Laughlin Memorial Hospital Inc: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- Laughlin Memorial Hospital Inc (EIN 62-0701119)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-13
- IRS object ID
- 201401339349301190
- Schema version
- 2012v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-13T09:17:06-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 E MAIN ST STE 200 PO BOX 1196 | AddressLine1 |
| City | BOWLING GREEN | City |
| State | KY | State |
| ZIP Code | 421021196 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 620701119 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAUGHLIN MEMORIAL HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % MARK COMPTON CFO | InCareOfName |
| Name Control | LAUG | NameControl |
| Phone | 4237875000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1420 TUSCULUM BLVD | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | GREENEVILLE | City |
| State | TN | State |
| ZIP Code | 37745 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CHARLES H WHITFIELD JR | Name |
| Title | CEO | Title |
| Phone | 4237875000 | Phone |
| Date Signed | 2014-05-12 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JESSICA FREEMAN | Name |
| Phone | 2707810111 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | CHARLES H WHITFIELD JR | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1420 TUSCULUM BLVD | AddressLine1 |
| City | GREENEVILLE | City |
| State | TN | State |
| ZIP Code | 37745 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 72566642 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.LAUGHLINMEMORIAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1966 | YearFormation |
| State Legal Domicile | TN | StateLegalDomicile |
| Activity Or Mission Description | IMPROVING THE HEALTH AND WELL BEING OF INDIVIDUALS, FAMILIES AND OUR COMMUNITY BASED ON IDENTIFIED NEEDS. DELIVERING EMERGENCY CARE WITHOUT REGARD TO PATIENTS' ABILITY TO PAY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 10 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 6 | NbrIndependentVotingMembers |
| Total Nbr Employees | 950 | TotalNbrEmployees |
| Total Nbr Volunteers | 45 | TotalNbrVolunteers |
| Total Gross UBI | 4561 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 3561 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 208912 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 262389 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 62129359 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 62044700 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3090083 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2628758 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2823932 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2040154 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 68252286 | TotalRevenuePriorYear |
| Total Revenue Current Year | 66976001 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 39156269 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 39882952 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 372886 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 31816332 | OtherExpensePriorYear |
| Other Expenses Current Year | 32193849 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 70972601 | TotalExpensesPriorYear |
| Total Expenses Current Year | 72076801 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -2720315 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -5100800 | RevenuesLessExpensesCY |
| Total Assets BOY | 165655422 | TotalAssetsBOY |
| Total Assets EOY | 161015154 | TotalAssetsEOY |
| Total Liabilities BOY | 52860350 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 48689994 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 112795072 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 112325160 | NetAssetsOrFundBalancesEOY |
| Mission Description | IMPROVING THE HEALTH AND WELL BEING OF INDIVIDUALS, FAMILIES AND OUR COMMUNITY BASED ON IDENTIFIED NEEDS. DELIVERING EMERGENCY CARE WITHOUT REGARD TO PATIENTS' ABILITY TO PAY. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 58522144 | Expense |
| Revenue | 63106953 | Revenue |
| Description | LAUGHLIN MEMORIAL HOSPITAL IS COMMITTED TO IMPROVING THE HEALTH AND WELL BEING OF INDIVIDUALS, FAMILIES AND OUR COMMUNITY THROUGH INNOVATION AND PURSUIT OF EXCELLENCE. WE PROMOTE CONTINUITY OF CARE THROUGHOUT THE HOSPITAL, HOME HEALTH AGENCY, NURSING HOME AND OTHER COMMUNITY SETTINGS. EMERGENCY SERVICES ARE OFFERED 24 HOURS PER DAY WITHOUT REGARD TO PATIENTS' ABILITY TO PAY. OUR STAFF PROMOTES HEALTHY LIFESTYLES AND STRATEGIES FOR DISEASE PREVENTION. | Description |
| Total Program Service Expense | 58522144 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 101 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 950 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 10 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 6 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MARK COMPTON CFO | NamePerson |
| Telephone Number | 4237875000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1420 TUSCULUM BLVD | AddressLine1 |
| City | GREENEVILLE | City |
| State | TN | State |
| ZIP Code | 37745 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (16 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| CHARLES H WHITFIELD JR | |||||||
| CEO | 50.0 | X | X | 311999 | 0 | 75088 | |
| CLINTON RAY ADAMS | |||||||
| CHAIRMAN OF BOARD | 2.0 | X | X | 0 | 0 | 8626 | |
| WILLARD S BLEVINS | |||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 13626 | ||
| C HERBERT WHITFIELD SR | |||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 13626 | ||
| JACK G WILSON | |||||||
| DIRECTOR | 16.0 | X | 19932 | 0 | 13626 | ||
| DOMINICK L JACKSON | |||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 13626 | ||
| CHARLES A MONTGOMERY MD | |||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | ||
| RICHARD W PECTOL MD | |||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | ||
| LAURA URBAN MD | |||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | ||
| BOBBY WELLS | |||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | ||
| JOHN MARK COMPTON | |||||||
| CFO | 40.0 | X | 181200 | 0 | 45725 | ||
| KEVIN C STROHMEYER MD | |||||||
| ORTHOPEDIC SURGEON | 40.0 | 548815 | 0 | 18249 | X | ||
| MARK PATTERSON MD | |||||||
| SURGEON | 40.0 | 386917 | 0 | 14648 | X | ||
| ROBERT S FLOHR MD | |||||||
| SURGEON | 40.0 | 370870 | 0 | 14956 | X | ||
| NATALIE SCOTT MD | |||||||
| SURGEON | 40.0 | 289042 | 0 | 13626 | X | ||
| RICKY EALY | |||||||
| CHIEF OF PHARMACY | 40.0 | 154091 | 0 | 18526 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2262866 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 263948 | TotalOtherCompensation |
| Number Individuals GT100 K | 17 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MAYO COLLABORATIVE SERVICES INC | |||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | LABORATORY SERVICES | 773665 |
| SUMMIT MEDICAL GROUP PLLC | |||||
| 1225 WEISGARBER ROAD | KNOXVILLE | TN | 37909 | PHYSICIAN GROUP | 704098 |
| ANGELICA CORPORATION | |||||
| PO BOX 535122 | ATLANTA | GA | 30353 | LAUNDRY SERVICE | 520176 |
| CLINICAL PHARMACY SERVICE | |||||
| PO BOX 8545 | GRAY | TN | 37615 | MEDICAL SERVICES | 335477 |
| EXECUTIVE HEALTH RESOURCES | |||||
| 15 CAMUS BLVD SUITE 200 | NEWTON SQUARE | PA | 19073 | COMPLIANCE SERVICES | 384050 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 15 | NumberOfContractorsGT100K |
| Related Organizations | 227000 | RelatedOrganizations |
| Government Grants | 27000 | GovernmentGrants |
| All Other Contributions | 8389 | AllOtherContributions |
| Total Contributions | 262389 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT REVENUE (NET OF CONTRACTUAL ALLOWANCES | Description |
| Business Code | 621300 | BusinessCode |
| Total Revenue Column | 62044700 | TotalRevenueColumn |
| Related Or Exempt Function Income | 62044700 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 62044700 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1682930 | TotalRevenueColumn |
| Unrelated Business Revenue | 4561 | UnrelatedBusinessRevenue |
| Exclusion | $1,678,369 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1146032 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 954917 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 191115 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 191115 | TotalRevenueColumn |
| Exclusion | $191,115 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 5574152 | Securities |
| Other | 7400 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 4624666 | Securities |
| Other | 11058 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 949486 | Securities |
| Other | -3658 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 945828 | TotalRevenueColumn |
| Exclusion | $945,828 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| CAFETERIA | 722210 | 379885 | $379,885 | |
| GIFT SHOP | 453220 | 87211 | $87,211 | |
| EHR INCENTIVE | 900099 | 1062253 | 1062253 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 319690 | TotalRevenueColumn |
| Exclusion | $319,690 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1849039 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 66976001 | TotalRevenueColumn |
| Related Or Exempt Function Income | 63106953 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 4561 | UnrelatedBusinessRevenue |
| Exclusion | $3,602,098 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 769142 | Total |
| Management And General | 769142 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30994581 | Total |
| Program Services | 28294803 | ProgramServices |
| Management And General | 2536146 | ManagementAndGeneral |
| Fundraising | 163632 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 994508 | Total |
| Program Services | 885898 | ProgramServices |
| Management And General | 103487 | ManagementAndGeneral |
| Fundraising | 5123 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4938069 | Total |
| Program Services | 4398782 | ProgramServices |
| Management And General | 513848 | ManagementAndGeneral |
| Fundraising | 25439 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2186652 | Total |
| Program Services | 1962698 | ProgramServices |
| Management And General | 212839 | ManagementAndGeneral |
| Fundraising | 11115 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38141 | Total |
| Management And General | 38141 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 67721 | Total |
| Management And General | 67721 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8464 | Total |
| Management And General | 8464 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 153463 | Total |
| Management And General | 220273 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9257376 | Total |
| Program Services | 6546217 | ProgramServices |
| Management And General | 2703521 | ManagementAndGeneral |
| Fundraising | 7638 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 256458 | Total |
| Program Services | 51141 | ProgramServices |
| Management And General | 205317 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1558715 | Total |
| Program Services | 1359228 | ProgramServices |
| Management And General | 198194 | ManagementAndGeneral |
| Fundraising | 1293 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7000 | Total |
| Management And General | 7000 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 979775 | Total |
| Program Services | 949235 | ProgramServices |
| Management And General | 30540 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45614 | Total |
| Program Services | 45614 | ProgramServices |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 130201 | Total |
| Program Services | 98015 | ProgramServices |
| Management And General | 32052 | ManagementAndGeneral |
| Fundraising | 134 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1331584 | Total |
| Program Services | 325 | ProgramServices |
| Management And General | 1264449 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5641296 | Total |
| Program Services | 2526449 | ProgramServices |
| Management And General | 3113867 | ManagementAndGeneral |
| Fundraising | 980 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 347108 | Total |
| Program Services | 19267 | ProgramServices |
| Management And General | 327841 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| DUES & SUBSCRIPTIONS | 262948 | 132569 | 129832 | 547 |
| EMPLOYEE RECRUITMENT | 404642 | 47483 | 357159 | |
| TAXES | 240912 | 240912 | ||
| MEDICAL SUPPLIES | 10822742 | 10794931 | 24005 | 3806 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 639689 | Total |
| Program Services | 409489 | ProgramServices |
| Management And General | 77021 | ManagementAndGeneral |
| Fundraising | 153179 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 72076801 | Total |
| Program Services | 58522144 | ProgramServices |
| Management And General | 13181771 | ManagementAndGeneral |
| Fundraising | 372886 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3105103 | BOY |
| EOY | 1460191 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 129084 | BOY |
| EOY | 81652 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8380832 | BOY |
| EOY | 7733313 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 367430 | BOY |
| EOY | 641807 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2589510 | BOY |
| EOY | 2590097 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1313355 | BOY |
| EOY | 1216423 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 140988862 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 79384440 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64103318 | BOY |
| EOY | 61604422 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 81904815 | BOY |
| EOY | 82232102 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3761975 | BOY |
| EOY | 3455147 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 165655422 | BOY |
| EOY | 161015154 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6314071 | BOY |
| EOY | 5480196 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39900000 | BOY |
| EOY | 38750000 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 515314 | BOY |
| EOY | 291296 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6130965 | BOY |
| EOY | 4168502 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 52860350 | BOY |
| EOY | 48689994 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 112358945 | BOY |
| EOY | 111828929 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 436127 | BOY |
| EOY | 496231 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 112795072 | BOY |
| EOY | 112325160 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 165655422 | BOY |
| EOY | 161015154 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -5100800 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 3053003 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 1577885 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $8,464 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 8464 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | LOBBYING DUES | Identifier |
| Return Reference | SCH C, PART II-B, LINE 1I | ReturnReference |
| Explanation | A PORTION OF DUES PAID TO THE TENNESSEE HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION IS FOR LOBBYING. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Current Year Minus4 Years | CurrentYearMinus4Years |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1054075 | OtherCostOrOtherBasis |
| Book Value | 1054075 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 69367169 | OtherCostOrOtherBasis |
| Depreciation | 15920267 | Depreciation |
| Book Value | 53446902 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 68366675 | OtherCostOrOtherBasis |
| Depreciation | 61852969 | Depreciation |
| Book Value | 6513706 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2200943 | OtherCostOrOtherBasis |
| Depreciation | 1611204 | Depreciation |
| Book Value | 589739 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 61604422 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DEFERRED COMPENSATION | $962,303 |
| EST. AMOUNTS TO THIRD PARTIES | $0 |
| INTEREST RATE SWAP AGREEMENT | $3,206,199 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 4168502 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 72281429 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 3053003 | NetUnrealizedGainsInvestments |
| Other Revenues | 2472698 | OtherRevenues |
| Revenue Not Rptd F990 | 5525701 | RevenueNotRptdF990 |
| Revenue Subtotal | 66755728 | RevenueSubtotal |
| Investment Expenses Not Included | 220273 | InvestmentExpensesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 220273 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 66976001 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 72811445 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 954917 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 954917 | ExpensesNotRptdF990 |
| Expenses Subtotal | 71856528 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 220273 | InvestmentExpensesNotIncluded2 |
| Expenses Not Rptd On Fin Stmt | 220273 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 72076801 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| RECONCILIATION TO AUDIT REPORT - REVENUES | SCH D, PART XII, LINE 2D | ---------------------- RENTAL EXPENSES SHOWN NET OF REVENUE PER 990 954,917 CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 1,517,781 ----------- 2,472,698 |
| RECONCILIATION TO AUDIT REPORT - EXPENSES | SCH D, PART XIII, LINE 2D | ---------------------- RENTAL EXPENSES SHOWN NET OF REVENUE PER 990 954,917 |
| INCOME TAXES | SCH D, PART X, LINE 2 | ---------------------- THE HOSPITAL HAS BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C) OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THE HOSPITAL IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE HOSPITAL IS NO LONGER SUBJECT TO U.S. FEDERAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2010. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent150 | X | Pcent150 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | false | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1664310 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1664310 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02310 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10630767 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7247376 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3383391 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04690 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 225864 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 199138 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 26726 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12520941 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7446514 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5074427 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07040 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 371336 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 39672 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 331664 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00460 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 50877 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 50877 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 176692 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 128700 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 47992 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 23051 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 23051 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 621956 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 168372 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 453584 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00630 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 13142897 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7614886 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5528011 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07670 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 357158 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 357158 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00500 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 357158 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 357158 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00500 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $2,632,545 | BadDebtExpenseAmount |
| Amount Attributable To | 1351547 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 17456048 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 12971216 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 4484832 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAUGHLIN MEMORIAL HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1420 TUSCULUM BLVD | AddressLine1 |
| City | GREENEVILLE | City |
| State | TN | State |
| ZIP Code | 37745 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAUGHLIN MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | true | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | true | TakeIntoAccount |
| Other Facilities | true | OtherFacilities |
| CHNA Widely Available | true | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Participate Community Plan | X | ParticipateCommunityPlan |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | true | AllNeedsAddressed |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 150. | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 200. | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 3 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (3 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| LAUGHLIN HEALTHCARE CENTER | ||||
| 801 E MCKEE | GREENEVILLE | TN | 37743 | NURSING HOME SNF/ICF/REHAB |
| LAUGHLIN HOME HEALTH | ||||
| 1420 TUSCULUM BLVD | GREENEVILLE | TN | 37745 | HOME HEALTH AGENCY |
| LAUGHLIN MEDICAL GROUP | ||||
| 1406 TUSCULUM BLVD | GREENEVILLE | TN | 37745 | PHYSICIAN PRACTICE |
Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| BAD DEBT EXPENSE | SCH H, PART III, LINE 4 | ---------------------- THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS, BASED ON THE INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNTS. COST OF BAD DEBTS IS ESTIMATED BY APPLICATION OF A COST TO CHARGE RATIO. HOSPITAL MANAGEMENT ESTIMATES THAT 40% OF THE NET BAD DEBT AMOUNTS WOULD QUALIFY FOR CHARITY IF FAMILY MEMBERS WOULD GIVE COMPLETE INFORMATION TO FINANCIAL ASSISTANCE PERSONNEL OF THE HOSPITAL. |
| MEDICARE SHORTFALL | SCH H, PART III, LINE 8A | ---------------------- THE TOTAL REPORTED SHORTFALL IS COMMUNITY BENEFIT. AMOUNT REPORTED ON LINE 6 WAS OBTAINED THROUGH EXAMINATION OF MEDICARE COST REPORT COMPONENTS FOR 6/30/13. |
| COLLECTION PRACTICES | SCH H, PART III, LINE 9B | ---------------------- Patients known to qualify for financial assistance are sent a letter indicating they have been approved for free or discounted care. These adjustments are applied to patient accounts before the next billing cycle. |
| NEEDS ASSESSMENT | SCH H, PART VI, LINE 2 | ---------------------- LAUGHLIN MEMORIAL HOSPITAL PARTICIPATES IN THE GREENE COUNTY HEALTH COUNCIL ALONG WITH NUMEROUS OTHER HEALTH-RELATED ORGANIZATIONS. A GREENE COUNTY COMMUNITY HEALTH ASSESSMENT IS PREPARED BASED ON THIS GROUP'S WORK AND COORDINATED THROUGH THE NORTHEAST TENNESSEE REGIONAL HEALTH OFFICE OF THE TENNESSEE DEPARTMENT OF HEALTH. THE ASSESSMENT INCLUDES TOP 10 CONCERNS AND WAYS IN WHICH THE COUNCIL ADDRESSES FUTURE HEALTH PLANNING. THE MANAGEMENT TEAM OF LAUGHLIN MEMORIAL HOSPITAL DETERMINES HOW BEST TO WORK AS AN ORGANIZATION OR IN CONJUCTION WITH OTHER COUNCIL MEMBERS ON SOLUTIONS TO IDENTIFIED NEEDS. LAUGHLIN MEMORIAL HOSPITAL ALSO performed a formal Community Needs Assessment to assess the health care needs and health risk factors of the community. See the full report on the Hospital's website at: http://www.laughlinmemorial.org/wellness/lmhchna.pdf. |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | SCH H, PART VI, LINE 3 | ---------------------- THE REGISTRATION STAFF DESCRIBE AND PROVIDE LITERATURE ABOUT FINANCIAL ASSISTANCE DURING THE PATIENT INTERVIEW PROCESS. A MEDICAID STATE ELIGIBILITY WORKER IS PROVIDED OFFICE SPACE WITHIN THE HOSPITAL AND EFFORTS ARE MADE TO PUT PATIENTS IN CONTACT WITH THIS RESOURCE. APPLICATIONS FOR HOSPITAL CHARITY CARE ARE DISTRIBUTED BOTH BY THE REGISTRARS AND BILLING OFFICE STAFF. POSTED NOTICES AND THE HOSPITAL WEB SITE ARE OTHER SOURCES OF INFORMATION. |
| COMMUNITY INFORMATION | SCH H, PART VI, LINE 4 | ---------------------- GREENE COUNTY, TN HAD A 2013 POPULATION OF 68,267 CITIZENS. THE HOSPITAL SERVES PRIMARILY GREENE COUNTY AND PATIENTS CLOSE TO THE BORDER OF GREENE COUNTY. THE MEDIAN HOUSEHOLD INCOME IN 2013 WAS $35,613 WITH AN ESTIMATED 22.5% OF THE COUNTY'S POPULATION LIVING IN POVERTY. THE COUNTY COVERS 621 SQUARE MILES. |
| PROMOTION OF COMMUNITY HEALTH | SCH H, PART VI, LINE 5 | ---------------------- THE HOSPITAL PROVIDES REPRESENTATIVES AND SUPPORT FOR THE GREENE COUNTY PARTNERSHIP WHICH WORKS TOWARD ECONOMIC GROWTH OF THE AREA. LOCAL SCHOOLS ARE SUPPORTED THROUGH THE PARTNERS IN EDUCATION PROGRAM. THE GREENE COUNTY HEALTH COUNCIL IS HOSTED BY THE HOSPITAL. THE MEDICAL STAFF IS OPEN TO ANY PHYSICIAN WHO MEETS CREDENTIALING STANDARDS AND AGREES TO STANDARDS ESTABLISHED BY THE MEDICAL STAFF. VARIOUS BUSINESS LEADERS SERVE ON THE BOARD OF DIRECTORS ALONG WITH LEADERS OF THE PHYSICIAN COMMUNITY. SURPLUS FUNDS PROVIDE FOR CONTINUITY OF HEALTHCARE SERVICES DURING PERIODS OF ECONOMIC DOWNTURN AND ARE REINVESTED IN NEW TECHNOLOGY AND EQUIPMENT AS NEEDED. |
| CHARGES FOR MEDICAL CARE | SCH H, PART V, LINE 20 | ---------------------- RATIO FROM LATEST STATE OF TENNESSEE JOINT ANNUAL REPORT REFLECTING AVERAGE COMMERCIAL INSURANCE REIMBURSEMENT. |
| CHNA COMMUNITY INPUT | SCH H, PART V, LINE 3 | ----------------------- Input for the Community Health Needs Assessment report was asked from individuals with knowledge of the community, commitment to improving social issues, and desire to improve health in the community. Included were the County Health department, wellness committees of both Laughlin and Takoma hospitals, Greene County Health Council, Tusculum College nursing program, Frontier mental health. A survey made publicly available included 263 responses. |
| CHNA CONDUCTED WITH OTHER FACILITIES | SCH H, PART V, LINE 4 | ---------------------- LAUGHLIN MEMORIAL HOSPITAL COLLABORATED WITH TAKOMA REGIONAL HOSPITAL, THE OTHER HOSPITAL IN GREENE COUNTY, TENNESSEE IN CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENT. |
| IMPLEMENTATION STRATEGY | SCH H, PART V, LINE 6 | -------------------- A COPY OF THE HOSPITAL'S IMPLEMENTATION STRATEGY HAS BEEN ATTACHED TO FORM 990. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHARLES H WHITFIELD JR | ||||||||||||||
| CEO | 308987 | 0 | 3012 | 0 | 0 | 0 | 58576 | 0 | 16512 | 0 | 387087 | 0 | 0 | 0 |
| JOHN MARK COMPTON | ||||||||||||||
| CFO | 179411 | 0 | 1789 | 0 | 0 | 0 | 30713 | 0 | 15012 | 0 | 226925 | 0 | 0 | 0 |
| KEVIN C STROHMEYER MD | ||||||||||||||
| ORTHOPEDIC SURGEON | 548815 | 0 | 0 | 0 | 0 | 0 | 12500 | 0 | 5749 | 0 | 567064 | 0 | 0 | 0 |
| MARK PATTERSON MD | ||||||||||||||
| SURGEON | 323517 | 0 | 63400 | 0 | 0 | 0 | 0 | 0 | 14648 | 0 | 401565 | 0 | 0 | 0 |
| ROBERT S FLOHR MD | ||||||||||||||
| SURGEON | 325670 | 0 | 45200 | 0 | 0 | 0 | 0 | 0 | 14956 | 0 | 385826 | 0 | 0 | 0 |
| NATALIE SCOTT MD | ||||||||||||||
| SURGEON | 264042 | 0 | 25000 | 0 | 0 | 0 | 0 | 0 | 13626 | 0 | 302668 | 0 | 0 | 0 |
| RICKY EALY | ||||||||||||||
| CHIEF OF PHARMACY | 152550 | 0 | 1541 | 0 | 0 | 0 | 7817 | 0 | 10709 | 0 | 172617 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | NONQUALIFIED RETIREMENT PLAN | Identifier |
| Return Reference | SCH J, PART I, LINE 4B | ReturnReference |
| Explanation | LAUGHLIN MEMORIAL HOSPITAL HAS A SECTION 457(F) PLAN THAT PROVIDES FOR NON-ELECTIVE DISCRETIONARY CONTRIBUTIONS. PARTICIPANTS MUST BE EMPLOYED BY THE HOSPITAL FOR 12 MONTHS OF CONTINUOUS SERVICE DURING THE PLAN YEAR AND REMAIN EMPLOYED AT THE END OF THE PLAN YEAR. PARTICIPANTS VESTED PERCENTAGE REMAINS AT 0% UNTIL COMPLETION OF 10 FULL YEARS OF PLAN PARTICIPATION. PARTICIPANTS ARE 100% VESTED AFTER 10 YEARS, UPON DEATH OR DISABILITY THAT RESULTS IN SEVERANCE OF EMPLOYMENT, ATTAINMENT OF NORMAL RETIREMENT AGE (65), TERMINATION OF EMPLOYMENT BY REDUCTION IN FORCE, OR THE SALE OR CLOSURE OF SUBSTANTIALLY ALL OF THE HOSPITAL'S OPERATIONS. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE PLAN DURING THE CURRENT YEAR: CHARLES H. WHITFIELD, JR. $46,706 JOHN MARK COMPTON $21,670 | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTH & EDUCATIONAL FACILITIES BOARD | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 621220275 | IssuerEIN |
| CUSIP Number | 000000000 | CUSIPNumber |
| Date Issued | 2012-09-05 | DateIssued |
| Issue Price | 38750000 | IssuePrice |
| Description Of Purpose | REFUND 2012 BONDS | DescriptionOfPurpose |
| Defeased | false | Defeased |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Pool Financing | false | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Amount Retired | 0 | AmountRetired |
| Amount Bond Defeased | 0 | AmountBondDefeased |
| Total Proceeds | 38750000 | TotalProceeds |
| Amount In Reserve Fund | 0 | AmountInReserveFund |
| Capitalized Interest | 0 | CapitalizedInterest |
| Refunding Escrow | 0 | RefundingEscrow |
| Issuance Costs From Proceeds | 50000 | IssuanceCostsFromProceeds |
| Credit Enhancement | 0 | CreditEnhancement |
| Working Capital Expenditures | 0 | WorkingCapitalExpenditures |
| Capital Expenditures | 0 | CapitalExpenditures |
| Other Spent Proceeds | 38700000 | OtherSpentProceeds |
| Amount Unspent | 0 | AmountUnspent |
| Current Refunding | true | CurrentRefunding |
| Advance Refunding | false | AdvanceRefunding |
| Final Allocation Made | true | FinalAllocationMade |
| Adequate Books And Recds Maintaind | true | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedProperty |
| Any Lease Arrangements | false | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | false | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | false | AnyResearchAgreements |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Bond Iss Meet Prvt Security Pay Test | false | BondIssMeetPrvtSecurityPayTest |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedProp |
| Remedial Action Taken | false | RemedialActionTaken |
| Non Qualified Bond Remed Procdrs | true | NonQualifiedBondRemedProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiled |
| Rebate Not Due Yet | true | RebateNotDueYet |
| Exception To Rebate | false | ExceptionToRebate |
| No Rebate Due | false | NoRebateDue |
| Variable Rate Issue | true | VariableRateIssue |
| Hedge Identified In Books And Recds | false | HedgeIdentifiedInBooksAndRecds |
Name Of Hedge Provider NameOfHedgeProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGIC |
Name Of GIC Provider NameOfGICProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested | false | GrossProceedsInvested |
| Written Proc To Monitor Reqs | false | WrittenProcToMonitorReqs |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Proc To Undertk Corrective Action | true | ProcToUndertkCorrectiveAction |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| RELATIONSHIPS AMONG OFFICERS, DIRECTORS AND KEY EMPLOYEES | FORM 990, PART VI, SECTION A, LINE 2 | ---------------------------------------- THE FOLLOWING FAMILY RELATIONSHIP EXISTS: CHARLES H. WHITFIELD, JR., PRESIDENT AND CEO, IS THE SON OF C. HERBERT WHITFIELD, SR., A DIRECTOR OF LAUGHLIN MEMORIAL HOSPITAL, INC. |
| PROCESS TO REVIEW FORM 990 | FORM 990, PART VI, SECTION B, LINE 11 | ---------------------------------------- THE CEO VERIFIES THAT THE FORM 990 REFLECTS DATA COLLECTED BY THE ORGANIZATION. A REVIEW OF HIGHLIGHTS IS CONDUCTED BY THE CEO AND BOARD. |
| MONITORING THE CONFLICT OF INTEREST POLICY | FORM 990, PART VI, SECTION B, LINES 12B AND 12C | ---------------------------------------- ALL BOARD MEMBERS AND DEPARTMENT HEADS SIGN A STATEMENT ANNUALLY TO INDICATE THAT THEY HAVE NO CONFLICTS OF INTEREST OR DESCRIBING THE NATURE OF ANY POTENTIAL CONFLICTS OF INTEREST. THE CONFLICT OF INTEREST POLICY IS AVAILABLE ON THE INTRANET AND THE COMPLIANCE OFFICER REVIEWS THE CONFLICT OF INTEREST STATEMENTS EACH YEAR. BOARD MEMBERS DO NOT VOTE ON ISSUES WHERE THEIR INTERESTS COULD CONFLICT WITH THOSE OF THE ORGANIZATION. |
| PROCESS FOR DETERMINING COMPENSATION | FORM 990, PART VI, SECTION B, LINES 15A AND 15B | ---------------------------------------- A COMPENSATION REVIEW WAS CONDUCTED BY THE COMPENSATION COMMITTEE OF THE BOARD IN 2012 FOR THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS. FOR OTHER OFFICERS AND KEY EMPLOYEES, A REVIEW IS CONDUCTED ANNUALLY AS PART OF THE EMPLOYEE'S ANNUAL PERFORMANCE APPRAISAL. |
| MAKING FORMS AVAILABLE TO THE PUBLIC | FORM 990, PART VI, SECTION C, LINE 19 | ---------------------------------------- CONFLICT OF INTEREST POLICIES ARE AVAILABLE TO THE PUBLIC UPON REQUEST AND ARE AVAILABLE ON THE EMPLOYEE INTRANET. REQUESTS FOR GOVERNING DOCUMENTS OR FINANCIAL STATEMENTS ARE CONSIDERED BY THE CEO AND CFO BASED ON THE BEST INTEREST OF THE ORGANIZATION AND ITS HEALTHCARE MISSION. |
| RECONCILIATION OF NET ASSETS | FORM 990, PART XI, LINE 5 | ---------------------------------------- OTHER CHANGES IN NET ASSETS: CHANGE IN INTEREST OF LAUGHLIN HEALTHCARE FDN $60,104 CHANGE IN VALUE OF INTEREST SWAP $1,517,781 ------------- $1,577,885 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAUGHLIN HEALTHCARE FOUNDATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1420 TUSCULUM BLVD | AddressLine1 |
| City | GREENEVILLE | City |
| State | TN | State |
| ZIP Code | 37745 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 582105493 | EIN |
| Primary Activities | FUNDRAISING | PrimaryActivities |
| Legal Domicile State | TN | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | 11 | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | false | ControlledOrg |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NOLICHUCKEY MANAGEMENT SERVICES INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1420 TUSCULUM BLVD | AddressLine1 |
| City | GREENEVILLE | City |
| State | TN | State |
| ZIP Code | 377454279 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 621776681 | EIN |
| Primary Activity | DOCTOR OFFICE | PrimaryActivity |
| Legal Domicile State | TN | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C CORPORATION | TypeOfEntity |
| Share Of Total Income | -1367485 | ShareOfTotalIncome |
| Share Of EOY Assets | 322983 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Controlled Org | false | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | true | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAUGHLIN HEALTHCARE FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionType |
| Amount Involved | 227000 | AmountInvolved |
| Method Of Amt Determination | FMV | MethodOfAmtDetermination |