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Laughlin Memorial Hospital Inc: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
Laughlin Memorial Hospital Inc (EIN 62-0701119)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-04-09
IRS object ID
201330999349300408
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-04-09T11:21:45-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1400 E MAIN ST STE 200 PO BOX 1196AddressLine1
CityBOWLING GREENCity
StateKYState
ZIP Code421021196ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN620701119EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LAUGHLIN MEMORIAL HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% MARK COMPTON CFOInCareOfName
Name ControlLAUGNameControl
Phone4237875000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11420 TUSCULUM BLVDAddressLine1
CityGREENEVILLECity
StateTNState
ZIP Code37745ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCHARLES H WHITFIELD JRName
TitleCEOTitle
Phone4237875000Phone
Date Signed2013-04-09DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJESSICA FREEMANName
Phone2707810111Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonCHARLES H WHITFIELD JRNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11420 TUSCULUM BLVDAddressLine1
CityGREENEVILLECity
StateTNState
ZIP Code37745ZIPCode
FieldValueIRS element (for citing)
Gross Receipts75238433GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.LAUGHLINMEMORIAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1966YearFormation
State Legal DomicileTNStateLegalDomicile
Activity Or Mission DescriptionIMPROVING THE HEALTH AND WELL BEING OF INDIVIDUALS, FAMILIES AND OUR COMMUNITY BASED ON IDENTIFIED NEEDS. DELIVERING EMERGENCY CARE WITHOUT REGARD TO PATIENTS' ABILITY TO PAY.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees941TotalNbrEmployees
Total Nbr Volunteers46TotalNbrVolunteers
Total Gross UBI2238TotalGrossUBI
Net Unrelated Business Txbl Income1238NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year296052ContributionsGrantsPriorYear
Contributions Grants Current Year208912ContributionsGrantsCurrentYear
Program Service Revenue Prior Year69677367ProgramServiceRevenuePriorYear
Program Service Revenue CY62129359ProgramServiceRevenueCY
Investment Income Prior Year2527789InvestmentIncomePriorYear
Investment Income Current Year3090083InvestmentIncomeCurrentYear
Other Revenue Prior Year707350OtherRevenuePriorYear
Other Revenue Current Year2823932OtherRevenueCurrentYear
Total Revenue Prior Year73208558TotalRevenuePriorYear
Total Revenue Current Year68252286TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year36990061SalariesEtcPriorYear
Salaries Etc Current Year39156269SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year374091TotalFundrsngExpCurrentYear
Other Expense Prior Year36196076OtherExpensePriorYear
Other Expenses Current Year31816332OtherExpensesCurrentYear
Total Expenses Prior Year73186136TotalExpensesPriorYear
Total Expenses Current Year70972601TotalExpensesCurrentYear
Revenues Less Expenses Prior Year22422RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-2720315RevenuesLessExpensesCY
Total Assets BOY171199474TotalAssetsBOY
Total Assets EOY165655422TotalAssetsEOY
Total Liabilities BOY51310253TotalLiabilitiesBOY
Total Liabilities EOY52860350TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY119889221NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY112795072NetAssetsOrFundBalancesEOY
Mission DescriptionIMPROVING THE HEALTH AND WELL BEING OF INDIVIDUALS, FAMILIES AND OUR COMMUNITY BASED ON IDENTIFIED NEEDS. DELIVERING EMERGENCY CARE WITHOUT REGARD TO PATIENTS' ABILITY TO PAY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense58095033Expense
Revenue62129359Revenue
DescriptionLAUGHLIN MEMORIAL HOSPITAL IS COMMITTED TO IMPROVING THE HEALTH AND WELL BEING OF INDIVIDUALS, FAMILIES AND OUR COMMUNITY THROUGH INNOVATION AND PURSUIT OF EXCELLENCE. WE PROMOTE CONTINUITY OF CARE THROUGHOUT THE HOSPITAL, HOME HEALTH AGENCY, NURSING HOME AND OTHER COMMUNITY SETTINGS. EMERGENCY SERVICES ARE OFFERED 24 HOURS PER DAY WITHOUT REGARD TO PATIENTS' ABILITY TO PAY. OUR STAFF PROMOTES HEALTHY LIFESTYLES AND STRATEGIES FOR DISEASE PREVENTION.Description
Total Program Service Expense58095033TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109694NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees941NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMARK COMPTON CFONamePerson
Telephone Number4237875000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11420 TUSCULUM BLVDAddressLine1
CityGREENEVILLECity
StateTNState
ZIP Code37745ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
CHARLES H WHITFIELD JR
CEO50.0XX303648069684
CLINTON RAY ADAMS
CHAIRMAN OF BOARD2.0XX006800
WILLARD S BLEVINS
DIRECTOR2.0X0010620
C HERBERT WHITFIELD SR
DIRECTOR2.0X0010620
JACK G WILSON
DIRECTOR16.0X19932010620
DOMINICK L JACKSON
DIRECTOR2.0X0010620
CHARLES A MONTGOMERY MD
DIRECTOR2.0X000
RICHARD W PECTOL MD
DIRECTOR2.0X000
WALTER L MASON MD
DIRECTOR2.0X000
LAURA URBAN MD
DIRECTOR2.0X000
JOHN MARK COMPTON
CFO40.0X177501041112
RICK EALY
DIRECTOR OF PHARMACY40.0152561014721X
ROBERT R ROARK
DIRECTOR OF HUMAN RESOURCES40.0134494034641X
GREG JOHNSON
PHYSICAL THERAPIST40.0128496022527X
SUE EALY
PHARMACIST40.0118317014896X
BETTY WEEMES
DIRECTOR OF FOUNDATION40.0118469020718X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1153418TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation267579TotalOtherCompensation
Number Individuals GT100 K17NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MAYO COLLABORATIVE SERVICES INC
200 FIRST STREET SWROCHESTERMN55905LABORATORY SERVICES758781
SUMMIT MEDICAL GROUP PLLC
1225 WEISGARBER ROADKNOXVILLETN37909PHYSICIAN GROUP737825
ANGELICA CORPORATION
PO BOX 535122ATLANTAGA30353LAUNDRY SERVICE531580
CLINICAL PHARMACY SERVICE
PO BOX 8545GRAYTN37615MEDICAL SERVICES316894
INVIVO MOLECULAR IMAGING LLC
101 DILLON COURTGRAYTN37615PET SCANS295560
FieldValueIRS element (for citing)
Number Of Contractors GT100 K13NumberOfContractorsGT100K
Related Organizations181657RelatedOrganizations
Government Grants27200GovernmentGrants
All Other Contributions55AllOtherContributions
Total Contributions208912TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE (NET OF CONTRACTUAL6213006212935962129359
DISCOUNTS & ALLOWANCES)
FieldValueIRS element (for citing)
Total Program Service Revenue62129359TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1557667TotalRevenueColumn
Unrelated Business Revenue2238UnrelatedBusinessRevenue
Exclusion$1,555,429ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1145191Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real998967Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real146224Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column146224TotalRevenueColumn
Exclusion$146,224ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities7490457Securities
Other29139Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities5925389Securities
Other61791Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1565068Securities
Other-32652Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1532416TotalRevenueColumn
Exclusion$1,532,416ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
CAFETERIA722210380727$380,727
GIFT SHOP45322074104$74,104
EHR INCENTIVE9000991864722$1,864,722

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column358155TotalRevenueColumn
Exclusion$358,155ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue2677708TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column68252286TotalRevenueColumn
Related Or Exempt Function Income62129359RelatedOrExemptFunctionIncome
Unrelated Business Revenue2238UnrelatedBusinessRevenue
Exclusion$5,911,777ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total669747Total
Management And General669747ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total30275636Total
Program Services27700799ProgramServices
Management And General2414753ManagementAndGeneral
Fundraising160084Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total981085Total
Program Services878220ProgramServices
Management And General97790ManagementAndGeneral
Fundraising5075Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5048237Total
Program Services4518936ProgramServices
Management And General503186ManagementAndGeneral
Fundraising26115Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2181564Total
Program Services1965067ProgramServices
Management And General205638ManagementAndGeneral
Fundraising10859Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total27267Total
Management And General27267ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total65932Total
Management And General65932ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total8770Total
Management And General8770ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total176257Total
Management And General176257ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total8599549Total
Program Services5916303ProgramServices
Management And General2675932ManagementAndGeneral
Fundraising7314Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total204582Total
Program Services39291ProgramServices
Management And General165291ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1481949Total
Program Services1311175ProgramServices
Management And General168605ManagementAndGeneral
Fundraising2169Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total14000Total
Management And General14000ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1006722Total
Program Services977993ProgramServices
Management And General28729ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total39242Total
Program Services39242ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total112935Total
Program Services80843ProgramServices
Management And General31467ManagementAndGeneral
Fundraising625Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total849080Total
Program Services482ProgramServices
Management And General848598ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total6552405Total
Program Services3370057ProgramServices
Management And General3182294ManagementAndGeneral
Fundraising54Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total411203Total
Program Services17454ProgramServices
Management And General393749ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
DUES & SUBSCRIPTIONS22580368938156128737
EMPLOYEE RECRUITMENT33144336061295382
TAXES242387242387
MEDICAL SUPPLIES1120149311148211505492733

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total265313Total
Program Services25961ProgramServices
Management And General81026ManagementAndGeneral
Fundraising158326Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total70972601Total
Program Services58095033ProgramServices
Management And General12503477ManagementAndGeneral
Fundraising374091Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY65539BOY
EOY3105103EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2336970BOY
EOY129084EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY9817341BOY
EOY8380832EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY415805BOY
EOY367430EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2646798BOY
EOY2589510EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1235687BOY
EOY1313355EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis138023460LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec73920142LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY67895878BOY
EOY64103318EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY84639092BOY
EOY81904815EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2146364BOY
EOY3761975EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY171199474BOY
EOY165655422EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6027507BOY
EOY6314071EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY41000000BOY
EOY39900000EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY739331BOY
EOY515314EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3543415BOY
EOY6130965EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY51310253BOY
EOY52860350EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY119500214BOY
EOY112358945EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY389007BOY
EOY436127EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY119889221BOY
EOY112795072EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY171199474BOY
EOY165655422EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-2720315ReconcilationRevenueExpenses
Reconcilation Other Changes-4373834ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$8,770OtherActivitiesAmount
Total Lobbying Expenditures IIB8770TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING DUESIdentifier
Return ReferenceSCH C, PART II-B, LINE 1IReturnReference
ExplanationA PORTION OF DUES PAID TO THE TENNESSEE HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION IS FOR LOBBYING.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1054075OtherCostOrOtherBasis
Book Value1054075BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis68745095OtherCostOrOtherBasis
Depreciation14385242Depreciation
Book Value54359853BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis66140792OtherCostOrOtherBasis
Depreciation58004077Depreciation
Book Value8136715BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2083498OtherCostOrOtherBasis
Depreciation1530823Depreciation
Book Value552675BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings64103318TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DEFERRED COMPENSATION$734,909
EST. AMOUNTS TO THIRD PARTIES$672,076
INTEREST RATE SWAP AGREEMENT$4,723,980
FieldValueIRS element (for citing)
Total Of Amounts6130965TotalOfAmounts
Total Revenue68252286TotalRevenue
Total Expenses70972601TotalExpenses
Excess Or Deficit For Year-2720315ExcessOrDeficitForYear
Net Unrealized GL On Investments-2290775NetUnrealizedGLOnInvestments
Other-$2,083,058OtherAmount
Total Adjustments-4373833TotalAdjustments
Excess Or Deficit Per FS-7094148ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt66784221TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-2290775NetUnrealizedGainsInvestments
Other Revenues998967OtherRevenues
Revenue Not Rptd F990-1291808RevenueNotRptdF990
Revenue Subtotal68076029RevenueSubtotal
Investment Expenses Not Included176257InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt176257RevenueNotRptdOnFinStmt
Total Revenue Per Form99068252286TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt71795311TotExpensesEtcAuditedFinclStmt
Other Expenses Included998967OtherExpensesIncluded
Expenses Not Rptd F990998967ExpensesNotRptdF990
Expenses Subtotal70796344ExpensesSubtotal
Investment Expenses Not Included2176257InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt176257ExpensesNotRptdOnFinStmt
Total Expenses Per Form99070972601TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RECONCILIATION TO AUDIT REPORT - NET ASSETSSCH D, PART XI, LINE 8---------------------- OTHER CHANGES IN NET ASSETS: CHANGE IN INTEREST OF LAUGHLIN HEALTHCARE FDN 47,120 CHANGE IN VALUE OF INTEREST SWAP (2,130,178) ------------- (2,083,058)
RECONCILIATION TO AUDIT REPORT - REVENUESSCH D, PART XII, LINE 2D---------------------- RENTAL EXPENSES SHOWN NET OF REVENUE PER 990 998,967
RECONCILIATION TO AUDIT REPORT - EXPENSESSCH D, PART XIII, LINE 2D---------------------- RENTAL EXPENSES SHOWN NET OF REVENUE PER 990 998,967
INCOME TAXESSCH D, PART X, LINE 2---------------------- THE HOSPITAL HAS BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C) OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THE HOSPITAL IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE HOSPITAL IS NO LONGER SUBJECT TO U.S. FEDERAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2009.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent150XPcent150
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailablefalseReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1694662TotalCommunityBenefitExpense
Net Community Benefit Expense1694662NetCommunityBenefitExpense
Percent Of Total Expense0.02390PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense10923249TotalCommunityBenefitExpense
Direct Offsetting Revenue7729033DirectOffsettingRevenue
Net Community Benefit Expense3194216NetCommunityBenefitExpense
Percent Of Total Expense0.04500PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense262352TotalCommunityBenefitExpense
Direct Offsetting Revenue235819DirectOffsettingRevenue
Net Community Benefit Expense26533NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense12880263TotalCommunityBenefitExpense
Direct Offsetting Revenue7964852DirectOffsettingRevenue
Net Community Benefit Expense4915411NetCommunityBenefitExpense
Percent Of Total Expense0.06930PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense366848TotalCommunityBenefitExpense
Direct Offsetting Revenue53262DirectOffsettingRevenue
Net Community Benefit Expense313586NetCommunityBenefitExpense
Percent Of Total Expense0.00440PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense43780TotalCommunityBenefitExpense
Net Community Benefit Expense43780NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense323111TotalCommunityBenefitExpense
Direct Offsetting Revenue178251DirectOffsettingRevenue
Net Community Benefit Expense144860NetCommunityBenefitExpense
Percent Of Total Expense0.00200PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense14819TotalCommunityBenefitExpense
Net Community Benefit Expense14819NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense748558TotalCommunityBenefitExpense
Direct Offsetting Revenue231513DirectOffsettingRevenue
Net Community Benefit Expense517045NetCommunityBenefitExpense
Percent Of Total Expense0.00720PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense13628821TotalCommunityBenefitExpense
Direct Offsetting Revenue8196365DirectOffsettingRevenue
Net Community Benefit Expense5432456NetCommunityBenefitExpense
Percent Of Total Expense0.07650PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense294919TotalCommunityBuildingExpense
Net Community Building Expense294919NetCommunityBuildingExpense
Percent Of Total Expense0.00420PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense294919TotalCommunityBuildingExpense
Net Community Building Expense294919NetCommunityBuildingExpense
Percent Of Total Expense0.00420PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$4,479,942BadDebtExpenseAmount
Amount Attributable To2300000AmountAttributableTo
Amount Reimbursed By Medicare21350181AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare17359994CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall3990187MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1LAUGHLIN MEMORIAL HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11420 TUSCULUM BLVDAddressLine1
CityGREENEVILLECity
StateTNState
ZIP Code37745ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1LAUGHLIN MEMORIAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedfalseCHNAConducted
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent150.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent200.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities3NumberOfOtherFacilities

Other Facilities OtherFacilities (3 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
LAUGHLIN HEALTHCARE CENTER
801 E MCKEEGREENEVILLETN37743NURSING HOME SNF/ICF/REHAB
LAUGHLIN HOME HEALTH
1420 TUSCULUM BLVDGREENEVILLETN37745HOME HEALTH AGENCY
LAUGHLIN MEDICAL GROUP
1406 TUSCULUM BLVDGREENEVILLETN37745PHYSICIAN PRACTICE

Form990 Schedule H Part VI Form990ScheduleHPartVI (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
BAD DEBT EXPENSESCH H, PART III, LINE 4---------------------- THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS, BASED ON THE INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNTS. COST OF BAD DEBTS IS ESTIMATED BY APPLICATION OF A COST TO CHARGE RATIO. HOSPITAL MANAGEMENT ESTIMATES THAT 40% OF THE NET BAD DEBT AMOUNTS WOULD QUALIFY FOR CHARITY IF FAMILY MEMBERS WOULD GIVE COMPLETE INFORMATION TO FINANCIAL ASSISTANCE PERSONNEL OF THE HOSPITAL.
MEDICARE SHORTFALLSCH H, PART III, LINE 8A---------------------- THE TOTAL REPORTED SHORTFALL IS COMMUNITY BENEFIT. AMOUNT REPORTED ON LINE 6 WAS OBTAINED THROUGH EXAMINATION OF MEDICARE COST REPORT COMPONENTS FOR 6/30/12.
COLLECTION PRACTICESSCH H, PART III, LINE 9B---------------------- Patients known to qualify for financial assistance are sent a letter indicating they have been approved for free or discounted care. These adjustments are applied to patient accounts before the next billing cycle.
NEEDS ASSESSMENTSCH H, PART VI, LINE 2---------------------- LAUGHLIN MEMORIAL HOSPITAL PARTICIPATES IN THE GREENE COUNTY HEALTH COUNCIL ALONG WITH NUMEROUS OTHER HEALTH-RELATED ORGANIZATIONS. A GREENE COUNTY COMMUNITY HEALTH ASSESSMENT IS PREPARED BASED ON THIS GROUP'S WORK AND COORDINATED THROUGH THE NORTHEAST TENNESSEE REGIONAL HEALTH OFFICE OF THE TENNESSEE DEPARTMENT OF HEALTH. THE ASSESSMENT INCLUDES TOP 10 CONCERNS AND WAYS IN WHICH THE COUNCIL ADDRESSES FUTURE HEALTH PLANNING. THE MANAGEMENT TEAM OF LAUGHLIN MEMORIAL HOSPITAL DETERMINES HOW BEST TO WORK AS AN ORGANIZATION OR IN CONJUCTION WITH OTHER COUNCIL MEMBERS ON SOLUTIONS TO IDENTIFIED NEEDS.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCESCH H, PART VI, LINE 3---------------------- THE REGISTRATION STAFF DESCRIBE AND PROVIDE LITERATURE ABOUT FINANCIAL ASSISTANCE DURING THE PATIENT INTERVIEW PROCESS. A MEDICAID STATE ELIGIBILITY WORKER IS PROVIDED OFFICE SPACE WITHIN THE HOSPITAL AND EFFORTS ARE MADE TO PUT PATIENTS IN CONTACT WITH THIS RESOURCE. APPLICATIONS FOR HOSPITAL CHARITY CARE ARE DISTRIBUTED BOTH BY THE REGISTRARS AND BILLING OFFICE STAFF. POSTED NOTICES AND THE HOSPITAL WEB SITE ARE OTHER SOURCES OF INFORMATION.
COMMUNITY INFORMATIONSCH H, PART VI, LINE 4---------------------- GREENE COUNTY, TN HAD A 2012 POPULATION OF 68,819 CITIZENS. THE HOSPITAL SERVES PRIMARILY GREENE COUNTY AND PATIENTS CLOSE TO THE BORDER OF GREENE COUNTY. THE MEDIAN HOUSEHOLD INCOME IN 2012 WAS $36,310 WITH AN ESTIMATED 21.6% OF THE COUNTY'S POPULATION LIVING IN POVERTY. THE COUNTY COVERS 621 SQUARE MILES.
PROMOTION OF COMMUNITY HEALTHSCH H, PART VI, LINE 5---------------------- THE HOSPITAL PROVIDES REPRESENTATIVES AND SUPPORT FOR THE GREENE COUNTY PARTNERSHIP WHICH WORKS TOWARD ECONOMIC GROWTH OF THE AREA. LOCAL SCHOOLS ARE SUPPORTED THROUGH THE PARTNERS IN EDUCATION PROGRAM. THE GREENE COUNTY HEALTH COUNCIL IS HOSTED BY THE HOSPITAL. THE MEDICAL STAFF IS OPEN TO ANY PHYSICIAN WHO MEETS CREDENTIALING STANDARDS AND AGREES TO STANDARDS ESTABLISHED BY THE MEDICAL STAFF. VARIOUS BUSINESS LEADERS SERVE ON THE BOARD OF DIRECTORS ALONG WITH LEADERS OF THE PHYSICIAN COMMUNITY. SURPLUS FUNDS PROVIDE FOR CONTINUITY OF HEALTHCARE SERVICES DURING PERIODS OF ECONOMIC DOWNTURN AND ARE REINVESTED IN NEW TECHNOLOGY AND EQUIPMENT AS NEEDED.
CHARGES FOR MEDICAL CARESCH H, PART V, LINE 19---------------------- RATIO FROM LATEST STATE OF TENNESSEE JOINT ANNUAL REPORT REFLECTING AVERAGE COMMERCIAL INSURANCE REIMBURSEMENT.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
CHARLES H WHITFIELD JR
29942803120011000541380155460373332000
JOHN MARK COMPTON
1752010185804420304920106200218613000
RICK EALY
15034501450076607693070280167282000
ROBERT R ROARK
13449400000227970118440169135000
GREG JOHNSON
1284960000066910158360151023000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierNONQUALIFIED RETIREMENT PLANIdentifier
Return ReferenceSCH J, PART I, LINE 4BReturnReference
ExplanationLAUGHLIN MEMORIAL HOSPITAL HAS A SECTION 457(F) PLAN THAT PROVIDES FOR NON-ELECTIVE DISCRETIONARY CONTRIBUTIONS. PARTICIPANTS MUST BE EMPLOYED BY THE HOSPITAL FOR 12 MONTHS OF CONTINUOUS SERVICE DURING THE PLAN YEAR AND REMAIN EMPLOYED AT THE END OF THE PLAN YEAR. PARTICIPANTS VESTED PERCENTAGE REMAINS AT 0% UNTIL COMPLETION OF 10 FULL YEARS OF PLAN PARTICIPATION. PARTICIPANTS ARE 100% VESTED AFTER 10 YEARS, UPON DEATH OR DISABILITY THAT RESULTS IN SEVERANCE OF EMPLOYMENT, ATTAINMENT OF NORMAL RETIREMENT AGE (65), TERMINATION OF EMPLOYMENT BY REDUCTION IN FORCE, OR THE SALE OR CLOSURE OF SUBSTANTIALLY ALL OF THE HOSPITAL'S OPERATIONS. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE PLAN DURING THE CURRENT YEAR: CHARLES H. WHITFIELD, JR. $46,706 JOHN MARK COMPTON $21,620 ROBERT R. ROARK $16,059Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1HEALTH & EDUCATIONAL FACILITIES BOARDBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN621220275IssuerEIN
CUSIP Number394825AB9CUSIPNumber
Date Issued2004-08-20DateIssued
Issue Price47000000IssuePrice
Description Of PurposeHOSPITAL CONSTRUCTIONDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired0AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds47000000TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow25830000RefundingEscrow
Issuance Costs From Proceeds49917IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures21120083CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2006YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuetrueVariableRateIssue
Hedge Identified In Books And RecdstrueHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1SUNTRUSTBusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge28.TermOfHedge
Superintegrated HedgefalseSuperintegratedHedge
Hedge TerminatedfalseHedgeTerminated
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RELATIONSHIPS AMONG OFFICERS, DIRECTORS AND KEY EMPLOYEESFORM 990, PART VI, SECTION A, LINE 2---------------------------------------- THE FOLLOWING FAMILY RELATIONSHIP EXISTS: CHARLES H. WHITFIELD, JR., PRESIDENT AND CEO, IS THE SON OF C. HERBERT WHITFIELD, SR., A DIRECTOR OF LAUGHLIN MEMORIAL HOSPITAL, INC.
PROCESS TO REVIEW FORM 990FORM 990, PART VI, SECTION B, LINE 11---------------------------------------- THE CEO VERIFIES THAT THE FORM 990 REFLECTS DATA COLLECTED BY THE ORGANIZATION. A REVIEW OF HIGHLIGHTS IS CONDUCTED BY THE CEO AND BOARD.
MONITORING THE CONFLICT OF INTEREST POLICYFORM 990, PART VI, SECTION B, LINES 12B AND 12C---------------------------------------- ALL BOARD MEMBERS AND DEPARTMENT HEADS SIGN A STATEMENT ANNUALLY TO INDICATE THAT THEY HAVE NO CONFLICTS OF INTEREST OR DESCRIBING THE NATURE OF ANY POTENTIAL CONFLICTS OF INTEREST. THE CONFLICT OF INTEREST POLICY IS AVAILABLE ON THE INTRANET AND THE COMPLIANCE OFFICER REVIEWS THE CONFLICT OF INTEREST STATEMENTS EACH YEAR. BOARD MEMBERS DO NOT VOTE ON ISSUES WHERE THEIR INTERESTS COULD CONFLICT WITH THOSE OF THE ORGANIZATION.
PROCESS FOR DETERMINING COMPENSATIONFORM 990, PART VI, SECTION B, LINES 15A AND 15B---------------------------------------- A COMPENSATION REVIEW WAS CONDUCTED BY THE COMPENSATION COMMITTEE OF THE BOARD IN 2011 FOR THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS. FOR OTHER OFFICERS AND KEY EMPLOYEES, A REVIEW IS CONDUCTED ANNUALLY AS PART OF THE EMPLOYEE'S ANNUAL PERFORMANCE APPRAISAL.
MAKING FORMS AVAILABLE TO THE PUBLICFORM 990, PART VI, SECTION C, LINE 19---------------------------------------- CONFLICT OF INTEREST POLICIES ARE AVAILABLE TO THE PUBLIC UPON REQUEST AND ARE AVAILABLE ON THE EMPLOYEE INTRANET. REQUESTS FOR GOVERNING DOCUMENTS OR FINANCIAL STATEMENTS ARE CONSIDERED BY THE CEO AND CFO BASED ON THE BEST INTEREST OF THE ORGANIZATION AND ITS HEALTHCARE MISSION.
RECONCILIATION OF NET ASSETSFORM 990, PART XI, LINE 5---------------------------------------- OTHER CHANGES IN NET ASSETS: UNREALIZED LOSSES ($2,290,775) CHANGE IN INTEREST OF LAUGHLIN HEALTHCARE FDN $47,120 CHANGE IN VALUE OF INTEREST SWAP ($2,130,178) ROUNDING (1) ------------- ($4,373,834)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1LAUGHLIN HEALTHCARE FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11420 TUSCULUM BLVDAddressLine1
CityGREENEVILLECity
StateTNState
ZIP Code37745ZIPCode
FieldValueIRS element (for citing)
EIN582105493EIN
Primary ActivitiesFUNDRAISINGPrimaryActivities
Legal Domicile StateTNLegalDomicileState
Exempt Code Section5014(c)(3)ExemptCodeSection
Public Charity Status11PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgfalseControlledOrg

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1NOLICHUCKEY MANAGEMENT SERVICES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11420 TUSCULUM BLVDAddressLine1
CityGREENEVILLECity
StateTNState
ZIP Code377454279ZIPCode
FieldValueIRS element (for citing)
EIN621776681EIN
Primary ActivityDOCTOR OFFICESPrimaryActivity
Legal Domicile StateTNLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CORPORATIONTypeOfEntity
Share Of Total Income-339851ShareOfTotalIncome
Share Of EOY Assets113276ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetstrueExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1LAUGHLIN HEALTHCARE FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeCTransactionType
Amount Involved181657AmountInvolved
Method Of Amt DeterminationFMVMethodOfAmtDetermination