MOUNTAIN STATES HEALTH ALLIANCE: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- MOUNTAIN STATES HEALTH ALLIANCE (EIN 62-0476282)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-06
- IRS object ID
- 201311269349301006
- 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 H
- Schedule I
- Schedule J
- Schedule K
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-06T12:44:07-05:00 | 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 | 620476282 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOUNTAIN STATES HEALTH ALLIANCE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MOUN | NameControl |
| Phone | 4233023372 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 N STATE OF FRANKLIN ROAD | AddressLine1 |
| City | JOHNSON CITY | City |
| State | TN | State |
| ZIP Code | 37604 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARVIN EICHORN | Name |
| Title | SENIOR VP & CFO | Title |
| Phone | 4233023372 | 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
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHNSON CITY MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DENNIS VONDERFECHT | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 303 MED TECH PARKWAY STE 300 | AddressLine1 |
| City | JOHNSON CITY | City |
| State | TN | State |
| ZIP Code | 37604 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 735073921 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MSHA.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1945 | YearFormation |
| State Legal Domicile | TN | StateLegalDomicile |
| Activity Or Mission Description | PART I, LINE 1: MOUNTAIN STATES HEALTH ALLIANCE (MSHA) IS COMMITTED TO OUR MISSION OF BRINGING LOVING CARE TO HEALTH CARE. WE EXIST TO IDENTIFY AND RESPOND TO THE HEALTHCARE NEEDS OF INDIVIDUALS AND COMMUNITIES IN THE 29-COUNTY AREA WE SERVE, HELPING THEM ATTAIN THEIR HIGHEST LEVEL OF HEALTH. MSHA DELIVERS THIS CARE THROUGH THE PHILOSOPHY OF PATIENT-CENTERED CARE, AND THE DEVELOPMENT OF COMPREHENSIVE STRATEGIC PLANNING AND IMPLEMENTATION. MSHA OPENED A NEW REPLACEMENT HOSPITAL IN 2012, SMYTH COUNTY COMMUNITY HOSPITAL (SCCH) WHICH IS LOCATED IN VIRGINIA AND MAJORITY-OWNED BY MSHA. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 6 | NbrIndependentVotingMembers |
| Total Nbr Employees | 9147 | TotalNbrEmployees |
| Total Nbr Volunteers | 2409 | TotalNbrVolunteers |
| Total Gross UBI | 3141566 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 221368 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 3143661 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2745426 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 703882320 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 697705296 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 15682301 | InvestmentIncomePriorYear |
| Investment Income Current Year | 24259649 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 6648445 | OtherRevenuePriorYear |
| Other Revenue Current Year | 10171526 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 729356727 | TotalRevenuePriorYear |
| Total Revenue Current Year | 734881897 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 357333 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 990095 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 301399812 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 309796341 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 1619946 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 377644976 | OtherExpensePriorYear |
| Other Expenses Current Year | 372114544 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 679402121 | TotalExpensesPriorYear |
| Total Expenses Current Year | 682900980 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 49954606 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 51980917 | RevenuesLessExpensesCY |
| Total Assets BOY | 1573869411 | TotalAssetsBOY |
| Total Assets EOY | 1517954041 | TotalAssetsEOY |
| Total Liabilities BOY | 1268238796 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1169345060 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 305630615 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 348608981 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | PART I, LINE 1: MOUNTAIN STATES HEALTH ALLIANCE (MSHA) IS COMMITTED TO OUR MISSION OF BRINGING LOVING CARE TO HEALTH CARE. WE EXIST TO IDENTIFY AND RESPOND TO THE HEALTHCARE NEEDS OF INDIVIDUALS AND COMMUNITIES IN THE 29-COUNTY AREA WE SERVE, HELPING THEM ATTAIN THEIR HIGHEST LEVEL OF HEALTH. MSHA DELIVERS THIS CARE THROUGH THE PHILOSOPHY OF PATIENT-CENTERED CARE, AND THE DEVELOPMENT OF COMPREHENSIVE STRATEGIC PLANNING AND IMPLEMENTATION. MSHA OPENED A NEW REPLACEMENT HOSPITAL IN 2012, SMYTH COUNTY COMMUNITY HOSPITAL (SCCH) WHICH IS LOCATED IN VIRGINIA AND MAJORITY-OWNED BY MSHA. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 576044872 | Expense |
| Grants | 990095 | Grants |
| Revenue | 699506098 | Revenue |
| Description | SEE ATTACHED DOCUMENT: MSHA - PROGRAM SERVICE ACCOMPLISHMENTS | Description |
| Total Program Service Expense | 576044872 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | true | 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 | false | 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 | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | true | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | true | 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 | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | 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 | 666 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 9147 | 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 |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 6 | 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 | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | VA | StatesWhereCopyOfReturnIsFiled |
| Own Website | X | OwnWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MARVIN EICHORN | NamePerson |
| Telephone Number | 4233023372 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 303 MED TECH PARKWAY SUITE 300 | AddressLine1 |
| City | JOHNSON CITY | City |
| State | TN | State |
| ZIP Code | 37604 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (29 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| DENNIS VONDERFECHT | ||||||||
| CEO | 60.00 | X | X | 1099588 | 0 | 167285 | ||
| JEFF FARROW MD | ||||||||
| DIRECTOR | 3.00 | X | 39813 | 0 | 0 | |||
| CLEM WILKES JR | ||||||||
| TREASURER | 4.10 | X | 0 | 0 | 0 | |||
| GARY PEACOCK | ||||||||
| DIRECTOR | 3.60 | X | 0 | 0 | 0 | |||
| SANDRA BROOKS MD | ||||||||
| DIRECTOR | 3.40 | X | 0 | 0 | 0 | |||
| RICK STOREY | ||||||||
| DIRECTOR | 2.90 | X | 0 | 0 | 0 | |||
| THOMAS FOWLKES | ||||||||
| DIRECTOR | 3.00 | X | 0 | 0 | 0 | |||
| LINDA GARCEAU | ||||||||
| DIRECTOR | 3.50 | X | 0 | 0 | 0 | |||
| DONALD JEANES | ||||||||
| PAST CHAIR | 4.10 | X | 0 | 0 | 0 | |||
| JOANNE GILMER | ||||||||
| VICE CHAIR | 4.50 | X | 0 | 0 | 0 | |||
| DAVID MAY MD | ||||||||
| DIRECTOR | 3.30 | X | 0 | 0 | 0 | |||
| ROBERT FEATHERS | ||||||||
| CHAIR | 3.70 | X | 0 | 0 | 0 | |||
| MICHAEL CHRISTIAN | ||||||||
| SECRETARY | 4.10 | X | 0 | 0 | 0 | |||
| MARVIN EICHORN | ||||||||
| SENIOR VP/CF | 60.00 | X | 672484 | 0 | 35543 | |||
| CANDACE JENNINGS | ||||||||
| SR. VP TN OP | 60.00 | 553717 | 0 | 73519 | X | |||
| ANN FLEMING | ||||||||
| SR. VP | 60.00 | 501320 | 0 | 66728 | X | |||
| BRAD NURKIN | ||||||||
| VP/CEO JCMC | 55.00 | 394647 | 0 | 21243 | X | |||
| MONTY MCLAURIN | ||||||||
| VP/IPMC CEO | 55.00 | 348701 | 0 | 55842 | X | |||
| LYNN KRUTAK | ||||||||
| VP/CORP. CFO | 55.00 | 271648 | 0 | 30747 | X | |||
| DAVID NICELY | ||||||||
| VP/CEO WASHI | 55.00 | 262306 | 0 | 26990 | X | |||
| SHANE HILTON | ||||||||
| VP/TN CFO | 55.00 | 253872 | 0 | 35521 | X | |||
| CYNTHIA SALYER | ||||||||
| VP/CARDIO-PU | 55.00 | 241894 | 0 | 42953 | X | |||
| DALE CLAYTORE | ||||||||
| VP | 55.00 | 227871 | 0 | 12784 | X | |||
| PAT NIDAY | ||||||||
| CNO WASHINGT | 55.00 | 193264 | 0 | 30352 | X | |||
| MORRIS SELIGMAN MD | ||||||||
| SR. VP/CMO | 50.00 | 597687 | 0 | 79845 | X | |||
| FRANK LAURO MD | ||||||||
| BRMMC CMO | 50.00 | 450006 | 0 | 29327 | X | |||
| JAMES PASKERT MD | ||||||||
| CMO WASHINGT | 60.00 | 426742 | 0 | 37947 | X | |||
| DOUGLAS EDEMA | ||||||||
| PRESIDENT/CE | 50.00 | 397868 | 0 | 37897 | X | |||
| CARL KILGORE | ||||||||
| PRESIDENT BR | 50.00 | 393219 | 0 | 50572 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 7326647 | TotalReportableCompFromOrg |
| Total Other Compensation | 835095 | TotalOtherCompensation |
| Number Individuals GT100 K | 196 | 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 |
|---|---|---|---|---|---|
| MORRISON MANAGEMENT SPECIALISTS | |||||
| PO BOX 102289 | ATLANTA | GA | 30368 | DIETARY SVC. | 8951589 |
| ETSU COLLEGE OF MEDICINE | |||||
| BOX 70415 | JOHNSON CITY | TN | 37614 | PHYSICIAN SVC. | 6388241 |
| ANESTHESIA PAIN CONSULTANTS | |||||
| STE 4 1113 SUNSET DRIVE | JOHNSON CITY | TN | 37605 | PHYSICIAN SVC. | 4401130 |
| HOSPITAL HOUSEKEEPING SYSTEMS LTD | |||||
| P O BOX 826 | SAN ANTONIO | TX | 78293 | HOUSEKPNG SVC. | 3719557 |
| CROTHALL LAUNDRY SERVICES INC | |||||
| 13028 COLLECTIONS CENTER DR | CHICAGO | IL | 60693 | LAUNDRY SVC. | 3293657 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 125 | NumberOfContractorsGT100K |
| Related Organizations | 1692349 | RelatedOrganizations |
| Government Grants | 893978 | GovernmentGrants |
| All Other Contributions | 159099 | AllOtherContributions |
| Total Contributions | 2745426 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Business CodeBusinessCode | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT REVENUE-OTHER | 683614493 | 683614493 | ||
| WELLNESS PROGRAMS | 15921471 | 15921471 | ||
| LAB UBI REVENUE | 1524216 | 621500 | 1524216 | |
| PREMIER PURCHASING K-1 (UBI) | 28428 | 541610 | 28428 | |
| P/S PROG. SERV. INCOME | -1417217 | -1417217 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -1966095 | TotalRevenueColumn |
| Related Or Exempt Function Income | -1966095 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 697705296 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 17200885 | TotalRevenueColumn |
| Exclusion | $17,200,885 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6669 | TotalRevenueColumn |
| Exclusion | $6,669 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 299873 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 169391 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 130482 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 130482 | TotalRevenueColumn |
| Unrelated Business Revenue | 69979 | UnrelatedBusinessRevenue |
| Exclusion | $60,503 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 6840192 | Securities |
| Other | 234536 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 22633 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 6840192 | Securities |
| Other | 211903 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7052095 | TotalRevenueColumn |
| Related Or Exempt Function Income | 211880 | RelatedOrExemptFunctionIncome |
| Exclusion | $6,840,215 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|
| CAFE' SALES | 4006850 | $4,006,850 |
| DIETARY,SECURITY,ENGIN., ETC. | 3462020 | $3,462,020 |
| DAY CARE | 1002231 | $1,002,231 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1569943 | TotalRevenueColumn |
| Unrelated Business Revenue | 1518943 | UnrelatedBusinessRevenue |
| Exclusion | $51,000 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 10041044 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 734881897 | TotalRevenueColumn |
| Related Or Exempt Function Income | 696364532 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 3141566 | UnrelatedBusinessRevenue |
| Exclusion | $32,630,373 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 990095 | Total |
| Program Services | 990095 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5468957 | Total |
| Management And General | 5468957 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 241272312 | Total |
| Program Services | 231707399 | ProgramServices |
| Management And General | 8724394 | ManagementAndGeneral |
| Fundraising | 840519 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10089414 | Total |
| Program Services | 9725390 | ProgramServices |
| Management And General | 328745 | ManagementAndGeneral |
| Fundraising | 35279 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34130913 | Total |
| Program Services | 30429032 | ProgramServices |
| Management And General | 3636805 | ManagementAndGeneral |
| Fundraising | 65076 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18834745 | Total |
| Program Services | 16813372 | ProgramServices |
| Management And General | 1978810 | ManagementAndGeneral |
| Fundraising | 42563 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1977334 | Total |
| Program Services | 7764 | ProgramServices |
| Management And General | 1969570 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 282707 | Total |
| Program Services | 5100 | ProgramServices |
| Management And General | 256771 | ManagementAndGeneral |
| Fundraising | 20836 | Fundraising |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 43468 | Total |
| Program Services | 43468 | ProgramServices |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1391642 | Total |
| Management And General | 1391642 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 86176772 | Total |
| Program Services | 79284416 | ProgramServices |
| Management And General | 6726297 | ManagementAndGeneral |
| Fundraising | 166059 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2951800 | Total |
| Program Services | 2317069 | ProgramServices |
| Management And General | 613471 | ManagementAndGeneral |
| Fundraising | 21260 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9686133 | Total |
| Program Services | 9407004 | ProgramServices |
| Management And General | 44685 | ManagementAndGeneral |
| Fundraising | 234444 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14644324 | Total |
| Program Services | 12718745 | ProgramServices |
| Management And General | 1925579 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14759554 | Total |
| Program Services | 11571695 | ProgramServices |
| Management And General | 3123421 | ManagementAndGeneral |
| Fundraising | 64438 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2448538 | Total |
| Program Services | 1772022 | ProgramServices |
| Management And General | 644172 | ManagementAndGeneral |
| Fundraising | 32344 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 276813 | Total |
| Program Services | 229790 | ProgramServices |
| Management And General | 46335 | ManagementAndGeneral |
| Fundraising | 688 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42918548 | Total |
| Program Services | -816 | ProgramServices |
| Management And General | 42919364 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46483192 | Total |
| Program Services | 26942801 | ProgramServices |
| Management And General | 19534953 | ManagementAndGeneral |
| Fundraising | 5438 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2364804 | Total |
| Program Services | 5727 | ProgramServices |
| Management And General | 2359077 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| MEDICAL SUPPLIES & DRUGS | 124004766 | 123838671 | 165092 | 1003 |
| REPAIRS & MAINTENANCE | 14349584 | 13702930 | 603502 | 43152 |
| DUES & SUBSCRIPTIONS | 3768837 | 1068939 | 2696271 | 3627 |
| ALL OTHER EXPENSES | 3519503 | 3464259 | 12024 | 43220 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 66225 | Total |
| Management And General | 66225 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 682900980 | Total |
| Program Services | 576044872 | ProgramServices |
| Management And General | 105236162 | ManagementAndGeneral |
| Fundraising | 1619946 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 94236272 | BOY |
| EOY | 39216743 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 196903 | BOY |
| EOY | 248258 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 96082434 | BOY |
| EOY | 103299284 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5517265 | BOY |
| EOY | 6806393 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 94585775 | BOY |
| EOY | 15373693 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15564585 | BOY |
| EOY | 15480550 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3217335 | BOY |
| EOY | 3139089 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 926605812 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 432580246 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 469613025 | BOY |
| EOY | 494025566 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 257416902 | BOY |
| EOY | 271118030 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 282266093 | BOY |
| EOY | 307033212 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 143276118 | BOY |
| EOY | 143276118 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 111896704 | BOY |
| EOY | 118937105 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1573869411 | BOY |
| EOY | 1517954041 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66520793 | BOY |
| EOY | 85554685 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19167490 | BOY |
| EOY | 2928666 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 620629456 | BOY |
| EOY | 813947753 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 382866923 | BOY |
| EOY | 177320621 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 4437945 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 179054134 | BOY |
| EOY | 85155390 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1268238796 | BOY |
| EOY | 1169345060 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 305570637 | BOY |
| EOY | 348411488 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 59978 | BOY |
| EOY | 197493 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 305630615 | BOY |
| EOY | 348608981 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1573869411 | BOY |
| EOY | 1517954041 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 51980917 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -9002551 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| 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 | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
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 | true | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $299,578 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 299578 | 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 | THE COMMUNITY & GOVERNMENT RELATIONS ASSISTANT VICE PRESIDENT AND/OR THE COMMUNITY & GOVERNMENT RELATIONS MANAGER AND/OR DIRECTOR ATTENDED THE FOLLOWING LEGISLATIVE CONFERENCES: - PREMIER FEDERAL AFFAIRS NETWORK MEETINGS - AMERICAN HOSPITAL ASSOCIATION ANNUAL MEETING - TENNESSEE HOSPITAL ASSOCIATION LEGISLATIVE ADVOCACY DAY - TENNESSEE HOSPITAL ASSOCIATION ANNUAL MEETING - HOSPITAL ALLIANCE OF TENNESSEE ANNUAL MEETING - NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND RELATED INSTITUTIONS VIP ADVOCACY DAY - TENNESSEE PUBLIC & TEACHING HOSPITALS ASSOCIATION ANNUAL MEETING - VIRGINIA HOSPITAL & HEALTHCARE ASSOCIATION LEGISLATIVE ISSUES CONFERENCE, SPRING CONFERENCE ANNUAL MEETING - ASSOCIATION OF AMERICAN MEDICAL COLLEGES GOVERNMENT RELATIONS MEETING THE COMMUNITY & GOVERNMENT RELATIONS ASSISTANT VICE PRESIDENT AND/OR DEPARTMENTAL STAFF ALSO CONTACTED CONGRESSIONAL OFFICES CONCERNING THE FOLLOWING ISSUES: - SUPPORT FOR PROVISIONS TO EXPAND INSURANCE COVERAGE (HEALTH INSURANCE EXCHANGES AND MEDICAID EXPANSION). - SUPPORT FOR INITIATIVES TO IMPROVE PAYMENT DELIVERY REDESIGN; SUCH AS ACCOUNTABLE CARE ORGANIZATION DEVELOPMENT. - SUPPORT FOR CONTINUATION OF TENNESSEE MEDICAID DISPROPORTIONATE SHARE HOSPITAL PAYMENTS. - SUPPORT IMPROVEMENTS IN MEDICARE SHARED SAVINGS PAYMENT RULE. - OPPOSITION TO ADDITIONAL CUTS IN MEDICARE/MEDICAID. - SUPPORT FOR REAUTHORIZATIONAL AND FUNDING OF CHILDREN'S HOSPITAL GRADUATE MEDICAL EDUCATION. - SUPPORT FEDERAL FUNDING FOR TRAUMA CARE. - SUPPORT CONTINUATION OF GRADUATE MEDICAL EDUCATIONAL FUNDING. - SUPPORT OF STATE MEDICAID PROVIDER TAX PROVISIONS. - SUPPORT OF MEDICARE DEPENDENT HOSPITAL AND LOW-VOLUME DESIGNATIONS. THE COMMUNITY & GOVERNMENT RELATIONS ASSISTANT VICE PRESIDENT AND/OR DEPARTMENTAL DIRECTORS RESPONDED VIA LETTER, PHONE, OR IN PERSON TO THE FOLLOWING TENNESSEE AND VIRGINIA LEGISLATIVE ISSUES: - SUPPORT OF STRONG CERTIFICATE OF NEED PROGRAMS IN TENNESSEE AND VIRGINIA. - SUPPORT FOR CONTINUATION OF HOSPITAL ASSESSMENT FEE IN TENNESSEE. - SUPPORT INCREASE OF TENNESSEE'S APPROPRIATION FOR CARE OF UNINSURED MENTALLY ILL PATIENTS. - SUPPORT OF FUNDING FOR PERINATAL CENTERS IN TENNESSEE. - SUPPORT OF SAFETY NET FUNDING FOR PROJECT ACCESS. - OPPOSE GUNS IN WORKPLACE LEGISLATION. - SUPPORT OF IMPROVEMENTS IN TENNESSEE'S CONTROLLED SUBSTANCE DATABASE. - SUPPORT OF STABLE MEDICAID RATES IN VIRGINIA. - SUPPORT REGULATIONS TO CONTINUE SUPPLEMENTAL PAYMENTS TO JCMC'S NICU FOR ITS HIGH VIRGINIA MEDICAID VOLUME. | 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 | 37347384 | OtherCostOrOtherBasis |
| Book Value | 37347384 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 471102737 | OtherCostOrOtherBasis |
| Depreciation | 143764013 | Depreciation |
| Book Value | 327338724 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 958973 | OtherCostOrOtherBasis |
| Depreciation | 431346 | Depreciation |
| Book Value | 527627 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 417196718 | OtherCostOrOtherBasis |
| Depreciation | 288384887 | Depreciation |
| Book Value | 128811831 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 494025566 | TotalOfBookValueLandBuildings |
Investments Program Related InvestmentsProgramRelated (5 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| INVESTMENT IN JMH | 132000000 | C |
| INVESTMENT IN BRMMC | 100273634 | C |
| INVESTMENT IN SCCH | 67400494 | C |
| INVESTMENT IN ISHN | 7505747 | C |
| INVESTMENT IN OTHER | -146663 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Program Related | 307033212 | TotalOfBookValueProgramRelated |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| AWUL - UNDER BOND INDENTURE AGREE. | 64391147 |
| AWUL - CURRENT | 22744639 |
| DEFERRED CHARGES AND OTHER | 19588106 |
| LONG TERM COMPENSATION INVESTMENT | 12213213 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 118937105 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED SALARIES, ABSENCES & W/H | $35,776,926 |
| ACCRUED INTEREST | $18,362,502 |
| DUE TO THIRD-PARTY PAYERS | $14,363,582 |
| EST. FAIR VALUE OF INT. RATE SWAP | $8,533,957 |
| OTHER LONG-TERM LIABILITIES | $8,118,423 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 85155390 | 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 | "MOUNTAIN STATES HEALTH ALLIANCE IS CLASSIFIED AS AN ORGANIZATION EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3 OF THE INTERNAL REVENUE CODE. AS SUCH, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS FOR THE ALLIANCE AND ITS TAX-EXEMPT SUBSIDIARIES. TAXABLE ENTITIES ACCOUNT FOR INCOME TAXES IN ACCORDANCE WITH FASB ASC740, "INCOME TAXES". THE ALLIANCE HAS NO SIGNIFICANT UNCERTAIN TAX POSITIONS AT JUNE 30, 2012 AND 2011." | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| 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 | 17797660 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 17797660 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02610 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 21369903 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15863216 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5506687 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00810 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 85083534 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 61855886 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 23227648 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03400 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 124251097 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 77719102 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 46531995 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06810 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6146288 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 409962 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5736326 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00840 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10108023 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3585484 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6522539 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00960 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 24886625 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13342547 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11544078 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01690 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 490139 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 490139 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 205542 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 205542 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 41836617 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 17337993 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 24498624 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03590 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 166087714 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 95057095 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 71030619 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10400 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 20000 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 20000 | NetCommunityBuildingExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1969962 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1969962 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00290 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 784554 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 784554 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 2774516 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 2774516 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00410 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $18,684,338 | BadDebtExpenseAmount |
| Amount Attributable To | 13079036 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 186939141 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 206482868 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -19543727 | MedicareSurplusOrShortfall |
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|---|
| MED'L SPEC OF JC LLC | ||
| MEDICAL SERVICES | 0.51000 | 0.49000 |
| EMMAUS COMM HLTHCR | ||
| MEDICAL SERVICES | 0.75000 | 0.25000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 6 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (6 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Childrens HospitalChildrensHospital | Teaching HospitalTeachingHospital | Research FacilityResearchFacility | Er24 HoursEr24Hours | OtherOther | Critical Access HospitalCriticalAccessHospital |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHNSON CITY MEDICAL CENTER | ||||||||||||
| 1 | 400 N STATE OF FRANKLIN ROAD | JOHNSON CITY | TN | 37604 | X | X | X | X | X | X | REHABILITATION & MENTAL HEALTH | |
| INDIAN PATH MEDICAL CENTER | ||||||||||||
| 2 | 2000 BROOKSIDE DRIVE | KINGSPORT | TN | 37660 | X | X | X | X | ||||
| FRANKLIN WOODS COMMUNITY HOSPITAL | ||||||||||||
| 3 | 300 MED TECH PARKWAY | JOHNSON CITY | TN | 37604 | X | X | X | |||||
| SYCAMORE SHOALS HOSPITAL | ||||||||||||
| 4 | 1501 W ELK AVENUE | ELIZABETHTON | TN | 37643 | X | X | X | |||||
| RUSSELL COUNTY MEDICAL CENTER | ||||||||||||
| 5 | 58 CARROLL STREET | LEBANON | VA | 24266 | X | X | X | |||||
| JOHNSON COUNTY COMMUNITY HOSPITAL | ||||||||||||
| 6 | 16901 S SHADY STREET | MOUNTAIN CITY | TN | 37683 | X | X | X | |||||
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (6 entries)
| Hospital Facility NumberHospitalFacilityNumber | CHNA ConductedCHNAConducted | Community DefinitionCommunityDefinition | Community DemographicsCommunityDemographics | Existing ResourcesExistingResources | How Data ObtainedHowDataObtained | Community Health NeedsCommunityHealthNeeds | Other Health IssuesOtherHealthIssues | Identifying ProcessIdentifyingProcess | Consulting ProcessConsultingProcess | Needs Assessment ConductedNeedsAssessmentConducted | Take Into AccountTakeIntoAccount | Other FacilitiesOtherFacilities | CHNA Widely AvailableCHNAWidelyAvailable | Own WebsiteOwnWebsite | On RequestOnRequest | Adopt Implement StrategyAdoptImplementStrategy | Execute Implement StrategyExecuteImplementStrategy | Develop Community PlanDevelopCommunityPlan | Include Operational PlansIncludeOperationalPlans | Prioritize Health NeedsPrioritizeHealthNeeds | Prioritize ServicesPrioritizeServices | All Needs AddressedAllNeedsAddressed | Eligibility Criteria ExplainedEligibilityCriteriaExplained | Uses FPG FreeUsesFPGFree | FPG Free PercentFPGFreePercent | Uses FPG DiscountedUsesFPGDiscounted | FPG Discount PercentFPGDiscountPercent | Explains BasisExplainsBasis | Income LevelIncomeLevel | Asset LevelAssetLevel | Medical IndigencyMedicalIndigency | Uninsured DiscountUninsuredDiscount | State RegulationStateRegulation | Explains Application MethodExplainsApplicationMethod | Includes Publicity MeasuresIncludesPublicityMeasures | Posted On WebsitePostedOnWebsite | Posted In Emergency RoomPostedInEmergencyRoom | Posted In Admission OfficePostedInAdmissionOffice | Available On RequestAvailableOnRequest | Other PublicityOtherPublicity | Actions On NonpaymentActionsOnNonpayment | Collection ActivitiesCollectionActivities | Notify Upon AdmissionNotifyUponAdmission | Notify Before DischargeNotifyBeforeDischarge | Notified All PatientsNotifiedAllPatients | Documented DeterminationDocumentedDetermination | Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy | Used Other MethodUsedOtherMethod | Amounts Generally BilledAmountsGenerallyBilled | Gross ChargesGrossCharges |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHNSON CITY MEDICAL CENTER | ||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | true | X | X | X | X | X | X | X | X | 11 | true | true | true | X | X | X | X | X | X | X | X | false | true | true | 200.0 | true | 400.0 | true | X | X | X | X | X | true | true | X | X | X | X | X | true | false | X | X | X | X | true | X | false | false |
| INDIAN PATH MEDICAL CENTER | ||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | true | X | X | X | X | X | X | X | X | 11 | true | true | true | X | X | X | X | X | X | X | X | false | true | true | 200.0 | true | 400.0 | true | X | X | X | X | X | true | true | X | X | X | X | X | true | false | X | X | X | X | true | X | false | false |
| FRANKLIN WOODS COMMUNITY HOSPITAL | ||||||||||||||||||||||||||||||||||||||||||||||||||
| 3 | true | X | X | X | X | X | X | X | X | 11 | true | true | true | X | X | X | X | X | X | X | X | false | true | true | 200.0 | true | 400.0 | true | X | X | X | X | X | true | true | X | X | X | X | X | true | false | X | X | X | X | true | X | false | false |
| SYCAMORE SHOALS HOSPITAL | ||||||||||||||||||||||||||||||||||||||||||||||||||
| 4 | true | X | X | X | X | X | X | X | X | 11 | true | true | true | X | X | X | X | X | X | X | X | false | true | true | 200.0 | true | 400.0 | true | X | X | X | X | X | true | true | X | X | X | X | X | true | false | X | X | X | X | true | X | false | false |
| RUSSELL COUNTY MEDICAL CENTER | ||||||||||||||||||||||||||||||||||||||||||||||||||
| 5 | true | X | X | X | X | X | X | X | X | 11 | true | true | true | X | X | X | X | X | X | X | X | false | true | true | 200.0 | true | 400.0 | true | X | X | X | X | X | true | true | X | X | X | X | X | true | false | X | X | X | X | true | X | false | false |
| JOHNSON COUNTY COMMUNITY HOSPITAL | ||||||||||||||||||||||||||||||||||||||||||||||||||
| 6 | true | X | X | X | X | X | X | X | X | 11 | true | true | true | X | X | X | X | X | X | X | X | false | true | true | 200.0 | true | 400.0 | true | X | X | X | X | X | true | true | X | X | X | X | X | true | false | X | X | X | X | true | X | false | false |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 10 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (10 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| JCMC AMBULATORY SURGERY CENTER | ||||
| 400 N STATE OF FRANKLIN ROAD | JOHNSON CITY | TN | 37604 | LICENSED AMBULATORY SURGERY CENTER |
| MOUNTAIN STATES IMAGING CENTER | ||||
| 301 MED TECH PARKWAY SUITE 100 | JOHNSON CITY | TN | 37604 | LICENSED OUTPATIENT DIAGNOSTIC CENTER |
| FRANKLIN TRANSITIONAL CARE | ||||
| 400 N STATE OF FRANKLIN ROAD | JOHNSON CITY | TN | 37604 | LICENSED SKILLED NURSING FACILITY |
| INDIAN PATH TRANSITIONAL CARE | ||||
| 2000 BROOKSIDE DRIVE | KINGSPORT | TN | 37660 | LICENSED SKILLED NURSING FACILITY |
| MEDICAL CNTR HOME CARE-JOHNSON CITY | ||||
| 101 MED TECH PARKWAY SUITE 100 | JOHNSON CITY | TN | 37604 | LICENSED HOME HEALTH AGENCY |
| MEDICAL CNTR HOME CARE-KINGSPORT | ||||
| 2020 BROOKSIDE DRIVE 28 | KINGSPORT | TN | 37660 | LICENSED HOME HEALTH AGENCY |
| RUSSELL CO MEDICAL CNTR HOME HLTH | ||||
| 116 FLANNAGAN AVENUE | LEBANON | VA | 24266 | LICENSED HOME HEALTH AGENCY |
| MEDICAL CENTER HOSPICE | ||||
| 101 MED TECH PARKWAY SUITE 100 | JOHNSON CITY | TN | 37604 | LICENSED HOSPICE AGENCY |
| JOHNSON COUNTY HOME HEALTH | ||||
| 1987 SOUTH SHADY STREET | MOUNTAIN CITY | TN | 37683 | LICENSED HOME HEALTH AGENCY |
| RUSSELL COUNTY MEDICAL CNTR HOSPICE | ||||
| 116 FLANNAGAN AVENUE | LABANON | VA | 24266 | LICENSED HOSPICE AGENCY |
Form990 Schedule H Part VI Form990ScheduleHPartVI (42 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 WHEN APPROPRIATE TO CALCULATE LINE 7 UTILIZING THE SCHEDULE H APPLICABLE WORKSHEETS INCLUDING WORKSHEET 2 A RATIO OF PATIENT CARE COST TO CHARGES PART I LINE 7G JOHNSON COUNTY COMMUNITY HOSPITAL A FEDERALLY DESIGNATED CRITICAL ACCESS HOSPITAL OPERATES A PHYSICIAN SPECIALTY CLINIC WHICH INCURRED AN OPERATING LOSS OF 50869 FOR THE TWELVE MONTHS ENDING JUNE 30 2012 THE SPECIALTY CLINIC INCLUDES CARDIOLOGY GENERAL SURGERY PODIATRY AND OTHER SPECIALTY SERVICES THIS CONTINUES TO BE A VALUABLE RESOURCE TO THE RESIDENTS OF THE AREA BY AIDING WITH TRANSPORTATION ISSUES OTHER PHYSICIAN OFFICES ARE MORE THAN AN HOUR AWAY RESOLVING ACCESS LIMITATIONS FOR SPECIALTY SERVICES AND PROVIDING RELIEF TO THE SPECIAL HEALTH PROBLEMS OF A LARGELY ELDERLY POPULATION RUSSELL COUNTY MEDICAL CENTER OPERATES A RURAL HEALTH CLINIC LOCATED IN ST PAUL VA ON THE BORDER OF WISE AND RUSSELL COUNTIES RIVERSIDE CLINIC FIRST OPENED IN 1991 TO PROVIDE PRIMARY CARE SERVICES TO THIS ELDERLY UNDERSERVED POPULATION THE CLINICS LARGEST PAYOR IS MEDICARE WHICH ACCOUNTS FOR MORE THAN 45 OF THEIR PATIENTS DURING THE 12MONTH REPORTING PERIOD THE CLINIC INCURRED UNREIMBURSED EXPENSES OF 492682 SOME OTHER SUBSIDIZED AREAS WITHIN MSHA INCLUDE SKILLED NURSING FACILITIES WITHIN TWO HOSPITALS OUR AIR TRANSPORT SERVICE WINGS BABYCHILD GROUND TRANSPORT AND MENTAL HEALTH |
| COMMUNITY BUILDING ACTIVITIES | PART II | MSHA LEADERS SUPPORT AND ENCOURAGE ALL TEAM MEMBERS TO VOLUNTEER TIME MONEY AND SKILLS TO COMMUNITY SERVICE PROJECTS AND CHARITABLE ORGANIZATIONS SENIOR LEADERS AND BOARD MEMBERS SET A POSITIVE EXAMPLE FOR MSHA TEAM MEMBERS SERVING VOLUNTARILY ON COMMITTEES AND MANAGING BOARDS OF LOCAL SERVICE AND NONPROFIT ORGANIZATIONS MANY ALSO SERVE AS MEMBERS AND CONSULTANTS ON PROFESSIONAL COMMITTEES AND TASK FORCES THAT AFFECT REGIONAL DEVELOPMENT IN HEALTHCARE AND EDUCATION SOME OF THESE TEAM MEMBERS DEVOTED TWO WEEKS OF NORMAL WORK TIME TO OUTSIDE CHARITABLE ACTIVITIES MSHA IN COLLABORATION WITH AREA HEALTH AGENCIES AND PROVIDERS MAY OFFER ASSISTANCE WITH COORDINATION ADVOCACY AND PUBLICITY PROVIDE SPACE OR CONTRIBUTE SUPPLIES TO SUPPORT GROUPS FOR THEIR PROGRAM ACTIVITIES PHYSICIAN RECRUITMENT IS REPORTED IN COMMUNITY BUILDING AND INCLUDES EXPENSE TO REPLACE PHYSICIANS RETIRING OR LEAVING OUR SERVICE AREAS INCLUDING RECRUITMENT TO ONE OF OUR FEDERALLY DESIGNATED UNDERSERVED COMMUNITIES WITHOUT MSHAS DEDICATION TO RURAL HEALTH THERE WOULD NOT BE AN ADEQUATE NUMBER OF PHYSICIANS TO SERVE THIS PATIENT POPULATION MSHA SUPPORTS THE ECONOMIC DEVELOPMENT OF THE REGION BY PROVIDING FINANCIAL SUPPORT AS WELL AS PAID TEAM MEMBERS TIME TO SERVE ON ECONOMIC DEVELOPMENT BOARDS EVIDENCE SHOWS THAT A HEALTHY ECONOMY RELATES TO A HEALTHIER POPULATION |
| 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 70 OF 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 MSHAS 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 MSHAS FY12 AUDITED FINANCIAL STATEMENT READS NEW ACCOUNTING PRONOUNCEMENTS IN JULY 2011 THE FASB ISSUED ASU 201107 HEALTHCARE ENTITIES TOPIC 954 PRESENTATION AND DISCLOSURE OF PATIENT SERVICE REVENUE PROVISION FOR BAD DEBTS AND ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTHCARE ENTITIES WHICH REQUIRES CERTAIN HEALTHCARE ENTITIES TO RECLASSIFY THE PROVISION FOR BAD DEBTS ASSOCIATED WITH PROVIDING PATIENT CARE FROM AN OPERATING EXPENSE TO A DEDUCTION FROM NET PATIENT SERVICE REVENUE IN THE CONSOLIDATED STATEMENTS OF OPERATIONS ADDITIONALLY ASU 201107 REQUIRES ENHANCED DISCLOSURES ABOUT AN ENTITYS POLICIES FOR RECOGNIZING REVENUE AND ASSESSING BAD DEBTS AND QUALITATIVE AND QUANTITATIVE INFORMATION ABOUT CHANGES IN THE ALLOWANCE FOR DOUBTFUL ACCOUNTS THE ALLIANCE RETROACTIVELY ADOPTED ASU 201107 IN FISCAL YEAR 2012 THE ADOPTION OF ASU 201107 DID NOT HAVE A MATERIAL IMPACT ON THE 2012 OR 2011 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 MSHAS 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 MEDICARE LOSSES INCLUDING SOME NONALLOWABLE COSTS SHOULD BE COUNTED AS A COMMUNITY BENEFIT AS THIS IS THE COST OF CARE FOR SERVING THE AGING POPULATION AS A NOTFORPROFIT ORGANIZATION WE EXIST TO IDENTIFY AND RESPOND TO THE HEALTH CARE NEEDS OF THE COMMUNITY AND THE INDIVIDUAL WHILE MAINTAINING A HIGH LEVEL OF HEALTH CARE SERVICES WITHOUT LOSSES SINCE LOSSES DO OCCUR THROUGH THE CMS SYSTEM OF REIMBURSEMENT THESE LOSSES ARE A COST OF DOING BUSINESS FOR OUR COMMUNITY AND SHOULD BE CONSIDERED A COMMUNITY BENEFIT AS A PARTICIPATING PROVIDER IN THE MEDICARE PROGRAM MSHA IS REQUIRED TO PROVIDE THE FULL REGIMEN OF CARE FOR OUR MEDICARE POPULATION THERE ARE A NUMBER OF CARE REGIMENS THAT ARE COMPENSATED BY THE MEDICARE PROGRAM AT LEVELS BELOW OUR COST THEREFORE IT IS ONLY LOGICAL TO ALLOW MSHA TO REPORT THESE UNCOMPENSATED SERVICES AS A COMMUNITY BENEFIT ON THIS DOCUMENT BY MAKING THIS CHANGE NONPROFIT PROVIDERS WILL BE ENCOURAGED TO SUSTAIN IMPORTANT CARE DELIVERY MODELS FOR OUR AGING POPULATION IN SPITE OF THE FACT IT IS SOMETIMES ECONOMICALLY INJURIOUS |
| COLLECTION PRACTICES EXPLANATION | PART III LINE 9B | MSHA 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 MSHA 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 SOME OF 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 MSHA PROVIDES COMMUNICATION OF FINANCIAL ASSISTANCE ON ITS WEBSITE AND ON POSTERS LOCATED IN PROMINENT AREAS OF THE HOSPITALS SUCH AS ADMITTING AND THE EMERGENCY DEPARTMENTS 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 MSHAS FINANCIAL ASSISTANCE POLICY MSHA ALSO HAS FINANCIAL COUNSELORS TO PROVIDE FURTHER INFORMATION AND ASSISTANCE TO MSHA PATIENTS REGARDING MSHAS 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 TNCAREMEDICAID IN ADDITION MSHA 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 MSHA BEARS THE COST FOR THE FIRSTSOURCE SOLUTIONS PROGRAM |
| COMMUNITY INFORMATION | PART VI | MSHA SERVES THE HEALTHCARE NEEDS OF 29 APPALACHIAN COUNTIES IN TENNESSEE SOUTHWEST VIRGINIA KENTUCKY AND NORTH CAROLINA SOME OF THE COUNTIES MSHA SERVES ARE FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS MSHA OPERATES 2 CRITICAL ACCESS HOSPITALS DICKENSON COMMUNITY HOSPITAL IN VIRGINIA AND JOHNSON COUNTY COMMUNITY HOSPITAL IN TENNESSEE THESE TWO FACILITIES OPERATE IN FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS THE HEALTH STATUS OF THE POPULATION IN MSHAS SERVICE AREA IS GENERALY POOR THE SERVICE AREA EXTENDS TO SOME OF THE POOREST RURAL COUNTIES IN THE REGION WITH A POVERTY RATE OF ALMOST 30 SOME OF THE MOST WELL OFF COUNTIES IN MSHAS SERVICE AREA STILL HAVE A MEDIAN HOUSEHOLD INCOME LOWER THAN STATE AND NATIONAL AVERAGES RURAL SERVICE AREA COUNTIES SHARE COMMON CHALLENGES OF 1 HIGH RATES OF UNINSURED 2 HIGH PREVALENCE OF OBESITY 3 HIGH PREVALENCE OF DIABETES |
| HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE | PART VI | PART VI LINE 5 MSHA IS DEDICATED TO OPERATING EFFICIENTLY SO THAT WASTE IS MINIMIZED MSHAS LEADERSHIP REMAINS MINDFUL OF MANAGING THE ALLIANCES 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 MSHAS 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 MSHA |
| AFFILIATED HEALTH CARE INFORMATION | PART VI | MSHA PROVIDES CARE TO PEOPLE IN 29 COUNTIES IN TENNESSEE VIRGINIA KENTUCKY AND NORTH CAROLINA EACH HOSPITAL IS FULLY ACCREDITED MOST BY THE JOINT COMMISSION MSHA IS INTEGRATED BOTH VERTICALLY AND HORIZONTALLY AND IS THE LARGEST REGIONAL HEALTHCARE SYSTEM WITH 13 HOSPITALS NINE FACILITIES ARE WHOLLYOWNED FACILITIES 8 FACILITIES IN TENNESSEE AND 1 IN VIRGINIA EACH FACILITY IN THIS FORM 990 IS ACCREDITED BY THE JOINT COMMISSION WITH THE EXCEPTION OF JCCH JCCH RECEIVES CERTIFICATION THROUGH THE STATE OF TENNESSEE SINCE IT IS A CRITICAL ACCESS HOSPITAL IN ADDITION TO THE WHOLLYOWNED HOSPITALS WITHIN THIS FORM 990 MSHA ALSO HAS MAJORITY OWNERSHIP IN 4 HOSPITALS IN SOUTHWEST VIRGINIA IN ADDITION TO OUR ACUTE CARE HOSPITALS OUR SYSTEM ALSO INCLUDES SUCH SERVICES AS PRIMARYSPECIALTY PHYSICIAN PRACTICES URGENT CARE CENTERS EMERGENCY DEPARTMENTS OCCUPATIONAL MEDICINE REHABILITATION OUTREACH LABORATORY MENTAL HEALTH NEONATAL INTENSIVE CARE A NACHRIAFFILIATED CHILDRENS HOSPITAL RENAL DIALYSIS ST JUDES ONCOLOGY INPATIENTOUTPATIENT SURGERY SKILLED NURISNG HOME HEALTH AIR AMBULANCE TRANSPORT AND MORE WITH THESE ADDITIONAL FACILITIES AND SERVICES MSHA EXTENDS A HIGHLY EFFECTIVE HEALTH CARE DELIVERY SYSTEM SINCE OUR SYSTEM IS BOTH HORIZONTALLY AND VERTICALLY INTEGRATED PATIENTS CAN BE EFFICIENTLY MOVED ALONG AN INTEGRATED COMPREHENSIVE CONTINUUM OF CARE AS THEIR HEALTH STATUS DICTATES OUR FLAGSHIP FACILITY JOHNSON CITY MEDICAL CENTER IS AT THE CORE OF OUR SYSTEM OFFERING FULL SERVICE TERTIARY CARE IN ADDITION TO OUR HOSPITALS MSHA IS THE SOLE MEMBER OF BLUE RIDGE MEDICAL MANAGEMENT CORPORATION BRMMC MSHA EXTENDS AN INTEGRATED HEALTHCARE DELIVERY SYSTEM THROUGH BRMMC TO INCLUDE MULTIPLE PRIMARY AND SPECIALTY CARE PATIENT ACCESS CENTERS AND NUMEROUS OUTPATIENT CARE SITES INCLUDING URGENT CARE CENTERS OCCUPATIONAL MEDICINE SERVICES A SAME DAY SURGERY CENTER AND OUTPATIENT REHABILITATION MSHA COUNTYSPECIFIC OPERATIONS ARE GOVERNED BY A COMMUNITY BOARD OF DIRECTORS COUNTY BOARDS REPORT TO A SYSTEM LEVEL BOARD OF DIRECTORS ALL BOARDS ARE PRIMARILY COMPOSED OF LOCAL COMMUNITY RESIDENTS PART VI LINE 8 MSHA SUBMITS COMMUNITY BENEFIT DATA TO THE VIRGINIA HEALTH AND HOSPITAL ASSOCIATION VHHA AND THE HOSPITAL ALLIANCE OF TENNESSEE HAT VHHA COMBINES DATA FROM ALL SOURCES TO DEMONSTRATE THE COMMUNITY BENEFITS PROVIDED BY BOTH FORPROFIT AND NOTFORPROFIT HOSPITALS AND HEALTH SYSTEMS TO THE STATE OF VIRGINIA HAT PROVIDES ITS MEMBERS AND TENNESSEE LEGISLATORS WITH COMMUNITY BENEFIT DATA IN AN EFFORT TO PROVIDE A CLEAR PICTURE OF NOTFORPROFIT HEALTH SYSTEMS INVESTMENT IN THE COMMUNITIES THEY SERVE |
| LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILED | PART VI | TENNESSEE VIRGINIA |
| JOHNSON CITY MEDICAL CENTER 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 ALL OF THE HOSPITALS INCLUDED IN THIS 990 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 |
| JOHNSON CITY MEDICAL CENTER 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 JCMCS CHNA WAS CONDUCTED WITH ALL MSHA HOSPITALS TO INCLUDE 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 NORTON COMMUNITY HOSPITAL AND DICKENSON COMMUNITY HOSPITAL |
| JOHNSON CITY MEDICAL CENTER 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 |
| JOHNSON CITY MEDICAL CENTER 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 ADVISES 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 |
| JOHNSON CITY MEDICAL CENTER 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 |
| INDIAN PATH MEDICAL CENTER LINE NUMBER 2 PART V LINE 3 | PART V LINE 3 | MSHA MET WITH TEN FOCUS GROUPS EACH REPRESENTING ONE OF THE TEN HOSPITAL FACILITIES INCLUDING ALL OF THE HOSPITALS INCLUDED IN THIS 990 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 |
| INDIAN PATH MEDICAL CENTER LINE NUMBER 2 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 IPMCS 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 SYCAMORE SHOALS HOSPITAL JOHNSON COUNTY COMMUNITY HOSPITAL RUSSELL COUNTY MEDICAL CENTER JOHNSTON MEMORIAL HOSPITAL SMYTH COUNTY COMMUNITY HOSPITAL NORTON COMMUNITY HOSPITAL AND DICKENSON COMMUNITY HOSPITAL |
| INDIAN PATH MEDICAL CENTER LINE NUMBER 2 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 |
| INDIAN PATH MEDICAL CENTER LINE NUMBER 2 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 ADVISES 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 |
| INDIAN PATH MEDICAL CENTER LINE NUMBER 2 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 |
| FRANKLIN WOODS COMMUNITY HOSPITAL LINE NUMBER 3 PART V LINE 3 | PART V LINE 3 | MSHA MET WITH TEN FOCUS GROUPS EACH REPRESENTING ONE OF THE TEN HOSPITAL FACILITIES INCLUDING ALL OF THE HOSPITALS INCLUDED IN THIS 990 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 |
| FRANKLIN WOODS COMMUNITY HOSPITAL LINE NUMBER 3 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 FWCHS CHNA WAS CONDUCTED WITH ALL MSHA HOSPITALS TO INCLUDE JOHNSON CITY MEDICAL CENTER 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 NORTON COMMUNITY HOSPITAL AND DICKENSON COMMUNITY HOSPITAL |
| FRANKLIN WOODS COMMUNITY HOSPITAL LINE NUMBER 3 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 |
| FRANKLIN WOODS COMMUNITY HOSPITAL LINE NUMBER 3 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 ADVISES 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 |
| FRANKLIN WOODS COMMUNITY HOSPITAL LINE NUMBER 3 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 |
| SYCAMORE SHOALS HOSPITAL LINE NUMBER 4 PART V LINE 3 | PART V LINE 3 | MSHA MET WITH TEN FOCUS GROUPS EACH REPRESENTING ONE OF THE TEN HOSPITAL FACILITIES INCLUDING ALL OF THE HOSPITALS INCLUDED IN THIS 990 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 |
| SYCAMORE SHOALS HOSPITAL LINE NUMBER 4 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 SSHS 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 JOHNSON COUNTY COMMUNITY HOSPITAL RUSSELL COUNTY MEDICAL CENTER JOHNSTON MEMORIAL HOSPITAL SMYTH COUNTY COMMUNITY HOSPITAL NORTON COMMUNITY HOSPITAL AND DICKENSON COMMUNITY HOSPITAL |
| SYCAMORE SHOALS HOSPITAL LINE NUMBER 4 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 |
| SYCAMORE SHOALS HOSPITAL LINE NUMBER 4 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 ADVISES 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 |
| SYCAMORE SHOALS HOSPITAL LINE NUMBER 4 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 |
| RUSSELL COUNTY MEDICAL CENTER LINE NUMBER 5 PART V LINE 3 | PART V LINE 3 | MSHA MET WITH TEN FOCUS GROUPS EACH REPRESENTING ONE OF THE TEN HOSPITAL FACILITIES INCLUDING ALL OF THE HOSPITALS INCLUDED IN THIS 990 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 |
| RUSSELL COUNTY MEDICAL CENTER LINE NUMBER 5 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 RCMCS 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 JOHNSTON MEMORIAL HOSPITAL SMYTH COUNTY COMMUNITY HOSPITAL NORTON COMMUNITY HOSPITAL AND DICKENSON COMMUNITY HOSPITAL |
| RUSSELL COUNTY MEDICAL CENTER LINE NUMBER 5 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 |
| RUSSELL COUNTY MEDICAL CENTER LINE NUMBER 5 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 ADVISES 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 |
| RUSSELL COUNTY MEDICAL CENTER LINE NUMBER 5 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 |
| JOHNSON COUNTY COMMUNITY HOSPITAL LINE NUMBER 6 PART V LINE 3 | PART V LINE 3 | MSHA MET WITH TEN FOCUS GROUPS EACH REPRESENTING ONE OF THE TEN HOSPITAL FACILITIES INCLUDING ALL OF THE HOSPITALS INCLUDED IN THIS 990 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 |
| JOHNSON COUNTY COMMUNITY HOSPITAL LINE NUMBER 6 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 JCCHS 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 RUSSELL COUNTY MEDICAL CENTER JOHNSTON MEMORIAL HOSPITAL SMYTH COUNTY COMMUNITY HOSPITAL NORTON COMMUNITY HOSPITAL AND DICKENSON COMMUNITY HOSPITAL |
| JOHNSON COUNTY COMMUNITY HOSPITAL LINE NUMBER 6 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 |
| JOHNSON COUNTY COMMUNITY HOSPITAL LINE NUMBER 6 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 ADVISES 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 |
| JOHNSON COUNTY COMMUNITY HOSPITAL LINE NUMBER 6 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 (14 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|---|---|
| SUSAN KOMEN BREAST CANCER FOUND | |||||||||
| PO BOX 5835 | KINGSPORT | TN | 37663 | 841689067 | 501 | 9000 | 1122 | PRINTING | SPONSORSHIP |
| ETSU FOUNDATION | |||||||||
| P O BOX 70721 | JOHNSON CITY | TN | 37614 | 237092731 | 501 | 10000 | SUPPORT BUSINESS COL | ||
| EAST TENNESSEE STATE UNIVERSITY | |||||||||
| PO BOX 70732 | JOHNSON CITY | TN | 37614 | 626021046 | 501 | 24500 | SUPPORT FIT KIDS | ||
| COALITION FOR KIDS | |||||||||
| PO BOX 3156 | JOHNSON CITY | TN | 37602 | 621765487 | 501 | 10795 | FIGHT CHILD OBESITY | ||
| JC PARKS & RECREATION FOUNDATION | |||||||||
| 4137 BRISTOL HIGHWAY | JOHNSON CITY | TN | 37601 | 383731893 | 501 | 15000 | SPONSORSHIP | ||
| AMERICAN DIABETES ASSOCIATION | |||||||||
| PO BOX 930850 | ATLANTA | GA | 311930850 | 131623888 | 501 | 10000 | |||
| BOYS & GIRLS CLUB OF KINGSPORT | |||||||||
| PO BOX 784 213 LEE STREET | KINGSPORT | TN | 37662 | 620481370 | 501 | 10000 | PROGRAM SUPPORT | ||
| MOUNTAIN STATES FOUNDATION | |||||||||
| 2335 KNOB CREEK ROAD SUITE 101 | JOHNSON CITY | TN | 37604 | 581418862 | 501 | 672450 | 95 | PRINTING | PROGRAM SUPPORT |
| RUSSELL COUNTY PUBLIC SCHOOLS | |||||||||
| P O BOX 8 | LEBANON | VA | 24266 | 546001591 | 501 | 6500 | PROGRAM SUPPORT | ||
| UNITED WAY WASHINGTON CO | |||||||||
| P O BOX 4039 | JOHNSON CITY | TN | 37602 | 626001105 | 501 | 10000 | 1675 | PRINT & POSTAGE | PROGRAM SUPPORT |
| LEBANON LIFESAVING CREW INC | |||||||||
| P O BOX 791 | LEBANON | VA | 24266 | 541382140 | 501 | 25694 | 811 | DRUG BOX REFILL | HEART MONITORS |
| FOUNDATION OF THE NSNA | |||||||||
| 45 MAIN STREET 606 | BROOKLYN | NY | 11201 | 135123125 | 501 | 5370 | NURSING SCHOLARSHIP | ||
| AMERICAN HEART ASSOCIATION | |||||||||
| 3101 BROWNS MILL RD SUITE 6-321 | JOHNSON CITY | TN | 37604 | 135613797 | 501 | 35000 | PROGRAM SUPPORT | ||
| MARCH OF DIMES | |||||||||
| PO BOX 799 2700 S ROAN ST 430 | JOHNSON CITY | TN | 37605 | 131846366 | 17500 | 567 | PRINTING | PROGRAM SUPPORT | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 14 | 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 | PART I, LINE 2: MSHA ADHERED TO THE FOLLOWING CRITERIA FOR OUR CONTRIBUTIONS TO ORGANIZATIONS IN THE REGION: HEALTHCARE: THE ORGANIZATION ENHANCED OR IMPROVED ACCESS FOR THE UNINSURED OR UNDERINSURED POPULATION OR SUPPORTED A PROGRAM TO IMPROVE THE HEALTH OF OUR CHILDREN (I.E., CHILDHOOD OBESITY PREVENTION). EDUCATION: THE ORGANIZATION PROVIDED A PROGRAM TO IMPROVE EDUCATION OF THE CHILDREN IN OUR REGION ALL THE WAY TO COLLEGE AGE STUDENTS (RN NURSING PROGRAMS). QUALITY OF LIFE: THE ORGANIZATION OFFERED PROGRAMS TO ENHANCE THE QUALITY OF LIFE WHICH IS IMPORTANT IN THE RECRUITMENT EFFORTS OF BUSINESSES IN THE REGION AS WE WORK TO ATTRACT AND RETAIN THE BEST TALENT. FOR THE SUPPORTED PROGRAMS, METRICS WERE ESTABLISHED TO DETERMINE THE SUCCESS (OR FAILURE) OF EACH PROGRAM TO WHICH MSHA CONTRIBUTES. AS THE DEPRESSED ECONOMIC SITUATION CONTINUED DURING FY12. THE CRITERIA USED IN THE DECISION MAKING PROCESS FOR MAJOR DONATIONS WAS REVISED TO SUPPORT THOSE PROGRAMS WHICH FOCUSED ON HEALTH AND WELLNESS INITIATIVES, PARTICULARLY THOSE FIGHTING CHILDHOOD OBESITY. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | X | FirstClassOrCharterTravel |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (17 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg |
|---|---|---|---|---|---|
| DENNIS VONDERFECHT | |||||
| 764230 | 252675 | 82683 | 144600 | 22685 | 1266873 |
| MARVIN EICHORN | |||||
| 440258 | 157892 | 74334 | 14700 | 20843 | 708027 |
| CANDACE JENNINGS | |||||
| 396230 | 140783 | 16704 | 52596 | 20923 | 627236 |
| ANN FLEMING | |||||
| 345309 | 116778 | 39233 | 47553 | 19175 | 568048 |
| BRAD NURKIN | |||||
| 201273 | 88769 | 104605 | 2192 | 19051 | 415890 |
| MONTY MCLAURIN | |||||
| 255744 | 78002 | 14955 | 27874 | 27968 | 404543 |
| LYNN KRUTAK | |||||
| 209522 | 59811 | 2315 | 14824 | 15923 | 302395 |
| DAVID NICELY | |||||
| 200047 | 49739 | 12520 | 8529 | 18461 | 289296 |
| SHANE HILTON | |||||
| 193442 | 46928 | 13502 | 12104 | 23417 | 289393 |
| CYNTHIA SALYER | |||||
| 179125 | 58693 | 4076 | 20647 | 22306 | 284847 |
| DALE CLAYTORE | |||||
| 172480 | 40007 | 15384 | 9428 | 3356 | 240655 |
| PAT NIDAY | |||||
| 145691 | 35094 | 12479 | 6854 | 23498 | 223616 |
| MORRIS SELIGMAN MD | |||||
| 413000 | 155691 | 28996 | 50582 | 29263 | 677532 |
| FRANK LAURO MD | |||||
| 414898 | 35016 | 92 | 9970 | 19357 | 479333 |
| JAMES PASKERT MD | |||||
| 338025 | 75998 | 12719 | 17123 | 20824 | 464689 |
| DOUGLAS EDEMA | |||||
| 327315 | 52449 | 18104 | 16675 | 21222 | 435765 |
| CARL KILGORE | |||||
| 298394 | 82632 | 12193 | 31500 | 19072 | 443791 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| FRINGE OR EXPENSE EXPLANATION | SCHEDULE J, PAGE 1, PART I, LINE 1A | BOARD MEMBERS AND TEAM MEMBERS OF MSHA ARE NOT PERMITTED TO TRAVEL FIRST-CLASS WITH THE EXCEPTION OF MSHA'S CEO. AS SANCTIONED BY MSHA'S BOARD OF DIRECTORS, MSHA'S CEO IS PERMITTED TO TRAVEL FIRST-CLASS WHEN THE FLIGHT'S DURATION IS GREATER THAN TWO HOURS. DUE TO THE LENGTH OF SUCH FLIGHTS, THE BOARD BELIEVES IT IS IN THE BEST INTEREST OF MSHA FOR THE CEO TO TRAVEL FIRST-CLASS. CHARTER TRAVEL IS LIMITED TO MSHA BUSINESS TRIPS THAT INCLUDE NUMEROUS TRAVELERS AND WHICH CAN BE JUSTIFIED BASED UPON FINANCIAL AND/OR ESSENTIAL TIME SAVINGS. CHARTER FLIGHTS MUST BE APPROVED BY THE CEO PRIOR TO BOOKING THE FLIGHT. |
| SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS | SCHEDULE J, PAGE 1, PART I, LINE 4 | DENNIS VONDERFECHT 0 125,000 0 CANDACE JENNINGS 0 40,346 0 ANN FLEMING 0 35,303 0 MONTY MCLAURIN 0 13,352 0 DAVID NICELY 0 269 0 CYNTHIA SALYER 0 9,411 0 MORRIS SELIGMAN, M.D. 0 42,363 0 FRANK LAURO, M.D. 0 3,173 0 JAMES PASKERT, M.D. 0 17,123 0 DOUGLAS EDEMA 0 16,675 0 CARL KILGORE 0 15,208 0 |
| OTHER ADDITIONAL INFORMATION | SCHEDULE J, PART III | PART I, LINE 4B: THE FOLLOWING EXECUTIVES LISTED IN SCHEDULE J, PART II PARTICIPATED IN A 457(F) RETIREMENT PLAN PROVIDED BY MOUNTAIN STATES HEALTH ALLIANCE (MSHA): DENNIS VONDERFECHT, ANN FLEMING, CANDACE JENNINGS, MONTY MCLAURIN, CINDY SALYER, MORRIS SELIGMAN, FRANK LAURO, DAVID NICELY, JAMES PASKERT, DOUGLAS EDEMA, AND CARL KILGORE. THE 457(F)PLAN IS A NONQUALIFIED TAX-DEFERRED COMPENSATION PLAN AVAILABLE TO A SELECT GROUP OF KEY EXECUTIVES FOR THE INTENT OF SUPPORTING RETENTION AND TO OFFER A COMPETITIVE TOTAL RETIREMENT PROGRAM. ACCOUNT BALANCES HAVE A "SUBSTANTIAL RISK OF FORFEITURE." IN ADDITON 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 K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Business Name Line2IssuerName/BusinessNameLine2 | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| HLTH & EDU FACILITIES BD 2011A&B | ||||||||
| OF THE CITY OF JOHNSON CITY TN | 621464028 | 478271JS9 | 2011-10-19 | 195840000 | CONSTRUCT AND EQUIP | false | false | false |
| HLTH & EDU FACILITIES BD 2010A&B | ||||||||
| 621464028 | 478271JH3 | 2010-04-29 | 205877528 | PARTIAL REFUNDING OF | false | false | false | |
| HLTH & EDU FACILITIES BD2009ABC | ||||||||
| 621464028 | 478271HT9 | 2009-03-31 | 124301533 | CONSTRUCT AND EQUIP | false | false | false | |
| HLTH & EDU FACILITIES BD 2008A&B | ||||||||
| 621464028 | 478271HL6 | 2008-02-20 | 127000000 | ACQUIRE, CONSTRUCT | false | false | false | |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Total ProceedsTotalProceeds | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Amount RetiredAmountRetired | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Credit EnhancementCreditEnhancement |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 195840000 | 2328425 | 154142550 | 34166505 | 5202520 | true | false | false | true | ||||
| 206072386 | 3474644 | 184194962 | 16988109 | true | false | false | true | 9620000 | 18402779 | |||
| 125179916 | 2481706 | 94192104 | 9870809 | 6435244 | false | false | false | true | 12200052 | |||
| 129698430 | 1953563 | 75648290 | 47306504 | 926984 | false | false | false | true | 60825000 | 2719365 | 324975 |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Engage Bond Counsel ContractsEngageBondCounselContracts | Any Research AgreementsAnyResearchAgreements | Engage Bond Counsel ResearchEngageBondCounselResearch | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|
| false | false | true | true | false | false | true |
| false | false | true | true | false | false | true |
| false | false | true | true | false | false | true |
| false | false | true | true | false | false | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate | Business Name Line2NameOfHedgeProvider/BusinessNameLine2 | Term Of HedgeTermOfHedge | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated |
|---|---|---|---|---|---|---|---|---|---|
| (no name) | |||||||||
| false | true | false | false | false | false | ||||
| (no name) | |||||||||
| false | false | false | false | false | false | ||||
| (no name) | |||||||||
| false | false | false | false | true | false | ||||
| MERRILL LYNCH | |||||||||
| false | true | true | false | true | false | CAPITAL SERVICES INC | 30.4 | false | false |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PURPOSE OF ISSUE DESCRIPTION | Identifier |
| Return Reference | SCHEDULE K | ReturnReference |
| Explanation | HLTH EDU FACILITIES BD 2011AB LINE A CONSTRUCT AND EQUIP HOSPITAL FACILITIESINCLUDING REFINANCING TAXABLE DEBT RELATING THERETO REFUND BONDS ISSUED 12012001 REFINANCING LOANS AND EQUIPMENT LEASES HLTH EDU FACILITIES BD 2010AB LINE B PARTIAL REFUNDING OF BONDS ISSUED 12142007 2007A AND 2007C AND 2202008 2008A HLTH EDU FACILITIES BD2009ABC LINE C CONSTRUCT AND EQUIP HOSPITAL FACILITIESINCLUDING REFINANCING OF TAXABLE INDEBTEDNESS RELATING THERETO HLTH EDU FACILITIES BD 2008AB LINE D ACQUIRE CONSTRUCT AND EQUIP HOSPITAL FACILITIES INCLUDING REFINANCING OF TAXABLE INDEBTEDNESS RELATING THERETO AND WORKING CAPITAL EXPENDITURES RELATING TO CAPITAL EXPENDITURES HLTH EDU FACILITIES BD 2006A LINE E CONSTRUCT AND EQUIP HOSPITAL FACILITIESINCLUDING REFINANCING TAXABLE DEBT RELATING THERETO AND COST OF INTEREST RATE HEDGE REFUND BONDS ISSUED 32801 70103 70804 112304 9705 AND 112305 | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Business Name Line2IssuerName/BusinessNameLine2 | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| HLTH & EDU FACILITIES BD 2011A&B | ||||||||
| OF THE CITY OF JOHNSON CITY TN | 621464028 | 478271JS9 | 2011-10-19 | 195840000 | CONSTRUCT AND EQUIP | false | false | false |
| HLTH & EDU FACILITIES BD 2010A&B | ||||||||
| 621464028 | 478271JH3 | 2010-04-29 | 205877528 | PARTIAL REFUNDING OF | false | false | false | |
| HLTH & EDU FACILITIES BD2009ABC | ||||||||
| 621464028 | 478271HT9 | 2009-03-31 | 124301533 | CONSTRUCT AND EQUIP | false | false | false | |
| HLTH & EDU FACILITIES BD 2008A&B | ||||||||
| 621464028 | 478271HL6 | 2008-02-20 | 127000000 | ACQUIRE, CONSTRUCT | false | false | false | |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Total ProceedsTotalProceeds | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Amount RetiredAmountRetired | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Credit EnhancementCreditEnhancement |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 195840000 | 2328425 | 154142550 | 34166505 | 5202520 | true | false | false | true | ||||
| 206072386 | 3474644 | 184194962 | 16988109 | true | false | false | true | 9620000 | 18402779 | |||
| 125179916 | 2481706 | 94192104 | 9870809 | 6435244 | false | false | false | true | 12200052 | |||
| 129698430 | 1953563 | 75648290 | 47306504 | 926984 | false | false | false | true | 60825000 | 2719365 | 324975 |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Engage Bond Counsel ContractsEngageBondCounselContracts | Any Research AgreementsAnyResearchAgreements | Engage Bond Counsel ResearchEngageBondCounselResearch | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|
| false | false | true | true | false | false | true |
| false | false | true | true | false | false | true |
| false | false | true | true | false | false | true |
| false | false | true | true | false | false | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate | Business Name Line2NameOfHedgeProvider/BusinessNameLine2 | Term Of HedgeTermOfHedge | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated |
|---|---|---|---|---|---|---|---|---|---|
| (no name) | |||||||||
| false | true | false | false | false | false | ||||
| (no name) | |||||||||
| false | false | false | false | false | false | ||||
| (no name) | |||||||||
| false | false | false | false | true | false | ||||
| MERRILL LYNCH | |||||||||
| false | true | true | false | true | false | CAPITAL SERVICES INC | 30.4 | false | false |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PURPOSE OF ISSUE DESCRIPTION | Identifier |
| Return Reference | SCHEDULE K | ReturnReference |
| Explanation | HLTH EDU FACILITIES BD 2011AB LINE A CONSTRUCT AND EQUIP HOSPITAL FACILITIESINCLUDING REFINANCING TAXABLE DEBT RELATING THERETO REFUND BONDS ISSUED 12012001 REFINANCING LOANS AND EQUIPMENT LEASES HLTH EDU FACILITIES BD 2010AB LINE B PARTIAL REFUNDING OF BONDS ISSUED 12142007 2007A AND 2007C AND 2202008 2008A HLTH EDU FACILITIES BD2009ABC LINE C CONSTRUCT AND EQUIP HOSPITAL FACILITIESINCLUDING REFINANCING OF TAXABLE INDEBTEDNESS RELATING THERETO HLTH EDU FACILITIES BD 2008AB LINE D ACQUIRE CONSTRUCT AND EQUIP HOSPITAL FACILITIES INCLUDING REFINANCING OF TAXABLE INDEBTEDNESS RELATING THERETO AND WORKING CAPITAL EXPENDITURES RELATING TO CAPITAL EXPENDITURES HLTH EDU FACILITIES BD 2006A LINE E CONSTRUCT AND EQUIP HOSPITAL FACILITIESINCLUDING REFINANCING TAXABLE DEBT RELATING THERETO AND COST OF INTEREST RATE HEDGE REFUND BONDS ISSUED 32801 70103 70804 112304 9705 AND 112305 | Explanation |
Schedule L IRS990ScheduleL
Loan Table LoanTable (6 entries)
| Purpose Of LoanPurposeOfLoan | Loan From OrganizationLoanFromOrganization | Original PrincipalOriginalPrincipalAmount | Balance DueBalanceDue | DefaultDefault | Approved By BoardApprovedByBoard | Written AgreementWrittenAgreement |
|---|---|---|---|---|---|---|
| DENNIS VONDERFECHT | ||||||
| SPLIT DOLLAR LIFE INSURANCE LOAN | X | $2,705,125 | 2705125 | false | true | true |
| DENNIS VONDERFECHT | ||||||
| SPLIT DOLLAR LIFE INSURANCE LOAN | X | $900,000 | 938520 | false | true | true |
| DENNIS VONDERFECHT | ||||||
| SPLIT DOLLAR LIFE INSURANCE LOAN | X | $900,000 | 937530 | false | true | true |
| DENNIS VONDERFECHT | ||||||
| SPLIT DOLLAR LIFE INSURANCE LOAN | X | $900,000 | 936090 | false | true | true |
| DENNIS VONDERFECHT | ||||||
| SPLIT DOLLAR LIFE INSURANCE LOAN | X | $900,000 | 927540 | false | true | true |
| MARVIN EICHORN | ||||||
| SPLIT DOLLAR LIFE INSURANCE LOAN | X | $350,000 | 361588 | false | true | true |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 6806393 | TotalBalanceDue |
Form990 Schedule L Part IV Form990ScheduleLPartIV (9 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| WATAUGA PATHOLOGY ASSOC PC | |||
| M.D. SERVICES | 317520 | SEE PART V | false |
| PULMONARY ASSOC OF EAST TN PC | |||
| M.D. SERVICES | 129033 | SEE PART V | false |
| WORKSPACE INTERIORS INC | |||
| VENDOR | 352578 | SEE PART V | false |
| MATTHEW MARTIN | |||
| FAMILY MEMBER | 28276 | SEE PART V | false |
| MITCH HATHAWAY | |||
| FAMILY MEMBER | 94307 | SEE PART V | false |
| SYCAMORE SHOALS ANESTHESIA ASSOC | |||
| M.D. SERVICES | 1046064 | SEE PART V | false |
| PAULA CLAYTORE | |||
| FAMILY MEMBER | 289749 | SEE PART V | false |
| CLEM WILKES III | |||
| FAMILY MEMBER | 59551 | SEE PART V | false |
| JAMES TEIXEIRA | |||
| FAMILY MEMBER | 33282 | SEE PART V | 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 | 1 SANDRA BROOKS MD MSHA BOARD MEMBER IS A PARTNER WITH OWNERSHIP INTEREST IN WATAUGA PATHOLOGY ASSOCIATES PC WATAUGA PATHOLOGY ASSOCIATES PC PROVIDES MEDICAL SERVICES TO MSHA 2 JEFF FARROW MD MSHA BOARD MEMBER IS A KEY EMPLOYEE OF PULMONARY ASSOC OF EAST TN PC AND HAS AN OWNERSHIP INTEREST IN THE PC PULMONARY ASSOC OF EAST TN PC PROVIDES MEDICAL SERVICES TO MSHA 3 ROBERT FEATHERS MSHA BOARD MEMBER IS OWNER OF WORKSPACE INTERIORS INC WHICH PROVIDES COMMERCIAL FURNISHINGS AND DESIGN SERVICES TO MSHA TRANSACTIONS ARE CONDUCTED AT ARMSLENGTH 4 JOANNE GILMER MSHA BOARD MEMBER IS A FAMILY MEMBER OF MATTHEW MARTIN AN EMPLOYEE OF MSHA 5 JOANNE GILMER MSHA BOARD MEMBER IS A FAMILY MEMBER OF MITCH HATHAWAY AN EMPLOYEE OF MSHA 6 DAVID MAY MD MSHA BOARD MEMBER SERVES AS BOARD CHAIR FOR SYCAMORE SHOALS ANESTHESIA ASSOCIATES PC AND HAS AN OWNERSHIP SHARE IN THE PROFESSIONAL CORPORATION SYCAMORE SHOALS ANESTHESIA ASSOCIATES PC PROVIDES MEDICAL SERVICES TO MSHA 7 DALE CLAYTORE KEY EMPLOYEE OF MSHA IS A FAMILY MEMBER OF PAULA CLAYTORE AN EMPLOYEE OF MSHA 8 CLEM WILKES JR MSHA BOARD MEMBER IS A FAMILY MEMBER OF CLEM WILKES III AN EMPLOYEE OF MSHA 9 PAT NIDAY KEY EMPLOYEE OF MSHA IS A FAMILY MEMBER OF JAMES TEIXEIRA AN EMPLOYEE OF MSHA | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (13 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DOING BUSINESS AS | FORM 990, PAGE 1, ITEM C | NISWONGER CHILDREN'S HOSPITAL; QUILLEN REHABILITATION HOSPITAL; FRANKLIN WOODS COMMUNITY HOSPITAL; INDIAN PATH MEDICAL CENTER; SYCAMORE SHOALS HOSPITAL; WOODRIDGE HOSPITAL FOR BEHAVIORAL HEALTH SERVICES; JOHNSON COUNTY COMMUNITY HOSPITAL; RUSSELL COUNTY MEDICAL CENTER |
| ORGANIZATION'S MISSION | FORM 990 - ORGANIZATION'S MISSION | PART I, LINE 1: MOUNTAIN STATES HEALTH ALLIANCE (MSHA) IS COMMITTED TO OUR MISSION OF BRINGING LOVING CARE TO HEALTH CARE. WE EXIST TO IDENTIFY AND RESPOND TO THE HEALTHCARE NEEDS OF INDIVIDUALS AND COMMUNITIES IN THE 29-COUNTY AREA WE SERVE, HELPING THEM ATTAIN THEIR HIGHEST LEVEL OF HEALTH. MSHA DELIVERS THIS CARE THROUGH THE PHILOSOPHY OF PATIENT-CENTERED CARE, AND THE DEVELOPMENT OF COMPREHENSIVE STRATEGIC PLANNING AND IMPLEMENTATION. MSHA OPENED A NEW REPLACEMENT HOSPITAL IN 2012, SMYTH COUNTY COMMUNITY HOSPITAL (SCCH) WHICH IS LOCATED IN VIRGINIA AND MAJORITY-OWNED BY MSHA. |
| CLASSES OF MEMBERS OR STOCKHOLDERS | FORM 990, PAGE 6, PART VI, LINE 6 | MSHA CORPORATION HAS TWO CLASSES OF MEMBERS, A & B. THE CLASS A MEMBERS ARE WHAT IS TRADITIONALLY CONSIDERED MEMBERS, HAVING THE ABILITY TO ELECT OFFICERS AND VOTE ON CERTAIN ACTIONS OF THE CORPORATION. CLASS A MEMBERS WILL REMAIN CLASS A MEMBERS SO LONG AS THEY PARTICIPATE IN TWO EDUCATIONAL SESSIONS ANNUALLY OFFERED BY THE CORPORATION. PERSONS DESIRING TO BECOME NEW CLASS A MEMBERS MUST CONTRIBUTE 500 UPON APPLICATION, CONTRIBUTE 100 ANNUALLY THEREAFTER, AND PARTICIPATE IN THE TWO ANNUAL EDUCATION SESSIONS. CLASS B MEMBERS ARE ANY FORMER CLASS A MEMBERS WHO FAILED TO MAINTAIN THE REQUIREMENTS OF CLASS A MEMBERSHIP, OR ANYONE APPLYING TO BECOME A CLASS B MEMBER AND CONTRIBUTE 100 AT APPLICATION. CLASS B MEMBERS HAVE NO VOTE, BUT CAN ATTEND AND PARTICIPATE IN THE MEETINGS AND EDUCATION SESSIONS OF THE CLASS A MEMBERSHIP, BUT ARE NOT REQUIRED TO. |
| ELECTION OF MEMBERS AND THEIR RIGHTS | FORM 990, PAGE 6, PART VI, LINE 7A | THE CLASS A MEMBERS ANNUALLY ELECT MEMBERS TO THE BOARD OF DIRECTORS. |
| DECISIONS SUBJECT TO APPROVAL OF MEMBERS | FORM 990, PAGE 6, PART VI, LINE 7B | CERTAIN DECISIONS OF THE BOARD ARE, PURSUANT TO TENNESSEE STATUTE, SUBJECT TO APPROVAL BY THE CLASS A 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 OF THE CORPORATION FORWARDS 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 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 COMPENSATION COMMITTEE, WHICH IS THE EXECUTIVE COMMITTEE OF THE MSHA BOARD, OBTAINS THE SERVICES OF AN OUTSIDE AND INDEPENDENT COMPENSATION CONSULTANT TO PROVIDE THE COMMITTEE WITH RELEVANT MARKET DATA FROM COMPENSATION SURVEYS AND WITH ADVICE WHEN THE COMMITTEE MAKES RECOMMENDATIONS ON PAY AND BENEFITS FOR THE CEO OF MSHA. |
| 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 CONFILICT 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. |
| GROUP RETURN EXPLANATION | FORM 990, PAGE 7, PART VII | OFFICER, KEY EMPLOYEE & HIGHEST PAID COMPENSATION: LYNN KRUTAK, CFO AND MSHA KEY EMPLOYEE, IS PAID BY MSHA. BLUE RIDGE MEDICAL MANAGEMENT CORPORATION (BRMMC) REIMBURSES MSHA FOR 50% OF KRUTAK'S SALARY AND BENEFITS. MSHA IS THE SOLE MEMBER OF BRMMC. KRUTAK DEVOTES AN EQUAL AMOUNT OF TIME BETWEEN MSHA AND BRMMC. CARL KILGORE, REPORTABLE AS A HIGHEST COMPENSATED EMPLOYEE, IS PAID BY MSHA AND HIS SALARY AND BENEFITS ARE FULLY RIEMBURSED TO MSHA BY BRMMC. DR. FRANK LAURO, REPORTABLE AS A HIGHEST COMPENSATED EMPLOYEE, IS PAID BY MSHA AND 50% OF HIS SALARY AND BENEFITS ARE REIMBURSED TO MSHA BY BRMMC. DR. LAURO DEVOTES AN EQUAL AMOUNT OF TIME BETWEEN MSHA AND BRMMC. DR. DOUGLAS EDEMA, REPORTABLE AS A HIGHEST COMPENSATED EMPLOYEE, IS PAID BY MSHA AND HIS SALARY AND BENEFITS ARE FULLY REIMBURSED TO MSHA BY BRMMC. CERTAIN EXECUTIVES OF THE ORGANIZATION, SUCH AS THE CEO AND SR VP/CFO, PROVIDE SERVICES TO SOME OR ALL OF THE ORGANIZATIONS RELATED TO MSHA. |
| OTHER CHANGES IN NET ASSETS EXPLANATION | FORM 990, PART XI, LINE 5 | PARTNERSHIP CHARITABLE CONTRIBUTIONS NOT ON BOOKS 17,654 PARTNERSHIP PORTFOLIO EXPENSES NOT ON BOOKS 252,901 TEMPORARILY RESTRICTED GRANTS 41,832 CHANGE IN FAIR VALUE OF DERIVATIVES -6,085,740 NET UNREALIZED (LOSS) ON INVESTMENT -3,807,518 PARTNERSHIP INCOME NOT ON BOOKS 1,193,604 PARTNERSHIP INTEREST INCOME NOT ON BOOKS -16,657 PARTNERSHIP CAPITAL LOSSES NOT ON BOOKS -23 PARTNERSHIP DIVIDEND INCOME NOT ON BOOKS -598,604 TOTAL TO FORM 990, PART XI, LINE 5 -9,002,551 |
| ADDITIONAL INFORMATION | FORM 990, PART XII | RESPONSE TO PART VI TO SCHEDULE K (FORM 990) 1. COMMENT ON SCHEDULE K, PART L, LINES A, B, C AND D. MOUNTAIN STATES HEALTH ALLIANCE (MSHA) OWNS AND/OR OPERATES HOSPITALS IN A NUMBER OF DIFFERENT LOCATIONS BOTH IN TENNESSEE AND IN VIRGINIA. AS A RESULT, MSHA MUST UTILIZE CONDUIT GOVERNMENTAL BOND ISSUERS IN A NUMBER OF JURISDICTIONS IN ORDER TO FINANCE IMPROVEMENTS TO ITS HOSPITAL FACILITIES. IN 2008,2009,2010 AND 2011, MSHA WAS THE CONDUIT BORROWER OF TAX-EXEMPT BONDS ISSUED BY MULTIPLE ISSUERS IN TENNESSEE AND VIRGINIA. FOR FEDERAL TAX PURPOSES, EVEN THOUGH DIFFERENT GOVERNMENTAL ISSUERS WERE INVOLVED, THESE MULTIPLE ISSUES IN EACH YEAR WERE REQUIRED TO BE TREATED, AND WERE TREATED, AS A SINGLE "ISSUE" BECAUSE THEY MET THE SINGLE "ISSUE" TEST UNDER THE APPLICABLE FEDERAL TAX REGULATIONS. THEREFORE, MULTIPLE ISSUERS ARE LISTED UNDER LINES A,B,C AND D BECAUSE THE BONDS THAT WERE ISSUED WERE PART OF A SINGLE "ISSUE" FOR FEDERAL TAX PURPOSES. 2. COMMENT ON SCHEDULE K, PART LL, LINE 3. LINE 3 FOR THE BOND ISSUES LISTED IN LINES B, C, D AND E DOES NOT MATCH THE APPLICABLE ISSUE PRICE FOR EACH SUCH BOND ISSUE BECAUSE OF INTEREST EARNINGS EARNED ON THE SALE PROCEEDS OF EACH SERIES OF BONDS. PLEASE ALSO NOTE THAT THE AMOUNTS SHOWN ON LINE 3 FOR THE SAME BOND ISSUES LISTED ON LINES B, C, D AND E ARE DIFFERENT THAN THE AMOUNTS THAT WERE LISTED FOR THE SAME BOND ISSUES SHOWN ON THIS SAME FILING FOR FY2011. THE INSTRUCTIONS PROVIDE THAT THE AMOUNT OF PROCEEDS TO BE SHOWN ON THIS LINE FOR EACH ISSUE IS THE PROCEEDS "AS OF THE END OF THE 12-MONTH PERIOD." THIS LANGUAGE RESULTED IN OUR LISTING THE AMOUNT OF PROCEEDS EXISTING AS OF THE END OF THE FISCAL YEAR, NOT THE AGGREGATE PROCEEDS. AFTER REVIEWING 990 FILING BY A NUMBER OF OTHER ENTITIES, IT APPEARS THAT A MAJORITY OF SUCH ENTITIES LISTED THE AGGREGATE AMOUNT OF PROCEEDS, NOT THE AMOUNT EXISTING AS OF THE END OF THE FISCAL YEAR. FOR THIS 990, MSHA HAS TAKEN THAT SAME APPROACH. A CLARIFICATION IN THE INSTRUCTIONS AS TO THIS ISSUE WOULD BE HELPFUL. 3. COMMENT ON SCHEDULE K, PART II, LINE 4 CERTAIN PROCEEDS OF THE BOND ISSUES LISTED IN LINES B, C, AND E ARE DEPOSITED IN REASONABLY REQUIRED RESERVE FUNDS, THE SIZE OF EACH OF WHICH COMPLIES WITH FEDERAL TAX REGULATIONS. THE AMOUNTS SHOWN ON LINE 2 OF PART II OF SCHEDULE K INCLUDE PROCEEDS HELD IN THOSE FUNDS. THESE LINES (OTHER THAN LINE E) ALSO INCLUDE A SMALL AMOUNT OF INVESTMENT EARNINGS RELATIVE TO THESE FUNDS THAT HAD NOT YET BEEN MOVED AS OF THE END OF THE APPLICABLE REPORTING PERIOD TO ANOTHER FUND TO BE USED TO PAY DEBT SERVICE, AS IS PERMITTED UNDER THE APPLICABLE BOND DOCUMENTS. 4. COMMENTS ON SCHEDULE K, PART II, LINES 9 THROUGH 11. THE INSTRUCTIONS ARE UNCLEAR AS TO WHETHER AMOUNTS USED TO REFINANCE SHORT- TERM TAXABLE LOANS INCURRED TO TEMPORARILY FINANCE ELIGIBLE COSTS SHOULD BE SHOWN AS CAPITAL EXPENDITURES AND WORKING CAPITAL (LINES 9 AND 10) OR AS OTHER SPENT PROCEEDS(LINE 11). BASED UPON A REVIEW OF OTHER 990 FILINGS, IT APPEARS THAT MOST REPORTING ENTITIES HAVE LISTED THE APPLICATION OF PROCEEDS FOR SUCH PURPOSE UNDER OTHER SPENT PROCEEDS (LINE 11). THIS FILING TAKES THAT APPROACH, AND THEREFORE THE REPORTING ON LINES 9 THROUGH 11 FOR PART IV IS INCONSISTENT WITH REPORTING ON THE SAME LINES FOR THE PRIOR FISCAL YEAR. 5. COMMENT ON SCHEDULE K, PART IV, LINE 12 IT IS UNCLEAR UNDER THE INSTRUCTIONS WHETHER TRANSFERRED PROCEEDS SHOULD BE TREATED AS OTHER UNSPENT PROCEDS FOR REPORTING PURPOSES ON LINE 12. AS AN ABUNDANCE OF CAUTION. TRANSFERRED PROCEEDS HAVE BEEN INCLUDED ON LINE 12 FOR EACH ISSUE TO THE EXTENT APPLICABLE. 6. COMMENT ON SCHEDULE K, PART IV, LINE 1 AS OF THE REPORTING DATE OF THE 990, THE ONLY ARBITRAGE REBATE CALCULATION THAT WAS REQUIRED RELATED TO THE BONDS DESCRIBED IN LINE E OF PART I (THE SERIES 2006 BONDS). MSHA RETAINED A REBATE CALCULATION AGENT TO CALCULATE WHETHER ANY ARBITRAGE REBATE WAS DUE WITH RESPECT TO THOSE BONDS, AND THERE WAS NEGATIVE ARBITRAGE REBATE LIABILITY IN A SIGNIFICANT AMOUNT. THEREFORE, NO FORM 8038-T WAS REQUIRED TO BE FILED WITH RESPECT TO THAT BOND ISSUE. 7. COMMENT ON SCHEDULE K, PART IV, LINE 4D. PART IV, LINE 4D RELATIVE TO THE BOND ISSUE DESCRIBED ON LINE E SHOWS THAT THE REGULATORY SAFE HARBOR FOR ESTABLISHING FAIR MARKET VALUE OF THE GIC DESCRIBED IN LINE 4A WAS NOT SATISFIED. DUE TO MARKET CONDITIONS AT THE TIME, MSHA DID NOT RECEIVE THREE BIDS FOR THIS GIC. HOWEVER, THE YIELD ON THE GIC WAS SO SUBSTANTIALLY BELOW THE YIELD ON THE RELEVANT BONDS THAT THERE WAS NO DOUBT THAT THE YIELD ON THE GIC DID NOT EXCEED THE APPROPRIATE YIELD ON THE RELEVANT BONDS. 8. COMMENT ON SCHEDULE K, PART IV, LINE 5. THE BOND ISSUES DESCRIBED IN LINES B, C AND D OF PART I FINANCED SIGNIFICANT CAPITAL IMPROVEMENTS TO HOSPITAL FACILITIES. THERE HAVE BEEN UNEXPECTED DELAYS IN THE CONSTRUCTION AND EQUIPPING OF CERTAIN OF THESE HOSPITAL FACILITIES, AND THEREFORE NOT ALL OF THE BOND PROCEEDS WERE SPENT WITHIN THE THREE-YEAR TEMPORARY PERIOD RELATIVE TO CONSTRUCTION PROJECTS. HOWEVER, MSHA HAS YIELD RESTRICTED THESE PROCEEDS AFTER THE END OF THE APPLICABLE TEMPORARY PERIOD AND/OR WILL BE MAKING A YIELD REDUCTION PAYMENT WITH RESPECT TO THOSE PROCEEDS, IF REQUIRED. 9. COMMENT ON SCHEDULE K, PART V. MSHA HAS EXECUTED DETAILED TAX CERTIFICATES REQUIRING TAX COMPLIANCE THAT ARE INTENDED TO ENSURE THAT VIOLATIONS OF FEDERAL TAX REQUIREMENTS ARE TIMELY IDENTIFIED. MSHA HAS ALSO ADOPTED SEPARATE PROCEDURES FOR SUCH PURPOSES THAT WERE APPLICABLE DURING THE REPORTING PERIOD. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (7 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| DICKENSON COMMUNITY HOSPITAL | ||||||||||
| ONE HOSPITAL DRIVE | CLINTWOOD | VA | 24228 | 770599553 | HOSPITAL | VA | 501C3 | 3 | NCH | false |
| MOUNTAIN STATES FOUNDATION | ||||||||||
| 2335 KNOB CREEK ROAD STE 101 | JOHNSON CITY | TN | 37604 | 581418862 | FUNDRAISER | TN | 501C3 | 11A | NA | false |
| MSHA AUXILIARY | ||||||||||
| 400 N STATE OF FRANKLIN ROAD | JOHNSON CITY | TN | 37604 | 581418345 | SUPPORT | TN | 501C3 | 11A | NA | false |
| SMYTH COUNTY COMMUNITY HOSPITAL | ||||||||||
| 245 MEDICAL PARK DRIVE | MARION | VA | 24354 | 540794913 | HOSPITAL | VA | 501C3 | 3 | MSHA | false |
| NORTON COMMUNITY HOSPITAL | ||||||||||
| 100 15TH STREET NW | NORTON | VA | 24273 | 540566029 | HOSPITAL | VA | 501C3 | 3 | NA | false |
| JOHNSTON MEMORIAL HOSPITAL | ||||||||||
| 16000 JOHNSTON MEMORIAL DRIVE | ABINGDON | VA | 24211 | 540544705 | HOSPITAL | VA | 501C3 | 3 | NA | false |
| ABINGDON PHYSICIAN PARTNERS | ||||||||||
| 16000 JOHNSTON MEMORIAL DRIVE | ABINGDON | VA | 24211 | 205485346 | MED. SERV. | VA | 501C3 | 11A | JMH | false |
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 | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| INTEGRATED SOLUTIONS HEALTH NETWORK | ||||||||||||
| 400 N STATE OF FRANKLIN ROAD | JOHNSON CITY | TN | 37604 | 621711997 | INVESTMENT | TN | NA | -3337924 | 3380840 | false | false | 0.99170 |
| EMMAUS COMMUNITY HEALTHCARE LLC | ||||||||||||
| 6070 HWY 11E | PINEY FLATS | TN | 37686 | 200577483 | MED. SERV. | TN | NA | false | false | |||
| MEDICAL SPECIALISTS OF JC LLC | ||||||||||||
| 2526 WESLEY STREET SUITE 2 | JOHNSON CITY | TN | 37601 | 272199037 | MED. SERV. | TN | NA | -177531 | 123421 | false | false | 0.51000 |
| INTEGRATED SOLUTIONS HEALTH NETWORK | ||||||||||||
| 400 N STATE OF FRANKLIN ROAD | JOHNSON CITY | TN | 37604 | 621711997 | INVESTMENT | TN | NA | -3337924 | 3380840 | false | false | 0.99170 |
| EMMAUS COMMUNITY HEALTHCARE LLC | ||||||||||||
| 6070 HWY 11E | PINEY FLATS | TN | 37686 | 200577483 | MED. SERV. | TN | NA | false | false | |||
| MEDICAL SPECIALISTS OF JC LLC | ||||||||||||
| 2526 WESLEY STREET SUITE 2 | JOHNSON CITY | TN | 37601 | 272199037 | MED. SERV. | TN | NA | -177531 | 123421 | false | false | 0.51000 |
| INTEGRATED SOLUTIONS HEALTH NETWORK | ||||||||||||
| 400 N STATE OF FRANKLIN ROAD | JOHNSON CITY | TN | 37604 | 621711997 | INVESTMENT | TN | NA | -3337924 | 3380840 | false | false | 0.99170 |
| EMMAUS COMMUNITY HEALTHCARE LLC | ||||||||||||
| 6070 HWY 11E | PINEY FLATS | TN | 37686 | 200577483 | MED. SERV. | TN | NA | false | false | |||
| MEDICAL SPECIALISTS OF JC LLC | ||||||||||||
| 2526 WESLEY STREET SUITE 2 | JOHNSON CITY | TN | 37601 | 272199037 | MED. SERV. | TN | NA | -177531 | 123421 | false | false | 0.51000 |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| BLUE RIDGE MEDICAL MANAGEMENT CORP | |||||||||||
| 1019 W OAKLAND AVENUE | JOHNSON CITY | TN | 37604 | 621490616 | MED. SERV. | TN | NA | C CORP | 88108621 | 203141889 | 1.00000 |
| MEDISERVE MEDICAL EQUIPMENT | |||||||||||
| 1021 W OAKLAND AVENUE SUITE 207 | JOHNSON CITY | TN | 37604 | 621212286 | DME | TN | BRMMC | C CORP | 4544750 | 4279185 | 1.00000 |
| MOUNTAIN STATES PROPERTIES | |||||||||||
| 1021 W OAKLAND AVENUE SUITE 207 | JOHNSON CITY | TN | 37604 | 621845895 | PROP. MGMT | TN | BRMMC | C CORP | 14024348 | 149156249 | 1.00000 |
| MOUNTAIN STATES PHYSICIAN GROUP | |||||||||||
| 1019 W OAKLAND AVENUE SUITE 207 | JOHNSON CITY | TN | 37604 | 621700412 | MED. SERV. | TN | BRMMC | C CORP | 49444275 | 6131411 | 1.00000 |
| COMMUNITY HOME CARE INC | |||||||||||
| 1460 PARK AVENUE | NORTON | VA | 24273 | 541453810 | DME | VA | NCH | C CORP | 364522 | 353609 | 0.50100 |
| COMMUNITY PHYSICIAN SERVICES CORP | |||||||||||
| 100 15TH STREET NW | NORTON | VA | 24273 | 541641446 | MED. SERV. | VA | NCH | C CORP | 516 | 0.50100 | |
| SOUTHWEST COMMUNITY HEALTH SERV | |||||||||||
| 565 RADIO HILL RD PO BOX 880 | MARION | VA | 24354 | 541460695 | MED. SERV. | VA | SCCH | C CORP | 283630 | 1061936 | 0.80000 |
| WILSON PHARMACY INC | |||||||||||
| PO BOX 5289 | JOHNSON CITY | TN | 37604 | 620329587 | PHARMACY | TN | BRMMC | C CORP | 3257657 | 2903651 | 1.00000 |
| CRESTPOINT HEALTH INSURANCE COMPANY | |||||||||||
| 208 SUNSET DRIVE SUITE 101 | JOHNSON CITY | TN | 37604 | 620381170 | INSURANCE | TN | ISHN | C CORP | 0.99170 | ||
| BLUE RIDGE MEDICAL MANAGEMENT CORP | |||||||||||
| 1019 W OAKLAND AVENUE | JOHNSON CITY | TN | 37604 | 621490616 | MED. SERV. | TN | NA | C CORP | 88108621 | 203141889 | 1.00000 |
| MEDISERVE MEDICAL EQUIPMENT | |||||||||||
| 1021 W OAKLAND AVENUE SUITE 207 | JOHNSON CITY | TN | 37604 | 621212286 | DME | TN | BRMMC | C CORP | 4544750 | 4279185 | 1.00000 |
| MOUNTAIN STATES PROPERTIES | |||||||||||
| 1021 W OAKLAND AVENUE SUITE 207 | JOHNSON CITY | TN | 37604 | 621845895 | PROP. MGMT | TN | BRMMC | C CORP | 14024348 | 149156249 | 1.00000 |
| MOUNTAIN STATES PHYSICIAN GROUP | |||||||||||
| 1019 W OAKLAND AVENUE SUITE 207 | JOHNSON CITY | TN | 37604 | 621700412 | MED. SERV. | TN | BRMMC | C CORP | 49444275 | 6131411 | 1.00000 |
| COMMUNITY HOME CARE INC | |||||||||||
| 1460 PARK AVENUE | NORTON | VA | 24273 | 541453810 | DME | VA | NCH | C CORP | 364522 | 353609 | 0.50100 |
| COMMUNITY PHYSICIAN SERVICES CORP | |||||||||||
| 100 15TH STREET NW | NORTON | VA | 24273 | 541641446 | MED. SERV. | VA | NCH | C CORP | 516 | 0.50100 | |
| SOUTHWEST COMMUNITY HEALTH SERV | |||||||||||
| 565 RADIO HILL RD PO BOX 880 | MARION | VA | 24354 | 541460695 | MED. SERV. | VA | SCCH | C CORP | 283630 | 1061936 | 0.80000 |
| WILSON PHARMACY INC | |||||||||||
| PO BOX 5289 | JOHNSON CITY | TN | 37604 | 620329587 | PHARMACY | TN | BRMMC | C CORP | 3257657 | 2903651 | 1.00000 |
| CRESTPOINT HEALTH INSURANCE COMPANY | |||||||||||
| 208 SUNSET DRIVE SUITE 101 | JOHNSON CITY | TN | 37604 | 620381170 | INSURANCE | TN | ISHN | C CORP | 0.99170 | ||
| BLUE RIDGE MEDICAL MANAGEMENT CORP | |||||||||||
| 1019 W OAKLAND AVENUE | JOHNSON CITY | TN | 37604 | 621490616 | MED. SERV. | TN | NA | C CORP | 88108621 | 203141889 | 1.00000 |
| MEDISERVE MEDICAL EQUIPMENT | |||||||||||
| 1021 W OAKLAND AVENUE SUITE 207 | JOHNSON CITY | TN | 37604 | 621212286 | DME | TN | BRMMC | C CORP | 4544750 | 4279185 | 1.00000 |
| MOUNTAIN STATES PROPERTIES | |||||||||||
| 1021 W OAKLAND AVENUE SUITE 207 | JOHNSON CITY | TN | 37604 | 621845895 | PROP. MGMT | TN | BRMMC | C CORP | 14024348 | 149156249 | 1.00000 |
| MOUNTAIN STATES PHYSICIAN GROUP | |||||||||||
| 1019 W OAKLAND AVENUE SUITE 207 | JOHNSON CITY | TN | 37604 | 621700412 | MED. SERV. | TN | BRMMC | C CORP | 49444275 | 6131411 | 1.00000 |
| COMMUNITY HOME CARE INC | |||||||||||
| 1460 PARK AVENUE | NORTON | VA | 24273 | 541453810 | DME | VA | NCH | C CORP | 364522 | 353609 | 0.50100 |
| COMMUNITY PHYSICIAN SERVICES CORP | |||||||||||
| 100 15TH STREET NW | NORTON | VA | 24273 | 541641446 | MED. SERV. | VA | NCH | C CORP | 516 | 0.50100 | |
| SOUTHWEST COMMUNITY HEALTH SERV | |||||||||||
| 565 RADIO HILL RD PO BOX 880 | MARION | VA | 24354 | 541460695 | MED. SERV. | VA | SCCH | C CORP | 283630 | 1061936 | 0.80000 |
| WILSON PHARMACY INC | |||||||||||
| PO BOX 5289 | JOHNSON CITY | TN | 37604 | 620329587 | PHARMACY | TN | BRMMC | C CORP | 3257657 | 2903651 | 1.00000 |
| CRESTPOINT HEALTH INSURANCE COMPANY | |||||||||||
| 208 SUNSET DRIVE SUITE 101 | JOHNSON CITY | TN | 37604 | 620381170 | INSURANCE | TN | ISHN | C CORP | 0.99170 | ||
| 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 | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | true | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (259 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| MSHA AUXILIARY | |
| O | 178832 |
| MSHA AUXILIARY | |
| P | 197250 |
| BLUE RIDGE MEDICAL MANAGEMENT CORP | |
| I | 105998 |
| BLUE RIDGE MEDICAL MANAGMENT CORP | |
| K | 9910706 |
| BLUE RIDGE MEDICAL MANAGEMENT CORP | |
| L | 31167999 |
| BLUE RIDGE MEDICAL MANAGEMENT CORP | |
| N | 531062 |
| BLUE RIDGE MEDICAL MANAGEMENT CORP | |
| P | 4628746 |
| WILSON PHARMACY | |
| N | 76462 |
| WILSON PHARMACY | |
| P | 1841888 |
| MEDISERVE | |
| G | 56623 |
| MEDISERVE | |
| J | 138688 |
| MEDISERVE | |
| K | 174373 |
| MEDISERVE | |
| P | 1101681 |
| MOUNTAIN STATES PROPERTIES | |
| J | 2050216 |
| MOUNTAIN STATES PROPERTIES | |
| K | 247351 |
| MOUNTAIN STATES PROPERTIES | |
| N | 86339 |
| MOUNTAIN STATES PROPERTIES | |
| Q | 523559 |
| MOUNTAIN STATES FOUNDATION | |
| B | 672450 |
| MOUNTAIN STATES FOUNDATION | |
| C | 1647435 |
| MOUNTAIN STATES FOUNDATION | |
| K | 1023012 |
| NORTON COMMUNITY HOSPTIAL | |
| K | 10161993 |
| NORTON COMMUNITY HOSPITAL | |
| N | 531171 |
| NORTON COMMUNITY HOSPITAL | |
| P | 796930 |
| DICKENSON COMMUNITY HOSPITAL | |
| K | 785766 |
| ISHN | |
| B | 5661810 |
| ISHN | |
| D | 1000000 |
| ISHN | |
| L | 1989315 |
| ISHN | |
| P | 691062 |
| SMYTH COUNTY COMMUNITY HOSPITAL | |
| B | 19300494 |
| SMYTH COUNTY COMMUNITY HOSPITAL | |
| D | 16464093 |
| SMYTH COUNTY COMMUNITY HOSPITAL | |
| K | 4127318 |
| SMYTH COUNTY COMMUNITY HOSPITAL | |
| P | 72934 |
| SMYTH COUNTY COMMUNITY HOSPITAL | |
| Q | 310435 |
| JOHNSTON MEMORIAL HOSPITAL | |
| K | 9554598 |
| JOHNSTON MEMORIAL HOSPTIAL | |
| L | 253600 |
| JOHNSTON MEMORIAL HOSPITAL | |
| O | 114068 |
| APP | |
| K | 850322 |
| MSHA AUXILIARY | |
| O | 178832 |
| MSHA AUXILIARY | |
| P | 197250 |
| BLUE RIDGE MEDICAL MANAGEMENT CORP | |
| I | 105998 |
| BLUE RIDGE MEDICAL MANAGMENT CORP | |
| K | 9910706 |
| BLUE RIDGE MEDICAL MANAGEMENT CORP | |
| L | 31167999 |
| BLUE RIDGE MEDICAL MANAGEMENT CORP | |
| N | 531062 |
| BLUE RIDGE MEDICAL MANAGEMENT CORP | |
| P | 4628746 |
| WILSON PHARMACY | |
| N | 76462 |
| WILSON PHARMACY | |
| P | 1841888 |
| MEDISERVE | |
| G | 56623 |
| MEDISERVE | |
| J | 138688 |
| MEDISERVE | |
| K | 174373 |
| MEDISERVE | |
| P | 1101681 |
| MOUNTAIN STATES PROPERTIES | |
| J | 2050216 |
| MOUNTAIN STATES PROPERTIES | |
| K | 247351 |
| MOUNTAIN STATES PROPERTIES | |
| N | 86339 |
| MOUNTAIN STATES PROPERTIES | |
| Q | 523559 |
| MOUNTAIN STATES FOUNDATION | |
| B | 672450 |
| MOUNTAIN STATES FOUNDATION | |
| C | 1647435 |
| MOUNTAIN STATES FOUNDATION | |
| K | 1023012 |
| NORTON COMMUNITY HOSPTIAL | |
| K | 10161993 |
| NORTON COMMUNITY HOSPITAL | |
| N | 531171 |
| NORTON COMMUNITY HOSPITAL | |
| P | 796930 |
| DICKENSON COMMUNITY HOSPITAL | |
| K | 785766 |
| ISHN | |
| B | 5661810 |
| ISHN | |
| D | 1000000 |
| ISHN | |
| L | 1989315 |
| ISHN | |
| P | 691062 |
| SMYTH COUNTY COMMUNITY HOSPITAL | |
| B | 19300494 |
| SMYTH COUNTY COMMUNITY HOSPITAL | |
| D | 16464093 |
| SMYTH COUNTY COMMUNITY HOSPITAL | |
| K | 4127318 |
| SMYTH COUNTY COMMUNITY HOSPITAL | |
| P | 72934 |
| SMYTH COUNTY COMMUNITY HOSPITAL | |
| Q | 310435 |
| JOHNSTON MEMORIAL HOSPITAL | |
| K | 9554598 |
| JOHNSTON MEMORIAL HOSPTIAL | |
| L | 253600 |
| JOHNSTON MEMORIAL HOSPITAL | |
| O | 114068 |
| APP | |
| K | 850322 |
| MSHA AUXILIARY | |
| O | 178832 |
| MSHA AUXILIARY | |
| P | 197250 |
| BLUE RIDGE MEDICAL MANAGEMENT CORP | |
| I | 105998 |
| BLUE RIDGE MEDICAL MANAGMENT CORP | |
| K | 9910706 |
| BLUE RIDGE MEDICAL MANAGEMENT CORP | |
| L | 31167999 |
| BLUE RIDGE MEDICAL MANAGEMENT CORP | |
| N | 531062 |
| BLUE RIDGE MEDICAL MANAGEMENT CORP | |
| P | 4628746 |
| WILSON PHARMACY | |
| N | 76462 |
| WILSON PHARMACY | |
| P | 1841888 |
| MEDISERVE | |
| G | 56623 |
| MEDISERVE | |
| J | 138688 |
| MEDISERVE | |
| K | 174373 |
| MEDISERVE | |
| P | 1101681 |
| MOUNTAIN STATES PROPERTIES | |
| J | 2050216 |
| MOUNTAIN STATES PROPERTIES | |
| K | 247351 |
| MOUNTAIN STATES PROPERTIES | |
| N | 86339 |
| MOUNTAIN STATES PROPERTIES | |
| Q | 523559 |
| MOUNTAIN STATES FOUNDATION | |
| B | 672450 |
| MOUNTAIN STATES FOUNDATION | |
| C | 1647435 |
| MOUNTAIN STATES FOUNDATION | |
| K | 1023012 |
| NORTON COMMUNITY HOSPTIAL | |
| K | 10161993 |
| NORTON COMMUNITY HOSPITAL | |
| N | 531171 |
| NORTON COMMUNITY HOSPITAL | |
| P | 796930 |
| DICKENSON COMMUNITY HOSPITAL | |
| K | 785766 |
| ISHN | |
| B | 5661810 |
| ISHN | |
| D | 1000000 |
| ISHN | |
| L | 1989315 |
| ISHN | |
| P | 691062 |
| SMYTH COUNTY COMMUNITY HOSPITAL | |
| B | 19300494 |
| SMYTH COUNTY COMMUNITY HOSPITAL | |
| D | 16464093 |
| SMYTH COUNTY COMMUNITY HOSPITAL | |
| K | 4127318 |
| SMYTH COUNTY COMMUNITY HOSPITAL | |
| P | 72934 |
| SMYTH COUNTY COMMUNITY HOSPITAL | |
| Q | 310435 |
| JOHNSTON MEMORIAL HOSPITAL | |
| K | 9554598 |
| JOHNSTON MEMORIAL HOSPTIAL | |
| L | 253600 |
| JOHNSTON MEMORIAL HOSPITAL | |
| O | 114068 |
| APP | |
| K | 850322 |
| MSHA AUXILIARY | |
| O | 178832 |
| MSHA AUXILIARY | |
| P | 197250 |
| BLUE RIDGE MEDICAL MANAGEMENT CORP | |
| I | 105998 |
| BLUE RIDGE MEDICAL MANAGMENT CORP | |
| K | 9910706 |
| BLUE RIDGE MEDICAL MANAGEMENT CORP | |
| L | 31167999 |
| BLUE RIDGE MEDICAL MANAGEMENT CORP | |
| N | 531062 |
| BLUE RIDGE MEDICAL MANAGEMENT CORP | |
| P | 4628746 |
| WILSON PHARMACY | |
| N | 76462 |
| WILSON PHARMACY | |
| P | 1841888 |
| MEDISERVE | |
| G | 56623 |
| MEDISERVE | |
| J | 138688 |
| MEDISERVE | |
| K | 174373 |
| MEDISERVE | |
| P | 1101681 |
| MOUNTAIN STATES PROPERTIES | |
| J | 2050216 |
| MOUNTAIN STATES PROPERTIES | |
| K | 247351 |
| MOUNTAIN STATES PROPERTIES | |
| N | 86339 |
| MOUNTAIN STATES PROPERTIES | |
| Q | 523559 |
| MOUNTAIN STATES FOUNDATION | |
| B | 672450 |
| MOUNTAIN STATES FOUNDATION | |
| C | 1647435 |
| MOUNTAIN STATES FOUNDATION | |
| K | 1023012 |
| NORTON COMMUNITY HOSPTIAL | |
| K | 10161993 |
| NORTON COMMUNITY HOSPITAL | |
| N | 531171 |
| NORTON COMMUNITY HOSPITAL | |
| P | 796930 |
| DICKENSON COMMUNITY HOSPITAL | |
| K | 785766 |
| ISHN | |
| B | 5661810 |
| ISHN | |
| D | 1000000 |
| ISHN | |
| L | 1989315 |
| ISHN | |
| P | 691062 |
| SMYTH COUNTY COMMUNITY HOSPITAL | |
| B | 19300494 |
| SMYTH COUNTY COMMUNITY HOSPITAL | |
| D | 16464093 |
| SMYTH COUNTY COMMUNITY HOSPITAL | |
| K | 4127318 |
| SMYTH COUNTY COMMUNITY HOSPITAL | |
| P | 72934 |
| SMYTH COUNTY COMMUNITY HOSPITAL | |
| Q | 310435 |
| JOHNSTON MEMORIAL HOSPITAL | |
| K | 9554598 |
| JOHNSTON MEMORIAL HOSPTIAL | |
| L | 253600 |
| JOHNSTON MEMORIAL HOSPITAL | |
| O | 114068 |
| APP | |
| K | 850322 |
| MSHA AUXILIARY | |
| O | 178832 |
| MSHA AUXILIARY | |
| P | 197250 |
| BLUE RIDGE MEDICAL MANAGEMENT CORP | |
| I | 105998 |
| BLUE RIDGE MEDICAL MANAGMENT CORP | |
| K | 9910706 |
| BLUE RIDGE MEDICAL MANAGEMENT CORP | |
| L | 31167999 |
| BLUE RIDGE MEDICAL MANAGEMENT CORP | |
| N | 531062 |
| BLUE RIDGE MEDICAL MANAGEMENT CORP | |
| P | 4628746 |
| WILSON PHARMACY | |
| N | 76462 |
| WILSON PHARMACY | |
| P | 1841888 |
| MEDISERVE | |
| G | 56623 |
| MEDISERVE | |
| J | 138688 |
| MEDISERVE | |
| K | 174373 |
| MEDISERVE | |
| P | 1101681 |
| MOUNTAIN STATES PROPERTIES | |
| J | 2050216 |
| MOUNTAIN STATES PROPERTIES | |
| K | 247351 |
| MOUNTAIN STATES PROPERTIES | |
| N | 86339 |
| MOUNTAIN STATES PROPERTIES | |
| Q | 523559 |
| MOUNTAIN STATES FOUNDATION | |
| B | 672450 |
| MOUNTAIN STATES FOUNDATION | |
| C | 1647435 |
| MOUNTAIN STATES FOUNDATION | |
| K | 1023012 |
| NORTON COMMUNITY HOSPTIAL | |
| K | 10161993 |
| NORTON COMMUNITY HOSPITAL | |
| N | 531171 |
| NORTON COMMUNITY HOSPITAL | |
| P | 796930 |
| DICKENSON COMMUNITY HOSPITAL | |
| K | 785766 |
| ISHN | |
| B | 5661810 |
| ISHN | |
| D | 1000000 |
| ISHN | |
| L | 1989315 |
| ISHN | |
| P | 691062 |
| SMYTH COUNTY COMMUNITY HOSPITAL | |
| B | 19300494 |
| SMYTH COUNTY COMMUNITY HOSPITAL | |
| D | 16464093 |
| SMYTH COUNTY COMMUNITY HOSPITAL | |
| K | 4127318 |
| SMYTH COUNTY COMMUNITY HOSPITAL | |
| P | 72934 |
| SMYTH COUNTY COMMUNITY HOSPITAL | |
| Q | 310435 |
| JOHNSTON MEMORIAL HOSPITAL | |
| K | 9554598 |
| JOHNSTON MEMORIAL HOSPTIAL | |
| L | 253600 |
| JOHNSTON MEMORIAL HOSPITAL | |
| O | 114068 |
| APP | |
| K | 850322 |
| MSHA AUXILIARY | |
| O | 178832 |
| MSHA AUXILIARY | |
| P | 197250 |
| BLUE RIDGE MEDICAL MANAGEMENT CORP | |
| I | 105998 |
| BLUE RIDGE MEDICAL MANAGMENT CORP | |
| K | 9910706 |
| BLUE RIDGE MEDICAL MANAGEMENT CORP | |
| L | 31167999 |
| BLUE RIDGE MEDICAL MANAGEMENT CORP | |
| N | 531062 |
| BLUE RIDGE MEDICAL MANAGEMENT CORP | |
| P | 4628746 |
| WILSON PHARMACY | |
| N | 76462 |
| WILSON PHARMACY | |
| P | 1841888 |
| MEDISERVE | |
| G | 56623 |
| MEDISERVE | |
| J | 138688 |
| MEDISERVE | |
| K | 174373 |
| MEDISERVE | |
| P | 1101681 |
| MOUNTAIN STATES PROPERTIES | |
| J | 2050216 |
| MOUNTAIN STATES PROPERTIES | |
| K | 247351 |
| MOUNTAIN STATES PROPERTIES | |
| N | 86339 |
| MOUNTAIN STATES PROPERTIES | |
| Q | 523559 |
| MOUNTAIN STATES FOUNDATION | |
| B | 672450 |
| MOUNTAIN STATES FOUNDATION | |
| C | 1647435 |
| MOUNTAIN STATES FOUNDATION | |
| K | 1023012 |
| NORTON COMMUNITY HOSPTIAL | |
| K | 10161993 |
| NORTON COMMUNITY HOSPITAL | |
| N | 531171 |
| NORTON COMMUNITY HOSPITAL | |
| P | 796930 |
| DICKENSON COMMUNITY HOSPITAL | |
| K | 785766 |
| ISHN | |
| B | 5661810 |
| ISHN | |
| D | 1000000 |
| ISHN | |
| L | 1989315 |
| ISHN | |
| P | 691062 |
| SMYTH COUNTY COMMUNITY HOSPITAL | |
| B | 19300494 |
| SMYTH COUNTY COMMUNITY HOSPITAL | |
| D | 16464093 |
| SMYTH COUNTY COMMUNITY HOSPITAL | |
| K | 4127318 |
| SMYTH COUNTY COMMUNITY HOSPITAL | |
| P | 72934 |
| SMYTH COUNTY COMMUNITY HOSPITAL | |
| Q | 310435 |
| JOHNSTON MEMORIAL HOSPITAL | |
| K | 9554598 |
| JOHNSTON MEMORIAL HOSPTIAL | |
| L | 253600 |
| JOHNSTON MEMORIAL HOSPITAL | |
| O | 114068 |
| APP | |
| K | 850322 |
| MSHA AUXILIARY | |
| O | 178832 |
| MSHA AUXILIARY | |
| P | 197250 |
| BLUE RIDGE MEDICAL MANAGEMENT CORP | |
| I | 105998 |
| BLUE RIDGE MEDICAL MANAGMENT CORP | |
| K | 9910706 |
| BLUE RIDGE MEDICAL MANAGEMENT CORP | |
| L | 31167999 |
| BLUE RIDGE MEDICAL MANAGEMENT CORP | |
| N | 531062 |
| BLUE RIDGE MEDICAL MANAGEMENT CORP | |
| P | 4628746 |
| WILSON PHARMACY | |
| N | 76462 |
| WILSON PHARMACY | |
| P | 1841888 |
| MEDISERVE | |
| G | 56623 |
| MEDISERVE | |
| J | 138688 |
| MEDISERVE | |
| K | 174373 |
| MEDISERVE | |
| P | 1101681 |
| MOUNTAIN STATES PROPERTIES | |
| J | 2050216 |
| MOUNTAIN STATES PROPERTIES | |
| K | 247351 |
| MOUNTAIN STATES PROPERTIES | |
| N | 86339 |
| MOUNTAIN STATES PROPERTIES | |
| Q | 523559 |
| MOUNTAIN STATES FOUNDATION | |
| B | 672450 |
| MOUNTAIN STATES FOUNDATION | |
| C | 1647435 |
| MOUNTAIN STATES FOUNDATION | |
| K | 1023012 |
| NORTON COMMUNITY HOSPTIAL | |
| K | 10161993 |
| NORTON COMMUNITY HOSPITAL | |
| N | 531171 |
| NORTON COMMUNITY HOSPITAL | |
| P | 796930 |
| DICKENSON COMMUNITY HOSPITAL | |
| K | 785766 |
| ISHN | |
| B | 5661810 |
| ISHN | |
| D | 1000000 |
| ISHN | |
| L | 1989315 |
| ISHN | |
| P | 691062 |
| SMYTH COUNTY COMMUNITY HOSPITAL | |
| B | 19300494 |
| SMYTH COUNTY COMMUNITY HOSPITAL | |
| D | 16464093 |
| SMYTH COUNTY COMMUNITY HOSPITAL | |
| K | 4127318 |
| SMYTH COUNTY COMMUNITY HOSPITAL | |
| P | 72934 |
| SMYTH COUNTY COMMUNITY HOSPITAL | |
| Q | 310435 |
| JOHNSTON MEMORIAL HOSPITAL | |
| K | 9554598 |
| JOHNSTON MEMORIAL HOSPTIAL | |
| L | 253600 |
| JOHNSTON MEMORIAL HOSPITAL | |
| O | 114068 |
| APP | |
| K | 850322 |