Laughlin Memorial Hospital Inc

What it reported doing in 2018

Laughlin 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 thr

Financial Efficiency

• Mission deployment rate: 92.3%; rating input score 92
• Program expense ratio: 86.9%; rating input score 87
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 92.3%; rating input score 92; 11th percentile among comparable filings
• Pay-setting controls: 1 of 6 controls in place; rating input score 17
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: 73.6%; rating input score 74; 16th percentile among comparable filings
• Major donor itemization: Limited
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 0%; rating input score 0; 4th percentile among comparable filings
• Governance controls: 7 of 9 controls in place; rating input score 78
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Fail
  • Other executive compensation review process: Fail
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -3.9%; rating input score 12; 12th percentile among comparable filings
• Total-asset coverage ratio: 0; rating input score 0; 0th percentile among comparable filings
• Liabilities to assets ratio: Limited
• Officer compensation ratio: 6.8%; rating input score 7; 7th percentile among comparable filings

Growth

• Program expense growth: -2.5% per year; rating input score 0; 7th percentile among comparable filings
• Revenue growth: -2.3% per year; rating input score 0; 4th percentile among comparable filings
• Asset growth: -13.1% per year; rating input score 0; 1st percentile among comparable filings