Norton Community Hospital: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- Norton Community Hospital (EIN 54-0566029)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-06
- IRS object ID
- 201311269349300501
- Schema version
- 2011v1.5
- 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 G
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-06T07:33:45-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 540566029 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTON COMMUNITY HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | NORT | NameControl |
| Phone | 2766799600 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | STEPHEN SAWYER | Name |
| Title | CFO | Title |
| Phone | 2766799600 | Phone |
| Date Signed | 2013-05-01 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MARK LEONARD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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 | 64737350 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MSHA.COM/NCH | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1949 | YearFormation |
| State Legal Domicile | VA | StateLegalDomicile |
| Activity Or Mission Description | PART I, LINE 1 THE MISSION OF NORTON COMMUNITY HOSPITAL (NCH) IS TO BE A LEADER IN IMPROVING THE HEALTH AND QUALITY OF LIFE IN THE COMMUNITY. WORKING TOGETHER AS A TEAM DEDICATED TO EXCELLENCE, WE ENDEAVOR TO: - PROVIDE A CONTINUUM OF HIGH QUALITY AND COST EFFECTIVE MEDICAL CARE FOCUSING ON THE NEEDS OF OUR PATIENTS AND THEIR FAMILIES. - CONTINUOUSLY IMPROVE HEALTH CARE IN OUR COMMUNITY THROUGH NEW PROGRAMS, SERVICES, AND TECHNOLOGIES. - FOCUS ON WELLNESS AND PREVENTION THROUGH COMMUNITY EDUCATION AND HEALTH AWARENESS PROGRAMS. - SERVE AS A CENTER FOR THE TRAINING OF AREA HEALTHCARE PROFESSIONALS. - FORGE HEALTH CARE ALLIANCES WITH OUR COMMUNITY IN ORDER TO CONTRIBUTE TO ITS GROWTH AND DEVELOPMENT. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 4 | NbrIndependentVotingMembers |
| Total Nbr Employees | 605 | TotalNbrEmployees |
| Total Nbr Volunteers | 28 | TotalNbrVolunteers |
| Total Gross UBI | 77462 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 37876 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 6082 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 40281 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 60925539 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 63092112 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2500603 | InvestmentIncomePriorYear |
| Investment Income Current Year | 895140 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 617298 | OtherRevenuePriorYear |
| Other Revenue Current Year | 560147 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 64049522 | TotalRevenuePriorYear |
| Total Revenue Current Year | 64587680 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 133970 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 127216 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 36539760 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 35956826 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 903 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 26191266 | OtherExpensePriorYear |
| Other Expenses Current Year | 26321606 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 62864996 | TotalExpensesPriorYear |
| Total Expenses Current Year | 62405648 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1184526 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2182032 | RevenuesLessExpensesCY |
| Total Assets BOY | 76345300 | TotalAssetsBOY |
| Total Assets EOY | 80140242 | TotalAssetsEOY |
| Total Liabilities BOY | 25223522 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 31004052 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 51121778 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 49136190 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | PART I, LINE 1 THE MISSION OF NORTON COMMUNITY HOSPITAL (NCH) IS TO BE A LEADER IN IMPROVING THE HEALTH AND QUALITY OF LIFE IN THE COMMUNITY. WORKING TOGETHER AS A TEAM DEDICATED TO EXCELLENCE, WE ENDEAVOR TO: - PROVIDE A CONTINUUM OF HIGH QUALITY AND COST EFFECTIVE MEDICAL CARE FOCUSING ON THE NEEDS OF OUR PATIENTS AND THEIR FAMILIES. - CONTINUOUSLY IMPROVE HEALTH CARE IN OUR COMMUNITY THROUGH NEW PROGRAMS, SERVICES, AND TECHNOLOGIES. - FOCUS ON WELLNESS AND PREVENTION THROUGH COMMUNITY EDUCATION AND HEALTH AWARENESS PROGRAMS. - SERVE AS A CENTER FOR THE TRAINING OF AREA HEALTHCARE PROFESSIONALS. - FORGE HEALTH CARE ALLIANCES WITH OUR COMMUNITY IN ORDER TO CONTRIBUTE TO ITS GROWTH AND DEVELOPMENT. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 54271115 | Expense |
| Grants | 127216 | Grants |
| Revenue | 63275389 | Revenue |
| Description | 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) 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 OBSERVATIONS, 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. TO IMPROVE ACCESS TO PRIMARY CARE, NORTON COMMUNITY HOSPITAL, INC. OPERATES SEVERAL CLINICS: COMMUNITY PHYSICIANS-NORTON, COMMUNITY PHYSICIANS-COEBURN, COMMUNITY PHYSICIANS-WISE, COMMUNITY ORTHOPEDICS, NORWISE OB/GYN, COMMUNITY CLINIC-WISE (RESIDENT CONTINUITY CLINIC), OCCUMED HEALTH CENTER AND THE WISE PROFESSIONAL OFFICE BUILDING WHICH OFFERS PHYSICIAN OFFICE SPACE AND IS HOME TO OUR COMPREHENSIVE HOME HEALTH SERVICES. OUR MEDICAL STAFF CONSISTS OF OVER 130 PHYSICIANS AND SURGEONS WITH SPECIALTY TRAINING IN: FAMILY PRACTICE, INTERNAL MEDICINE, EAR-NOSE-THROAT, GENERAL SURGERY, UROLOGY, PEDIATRICS, EMERGENCY MEDICINE, GERIATRIC MEDICINE, CRITICAL CARE, CARDIOLOGY, PULMONOLOGY, RADIOLOGY, ONCOLOGY, NEUROLOGY, ORTHOPEDICS, GASTROENTEROLOGY, OPTHALMOLOGY, OBSTETRICS, GYNECOLOGY AND DENTISTRY. PROGRAMS AND SERVICES INCLUDE INTENSIVE CARE/CRITICAL CARE/CORONARY CARE, 24-HOUR EMERGENCY ROOM SERVICES, PEDIATRIC CARE, LASER SURGERY, OUTPATIENT SURGERY, LITHOTRIPSY SERVICES, HOME HEALTH, HYPERBARIC MEDICINE, DIETARY/NUTRITION SUPPORT, PHARMACY, INPATIENT AND OUTPATIENT SURGICAL SERVICES, 12-BED INTENSIVE CARE UNIT, PASTORAL CARE, VOLUNTEER SERVICES, HELPING HANDS GIFT SHOP, COMMUNITY OUTREACH AND EDUCATION PROGRAMS, SCREENING SERVICES, AND UVA TELEMEDICINE AND PAIN MANAGEMENT. OUR RADIOLOGICAL SERVICES INCLUDE ANGIOGRAPHY, MAMMOGRAPHY, ULTRASOUND, STEREOTACTIC BREAST BIOPSY, NUCLEAR MEDICINE, PET SCANS, IN-HOUSE MAGNETIC RESONANCE IMAGING UNIT (MRI), AND CT SCANNER. IN 2012 OUR RADIOLOGY DEPARTMENT RECEIVED ACCREDITATION FOR ITS PET SERVICES THROUGH THE AMERICAN COLLEGE OF RADIOLOGY. THIS LATEST ACR ACCREDITATION IS ONE OF SEVERAL THE RADIOLOGY DEPARTMENT HAS RECEIVED OVER THE LAST YEAR. THE OTHERS INCLUDE NUCLEAR MEDICINE, MAMMOGRAPHY AND MRI, WITH MRI STAFF OBTAINING THEIR CERTIFICATION THIS YEAR AS WELL. THE FAMILY BIRTHING CENTER HAS SIX (6)SEMI-PRIVATE GYNECOLOGICAL SUITES AND SEVEN (7) LABOR, DELIVERY, RECOVERY, AND POSTPARTUM SUITES THAT OFFER COMFORT, CARE, AND COMPASSION THAT IS UNPARALLELED IN THE REGION. WE OFFER PREPARED CHILDBIRTH, PARENTING, SIBLING AND SAFE-SITTER CLASSES, INCLUDING EDUCATION ON BREASTFEEDING AND WOMEN'S HEALTH. THE CENTER ALSO OFFERS A SPECIAL AREA FOR CESAREAN SECTIONS AND ROUTINE GYNECOLOGICAL PROCEDURES. OUR CARDIOPULMONARY SERVICES DEPARTMENT PROVIDES AN EXTENSIVE LINE OF CARDIAC, PULMONARY AND NEURO-DIAGNOSTIC SERVICES. THEY ALSO PROVIDE A COMPREHENSIVE SLEEP MEDICINE PROGRAM AS WELL AS AN APPROVED SITE FOR THE DEPARTMENT OF LABOR'S FEDERAL BLACK LUNG PROGRAM. THE REGIONAL REHAB CENTER OFFERS OCCUPATIONAL THERAPY, PHYSICAL THERAPY, SPEECH THERAPY, PULMONARY REHAB, ANODYNE THERAPY, CARDIAC REHABILITATION, CARDIOPULMONARY REHAB, SMOKING CESSATION CLASSES AND FIT-ONE, A COMMUNITY WELLNESS PROGRAM. OUR THREE-YEAR, CARF ACCREDITED (COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES), 11-BED INPATIENT REHABILITATION UNIT PROVIDES A RESPONSIVE, CARING ENVIRONMENT THAT ENHANCES RECOVERY AND SPEEDS THE RETURN TO NORMAL LIFE FOR PATIENTS SUFFERING FROM STROKE, PARKINSON'S DISEASE, POLYNEUROPATHY, BRAIN INJURY AND HIP FRACTURES. NORTON COMMUNITY HOSPITAL HAS ENABLED BUSINESSES TO LOWER THEIR MEDICAL CARE COSTS THROUGH OUR COMPREHENSIVE OCCUPATIONAL MEDICINE PROGRAM AT OCCUMED HEALTH CENTER. OCCUMED OFFERS NURSING CASE MANAGEMENT, WORK-RELATED INJURY TREATMENT AND FOLLOW-UP, PRE-EMPLOYMENT PHYSICALS, DRUG SCREENINGS, VACCINATIONS, WORK-SITE SAFETY ANALYSIS, GENERAL HEALTH SCREENINGS, OSHA REGULATION COMPLIANCE ASSISTANCE, AND INDUSTRIAL REHABILITATION. COMMUNITY HOME CARE OFFERS DURABLE MEDICAL EQUIPMENT SUCH AS LIFT CHAIRS, MOTORIZED SCOOTERS, LIMB BRACES, DIABETIC SUPPLIES, TURBANS, AND A PRIVATE FITTING ROOM FOR MASTECTOMY FITTINGS. THE WANDA WAMPLER CENTER FOR WOMEN'S HEALTH HOUSES OUR COMPREHENSIVE WOMEN'S HEALTH SERVICES. THE CENTER OFFERS STEREOTACTIC BREAST BIOPSY, BONE DENSITOMETRY, AND DIGITAL MAMMOGRAPHY. 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. NCH HAS PARTNERED WITH THE COMPANY FIRSTSOURCE SOLUTIONS USA TO WORK WITH SELF-PAYING PATIENTS WHO HAVE LIMITED FINANCIAL RESOURCES. DURING FY12, FIRSTSOURCE REPRESENTATIVES WERE AVAILABLE AT NCH TO ASSIST PATIENTS. THE REPRESENTATIVES WERE ABLE TO DETERMINE GOVERNMENTAL MEDICAL ASSISTANCE (MEDICAID OR TENNCARE) ELIGIBILITY, AND TO HELP WITH THE APPLICATION PROCESS AND FOLLOW-UP. DURING FY12, 543 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 FY12, NCH'S COST FOR THIS PROGRAM WAS 119,512. | Description |
| Total Program Service Expense | 54271115 | 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 | true | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | 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 | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| 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 | true | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | 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 | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 145 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 605 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| 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 | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 4 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | true | LocalChapters |
| Policies Reference Chapters | true | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | true | 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 |
| States Where Copy Of Return Is Filed | VA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | STEPHEN SAWYER | NamePerson |
| Telephone Number | 2764391011 | TelephoneNumber |
Address US AddressUS
| 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 Form990PartVIISectionA (20 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| MARVIN EICHORN | |||||||
| VICE CHAIRMA | 2.00 | X | 0 | 672484 | 35543 | ||
| ANN FLEMING | |||||||
| DIRECTOR | 2.00 | X | 0 | 501320 | 66728 | ||
| EMORY ALLEN MULLINS | |||||||
| DIRECTOR | 2.00 | X | 273005 | 0 | 29165 | ||
| JOHN DOYLE | |||||||
| DIRECTOR | 2.00 | X | 0 | 241176 | 36759 | ||
| ROBERT LEONARD | |||||||
| SECRETARY | 2.00 | X | 18750 | 0 | 0 | ||
| CHARLES WARD | |||||||
| CHAIRMAN | 2.00 | X | 18750 | 0 | 0 | ||
| JAMES MANICURE | |||||||
| DIRECTOR | 2.00 | X | 14242 | 0 | 0 | ||
| BUFORD STURGILL | |||||||
| DIRECTOR | 2.00 | X | 14242 | 0 | 0 | ||
| JOHN WRIGHT | |||||||
| DIRECTOR | 2.00 | X | 14242 | 0 | 0 | ||
| WILLIE PRICE-HARRIS | |||||||
| DIRECTOR | 2.00 | X | 6585 | 0 | 0 | ||
| BILL WAMPLER | |||||||
| DIRECTOR | 2.00 | X | 6585 | 0 | 0 | ||
| HARRY DOTSON | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| SANDRA BROOKS MD | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| MARK LEONARD | |||||||
| CEO | 55.00 | 0 | 246967 | 37083 | X | ||
| STEPHEN SAWYER | |||||||
| CFO | 55.00 | 0 | 129098 | 15141 | X | ||
| ISAM ZIBDEH MD | |||||||
| PHYSICIAN | 40.00 | 428328 | 0 | 25690 | X | ||
| DAVID NAUSS MD | |||||||
| PHYSICIAN | 40.00 | 410224 | 0 | 34356 | X | ||
| MATTHEW CUSANO MD | |||||||
| PHYSICIAN | 40.00 | 388439 | 0 | 32267 | X | ||
| GAYLE VEST MD | |||||||
| PHYSICIAN | 40.00 | 285695 | 0 | 31562 | X | ||
| BERNIE SERGENT MD | |||||||
| PHYSICIAN | 40.00 | 281234 | 0 | 24880 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2160321 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1791045 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 369174 | TotalOtherCompensation |
| Number Individuals GT100 K | 32 | 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 |
|---|---|---|---|---|---|
| WEATHERBY LOCUMS INC | |||||
| P O BOX 972633 | DALLAS | TX | 753972633 | PHYSICIAN SVCS | 1044531 |
| BALL CONSTRUCTION CO | |||||
| 1675 PARK AVE NW | NORTON | VA | 24273 | CONSTRUCTION | 658157 |
| PETERSON ASSOCIATES INC | |||||
| 2115 REXFORD RD STE 500 | CHARLOTTE | NC | 28211 | ARCHITECTS | 388721 |
| INTERNETWORK ENGINEERING | |||||
| P O BOX 636604 | CINCINNATI | OH | 452636604 | NETWORK ENG. | 346851 |
| CROTHALL LAUNDRY SERVICES INC | |||||
| 13028 COLLECTIONS CENTER DRIVE | CHICAGO | IL | 60693 | LINEN SVCS | 276451 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 18 | NumberOfContractorsGT100K |
| Related Organizations | 1346 | RelatedOrganizations |
| Government Grants | 38600 | GovernmentGrants |
| All Other Contributions | 335 | AllOtherContributions |
| Total Contributions | 40281 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT REVENUE | 621500 | 62935467 | 62935467 | |
| GAIN ON PENSION ADJUSTMENT | 900099 | 518509 | 518509 | |
| WELLNESS PROGRAMS | 621990 | 171880 | 171880 | |
| LABORATORY | 621500 | 53418 | 53418 | |
| LOSS ON L-T DEBT RETIREMENT | 900099 | -587162 | -587162 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 63092112 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 744250 | TotalRevenueColumn |
| Exclusion | $744,250 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 381240 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 121841 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 259399 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 259399 | TotalRevenueColumn |
| Unrelated Business Revenue | 24044 | UnrelatedBusinessRevenue |
| Exclusion | $235,355 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 123801 | Securities |
| Other | 27089 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 123801 | Securities |
| Other | 27089 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 150890 | TotalRevenueColumn |
| Exclusion | $150,890 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 32740 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 27829 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4911 | TotalRevenueColumn |
| Exclusion | $4,911 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| CAFETERIA & VENDING | 722210 | 136604 | $136,604 | |
| MANAGEMENT FEES | 561000 | 81169 | 81169 | |
| OTHER | 621400 | 78064 | 78064 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 295837 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 64587680 | TotalRevenueColumn |
| Related Or Exempt Function Income | 63197927 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 77462 | UnrelatedBusinessRevenue |
| Exclusion | $1,272,010 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 127216 | Total |
| Program Services | 127216 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 777498 | Total |
| Program Services | 396600 | ProgramServices |
| Management And General | 380898 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27686613 | Total |
| Program Services | 24629599 | ProgramServices |
| Management And General | 3057014 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 959930 | Total |
| Program Services | 850750 | ProgramServices |
| Management And General | 109180 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4788842 | Total |
| Program Services | 4660332 | ProgramServices |
| Management And General | 127757 | ManagementAndGeneral |
| Fundraising | 753 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1743943 | Total |
| Program Services | 1694438 | ProgramServices |
| Management And General | 49505 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22754 | Total |
| Management And General | 22754 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 294322 | Total |
| Program Services | 47080 | ProgramServices |
| Management And General | 247242 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 153182 | Total |
| Management And General | 153182 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 56236 | Total |
| Management And General | 56236 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5851596 | Total |
| Program Services | 4876923 | ProgramServices |
| Management And General | 974673 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 340076 | Total |
| Program Services | 274388 | ProgramServices |
| Management And General | 65688 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1079411 | Total |
| Program Services | 965011 | ProgramServices |
| Management And General | 114250 | ManagementAndGeneral |
| Fundraising | 150 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 562934 | Total |
| Program Services | 550945 | ProgramServices |
| Management And General | 11989 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 997342 | Total |
| Program Services | 952186 | ProgramServices |
| Management And General | 45156 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 319021 | Total |
| Program Services | 301136 | ProgramServices |
| Management And General | 17885 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22607 | Total |
| Program Services | 22599 | ProgramServices |
| Management And General | 8 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 153967 | Total |
| Management And General | 153967 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2937660 | Total |
| Program Services | 2075398 | ProgramServices |
| Management And General | 862262 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 187967 | Total |
| Program Services | 505107 | ProgramServices |
| Management And General | -317140 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 8097126 | 8043812 | 53314 |
| MANAGEMENT FEES | 3666204 | 1907437 | 1758767 |
| REPAIRS & MAINTENANCE | 1049197 | 978798 | 70399 |
| ALL OTHER | 530004 | 411360 | 118644 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 62405648 | Total |
| Program Services | 54271115 | ProgramServices |
| Management And General | 8133630 | ManagementAndGeneral |
| Fundraising | 903 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1017164 | BOY |
| EOY | 663638 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6472714 | BOY |
| EOY | 7795842 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1099598 | BOY |
| EOY | 824224 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1300500 | BOY |
| EOY | 1197907 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 804090 | BOY |
| EOY | 513243 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 71322888 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 36582321 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27310289 | BOY |
| EOY | 34740567 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16275360 | BOY |
| EOY | 16622502 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22065585 | BOY |
| EOY | 17782319 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 76345300 | BOY |
| EOY | 80140242 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13183759 | BOY |
| EOY | 11745948 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 146255 | BOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11876127 | BOY |
| EOY | 11663856 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17381 | BOY |
| EOY | 1919 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 7592329 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25223522 | BOY |
| EOY | 31004052 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 51032560 | BOY |
| EOY | 49051085 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 85105 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 89218 | BOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 51121778 | BOY |
| EOY | 49136190 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 76345300 | BOY |
| EOY | 80140242 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 2182032 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -4167620 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| 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) |
|---|---|---|
| Form4720 Filed4955 Tax | false | Form4720Filed4955Tax |
| Correction Made | false | CorrectionMade |
| Form1120 Pol Filed | false | Form1120PolFiled |
| Form4720 Filed | false | Form4720Filed |
| 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 | true | GrantsOtherOrganizations |
| Grants Other Organizations | $3,354 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 3354 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
| Substantially All Dues Nondeduct | false | SubstantiallyAllDuesNondeduct |
| Only In House Lobbying | false | OnlyInHouseLobbying |
| Agree To Carryover Prior Year | false | AgreeToCarryoverPriorYear |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | SCHEDULE C, PART II-B, LINE 1 | ReturnReference |
| Explanation | PORTION OF DUES PAID TO VIRGINIA HOSPITAL AND HEALTHCARE ASSOCIATION THAT ARE ATTRIBUTABLE TO DIRECT LOBBYING. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disclosed Orgs Legal Control | false | DisclosedOrgsLegalControl |
| Disclosed For Charitable Purposes | false | DisclosedForCharitablePurposes |
| Written Policy Monitoring | false | WrittenPolicyMonitoring |
| Sect170h Requirements Satisfied | false | Sect170hRequirementsSatisfied |
| Solicited Assets For Sale | false | SolicitedAssetsForSale |
| Agent Trustee Etc | false | AgentTrusteeEtc |
| Included On FS | false | IncludedOnFS |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | false | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2111034 | OtherCostOrOtherBasis |
| Book Value | 2111034 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 30374343 | OtherCostOrOtherBasis |
| Depreciation | 14950053 | Depreciation |
| Book Value | 15424290 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 632887 | OtherCostOrOtherBasis |
| Depreciation | 357563 | Depreciation |
| Book Value | 275324 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 29712647 | OtherCostOrOtherBasis |
| Depreciation | 21274705 | Depreciation |
| Book Value | 8437942 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8491977 | OtherCostOrOtherBasis |
| Book Value | 8491977 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 34740567 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | INVESTMENTS - OTHER | Description |
| Book Value | 16622502 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 16622502 | TotalOfBookValueSecurities |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| UNDER BOND INDENTURE AGREEMENTS | 17597248 |
| OTHER ASSETS | 185071 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 17782319 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| RETIREE BENEFITS PAYABLE | $4,187,011 |
| LT-DEFINED PENSION PAYABLE | $2,154,410 |
| RESERVE FOR PROF LIABILITIES | $767,743 |
| DUE TO AFFILIATES | $483,165 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 7592329 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | LIABILITY UNDER FIN 48 FOOTNOTE | Identifier |
| Return Reference | SCHEDULE D, PAGE 3, PART X | ReturnReference |
| Explanation | "THE HOSPITAL 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 HOSPITAL. AT JUNE 30, 2012, TAX RETURNS FOR FISCAL YEARS 2009 THROUGH 2011 ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE HOSPITAL HAD NO UNCERTAIN TAX POSITIONS AT JUNE 30, 2012 AND 2011. AS SUCH, NO INTEREST OR PENALTIES WERE RECOGNIZED IN THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS RELATED TO UNRECOGNIZED TAX BENEFITS." | Explanation |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | BOOK SALE | NameOfEvent1 |
| Gross Receipts Event1 | 32740 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 32740 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 27829 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 32740 | GrossReceiptsTotal |
| Gross Revenue Total Events | 32740 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 27829 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 27829 | DirectExpenseSummaryEvents |
| Net Income Summary | 4911 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| 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 | false | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 956190 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 956190 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01530 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11215038 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9092767 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2122271 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03400 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12171228 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9092767 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3078461 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04930 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 130057 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 130057 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00210 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1909888 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1069531 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 840357 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01350 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1864930 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1864930 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02990 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 100645 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 100645 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00160 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4005520 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1069531 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2935989 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04700 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 16176748 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10162298 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6014450 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09640 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 26571 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 26571 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 26571 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 26571 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $1,778,788 | BadDebtExpenseAmount |
| Amount Attributable To | 1423030 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 16651849 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 16334814 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 317035 | 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 | NORTON COMMUNITY HOSPITAL | BusinessNameLine1 |
Address Address
| 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 | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| 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 | NORTON COMMUNITY 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 |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Needs Assessment Conducted | 11 | 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 |
| Include Operational Plans | X | IncludeOperationalPlans |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | false | AllNeedsAddressed |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 200.0 | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 400.0 | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Uninsured Discount | X | UninsuredDiscount |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| 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 VI Form990ScheduleHPartVI (16 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| RELATED ORGANIZATION INFORMATION | PART I LINE 6A | MOUNTAIN STATES HEALTH ALLIANCE HAS HISTORICALLY PREPARED AND MADE PUBLIC A COMMUNITY BENEFIT REPORT TO INCLUDE INFORMATION FOR ALL OF THE HOSPITALS WITHIN THE HEALTH SYSTEM DURING FY12 WE DID NOT ISSUE A COMMUNITY BENEFIT REPORT HOWEVER WE INTEND TO PREPARE A COMMUNITY BENEFIT REPORT DURING FY13 |
| COSTING METHODOLOGY EXPLANATION | PART I LINE 7 | A COST TO CHARGE RATIO WAS USED TO CALCULATE LINE 7 UTILIZING THE SCHEDULE H APPLICABLE WORKSHEETS INCLUDING WORKSHEET 2 A RATIO OF PATIENT CARE COST TO CHARGES |
| BAD DEBT EXPENSE EXPLANATION | PART III LINE 4 | THE CALCULATED COST TO CHARGE RATIO WORKSHEET 2 WAS APPLIED TO BAD DEBT CONTRA REVENUE AND PROVISION FOR BAD DEBT IN DETERMINING LINE 2 OUR VICE PRESIDENT OF PATIENT FINANCIAL SERVICES AND OUR CFO ESTIMATE THAT 80 OF TOTAL BAD DEBT EXPENSE WAS ASSUMED ATTRIBUTABLE TO PATIENTS LIKELY ELIGIBLE FOR FINANCIAL ASSISTANCE WE HAVE MANY INSTANCES DURING THE YEAR 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 REGARDING LINE 3 IT IS IMPLAUSIBLE TO DETERMINE THE AMOUNT OF NCHS 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 90 OF OUR PATIENTS WHO HAVE PROVIDED COMPLETED FINANCIAL ASSESSMENT FORMS HAVE BEEN APPROVED FOR AT LEAST PARTIAL FINANCIAL ASSISTANCE FOOTNOTE DISCLOSURE FROM NCHS FY12 AUDITED FINANCIAL STATEMENT READS NEW ACCOUNTING PRONOUNCEMENTS IN JULY 2011 THE FASB ISSUED ASU 201107 PRESENTATION AND DISCLOSURE OF PATIENT SERVICE REVENUE PROVISION FOR BAD DEBTS AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTH CARE ENTITIES THE ASU REQUIRES THE CHANGE OF PRESENTATION OF THE ESTIMATED PROVISION FOR BAD DEBTS IN THE CONSOLIDATED STATEMENTS OF OPERATIONS FROM AN OPERATING EXPENSE TO A DEDUCTION FROM PATIENT SERVICE REVENUE NET OF CONTRACTUAL DEDUCTIONS AND DISCOUNTS ALONG WITH ADDITIONAL DISCLOSURES ABOUT THE POLICIES FOR RECOGNIZING REVENUE AND ASSESSING BAD DEBTS AND QUALITATIVE INFORMATION ABOUT CHANGES IN THE ALLOWANCE FOR DOUBTFUL ACCOUNTS THE HOSPITAL RETROACTIVELY ADOPTED ASU 201107 IN FISCAL YEAR 2012 MANAGEMENT BELIEVES THE ADOPTION OF ASU 201107 DID NOT HAVE A MATERIAL IMPACT ON THE CONSOLIDATED FINANCIAL STATEMENTS THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENT REPORT THE AMOUNT OF ESTIMATED UNCOLLECTIBLE SELFPAY AND EXPLAIN THAT UNCOLLECTIBLE PATIENT ACCOUNTS RECEIVABLE ESTIMATED RESERVES ARE BASED UPON PRIOR COLLECTION HISTORY FOR GROUPS OF RECEIVABLES KNOWN COLLECTION RISKS AND OTHER ENVIRONMENTAL FACTORS INCLUDING THE AGE OF THE RECEIVABLES |
| MEDICARE EXPLANATION | PART III LINE 8 | MEDICARE ALLOWABLE COSTS WERE REPORTED USING NCHS FILED MEDICARE COST REPORT CR THE CR USES A COST TO CHARGE RATIO BASED ON A STEPDOWN ALLOCATION METHODOLOGY IN CARING FOR THE PATIENT THERE ARE SEVERAL SERVICES THAT ARE CONSIDERED NONALLOWABLE SUCH AS TRANSPORTATION OF A PATIENT COMFORT ITEMS TO INCLUDE A TELEVISION MAGAZINES OR A TELEPHONE ADDITIONAL NONALLOWABLE COSTS INCLUDE THE RECRUITMENT OF PHYSICIANS PHYSICIAN GUARANTEES AND A PORTION OF THE BAD DEBT 30 ASSOCIATED WITH THE CARE OF THE PATIENT |
| COLLECTION PRACTICES EXPLANATION | PART III LINE 9B | NCH PROVIDES A PATIENT FRIENDLY BILLING FLOW CHART ON ITS WEBSITE THAT GUIDES A PATIENT THROUGH THE PROCESS BEGINNING WITH ADMISSION AND ENDING WITH THE PATIENTS ACCOUNT BEING SUCCESSFULLY RESOLVED NCH FOLLOWS A STRONG COLLECTION PROGRAM THAT COMMUNICATES FINANCIAL RESPONSIBILITY TO THE PATIENT COLLECTION PRACTICES APPLY TO ALL PATIENTS CHARITY AND NONCHARITY CARE IN ROUTINE CIRCUMSTANCES WHEN IT IS DETERMINED THAT A PATIENT HAS NOT RESPONDED TO REQUESTS FOR PAYMENT AND HAS NOT PROVIDED INFORMATION TO ASCERTAIN ABILITY TO PAY AN ACCOUNT CAN BE REFERRED TO AN OUTSIDE COLLECTION AGENCY FOR COLLECTION ASSISTANCE NCH ENSURES THAT OUTSIDE COLLECTION AGENCIES FOLLOW HOSPITAL BILLING AND COLLECTION GUIDELINES ONCE A DELINQUENT PATIENT ACCOUNT HAS BEEN SUBMITTED TO AN OUTSIDE AGENCY IT CAN BE RETRACTED IF IT IS LATER DETERMINED THAT THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE ALL REQUESTS FOR FINANCIAL ASSISTANCE MUST BE ACCOMPANIED BY A COMPLETED FINANCIAL ASSESSMENT FORM AND SUPPORTING DOCUMENTATION |
| NEEDS ASSESSMENT | PART VI | PART VI LINE 2 MSHA INCLUDED AMERICAS HEALTH RANKINGS AHR IN ITS ASSESSMENT IN ORDER TO BETTER DEFINE THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES TENNESSEE RANKED 39TH AND VIRGINIA RANKED 20TH HOWEVER IT SHOULD BE NOTED THAT SOUTHWEST VIRGINIA WHERE MSHA FACILITIES ARE LOCATED CLOSELY RESEMBLES THE HEALTH RANKINGS FOR TENNESSEE AMERICAS 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 NONPROFIT 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 SMOKEFREE AREAS PARTNER WITH LOCAL FARMERS MARKETS SHARE HEALTH INFORMATION BETWEEN PHARMACIES NETWORK WITH SMALL BUSINESSES AND NONPROFITS IN ORDER TO AVOID DUPLICATING RESOURCES AND PROVIDE EARLY SCREENINGS FOR THE UNINSURED OR UNDERINSURED OVERALL THE COMMUNITY MEMBERS GAVE MSHAS CORE SERVICE AREA A HEALTH STATUS RANKING OF 424 OUT OF 10 1 BEING THE LOWEST 10 BEING THE HIGHEST ALSO ALL 67 PARTICIPANTS AGREED THAT OBESITY CANCER HEART DISEASE AND DIABETES WERE THE TOP HEALTH PRIORITIES IN EACH COUNTY AHR REPORTS THAT TENNESSEE AND VIRGINIA BOTH SAW AN INCREASE IN DIABETES AND OBESITY WITHIN THE PAST TEN YEARS TENNESSEE ALSO RANKED 44TH FOR CARDIOVASCULAR DISEASE AND 46TH FOR CANCER DEATHS VIRGINIA OVERALL HAD A BETTER RANKING IN THESE TWO CATEGORIES BUT AS STATED EARLIER SOUTHWEST VIRGINIA CLOSELY RESEMBLES TENNESSEE MSHA PLANS TO USE THE AVAILABLE RESOURCES TO START IMPROVING THE HEALTH STATUS OF NORTHEAST TENNESSEE AND SOUTHWEST VIRGINIA |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | PART VI | PART VI LINE 3 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 DEPARTMENT PRINTED EDUCATIONAL MATERIALS INCLUDING FINANCIAL ASSISTANCE CONTACT INFORMATION ARE ALSO PROVIDED IN EACH PATIENTS PAPERWORK POSTERS AND REFERENCE MATERIALS ARE WRITTEN IN BOTH ENGLISH AND SPANISH ADMITTING STAFF ARE TRAINED TO EDUCATE PATIENTS ON NCHS FINANCIAL ASSISTANCE POLICY NCH ALSO HAS FINANCIAL COUNSELORS TO PROVIDE FURTHER INFORMATION AND ASSISTANCE TO NCH PATIENTS REGARDING NCHS 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 IN ADDITION NCH CONTRACTS WITH THE COMPANY FIRSTSOURCE SOLUTIONS USA TO WORK WITH SELFPAYING PATIENTS WHO HAVE LIMITED FINANCIAL RESOURCES FIRSTSOURCE SOLUTIONS DETERMINES A PATIENTS ELIGIBILITY IN MEDICAL COVERAGE OPTIONS AND ASSISTS WITH THEIR ENROLLMENT NCH BEARS THE COST FOR THE FIRSTSOURCE SOLUTIONS PROGRAM |
| COMMUNITY INFORMATION | PART VI | PART VI LINE 4 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 41770 AND THE CITY OF NORTON HAS A POPULATION OF 3713 THE MEDIAN AGE OF RESIDENTS OF NORTON IS 40 WHICH IS OLDER THAN THE AVERAGE AGE OF 372 IN THE UNITED STATES NORTON HAS A MEDIAN HOUSEHOLD INCOME OF 33662 WHICH IS SIGNIFICANTLY BELOW VIRGINIAS MEDIAN HOUSEHOLD INCOME 32 OF NORTONS CHILDREN LIVE IN POVERTY COMPARED TO 14 STATEWIDE |
| HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE | PART VI | NORTON COMMUNITY HOSPITAL IS DEDICATED TO OPERATING EFFICIENTLY SO THAT WASTE IS MINIMIZED NCHS LEADERSHIP REMAINS MINDFUL OF MANAGING THE HOSPITALS 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 NCHS GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATIONS PRIMARY SERVICE AREA PHYSICIANS THAT REQUEST PRIVILEGES WHO ARE QUALIFIED AND CREDENTIALED ARE EXTENDED PRIVILEGES BY NCH |
| AFFILIATED HEALTH CARE INFORMATION | PART VI | PART VI LINE 6 NCH IS A 129BED ACUTECARE FACILITY OPERATED UNDER THE DIRECTION OF A 13MEMBER 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 13 HOSPITALS MSHA PROVIDES CARE TO PEOPLE IN 29 COUNTIES IN TENNESSEE VIRGINIA KENTUCKY AND NORTH CAROLINA NCH SERVES AS THE COUNTYS PRIMARY HEALTH SERVICE PROVIDER PATIENTS BENEFIT FROM NCHS 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 SYSTEMS FLAGSHIP FACILITY JOHNSON CITY MEDICAL CENTER WHICH IS A TERTIARY CARE FACILITY PROVIDING ADVANCED TREATMENT OPTIONS |
| LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILED | PART VI | VIRGINIA |
| NORTON COMMUNITY HOSPITAL LINE NUMBER 1 PART V LINE 3 | PART V LINE 3 | MSHA MET WITH TEN FOCUS GROUPS EACH REPRESENTING ONE OF THE TEN HOSPITAL FACILITIES INCLUDING NCH LOCATED IN NINE COUNTIES WITHIN MSHAS CORE SERVICE AREA EACH GROUP CONSISTED OF PUBLIC HEALTH LEADERS NURSES NONPROFIT 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 COUNTYS 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 APPRORIATE FACILITY IMPLEMENTATION PLAN |
| NORTON COMMUNITY HOSPITAL LINE NUMBER 1 PART V LINE 4 | PART V LINE 4 | EACH HOSPITAL WITHIN THE MSHA SYSTEM COMPLETED A CHNA FOR THOSE HOSPITALS THAT ARE LOCATED IN THE SAME COUNTY ONLY ONE COMMUNITY GROUP WAS SURVEYED FOR INSTANCE JOHNSON CITY MEDICAL CENTER AND FRANKLIN WOODS COMMUNITY HOSPITAL ARE BOTH LOCATED IN WASHINGTON COUNTY TENNESSEE WE SURVEYED 21 INDIVIDUALS FROM WASHINGTON COUNTY IN ORDER TO DETERMINE HEALTH PRIORITIES DICKENSON COUNTY COMMUNITY HOSPITAL AND NORTON COMMUNITY HOSPITAL ALSO HAD ONE COMMUNITY GROUP SURVEYED THESE TWO COUNTIES SERVE SIMILAR COMMUNITIES AND HAVE SIMILAR HEALTH RANKINGS ACCORDING TO AMERICAS HEALTH RANKINGS EVEN THOUGH ONLY TWO COMMUNITY GROUPS SERVED ON BEHALF OF THE FOUR HOSPITALS LISTED STATISTICAL DATA WAS COLLECTED FOR EACH INDIVIDUALLY NCHS CHNA WAS CONDUCTED WITH ALL MSHA HOSPITALS TO INCLUDE JOHNSON CITY MEDICAL CENTER FRANKLIN WOODS COMMUNITY HOSPITAL WOODRIDGE PSYCHIATRIC HOSPITAL JAMES H CECILE C QUILLEN REHABILITATION 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 |
| NORTON COMMUNITY HOSPITAL LINE NUMBER 1 PART V LINE 7 | 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 HOSPITALS BOARD APPROVED THE IMPLEMENTATION PLAN DURING THE MONTHS OF MAY AND JUNE 2012 NOW THAT THE IMPLEMENTATION PLANS HAVE BEEN ADOPTED MSHA WILL BE ABLE TO BEGIN TAKING ACTION TO IMPROVE THE HEALTH PRIORITIES IN EACH COUNTY THOUGH AT THIS POINT NOT ALL OF THE PRIORITIES HAVE BEEN ADDRESSED DUE TO LACK OF RESOURCES SOME OF MSHA FACILITIES WERE UNABLE TO ADDRESS ISSUES THAT WERE IDENTIFIED |
| NORTON COMMUNITY HOSPITAL LINE NUMBER 1 PART V LINE 13G | PART V LINE 13G | DURING THE ADMISSION PROCESS PATIENTS ARE TOLD THAT THE HOSPITAL HAS A FINANCIAL ASSISTANCE POLICY AND ADMISSION PAPERS GIVEN TO EACH PATIENT ADVISE THEM OF THE POLICY BILLING CORRESPONDENCE ALSO ADVISES THAT FINANCIAL ASSISTANCE MAY BE AVAILABLE A COMMUNITY RESOURCE GUIDE REPORTS THAT THE HOSPITAL HAS A FINANCIAL ASSISTANCE POLICY |
| NORTON COMMUNITY HOSPITAL LINE NUMBER 1 PART V LINE 19D | PART V LINE 19D | UNINSURED PATIENTS RECEIVE A 50 DISCOUNT AND BASED ON OTHER FACTORS SUCH AS INCOME OR MEDICAL INDIGENCY MAY QUALIFY FOR AN ADDITIONAL DISCOUNT |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| ST MARY'S HEALTH WAGON | |||||||
| 119 NUMBER 10 STREET | CLINCHO | VA | 24226 | 043739083 | 501 | 100000 | INDIGENT SUPPORT |
| UNIVERSITY OF VIRGINIA AT WISE | |||||||
| ONE COLLEGE AVE | WISE | VA | 24293 | 541638774 | 501 | 25000 | EDUCATION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES | Identifier |
| Return Reference | SCHEDULE I, PAGE 1, PART I, LINE 2 | ReturnReference |
| Explanation | GRANTS ARE APPROVED BY THE BOARD OF DIRECTORS. FUNDING MAY BE PROVIDED TO LOCAL 501(C)(3)ORGANIZATIONS WHOSE FOCUS IS ON HEALTH AND EDUCATION. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (10 entries)
| Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MARVIN EICHORN | |||||||||||
| 440258 | 157892 | 74334 | 14700 | 20843 | 708027 | ||||||
| ANN FLEMING | |||||||||||
| 345309 | 116778 | 39233 | 47553 | 19175 | 568048 | ||||||
| EMORY ALLEN MULLINS | |||||||||||
| 257798 | 14921 | 286 | 7503 | 21662 | 302170 | ||||||
| JOHN DOYLE | |||||||||||
| 182858 | 40956 | 17362 | 11532 | 25227 | 277935 | ||||||
| MARK LEONARD | |||||||||||
| 195657 | 46958 | 4352 | 14079 | 23004 | 284050 | ||||||
| ISAM ZIBDEH MD | |||||||||||
| 408000 | 20328 | 7425 | 18265 | 454018 | |||||||
| DAVID NAUSS MD | |||||||||||
| 409744 | 480 | 7351 | 27005 | 444580 | |||||||
| MATTHEW CUSANO MD | |||||||||||
| 302625 | 85566 | 248 | 8132 | 24135 | 420706 | ||||||
| GAYLE VEST MD | |||||||||||
| 283746 | 1949 | 7354 | 24208 | 317257 | |||||||
| BERNIE SERGENT MD | |||||||||||
| 201123 | 59942 | 20169 | 7639 | 17241 | 306114 | ||||||
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| FRINGE OR EXPENSE EXPLANATION | SCHEDULE J, PAGE 1, PART I, LINE 1A | FIRST-CLASS OR CHARTER TRAVEL IS NOT A COVERED TRAVEL EXPENSE FOR EXECUTIVES; THEY ARE LIMITED TO BUSINESS OR COACH CLASS FARES ON COMMERCIAL FLIGHTS. |
| SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS | SCHEDULE J, PAGE 1, PART I, LINE 4 | ANN FLEMING 0 35,303 0 MARK LEONARD 0 10,087 0 |
| OTHER ADDITIONAL INFORMATION | SCHEDULE J, PART III | PART I, LINE 3 NCH'S CEO'S SALARY AND BENEFITS 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 AND ALL OTHER EXECUTIVES WITHIN MSHA. 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 OCCCURS. DISTRIBUTIONS FROM THIS PLAN ARE SUBJECT TO FEDERAL, STATE, AND LOCAL TAXES ON THE ENTIRE ACCOUNT BALANCE UPON DISTRIBUTION. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| JAMIE FLEMING | |||
| FAMILY MEMBER | 31847 | FAMILY MBR OF BD MBR | false |
| MARK LEONARD | |||
| CEO OF NCH | 10800 | RENT PROP. FROM NCH | false |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ADDITIONAL INFORMATION | Identifier |
| Return Reference | SCHEDULE L PART V | ReturnReference |
| Explanation | BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS 1A NAME OF PERSON JAMIE FLEMING 1B RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION FAMILY MEMBER OF JAMES MANICURE NORTON COMMUNITY HOSPITAL NCHBOARD MEMBER 1D DESCRIPTION OF TRANSACTION JAMES MANICURE BOARD MEMBER OF NCH IS A FAMILY MEMBER OF JAMIE FLEMING AN EMPLOYEE OF NCH 2A NAME OF PERSON MARK LEONARD 2B RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION MARK LEONARD IS THE CEO OF NCH 2D DESCRIPTION OF TRANSACTION MARK LEONARD RENTS PROPERTY FROM NCH THE RENTAL RATE WAS DETERMINED AT FAIR MARKET VALUE | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION | FORM 990 - ORGANIZATION'S MISSION | PART I, LINE 1 THE MISSION OF NORTON COMMUNITY HOSPITAL (NCH) IS TO BE A LEADER IN IMPROVING THE HEALTH AND QUALITY OF LIFE IN THE COMMUNITY. WORKING TOGETHER AS A TEAM DEDICATED TO EXCELLENCE, WE ENDEAVOR TO: - PROVIDE A CONTINUUM OF HIGH QUALITY AND COST EFFECTIVE MEDICAL CARE FOCUSING ON THE NEEDS OF OUR PATIENTS AND THEIR FAMILIES. - CONTINUOUSLY IMPROVE HEALTH CARE IN OUR COMMUNITY THROUGH NEW PROGRAMS, SERVICES, AND TECHNOLOGIES. - FOCUS ON WELLNESS AND PREVENTION THROUGH COMMUNITY EDUCATION AND HEALTH AWARENESS PROGRAMS. - SERVE AS A CENTER FOR THE TRAINING OF AREA HEALTHCARE PROFESSIONALS. - FORGE HEALTH CARE ALLIANCES WITH OUR COMMUNITY IN ORDER TO CONTRIBUTE TO ITS GROWTH AND DEVELOPMENT. |
| FIRST ACCOMPLISHMENT DESCRIPTION | FORM 990, PAGE 2, PART III, LINE 4A | 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 OBSERVATIONS, 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. TO IMPROVE ACCESS TO PRIMARY CARE, NORTON COMMUNITY HOSPITAL, INC. OPERATES SEVERAL CLINICS: COMMUNITY PHYSICIANS-NORTON, COMMUNITY PHYSICIANS-COEBURN, COMMUNITY PHYSICIANS-WISE, COMMUNITY ORTHOPEDICS, NORWISE OB/GYN, COMMUNITY CLINIC-WISE (RESIDENT CONTINUITY CLINIC), OCCUMED HEALTH CENTER AND THE WISE PROFESSIONAL OFFICE BUILDING WHICH OFFERS PHYSICIAN OFFICE SPACE AND IS HOME TO OUR COMPREHENSIVE HOME HEALTH SERVICES. OUR MEDICAL STAFF CONSISTS OF OVER 130 PHYSICIANS AND SURGEONS WITH SPECIALTY TRAINING IN: FAMILY PRACTICE, INTERNAL MEDICINE, EAR-NOSE-THROAT, GENERAL SURGERY, UROLOGY, PEDIATRICS, EMERGENCY MEDICINE, GERIATRIC MEDICINE, CRITICAL CARE, CARDIOLOGY, PULMONOLOGY, RADIOLOGY, ONCOLOGY, NEUROLOGY, ORTHOPEDICS, GASTROENTEROLOGY, OPTHALMOLOGY, OBSTETRICS, GYNECOLOGY AND DENTISTRY. PROGRAMS AND SERVICES INCLUDE INTENSIVE CARE/CRITICAL CARE/CORONARY CARE, 24-HOUR EMERGENCY ROOM SERVICES, PEDIATRIC CARE, LASER SURGERY, OUTPATIENT SURGERY, LITHOTRIPSY SERVICES, HOME HEALTH, HYPERBARIC MEDICINE, DIETARY/NUTRITION SUPPORT, PHARMACY, INPATIENT AND OUTPATIENT SURGICAL SERVICES, 12-BED INTENSIVE CARE UNIT, PASTORAL CARE, VOLUNTEER SERVICES, HELPING HANDS GIFT SHOP, COMMUNITY OUTREACH AND EDUCATION PROGRAMS, SCREENING SERVICES, AND UVA TELEMEDICINE AND PAIN MANAGEMENT. OUR RADIOLOGICAL SERVICES INCLUDE ANGIOGRAPHY, MAMMOGRAPHY, ULTRASOUND, STEREOTACTIC BREAST BIOPSY, NUCLEAR MEDICINE, PET SCANS, IN-HOUSE MAGNETIC RESONANCE IMAGING UNIT (MRI), AND CT SCANNER. IN 2012 OUR RADIOLOGY DEPARTMENT RECEIVED ACCREDITATION FOR ITS PET SERVICES THROUGH THE AMERICAN COLLEGE OF RADIOLOGY. THIS LATEST ACR ACCREDITATION IS ONE OF SEVERAL THE RADIOLOGY DEPARTMENT HAS RECEIVED OVER THE LAST YEAR. THE OTHERS INCLUDE NUCLEAR MEDICINE, MAMMOGRAPHY AND MRI, WITH MRI STAFF OBTAINING THEIR CERTIFICATION THIS YEAR AS WELL. THE FAMILY BIRTHING CENTER HAS SIX (6)SEMI-PRIVATE GYNECOLOGICAL SUITES AND SEVEN (7) LABOR, DELIVERY, RECOVERY, AND POSTPARTUM SUITES THAT OFFER COMFORT, CARE, AND COMPASSION THAT IS UNPARALLELED IN THE REGION. WE OFFER PREPARED CHILDBIRTH, PARENTING, SIBLING AND SAFE-SITTER CLASSES, INCLUDING EDUCATION ON BREASTFEEDING AND WOMEN'S HEALTH. THE CENTER ALSO OFFERS A SPECIAL AREA FOR CESAREAN SECTIONS AND ROUTINE GYNECOLOGICAL PROCEDURES. OUR CARDIOPULMONARY SERVICES DEPARTMENT PROVIDES AN EXTENSIVE LINE OF CARDIAC, PULMONARY AND NEURO-DIAGNOSTIC SERVICES. THEY ALSO PROVIDE A COMPREHENSIVE SLEEP MEDICINE PROGRAM AS WELL AS AN APPROVED SITE FOR THE DEPARTMENT OF LABOR'S FEDERAL BLACK LUNG PROGRAM. THE REGIONAL REHAB CENTER OFFERS OCCUPATIONAL THERAPY, PHYSICAL THERAPY, SPEECH THERAPY, PULMONARY REHAB, ANODYNE THERAPY, CARDIAC REHABILITATION, CARDIOPULMONARY REHAB, SMOKING CESSATION CLASSES AND FIT-ONE, A COMMUNITY WELLNESS PROGRAM. OUR THREE-YEAR, CARF ACCREDITED (COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES), 11-BED INPATIENT REHABILITATION UNIT PROVIDES A RESPONSIVE, CARING ENVIRONMENT THAT ENHANCES RECOVERY AND SPEEDS THE RETURN TO NORMAL LIFE FOR PATIENTS SUFFERING FROM STROKE, PARKINSON'S DISEASE, POLYNEUROPATHY, BRAIN INJURY AND HIP FRACTURES. NORTON COMMUNITY HOSPITAL HAS ENABLED BUSINESSES TO LOWER THEIR MEDICAL CARE COSTS THROUGH OUR COMPREHENSIVE OCCUPATIONAL MEDICINE PROGRAM AT OCCUMED HEALTH CENTER. OCCUMED OFFERS NURSING CASE MANAGEMENT, WORK-RELATED INJURY TREATMENT AND FOLLOW-UP, PRE-EMPLOYMENT PHYSICALS, DRUG SCREENINGS, VACCINATIONS, WORK-SITE SAFETY ANALYSIS, GENERAL HEALTH SCREENINGS, OSHA REGULATION COMPLIANCE ASSISTANCE, AND INDUSTRIAL REHABILITATION. COMMUNITY HOME CARE OFFERS DURABLE MEDICAL EQUIPMENT SUCH AS LIFT CHAIRS, MOTORIZED SCOOTERS, LIMB BRACES, DIABETIC SUPPLIES, TURBANS, AND A PRIVATE FITTING ROOM FOR MASTECTOMY FITTINGS. THE WANDA WAMPLER CENTER FOR WOMEN'S HEALTH HOUSES OUR COMPREHENSIVE WOMEN'S HEALTH SERVICES. THE CENTER OFFERS STEREOTACTIC BREAST BIOPSY, BONE DENSITOMETRY, AND DIGITAL MAMMOGRAPHY. 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. NCH HAS PARTNERED WITH THE COMPANY FIRSTSOURCE SOLUTIONS USA TO WORK WITH SELF-PAYING PATIENTS WHO HAVE LIMITED FINANCIAL RESOURCES. DURING FY12, FIRSTSOURCE REPRESENTATIVES WERE AVAILABLE AT NCH TO ASSIST PATIENTS. THE REPRESENTATIVES WERE ABLE TO DETERMINE GOVERNMENTAL MEDICAL ASSISTANCE (MEDICAID OR TENNCARE) ELIGIBILITY, AND TO HELP WITH THE APPLICATION PROCESS AND FOLLOW-UP. DURING FY12, 543 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 FY12, NCH'S COST FOR THIS PROGRAM WAS 119,512. |
| CLASSES OF MEMBERS OR STOCKHOLDERS | FORM 990, PAGE 6, PART VI, LINE 6 | MOUNTAIN STATES HEALTH ALLIANCE IS THE 50.1% MEMBER OF NORTON COMMUNITY HOSPITAL, INC. NORTON COMMUNITY HEALTH FOUNDATION IS THE 49.9% MEMBER OF NORTON COMMUNITY HOSPITAL, INC. |
| ELECTION OF MEMBERS AND THEIR RIGHTS | FORM 990, PAGE 6, PART VI, LINE 7A | 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. |
| DECISIONS SUBJECT TO APPROVAL OF MEMBERS | 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. |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | THE CFO REVIEWED THE FORM 990 WITH THE BOARD OF DIRECTORS PRIOR TO FILING AND THE RETURN WAS MADE AVAILABLE TO EACH BOARD MEMBER IN AN ELECTRONIC FORMAT PRIOR TO THE REVIEW. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | ANNUALLY, THE AUDIT AND COMPLIANCE DEPARTMENT PROVIDES THE POLICY AND THE CONFLICT OF INTEREST DISCLOSURE FORMS TO ALL COVERED PERSONS. EACH PERSON IS REQUIRED TO PROVIDE A COMPLETED DISCLOSURE FORM, NOTING ANY CONFLICTS OR ATTESTING THEY HAVE "NONE," AND THEN FORWARD THOSE BACK 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. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | FORM 990, PAGE 6, PART VI, LINE 15A | THE CEO COMPENSATION IS SUBJECT TO THE 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, JUST LIKE ANY OTHER MSHA EXECUTIVE BELOW THE MSHA CEO AND CFO LEVEL. |
| COMPENSATION PROCESS FOR OFFICERS | FORM 990, PAGE 6, PART VI, LINE 15B | THE BOARD ALSO APPROVES PAY AND BENEFITS FOR THE CFO. THE COMPENSATION COMMITTEE REVIEWS AND HAS FINAL APPROVAL OF CEO RECOMMENDATIONS FOR PAY AND BENEFITS FOR ALL OTHER EXECUTIVES. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | 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. |
| OTHER CHANGES IN NET ASSETS EXPLANATION | FORM 990, PART XI, LINE 5 | PENSION AND POST LIABILITY ADJUSTMENT 2,216,371 NET UNREALIZED GAINS ON INVESTMENTS 384,274 FY12 CAPITAL CONTRIBUTION TO DCH 1,864,930 ADJUSTMENT TO CLOSE COMM. PHYS. SVCS. CORP. 4,455 CHANGE IN RESTRICTED GRANT ASSETS (300,150) OTHER ADJUSTMENT TO NET ASSETS (2,260) TOTAL TO FORM 990, PART XI, LINE 5: 4,167,620 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTON COMMUNITY PHYSICIAN SVCS LLC | BusinessNameLine1 |
Address US AddressUS
| 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. | PrimaryActivities |
| Legal Domicile State | VA | LegalDomicileState |
| Total Income | 11793668 | TotalIncome |
| EOY Assets | 3042327 | EOYAssets |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 INC | false |
| JOHNSTON MEMORIAL HOSPITAL | ||||||||||
| 16000 JOHNSTON MEMORIAL DRIVE | ABINGDON | VA | 24211 | 540544705 | HOSPITAL | VA | 501C3 | 3 | MSHA | 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 | NA | false |
Form990 Schedule R Part III Form990ScheduleRPartIII (9 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|
| INTEGRATED SOLUTIONS HLTH NTWK INC | |||||||||
| 400 N STATE OF FRANKLIN RD | 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 | |||||||||
| 2526 WESLEY STREET SUITE 2 | JOHNSON CITY | TN | 37604 | 272199037 | MED. SERV. | TN | NA | false | false |
| INTEGRATED SOLUTIONS HLTH NTWK INC | |||||||||
| 400 N STATE OF FRANKLIN RD | 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 | |||||||||
| 2526 WESLEY STREET SUITE 2 | JOHNSON CITY | TN | 37604 | 272199037 | MED. SERV. | TN | NA | false | false |
| INTEGRATED SOLUTIONS HLTH NTWK INC | |||||||||
| 400 N STATE OF FRANKLIN RD | 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 | |||||||||
| 2526 WESLEY STREET SUITE 2 | JOHNSON CITY | TN | 37604 | 272199037 | MED. SERV. | TN | NA | false | false |
Form990 Schedule R Part IV Form990ScheduleRPartIV (27 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|
| COMMUNITY HOME CARE INC | |||||||||||
| 1460 PARK AVENUE | NORTON | VA | 24273 | 541453810 | DME | VA | NA | C CORP | 727589 | 705806 | 1.00000 |
| SOUTHWEST COMMUNITY HEALTH SERVICES | |||||||||||
| P O BOX 880 | MARION | VA | 24354 | 541460695 | MED. SERV. | VA | NA | C CORP | |||
| BLUE RIDGE MEDICAL MANAGEMENT CORP | |||||||||||
| 1021 W OAKLAND AVENUE SUITE 207 | JOHNSON CITY | TN | 37604 | 621490616 | MED. SERV. | TN | NA | C CORP | |||
| MEDISERVE MED EQUIP OF KINGSPORT | |||||||||||
| 1021 W OAKLAND AVENUE SUITE 207 | JOHNSON CITY | TN | 37604 | 621212286 | DME | TN | NA | C CORP | |||
| MOUNTAIN STATES PROPERTIES | |||||||||||
| 1021 W OAKLAND AVENUE SUITE 207 | JOHNSON CITY | TN | 37604 | 621845895 | PROP MGMT | TN | NA | C CORP | |||
| MOUNTAIN STATES PHYSICIANS GRP INC | |||||||||||
| 1021 W OAKLAND AVENUE SUITE 207 | JOHNSON CITY | TN | 37604 | 621700412 | HEALTHCARE | TN | NA | C CORP | |||
| COMMUNITY PHYSICIANS SVCS CORP | |||||||||||
| 100 15TH STREET NW | NORTON | VA | 24273 | 541641446 | MED. SERV. | VA | NA | C CORP | 1030 | 1.00000 | |
| WILSON PHARMACY INC | |||||||||||
| P O BOX 5289 | JOHNSON CITY | TN | 37602 | 620329587 | PHARMACY | TN | NA | C CORP | |||
| CRESTPOINT HEALTH INSURANCE CO INC | |||||||||||
| 208 SUNSET DRIVE SUITE 101 | JOHNSON CITY | TN | 37604 | 620381170 | INSURANCE | TN | NA | C CORP | |||
| COMMUNITY HOME CARE INC | |||||||||||
| 1460 PARK AVENUE | NORTON | VA | 24273 | 541453810 | DME | VA | NA | C CORP | 727589 | 705806 | 1.00000 |
| SOUTHWEST COMMUNITY HEALTH SERVICES | |||||||||||
| P O BOX 880 | MARION | VA | 24354 | 541460695 | MED. SERV. | VA | NA | C CORP | |||
| BLUE RIDGE MEDICAL MANAGEMENT CORP | |||||||||||
| 1021 W OAKLAND AVENUE SUITE 207 | JOHNSON CITY | TN | 37604 | 621490616 | MED. SERV. | TN | NA | C CORP | |||
| MEDISERVE MED EQUIP OF KINGSPORT | |||||||||||
| 1021 W OAKLAND AVENUE SUITE 207 | JOHNSON CITY | TN | 37604 | 621212286 | DME | TN | NA | C CORP | |||
| MOUNTAIN STATES PROPERTIES | |||||||||||
| 1021 W OAKLAND AVENUE SUITE 207 | JOHNSON CITY | TN | 37604 | 621845895 | PROP MGMT | TN | NA | C CORP | |||
| MOUNTAIN STATES PHYSICIANS GRP INC | |||||||||||
| 1021 W OAKLAND AVENUE SUITE 207 | JOHNSON CITY | TN | 37604 | 621700412 | HEALTHCARE | TN | NA | C CORP | |||
| COMMUNITY PHYSICIANS SVCS CORP | |||||||||||
| 100 15TH STREET NW | NORTON | VA | 24273 | 541641446 | MED. SERV. | VA | NA | C CORP | 1030 | 1.00000 | |
| WILSON PHARMACY INC | |||||||||||
| P O BOX 5289 | JOHNSON CITY | TN | 37602 | 620329587 | PHARMACY | TN | NA | C CORP | |||
| CRESTPOINT HEALTH INSURANCE CO INC | |||||||||||
| 208 SUNSET DRIVE SUITE 101 | JOHNSON CITY | TN | 37604 | 620381170 | INSURANCE | TN | NA | C CORP | |||
| COMMUNITY HOME CARE INC | |||||||||||
| 1460 PARK AVENUE | NORTON | VA | 24273 | 541453810 | DME | VA | NA | C CORP | 727589 | 705806 | 1.00000 |
| SOUTHWEST COMMUNITY HEALTH SERVICES | |||||||||||
| P O BOX 880 | MARION | VA | 24354 | 541460695 | MED. SERV. | VA | NA | C CORP | |||
| BLUE RIDGE MEDICAL MANAGEMENT CORP | |||||||||||
| 1021 W OAKLAND AVENUE SUITE 207 | JOHNSON CITY | TN | 37604 | 621490616 | MED. SERV. | TN | NA | C CORP | |||
| MEDISERVE MED EQUIP OF KINGSPORT | |||||||||||
| 1021 W OAKLAND AVENUE SUITE 207 | JOHNSON CITY | TN | 37604 | 621212286 | DME | TN | NA | C CORP | |||
| MOUNTAIN STATES PROPERTIES | |||||||||||
| 1021 W OAKLAND AVENUE SUITE 207 | JOHNSON CITY | TN | 37604 | 621845895 | PROP MGMT | TN | NA | C CORP | |||
| MOUNTAIN STATES PHYSICIANS GRP INC | |||||||||||
| 1021 W OAKLAND AVENUE SUITE 207 | JOHNSON CITY | TN | 37604 | 621700412 | HEALTHCARE | TN | NA | C CORP | |||
| COMMUNITY PHYSICIANS SVCS CORP | |||||||||||
| 100 15TH STREET NW | NORTON | VA | 24273 | 541641446 | MED. SERV. | VA | NA | C CORP | 1030 | 1.00000 | |
| WILSON PHARMACY INC | |||||||||||
| P O BOX 5289 | JOHNSON CITY | TN | 37602 | 620329587 | PHARMACY | TN | NA | C CORP | |||
| CRESTPOINT HEALTH INSURANCE CO INC | |||||||||||
| 208 SUNSET DRIVE SUITE 101 | JOHNSON CITY | TN | 37604 | 620381170 | INSURANCE | TN | NA | C CORP | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | 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 | false | 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 | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| COMMUNITY HOME CARE INC | ||
| A | 51230 | FAIR MARKET VALUE |
| DICKENSON COMMUNITY HOSPITAL | ||
| B | 1864930 | CAPITAL CONTRIBUTION |
| DICKENSON COMMUNITY HOSPITAL | ||
| N | 63683 | ALLOCATION OF WAGES |