SMYTH COUNTY COMMUNITY HOSPITAL: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- SMYTH COUNTY COMMUNITY HOSPITAL (EIN 54-0794913)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-16
- IRS object ID
- 201101369349304485
- Schema version
- 2009v1.7
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-16T13:58:31-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Pershing Yoakley & Associates PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | One Cherokee Mills 2220 Sutherland | AddressLine1 |
| City | Knoxville | City |
| State | TN | State |
| ZIP Code | 379192363 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 540794913 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Smyth County Community Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SMYT | NameControl |
| Phone | 2767821234 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 880 | AddressLine1 |
| City | Marion | City |
| State | VA | State |
| ZIP Code | 24354 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | John Jeter | Name |
| Title | CFO | Title |
| Phone | 2767821234 | Phone |
| Date Signed | 2011-05-16 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8656730844 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Linda P White | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 880 | AddressLine1 |
| City | Marion | City |
| State | VA | State |
| ZIP Code | 24354 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 51215812 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.scchosp.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1965 | YearFormation |
| State Legal Domicile | VA | StateLegalDomicile |
| Activity Or Mission Description | Smyth County Community Hospital is a nonstock corporation that owns and operates an acute care facility, a home health agency, and Francis Marion Manor, a long term care facility. The facilities are located in Smyth County, Virginia. They provide inpatient, outpatient, emergency services, and long-term medical care to the general public. Services include, but are not limited to, radiology, electrocardiology, laboratory, physical therapy, speech pathology, home health, blood bank, long term care, and nursery. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 60 | TotalNbrVolunteers |
| Total Gross UBI | 92940 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 32727 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 199120 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 221609 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 45299437 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 47128516 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1362161 | InvestmentIncomePriorYear |
| Investment Income Current Year | 3182738 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 653261 | OtherRevenuePriorYear |
| Other Revenue Current Year | 625738 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 47513979 | TotalRevenuePriorYear |
| Total Revenue Current Year | 51158601 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 6826 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 7973 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 31979324 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 31314322 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 70749 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 22013365 | OtherExpensePriorYear |
| Other Expenses Current Year | 22977592 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 53999515 | TotalExpensesPriorYear |
| Total Expenses Current Year | 54299887 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -6485536 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -3141286 | RevenuesLessExpensesCY |
| Total Assets BOY | 94152978 | TotalAssetsBOY |
| Total Assets EOY | 89714998 | TotalAssetsEOY |
| Total Liabilities BOY | 10189961 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 8110078 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 83963017 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 81604920 | NetAssetsOrFundBalancesEOY |
| Mission Description | Smyth County Community Hospital is committed to bringing loving care to healthcare. We exist to identify and respond to the healthcare needs of individuals and communities in our region and to assist them in attaining their highest possible level of health. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 49653933 | Expense |
| Revenue | 47367741 | Revenue |
| Description | Smyth County Community Hospital ("SCCH") has a 40-plus year history of providing healthcare services within the community of Marion, Virginia. SCCH is a 170-bed, acute care, community-based hospital. Additionally, SCCH has a 109-bed nursing care facility that offers both skilled nursing care and nursing care, Francis Marion Manor. SCCH has a variety of outreach programs including Homecare.As a not-for-profit hospital, all of SCCH's net income is invested in improving healthcare in the community. With a strong commitment to quality patient care and a heritage of services, SCCH continues to meet the healthcare needs of Smyth and the adjoining counties.Patient Care Services:As a community facility, SCCH is directly responsible for, and responsive to, our families, friends and communities. How will it improve patient care? Should we make an investment now, or wait for an imminent break-through? Where can we benefit the most people? These concerns direct our dollars in introducing new procedures, more in-depth services and innovation. Currently, SCCH services include:24-Hour Emergency DepartmentAudiologyBone DensitometryCardiac RehabilitationComputerized TomographyHomecareFamily Birthing Center (Prepared Childbirth, Rooming In, Sibling Visitation)Intensive Care Unit (ICU)Intermediate Care (Francis Marion Manor)Laboratory ServicesLifeline Emergency Response SystemLithotripsyMagnetic Resonance Imaging (MRI)MammographyMedical and Surgical ServicesOccupational TherapyPastoral CarePediatricsPharmacyPhysical TherapyPre-Admission CenterPulmonary RehabilitationRadiology ServicesRespiratory TherapySame Day SurgerySkilled Nursing FacilitySleepZone Diagnostic CenterSpeech TherapyTransrectal UltrasoundUltrasonographyHomecare Services:SCCH understands the value of home healthcare and the relief patients feel to be back in familiar surroundings while continuing to receive expert care. Under the physician's supervision, patients continue to receive quality medical treatment from skilled nurses, therapists and home health aides who follow the patient's individual plan of treatment. Homecare services allow patients the convenience of:- Treatment in the comfort and security of home- Continuity of family relationships- Individual plan of treatment- Continuing relationship with familiar physician- Freedom to participate in the plan of treatment at home- Caring, personal service by experienced, qualified home health professionals working toward the success of the patient's plan of treatment- Agency accepts assignment of benefits and assists in billing issuesFor eligible patients, charges are 100 percent reimbursable by Medicare when prescribed by the physician under home health guidelines.SCCH Homecare meets the physician's requirements that his or her plan of treatment is carried out by qualified home health professionals. Trained home health nurses carefully document patients' medical charts and provide the physician with prompt and accurate information about the patient's condition.Other home health benefits which support the physician in quality patient care include:- Thorough pre-discharge assessment between the physician, home health nurse and hospital discharge planner to evaluate the patient's needs before leaving the hospital- Assured continuity of the physician's plan of treatment- Consistent, timely communication about the patient's condition- Licensed nurses who meet regulatory standards- Dedicated teamwork with the physician and respect for the patient/physician relationship- Clear communication with the patient and his or her family about reimbursement and covered home care servicesSCCH Homecare provides prompt access to care for qualified patients. It assists hospital discharge planners and other decision makers in delivering alternatives for patients and their families or caregivers, as well as their physician - an alternative that brings flexibility, sensitivity, convenience, and dependability.Other benefits of home health care for the hospital professional staff include: - Pre-discharge home care assessment and planning by our home care coordinator- Immediate, responsive assistance with transition from hospital to home- An expanded network of services to serve the patient- Continuous assessment of the plan of care with the physician- Coordination of communication among patients and their families/caregivers, the physician and the referral source- Coordination and evaluation of reimbursement with a mix of payers, including Medicare, Medicaid and private/commercial insurance companiesSkilled Nursing:SCCH registered and licensed nurses are highly trained and experienced in providing nursing services in the patient's home. They understand the special needs of homebound patients and maintain continuous education in clinical and psychosocial skills development.The policies, procedures and quality assurance programs SCCH nurses follow meet the standards required by federal/state regulations; SCCH routinely surveys patients and physicians to assess the satisfaction level of our nursing services in order to improve nursing quality.Our nursing services include, but are not limited to:- Coordination and implementation of physician's plan of treatment- Routine patient evaluation and communication with physician regarding patient's responses to care and changes in the patient's condition- Interaction with patient's family/caregiver, co-workers and other disciplines to provide observation and feedback regarding patient's condition- Review of medication regiment and patient trainingInfusion Therapy:Our infusion therapy nurses are skilled, registered nurses who understand the special requirements of infusion therapy.The policies, procedures and quality assurance programs they follow meet standards published by the Intravenous Nurses Society and regularity organizations.Our infusion therapy nursing services include, but are not limited to:- Initial and ongoing assessment of patient and family capabilities and needs- Patient and family education- Peripheral intravenous site rotation- Central venous catheter care- Blood Drawing- Follow-up reports to physicians and pharmacy service providers- Psychosocial support for patients and families/caregiversHome Health Aide:Our home health aides assist the professional nursing staff by performing routine duties in caring for in-home patients. They are qualified to provide an extension to therapeutic services, personal care, ambulation, exercise, and household services essential to health care at home. Home health aide services can only be offered to individuals qualifying for skilled nursing or therapist services.Home health aide services include, but are not limited to:- Maintaining accurate clinical records regarding all patient observations, care and treatment- Assisting patient with ambulation and/or transfer, using proper body mechanics to protect patient and personal safety- Assisting patient in meeting personal hygiene needs- Preparing meals and assisting with eating if necessary- Providing simple household procedures essential to health care at homePhysical Therapy:Physical therapists provided by our home health agency use the latest techniques and equipment to assist patients in achieving the most complete recovery possible in the shortest period of time. Patients who require these services often become frustrated in their attempts at recovering skills that were once easy for them. Our professionals' assistance can help overcome this downside of rehabilitative therapy by providing expert aid with an encouraging attitude that helps the patient achieve more in less time.Our physical therapy services include, but are not limited to:- Assisting the physician with initial and on-going patient evaluation- Directing and aiding patients in various exercises and activities- Gait training- Instructing patient and caregiver in use of durable medical equipment and prosthetic and orthotic devices- The application of various devices, simulators and traction- Coordinating physical therapy with our agency's nursing servicesOccupational Therapy:Our occupational therapist is highly trained and experienced in rehabilitating patients. The goal of therapy is to improve and restore function lost or impaired by illness or injury and promote a return to independence through training and re-education in skills and activities associated with daily living.Our occupational therapy services include, but are not limited to:- Evaluation of the patient's level of function- Guiding the patient in therapeutic, creative and self-care activities | Description |
| Total Program Service Expense | 49653933 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 102 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | VA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | John Jeter | NamePerson |
| Telephone Number | 2767821194 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 565 Radio Hill Road | AddressLine1 |
| City | Marion | City |
| State | VA | State |
| ZIP Code | 24354 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (23 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| AC Squires MD | |||||||
| Director | 40.00 | X | 0 | 157797 | 15638 | ||
| Jim Patterson MD | |||||||
| Director | 8.00 | X | 0 | 90457 | 0 | ||
| Allen J Abel | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| David F Jim Bear | |||||||
| Chairman | 1.00 | X | 0 | 0 | 0 | ||
| Ruth Rhea Cox | |||||||
| Secretary | 1.00 | X | 0 | 0 | 0 | ||
| Marvin Eichorn | |||||||
| Director | 1.00 | X | 0 | 649704 | 213607 | ||
| Bob Feathers | |||||||
| Vice Chairman | 1.00 | X | 0 | 0 | 0 | ||
| Ann Fleming | |||||||
| Director | 1.00 | X | 0 | 427191 | 59477 | ||
| Joanne Groseclose | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Mark Groseclose | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Jim McDowell MD | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Cindy Salyer | |||||||
| Director | 1.00 | X | 0 | 251254 | 40467 | ||
| Bob Shults | |||||||
| Treasurer | 1.00 | X | 0 | 0 | 0 | ||
| Linda P White | |||||||
| VP/CEO | 55.00 | 0 | 250573 | 31321 | X | ||
| Timothy C Anderson Jr | |||||||
| Asst Admin/CNO | 50.00 | 0 | 125957 | 15671 | X | ||
| Michael H Widener | |||||||
| Asst Admin/CFO | 20.00 | 0 | 131660 | 2817 | X | ||
| John L Jeter | |||||||
| Asst Admin/CFO | 50.00 | 0 | 23046 | 9940 | X | ||
| Mark F Montgomery | |||||||
| Director/OPS | 50.00 | 0 | 98597 | 14918 | X | ||
| Jean M Marine MD | |||||||
| Physician | 40.00 | 0 | 450558 | 15369 | X | ||
| Robert B Evans MD | |||||||
| Physician | 40.00 | 0 | 464316 | 15633 | X | ||
| Eric J Sacknoff MD | |||||||
| Physician | 40.00 | 0 | 417969 | 23353 | X | ||
| Ramzi K Humsi MD | |||||||
| Physician | 40.00 | 0 | 391717 | 24197 | X | ||
| Arthur T Steed | |||||||
| Physician | 40.00 | 0 | 298975 | 21222 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 4229771 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 503630 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Morrison Management | |||||
| PO Box 102289 | Atlanta | GA | 30368 | Food Service Management | 2002681 |
| Cardinal Health | |||||
| 1330 Enclave Parkway | Houston | TX | 77077 | Pharmacy Management | 570725 |
| Smyth County Radiology Inc | |||||
| 1048 Terrace Drive | Marion | VA | 24354 | Radiology Services | 397076 |
| Skanska USA Building Inc | |||||
| 30 Burton Hills Blvd | Nashville | TN | 37215 | Construction Services | 375226 |
| Johnston Memorial Hospital | |||||
| 351 Court Street | Abingdon | VA | 24210 | Blood Preparation | 321574 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 16 | NumberOfContractorsGT100K |
| Government Grants | 197269 | GovernmentGrants |
| All Other Contributions | 24340 | AllOtherContributions |
| Total Contributions | 221609 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Patient Services | 621990 | 47035809 | 47035809 | |
| P/S Inc Related to pro | 561000 | 92707 | 87711 | 4996 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 47128516 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3065270 | TotalRevenueColumn |
| Exclusion | $3,065,270 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 132847 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 132847 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 132847 | TotalRevenueColumn |
| Exclusion | $132,847 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 152810 | Securities |
| Other | 21869 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 57211 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 152810 | Securities |
| Other | -35342 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 117468 | TotalRevenueColumn |
| Related Or Exempt Function Income | 117468 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 3087 | GrossIncomeFundraisingEvents |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3087 | TotalRevenueColumn |
| Exclusion | $3,087 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| OTHER REVENUE | 621500 | 214697 | 126753 | 87944 | |
| cafeteria sales | 722210 | 197408 | $197,408 | ||
| Management fee revenue | 900099 | 38024 | $38,024 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 39675 | TotalRevenueColumn |
| Exclusion | $39,675 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 489804 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 51158601 | TotalRevenueColumn |
| Related Or Exempt Function Income | 47367741 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 92940 | UnrelatedBusinessRevenue |
| Exclusion | $3,476,311 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7973 | Total |
| Program Services | 7973 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 881845 | Total |
| Management And General | 881845 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24851603 | Total |
| Program Services | 24830224 | ProgramServices |
| Management And General | 21379 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 737450 | Total |
| Program Services | 711566 | ProgramServices |
| Management And General | 25884 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3251475 | Total |
| Program Services | 3147960 | ProgramServices |
| Management And General | 80525 | ManagementAndGeneral |
| Fundraising | 22990 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1591949 | Total |
| Program Services | 1535042 | ProgramServices |
| Management And General | 56907 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33261 | Total |
| Management And General | 33261 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 164972 | Total |
| Management And General | 164972 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 58397 | Total |
| Management And General | 58397 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 78501 | Total |
| Management And General | 78501 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5262850 | Total |
| Program Services | 4445693 | ProgramServices |
| Management And General | 807957 | ManagementAndGeneral |
| Fundraising | 9200 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 79932 | Total |
| Program Services | 62491 | ProgramServices |
| Management And General | 17441 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 845428 | Total |
| Program Services | 754065 | ProgramServices |
| Management And General | 61884 | ManagementAndGeneral |
| Fundraising | 29479 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 974286 | Total |
| Program Services | 891921 | ProgramServices |
| Management And General | 82365 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1382228 | Total |
| Program Services | 1271637 | ProgramServices |
| Management And General | 110591 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 167827 | Total |
| Program Services | 134652 | ProgramServices |
| Management And General | 24095 | ManagementAndGeneral |
| Fundraising | 9080 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11952 | Total |
| Program Services | 10476 | ProgramServices |
| Management And General | 1476 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 779442 | Total |
| Management And General | 779442 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3090498 | Total |
| Program Services | 2265991 | ProgramServices |
| Management And General | 824507 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 460360 | Total |
| Program Services | 28272 | ProgramServices |
| Management And General | 432088 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Medical Supplies & Drug | 5897129 | 5974903 | -77774 |
| Repairs & Maintenance | 1084506 | 1066976 | 17530 |
| Bad Debt | 284701 | 284701 | |
| Retention & Recruitment | 189499 | 185345 | 4154 |
| Taxes - Other | 15710 | 15710 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2116113 | Total |
| Program Services | 2044045 | ProgramServices |
| Management And General | 72068 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54299887 | Total |
| Program Services | 49653933 | ProgramServices |
| Management And General | 4575205 | ManagementAndGeneral |
| Fundraising | 70749 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 878948 | BOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11075080 | BOY |
| EOY | 551393 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8363942 | BOY |
| EOY | 6932193 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1142422 | BOY |
| EOY | 1036234 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 213302 | BOY |
| EOY | 415438 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 64106387 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 45127178 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18145246 | BOY |
| EOY | 18979209 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15403301 | BOY |
| EOY | 23591544 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 202000 | BOY |
| EOY | 202000 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38728737 | BOY |
| EOY | 38006987 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 94152978 | BOY |
| EOY | 89714998 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7629641 | BOY |
| EOY | 6413210 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2560320 | BOY |
| EOY | 1696868 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10189961 | BOY |
| EOY | 8110078 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 83935903 | BOY |
| EOY | 81561102 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27114 | BOY |
| EOY | 43818 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 83963017 | BOY |
| EOY | 81604920 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 94152978 | BOY |
| EOY | 89714998 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 1 | GrantsOtherOrganizations |
| Grants Other Organizations | $2,456 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 1 | RalliesDemonstrations |
| Rallies Demonstrations | $1,837 | RalliesDemonstrationsAmount |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 4293 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 3374666 | InvestmentCostOrOtherBasis |
| Book Value | 3374666 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 14929479 | InvestmentCostOrOtherBasis |
| Depreciation | 9872877 | Depreciation |
| Book Value | 5056602 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 130505 | InvestmentCostOrOtherBasis |
| Depreciation | 92296 | Depreciation |
| Book Value | 38209 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 42902629 | InvestmentCostOrOtherBasis |
| Depreciation | 35162005 | Depreciation |
| Book Value | 7740624 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 2769108 | InvestmentCostOrOtherBasis |
| Book Value | 2769108 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 18979209 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Due from SWCHS, NET | 11493668 |
| Other Assets | 172397 |
| Due from MSHA, NET | 26301663 |
| Due from Affiliates | 39259 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 38006987 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Other long-term liabilities | $671,188 |
| Long-term compensation payable | $522,704 |
| lEASE PAYABLE | $35,615 |
| Due to third-party | $467,361 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1696868 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part X: | Identifier |
| Return Reference | Description of Uncertain Tax Positions Under FIN 48: | ReturnReference |
| Explanation | THE HOSPITAL PREVIOUSLY ADOPTED THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) NO. 740, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. This provision PROVIDES GUIDANCE FOR HOW UNCERTAIN TAX POSITIONS SHOULD BE RECOGNIZED, MEASURED, PRESENTED AND DISCLOSED IN THE CONSOLIDATED FINANCIAL STATEMENTS. FASB 740 REQUIRES THE EVALUATION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN THE COURSE OF PREPARING TAX RETURNS TO DETERMINE WHETHER THE TAX POSITIONS ARE "MORE LIKELY THAN NOT" OF BEING SUSTAINED BY THE APPLICABLE TAX AUTHORITY, INCLUDING RESOLUTION OF ANY APPEALS OR LITIGATION, BASED ON THE TECHNICAL MERITS OF THE POSITION, INCLUDING ADMINISTRATIVE PRACTICES AND PRECEDENTS. THE TAX BENEFIT TO BE RECOGNIZED IS MEASURED AS THE LARGEST AMOUNT OF BENEFIT THAT IS GREATER THAN FIFTY PERCENT LIKELY OF BEING REALIZED UPON ULTIMATE SETTLEMENT WHICH COULD RESULT IN THE HOSPITAL RECORDING A TAX LIABILITY THAT WOULD REDUCE NET ASSETS. TAX POSITIONS NOT DEEMED TO MEET A "MORE LIKELY THAN NOT" THRESHOLD WOULD BE RECORDED AS TAX EXPENSE IN THE CURRENT YEAR. THE HOSPITAL HAS NOT IDENTIFIED ANY SIGNIFICANT UNCERTAIN TAX POSITIONS AT JUNE 30, 2010. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 0 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1102461 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1102461 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02030 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8974230 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4622167 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4352063 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08010 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10076691 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4622167 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5454524 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10040 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 260759 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 260759 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00480 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6973 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 6973 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 267732 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 267732 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00490 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10344423 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4622167 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5722256 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10530 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1000 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1000 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1000 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1000 | NetCommunityBuildingExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $1,770,886 | BadDebtExpenseAmount |
| Amount Attributable To | 1062531 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 10911109 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 12065113 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -1154004 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV (2 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Er24 HoursEr24Hours | OtherOther |
|---|---|---|---|---|---|---|---|
| Smyth County Community Hospital | |||||||
| 565 Radio Hill Road | Marion | VA | 24354 | X | X | X | |
| Francis Marion Manor | |||||||
| 100 Francis Marion Lane | Marion | VA | 24354 | Nursing Home | |||
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Annual Community Benefit Expln | Part I, Line 6a: mountain states health alliance (MSHA) prepared an annual written report that describes the organization's programs and services that promote the health of the communities it serves. SCCH, as a member of MSHA, is included in MSHA's report. | AnnualCommunityBenefitExpln |
| Costing Method Used | Part I, Line 7: A cost to charge ratio was derived from the Schedule H applicable worksheets, including worksheet 2, Ratio of Patient Care Cost to Charges. | CostingMethodUsed |
| Percent Of Total Expense Expln | Part I, Line 7f: Bad Debt expense of $284,701 is included in Statement of Functional Expenses on Form 990, part IX, line 25, but has been subtracted for purposes of calculating percentages on part 1, line 7, column f. | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | Part III, Line 4: Worksheet A was used for Part III, lines 2 and 3 in determining bad debt at cost. SCCH follows the Healthcare Financial Management Associations Principles and Practices Board issued Statement 15: Valuation and Financial Statement Presentation of Charity Care and Bad Debts by Institutional Healthcare Providers (the Statement). The Statement provides guidance on collectability criteria and emphasizes revenue recognition only when collections are reasonably assured. | BadDebtFootnote |
| Shortfall As Community Benefit | Part III, Line 8: Medicare allowable costs were reported using SCCHs filed Medicare Cost Report (C/R). The C/R uses a cost to charge ratio based on a step down method. In caring for the patient, there are several services that are considered non-allowable such as: transportation of a patient, comfort items to include a television, magazines, or a telephone. Additional non-allowable costs include the recruitment of physicians, physician guarantees and a portion of the Bad Debt (30%) associated with the care of the patient. Medicare losses, including some non-allowable costs, should be counted as a community benefit as this is the cost of care for serving the aging population. As a not-for-profit organization, we exist to identify and respond to the health care needs of the community and the individual while maintaining a high level of health care services without losses. Since losses do occur through the CMS system of reimbursement, these losses are a cost of doing business for our community and should be considered a community benefit. As a participating provider in the Medicare program, SCCH is required to provide the full regimen of care for our Medicare population. There are a number of care regimens that are compensated by the Medicare program at levels below our cost. Therefore it is only logical to allow SCCH to report these uncompensated services as a community benefit on this document. By making this change, non-profit providers will be encouraged to sustain important care delivery models for our aging population in spite of the fact it is sometimes economically injurious. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | Part III, Line 9b: SCCH follows a strong collection program that communicates financial responsibility to the patient prior to service. Collection practices apply to all patients, charity and non-charity. In routine circumstances when it is determined that a patient has not responded to requests for payment, an account can be referred to an outside collection agency for collection assistance. SCCH ensures that outside collection agencies follow hospital billing and collection guidelines. Once a delinquent patient account has been submitted to an outside collection agency it can be retracted if it is determined that the patient is eligible for financial assistance. All requests for financial assistance must be accompanied by a completed financial assessment form and supporting documentation. | DebtCollectionPolicy |
| Needs Assessment | Part VI, Line 2: SCCH is a member of Mountain States Health Alliance (MSHA). During FY08 and FY09, MSHA conducted the largest community health needs assessment in its history in an effort to profile the health of the residents within the local region. The assessment focused on state, regional, and county specific data collection. This assessment also included primary data collected through approximately 50 one-on-one interviews. Those interviewed were individuals from around the region which included local and state government officials, health department representatives, physicians, general public, local industry, civic organizations, education officials, and community resource groups. This information was collected, and then analyzed, and a summary of the findings was listed in an effort to obtain a more detailed snapshot specific to each county located throughout the SCCH service area. This information was reviewed by SCCHs Strategic Planning Team along with Government Relations and Quality Departments. The MSHA steering committee identified childhood obesity as the health disparity targeted for improvement. During FY09, MSHA began collaborative efforts with East Tennessee State University's College of Public Health to develop the MSHA-ETSU Obesity Collaborative Committee. The focus of this committee is to pull together many partners and organizations in collaboration to reduce the level of childhood obesity throughout Northeast Tennessee and Southwest Virginia. During FY10, the committee offered 25 seed grants of $2,000 each to local community organizations such as churches, community groups, schools, and employers that want to explore obesity reduction efforts.In addition to the grants program, an annual symposium is provided free to the region and available to residents and community groups. National, regional, and local experts share information on trends regarding childhood obesity and proven community-based strategies to reduce the prevalence. | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: SCCH provides communication of financial assistance on its web site and on posters placed in prominent areas such as Admitting areas, Emergency Departments and patient payment (cashier) locations. Printed educational materials including financial assistance contact information are also provided in the patient's admitting paperwork. Posters and reference materials are written in both English and Spanish. Admitting staff are trained to educate patients on SCCHs Financial Assistance Policy. SCCH also has Financial Counselors which communicate the patients financial responsibility prior to service as well as provide education on SCCHs financial assistance policy. These counselors also help uninsured patients determine sources of payment for medical bills and help patients determine eligibility for programs such as TennCare or Medicaid. In addition, SCCH contracts with the company MedAssist to work with self-paying patients who have limited financial resources. MedAssist determines a patients eligibility in medical coverage options and assists with their enrollment. SCCH bears the cost for the MedAssist program. | PatientEducationAssistance |
| Community Information | Part VI, Line 4: SCCH is located in Marion, Smyth County, which is in rural Southwest Virginia. Smyth County is a federally designated medically underserved area and has a high rate of individuals who are uninsured. The population of Smyth County was 31,738 in 2009 and, according to the U.S. Census Bureau, Marion has a population of 5,926. The median age of residents of Smyth County is 42.0, which is older than the average age of 36.5 in the United States. Smyth County has a median household income of $36,103, which is well below $51,425, the median household income of the U.S. It is estimated that 17.6% of Smyth County's residents live in poverty compared to 13.5% statewide. | CommunityInformation |
| Community Building Activities | Part VI, Line 5: The activities reported in Part II seek to achieve specified objectives, including: improving access to health services, enhancing public health, and relief of government burden. The activities are available to the general public, focusing on low-income consumers. | CommunityBuildingActivities |
| Other Information | Part VI, Line 6: SCCH is dedicated to operating efficiently so that waste is minimized and surpluses may be applied to maintaining adequate facilities and equipment for the care for our patients. Various checks and balances are established to ensure that expenditures for operating expenses and capital costs are reasonable and necessary. | OtherInformation |
| Affiliated Health Care System | Part VI, Line 7: SCCH is a 170-bed, acute care facility operated under the direction of a 13-member Board of Directors primarily comprised of local community residents. Additionally, SCCH has a 109-bed nursing care facility that offers both skilled nursing care and nursing care. SCCH is majority owned by Mountain States Health Alliance (MSHA) based in Johnson City, Tennessee. MSHA is integrated both vertically and horizontally and is the largest regional healthcare system with 14 hospitals. MSHA provides care to people in 29 counties in Tennessee, Virginia, Kentucky, and North Carolina. SCCH serves as the county's primary health service provider. Patients benefit from SCCH's affiliation with a healthcare system where they can be efficiently moved along an integrated, comprehensive continuum of care as their health status dictates. Patients can be moved to the system's flagship facility - Johnson City Medical Center which is a tertiary care facility providing advanced treatment options. | AffiliatedHealthCareSystem |
| Reports Filed With States | VA | ReportsFiledWithStates |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
| No Grant More Than5000 | X | NoGrantMoreThan5000 |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | Schedule I, Part I, Line 2: THE ORGANIZATION HAS GUIDELINES IN PLACE THAT ARE TO BE USED IN REVIEWING THE ELIGIBILITY OF GRANTEES. ALL GRANTS REQUIRE WRITTEN DOCUMENTATION AND APPROPRIATE LEVELS OF APPROVAL. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Housing Allowance Or Residence | X | HousingAllowanceOrResidence |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 0 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AC Squires MD | |||||||||||||
| 0 | 156433 | 0 | 0 | 0 | 1364 | 0 | 5693 | 0 | 9945 | 0 | 173435 | 0 | 0 |
| Marvin Eichorn | |||||||||||||
| 0 | 420689 | 0 | 171393 | 0 | 57622 | 0 | 187084 | 0 | 26523 | 0 | 863311 | 0 | 0 |
| Ann Fleming | |||||||||||||
| 0 | 294561 | 0 | 110625 | 0 | 22005 | 0 | 39321 | 0 | 20156 | 0 | 486668 | 0 | 0 |
| Cindy Salyer | |||||||||||||
| 0 | 180720 | 0 | 61029 | 0 | 9505 | 0 | 20722 | 0 | 19745 | 0 | 291721 | 0 | 0 |
| Linda P White | |||||||||||||
| 0 | 180262 | 0 | 58247 | 0 | 12064 | 0 | 16050 | 0 | 15271 | 0 | 281894 | 0 | 0 |
| Jean M Marine MD | |||||||||||||
| 0 | 368643 | 0 | 48592 | 0 | 33323 | 0 | 14110 | 0 | 1259 | 0 | 465927 | 0 | 0 |
| Robert B Evans MD | |||||||||||||
| 0 | 398927 | 0 | 65389 | 0 | 0 | 0 | 8584 | 0 | 7049 | 0 | 479949 | 0 | 0 |
| Eric J Sacknoff MD | |||||||||||||
| 0 | 409115 | 0 | 0 | 0 | 8854 | 0 | 13421 | 0 | 9932 | 0 | 441322 | 0 | 0 |
| Ramzi K Humsi MD | |||||||||||||
| 0 | 310035 | 0 | 5000 | 0 | 76682 | 0 | 13060 | 0 | 11137 | 0 | 415914 | 0 | 0 |
| Arthur T Steed | |||||||||||||
| 0 | 283676 | 0 | 5000 | 0 | 10299 | 0 | 10488 | 0 | 10734 | 0 | 320197 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 1a | Temporary housing was provided for a portion of the year ending June 30, 2010 to an executive for recruitment purposes only. Minimal amounts are remitted for rotary club dues, subject to "business use only" restrictions. |
| Part I, Line 1b | no written policy exists at this time; However, all Expenses must be approved on an individual basis by administration, with sufficient substantiation to be provided as documentation. |
| Part I, Line 4a | THE FOLLOWING EXECUTIVES LISTED IN SCHEDULE J, PART II PARTICIPATED IN A 457(F) RETIREMENT PLAN PROVIDED BY Mountain States Health Alliance: ANN FLEMING, CINDY SALYER, AND LINDA WHITE. THE 457(F) PLAN IS A NONQUALIFIED TAX-DEFERRED COMPENSATION PLAN AVAILABLE TO A SELECT GROUP OF KEY EXECUTIVES FOR THE INTENT OF SUPPORTING RETENTION AND TO OFFER A COMPETITIVE TOTAL RETIREMENT PROGRAM. ACCOUNT BALANCES HAVE A "SUBSTANTIAL RISK OF FORFEITURE." IN ADDITION TO CREDITOR RISK, SUBSTANTIAL RISK OF FORFEITURE IS CREATED THROUGH DEFAULT RISK IF THE PARTICIPANT'S EMPLOYMENT WITH MSHA IS TERMINATED PRIOR TO AGE 65. HOWEVER, THE 457(F) PLAN CONTAINS A NON-COMPETE PROVISION THAT PROVIDES THE ACCOUNT BALANCE TO BE PAID IN A LUMP SUM AFTER THE EXECUTIVE SATISFIES THE TWO-YEAR NON-COMPETE PERIOD. THIS PROVISION APPLIES TO EMPLOYER CONTRIBUTIONS IF THE EXECUTIVE HAS PROVIDED ELIGIBLE SERVICE FOR SIX OR MORE YEARS. (ELIGIBLE SERVICE IS OFFICER SERVICE THAT PERMITTED THE EXECUTIVE TO PARTICIPATE IN THE PLAN.) THE EXECUTIVE WILL RECEIVE THE ENTIRE ACCOUNT BALANCE IF HE/SHE BECOMES DISABLED, DIEs OR IF THE EXECUTIVE TERMINATES FOR "GOOD REASON" OR IS INVOLUNTARILY TERMINATED WITHOUT "GOOD CAUSE" WITHIN A 24 MONTH PERIOD AFTER A CHANGE-OF-CONTROL OCCURS. DISTRIBUTIONS FROM THIS PLAN ARE SUBJECT TO FEDERAL, STATE, AND LOCAL TAXES ON THE ENTIRE ACCOUNT BALANCE UPON DISTRIBUTION. Linda P. White, CEO of SCCH, received a distribution of $9,283 as a participant in the 457(f) retirement plan. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section B, line 11 | THE FORM 990, WHICH WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM, WAS REVIEWED BY FINANCIAL MANAGEMENT PRIOR TO FILING. COPIES OF THE RETURN WERE MADE AVAILABLE TO THE BOARD MEMBERS. | |
| Form 990, Part VI, Section B, line 12c | ANNUALLY, THE AUDIT AND COMPLIANCE DEPARTMENT PROVIDES THE POLICY AND THE CONFLICT OF INTEREST DISCLOSURE FORMS TO ALL COVERED PERSONS. EACH PERSON IS REQUIRED TO PROVIDE A COMPLETED DISCLOSURE FORM, NOTING ANY CONFLICTS OR ATTESTING THEY HAVE "NONE", AND RETURN THOSE BACK TO THE AUDIT AND COMPLIANCE DEPARTMENT. ANY DISCLOSURES ARE FORWARDED TO THE APPROPRIATE MANAGEMENT OR BOARD PERSONNEL TO EVALUATE AND UTILIZE WHEN A TRANSACTION INVOLVING A CONFLICTED PERSON ARISES. ADDITIONALLY, PERSONNEL WHO HAVE A CONFLICT ARISE BETWEEN THE ANNUAL DISTRIBUTION OF THE POLICY AND FORMS ARE REQUIRED TO DISCLOSE THE CONFLICT, AND WOULD BE DISCIPLINED IN ANY INSTANCE WHERE THEY HAVE NOT DISCLOSED AND ENGAGED IN A CONFLICTED TRANSACTION. | |
| Form 990, Part VI, Section B, line 15 | The CEO and CFO are employed and compensated by Mountain States Health Alliance ("MSHA"). MSHA's COMPENSATION COMMITTEE, WHICH IS THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS, OBTAINS THE SERVICES OF AN OUTSIDE, INDEPENDENT COMPENSATION CONSULTANT TO PROVIDE THE COMMITTEE WITH RELEVANT MARKET DATA FROM COMPENSATION SURVEYS AND WITH ADVICE WHEN THE COMMITTEE MAKES RECOMMENDATIONS ON PAY AND BENEFITS FOR THE CEO. MSHA's BOARD ALSO APPROVES PAY AND BENEFITS FOR THE CFO. THE COMPENSATION COMMITTEE REVIEWS AND HAS FINAL APPROVAL OF CEO RECOMMENDATIONS FOR PAY AND BENEFITS FOR ALL OTHER EXECUTIVES. | |
| Form 990, Part VI, Section C, line 19 | GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE UPON REQUEST TO APPROPRIATE PARTIES REQUESTING THEM. FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST TO APPROPRIATE PARTIES REQUESTING THEM, AND THEY ARE MADE AVAILABLE TO THOSE PARTIES WHO OWN INDEBTEDNESS OF THE COMPANY ON A QUARTERLY AND ANNUAL BASIS. | |
| Form 990, Part V, Line 2a | Effective January 1, 2009, all Smyth County Community Hospital team members are employed by Mountain States Health Alliance for payroll reporting purposes. All officers and highest paid employees are reported in Part VII and Schedule J as compensated by a related organization. | Number of Employees Reported on Form W-3 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|
| Mountain States Health Alliance | |||||||||
| 400 N State of Franklin Road | Johnson City | TN | 37604 | 620476282 | Hospital | TN | 501(C)(3) | Line 3 | N/A |
| Smyth County Comm Foundation | |||||||||
| 1 Health Way | Marion | VA | 24354 | 311650055 | Supporting Organization to scch | VA | 501(C)(3) | Line 11A | N/A |
| Norton Community Hospital | |||||||||
| 100 15th street northwest | Norton | VA | 24273 | 540566029 | hospital | VA | 501(C)(3) | Line 3 | N/A |
| Dickenson Community Hospital | |||||||||
| PO Box 1440 | Clintwood | VA | 24228 | 770599553 | Hospital | VA | 501(C)(3) | Line 3 | N/A |
| Johnston Memorial Hospital | |||||||||
| 351 Court Street NE | Abingdon | VA | 24210 | 540544705 | Hospital | VA | 501(C)(3) | Line 3 | N/A |
| Abingdon Physician Partners | |||||||||
| 351 Court Street NE | Abingdon | VA | 24210 | 205485346 | Medical Services | VA | 501(C)(3) | Line 11A | N/A |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Integrated Solutions Health Network LLC | ||||||||||||
| 400 N State of Franklin Road | Johnson City | TN | 37604 | 621711997 | Investment Company | TN | N/A | (D) | -1241 | 3484 | 0 | 0 |
| EMMAUS Community Healthcare PLLC | ||||||||||||
| 6070 HWY 11E | Piney Flats | TN | 37686 | 200577483 | Medical Services | TN | N/A | N/A | 0 | 0 | ||
Form990 Schedule R Part IV Form990ScheduleRPartIV (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Southwest Community Health Services | |||||||||||
| PO BOX 880 | Marion | VA | 24354 | 541460695 | Health Services | VA | N/A | C | 422802 | 1119453 | 1.00000 |
| Blue Ridge Medical Management Corporation | |||||||||||
| 1019 W Oakland Avenue Ste 5 | Johnson City | TN | 37604 | 621490616 | Physician Offices | TN | N/A | C | |||
| Mediserve Medical Equip of Kingsport | |||||||||||
| 1021 W Oakland Avenue STE 103 | Johnson City | TN | 37604 | 621212286 | Durable Medical Equipment | TN | N/A | C | |||
| Mountain States Properties | |||||||||||
| 1021 W Oakland Avenue STE 207 | Johnson City | TN | 37604 | 621845895 | Property Management | TN | N/A | C | |||
| blue ridge physician group | |||||||||||
| 1019 W Oakland Avenue Ste 5 | Johnson City | TN | 37604 | 621700412 | Healthcare services | TN | N/A | C | |||
| Community Home Care Inc | |||||||||||
| 1460 Park Avenue | Norton | VA | 24273 | 541453810 | Medical Equip. Sales & Rental | VA | N/A | C | |||
| Community Physicians Serv Corp | |||||||||||
| 100 15th Street NW | Norton | VA | 24273 | 541641446 | Medical Services | VA | N/A | C | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Southwest Community Health Services | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | D | TransactionType |
| Amount Involved | 1143407 | AmountInvolved |