Civic Intelligence

Laughlin Memorial Hospital Inc

EIN 62-0701119 • 501(c)3 • Johnson City, TN

Profile

Improving 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.

1021 W Oakland AvenueJohnson City, TN 37604

www.laughlinmemorial.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2019

Liabilities / Revenue

4th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • $50M-$100M nonprofits • Source year 2019

Net Margin

23rd percentile

-3.9%

Higher net margin than 23% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2019

Top Officer Pay

96th percentile

$2,225,690

Higher top officer pay than 96% of similar nonprofits.

Top officer pay equals 4.4% of source-year revenue.

501(c)3 • $50M-$100M nonprofits • Source year 2019

Asset Growth

1st percentile

-100%

Faster asset growth than 1% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2018 to 2019

Revenue Growth

9th percentile

-24%

Faster revenue growth than 9% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2018 to 2019

Assets

Down

$0

Down $78,576,820 (-100%) from 2018

Liabilities

Down

$0

Down $12,420,425 (-100%) from 2018

Net Assets

Down

$0

Down $66,156,395 (-100%) from 2018

Revenue

Down

$50,708,726

Down $15,910,137 (-24%) from 2018

Expenses

Down

$52,674,537

Down $16,471,530 (-24%) from 2018

Net Income

Up

-$1,965,811

Up $561,393 (+22%) from 2018

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$200M$150M$100M$50M$0Assets 2010: $165,628,282Liabilities 2010: $53,022,977Net Assets 2010: $112,605,3052010Assets 2011: $171,199,474Liabilities 2011: $51,310,253Net Assets 2011: $119,889,2212011Assets 2012: $165,655,422Liabilities 2012: $52,860,350Net Assets 2012: $112,795,0722012Assets 2013: $161,015,154Liabilities 2013: $48,689,994Net Assets 2013: $112,325,1602013Assets 2014: $161,891,855Liabilities 2014: $48,309,104Net Assets 2014: $113,582,7512014Assets 2015: $113,997,265Liabilities 2015: $7,950,008Net Assets 2015: $106,047,2572015Assets 2016: $109,557,792Liabilities 2016: $8,102,513Net Assets 2016: $101,455,2792016Assets 2017: $102,776,886Liabilities 2017: $12,487,635Net Assets 2017: $90,289,2512017Assets 2018: $78,576,820Liabilities 2018: $12,420,425Net Assets 2018: $66,156,3952018Assets 2019: $0Liabilities 2019: $0Net Assets 2019: $02019

Highlighted filing

2019

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$100M$50M$0-$50MExpenses 2010: $71,457,7012010Expenses 2011: $73,186,1362011Expenses 2012: $70,972,6012012Expenses 2013: $72,076,8012013Revenue 2014: $68,997,666Expenses 2014: $72,653,706Net Income 2014: -$3,656,0402014Revenue 2015: $67,106,844Expenses 2015: $73,858,504Net Income 2015: -$6,751,6602015Revenue 2016: $69,078,572Expenses 2016: $71,855,112Net Income 2016: -$2,776,5402016Revenue 2017: $64,387,468Expenses 2017: $77,596,023Net Income 2017: -$13,208,5552017Revenue 2018: $66,618,863Expenses 2018: $69,146,067Net Income 2018: -$2,527,2042018Revenue 2019: $50,708,726Expenses 2019: $52,674,537Net Income 2019: -$1,965,8112019

Highlighted filing

2019

Revenue$50,708,726
Expenses$52,674,537
Net Income-$1,965,811

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2018 to Mar 31, 2019
Signed
Feb 17, 2020
Return Version
2018v3.1
Gross Receipts
$51,046,833
Mission and Program Overview

Mission

Honor those we serve by delivering the best possible care

Our mission: Honor those we serve by delivering the best possible careOur vision: To build a legacy of superior health by listening to and caring for those we serve

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$29,017,973$0▼ $29,017,973
Investments in Publicly Traded Securities$15,121,054$0▼ $15,121,054
Accounts Receivable$13,790,403$0▼ $13,790,403
Inventories for Sale or Use$2,533,612$0▼ $2,533,612
Cash and Non-Interest-Bearing Accounts$1,887,366$0▼ $1,887,366
Investments Program Related$1,554,840$0▼ $1,554,840
Prepaid Expenses and Deferred Charges$1,117,964$0▼ $1,117,964
Other Notes and Loans Receivable, Net$168,567$0▼ $168,567
Savings and Temporary Cash Investments$156,959$0▼ $156,959
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Intangible Assets-$0-
Total Assets$78,576,820$0▼ $78,576,820
Other Assets Total$13,228,082$0▼ $13,228,082
Liabilities
Accounts Payable and Accrued Expenses$7,151,663--
Other Liabilities$4,645,636--
Mortgage Notes Payable Secured by Investment Property$325,613--
Deferred Revenue$297,513--
Total Liabilities$12,420,425$0▼ $12,420,425
Net Assets / Fund Balance
Unrestricted Net Assets$65,517,800--
Temporarily Rstr Net Assets$638,595--
Total Net Assets Fund Balance$66,156,395$0▼ $66,156,395
Total Liabilities and Net Assets / Fund Balance$78,576,820$0▼ $78,576,820
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Alan Levine BH PresidentCEODirector-$589,779$85,592$675,371
Kyle Boren MDPhysicianFT$585,106$36,475$621,581
Brenda CannonFormer LMH CNO-$443,405$70,523$513,148
Eric Deaton BH EVPCOODirector-$349,132$174,039$500,415
Mark ComptonFormer LMH CFO-$295,478$41,423$466,260
Charles Whitfield-retired 319Lmh CEOFT$117,111$230,618$241,906
Billy Parsley MDPhysicianFT$106,434$24,542$130,976
Lindsay Haun LMHTRH CFOCFOFT-$100,037$100,037

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
Diversified Clin Svcs IncWound Care ServicesPO Box 551187, Jacksonville, FL 32255$496,368
Align MDHospitalists5121 Maryland Way Suite 300, Brentwood, TN 37027$370,740
Hankins & WeemsLandscapingPO Box 520, Greeneville, TN 37744$301,833
Comp Pharm Svcs LLCPharmacy Services6409 Quail Hollow Rd, Memphis, TN 38120$217,825
Angelica CorporationLinen ServicesPO Box 535122, Atlanta, GA 30353$217,366
Revenue and Support

Revenue Composition

Contributions and Grants
$764
Program Service Revenue
$48,559,232
Investment Income
$1,152,685
Other Revenue
$996,045
All Other Contributions
$339
Change in Net Assets
$-1,965,811
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$27,360,574
Other Expenses$25,303,088
Grants and Similar Amounts Paid$10,875
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$19,159,680$2,569,789-$21,729,469
Fees for Services Other$6,334,895$1,046,444-$7,381,339
Other Employee Benefits$2,692,849$615,125-$3,307,974
Depreciation Depletion$1,726,890$77,462-$1,804,352
Payroll Taxes$1,409,774$44,975-$1,454,749
Occupancy$1,292,413$12,296-$1,304,709
Pension Plan Contributions$765,685$102,697-$868,382
All Other Expenses$585,056$128,744-$713,800
Office Expenses$444,387$48,063-$492,450
Other Expenses$75,326$43,217-$118,543
Travel$85,863$1,479-$87,342
Advertising$7,251$27,772-$35,023
Insurance$14,883$3,642-$18,525
Fees for Services Accounting-$13,477-$13,477
Fees for Services Legal-$10,561-$10,561
Grants to Domestic Individuals$8,000--$8,000
Fees for Service Investment Mgmnt Fees-$7,039-$7,039
Information Technology-$5,775-$5,775
Interest-$4,167-$4,167
Grants to Domestic Orgs$2,875--$2,875
Total Functional Expenses$45,755,378$6,919,159$0$52,674,537
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Suzanne Wilhoitfamily membersee Part VNo$70,840
Susan Comptonfamily membersee Part VNo$17,666

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
Yes
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents

In March of 2019, an Articles of Merger was completed between LMH and Takoma Regional Hospital (TRH). On April 1, 2019, LMH merged into TRH (the surviving entity), which is owned by Ballad Health.

Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder

The corporation was organized as a Tennessee non-stock, nonprofit corporation with Mountain States Health Alliance (MSHA) as its sole member. Laughlin merged with MSHA on June 30, 2017 with MSHA as the sole member of LMH. At merger, MSHA's board of directors became the governing body of LMH.On February 1, 2018, MSHA merged with Wellmont Health System (WHS) to form Ballad Health. At merger, Ballad Health's board of directors became the governing body for MSHA (including LMH) and WHS. During 2019, Ballad Health's governing board approved a merger between LMH and Takoma Regional Hospital (TRH). On April 1, 2019, LMH was merged into TRH (the surviving entity), which is owned by Ballad Health.

Form 990, Part VI, Line 11B: Form 990 Review Process

The Greene County CEO reviewed Laughlin Memorial Hospital's Form 990 with the Board of Directors prior to the return being filed with the IRS. The return was made available to each board member prior to the review.

Form 990, Part VI, Line 12C: Explanation of Monitoring and Enforcement of Conflicts

Ballad Health has a conflict of interest policy for all members of the Board of Directors, the Executive Chair/President, Executive Vice Presidents, Senior Vice Presidents, and Vice Presidents, and applies to all Ballad Health organizations, including Laughlin Memorial Hospital. All persons covered by this policy are required to complete a conflict of interest disclosure form on an annual basis. Should a conflict arise, it is the responsibility of the conflicted individual to update his or her disclosure immediately. All meetings of the board or board committees have a standing agenda item first on the agenda titled Conflicts of Interest. If a member of the board or board committee has a conflict of interest involving any issue on the board agenda, he or she must declare the conflict of interest during the period allotted for disclosure. If any issue arises during a meeting in which the board member has a conflict of interest, he or she must immediately declare the conflict. While each member of the board or board committees are responsible for disclosing conflicts of interest, it is also the responsibility of any board member aware of a conflict which has not been disclosed to ensure the board is made aware. The presiding officer of a board or board committee meeting may ask a conflicted member to excuse themselves from the meeting during the discussion related to the issue with which the conflict of interest applies. Under no circumstances shall a member vote on a matter that gives rise to a potential conflict. PART VI, LINE 15A & 15B COMPENSATION PROCESS FOR TOP OFFICIALS AND OFFICERSOn an annual basis, Ballad Health's Human Resources (H/R) Department evaluates compensation for all executives at a position level of Assistant Vice President and above. The review includes LMH's CEO. H/R's evaluation is based on market data obtained from independent third-party consultants for positions with similar responsibilities at similarly situated organizations. Based on this comparable data, Ballad Health's President & CEO evaluates the data and submits his recommendations to Ballad Health's Board of Directors for their final review and approval.Similar to LMH's CEO, LMH's CFO receives compensation that complies with Ballad Health's salary policy. Her pay is set at a market percentile specific to her position as CFO of LMH.

Form 990, Part VI, Line 19: Other Organization Documents Publicly Available

Governing documents and our 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.

Part VI, Line 15A Compensation Process For Top Officials

On an annual basis, Ballad Health's Human Resources (H/R) Department evaluates compensation for all executives at a position level of Assistant Vice President and above. The review includes LMH's CEO. H/R's evaluation is based on market data obtained from independent third-party consultants for positions with similar responsibilities at similarly situated organizations. Based on this comparable data, Ballad Health's President & CEO evaluates the data and submits his recommendations to Ballad Health's Board of Directors for their final review and approval.

Part VI, Line 15B Compensation Process for Officers

Similar to LMH's CEO, LMH's CFO receives compensation that complies with Ballad Health's salary policy. Her pay is set at a market percentile specific to her position as CFO of LMH.

Filing and Contact Details

Filer

Filer Name
Laughlin Memorial Hospital Inc
EIN
62-0701119
Phone
4233023374
Address
1021 W Oakland Avenue, Johnson City, TN 37604

Signing Officer

Name
Lindsay Haun
Title
CFO
Signed
2020-02-17

Organization Details

Principal Officer
Tammy Albright LMH CEO
Formed
1966
Legal Domicile
Tn
Voting Board Members
4
Independent Board Members
0
Employees
815
Volunteers
55
Supplemental Narrative

Additional Explanations

Other Changes In Net Assets Or Fund Balances - Other Decreases

Asset Transfer to Takoma Regional Hospital = -$62766289

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IRS990/Desc0Laughlin Memorial Hospital (LMH) is located in Greeneville, Tennessee. In addition to our 140-bed acute care hospital, we operate Laughlin Healthcare Center, a 90-bed skilled nursing facility. LMH is the owner of Nolichuckey Management Services, a physician medical practice. Laughlin Health Care Foundation is a supporting organization for the benefit of LMH.On June 30, 2017, Mountain States Health Alliance (MSHA) became the sole member of Laughlin Memorial Hospital. MSHA is a tax-exempt entity with operations primarily located in Washington, Sullivan, Unicoi, Greene, and Carter counties of Tennessee and Smyth, Wise, Dickenson, Russell and Washington counties of Virginia. Our hospital and MSHA have enjoyed a decades-long relationship and the merger allows LMH to expand services into areas where they are most needed.On February 1, 2018, MSHA merged with Wellmont Health System (WHS) to form Ballad Health. At merger, Ballad Health's board of directors became the governing body for MSHA (including LMH) and WHS. During 2019, Ballad Health approved a merger between LMH and Takoma Regional Hospital (TRH). On April 1, 2019, LMH merged into TRH (the surviving entity), which is owned by Ballad Health.LMH engages with numerous community groups to improve the overall health, education and economy of the communities we serve. A few of the service lines unique to LMH that are not offered by any other provider in the community include a cancer care program that is accredited by the American College of Surgeons Commission on Cancer, a dedicated cardiac catheterization lab, radiation oncology services, a bariatric surgery program and the areas only dedicated wheelchair clinic. Prior to officially merging, LMH and MSHA jointly opened an urgent care center to provide an access point for health care at a lower cost for the community. Patients can walk into an urgent care center without an appointment, quickly see a provider, and receive medical care in a convenient setting. The urgent care center also serves as a liaison between the patient and their primary care provider by informing the patients physician their patient is being treated, allowing the patients physician to follow up if needed. LMH routinely provides educational opportunities for various community and civic groups. We sponsor events throughout the year to raise funds for worthy causes such as Second Harvest Food Bank, RAM Eye Clinic, various support groups, transportation for wound care patients and a medication program to assist with filling prescriptions for discharged patients who cannot afford to fill their prescriptions. The hospitals pharmacy provided the local EMS agency with IV sets and solutions at no charge.Our diabetes educator presented community programs that provided guidance and informative materials to community members regarding the prevalence of diabetes, the risk factors for diabetes, and diabetes prevention and basic care. These events included a Winter Wellness Event and monthly Diabetes Support Group meetings. Additionally, members of this team are members of the Green County Health Council, and participate in the Councils monthly meetings. The hospital provides a meeting space and food each month for several local support groups. These include:Cancer Support Group, which averages nine attendees each monthThe Hope Chest, a breast cancer support group, which averages nine attendees each month.The hospital also often provides meeting space for other community groups/civic organizations at no charge, including the American Cancer Society Programs Look Good Feel Better monthly meetings, the weekly Morning Rotary Club, State Child Fatality Review, monthly Greene County Health Council, and quarterly Healthier TN Community Meetings.The rehabilitation department provides a Stroke Support Group for members of the community who are stroke survivors or family members/caretakers of stroke survivors. There is no cost for this program which meets each month with two to thre
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IRS990/Form990PartVIISectionAGrp/PersonNm0Alan Levine BH PresidentCEO
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IRS990/Form990PartVIISectionAGrp/PersonNm2Eric Deaton BH EVPCOO
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IRS990/Form990PartVIISectionAGrp/PersonNm5Lindsay Haun LMHTRH CFO
IRS990/Form990PartVIISectionAGrp/PersonNm6Tammy Albright LMHTRH CEO
IRS990/Form990PartVIISectionAGrp/PersonNm7Richard Pectol MD
IRS990/Form990PartVIISectionAGrp/PersonNm8Kyle Boren MD
IRS990/Form990PartVIISectionAGrp/PersonNm9Robert Northrop MD
IRS990/Form990PartVIISectionAGrp/PersonNm10Mark Patterson MD
IRS990/Form990PartVIISectionAGrp/PersonNm11Billy Parsley MD
IRS990/Form990PartVIISectionAGrp/PersonNm12Brenda Cannon
IRS990/Form990PartVIISectionAGrp/PersonNm13Mark Compton
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IRS990/PrincipalOfficerNm0Tammy Albright LMH CEO

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