | DIETARY SERV. | $891,975 |
| SIMPLER NORTH AMERICA LP | |||||
| 104 E JEFFERSON PO BOX 36 | BLOOMFIELD | IA | 52537 | CONSULTING | $345,253 |
| THOMPSON & LITTON INC | |||||
| 103 EAST MAIN STREET PO BOX 1307 | WISE | VA | 24293 | CONSULTING | $266,333 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 12 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $3,399 | RelatedOrganizationsAmt |
| Government Grants | $6,036 | GovernmentGrantsAmt |
| All Other Contributions | $1,805 | AllOtherContributionsAmt |
| Total Contributions | $11,240 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT REVENUE | 621110 | $60,722,277 | $60,722,277 | |
| WELLNESS PROGRAMS | 621110 | $3,344,446 | $3,344,446 | |
| LABORATORY REVENUE | 621500 | $21,076 | $21,076 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $64,087,799 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $471,762 | TotalRevenueColumnAmt |
| Exclusion | $471,762 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,157 | TotalRevenueColumnAmt |
| Exclusion | $2,157 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $196,769 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $120,856 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $75,913 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $75,913 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $48,116 | UnrelatedBusinessRevenueAmt |
| Exclusion | $27,797 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $789,539 | SecuritiesAmt |
| Other | $2,097 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $789,539 | SecuritiesAmt |
| Other | $2,097 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $791,636 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,097 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $789,539 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CAFETERIA & VENDING | 722210 | $176,415 | $176,415 |
| MANAGEMENT FEES | 561000 | $96,010 | $96,010 |
| OTHER REVENUE | 900099 | -$384 | -$384 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$321,120 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$321,120 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | -$49,079 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $65,391,428 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $63,747,700 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $69,192 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,563,296 | 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 | $86,652 | TotalAmt |
| Program Services | $86,652 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $898,595 | TotalAmt |
| Program Services | $419,775 | ProgramServicesAmt |
| Management And General | $478,820 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,369,493 | TotalAmt |
| Program Services | $21,695,622 | ProgramServicesAmt |
| Management And General | $3,673,871 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $897,416 | TotalAmt |
| Program Services | $780,584 | ProgramServicesAmt |
| Management And General | $116,832 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,378,406 | TotalAmt |
| Program Services | $5,284,061 | ProgramServicesAmt |
| Management And General | $94,345 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,600,310 | TotalAmt |
| Program Services | $1,538,457 | ProgramServicesAmt |
| Management And General | $61,853 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $240,606 | TotalAmt |
| Program Services | $187,195 | ProgramServicesAmt |
| Management And General | $53,411 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $374,682 | TotalAmt |
| Management And General | $374,682 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,056 | TotalAmt |
| Management And General | $11,056 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,673 | TotalAmt |
| Management And General | $58,673 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,808,004 | TotalAmt |
| Program Services | $6,474,912 | ProgramServicesAmt |
| Management And General | $1,333,092 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $149,015 | TotalAmt |
| Program Services | $14,693 | ProgramServicesAmt |
| Management And General | $134,322 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $769,702 | TotalAmt |
| Program Services | $678,548 | ProgramServicesAmt |
| Management And General | $91,154 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $619,771 | TotalAmt |
| Program Services | $614,508 | ProgramServicesAmt |
| Management And General | $5,263 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,006,624 | TotalAmt |
| Program Services | $879,858 | ProgramServicesAmt |
| Management And General | $126,766 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $243,144 | TotalAmt |
| Program Services | $228,785 | ProgramServicesAmt |
| Management And General | $14,359 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,731 | TotalAmt |
| Program Services | $51,256 | ProgramServicesAmt |
| Management And General | $1,475 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $229,169 | TotalAmt |
| Management And General | $229,169 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,974,090 | TotalAmt |
| Program Services | $2,909,935 | ProgramServicesAmt |
| Management And General | $1,064,155 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $423,191 | TotalAmt |
| Program Services | $134,360 | ProgramServicesAmt |
| Management And General | $288,831 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $7,409,593 | $7,368,853 | $40,740 |
| MANAGEMENT FEES TO PARENT | $4,029,876 | $1,312,513 | $2,717,363 |
| REPAIRS & MAINTENANCE | $1,137,454 | $1,106,797 | $30,657 |
| DUES & SUBSCRIPTIONS | $221,444 | $182,410 | $39,034 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $492,957 | TotalAmt |
| Program Services | $397,554 | ProgramServicesAmt |
| Management And General | $95,403 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,482,654 | TotalAmt |
| Program Services | $52,347,328 | ProgramServicesAmt |
| Management And General | $11,135,326 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,076,642 | BOYAmt |
| EOY | $4,802,630 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,771,480 | BOYAmt |
| EOY | $9,304,073 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $793,831 | BOYAmt |
| EOY | $1,098,013 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,119,384 | BOYAmt |
| EOY | $1,266,794 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $875,310 | BOYAmt |
| EOY | $668,366 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $88,027,746 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $44,624,931 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,363,242 | BOYAmt |
| EOY | $43,402,815 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,029,491 | BOYAmt |
| EOY | $20,031,745 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,186,272 | BOYAmt |
| EOY | $10,108,198 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,215,652 | BOYAmt |
| EOY | $90,682,634 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,930,105 | BOYAmt |
| EOY | $7,431,149 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,238,380 | BOYAmt |
| EOY | $21,242,680 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,538,920 | BOYAmt |
| EOY | $8,261,458 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,707,405 | BOYAmt |
| EOY | $36,935,287 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,421,089 | BOYAmt |
| EOY | $53,594,573 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,158 | BOYAmt |
| EOY | $152,774 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,508,247 | BOYAmt |
| EOY | $53,747,347 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,215,652 | BOYAmt |
| EOY | $90,682,634 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,908,774 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $698,422 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $631,904 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (true) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $3,839 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $3,839 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1 | FormAndLineReferenceDesc |
| Explanation | PORTION OF DUES PAID TO VIRGINIA HOSPITAL AND HEALTHCARE ASSOCIATION THAT ARE ATTRIBUTABLE TO DIRECT LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,111,034 | OtherCostOrOtherBasisAmt |
| Book Value | $2,111,034 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $41,230,993 | OtherCostOrOtherBasisAmt |
| Depreciation | $17,493,837 | DepreciationAmt |
| Book Value | $23,737,156 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $282,116 | OtherCostOrOtherBasisAmt |
| Depreciation | $176,540 | DepreciationAmt |
| Book Value | $105,576 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $43,230,750 | OtherCostOrOtherBasisAmt |
| Depreciation | $26,655,331 | DepreciationAmt |
| Book Value | $16,575,419 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,172,853 | OtherCostOrOtherBasisAmt |
| Depreciation | $299,223 | DepreciationAmt |
| Book Value | $873,630 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $43,402,815 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| UNDER BOND INDENTURE AGREEMENTS | $10,056,905 |
| DUE FROM AFFILIATES | $51,293 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $10,108,198 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| RETIREE BENEFITS PAYABLE | $7,732,912 |
| RESERVE FOR PROF LIABILITIES | $528,546 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $8,261,458 | 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 | $1,019,349 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,019,349 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01610 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,630,262 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,894,038 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,736,224 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07460 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,649,611 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,894,038 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,755,573 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09070 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $244,250 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $244,250 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00380 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,453,836 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,340,647 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $113,189 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,292,797 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,043,377 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,249,420 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01970 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $61,251 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $61,251 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,052,134 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,384,024 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,668,110 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02630 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,701,745 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,278,062 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,423,683 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11690 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $400 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $400 | NetCommunityBenefitExpnsAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $400 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $400 | NetCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $8,355,576 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $6,350,238 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $13,616,804 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $14,561,851 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$945,047 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTON COMMUNITY HOSPITAL | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 15TH STREET NW | AddressLine1 |
| City | NORTON | City |
| State | VA | State |
| ZIP Code | 24273 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTON COMMUNITY HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.MSHA.COM/NCH | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | false | AllNeedsAddressedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (true) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (true) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, NORTON COMMUNITY HOSPITAL - PART V, LINE 3 | MSHA MET WITH TEN FOCUS GROUPS, EACH REPRESENTING ONE OF THE TEN HOSPITAL FACILITIES, INCLUDING NCH, 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 IMPLEMENTATION PLAN. |
| FACILITY 1, NORTON 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, NORTON COMMUNITY HOSPITAL AND DICKENSON COMMUNITY HOSPITAL HAD ONE COMMUNITY GROUP SURVEYED. THESE TWO COUNTIES SERVE SIMILAR COMMUNITIES, AND HAVE SIMILAR HEALTH RANKINGS ACCORDING TO AMERICA'S HEALTH RANKINGS. EVEN THOUGH ONLY ONE COMMUNITY GROUP SERVED ON BEHALF OF THE TWO HOSPITALS, STATISTICAL DATA WAS COLLECTED FOR EACH INDIVIDUALLY. NCH'S CHNA WAS CONDUCTED WITH ALL MSHA HOSPITALS TO INCLUDE: JOHNSON CITY MEDICAL CENTER, 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 AND DICKENSON COMMUNITY HOSPITAL. |
| FACILITY 1, NORTON COMMUNITY HOSPITAL - PART V, LINE 7 | MSHA PUBLISHED ITS COMMUNITY HEALTH NEEDS ASSESSMENT ON JUNE 29 OF FY12. 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, SOME OF MSHA FACILITIES WERE UNABLE TO ADDRESS ISSUES THAT WERE IDENTIFIED. |
| FACILITY 1, NORTON 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 NEGOIATED RATE WITH COMMERCIAL INSURANCE OR MEDICARE. |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 6A - RELATED ORGANIZATION INFORMATION | NCH DID NOT COMPLETE A COMMUNITY BENEFIT REPORT DURING FY14. A COMMUNITY BENEFIT IS BEING PREPARED DURING 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 INCLUDES ALL PATIENT SEGMENTS (INPATIENT, OUTPATIENT, EMERGENCY ROOM, ETC. AND ALL PAYER SOURCES, INCLUDING SELF-PAY). WE USED OUR COST ACCOUNTING SYSTEM TO OBTAIN LINE 7B MEDICAID/TNCARE DATA. LINE 7E COMMUNITY HEALTH IMPROVEMENT INCLUDES COSTS THAT ARE TAKEN FROM ACTUAL EXPENSE REPORTS, WITH NO ADDITIONAL OVERHEAD INCLUDED IN THE COST. LINE 7F HEALTH PROFESSIONS EDUCATION IS COMPRISED OF 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 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. WE ARE CAREFUL TO ENSURE NO DOUBLE COUNTING OF COST (FOR EXAMPLE, WE DO NOT INCLUDE CHARITY AND MEDICAID/TNCARE ALREADY REPORTED ON LINES 7A AND 7B). ALTHOUGH WE HAVE MANY SERVICE LINES WITHIN OUR HOSPITALS THAT LOSE MONEY, LOSSES FROM SERVICES THAT HOSPITALS ARE REQUIRED BY STATE LICENSURE TO PROVIDE ARE NOT CONSIDERED COMMUNITY BENEFIT. FOR THE SERVICE LINES WE DO REPORT, SUCH AS RHEUMATOLOGY, OBSTETRICS AND WOUND CARE, WE USED OUR COST ACCOUNTING SYSTEM SINCE THESE SERVICES HAVE STANDARD REPORTS. LINE 7I CONTAINS CASH CONTRIBUTIONS AND OUR COST OF MEDICATIONS DONATED TO LOCAL EMS ORGANIZATIONS. |
| PART II - COMMUNITY BUILDING ACTIVITIES | NCH 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 NCH 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. |
| 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% DISCOUNT, AS REQUIRED BY TENNESSEE LAW. MSHA APPLIES TENNESSEE LAW TO OUR VIRGINIA HOSPITAL PATIENT ACCOUNTS AS WELL. AFTER THE NORMAL COLLECTION PROCESS HAS INDICATED AN ACCOUNT IS UNCOLLECTIBLE, NCH 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 | IT IS IMPLAUSIBLE TO DETERMINE THE AMOUNT OF NCH'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. MSHA'S PATIENT FINANCIAL SERVICES MANAGEMENT ESTIMATES THAT 76% OF TOTAL BAD DEBT EXPENSE WAS 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. |
| BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS | THE TEXT TO 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 NCH'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, NCH 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 NCH 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 | NCH 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. NORTON COMMUNITY HOSPITAL RECOGNIZES ITS OBLIGATION TO PROVIDE QUALITY HEALTH CARE TO THOSE WHO ARE UNABLE TO PAY. CHARITY 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. NCH 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 ELGIBILITY IS DETERMINED. |
| PART VI, LINE 2 - NEEDS ASSESSMENT | MSHA INCLUDED AMERICA'S HEALTH RANKINGS (AHR) IN ITS ASSESSMENT IN ORDER TO BETTER DEFINE THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. VIRGINIA RANKS 21ST AND TENNESSEE RANKS 45TH; HOWEVER, IT SHOULD BE NOTED THAT SOUTHWEST VIRGINIA (WHERE 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. AHR REPORTS 33% OF THE CITIZENS IN WISE COUNTY SMOKE COMPARED TO 18% IN THE STATE OF VIRGINIA, AND 32% OF THE ADULTS IN OUR COUNTY WERE CONSIDERED OBESE. 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 | NCH PROVIDES COMMUNICATION OF FINANCIAL ASSISTANCE ON ITS WEBSITE AND ON POSTERS LOCATED IN PROMINENT AREAS OF THE HOSPITAL SUCH AS ADMITTING AND THE 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 NCH'S FINANCIAL ASSISTANCE POLICY. NCH ALSO HAS FINANCIAL COUNSELORS TO PROVIDE FURTHER INFORMATION AND ASSISTANCE TO PATIENTS REGARDING NCH'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 MEDICAID/TNCARE. NCH HAS PARTNERED WITH THE COMPANY, FIRSTSOURCE SOLUTIONS USA, TO WORK WITH SELF-PAYING PATIENTS WHO HAVE LIMITED FINANCIAL RESOURCES. DURING FY14, FIRSTSOURCE REPRESENTATIVES WERE AVAILABLE AT NCH TO ASSIST PATIENTS BY DETERMINING GOVERNMENTAL MEDICAL ASSISTANCE (MEDICAID OR TENNCARE) ELIGIBILITY, AND BY HELPING WITH THE APPLICATION PROCESS AND FOLLOW-UP. DURING FY14, 514 PATIENTS WERE APPROVED FOR COVERAGE. ONCE A PERSON IS APPROVED FOR MEDICAID OR TENNCARE THROUGH THE PROGRAM OFFERED THROUGH NCH, THEY RETAIN COVERAGE FOR FUTURE MEDICAL CARE. FIRSTSOURCE IS COMPENSATED BY NCH. DURING FY14, NCH'S COST FOR THIS PROGRAM WAS 54,537. |
| PART VI, LINE 4 - COMMUNITY INFORMATION | NCH IS LOCATED IN NORTON, WISE COUNTY, WHICH IS IN RURAL SOUTHWEST VIRGINIA. BOTH NORTHEAST TENNESSEE AND SOUTHWEST VIRGINIA (SWVA) ARE LOCATED WITHIN THE APPALACHIAN MOUNTAINS, SPECIFICALLY THE BLUE RIDGE MOUNTAIN REGION AND TENNESSEE VALLEY. SWVA IS CONSIDERED RURAL AND MUCH DIFFERENT THAN THE REST OF THE STATE. SWVA HAS BEEN AND REMAINS A MAJOR COAL MINING REGION. WISE COUNTY HAS A HIGH RATE OF INDIVIDUALS WHO ARE UNINSURED. THE POPULATION OF WISE COUNTY IS JUST OVER 41,450 AND THE CITY OF NORTON HAS A POPULATION OF 3,998. THE LATEST CENSUS BUREAU DATA ESTIMATES THE MEDIAN AGE OF RESIDENTS OF WISE COUNTY IS 39.6, WHICH IS OLDER THAN THE MEDIAN AGE OF 37.5 IN VIRGINIA. THE BUREAU ESTIMATES WISE COUNTY MEDIAN HOUSEHOLD INCOME AT 36,218, COMPARED TO 62,666 FOR THE STATE OF VIRGINIA, 28% OF WISE COUNTY'S CHILDREN LIVE IN POVERTY COMPARED TO 16% STATEWIDE. |
| PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH | NCH OPERATES AND SUBSIDIZES A RESIDENCY CLINIC THAT IS LOCATED IN A RURAL AND LOW-INCOME AREA ENABLING NCH TO PROVIDE LOCAL ACCESS TO PHYSICIAN CARE AND DIAGNOSTIC SERVICES TO CITIZENS OF THE AREA, WHO OTHERWISE WOULD BE UNDERSERVED WITHOUT THE CLINIC. THE CLINIC OPERATED AT A LOSS OF 372,132 TO NCH. BASED ON COMMUNITY NEEDS, NCH INCURRED EXPENSE OF OVER 180,000 DURING THE YEAR FOR PHYSICIAN RECRUITMENT. ALL PHYSICIAN RECRUITMENT ACTIVITIES ARE BASED ON COMMUNITY NEEDS. AN EXAMPLE IS THE RECENT RECRUITMENT OF AN ORTHOPEDIC SURGEON FOR THE EMERGENCY ROOM. NORTON COMMUNITY HOSPITAL IS DEDICATED TO OPERATING EFFICIENTLY SO THAT WASTE IS MINIMIZED. NCH'S LEADERSHIP REMAINS MINDFUL OF MANAGING THE HOSPITAL'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. THE MAJORITY OF NCH'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA. ONLY THREE DIRECTORS; MARVIN EICHORN, ANN FLEMING, AND JOHN DOYLE, EMPLOYEES OF MSHA, LIVE OUTSIDE THE AREA. PHYSICIANS THAT REQUEST PRIVILEGES WHO ARE QUALIFIED AND CREDENTIALED ARE EXTENDED PRIVILEGES BY NCH. |
| PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM | NCH IS A 129-BED, ACUTE-CARE FACILITY OPERATED UNDER THE DIRECTION OF A 14-MEMBER BOARD OF DIRECTORS PRIMARILY COMPRISED OF LOCAL COMMUNITY RESIDENTS. NCH IS ACCREDITED BY THE AMERICAN OSTEOPATHIC ASSOCIATION. NCH IS MAJORITY OWNED BY MOUNTAIN STATES HEALTH ALLIANCE (MSHA) BASED IN JOHNSON CITY, TENNESSEE. MSHA IS INTEGRATED BOTH VERTICALLY AND HORIZONTALLY AND IS THE LARGEST REGIONAL HEALTHCARE SYSTEM WITH 14 HOSPITALS. MSHA PROVIDES CARE TO PEOPLE IN 29 COUNTIES IN TENNESSEE, VIRGINIA, KENTUCKY, AND NORTH CAROLINA. NCH SERVES AS THE COUNTY'S PRIMARY HEALTH SERVICE PROVIDER. PATIENTS BENEFIT FROM NCH'S AFFILIATION WITH A HEALTHCARE SYSTEM WHERE THEY CAN BE EFFICIENTLY MOVED ALONG AN INTEGRATED, COMPREHENSIVE CONTINUUM OF CARE AS THEIR HEALTH STATUS DICTATES. PATIENTS CAN BE MOVED TO THE SYSTEM'S FLAGSHIP FACILITY, JOHNSON CITY MEDICAL CENTER, WHICH IS A TERTIARY CARE FACILITY PROVIDING ADVANCED TREATMENT OPTIONS. |
| PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT | VIRGINIA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Business Name Line2RecipientBusinessName/BusinessNameLine2 | Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| ST MARY'S HEALTH WAGON | ||||||||
| 61251 | 119 NUMBER 10 STREET | CLINCHO | VA | 24226 | 043739083 | 501C3 | $61,251 | INDIGENT SUPPORT |
| UNIVERSITY OF VIRGINIA AT WISE | ||||||||
| 1 COLLEGE AVE | WISE | VA | 24293 | 541638774 | 501C3 | $25,001 | ATHLETICS PROGRAM | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | 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 | THE HOSPITAL'S LARGEST DONATION DURING THE YEAR WAS MADE TO ST. MARY'S HEALTH WAGON. THE HEALTH WAGON PROVIDES HEALTH SERVICES TO INDIGENT PERSONS AND MEDICALLY UNDERSERVED AREAS IN POVERTY-STRICKEN COMMUNITIES WITHIN OUR HOSPITAL'S SERVICE AREA. OUR DONATION TO THE UNIVERSITY OF VIRGINIA AT WISE WAS MADE TO SUPPORT ATHLETICS PROGRAMS AT THE SCHOOL. WHILE ATHLETIC PROGRAMS PROVIDE ENTERTAINMENT, THESE PROGRAMS ALSO ENCOURAGE HEALTHY LIFESTYLES AND DISCIPLINE THROUGH TRAINING AND REQUIRING OBEYING RULES OF CONDUCT. MOST DONATION REQUESTS ARE MADE THROUGH AN APPLICATION PROCESS WHERE THE APPLICANT DESCRIBES HOW THE MONEY WILL BE USED, HOW IT BENEFITS THE COMMUNITY, HOW OUR DONATION WILL CORRELATE WITH HEALTH NEEDS IDENTIFIED BY OUR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), AND THE AGREEMENT THAT THE DONEE WILL PROVIDE FOLLOW-UP OF HOW OUR DONATION WAS USED (WHO BENEFITED, ETC.). NOT ALL OF OUR DONATIONS ARE RESTRICTED TO OUR CHNA, BUT MANY ARE. MSHA'S SOCIAL RESPONSIBILITY COMMITTEE REVIEWS MOST DONATION REQUESTS TO DETERMINE WHICH REQUESTS MSHA, INCLUDING NCH, WILL FUND. THERE ARE MANY FACTORS THAT ARE CONSIDERED DURING THE REVIEW PROCESS BY THE COMMITTEE, SUCH AS OUR BUDGET CONSTRAINTS, IF THE APPLICANT HAS ALREADY RECEIVED A DONATION FROM A MSHA FACILITY, HOW THE REQUESTING ORGANIZATION FITS WITH OUR CNHA, ETC. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (12 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ANN FLEMING | |||||||||||||
| CHAIR | $383,151 | $87,911 | $282,847 | $55,452 | $17,959 | $827,320 | $242,724 | ||||||
| MARVIN EICHORN | |||||||||||||
| DIRECTOR | $467,818 | $104,240 | $54,577 | $24,139 | $23,164 | $673,938 | |||||||
| MATTHEW CUSANO MD | |||||||||||||
| DIRECTOR | $290,558 | $65,966 | $10,547 | $10,170 | $22,558 | $399,799 | |||||||
| JOHN DOYLE | |||||||||||||
| DIRECTOR | $205,695 | $36,289 | $12,359 | $11,861 | $22,248 | $288,452 | |||||||
| TOM TULL | |||||||||||||
| DIRECTOR | $119,606 | $7,696 | $13,547 | $10,253 | $21,395 | $172,497 | |||||||
| MARK LEONARD | |||||||||||||
| CEO | $231,276 | $34,299 | $11,709 | $20,324 | $25,962 | $323,570 | |||||||
| STEPHEN SAWYER | |||||||||||||
| CFO | $137,425 | $7,708 | $8,087 | $4,278 | $17,039 | $174,537 | |||||||
| ALLEN MULLINS MD | |||||||||||||
| PHYSICIAN | $266,046 | $44,879 | $35,804 | $6,791 | $20,421 | $373,941 | |||||||
| CHARLES BEGLEY MD | |||||||||||||
| PHYSICIAN | $230,812 | $95,367 | $7,146 | $8,180 | $19,855 | $361,360 | |||||||
| BERNIE SERGENT MD | |||||||||||||
| PHYSICIAN | $218,889 | $76,787 | $20,372 | $8,253 | $18,963 | $343,264 | |||||||
| ISAM ZIBDEH MD | |||||||||||||
| PHYSICIAN | $246,570 | $54,102 | $7,204 | $15,289 | $323,165 | ||||||||
| LATISHA HILTON MD | |||||||||||||
| PHYSICIAN | $185,160 | $92,776 | $20,336 | $8,336 | $1,388 | $307,996 | |||||||
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PAGE 1, PART I, LINE 4 | ANN FLEMING 0 39,222 0 MARK LEONARD 0 11,913 0 |
| SCHEDULE J, PART III | PART I, LINE 3: SALARY AND BENEFITS OF NCH'S CEO ARE SUBJECT TO THE MOUNTAIN STATES HEALTH ALLIANCE (MSHA) COMPENSATION COMMITTEE PROCESS, WHEREBY THE MSHA CEO RECOMMENDS THE SALARY AND IT IS REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE, BASED UPON MARKET DATA, MADE AVAILABLE BY THIRD PARTY CONSULTANTS. THE COMPENSATION COMMITTEE HAS FINAL APPROVAL OF MSHA'S CEO RECOMMENDATIONS FOR PAY AND BENEFITS FOR THE NCH CEO. WE USE AN OUTSIDE, INDEPENDENT CONSULTING FIRM TO PROVIDE CONSULTATION ON EXECUTIVE PAY AS WELL AS OUR EXECUTIVE PAY AT RISK PLAN. PART I, LINE 4B ANN FLEMING AND MARK LEONARD PARTICIPATED IN A 457(F) RETIREMENT PLAN PROVIDED BY MOUNTAIN STATES HEALTH ALLIANCE (MSHA). THE 457(F)PLAN IS A NONQUALIFIED TAX-DEFERRED COMPENSATION PLAN AVAILABLE TO A SELECT GROUP OF KEY EXECUTIVES FOR THE INTENT OF SUPPORTING RETENTION AND TO OFFER A COMPETITIVE TOTAL RETIREMENT PROGRAM. ACCOUNT BALANCES HAVE A "SUBSTANTIAL RISK OF FORFEITURE". IN ADDITION TO CREDITOR RISK, SUBSTANTIAL RISK OF FORFEITURE IS CREATED THROUGH DEFAULT RISK IF THE PARTICIPANT'S EMPLOYMENT WITH MSHA IS TERMINATED PRIOR TO AGE 65. HOWEVER, THE 457(F) PLAN CONTAINS A NON-COMPETE PROVISION THAT PROVIDES THE ACCOUNT BALANCE TO BE PAID IN A LUMP SUM AFTER THE EXECUTIVE SATISFIES THE TWO-YEAR NON-COMPETE PERIOD. THIS PROVISION APPLIES TO EMPLOYER CONTRIBUTIONS IF THE EXECUTIVE HAS PROVIDED ELIGIBLE SERVICE FOR SIX OR MORE YEARS. (ELIGIBLE SERVICE IS OFFICER SERVICE THAT PERMITTED THE EXECUTIVE TO PARTICIPATE IN THE PLAN.) THE EXECUTIVE WILL RECEIVE THE ENTIRE ACCOUNT BALANCE IF HE/SHE BECOMES DISABLED, DIES OR IF THE EXECUTIVE TERMINATES FOR "GOOD REASON" OR IS INVOLUNTARILY TERMINATED WITHOUT "GOOD CAUSE" WITHIN A 24-MONTH PERIOD AFTER A CHANGE-OF-CONTROL OCCURS. DISTRIBUTIONS FROM THIS PLAN ARE SUBJECT TO FEDERAL, STATE, AND LOCAL TAXES ON THE ENTIRE ACCOUNT BALANCE UPON DISTRIBUTION. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| JAMIE FLEMING | |||
| FAMILY MEMBER | $35,638 | FAMILY MBR OF BD MBR | false |
| DEBBIE WARD | |||
| FAMILY MEMBER | $68,700 | FAMILY MBR OF BD MBR | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART V | FormAndLineReferenceDesc |
| Explanation | BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: 1(A) NAME OF PERSON: JAMIE FLEMING 1(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF JAMES MANICURE, NORTON COMMUNITY HOSPITAL (NCH)BOARD MEMBER 1(D) DESCRIPTION OF TRANSACTION: JAMES MANICURE, BOARD MEMBER OF NCH, IS A FAMILY MEMBER OF JAMIE FLEMING, AN EMPLOYEE OF NCH. 2(A) NAME OF PERSON: DEBBIE WARD 2(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF ERNIE WARD, NORTON COMMUNITY HOSPITAL (NCH)BOARD MEMBER 2(D) DESCRIPTION OF TRANSACTION: ERNIE WARD, BOARD MEMBER OF NCH, IS A FAMILY MEMBER OF DEBBIE WARD, AN EMPLOYEE OF NCH. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | NORTON COMMUNITY HOSPITAL (NCH) IS COMMITTED TO BRINGING LOVING CARE TO HEALTH CARE. WE EXIST TO IDENTIFY AND RESPOND TO THE HEALTH CARE NEEDS OF INDIVIDUALS AND COMMUNITIES IN OUR REGION AND TO ASSIST THEM IN ATTAINING THEIR HIGHEST POSSIBLE LEVEL OF HEALTH. |
| FORM 990, PAGE 2, PART III, LINE 4A | (CONT'D) THE INTERNAL MEDICINE RESIDENTS OF THIS PROGRAM ROTATE THROUGH ALL AREAS OF MEDICINE, FROM HEALTH MAINTENANCE TO CRITICAL CARE. THE RESIDENTS ASSIST OUR PHYSICIANS IN PROVIDING QUALITY HANDS-ON PATIENT CARE, THROUGH OBSERVATION, EDUCATION AND BY PARTICIPATING IN GRAND ROUNDS. IN ADDITION TO THESE SERVICES WITHIN THE HOSPITAL SETTING, THE RESIDENTS ARE ALSO EXPOSED TO TREATING PATIENTS IN AN OFFICE SETTING AT THE COMMUNITY CLINIC (RESIDENT CONTINUITY CLINIC)IN WISE, VIRGINIA. DURING FY14, NCH'S INTENSIVE CARE UNIT (ICU) UNDERWENT A 3 MILLION RENOVATION IN ORDER TO PROVIDE BETTER TREATMENT AND RECOVERY FOR PATIENTS. TWELVE NEW PATIENT BEDS WERE PURCHASED THAT AUTOMATICALLY WEIGH PATIENTS AND ALL HAVE SPECIAL MATTRESSES TO HELP PREVENT SKIN BREAKDOWN. SOME HAVE TECHNOLOGY TO HELP TURN THE PATIENT IN BED. SIX OF THE NEW BEDS ARE TOTAL CARE BEDS THAT INCLUDE A TURN ASSIST FEATURE WITH A SETTING OPTION TO AUTOMATICALLY TURN THE PATIENT. ADDITIONAL IMPROVEMENTS WERE ALSO MADE TO THE REST OF THE ICU AREA, INCLUDING A NEW PRIVATE PHYSICIAN DICTATION ROOM TO PROTECT PATIENT PRIVACY; NEW DOORS FOR PATIENT ROOMS DESIGNED TO ENHANCE PATIENT PRIVACY AND ASSIST WITH INFECTION PREVENTION, AND MANY OTHER FEATURES TO IMPROVE PATIENT CARE, SAFETY AND COMFORT. THE RENOVATIONS SHOULD PROVIDE A BETTER OVERALL EXPERIENCE FOR THE PATIENTS, THEIR FAMILY AND FRIENDS WHO VISIT. NCH'S INPATIENT REHABILITATION UNIT IS ONE OF THE BEST IN THE NATION. FOR THE EIGHTH STRAIGHT YEAR, THE NCH INPATIENT REHAB UNIT HAS BEEN RANKED IN THE TOP 10 PERCENT NATIONALLY AMONG QUALIFYING INPATIENT REHABILITATION FACILITIES, ACCORDING TO THE UNIFORM DATA SYSTEM FOR MEDICAL REHABILITATION. FOR 2014, NCH WAS AT THE 96TH PERCENTILE OUT OF 774 INPATIENT REHAB FACILITIES THAT QUALIFIED TO BE RANKED IN THE INPATIENT REHAB FACILITY DATABASE. THE RANKINGS WERE DETERMINED BY USING UNIFORM DATA SYSTEM'S PROGRAM EVALUATION MODEL, WHICH RANKS NEARLY THREE-QUARTERS OF ALL INPATIENT REHAB FACILITIES IN THE COUNTRY. NCH IS PROUD TO BE RECOGNIZED AGAIN FOR DELIVERY OF QUALITY PATIENT CARE THAT IS EFFECTIVE, EFFICIENT, TIMELY AND PATIENT-CENTERED. OUR INPATIENT REHABILITATION UNIT IS THE ONLY ONE IN OUR GEOGRAPHIC AREA TO PROVIDE COMPREHENSIVE REHABILITATION SERVICES. DURING FY14, NCH OPENED A NEW INPATIENT REHAB THERAPY GARDEN AS A PART OF ITS AWARD-WINNING INPATIENT REHABILITATION UNIT. THE COURTYARD AREA WILL HELP PATIENTS HEAL BOTH PHYSICALLY AND EMOTIONALLY AS THEY GO THROUGH THE REHABILITATION PROCESS. THE GOAL IS TO RETURN PATIENTS TO THEIR HOMES AT THE SAFEST LEVEL POSSIBLE, WITH THE HIGHEST LEVEL OF FUNCTIONALITY. THE AVERAGE AGE OF THE PATIENTS IS 72, WITH COMMON REHAB IMPAIRMENTS SUCH AS STROKE, BRAIN INJURIES, FRACTURES AND OTHER MEDICAL CONDITIONS THAT CAUSE DIFFICULTY IN NORMAL FUNCTION. DURING FY14, NCH IMPLEMENTED AN ONLINE TOOL CALLED OWL (ONLINE WELLNESS LINK). OWL PROVIDES INPATIENTS WITH BETTER ACCESS TO THEIR HEALTH CARE INFORMATION SO THEY CAN VIEW A PORTION OF THEIR HEALTH CARE INFORMATION ONLINE, INCLUDING: -A CONTINUITY OF CARE DOCUMENT WHICH PROVIDES A SUMMARY OF THE HOSPITAL VISIT -CURRENT MEDICATIONS -ALLERGIES AND ADVERSE REACTIONS -PAST MEDICAL HISTORY -CERTAIN LABORATORY AND RADIOLOGY RESULTS THE OWL PORTAL ALSO ALLOWS NCH CAREGIVERS TO EXCHANGE HEALTH INFORMATION, WHICH HAS LED TO SAFER, MORE QUALTIY-ORIENTED AND STREAMLINED CARE FOR OUR PATIENTS. DURING FY14, NCH RECEIVED NATIONAL RECOGNITION BY BECKER'S HOSPITAL REVIEW FOR HIGH QUALITY CARE OF PNEUMONIA PATIENTS AND BEING AMONG THE NATION'S 53 HOSPITALS WITH THE BEST OUTCOME FOR PNEUMONIA PATIENTS. USING DATA OBTAINED FROM THE CENTERS FOR MEDICARE AND MEDICAID SERVICES, BECKER'S IDENTIFIED 53 HOSPITALS IN THE U.S. WHOSE PNEMONIA PATIENTS HAD A 30-DAY MORTALITY RATE AT OR BELOW 8.4, WHICH IS WELL BELOW THE NATIONAL AVERAGE OF 11.9. NCH SERVES AS A CLINICAL TRAINING HOSPITAL FOR HEALTH PROFESSIONAL EDUCATION STUDENTS. WE HAVE DEDICATED STAFF TO WORK WITH REGIONAL COLLEGES AND UNIVERSITIES TO COORDINATE THE PLACEMENT OF HEALTHCARE PROFESSIONAL STUDENTS AS PART OF THEIR EDUCATIONAL CURRICULUM. IN ADDITION TO CLINICAL TRAINING, THE HEALTH CARE STUDENTS ENTERING OUR SYSTEM ARE REQUIRED TO HAVE ORIENTATION AND COMPUTER TRAINING. PARTICIPANTS RECEIVING CLINICAL EXPERIENCE AT NCH DURING FY14 INCLUDED 85 NURSING STUDENTS FROM VARIOUS COLLEGES, UNIVERSITIES AND PROGRAMS. THIS NURSING CLINICAL EXPERIENCE REQUIRED EXTENSIVE NCH NURSING STAFF INVOLVEMENT. THE CLINICAL SETTING AND HANDS-ON INSTRUCTION COST NCH 175,385. NCH PROVIDED A CLINICAL SETTING FOR ANOTHER 143 STUDENTS TRAINING IN HEALTH-RELATED PROGRAMS SUCH AS RADIOLOGY, PHARMACY, PHYSICAL THERAPY, EMT/PARAMEDIC AND OTHER ALLIED-HEALTH DISCIPLINES. THESE ADDITIONAL CLINICAL STUDENTS COST NCH 124,578. NORTON COMMUNITY HOSPITAL IS ALSO AN APROVED TRAINING CENTER FOR THE AMERICAN HEART ASSOCIATION (AHA). WE PROVIDE AHA HEARTSAVER PROGRAMS TO THE COMMUNITY AS WELL AS BASIC AND ADVANCED LIFE SUPPORT COURSES TO MEMBERS OF THE MEDICAL COMMUNITY. THE HEAL (HEALTHLY EATING ACTIVE LIVING) APPALACHIA PROGRAM, WHICH BATTLES CHILDHOOD OBESITY IN OUR REGION, HAS BEEN SELECTED AS A 2014 INDUCTEE INTO THE FIRST LADY OF VIRGINIA'S OPPORTUNITY HALL OF FAME. THIS HONOR RELATES TO HEAL APPALACHIA'S WORK IN SOUTHWEST VIRGINIA. HEAL APPALACHIA IS A COLLABORATIVE EFFORT OF MOUNTAIN STATES HEALTH ALLIANCE (MSHA) AND EAST TENNESSEE STATE UNIVERSITY. IT WAS CREATED TO BUILD MOMENTUM IN THE FIGHT AGAINST CHILDHOOD OBESITY IN SOUTHERN APPALACHIA. MSHA PROVIDES FUNDING FOR HEAL APPALACHIA ANNUAL GRANTS TO SUPPORT AND EMPOWER LOCAL ORGANIZATIONS TO CARRY OUT ACTIVITIES THAT MEASURABLY IMPACT CHILDHOOD OBESITY. HEAL GRANTS HAVE BEEN AWARDED TO VIRGINIA SCHOOLS, NON-PROFIT AGENCIES AND COMMUNITIES PROMOTING YOUTH ACTIVITIES. CHILDREN AND FAMILIES HAVE BEEN IMPACTED BY HEAL APPALACHIA IN SOUTHWEST VIRGINIA. THE INCIDENCE OF DIABETES IS ON THE RISE IN THE UNITED STATES WITH AN ALARMING NUMBER OF UNDIAGNOSED DIABETIC AND PRE-DIABETIC PATIENTS THAT ACTUALLY EXCEED THE NUMBER OF PATIENTS THAT HAVE BEEN DIAGNOSED WITH DIABETES. THE VIRGINIA DEPARTMENT OF HEALTH REPORTS THAT DIABETES IS THE 6TH LEADING CAUSE OF DEATH IN OUR STATE. IN ADDITION, THE SOUTHWEST VIRGINIA AND THE APPALACHIAN REGION EXCEEDS THE NATIONAL DIABETES PREVALENCE RATE. A SATELLITE PROGRAM WAS ESTABLISHED AT NCH THROUGH THE JOHNSTON MEMORIAL HOSPITAL (JMH) PROGRAM. JMH IS AN AFFILIATE OF NCH LOCATED IN ABINGDON, VIRGINIA. NCH IS CERTIFIED BY THE AMERICAN DIABETES ASSOCIATION. PRIOR TO ESTABLISHING THIS PROGRAM AT NCH MANY PATIENTS HAD TO TRAVEL AT LEAST 1 TO 2 HOURS TO ACCESS THIS TYPE OF CARE. ALSO, MEDICARE PATIENTS CAN NOW RECEIVE 2 HOURS OF ONE-ON-ONE EDUCATION AND PARTICIPATE IN 8 HOURS OF GROUP EDUCATION IN THEIR FIRST YEAR OF PROGRAM PARTICIPATION SO THE ESTABLISHMENT OF THE DIABETES PROGRAM IN NORTON IS OF GREAT BENEFIT TO OUR MEDICARE-AGE RESIDENTS. WE ARE EXCITED THAT THIS SERVICE IS NOW AVAILABLE TO THE SOUTHWEST VIRGINIA REGION AND THE POSITIVE IMPACT THE DIABETES PROGRAM HAS ON THE HEALTH OF OUR COMMUNITY MEMBERS. NORTON COMMUNITY HOSPITAL OPENED A STATE-OF-THE-ART SURGICAL ADDITION. THIS CONSTRUCTION WAS INITIATED DUE TO THE DILAPIDATED APPEARANCE AND DISREPAIR OF THE OLD SURGERY SUITE. THE ADDITION ADDED NEW TECHNOLOGIES THAT ARE AVAILABLE IN TODAY'S MARKET TO IMPROVE NCH'S ABILITY TO PROVIDE THE BEST PROVISION OF SURGICAL SERVICES TO OUR PATIENTS. REPLACING OUR OLD ANTIQUATED SURGICAL SUITE ALSO PROVIDES AN INCENTIVE FOR RECRUITMENT OF SURGEONS TO OUR RURAL COMMUNITY. THE NEW ADDITION WAS DESIGNED WITH AN INPATIENT ENTRANCE FROM THE HOSPITAL AS WELL AS A PICK-UP/DROP-OFF AREA TO ACCOMMODATE OUR PATIENTS AND MEET THEIR REQUESTS FOR IMPROVING INCOMING/OUTGOING TRANSPORT. OUR NEW SURGERY SUITE ALLOWS OUR PATIENTS TO HAVE THE SAME TYPE OF CARE THAT THEY WOULD PREVIOUSLY HAVE HAD TO ENDURE EXCESSIVE TRAVEL FOR IN ORDER TO REACH A LARGE HOSPITAL. OUR NEW SURGERY SUITE IS ALSO BEING USED BY THE REMOTE AREA MEDICAL (RAM) PROGRAM. RAM PROVIDES FREE HEALTHCARE TO MANY CITIZENS FROM THE COUNTIES THAT ARE WITHIN OUR SERVICE AREA THAT DO NOT HAVE HEALTH INSURANCE. WE OFFER OUR SURGERY SUITE FREE OF CHARGE TO RAM FOR USE BY ORAL SURGEONS TO PERFORM PEDIATRIC DENTAL SURGERY. THE CHILDREN BENEFITING FROM THIS SERVICE WOULD NOT RECEIVE THIS CARE IF NOT FOR RAM AND THE USE OF OUR SURGERY SUITE. MSHA'S VALUE OPTIMIZATION SYSTEM (VOS) GOAL IS TO ACCELERATE ACHIEVEMENT OF PATIENT CENTERED CARE TO MEET THE PATIENT'S EXPECTATIONS OF HIGH QUALITY, HIGH SATISFACTION AND EFFICIENT CARE. NCH'S VOS OUTPATIENT VALUE STREAM IS FOCUSED ON BLACK LUNG TESTING AND OBSERVATION UNIT SERVICES. THE GOALS FOR THIS VALUE STREAM ARE TO PROVIDE A BETTER PATIENT EXPERIENCE WITH QUICKER TURNAROUND TIMES IN DIAGNOSTIC TESTING RESULTS WHILE DECREASING LABOR AND SUPPLY EXPENSE. DURING FY14, A VOS RAPID IMPROVEMENT EVENT TEAM FOR OUR BLACK LUNG PROGRAM DEVELOPED STANDARD WORK PROCESSES AND A SCHEDULE TO ACCOMMODATE MORE PATIENTS, WHILE ELIMINATING OVERTIME |
| FORM 990, PAGE 6, PART VI, LINE 6 | THE CORPORATION IS ORGANIZED AS A VIRGINIA, NON-STOCK, NON-PROFIT CORPORATION. MOUNTAIN STATES HEALTH ALLIANCE IS THE 50.1% MEMBER OF NORTON COMMUNITY HOSPITAL,INC. COMMUNITY HEALTHCARE FOUNDATION, INC. IS THE 49.9% MEMBER OF NORTON COMMUNITY HOSPITAL, INC. |
| FORM 990, PAGE 6, PART VI, LINE 7A | THERE ARE TWO CLASSES OF MEMBERS AND EACH CLASS IS ENTITLED TO ELECT A SPECIFIED NUMBER OF DIRECTORS TO THE BOARD. THE MOUNTAIN STATES HEALTH ALLIANCE (MSHA) CLASS IS ELECTED BY THE MSHA BOARD OF DIRECTORS AND THE NORTON COMMUNITY HOSPITAL CLASS IS ELECTED BY THE COMMUNITY HEALTHCARE FOUNDATION BOARD OF DIRECTORS. NEITHER SIDE CAN VETO AN APPOINTMENT. |
| FORM 990, PAGE 6, PART VI, LINE 7B | CERTAIN DECISIONS OF THE BOARD ARE, PURSUANT TO CHARTER AND VIRGINIA STATUTE, SUBJECT TO APPROVAL OF THE MEMBERS. THESE DECISIONS INCLUDE: DISSOLUTION OF THE CORPORATION; MERGER OF THE CORPORATION; NON-ORDINARY COURSE OF BUSINESS SALE OF ASSETS; ETC. NO ORDINARY, DAY-TO-DAY DECISIONS ARE SUBJECT TO MEMBER APPROVAL. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE CFO REVIEWED THE FORM 990 WITH THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS AND THE RETURN WAS MADE AVAILABLE TO EACH BOARD MEMBER IN AN ELECTRONIC FORMAT PRIOR TO THE REVIEW. |
| FORM 990, PAGE 6, PART VI, LINE 12C | ANNUALLY, THE CORPORATE AUDIT AND COMPLIANCE DEPARTMENT OF MSHA FORWARDS THE CONFLICT OF INTEREST POLICY AND DISCLOSURE FORM TO ALL MSHA MANAGEMENT TEAM MEMBERS AND BOARD MEMBERS, INCLUDING THOSE AT NCH. 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 | COMPENSATION AND BENEFITS FOR NCH'S CEO 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, INCLUDING NORTON COMMUNITY HOSPITAL'S AND DICKENSON COMMUNITY HOSPITAL'S CEO, MARK LEONARD. 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, OTHER SENIOR EXECUTIVES RECEIVE COMPENSATION AND BENEFITS THAT COMPLY WITH MSHA'S SALARY POLICY. COMPENSATION FOR EACH OF THEM IS SET AT A MARKET PERCENTILE SPECIFIC TO HIS/HER 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, PART IX, LINE 11G | PHYSICIAN FEES 5,348,527 0 0 HYPERBARIC SERVICES 132,889 0 0 AMBULANCE FEES 104,216 0 0 LAB TESTS 217,920 0 0 LINEN & ENVIRONMENTAL SERV. 0 522,804 0 COLLECTION FEES 0 287,073 0 PATIENT RESOURCE MGMT. 0 224,806 0 TRANSCRIPTION 0 89,892 0 NUTRITIONAL SERVICES 305,562 0 0 ENGINEERING SERVICES 0 154,215 0 VARIOUS EXPENSES 365,798 54,302 0 |
| FORM 990, PART X | FORM 990, PART X, LINE 20 - TAX EXEMPT BOND LIABILITY THE TAX EXEMPT BOND LIABILITY REFLECTS THE PORTION OF BONDS ISSUED BY MOUNTAIN STATES HEALTH ALLIANCE, NCH'S MAJORITY OWNER, LOANED TO NCH FOR CAPITAL NEEDS. NCH PAYS ALL COSTS RELATED TO THIS PORTION OF THE BOND ISSUE. |
| FORM 990, PART XI, LINE 9 | CHANGE IN TEMP. RESTRICTED GRANTS 65,616 ELIMINATION OF INTERCOMPANY REC/PAY 159,442 PENSION & POST LIABILITY ADJUSTMENT 406,846 TOTAL TO FORM 990, PART XI, LINE 9 631,904 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTON COMMUNITY PHYSICIAN SVCS LLC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 96 15TH ST NW | AddressLine1 |
| City | NORTON | City |
| State | VA | State |
| ZIP Code | 24273 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 260868690 | EIN |
| Primary Activities | MED. SERV. | PrimaryActivitiesTxt |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Total Income | $10,155,874 | TotalIncomeAmt |
| End Of Year Assets | $3,914,777 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NCH | BusinessNameLine1 |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| MOUNTAIN STATES HEALTH ALLIANCE | ||||||||||
| 400 N STATE OF FRANKLIN RD | JOHNSON CITY | TN | 37604 | 620476282 | HOSPITAL | TN | 501C3 | 3 | NA | false |
| DICKENSON COMMUNITY HOSPITAL | ||||||||||
| ONE HOSPITAL DRIVE | CLINTWOOD | VA | 24228 | 770599553 | HOSPITAL | VA | 501C3 | 3 | NCH | false |
| JOHNSTON MEMORIAL HOSPITAL | ||||||||||
| 16000 JOHNSTON MEMORIAL DRIVE | ABINGDON | VA | 24211 | 540544705 | HOSPITAL | VA | 501C3 | 3 | NA | false |
| ABINGDON PHYSICIAN PARTNERS | ||||||||||
| 16000 JOHNSTON MEMORIAL DRIVE | ABINGDON | VA | 24211 | 205485346 | MED. SERV. | VA | 501C3 | 11A | JMH | false |
| SMYTH COUNTY COMMUNITY HOSPITAL | ||||||||||
| 245 MEDICAL PARK DRIVE | MARION | VA | 24354 | 540794913 | HOSPITAL | VA | 501C3 | 3 | MSHA | false |
| COMMUNITY HEALTHCARE FOUNDATION | ||||||||||
| 100 15TH STREET NW | NORTON | VA | 24273 | 542002314 | SUPPORT | VA | 501C3 | 11A | NA | false |
| MOUNTAIN STATES FOUNDATION | ||||||||||
| 2335 KNOB CREEK ROAD SUITE 101 | JOHNSON CITY | TN | 37604 | 581418862 | FUNDRAISER | TN | 501C3 | 11A | MSHA | false |
| MSHA AUXILIARY | ||||||||||
| 400 N STATE OF FRANKLIN RD | JOHNSON CITY | TN | 37604 | 581418345 | SUPPORT | TN | 501C3 | 11A | MSHA | false |
| APPALACHIAN EMERGENCY PHYSICIANS | ||||||||||
| 1021 W OAKLAND AVENUE STE 207 | JOHNSON CITY | TN | 37604 | 800592504 | MED. SERV | TN | 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 | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| INTEGRATED SOLUTIONS HLTH NTWK INC | |||||||||
| 509 MED TECH PARKWAY SUITE 100 | JOHNSON CITY | TN | 37604 | 621711997 | INVESTMENT | TN | NA | false | false |
| EMMAUS COMMUNITY HEALTHCARE PLLC | |||||||||
| 6070 HWY 11E | PINEY FLATS | TN | 37686 | 200577483 | MED. SERV. | TN | NA | false | false |
| MEDICAL SPECIALISTS OF J C LLC | |||||||||
| 2528 WESLEY STREET SUITE 2 | JOHNSON CITY | TN | 37604 | 272199037 | MED. SERV. | TN | NA | false | false |
| EAST TN AMBULATORY SURGERY CTR | |||||||||
| 701 MED TECH PARKWAY | JOHNSON CITY | TN | 37604 | 621787537 | MED. SERV. | TN | NA | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COMMUNITY HOME CARE INC | ||||||||||||
| 1460 PARK AVENUE | NORTON | VA | 24273 | 541453810 | DME | VA | NA | C CORP | $782,351 | $988,429 | 1.00000 | false |
| SOUTHWEST COMMUNITY HEALTH SERVICES | ||||||||||||
| P O BOX 880 | MARION | VA | 24354 | 541460695 | MED. SERV. | VA | NA | false | ||||
| BLUE RIDGE MEDICAL MANAGEMENT CORP | ||||||||||||
| 1021 W OAKLAND AVENUE SUITE 207 | JOHNSON CITY | TN | 37604 | 621490616 | MED. SERV. | TN | NA | false | ||||
| MEDISERVE MED EQUIP OF KINGSPORT | ||||||||||||
| 1021 W OAKLAND AVENUE SUITE 207 | JOHNSON CITY | TN | 37604 | 621212286 | DME | TN | NA | false | ||||
| MOUNTAIN STATES PROPERTIES | ||||||||||||
| 1021 W OAKLAND AVENUE SUITE 207 | JOHNSON CITY | TN | 37604 | 621845895 | PROP MGMT | TN | NA | false | ||||
| MOUNTAIN STATES PHYSICIANS GRP INC | ||||||||||||
| 1021 W OAKLAND AVENUE SUITE 207 | JOHNSON CITY | TN | 37604 | 621700412 | HEALTHCARE | TN | NA | false | ||||
| WILSON PHARMACY INC | ||||||||||||
| P O BOX 5289 | JOHNSON CITY | TN | 37602 | 620329587 | PHARMACY | TN | NA | false | ||||
| CRESTPOINT HEALTH INSURANCE COMPANY | ||||||||||||
| 509 MED TECH PARKWAY SUITE 100 | JOHNSON CITY | TN | 37604 | 620381170 | INSURANCE | TN | NA | 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 | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt |
|---|---|
| COMMUNITY HOME CARE INC | |
| A | $51,859 |
| COMMUNITY HOME CARE INC | |
| O | $65,715 |
| COMMUNITY HOME CARE INC | |
| Q | $92,483 |
| DICKENSON COMMUNITY HOSPITAL | |
| B | $159,442 |
| DICKENSON COMMUNITY HOSPITAL | |
| O | $495,501 |
| DICKENSON COMMUNITY HOSPITAL | |
| Q | $1,303,412 |