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Laughlin Memorial Hospital Inc: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
Laughlin Memorial Hospital Inc (EIN 62-0701119)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-09-28
IRS object ID
201202729349300910
Schema version
2010v3.7
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)
Timestamp2012-09-28T16:53:25-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

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 Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN620701119EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LAUGHLIN MEMORIAL HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
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
Date Signed2012-09-28DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKIM SCIFRESName
Phone2707810111Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts78818934GrossReceipts
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 Employees869TotalNbrEmployees
Total Nbr Volunteers46TotalNbrVolunteers
Total Gross UBI326TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year333833ContributionsGrantsPriorYear
Contributions Grants Current Year296052ContributionsGrantsCurrentYear
Program Service Revenue Prior Year68607358ProgramServiceRevenuePriorYear
Program Service Revenue CY69677367ProgramServiceRevenueCY
Investment Income Prior Year2282848InvestmentIncomePriorYear
Investment Income Current Year2527789InvestmentIncomeCurrentYear
Other Revenue Prior Year601802OtherRevenuePriorYear
Other Revenue Current Year707350OtherRevenueCurrentYear
Total Revenue Prior Year71825841TotalRevenuePriorYear
Total Revenue Current Year73208558TotalRevenueCurrentYear
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 Year35638905SalariesEtcPriorYear
Salaries Etc Current Year36990061SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year409071TotalFundrsngExpCurrentYear
Other Expense Prior Year35818796OtherExpensePriorYear
Other Expenses Current Year36196076OtherExpensesCurrentYear
Total Expenses Prior Year71457701TotalExpensesPriorYear
Total Expenses Current Year73186136TotalExpensesCurrentYear
Revenues Less Expenses Prior Year368140RevenuesLessExpensesPriorYear
Revenues Less Expenses CY22422RevenuesLessExpensesCY
Total Assets BOY165628282TotalAssetsBOY
Total Assets EOY171199474TotalAssetsEOY
Total Liabilities BOY53022977TotalLiabilitiesBOY
Total Liabilities EOY51310253TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY112605305NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY119889221NetAssetsOrFundBalancesEOY
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
Expense60472502Expense
Revenue69682398Revenue
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 Expense60472502TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
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 With109695NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees869NumberOfEmployees
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 RelationshiptrueFamilyOrBusinessRelationship
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
CEO50.0XX300117066014
CLINTON RAY ADAMS
CHAIRMAN OF BOARD2.0XX000
WILLARD S BLEVINS
DIRECTOR2.0X0010339
C HERBERT WHITFIELD SR
DIRECTOR2.0X0010339
JACK G WILSON
DIRECTOR2.0X0010339
DOMINICK L JACKSON
DIRECTOR2.0X0010339
CHARLES A MONTGOMERY MD
DIRECTOR2.0X000
RICHARD W PECTOL MD
DIRECTOR2.0X000
WALTER L MASON MD
DIRECTOR2.0X000
MARK D PATTERSON MD
DIRECTOR2.0X000
JOHN MARK COMPTON
CFO40.0X173998039159
RICK EALY
DIRECTOR OF PHARMACY40.0149497016707X
ROBERT R ROARK
DIRECTOR OF HUMAN RESOURCES40.0131978031539X
GREG JOHNSON
PHYSICAL THERAPIST40.0129014015773X
SHAWN HOPE
PHARMACIST40.0124900010793X
GERRY SCHULTHEIS
DIRECTOR OF NURSING40.0123555010524X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1133059TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation231865TotalOtherCompensation
Number Individuals GT100 K15NumberIndividualsGT100K
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 SERVICES752665
SUMMIT MEDICAL GROUP PLLC
1225 WEISGARBER ROADKNOXVILLETN37909PHYSICIAN GROUP759282
HANKINS AND WEEMS
PO BOX 520GREENEVILLETN37744LANDSCAPING468011
ANGELICA CORPORATION
PO BOX 535122ATLANTAGA30353LAUNDRY SERVICE498940
MEDITECH
1 MEDITECH CIRCLEWESTWOODMA02090SOFTWARE MAINTENANCE381029
FieldValueIRS element (for citing)
Number Of Contractors GT100 K13NumberOfContractorsGT100K
Related Organizations178005RelatedOrganizations
Government Grants113016GovernmentGrants
All Other Contributions5031AllOtherContributions
Total Contributions296052TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT REVENUEDescription
Business Code621300BusinessCode
Total Revenue Column69677367TotalRevenueColumn
Related Or Exempt Function Income69677367RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue69677367TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1793019TotalRevenueColumn
Unrelated Business Revenue326UnrelatedBusinessRevenue
Exclusion$1,792,693ExclusionAmount

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)
Real1143048Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real1133109Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real9939Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column9939TotalRevenueColumn
Exclusion$9,939ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities5208537Securities
Other3500Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities4466972Securities
Other10295Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities741565Securities
Other-6795Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column734770TotalRevenueColumn
Exclusion$734,770ExclusionAmount

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
CAFETERIA722210370863$370,863
GIFT SHOP45322083980$83,980
MEDICAL RECORDS90009924361$24,361

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column218207TotalRevenueColumn
Exclusion$218,207ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue697411TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column73208558TotalRevenueColumn
Related Or Exempt Function Income69677367RelatedOrExemptFunctionIncome
Unrelated Business Revenue326UnrelatedBusinessRevenue
Exclusion$3,234,813ExclusionAmount

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)
Total626662Total
Management And General626662ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total28387814Total
Program Services25782524ProgramServices
Management And General2449493ManagementAndGeneral
Fundraising155797Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total931588Total
Program Services827817ProgramServices
Management And General98768ManagementAndGeneral
Fundraising5002Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4984370Total
Program Services4429156ProgramServices
Management And General528450ManagementAndGeneral
Fundraising26764Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2059627Total
Program Services1862050ProgramServices
Management And General187054ManagementAndGeneral
Fundraising10523Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total7064Total
Management And General7064ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total61250Total
Management And General61250ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total203131Total
Management And General203131ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total8105049Total
Program Services5989412ProgramServices
Management And General2103634ManagementAndGeneral
Fundraising12003Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total198456Total
Program Services30924ProgramServices
Management And General167532ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total12103168Total
Program Services11821921ProgramServices
Management And General267914ManagementAndGeneral
Fundraising13333Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total14000Total
Management And General14000ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1132237Total
Program Services1132237ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total38468Total
Program Services38468ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total126317Total
Program Services100776ProgramServices
Management And General24558ManagementAndGeneral
Fundraising983Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total1000118Total
Management And General1000118ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total7179964Total
Program Services4334484ProgramServices
Management And General2845426ManagementAndGeneral
Fundraising54Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total353162Total
Management And General353162ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
BAD DEBTS39826913982691
EMPLOYEE RECRUITMENT90327743215860062
TAXES278438278438
DUES & SUBSCRIPTIONS20506273459130893710
OTHER EXPENSES3042242336896954183902

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total73186136Total
Program Services60472502ProgramServices
Management And General12304563ManagementAndGeneral
Fundraising409071Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY10364BOY
EOY65539EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1455555BOY
EOY2336970EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY8748898BOY
EOY9817341EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY498686BOY
EOY415805EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2577325BOY
EOY2646798EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1060218BOY
EOY1235687EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis144522557LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec76626679LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY67150613BOY
EOY67895878EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY80773707BOY
EOY84639092EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3352916BOY
EOY2146364EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY165628282BOY
EOY171199474EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5776605BOY
EOY6027507EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY42100000BOY
EOY41000000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY963147BOY
EOY739331EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4183225BOY
EOY3543415EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY53022977BOY
EOY51310253EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY112263523BOY
EOY119500214EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY341782BOY
EOY389007EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY112605305BOY
EOY119889221EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY165628282BOY
EOY171199474EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses22422ReconcilationRevenueExpenses
Reconcilation Other Changes7261494ReconcilationOtherChanges
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$7,894OtherActivitiesAmount
Total Lobbying Expenditures IIB7894TotalLobbyingExpendituresIIB
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

Land Land

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis69768435OtherCostOrOtherBasis
Depreciation14014994Depreciation
Book Value55753441BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis70770376OtherCostOrOtherBasis
Depreciation59891630Depreciation
Book Value10878746BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2929671OtherCostOrOtherBasis
Depreciation2720055Depreciation
Book Value209616BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings67895878TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DEFERRED COMPENSATION$685,590
EST. AMOUNTS TO THIRD PARTIES$264,023
INTEREST RATE SWAP AGREEMENT$2,593,802
FieldValueIRS element (for citing)
Total Of Amounts3543415TotalOfAmounts
Total Revenue73208558TotalRevenue
Total Expenses73186136TotalExpenses
Excess Or Deficit For Year22422ExcessOrDeficitForYear
Net Unrealized GL On Investments6642869NetUnrealizedGLOnInvestments
Other$618,625OtherAmount
Total Adjustments7261494TotalAdjustments
Excess Or Deficit Per FS7283916ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt81400030TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments6642869NetUnrealizedGainsInvestments
Other Revenues1751734OtherRevenues
Revenue Not Rptd F9908394603RevenueNotRptdF990
Revenue Subtotal73005427RevenueSubtotal
Investment Expenses Not Included203131InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt203131RevenueNotRptdOnFinStmt
Total Revenue Per Form99073208558TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt74116114TotExpensesEtcAuditedFinclStmt
Other Expenses Included1133109OtherExpensesIncluded
Expenses Not Rptd F9901133109ExpensesNotRptdF990
Expenses Subtotal72983005ExpensesSubtotal
Investment Expenses Not Included2203131InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt203131ExpensesNotRptdOnFinStmt
Total Expenses Per Form99073186136TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RECONCILIATION TO AUDIT REPORT - NET ASSETSSCH D, PART XI, LINE 8OTHER CHANGES IN NET ASSETS: CHANGE IN INTEREST OF LAUGHLIN HEALTHCARE FDN 47,225 CHANGE IN VALUE OF INTEREST SWAP 571,400
RECONCILIATION TO AUDIT REPORT - REVENUESSCH D, PART XII, LINE 2DRENTAL EXPENSES SHOWN NET OF REVENUE PER 990 1,133,109 CHANGE IN VALUE OF INTEREST SWAP 571,400 CHANGE IN INTEREST OF LAUGHLIN HEALTHCARE FDN 47,225
RECONCILIATION TO AUDIT REPORT - EXPENSESSCH D, PART XIII, LINE 2DRENTAL EXPENSES SHOWN NET OF REVENUE PER 990 1,133,109
INCOME TAXESSCH D, PART X, LINE 2THE 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.

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 Expense1193558TotalCommunityBenefitExpense
Net Community Benefit Expense1193558NetCommunityBenefitExpense
Percent Of Total Expense0.01720PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense10195321TotalCommunityBenefitExpense
Direct Offsetting Revenue7365928DirectOffsettingRevenue
Net Community Benefit Expense2829393NetCommunityBenefitExpense
Percent Of Total Expense0.04090PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense217507TotalCommunityBenefitExpense
Direct Offsetting Revenue163327DirectOffsettingRevenue
Net Community Benefit Expense54180NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense11606386TotalCommunityBenefitExpense
Direct Offsetting Revenue7529255DirectOffsettingRevenue
Net Community Benefit Expense4077131NetCommunityBenefitExpense
Percent Of Total Expense0.05890PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense317203TotalCommunityBenefitExpense
Direct Offsetting Revenue49528DirectOffsettingRevenue
Net Community Benefit Expense267675NetCommunityBenefitExpense
Percent Of Total Expense0.00390PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense129209TotalCommunityBenefitExpense
Percent Of Total Expense0.00190PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense684479TotalCommunityBenefitExpense
Direct Offsetting Revenue644099DirectOffsettingRevenue
Net Community Benefit Expense40380NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense29125TotalCommunityBenefitExpense
Net Community Benefit Expense29125NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense1160016TotalCommunityBenefitExpense
Direct Offsetting Revenue693627DirectOffsettingRevenue
Net Community Benefit Expense337180NetCommunityBenefitExpense
Percent Of Total Expense0.00680PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense12766402TotalCommunityBenefitExpense
Direct Offsetting Revenue8222882DirectOffsettingRevenue
Net Community Benefit Expense4414311NetCommunityBenefitExpense
Percent Of Total Expense0.06570PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense1500TotalCommunityBuildingExpense
Net Community Building Expense1500NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense4000TotalCommunityBuildingExpense
Net Community Building Expense4000NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense858952TotalCommunityBuildingExpense
Net Community Building Expense858952NetCommunityBuildingExpense
Percent Of Total Expense0.01240PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense864452TotalCommunityBuildingExpense
Net Community Building Expense864452NetCommunityBuildingExpense
Percent Of Total Expense0.01250PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$1,528,557BadDebtExpenseAmount
Amount Attributable To657280AmountAttributableTo
Amount Reimbursed By Medicare28219512AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare30177072CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-1957560MedicareSurplusOrShortfall

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

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 (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
BAD DEBT EXPENSESCH H, PART III, LINE 4THE 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 8ATHE TOTAL REPORTED SHORTFALL IS COMMUNITY BENEFIT. AMOUNT REPORTED ON LINE 6 WAS OBTAINED THROUGH EXAMINATION OF MEDICARE COST REPORT COMPONENTS FOR 6/30/11.
COLLECTION PRACTICESSCH H, PART III, LINE 9BPatients 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 2LAUGHLIN 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 3THE 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 DISTRIBURTED 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 4GREENE COUNTY, TN HAD A 2008 POPULATION OF 66,157 CITIZENS. THE HOSPITAL SERVES PRIMARILY GREENE COUNTY AND PATIENTS CLOSE TO THE BORDER OF GREENE COUNTY. THE MEDIAN HOUSEHOLD INCOME IN 2007 WAS $35,246 WITH AN ESTIMATED 19.7% OF THE COUNTY'S POPULATION LIVING IN POVERTY. THE COUNTY COVERS 621 SQUARE MILES.
PROMOTION OF COMMUNITY HEALTHSCH H, PART VI, LINE 5THE 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.

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 (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther 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 OrgsCompReportPrior990RelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrg
CHARLES H WHITFIELD JR
2970560306100545410114730366131000
JOHN MARK COMPTON
1721780182000298930926602131570000
RICK EALY
149497000074850922201662040000
ROBERT R ROARK
1305950138300223510918801635170000

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. $43,858 JOHN MARK COMPTON $21,195 ROBERT R. ROARK $15,745Explanation

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)
Total Proceeds47000000TotalProceeds
Refunding Escrow25830000RefundingEscrow
Issuance Costs From Proceeds49917IssuanceCostsFromProceeds
Capital Expenditures21120083CapitalExpenditures
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
Bond Counsel Routinely EngagedfalseBondCounselRoutinelyEngaged
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
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

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 2010 FOR THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS. A COMPENSATION REVIEW WAS CONDUCTED BY THE HUMAN RESOURCES DIRECTOR AND/OR CEO IN 2010 FOR OTHER OFFICERS AND KEY EMPLOYEES.
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 GAINS $6,642,869 CHANGE IN INTEREST OF LAUGHLIN HEALTHCARE FDN 47,225 CHANGE IN VALUE OF INTEREST SWAP 571,400 ------------- $7,261,494

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 Section501(c)(3)ExemptCodeSection
Public Charity Status11PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
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 AssetsfalseExchangeOfAssets
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 OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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 Involved178005AmountInvolved