Smyth County Community Hospital

“Mountain states health alliance is the 80% member of smyth county community hospital. Smyth county community hospital foundation is the 20% member of smyth county community hospital.”

“There are two classes of members, and each class is entitled to elect a specified number of directors to the board. The mountain states health alliance (msha) class is elected by the msha board of directors and the smyth county community hospital class is elected by the smyth county community hospital foundation board of directors. Neither side can veto an appointment.”

“Certain decisions of the board are, pursuant to charter and virginia statute, subject to approval of the members. These decisions include: dissolution of the corporation; merger of the corporation; non-ordinary course of business sale of assets; etc. No ordinary, day-to-day decisions are subject to member approval.”

“The cfo reviewed the form 990 with the board of directors prior to filing with the irs and the return was made available to each board member in an electronic format prior to the review.”

“Annually, the corporate audit and compliance department of msha forwards the conflict of interest policy and disclosure form to all msha management team members and board members, including those at scch. Employees and board members must note any conflicts or attest they have "none", and return the form to the audit and compliance department. Any noted disclosures are forwarded to the appropriate management or board personnel to evaluate and utilize when a transaction involving a conflicted person arises. Additionally, personnel who have a conflict arise between the annual distribution of the policy and forms are required to disclose the conflict and would be disciplined in any instance where they have not disclosed and engaged in a conflicted transaction.”

“The compensation and benefits of scch's ceo are subject to the executive compensation policy of mountain states health alliance (msha). The policy was established by msha's board of directors and is alligned with the msha mission, vision, and values, supporting the achievement of the health system's strategic plans and annual goals and objectives. The policy ensures that msha's executive compensation is compliant with the legal, regulatory, and statutory environment affecting compensation. Msha's president and ceo makes recommendations to the executive committee of the msha board for all elements of compensation for the senior management team, including scch's ceo. The board of directors monitors the performance of the senior management team on an ongoing basis, but at least annually.”

“Similar to the ceo's compensation, the cfo receives compensation and benefits that comply with msha's salary policy. His pay is set at a market percentile specific to his position.”

“Governing documents and conflict of interest policy are made available upon request to appropriate parties requesting them. Financial statements are made available to those parties who own indebtedness of the company on a quarterly basis.”

“Part vii, line 2 msha, scch's majority owner, processes payroll for scch. Scch reimburses msha for all salary and benefits. The salary and benefits are recorded on scch's books.”

“Trustee compensation: hospital board of trustees members ann fleming and john doyle have form 990 reportable compensation derived from services they provided to related organizations. They do not receive compensation for services as hospital board trustees.”

“Part i, line i - organization's mission: smyth county community hospital (scch) is committed to bringing loving care to health care. We exist to identify and respond to the health care needs of individuals and communities in our region and to assist them in attaining their highest possible level of health.”

“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. For the year ending june 30, 2014, scch recorded 1,608 inpatient admissions, and provided for 81,279 outpatient visits. There were 17,159 emergency visits, 13,348 home health visits and 334 nursing home admissions. Throughout the year, scch provides a range of events and programs to benefit the community. Some examples are: scch serves as a clinical training facility for health professional education students. Scch has dedicated staff to work with regional colleges and universities to coordinate the placement of healthcare professional students as part of their educational curriculum. In addition to clinical training, the health care students entering our system are required to have orientation and computer training. Participants receiving clinical experience at scch during fy14 included 101 nursing students from various colleges, universities and programs. This nursing clinical experience required extensive scch nursing staff involvement. The clinical setting and hands-on instruction cost scch 208,026. Scch provided a clinical setting for another 84 students training in health-related programs such as radiology, pharmacy, physical therapy, emt/paramedic and other allied-health disciplines. These additional clinical students cost scch 86,804. Scch's former four-story hospital building and adjoining 15 acres, which was vacated in 2012 when the new scch hospital facility was opened, was donated in fy14 to emory & henry college. The college partnered with community leaders, municipalities and organizations to fund the renovation of the building to house the new emory & henry school of health sciences. Scch and msha administration felt this donation was an important step in developing much-needed healthcare professionals for the community. In furtherance of our commitment to area schools with health professions programs, scch pledged 30,000 a year for three years to virginia highlands community college to support its nursing program. With healthcare insurance coverage changing rapidly, patient payment responsibilty is increasing at a rate of 5 to 6 percent each year. Mountain states introduced a new payment option that offers more flexibility to our patients - the ability to spread payments over a 36-month period with no interest charged. Of course, for patients that are unable to pay their account balances, patient respresentatives are available to discuss financial assistance programs. Scch has partnered with the company, firstsource solutions usa, to work with self-paying patients who have limited financial resources. During fy14, first source representatives were able to determine governmental medical assistance (medicaid) eligibility, and to help with the application process and follow-up. During fy14, 258 patients were approved for coverage. Once a person is approved for medicaid through this program offered through scch, they retain coverage for future medical care. Firstsource is compensated by scch. During fy14, scch's cost for this program was 33,458. Smyth county's first urgent care facility was opened in september 2014 to offer the community access to local primary care providers after normal business hours. The state-of-the-art facility is located on the scch grounds and offers treatment of minor illnesses and injuries in a setting that is both convenient and cost effective. Lab and x-ray services are available on-site. During fy14, scch, along with msha's other hospitals, implemented an online tool called owl (online wellness link). Owl provides inpatients with better access to their health care information so they can view a portion of their health care record online, including: - a continuity of care document which provides a summary of the hospital vis”

“Hospital supported clinics 4,269,580 0 0 physician fees 2,889,673 0 0 dietary fees 1,402,027 0 0 other fees 771,280 13,422 0”

“Part x, line 20 tax exempt bond liability the tax exempt bond liability reflects the portion of bonds issued by mountain states health alliance, scch's majority owner, loaned to scch for capital needs. Scch pays all costs related to this portion of the bond issue.”

“Partnership income not on books -83,118 partnership interest income not on books -929 partnership capital gains not on books -11,319 partnership charitable contributions not on books 11 elimination of intercompany rec/pay 548,305 temporarily restricted grants -26,091 total to form 990, part xi, line 9 426,859”