WELLMONT HEALTH SYSTEM: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: WELLMONT HEALTH SYSTEM (EIN 62-1636465)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-10-03
IRS object ID: 201922769349301412
Schema version: 2017v2.3
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 K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-10-03T16:07:41-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	621636465	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WELLMONT HEALTH SYSTEM	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	WELL	BusinessNameControlTxt
Phone	4233023374	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1905 AMERICAN WAY	AddressLine1Txt
City	KINGSPORT	CityNm
State Abbreviation	TN	StateAbbreviationCd
ZIP	37660	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	LYNN KRUTAK	PersonNm
Person Title	EVP/CFO	PersonTitleTxt
Phone	4233023374	PhoneNum
Signature	2019-10-03	SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	151.102.241.104	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-10-03	IPDt
IP Tm	16:07:41	IPTm
IP Timezone	CD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	B63603CA6CC0E7A9B40672C01A3D6D8A952705BD	AtSubmissionCreationDeviceId
At Submission Filing Device Id	71F348B7DD509D270BDA3A07DDE8805BEDBD71B0	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	Yes (X)	AddressChangeInd
Amended Return	Yes (X)	AmendedReturnInd

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	BRISTOL REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	ALAN LEVINE	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	303 MEDTECH PARKWAY SUITE 300	AddressLine1Txt
City	JOHNSON CITY	CityNm
State Abbreviation	TN	StateAbbreviationCd
ZIP	37604	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$717,324,434	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	BALLADHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1996	FormationYr
Legal Domicile State	TN	LegalDomicileStateCd
Activity Or Mission	MISSION: HONOR THOSE WE SERVE BY DELIVERING THE BEST POSSIBLE CARE. VISION: TO BUILD A LEGACY OF SUPERIOR HEALTH BY LISTENING TO AND CARING FOR THOSE WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	6494	TotalEmployeeCnt
Total Volunteers	665	TotalVolunteersCnt
Total Gross UBI	$152,783	TotalGrossUBIAmt
PY Contributions Grants	$2,396,314	PYContributionsGrantsAmt
CY Contributions Grants	$3,048,673	CYContributionsGrantsAmt
PY Program Service Revenue	$713,674,085	PYProgramServiceRevenueAmt
CY Program Service Revenue	$672,218,873	CYProgramServiceRevenueAmt
PY Investment Income	$28,744,984	PYInvestmentIncomeAmt
CY Investment Income	$19,377,788	CYInvestmentIncomeAmt
PY Other Revenue	$14,741,380	PYOtherRevenueAmt
CY Other Revenue	$20,131,783	CYOtherRevenueAmt
PY Total Revenue	$759,556,763	PYTotalRevenueAmt
CY Total Revenue	$714,777,117	CYTotalRevenueAmt
PY Grants And Similar Paid	$314,640	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$158,533	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$287,376,932	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$306,603,651	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$384,031,455	PYOtherExpensesAmt
CY Other Expenses	$404,665,369	CYOtherExpensesAmt
PY Total Expenses	$671,723,027	PYTotalExpensesAmt
CY Total Expenses	$711,427,553	CYTotalExpensesAmt
PY Revenues Less Expenses	$87,833,736	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$3,349,564	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,103,175,235	TotalAssetsBOYAmt
Total Assets EOY	$1,026,995,312	TotalAssetsEOYAmt
Total Liabilities BOY	$556,440,451	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$484,905,481	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$546,734,784	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$542,089,831	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	OUR MISSION: HONOR THOSE WE SERVE BY DELIVERING THE BEST POSSIBLE CARE	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$607,038,406	ExpenseAmt
Grant	$158,533	GrantAmt
Revenue	$685,567,668	RevenueAmt
Desc	WELLMONT HEALTH SYSTEM (WHS) IS A TENNESSEE NOT-FOR-PROFIT ORGANIZATION SERVING THE RESIDENTS OF NORTHEAST TENNESSEE, SOUTHWEST VIRGINIA, SOUTHEASTERN KENTUCKY AND WESTERN NORTH CAROLINA. THE 1,155-BED HEALTH CARE ORGANIZATION, BASED IN KINGSPORT, TENNESSEE OPERATES 7 HOSPITALS SERVING A 29-COUNTY REGION. WHS OFFERS A LARGE TERTIARY HOSPITAL, SEVERAL COMMUNITY HOSPITALS AND A CRITICAL ACCESS HOSPITAL. FIVE OF OUR HOSPITALS ARE INCLUDED IN THIS FORM 990, WHILE TWO HOSPITALS (WHOLLY OWNED BY WHS) FILE SEPARATE RETURNS. IN ADDITION TO OUR ACUTE CARE HOSPITALS, WHS WHOLLY OWNS OR HAS OWNERSHIP INTEREST IN A NURSING HOME, AN ASSISTED LIVING FACILITY, PHYSICIAN PRACTICE ORGANIZATIONS, AMBULATORY SURGERY CENTERS AND OTHER HEALTH CARE BUSINESSES. (CONTINUED)	Desc
Total Program Service Expenses	$607,038,406	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	299	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	6494	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	Yes (true)	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	TN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	VA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	LYNN KRUTAK	PersonNm
Phone	4233023374	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	303 MED TECH PARKWAY SUITE 300	AddressLine1Txt
City	JOHNSON CITY	CityNm
State Abbreviation	TN	StateAbbreviationCd
ZIP	37604	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (41 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
ALAN LEVINE
BH PRES/CEO/	5.00	50.00	Yes (X)	Yes (X)	$0	$1,296,102	$183,940
STANLEY GALL MD
BOARD MEMBER	1.00	39.00	Yes (X)		$0	$681,340	$40,840
DAVID THOMPSON MD
BOARD MEMBER	1.00	39.00	Yes (X)		$0	$451,658	$28,977
BARBARA ALLEN
BOARD MEMBER	0.50	3.30	Yes (X)		$0	$0	$0
JULIE BENNETT
BOARD MEMBER	1.00	0.50	Yes (X)		$0	$0	$0
DAVID GOLDEN
BOARD MEMBER	0.40	1.60	Yes (X)		$0	$0	$0
DAVID LESTER
BOARD MEM/VI	1.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
DAVID MAY MD
BOARD MEMBER	0.50	2.50	Yes (X)		$0	$0	$0
SCOTT NISWONGER
BOARD MEMBER	0.40	1.60	Yes (X)		$0	$0	$0
BRIAN NOLAND
BOARD MEMBER	0.40	1.60	Yes (X)		$0	$0	$0
GARY PEACOCK
BOARD MEM/TR	0.50	6.60	Yes (X)	Yes (X)	$0	$0	$0
DOUGLAS SPRINGER MD
BOARD MEMBER	1.00	0.80	Yes (X)	Yes (X)	$0	$0	$0
KEITH WILSON
BOARD MEMBER	1.00	0.80	Yes (X)		$0	$0	$0
TERRY BEGLEY
BOARD MEMBER	1.00		Yes (X)		$0	$0	$0
DAVID CROCKETT SR
BOARD MEMBER	1.00		Yes (X)		$0	$0	$0
WAYNE KENNEDY
BOARD MEMBER	1.00		Yes (X)		$0	$0	$0
RAVAN KRICKBAUM
BOARD MEMBER	1.00		Yes (X)		$0	$0	$0
ROGER LEONARD
BOARD MEMBER	1.00		Yes (X)		$0	$0	$0
ROGER MOWEN
BOARD MEMBER	1.00		Yes (X)		$0	$0	$0
GLEN SKINNER
BOARD MEMBER	1.00		Yes (X)		$0	$0	$0
WILLIAM SMITH MD
BOARD MEMBER	1.00		Yes (X)		$0	$0	$0
DAVID SPARKS MD
BOARD MEMBER	1.00		Yes (X)		$0	$0	$0
TED WOOD
BOARD MEMBER	1.00		Yes (X)		$0	$0	$0
JANET PICKSTOCK MD
BOARD MEMBER	1.00		Yes (X)		$0	$0	$0
BARTON HOVE RETIRED 1312018
WHS PRESIDEN	31.90	0.10		Yes (X)	$1,219,926	$0	$49,559
LYNN KRUTAK
EVP/CFO	0.10	54.90		Yes (X)	$0	$587,884	$88,257
TODD DOUGAN END 4302018
EVP/CFO-WHS	44.90	0.10		Yes (X)	$488,418	$0	$36,727
ERIC DEATON
SR VP MARKET	49.90	0.10			$604,699	$0	$33,673	Yes (X)
TIMOTHY ATTEBERY
PRESIDENT/CE	45.00				$436,652	$0	$36,021	Yes (X)
GREG NEAL
PRESIDENT-NE	45.00				$417,443	$0	$34,868	Yes (X)
ROBERT BENDER
CFO NORTHEAS	45.00				$417,149	$0	$17,568	Yes (X)
FRED PELLE END 462018
VP/COO-HVMC	45.00				$291,238	$0	$25,878	Yes (X)
LISA SMITHGALL
SVP-SYSTEM C	45.00				$208,263	$0	$18,645	Yes (X)
CHRISTOPHER HOBSON
VP/COO-BRMC	45.00				$206,792	$0	$27,207	Yes (X)
TIM ANDERSON
VP PATIENT C	45.00				$203,464	$0	$24,222	Yes (X)
REBECCA BECK
VP/COO-HVMC	45.00				$180,488	$0	$25,104	Yes (X)
DAVID PRYPUTNIEWICZ MD
STAFF PHYSIC	40.00				$675,146	$0	$31,164		Yes (X)
KELLY OGGERO MD
STAFF PHYSIC	40.00				$368,146	$0	$28,313		Yes (X)
ANDREW KRAMER MD
STAFF PHYSIC	40.00				$265,968	$0	$21,447		Yes (X)
ELIZABETH JACKSON MD
STAFF PHYSIC	40.00				$253,160	$0	$22,763		Yes (X)
JOHN EHRENFRIED MD
STAFF PHYSIC	40.00				$243,537	$0	$20,413		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,480,489	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,016,984	TotReportableCompRltdOrgAmt
Total Other Compensation	$795,586	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	208	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
QUEST DIAGNOSTICS
1201 S COLLEGEVILLE ROAD	COLLEGEVILLE	PA	19426	LAB SERVICES	$11,743,865
SODEXO INC & AFFILIATES
P O BOX 536922	ATLANTA	GA	303536922	MANAGEMENT SVCS	$9,431,135
EPIC SYSTEMS CORPORATION
1979 MILKY WAY	VERONA	WI	532880314	SOFTWARE	$4,849,979
ETSU PHYSICIANS & ASSOCIATES
P O BOX 699	MOUNTAIN HOME	TN	37684	PHYSICIAN FEES	$3,014,474
BAKER DONELSON BEARMAN & CALDWELL
PO BOX 14167	JACKSON	MS	39236	LEGAL SERVICES	$2,840,272

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	131	CntrctRcvdGreaterThan100KCnt
Related Organizations	$3,010,375	RelatedOrganizationsAmt
Government Grants	$38,298	GovernmentGrantsAmt
Total Contributions	$3,048,673	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE	622110	$668,506,226	$668,506,226
340B REVENUE	531110	$2,557,289	$2,557,289
MARSH BLOOD BANK	622110	$2,373,545	$2,373,545
P/S ORDINARY INCOME & INT	622110	$446,605	$446,605
RENT TO EXEMPT AFFILIATES	541900	$100,566	$100,566

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,765,358	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$1,765,358	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$672,218,873	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,974,696	TotalRevenueColumnAmt
Related Or Exempt Func Income	$26,775	RelatedOrExemptFuncIncomeAmt
Exclusion	$10,947,921	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,814,912	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$2,545,170	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$269,742	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$269,742	TotalRevenueColumnAmt
Exclusion	$269,742	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$8,266,601	SecuritiesAmt
Other	$138,638	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$2,147	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$8,266,601	SecuritiesAmt
Other	$136,491	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,403,092	TotalRevenueColumnAmt
Related Or Exempt Func Income	$124,103	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$12,388	UnrelatedBusinessRevenueAmt
Exclusion	$8,266,601	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA VENDING	900099	$3,497,775	$3,497,775
MEDICAL LAUNDRY SERVICES	900099	$2,351,067	$2,351,067
TRAUMA READINESS	900099	$598,428		$598,428

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,414,771	TotalRevenueColumnAmt
Related Or Exempt Func Income	$12,599,489	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$140,395	UnrelatedBusinessRevenueAmt
Exclusion	$674,887	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$19,862,041	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$714,777,117	TotalRevenueColumnAmt
Related Or Exempt Func Income	$685,567,668	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$152,783	UnrelatedBusinessRevenueAmt
Exclusion	$26,007,993	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$158,533	TotalAmt
Program Services	$158,533	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$6,650,750	TotalAmt
Management And General	$6,650,750	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$243,711,834	TotalAmt
Program Services	$212,576,071	ProgramServicesAmt
Management And General	$31,135,763	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$7,243,172	TotalAmt
Program Services	$6,762,799	ProgramServicesAmt
Management And General	$480,373	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$32,364,049	TotalAmt
Program Services	$27,859,819	ProgramServicesAmt
Management And General	$4,504,230	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$16,633,846	TotalAmt
Program Services	$14,118,581	ProgramServicesAmt
Management And General	$2,515,265	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$3,203,433	TotalAmt
Management And General	$3,203,433	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,224,350	TotalAmt
Management And General	$2,224,350	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$499,936	TotalAmt
Management And General	$499,936	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$67,158	TotalAmt
Management And General	$67,158	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$807,432	TotalAmt
Management And General	$807,432	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$106,165,229	TotalAmt
Program Services	$98,705,539	ProgramServicesAmt
Management And General	$7,459,690	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$867,444	TotalAmt
Management And General	$867,444	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$17,261,207	TotalAmt
Program Services	$13,656,644	ProgramServicesAmt
Management And General	$3,604,563	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,829,615	TotalAmt
Management And General	$2,829,615	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$37,529,267	TotalAmt
Program Services	$20,750,465	ProgramServicesAmt
Management And General	$16,778,802	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,391,531	TotalAmt
Program Services	$771,524	ProgramServicesAmt
Management And General	$620,007	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$29,580	TotalAmt
Program Services	$24,297	ProgramServicesAmt
Management And General	$5,283	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$8,698,260	TotalAmt
Program Services	$7,547,756	ProgramServicesAmt
Management And General	$1,150,504	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$54,523,390	TotalAmt
Program Services	$51,797,220	ProgramServicesAmt
Management And General	$2,726,170	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,581,885	TotalAmt
Management And General	$1,581,885	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
DRUGS & MEDICAL SUPPLIES	$148,036,276	$148,036,276
RESRV FOR PROF LIABILITY	$10,000,000		$10,000,000
PROPERTY TAXES	$1,618,000		$1,618,000
RETENTION & RECRUITMENT	$1,271,396	$1,203,868	$67,528

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,059,980	TotalAmt
Program Services	$3,069,014	ProgramServicesAmt
Management And General	$2,990,966	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$711,427,553	TotalAmt
Program Services	$607,038,406	ProgramServicesAmt
Management And General	$104,389,147	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$484,006	BOYAmt
EOY	$12,780	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$48,473,973	BOYAmt
EOY	$34,371,800	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$135,064,752	BOYAmt
EOY	$86,068,997	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$15,000	BOYAmt
EOY	$49,389	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
EOY	$4,363,227	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$14,790,777	BOYAmt
EOY	$15,000,936	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$10,726,164	BOYAmt
EOY	$10,026,166	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,173,470,315	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$781,201,971	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$404,607,170	BOYAmt
EOY	$392,268,344	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$438,290,966	BOYAmt
EOY	$413,789,540	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$6,957,886	BOYAmt
EOY	$6,919,097	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$37,626,739	BOYAmt
EOY	$37,626,739	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$6,137,802	BOYAmt
EOY	$26,498,297	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,103,175,235	BOYAmt
EOY	$1,026,995,312	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$67,466,665	BOYAmt
EOY	$74,666,271	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$430,254,350	BOYAmt
EOY	$268,039,990	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$9,253,522	BOYAmt
EOY	$15,346,632	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$49,465,914	BOYAmt
EOY	$126,852,588	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$556,440,451	BOYAmt
EOY	$484,905,481	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$546,734,784	BOYAmt
EOY	$542,089,831	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$546,734,784	BOYAmt
EOY	$542,089,831	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,103,175,235	BOYAmt
EOY	$1,026,995,312	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$3,349,564	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$8,899,058	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	-$4,011,393	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$12,882,182	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$122,285	FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$122,285	FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$703,093,251	FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$703,215,536	FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,000,000	FilingOrganizationsTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$1,000,000	CurrentYearMinus3Amt
Current Year Minus2	$1,000,000	CurrentYearMinus2Amt
Current Year Minus1	$1,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$4,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$146,182	CurrentYearMinus3Amt
Current Year Minus2	$147,507	CurrentYearMinus2Amt
Current Year Minus1	$141,237	CurrentYearMinus1Amt
Current Year	$122,285	CurrentYearAmt
Total	$557,211	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$250,000	CurrentYearMinus3Amt
Current Year Minus2	$250,000	CurrentYearMinus2Amt
Current Year Minus1	$250,000	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$1,000,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$107,181	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$30,274,205	OtherCostOrOtherBasisAmt
Book Value	$30,381,386	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$536,354,452	OtherCostOrOtherBasisAmt
Depreciation	$310,333,282	DepreciationAmt
Book Value	$226,021,170	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,514,305	OtherCostOrOtherBasisAmt
Depreciation	$3,624,354	DepreciationAmt
Book Value	$6,889,951	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$433,293,617	OtherCostOrOtherBasisAmt
Depreciation	$357,996,273	DepreciationAmt
Book Value	$75,297,344	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$162,926,555	OtherCostOrOtherBasisAmt
Depreciation	$109,248,062	DepreciationAmt
Book Value	$53,678,493	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$392,268,344	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (11 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$110,422,889
SELF-INSURANCE	$11,089,772
WORKERS COMP INS.	$10,685,482
RESERVE FOR PROFESSIONAL LIABILITY	$10,000,000
DUE TO THIRD PARTY PAYORS	$4,350,261
FIN 47 RETIREMENT OBLIGATION	$3,356,449
POST RETIREMENT BENEFITS	$1,623,226
DEFINED BENEFITS PENSION LIABILITY	$1,354,540
DEFERRED GAIN	$360,549
LIABILITY INSURANCE CAPTIVE ADJUSTMT	-$11,089,772
DUE TO AFFILIATES CAPTIVE ADJUSTMENT	-$15,300,808

Field	Value	IRS element (for citing)
Total Liability	$126,852,588	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PAGE 3, PART X	FormAndLineReferenceDesc
Explanation	WELLMONT HEALTH SYSTEM IS INCLUDED IN THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF BALLAD HEALTH. THE FOOTNOTE EXPLANATION RELATIVE TO INCOME TAXES READS: "BALLAD IS CLASSIFIED AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS SUCH, NO PROVISION FOR FEDERAL INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS FOR BALLAD AND ITS TAX- EXEMPT SUBSIDIARIES. BALLAD'S TAXABLE SUBSIDIARIES ARE DISCUSSED IN NOTE L. BALLAD HAS NO SIGNIFICANT UNCERTAIN TAX POSITIONS AT JUNE 30, 2018. AT JUNE 30, 2018, TAX RETURNS FOR MSHA AND WHS FOR 2015 THROUGH 2017 ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE."	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	2.250000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	4.500000000000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,579,321	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$26,579,321	NetCommunityBenefitExpnsAmt
Total Expense	0.03740	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$71,759,855	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$53,249,768	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,510,087	NetCommunityBenefitExpnsAmt
Total Expense	0.02600	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$98,339,176	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$53,249,768	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$45,089,408	NetCommunityBenefitExpnsAmt
Total Expense	0.06340	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,968,991	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$157,947	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,811,044	NetCommunityBenefitExpnsAmt
Total Expense	0.00540	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,198,859	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,975,850	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,223,009	NetCommunityBenefitExpnsAmt
Total Expense	0.01300	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$66,031	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$66,031	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$203,836	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$203,836	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,437,717	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,133,797	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,303,920	NetCommunityBenefitExpnsAmt
Total Expense	0.01870	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$116,776,893	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$58,383,565	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$58,393,328	NetCommunityBenefitExpnsAmt
Total Expense	0.08210	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,500	NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,110	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,110	NetCommunityBenefitExpnsAmt

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,021	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,021	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,950	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$13,950	NetCommunityBenefitExpnsAmt

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,500	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$27,081	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$27,081	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$38,147,406	BadDebtExpenseAmt
Reimbursed By Medicare	$182,735,174	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$169,925,375	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$12,809,799	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
HOLSTON VALLEY AMBUL
SURGICAL SERVICES	0.52000	0.48000
SAPLING GROVE AMBUL
SURGICAL SERVICES	0.65000	0.35000

Field	Value	IRS element (for citing)
Hospital Facilities	5	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (5 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	Critical Access HospitalCriticalAccessHospitalInd
HOLSTON VALLEY MEDICAL CENTER
1	130 RAVINE STREET	KINGSPORT	TN	37660	BALLADHEALTH.ORG/LOCATIONSHOSPITALS	0000000133	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
BRISTOL REGIONAL MEDICAL CENTER
2	1 MEDICAL PARK BLVD	BRISTOL	TN	37620	BALLADHEALTH.ORG/LOCATIONSHOSPITAL	0000000131	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
LONESOME PINE HOSPITAL
3	1990 HOLTON AVENUE	BIG STONE GAP	VA	24219	BALLADHEALTH.ORG/LOCATIONSHOSPITAL	H 1915	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
MOUNTAIN VIEW REGIONAL MEDICAL CTR
4	310 3RD STREET NE	NORTON	VA	24273	BALLADHEALTH.ORG/LOCATIONSHOSPITAL	H 1930	Yes (X)	Yes (X)		Yes (X)	A
HANCOCK COUNTY HOSPITAL
5	1519 MAIN STREET	SNEEDVILLE	TN	37869	BALLADHEALTH.ORG/LOCATIONSHOSPITAL	0000000165	Yes (X)			Yes (X)	A	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	12345	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	BALLADHEALTH.ORG/LOCATIONSHOSPITALS	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	BALLADHEALTH.ORG/LOCATIONSHOSPITALS	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	225.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	450.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	BALLADHEALTH.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	BALLADHEALTH.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	BALLADHEALTH.ORG	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
GROUP A, FACILITY 1, HOLSTON VALLEY MEDICAL CENTER - PART V, LINE 3E	THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR WELLMONT HEALTH SYSTEM, CONDUCTED IN 2016, PROVIDED A BROAD OVERVIEW OF THE HEALTH STATUS OF THE COMMUNITY SERVED, REVEALING THAT THE REGION SUFFERS FROM HIGHER RATES OF DIABETES, CARDIOVASCULAR DISEASE, AND BEHAVIOR RELATED CANCERS (RELATED TO SMOKING, OBESITY, SEDENTARY LIFESTYLES, ETC.). THAT ASSESSMENT WAS POSTED PUBLICLY AND HAS BEEN USED IN THE INTERVENING YEARS TO SHAPE THE PRIORITIZED COMMUNITY BENEFIT INVESTMENTS MADE BY THE SYSTEM TO PARTNER WITH COMMUNITY ORGANIZATIONS. SUCH INVESTMENTS HAVE FUNDED PROGRAMS SUCH AS HEALTHY KINGSPORT, AN ORGANIZATION FOCUSED ON INCREASING PHYSICAL ACTIVITY AND REDUCING TOBACCO USE, TWO OF THE PRIMARY BEHAVIORS THAT DRIVE POOR HEALTH AND ADVERSE HEALTH OUTCOMES IN OUR REGION. WELLMONT PROVIDED FUNDING TO MANY OTHER NONPROFIT ORGANIZATIONS SUCH AS: -REGIONAL YMCAS TO ENACT AFTER SCHOOL PROGRAMS WITH THE SIMILAR GOAL TO REDUCE CHILDHOOD OBESITY AND PREVENT TOBACCO USE -EAST TENNESSEE FOUNDATION TO BENEFIT ALZHEIMER'S PATIENT CARE AND/OR CAREGIVER SUPPORT THROUGH THE PAT SUMMITT FOUNDATION -CANCER OUTREACH FOUNDATION TO BENEFIT CANCER PATIENTS NEEDING ASSISTANCE WITH TRANSPORTATION TO APPOINTMENTS/TREATMENTS, MEDICATION COSTS, COUNSELING AND OTHER SERVICES -CRUMLEY HOUSE: PROVIDER OF A DAY PROGRAM AND A RESIDENTIAL PROGRAM TAILORED TO THE NEEDS OF INDIVIDUALS WHO HAVE SUSTAINED A BRAIN INJURY -WAITING TO HEAR: A LOCAL NONPROFIT DEDICATED TO HELPING DEAF CHILDREN -APPALACHIAN COLLEGE OF PHARMACY: DOCTOR OF PHARMACY PROGRAM THAT ALSO PROVIDES COMMUNITY OUTREACH -PROVIDENCE MEDICAL CLINIC: FREE MEDICAL CARE SERVING PEOPLE BELOW POVERTY GUIDELINES IN SULLIVAN COUNTY WITH ACUTE & PRIMARY MEDICAL CARE -HOLY FRIENDSHIP SUMMIT: A 2 1/2 DAY PROGRAM FOCUSING ON SUPPORT AND TREATMENT OPTIONS FOR PERSONS DEALING WITH AN ADDICTION -FRIENDS IN NEED: PRIMARY CARE AND DENTAL CARE STAFFED BY VOLUNTEER PHYSICIANS AND OTHER HEALTHCARE PROFESSIONALS FOR LOW-INCOME RESIDENTS -NUMEROUS OTHER DONATIONS TO LOCAL NONPROFITS SERVING VULNERABLE POPULATIONS IN OUR AREA FINANCIAL CONTRIBUTIONS WERE MADE THIS YEAR TO OTHER NONPROFIT ORGANIZATIONS PROVIDING COMMUNITY SERVICES THAT SUPPORT THE HOSPITAL'S CHNA. FORM 990 PART III, LINE 4A (REPORTED ON SCHEDULE O) PROVIDES INFORMATION RELATED TO OUR CONTRIBUTIONS. THE CHNA CONTINUES TO INFORM PROGRAMMATIC INVESTMENTS MADE BY THE HEALTH SYSTEM TO SUPPORT EFFORTS SUCH AS OUR PARISH NURSING PROGRAM AND NURSE CONNECT, AS THESE ARE RESOURCE PROGRAMS WHICH HELP TO EDUCATE THE COMMUNITY ON THE EFFECTS OF HEALTH CHOICES AND THEIR RELATIONSHIP TO HEALTH STATUS. NURSE CONNECT, A DEPARTMENT OF WELLMONT HEALTH SYSTEM, IS A 24/7 TOLL-FREE PHONE LINE AVAILABLE TO EAST TENNESSEE AND SOUTHWEST VIRGINIA RESIDENTS THAT CONNECTS CALLERS WITH EXPERIENCED NURSES AROUND THE CLOCK WHO PROVIDE MEDICAL ADVICE, MAKE REFERRALS TO PRIMARY CARE PROVIDERS OR PHYSICIAN SPECIALISTS, PROVIDE HEALTH INFORMATION AND RESOURCES INCLUDING HEALTH SCREENINGS AND IMMUNIZATIONS, AND PROVIDE INFORMATION ON URGENT CARE CLINIC LOCATIONS.
GROUP A, FACILITY 1, HOLSTON VALLEY MEDICAL CENTER - PART V, LINE 5	INFORMATION FOR THE CHNA ASSESSMENT WAS GATHERED FROM A VARIETY OF SOURCES, INCLUDING: -PHYSICIAN NEEDS ASSESSMENT -COMMUNITY HEALTH FACILITY ASSESSMENT -MENTAL HEALTH NEEDS ASSESSMENT -PUBLICLY AVAILABLE POPULATION AND DEMOGRAPHIC INFORMATION -PUBLICLY AVAILABLE POPULATION HEALTH INFORMATION, INCLUDING AMERICA'S HEALTH RANKINGS AND THE COUNTY HEALTH RANKINGS -STATE AND REGIONAL HEALTH DEPARTMENT DATA -THE SOUTHWEST VIRGINIA HEALTH AUTHORITY'S BLUEPRINT FOR HEALTH ENABLED PROSPERITY -THE ETSU, WELLMONT, MOUNTAIN STATES COMMUNITY WORK GROUP PROJECT -OTHER STUDIES SIGNIFICANT INFORMATION WAS GLEANED FROM A PROCESS CONDUCTED BY THE ETSU COLLEGE OF PUBLIC HEALTH AND SUPPORTED BY BOTH WELLMONT HEALTH SYSTEM AND MOUNTAIN STATES HEALTH ALLIANCE. COMMUNITY WORKGROUPS WERE FORMED, INVOLVING A CROSS SECTION OF SUBJECT MATTER EXPERTS TO ASSESS REGIONAL HEALTH NEEDS, INCLUDING THOSE OF UNDERSERVED PEOPLE, FAMILIES, CHILDREN AND THOSE SUFFERING FROM MENTAL HEALTH AND SUBSTANCE ABUSE CHALLENGES. REGIONAL MEETINGS WERE ALSO HELD WHICH INCLUDED REPRESENTATIVES OF THE COMMUNITY AT LARGE AND MINORITIES OR AGENCIES SERVING THEM. FINDINGS FROM THIS WORK WERE TAKEN INTO ACCOUNT IN BOTH THE ASSESSMENT AND IMPLEMENTATION PLAN. THE INFORMATION WAS THEN COLLATED AND ASSESSED TO DETERMINE THE GREATEST UNMET HEALTH NEEDS FACING OUR REGION. STRATEGIES TO ADDRESS THESE NEEDS WERE THEN DEVELOPED, UTILIZING INTERNAL RESOURCES AND PARTNERSHIPS WITH OTHER HEALTH CARE ORGANIZATIONS AND PHYSICIANS.
GROUP A, FACILITY 1, HOLSTON VALLEY MEDICAL CENTER - PART V, LINE 6A	- BRISTOL REGIONAL MEDICAL CENTER - LONESOME PINE HOSPITAL - HAWKINS COUNTY MEMORIAL HOSPITAL - HANCOCK COUNTY HOSPITAL - MOUNTAIN VIEW REGIONAL MEDICAL CENTER
GROUP A, FACILITY 1, HOLSTON VALLEY MEDICAL CENTER - PART V, LINE 11	KEY FINDINGS NOTED DURING THE CHNA WERE THE LOW RANKINGS OF THE COUNTIES WE SERVE IN SEVERAL CATEGORIES RELATED TO HEALTH AND WELLNESS, INCLUDING PREVALENCE OF CHRONIC DISEASE MANAGEMENT, TOBACCO USE, DIET AND EXERCISE, AS WELL AS A NEED FOR EXPANDED AND ENHANCED MENTAL HEALTH SERVICES. WELLMONT ENGAGED THE COMMUNITY IN A MYRIAD OF ACTIVITIES DEVELOPED TO ADDRESS THE MOST PREVALENT HEALTH NEEDS IN OUR SERVICE AREA. SOME OF OUR PROGRAMS THIS YEAR INCLUDE: -DIABETES EDUCATION. NUMEROUS PRESENTATIONS WERE PROVIDED (FREE OF CHARGE) TO DISCUSS PREVENTATIVE MEASURES. WE ALSO PARTICIPATED IN A CARDIOVASCULAR PROGRAM. DIABETES FIELD TRIPS FOR LOCAL TEACHERS TOOK PLACE AND MANY RADIO SPOTS DISCUSSED DIABETES AWARENESS AND PREVENTION, INCLUDING WEIGHT LOSS TOPICS. OUR TEAM MEMBERS ARE INVOLVED WITH A LOCAL DIABETES ASSOCIATION SUPPORT GROUP AND HVMC PROVIDES FREE MEETING SPACE FOR THE KINGSPORT DIABETES ASSOCIATION'S MONTHLY MEETINGS. -OUR TRAUMA TEAM REMAINED VERY ACTIVE THROUGHOUT FY2018. THEY OFFERED EMERGENCY PREPAREDNESS AND "STOP THE BLEED" COURSES TO TEACH PEOPLE HOW TO RESPOND TO POTENTIAL LIFE-THREATENING BLOOD LOSS. RADIO SEGMENTS COVERED INJURY PREVENTION AND OTHER TOPICS RELATED TO TRAUMA EVENTS. -WE OFFERED A SUPPORT GROUP FOR PEOPLE WHO HAVE UNDERGONE BARIATRIC WEIGHT-LOSS SURGERY AND THOSE CONSIDERING THE PROCEDURE. TO ADDRESS THE HIGH OBESITY RATE IN OUR COMMUNITY, WHICH OFTEN RESULTS IN DIABETES, HOLSTON VALLEY MEDICAL CENTER (HVMC) OPERATES A COMPREHENSIVE WEIGHT MANAGEMENT CENTER. THE CENTER OFFERS WEIGHT LOSS SOLUTIONS BY A HIGHLY TRAINED STAFF, WEIGHT-LOSS RESOURCES AND TIPS TO HELP PATIENTS SUCCEED LONG-TERM. THE CENTER ALSO OFFERS A SUPPORT GROUP FOR PEOPLE WHO HAVE HAD BARIATRIC SURGERY. HOLSTON VALLEY MEDICAL CENTER OPERATES A DIABETES TREATMENT CENTER. THE CENTER OFFERS DIABETES SERVICES AND FREE EDUCATIONAL PROGRAMS. DIETITIANS, NURSES AND CERTIFIED DIABETES EDUCATORS TEACH ABOUT TOPICS SUCH AS PREPARING NUTRITIOUS MEALS, TRACKING BLOOD SUGAR, REDUCING DIABETES' LONG- TERM EFFECTS, AND OTHER DIABETES RELATED TOPICS. WELLMONT HEALTH SYSTEM INCLUDES THE HOSPITALS REPORTED IN THIS FORM 990 AND ITS CORPORATE DEPARTMENT. MOST OF THE CHARITABLE DONATIONS MADE DURING THE YEAR ARE REPORTED IN THE CORPORATE DEPARTMENT RATHER THAN BY ONE OF THE HOSPITALS. MORE DETAIL OF WELLMONT HEALTH SYSTEM'S CHARITABLE DONATIONS DURING THE YEAR IS REPORTED IN THE FORM 990, PART III NARRATIVE INCLUDED IN SCHEDULE O. MANY ADDITIONAL COMMUNITY NEEDS EXIST IN OUR REGION. IT IS FISCALLY IMPOSSIBLE FOR A HOSPITAL TO ADDRESS EVERY HEALTH NEED IN A COMMUNITY, WHICH IS WHY THE CHNA PROCESS IS USED TO IDENTIFY AND PRIORITIZE AREAS OF FOCUS. A THOUGHTFUL CHNA EVALUATES OVERALL COMMUNITY HEALTH NEEDS TO DETERMINE WHICH ONES THE HOSPITAL CAN BEST INFLUENCE IN A POSITIVE WAY. CONSIDERATION IS GIVEN TO OTHER ORGANIZATIONS IN THE HOSPITAL'S GEOGRAPHIC AREA THAT ALREADY OFFER SERVICES ADDRESSING SPECIFIC HEALTH NEEDS. IN SOME CASES, IT IS BEST TO SIMPLY SUPPORT AN IDENTIFIED HEALTH NEED THROUGH A FINANCIAL DONATION TO ANOTHER NONPROFIT ORGANIZATION SKILLED IN CERTAIN AREAS: TEEN PREGNANCY, DENTAL HEALTH, FIGHTING HOMELESSNESS, ETC. HOSPITALS ALSO LEND SUPPORT TO OTHER NONPROFIT ORGANIZATIONS BY SERVING ON THEIR BOARDS, COMMITTEES, AND ASSISTING WITH FUNDRAISING EFFORTS.
GROUP A, FACILITY 1, HOLSTON VALLEY MEDICAL CENTER - PART V, LINE 13H	BALLAD HEALTH'S FINANCIAL ASSISTANCE POLICY ALLOWS FOR SOME EXCEPTIONS TO STRICTLY ADHERING TO FEDERAL POVERTY GUIDELINES WHEN AWARDING FINANCIAL ASSISTANCE. UNIQUE CIRCUMSTANCES MAY BE WEIGHED AND ASSESSED FOR FINANCIAL ASSISTANCE CONSIDERATION ON A CASE-BY-CASE BASIS. ALSO, THERE ARE SOME SERVICES WHERE FINANCIAL ASSISTANCE MAY BE PROVIDED OUTSIDE OF FEDERAL POVERTY GUIDELINES. THESE ARE NOTED IN BALLAD HEALTH'S FINANCIAL ASSISTANCE POLICY.
GROUP A, FACILITY 2, BRISTOL REGIONAL MEDICAL CENTER - PART V, LINE 5	INFORMATION FOR THE CHNA ASSESSMENT WAS GATHERED FROM A VARIETY OF SOURCES, INCLUDING: -PHYSICIAN NEEDS ASSESSMENT -COMMUNITY HEALTH FACILITY ASSESSMENT -MENTAL HEALTH NEEDS ASSESSMENT -PUBLICLY AVAILABLE POPULATION AND DEMOGRAPHIC INFORMATION -PUBLICLY AVAILABLE POPULATION HEALTH INFORMATION, INCLUDING AMERICA'S HEALTH RANKINGS AND THE COUNTY HEALTH RANKINGS -STATE AND REGIONAL HEALTH DEPARTMENT DATA -THE SOUTHWEST VIRGINIA HEALTH AUTHORITY'S BLUEPRINT FOR HEALTH ENABLED PROSPERITY -THE ETSU, WELLMONT, MOUNTAIN STATES COMMUNITY WORK GROUP PROJECT -OTHER STUDIES SIGNIFICANT INFORMATION WAS GLEANED FROM A PROCESS CONDUCTED BY THE ETSU COLLEGE OF PUBLIC HEALTH AND SUPPORTED BY BOTH WELLMONT HEALTH SYSTEM AND MOUNTAIN STATES HEALTH ALLIANCE. COMMUNITY WORKGROUPS WERE FORMED, INVOLVING A CROSS SECTION OF SUBJECT MATTER EXPERTS TO ASSESS REGIONAL HEALTH NEEDS, INCLUDING THOSE OF UNDERSERVED PEOPLE, FAMILIES, CHILDREN AND THOSE SUFFERING FROM MENTAL HEALTH AND SUBSTANCE ABUSE CHALLENGES. REGIONAL MEETINGS WERE ALSO HELD WHICH INCLUDED REPRESENTATIVES OF THE COMMUNITY AT LARGE AND MINORITIES OR AGENCIES SERVING THEM. FINDINGS FROM THIS WORK WERE TAKEN INTO ACCOUNT IN BOTH THE ASSESSMENT AND IMPLEMENTATION PLAN. THE INFORMATION WAS THEN COLLATED AND ASSESSED TO DETERMINE THE GREATEST UNMET HEALTH NEEDS FACING OUR REGION. STRATEGIES TO ADDRESS THESE NEEDS WERE THEN DEVELOPED, UTILIZING INTERNAL RESOURCES AND PARTNERSHIPS WITH OTHER HEALTH CARE ORGANIZATIONS AND PHYSICIANS.
GROUP A, FACILITY 2, BRISTOL REGIONAL MEDICAL CENTER - PART V, LINE 6A	- HOLSTON VALLEY MEDICAL CENTER - LONESOME PINE HOSPITAL - HAWKINS COUNTY MEMORIAL HOSPITAL - HANCOCK COUNTY HOSPITAL - MOUNTAIN VIEW REGIONAL MEDICAL CENTER
GROUP A, FACILITY 2, BRISTOL REGIONAL MEDICAL CENTER - PART V, LINE 11	KEY FINDINGS NOTED DURING THE CHNA WERE THE LOW RANKINGS OF THE COUNTIES WE SERVE IN SEVERAL CATEGORIES RELATED TO HEALTH AND WELLNESS, INCLUDING PREVALENCE OF CHRONIC DISEASE MANAGEMENT, TOBACCO USE, DIET AND EXERCISE, AS WELL AS A NEED FOR EXPANDED AND ENHANCED MENTAL HEALTH SERVICES. THE FINDINGS ALSO EMPHASIZED THE VULNERABILITY OF OUR UNDERINSURED AND UNINSURED POPULATIONS, AND THAT IF OUR COMMUNITIES ARE TO THRIVE, WE MUST FOCUS ON ENCOURAGING HEALTHY CHILDREN AND FAMILIES. TO HELP MEET THESE NEEDS, WELLMONT WILL CONTINUE TO STRENGTHEN OUR PARTNERSHIPS AND CONTINUUM OF CARE OPPORTUNITIES WITH AREA HEALTH DEPARTMENTS, FEDERALLY QUALIFIED HEALTH CENTERS AND FRONTIER HEALTH, THE REGION'S LEADING PROVIDER OF BEHAVIORAL HEALTH SERVICES. BRISTOL REGIONAL MEDICAL CENTER OPERATES A DIABETES TREATMENT CENTER. THE CENTER OFFERS DIABETES SERVICES AND FREE EDUCATIONAL PROGRAMS. DIETITIANS, NURSES AND CERTIFIED DIABETES EDUCATORS TEACH ABOUT TOPICS SUCH AS PREPARING NUTRITIOUS MEALS, TRACKING BLOOD SUGAR, REDUCING DIABETES' LONG- TERM EFFECTS, AND OTHER DIABETES RELATED TOPICS. OUR DIABETES EXPO DRAWS UPWARDS OF 300 COMMUNITY MEMBERS EACH YEAR TO LEARN ABOUT DIABETES AND RECEIVE FREE SCREENINGS, INCLUDING FOOT, EYE, KIDNEY, AND GLUCOSE. THE COST TO PROVIDE THESE FREE SERVICES WAS 122,423 THIS YEAR. IN FY2018 BRISTOL REGIONAL MEDICAL CENTER PROVIDED MEDICAL SUPPLIES TO HEALING HANDS, A NONPROFIT HEALTH CENTER THAT PROVIDES ON-SITE PRIMARY CARE AND DENTAL CARE TO THE WORKING UNINSURED AND UNDERINSURED. OUR COST FOR THESE SUPPLIES WAS JUST UNDER 6,000. ON OCCASION, HOSPITAL STAFF PROVIDE SERVICES TO THE COURT JUDGE RELATIVE TO CLINICAL REVIEWS OF FOSTER CARE AND STAFF MEETINGS WITH CHILDREN AND FAMILIES. THE HOSPITAL HELD AN ORGAN DONOR AWARENESS EVENT TO BRING ATTENTION TO THE NEED FOR REGISTERED DONORS.
GROUP A, FACILITY 3, LONESOME PINE HOSPITAL - PART V, LINE 5	INFORMATION FOR THE CHNA ASSESSMENT WAS GATHERED FROM A VARIETY OF SOURCES, INCLUDING: -PHYSICIAN NEEDS ASSESSMENT -COMMUNITY HEALTH FACILITY ASSESSMENT -MENTAL HEALTH NEEDS ASSESSMENT -PUBLICLY AVAILABLE POPULATION AND DEMOGRAPHIC INFORMATION -PUBLICLY AVAILABLE POPULATION HEALTH INFORMATION, INCLUDING AMERICA'S HEALTH RANKINGS AND THE COUNTY HEALTH RANKINGS -STATE AND REGIONAL HEALTH DEPARTMENT DATA -THE SOUTHWEST VIRGINIA HEALTH AUTHORITY'S BLUEPRINT FOR HEALTH ENABLED PROSPERITY -THE ETSU, WELLMONT, MOUNTAIN STATES COMMUNITY WORK GROUP PROJECT -OTHER STUDIES SIGNIFICANT INFORMATION WAS GLEANED FROM A PROCESS CONDUCTED BY THE ETSU COLLEGE OF PUBLIC HEALTH AND SUPPORTED BY BOTH WELLMONT HEALTH SYSTEM AND MOUNTAIN STATES HEALTH ALLIANCE. COMMUNITY WORKGROUPS WERE FORMED, INVOLVING A CROSS SECTION OF SUBJECT MATTER EXPERTS TO ASSESS REGIONAL HEALTH NEEDS, INCLUDING THOSE OF UNDERSERVED PEOPLE, FAMILIES, CHILDREN AND THOSE SUFFERING FROM MENTAL HEALTH AND SUBSTANCE ABUSE CHALLENGES. REGIONAL MEETINGS WERE ALSO HELD WHICH INCLUDED REPRESENTATIVES OF THE COMMUNITY AT LARGE AND MINORITIES OR AGENCIES SERVING THEM. FINDINGS FROM THIS WORK WERE TAKEN INTO ACCOUNT IN BOTH THE ASSESSMENT AND IMPLEMENTATION PLAN. THE INFORMATION WAS THEN COLLATED AND ASSESSED TO DETERMINE THE GREATEST UNMET HEALTH NEEDS FACING OUR REGION. STRATEGIES TO ADDRESS THESE NEEDS WERE THEN DEVELOPED, UTILIZING INTERNAL RESOURCES AND PARTNERSHIPS WITH OTHER HEALTH CARE ORGANIZATIONS AND PHYSICIANS.
GROUP A, FACILITY 3, LONESOME PINE HOSPITAL - PART V, LINE 6A	- BRISTOL REGIONAL MEDICAL CENTER - HOLSTON VALLEY MEDICAL CENTER - HAWKINS COUNTY MEMORIAL HOSPITAL - HANCOCK COUNTY HOSPITAL - MOUNTAIN VIEW REGIONAL MEDICAL CENTER
GROUP A, FACILITY 3, LONESOME PINE HOSPITAL - PART V, LINE 11	KEY FINDINGS NOTED DURING THE CHNA WERE THE LOW RANKINGS OF THE COUNTIES WE SERVE IN SEVERAL CATEGORIES RELATED TO HEALTH AND WELLNESS, INCLUDING PREVALENCE OF CHRONIC DISEASE MANAGEMENT, TOBACCO USE, DIET AND EXERCISE, AS WELL AS A NEED FOR EXPANDED AND ENHANCED MENTAL HEALTH SERVICES. THE FINDINGS ALSO EMPHASIZED THE VULNERABILITY OF OUR UNDERINSURED AND UNINSURED POPULATIONS, AND THAT IF OUR COMMUNITIES ARE TO THRIVE, WE MUST FOCUS ON ENCOURAGING HEALTHY CHILDREN AND FAMILIES. TO HELP MEET THESE NEEDS, WELLMONT WILL CONTINUE TO STRENGTHEN OUR PARTNERSHIPS AND CONTINUUM OF CARE OPPORTUNITIES WITH AREA HEALTH DEPARTMENTS, FEDERALLY QUALIFIED HEALTH CENTERS AND FRONTIER HEALTH, THE REGION'S LEADING PROVIDER OF BEHAVIORAL HEALTH SERVICES. THE HOSPITAL PROVIDED MEDICAL SUPPLIES TO THE LOCAL HIGH SCHOOL AND TO EMERGENCY RESPONDER ORGANIZATIONS.
GROUP A, FACILITY 4, MOUNTAIN VIEW REGIONAL MEDICAL CTR - PART V, LINE 5	INFORMATION FOR THE CHNA ASSESSMENT WAS GATHERED FROM A VARIETY OF SOURCES, INCLUDING: -PHYSICIAN NEEDS ASSESSMENT -COMMUNITY HEALTH FACILITY ASSESSMENT -MENTAL HEALTH NEEDS ASSESSMENT -PUBLICLY AVAILABLE POPULATION AND DEMOGRAPHIC INFORMATION -PUBLICLY AVAILABLE POPULATION HEALTH INFORMATION, INCLUDING AMERICA'S HEALTH RANKINGS AND THE COUNTY HEALTH RANKINGS -STATE AND REGIONAL HEALTH DEPARTMENT DATA -THE SOUTHWEST VIRGINIA HEALTH AUTHORITY'S BLUEPRINT FOR HEALTH ENABLED PROSPERITY -THE ETSU, WELLMONT, MOUNTAIN STATES COMMUNITY WORK GROUP PROJECT -OTHER STUDIES SIGNIFICANT INFORMATION WAS GLEANED FROM A PROCESS CONDUCTED BY THE ETSU COLLEGE OF PUBLIC HEALTH AND SUPPORTED BY BOTH WELLMONT HEALTH SYSTEM AND MOUNTAIN STATES HEALTH ALLIANCE. COMMUNITY WORKGROUPS WERE FORMED, INVOLVING A CROSS SECTION OF SUBJECT MATTER EXPERTS TO ASSESS REGIONAL HEALTH NEEDS, INCLUDING THOSE OF UNDERSERVED PEOPLE, FAMILIES, CHILDREN AND THOSE SUFFERING FROM MENTAL HEALTH AND SUBSTANCE ABUSE CHALLENGES. REGIONAL MEETINGS WERE ALSO HELD WHICH INCLUDED REPRESENTATIVES OF THE COMMUNITY AT LARGE AND MINORITIES OR AGENCIES SERVING THEM. FINDINGS FROM THIS WORK WERE TAKEN INTO ACCOUNT IN BOTH THE ASSESSMENT AND IMPLEMENTATION PLAN. THE INFORMATION WAS THEN COLLATED AND ASSESSED TO DETERMINE THE GREATEST UNMET HEALTH NEEDS FACING OUR REGION. STRATEGIES TO ADDRESS THESE NEEDS WERE THEN DEVELOPED, UTILIZING INTERNAL RESOURCES AND PARTNERSHIPS WITH OTHER HEALTH CARE ORGANIZATIONS AND PHYSICIANS.
GROUP A, FACILITY 4, MOUNTAIN VIEW REGIONAL MEDICAL CTR - PART V, LINE 6A	- BRISTOL REGIONAL MEDICAL CENTER - HOLSTON VALLEY MEDICAL CENTER - LONESOME PINE HOSPITAL - HAWKINS COUNTY MEMORIAL HOSPITAL - HANCOCK COUNTY HOSPITAL
GROUP A, FACILITY 4, MOUNTAIN VIEW REGIONAL MEDICAL CTR - PART V, LINE 11	KEY FINDINGS NOTED DURING THE CHNA WERE THE LOW RANKINGS OF THE COUNTIES WE SERVE IN SEVERAL CATEGORIES RELATED TO HEALTH AND WELLNESS, INCLUDING PREVALENCE OF CHRONIC DISEASE MANAGEMENT, TOBACCO USE, DIET AND EXERCISE, AS WELL AS A NEED FOR EXPANDED AND ENHANCED MENTAL HEALTH SERVICES. THE FINDINGS ALSO EMPHASIZED THE VULNERABILITY OF OUR UNDERINSURED AND UNINSURED POPULATIONS, AND THAT IF OUR COMMUNITIES ARE TO THRIVE, WE MUST FOCUS ON ENCOURAGING HEALTHY CHILDREN AND FAMILIES. TO HELP MEET THESE NEEDS, WELLMONT WILL CONTINUE TO STRENGTHEN OUR PARTNERSHIPS AND CONTINUUM OF CARE OPPORTUNITIES WITH AREA HEALTH DEPARTMENTS, FEDERALLY QUALIFIED HEALTH CENTERS AND FRONTIER HEALTH, THE REGION'S LEADING PROVIDER OF BEHAVIORAL HEALTH SERVICES. HOSPITAL STAFF PROVIDED A TRAUMA COURSE SPECIFIC TO RURAL SETTINGS. OUR AREA IS ALMOST 57% RURAL COMPARED TO THE STATE WIDE RURAL RATE OF 24.5%. THERE IS AN ADDITIONAL 22% RISK OF INJURY-RELATED DEATHS IN RURAL COMMUNITIES. WITHIN OUR OWN AREA, INJURY DEATHS ARE 40% HIGHER THAN THE STATEWIDE RATE. THE HOSPITAL PROVIDES MEDICAL SUPPLIES TO LOCAL SCHOOLS AND TO EMERGENCY RESPONDER ORGANIZATIONS.
GROUP A, FACILITY 5, HANCOCK COUNTY HOSPITAL - PART V, LINE 5	INFORMATION FOR THE CHNA ASSESSMENT WAS GATHERED FROM A VARIETY OF SOURCES, INCLUDING: -PHYSICIAN NEEDS ASSESSMENT -COMMUNITY HEALTH FACILITY ASSESSMENT -MENTAL HEALTH NEEDS ASSESSMENT -PUBLICLY AVAILABLE POPULATION AND DEMOGRAPHIC INFORMATION -PUBLICLY AVAILABLE POPULATION HEALTH INFORMATION, INCLUDING AMERICA'S HEALTH RANKINGS AND THE COUNTY HEALTH RANKINGS -STATE AND REGIONAL HEALTH DEPARTMENT DATA -THE SOUTHWEST VIRGINIA HEALTH AUTHORITY'S BLUEPRINT FOR HEALTH ENABLED PROSPERITY -THE ETSU, WELLMONT, MOUNTAIN STATES COMMUNITY WORK GROUP PROJECT -OTHER STUDIES SIGNIFICANT INFORMATION WAS GLEANED FROM A PROCESS CONDUCTED BY THE ETSU COLLEGE OF PUBLIC HEALTH AND SUPPORTED BY BOTH WELLMONT HEALTH SYSTEM AND MOUNTAIN STATES HEALTH ALLIANCE. COMMUNITY WORKGROUPS WERE FORMED, INVOLVING A CROSS SECTION OF SUBJECT MATTER EXPERTS TO ASSESS REGIONAL HEALTH NEEDS, INCLUDING THOSE OF UNDERSERVED PEOPLE, FAMILIES, CHILDREN AND THOSE SUFFERING FROM MENTAL HEALTH AND SUBSTANCE ABUSE CHALLENGES. REGIONAL MEETINGS WERE ALSO HELD WHICH INCLUDED REPRESENTATIVES OF THE COMMUNITY AT LARGE AND MINORITIES OR AGENCIES SERVING THEM. FINDINGS FROM THIS WORK WERE TAKEN INTO ACCOUNT IN BOTH THE ASSESSMENT AND IMPLEMENTATION PLAN. THE INFORMATION WAS THEN COLLATED AND ASSESSED TO DETERMINE THE GREATEST UNMET HEALTH NEEDS FACING OUR REGION. STRATEGIES TO ADDRESS THESE NEEDS WERE THEN DEVELOPED, UTILIZING INTERNAL RESOURCES AND PARTNERSHIPS WITH OTHER HEALTH CARE ORGANIZATIONS AND PHYSICIANS.
GROUP A, FACILITY 5, HANCOCK COUNTY HOSPITAL - PART V, LINE 6A	- BRISTOL REGIONAL MEDICAL CENTER - HOLSTON VALLEY MEDICAL CENTER - LONESOME PINE HOSPITAL - HAWKINS COUNTY MEMORIAL HOSPITAL - MOUNTAIN VIEW REGIONAL MEDICAL CENTER
GROUP A, FACILITY 5, HANCOCK COUNTY HOSPITAL - PART V, LINE 11	KEY FINDINGS NOTED DURING THE CHNA WERE THE LOW RANKINGS OF THE COUNTIES WE SERVE IN SEVERAL CATEGORIES RELATED TO HEALTH AND WELLNESS, INCLUDING PREVALENCE OF CHRONIC DISEASE MANAGEMENT, TOBACCO USE, DIET AND EXERCISE, AS WELL AS A NEED FOR EXPANDED AND ENHANCED MENTAL HEALTH SERVICES. THE FINDINGS ALSO EMPHASIZED THE VULNERABILITY OF OUR UNDERINSURED AND UNINSURED POPULATIONS, AND THAT IF OUR COMMUNITIES ARE TO THRIVE, WE MUST FOCUS ON ENCOURAGING HEALTHY CHILDREN AND FAMILIES. TO HELP MEET THESE NEEDS, WELLMONT WILL CONTINUE TO STRENGTHEN OUR PARTNERSHIPS AND CONTINUUM OF CARE OPPORTUNITIES WITH AREA HEALTH DEPARTMENTS, FEDERALLY QUALIFIED HEALTH CENTERS AND FRONTIER HEALTH, THE REGION'S LEADING PROVIDER OF BEHAVIORAL HEALTH SERVICES.

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE	FINANCIAL ASSISTANCE APPROVAL CAN APPLY TO AN ASSORTMENT OF PATIENTS SUCH AS THOSE WHO HAVE EXHAUSTED THEIR TENNCARE/MEDICAID BENEFITS, THOSE WHO QUALIFIED FOR TENNCARE/MEDICAID AFTER THE DATE OF SERVICE, DECEASED PATIENTS WITH NO ESTATE OR ASSETS, UNINSURED PATIENTS, AND UNDERINSURED PATIENTS. WHILE BALLAD HEALTH'S QUALIFICATIONS FOR FINANCIAL ASSISTANCE IS BASED ON FEDERAL POVERTY GUIDELINES, ASSET VALUES MAY ALSO BE USED TO DETERMINE ELIGIBILITY. UNIQUE CIRCUMSTANCES MAY BE ASSESSED ON A CASE-BY- CASE BASIS. CHARITY APPROVAL COVERS ALL DATES OF SERVICE FOR THE PATIENT WHEN THEY ARE APPROVED AND THERE IS NO LIMITATION OR CAP ON THE AMOUNT OF CHARITY THAT A PATIENT MAY RECEIVE. BALLAD HEALTH HOSPITALS DO NOT STOP APPROVING FINANCIAL ASSISTANCE FOR PATIENT ACCOUNTS IF A HOSPITAL'S CHARITY WRITE-OFFS EXCEED THE HOSPITAL'S CHARITY BUDGET. ALL BALLAD HEALTH HOSPITALS PROVIDE AN UNINSURED DISCOUNT. THE CURRENT UNINSURED DISCOUNT IS 74% FOR ALL WELLMONT HEALTH SYSTEM HOSPITALS. IN ADDITION TO THE UNINSURED DISCOUNT, MANY PATIENTS WILL FURTHER QUALIFY FOR ADDITIONAL FINANCIAL ASSISTANCE. ALL PATIENTS SEEKING FINANCIAL ASSISTANCE MUST SUBMIT AN APPLICATION FOR FINANCIAL ASSISTANCE AND SUBMIT DOCUMENTS IN SUPPORT OF THE INFORMATION ON THE APPLICATION, UNLESS SPECIFICALLY EXCLUDED PER OUR POLICY GUIDELINES. MEDICAID ELIGIBLE PATIENTS WILL QUALIFY FOR 100% FINANCIAL ASSISTANCE AND NOT BE REQUIRED TO COMPLETE THE REQUIRED DOCUMENTATION WHEN: A) MEDICAID ELIGIBILITY REQUIREMENTS ARE MET AFTER THE SERVICE IS PROVIDED, B) NON-COVERED CHARGES OCCUR ON A MEDICAID ELIGIBLE ENCOUNTER, OR C) BENEFITS HAVE BEEN EXHAUSTED. DECEASED PATIENTS WITH NO ESTATE ALSO QUALIFY FOR 100% FINANCIAL ASSISTANCE. FINANCIAL ASSISTANCE DETERMINATIONS MAY BE RETROACTIVE FOR ALL OUTSTANDING BALANCES. IN ADDITION, WE HAVE A NUMBER OF PROGRAMS WITH SPECIAL DISCOUNTS SUCH AS LACTATION CONSULTATION SERVICES, ONCOLOGY TREATMENT REGIMENS, ENROLLMENT IN VARIOUS COMMUNITY PROGRAMS, AND PRESCRIPTION DRUGS FILLED POST-DISCHARGE.
PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION	A COST TO CHARGE RATIO WAS USED TO COMPUTE THE COST RELATED TO FINANCIAL ASSISTANCE (CHARITY) WRITE-OFFS (LINE 7A) AND THE HOSPITALS' LOSS RELATED TO TENNCARE/MEDICAID SERVICES (LINE 7B). COSTS REPORTED IN THE OTHER COMMUNITY BENEFIT CATEGORIES WERE NOT INCLUDED WHEN COMPUTING THE COST TO CHARGE RATIO IN ORDER TO AVOID DUPLICATION OF COST. COMMUNITY HEALTH IMPROVEMENT (LINE 7E) AND RESEARCH (LINE 7H) REPORT ACTUAL COSTS ASSOCIATED WITH PROGRAMS AND ACTIVITIES. GENERALLY, THESE COSTS ARE WELL DEFINED IN A SPECIFIC COST CENTER (HOSPITAL DEPARTMENT). LINE 7F HEALTH PROFESSIONS EDUCATION IS COMPRISED OF INTERNSHIPS (PRIMARILY INTERNAL MEDICINE RESIDENTS, NURSING, PHARMACY, AND THERAPY STUDENTS) WITH SCHOOLS AND UNIVERSITIES, ALLOWING THEIR HEALTH PROFESSION STUDENTS TO GET HANDS-ON TRAINING IN A HOSPITAL SETTING. OUR MEDICARE-APPROVED PROGRAMS INCLUDE MEDICAL RESIDENTS AND PHARMACY. FOR THESE PROGRAMS, MEDICARE-APPROVED COSTS AND MEDICARE REIMBURSEMENT COMES FROM FILED MEDICARE COST REPORTS. OUR ORGANIZATIONAL DEVELOPMENT DEPARTMENT (OD) MAINTAINS RECORDS FOR THE NON-MEDICARE PROGRAMS. OD KEEPS RECORDS OF THE NUMBER OF STUDENTS RECEIVING TRAINING AT OUR HOSPITALS AND THE AMOUNT OF HOURS THE STUDENTS SPEND AT OUR HOSPITALS. HOURS MAY DIFFER BASED ON THE SCHOOL AND THE TYPE OF PROGRAM (RN, RADIOLOGY, LAB, ETC.). THE NUMBER OF TEAM MEMBERS THAT PROVIDE TRAINING TO STUDENTS WILL ALSO VARY BASED ON WHERE THE STUDENT IS TRAINING. FOR EXAMPLE, AN RN TRAINER ON A MEDICAL FLOOR MAY HAVE 3 OR 4 STUDENTS UNDER HER/HIS DIRECTION, WHILE AN RN TRAINER IN A SPECIALTY AREA SUCH AS ICU OR THE ER MAY BE TRAINING ONE-ON-ONE WITH A SINGLE STUDENT. WE ONLY INCLUDE LABOR COSTS FOR OUR HOSPITAL TEAM MEMBERS THAT PROVIDE TRAINING (I.E. NO OVERHEAD IS APPLIED) AND WE ONLY ATTRIBUTE A PERCENTAGE OF OUR TEAM MEMBERS' TIME TO ACTUAL TRAINING. CONTRIBUTIONS (LINE 7I)REPRESENT CASH DONATIONS AND MEDICAL SUPPLIES MADE TO OTHER NONPROFIT ORGANIZATIONS THAT SUPPORT COMMUNITY WELLNESS.
PART II - COMMUNITY BUILDING ACTIVITIES	WHS LEADERS SUPPORT AND ENCOURAGE ALL TEAM MEMBERS TO VOLUNTEER TIME, MONEY AND SKILLS TO COMMUNITY SERVICE PROJECTS AND CHARITABLE ORGANIZATIONS. SENIOR LEADERS AND BOARD MEMBERS SET A POSITIVE EXAMPLE FOR WHS TEAM MEMBERS, SERVING VOLUNTARILY ON COMMITTEES AND BOARDS OF LOCAL SERVICE AND NONPROFIT ORGANIZATIONS. SOME ALSO SERVE AS MEMBERS AND CONSULTANTS ON PROFESSIONAL COMMITTEES AND TASK FORCES THAT AFFECT REGIONAL DEVELOPMENT IN HEALTHCARE AND EDUCATION. WE DO NOT CAPTURE COSTS ASSOCIATED WITH TEAM MEMBERS THAT SERVE ON OTHER NONPROFIT BOARDS OR PROVIDE SERVICES TO OTHER NONPROFITS. COMMUNITY BUILDING REPORTED ON THIS RETURN INCLUDES CHARITABLE CONTRIBUTIONS TO NONPROFITS DIRECTED TO PROVIDING MENTORING PROGRAMS FOR CHILDREN, ECONOMIC DEVELOPMENT PROJECTS, WORKFORCE DEVELOPMENT AND OTHER PROGRAMS SPECIFIC TO CHILDREN.
BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS	BALLAD HEALTH'S AUDITED FINANCIAL STATEMENTS INCLUDE A FOOTNOTE ON PAGES 13-14 THAT DESCRIBES BAD DEBT. WHS IS INCLUDED IN THE JUNE 30, 2018 AUDITED FINANCIAL STATEMENTS OF BALLAD HEALTH. THE AUDITED FINANCIAL STATEMENTS ARE FOR THE FIVE MONTHS ENDING AFTER THE FEBRUARY 1, 2018 MERGER OF WELLMONT HEALTH SYSTEM AND MOUNTAIN STATES HEALTH ALLIANCE (ATTACHED).
PART VI, LINE 2 - NEEDS ASSESSMENT	WELLMONT HEALTH SYSTEM EXAMINES THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES BY CONDUCTING PHYSICIAN NEEDS ASSESSMENTS FOR ITS HOSPITALS. AS PART OF THIS EFFORT, WELLMONT REVIEWS ITS SERVICE AREA AND DEMOGRAPHICS, EXAMINES PHYSICIAN DEMOGRAPHICS AND CONDUCTS FOCUS GROUPS. IT MAKES A DETERMINATION OF PHYSICIAN NEED WHILE CALCULATING ITS PHYSICIAN SURPLUSES AND DEFICITS AND HIGHLIGHTING ITS RECRUITMENT PRIORITIES AND PLANS. WELLMONT ANNUALLY DETERMINES ITS PRIMARY, SECONDARY AND TERTIARY MARKETS THROUGH THE USE OF COUNTY-BY-COUNTY ANALYSIS TO IDENTIFY THE FOLLOWING CUSTOMER GROUPS: PATIENTS AND POTENTIAL PATIENTS, COMMUNITY/EMPLOYER GROUPS AND LOCAL PHYSICIANS. THE HEALTH SYSTEM ALSO RELIES ON THE EXPERTISE OF CONSULTANTS TO PERIODICALLY REVIEW ALL FACETS OF OPERATIONS AND MAKE RECOMMENDATIONS FOR CHANGES.
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	BALLAD HEALTH COMMUNICATES WITH AND PROVIDES EDUCATION TO OUR PATIENTS THROUGH VARIOUS AVENUES REGARDING GOVERNMENTAL ASSISTANCE PROGRAMS AND HOSPITAL FINANCIAL ASSISTANCE. VARIOUS EDUCATIONAL AND APPLICATION DOCUMENTS RELATED TO OBTAINING FINANCIAL ASSISTANCE ARE WIDELY AVAILABLE AND ALL DOCUMENTS ARE AVAILABLE ON THE BALLAD HEALTH WEBSITE. PRINTED FINANCIAL ASSISTANCE EDUCATIONAL MATERIALS ARE PART OF EACH REGISTRATION PACKET AND POSTERS ARE DISPLAYED IN HIGHLY VISIBLE AREAS OF THE HOSPITAL. OUR FINANCIAL ASSISTANCE POLICY AND DOCUMENTS ARE AVAILABLE IN OUR EMERGENCY DEPARTMENT AND ADMITTING AREAS. WE ARE ALSO HAPPY TO MAIL ALL DOCUMENTS TO PATIENTS. WE OFFER A PLAIN LANGUAGE SUMMARY AND ALL OF OUR DOCUMENTS ARE AVAILABLE IN ENGLISH AND SPANISH. FINANCIAL ASSISTANCE INFORMATION IS AVAILABLE DURING PRE-REGISTRATION, REGISTRATION AND/OR DURING FINANCIAL COUNSELING. WE OFFER GOVERNMENTAL PROGRAM ELIGIBILITY REPRESENTATIVES TO ASSIST PATIENTS IN SECURING ELIGIBILITY FOR TENNCARE OR MEDICAID, FEDERAL DISABILITY AND OTHER GOVERNMENTAL ASSISTANCE PROGRAMS. ADDITIONALLY, IF A PATIENT OR COMMUNITY RESIDENT EXPRESSES AN INTEREST IN THE ACA-HEALTHCARE EXCHANGE, OUR REPRESENTATIVES HAVE THE QUALIFICATIONS AND EXPERIENCE TO ASSIST THEM THROUGH THE ENTIRE PROCESS. OUR FINANCIAL COUNSELORS OFFER FINANCIAL ASSISTANCE APPLICATIONS TO PATIENTS WHO DO NOT QUALIFY FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND ARE UNABLE TO PAY FOR SOME OR ALL OF THEIR HEALTHCARE. ALL PATIENT BILLING STATEMENTS HAVE VERBIAGE DISCUSSING FINANCIAL ASSISTANCE ALONG WITH CONTACT INFORMATION. OUR LAST LETTER TO THE PATIENT DISPLAYS THE PLAIN LANGUAGE SUMMARY. IN ALL ORAL CORRESPONDENCES WITH A PATIENT, IF IT IS IDENTIFIED THE PATIENT CANNOT MEET PAYMENT REQUIREMENTS ON THEIR ACCOUNT, FINANCIAL ASSISTANCE IS DISCUSSED AS AN OPTION. APPLICANTS ARE NOTIFIED OF FINANCIAL ASSISTANCE DETERMINATION IN WRITING.
PART VI, LINE 4 - COMMUNITY INFORMATION	WELLMONT HEALTH SYSTEM'S SERVICE AREA IS DEFINED BY MANAGEMENT AT THE COUNTY LEVEL BASED ON PATIENT ACTIVITY AND LOCATIONS OF OUR CAMPUSES. THE PRIMARY SERVICE AREA ("PSA") INCLUDES THE TENNESSEE COUNTIES OF SULLIVAN, HAWKINS, AND HANCOCK, AND THE VIRGINIA COUNTIES OF WASHINGTON, WISE, LEE, AND SCOTT. THE SECONDARY SERVICE AREA ("SSA") IS DEFINED AS WASHINGTON, GREENE, CARTER, JOHNSON, AND UNICOI COUNTIES OF TENNESSEE, AND RUSSELL, BUCHANAN, SMYTH, TAZEWELL, DICKENSON, AND WYTHE COUNTIES OF VIRGINIA. THE DEMOGRAPHICS OF THESE AREAS ARE AS FOLLOWS: PSA- POPULATION 358,813; MEDIAN HOUSEHOLD INCOME 40,573 SSA- POPULATION 452,529; MEDIAN HOUSEHOLD INCOME 39,533 APPROXIMATELY 16.60% OF OUR PATIENTS ARE MEDICAID RECIPIENTS, AND 9.21% ARE UNINSURED AND ALL OF THE PSA COUNTIES ARE DESIGNATED AS MEDICALLY UNDERSERVED AREAS (TENNESSEE AND VIRGINIA).
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH	WELLMONT HEALTH SYSTEM (WHS) IS DEDICATED TO OPERATING EFFICIENTLY SO THAT WASTE IS MINIMIZED. WELLMONT'S LEADERSHIP REMAINS MINDFUL OF MANAGING THE ORGANIZATION'S LIMITED RESOURCES SO THAT ADEQUATE FACILITIES AND EQUIPMENT ARE AVAILABLE FOR THE CARE OF OUR PATIENTS. SURPLUS FUNDS ARE INVESTED INTO IMPROVING TREATMENT OPTIONS FOR OUR PATIENTS THROUGH NEW TECHNOLOGIES, RECRUITING PHYSICIANS AND TRAINED STAFF IN SHORTAGE AREAS, AND IMPROVING OUR FACILITIES. VARIOUS CHECKS AND BALANCES ARE ESTABLISHED TO ENSURE THAT EXPENDITURES FOR OPERATING EXPENSES AND CAPITAL COSTS ARE REASONABLE AND NECESSARY. WHS HAS THREE HOSPITALS WITH MEDICARE-APPROVED HEALTH PROFESSION EDUCATION PROGRAMS. IN ADDITION, OUR HOSPITALS SERVE AS TRAINING SITES FOR MANY TYPES OF HEALTH PROFESSIONS: NURSING, PHARMACY, PSYCHOLOGY, LAB, RESPIRATORY THERAPY, EMT, PUBLIC HEALTH, ETC. STUDENTS FROM NUMEROUS COLLEGES, UNIVERSITIES, AND PROGRAMS RECEIVE TRAINING AND EXPERIENCE IN OUR HOSPITALS. WE DEVOTE RESOURCES TO HEALTH CONFERENCES FOR LOCAL HEALTH PROFESSIONALS; PROVIDE FOR MEDIA COVERAGE TO EDUCATE OUR RESIDENTS ON HEALTH ISSUES; AND MANY OTHER PROGRAMS FOCUSED ON IMPROVING THE HEALTH OF OUR RESIDENTS. WHILE WE OPERATE HOSPITALS IN PREDOMINANTLY LOW-INCOME, RURAL AND ISOLATED AREAS, WE CONTINUE TO OFFER SERVICES THAT OPERATE AT A LOSS TO WHS BECAUSE RESIDENTS WOULD OTHERWISE NEED TO LEAVE THEIR HOME TOWN OR COUNTY TO RECEIVE NEEDED CARE. WELLMONT HEALTH SYSTEM MERGED WITH MOUNTAIN STATES HEALTH ALLIANCE IN FEBRUARY 2018 TO FORM BALLAD HEALTH HEALTHCARE SYSTEM, BALLAD HEALTH'S BOARD OF DIRECTORS ASSUMED BOARD RESPONSIBILITIES FOR BOTH WELLMONT AND MOUNTAIN STATES. WELLMONT AND MOUNTAIN STATES STILL EXIST AS LEGAL ENTITIES AND CONTINUE TO OPERATE MULTIPLE HOSPITALS. WHS'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREAS. PHYSICIANS THAT REQUEST PRIVILEGES WHO ARE QUALIFIED AND CREDENTIALED ARE EXTENDED PRIVILEGES BY WHS.
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM	WELLMONT HEALTH SYSTEM IS A TENNESSEE NON-PROFIT CORPORATION, BASED IN KINGSPORT, TENNESSEE,AND A PREMIER PROVIDER OF HEALTHCARE SERVICES IN NORTHEAST TENNESSEE AND SOUTHWEST VIRGINIA. WELLMONT INCLUDES SEVEN HOSPITALS (FIVE INCLUDED IN THIS RETURN), AN INTEGRATED PHYSICIAN NETWORK, AND SEVERAL AMBULATORY SITES. WELLMONT HOSPITALS OFFER A BROAD SCOPE OF SERVICES RANGING FROM COMMUNITY BASED ACUTE CARE TO HIGHLY SPECIALIZED TERTIARY SERVICES INCLUDING TWO TRAUMA CENTERS, COMPREHENSIVE HEART CARE, AND CANCER CARE. WELLMONT OWNS AND OPERATES AN INTEGRATED HEALTH CARE DELIVERY SYSTEM PROVIDING INPATIENT, OUTPATIENT, AND OTHER HEALTH CARE SERVICES AT MULTIPLE LOCATIONS IN NORTHEAST TENNESSEE AND SOUTHWEST VIRGINIA. CURRENTLY, WELLMONT OWNS AND OPERATES SIX ACUTE CARE HOSPITAL FACILITIES AND ONE CRITICAL ACCESS HOSPITAL WITH A TOTAL OF 1,155 LICENSED BEDS. THE ACUTE CARE FACILITIES OWNED BY WELLMONT INCLUDE HOLSTON VALLEY MEDICAL CENTER IN KINGSPORT, TENNESSEE, BRISTOL REGIONAL MEDICAL CENTER IN BRISTOL, TENNESSEE, MOUNTAIN VIEW REGIONAL MEDICAL CENTER IN NORTON, VIRGINIA, LONESOME PINE HOSPITAL IN BIG STONE GAP, VIRGINIA, HAWKINS COUNTY MEMORIAL HOSPITAL IN ROGERSVILLE, TENNESSEE, TAKOMA REGIONAL HOSPITAL, INC. IN GREENEVILLE, TENNESSEE, AND THE CRITICAL ACCESS HOSPITAL, HANCOCK COUNTY HOSPITAL IN SNEEDVILLE, TENNESSEE. DURING FY18, WELLMONT HEALTH SYSTEM (WHS) MERGED WITH MOUNTAIN STATES HEALTH ALLIANCE (MSHA) TO FORM BALLAD HEALTH. BALLAD HEALTH IS THE SOLE MEMBER OF WHS AND MSHA AND SERVES AS THE PARENT COMPANY. FOLLOWING MERGER, WHS AND MSHA CONTINUE TO EXIST AS SEPARATE LEGAL ENTITIES, EACH OPERATING MULTIPLE HOSPITALS.
PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT	TENNESSEE, VIRGINIA
ADDITIONAL INFORMATION	BALLAD HEALTH IS REQUIRED TO REPORT COMMUNITY BENEFIT ESTIMATES ON A QUARTERLY BASIS WITH THE STATES OF TENNESSEE AND VIRGINIA. THE REPORTING INCLUDES ALL OF BALLAD'S HOSPITAL ORGANIZATIONS AND IS REPORTED USING IRS FORM 990, SCHEDULE H COMMUNITY BENEFIT INSTRUCTIONS. BALLAD OPERATES UNDER A CERTIFICATE OF PUBLIC ADVANTAGE (COPA) IN TENNESSEE AND A COOPERATIVE AGREEMENT (CA) IN VIRGINIA AS OBLIGATED BY AGREEMENTS BETWEEN BALLAD AND THE TWO STATES TO ALLOW WELLMONT HEALTH SYSTEM AND MOUNTAIN STATES HEALTH ALLIANCE TO MERGE.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
AMERICAN HEART ASSOCIATION
4708 PAPERMILL DRIVE	KNOXVILLE	TN	37909	135613791	501C3	$6,000	GO RED FOR WOMEN
CRUMLEY HOUSE BRAIN INJURY REHAB CT
300 URBANA ROAD	LIMESTONE	TN	37681	581988511	501C3	$10,000	PROGRAM SUPPORT
FELLOWSHIP OF CHRISTIAN ATHLETES
PO BOX 16757	BRISTOL	VA	24209	440610626	501C3	$9,000	PROGRAM SUPPORT
FRIENDS IN NEED HEALTH CENTER INC
1105 W STONE DRIVE	KINGSPORT	TN	37660	621541637	501C3	$15,000	MEDICAL & DENTAL
FRONTIER HEALTH FOUNDATION
PO BOX 8293	GRAY	TN	37615	620582605	501C3	$10,000	BEHAVIORAL HEALTH
GREATER KINGSPORT FAMILY YMCA
1840 MEADOWVIEW PARKWAY	KINGSPORT	TN	37660	581564232	501C3	$10,000	AFTER SCHOOL PROGRAM
GREENEVILLE CITY SCHOOLS FOUNDATION
PO BOX 1420	GREENEVILLE	TN	37744	621672018	501C3	$6,250	PURCHASE COMPUTERS
SUMMIT FOUNDATION
1241 VOLUNTEER PARKWAY	BRISTOL	TN	37620	813718877	501C3	$25,000	OPIOID AWARENESS
JR ACHIEVEMENT OF TRI-CITIES TNVA
330 BROAD STREET SUITE 1	KINGSPORT	TN	37660	620757847	501C3	$12,800	EVENT SPONSOR
KINGSPORT CHAMBER FOUNDATION INC
400 CLINCHFIELD STREET	KINGSPORT	TN	37660	581453565	501C3	$22,804	COMMUNITY IMPRVMENTS
SUSAN G KOMEN EAST TENNESSEE
301 LOUIS STREET SUITE 304	KINGSPORT	TN	37660	752854955	501C3	$20,000	CANCER FUNDRAISER
MT EMPIRE COMM COLLEGE FDN INC
3441 MOUNTAIN EMPIRE ROAD	BIG STONE GAP	VA	24219	541175620	501C3	$6,500	SCHOOL FUNDRAISER
MOUNTAIN STATES FOUNDATION
2335 KNOB CREEK ROAD SUITE 101	JOHNSON CITY	TN	37604	581418862	501C3	$5,179	DRAGON BOAT RACE

Field	Value	IRS element (for citing)
Total501c3 Org	13	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PAGE 1, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	WELLMONT HEALTH SYSTEM AND MOUNTAIN STATES HEALTH ALLIANCE MERGED ON FEBRUARY 1, 2018 TO FORM BALLAD HEALTH. FROM JULY 1, 2017 THROUGH JANUARY 31, 2018, WELLMONT HEALTH SYSTEM FOLLOWED ITS POLICY FOR MONITORING USE OF GRANT FUNDS DISCLOSED BELOW: ALL REQUESTS FOR CHARITABLE ASSISTANCE ARE REVIEWED BY THE SENIOR VICE PRESIDENT OF SYSTEM ADVANCEMENT. THE CONTRIBUTION REQUEST IS EVALUATED ON THE BASIS OF THE FOLLOWING ITEMS: THE DEGREE TO WHICH THE REQUEST SUPPORTS WELLMONT HEALTH SYSTEM'S MISSION, REPRESENTATION OF WELLMONT HEALTH SYSTEM AS A GOOD CORPORATE CITIZEN, AND THE ANNUAL BUDGET. THE SENIOR VICE PRESIDENT THEN MAKES A DETERMINATION OF APPROVAL FOR ALL REQUESTS AND THE REQUEST IS SENT DIRECTLY TO ACCOUNTS PAYABLE FOR PAYMENT. MOST OF WELLMONT'S CONTRIBUTIONS ARE LESS THAN 5,000 PER ENTITY. THE USE OF DONATED FUNDS IS NOT MONITORED BY WELLMONT HEALTH SYSTEM AS THESE DONATIONS ARE MADE IN GENERAL SUPPORT OF THE RECIPIENT. EFFECTIVE FEBRUARY 1, 2018, WELLMONT HEALTH SYSTEM FOLLOWED THE BALLAD HEALTH POLICY FOR MONITORING USE OF GRANT FUNDS AS SHOWN BELOW: DONATION REQUESTS THAT WILL BE EXPENSED AT THE CORPORATE DIVISION REQUIRE TWO LEVELS OF APPROVAL, WITH FINAL REVIEW BY EITHER THE VP OF MARKETING OR PRESIDENT & CEO OF BALLAD HEALTH. DONATIONS THAT WILL BE EXPENSED BY ONE OF BALLAD HEALTH'S HOSPITALS REQUIRE FINAL APPROVAL BY THE INDIVIDUAL HOSPITAL'S CEO. ALL REQUESTS ARE NOW REQUIRED TO USE THE ONLINE APPLICATION FORM. THE ONLINE FORM PROVIDES CONSISTENCY AMONG APPLICANTS AND GIVES US THE INFORMATION WE NEED IN ORDER TO MAKE A VETTED FUNDING DECISION. SOME OF THE INFORMATION REQUIRED FROM APPLICANTS INCLUDES: -IF THE APPLICANT IS REQUESTING FUNDING FOR A SPECIFIC EVENT OR PROGRAM, THE DATE, LOCATION, TIME ARE REQUIRED -DESCRIPTION OF THE EVENT/PROGRAM -APPLICANT'S OTHER SOURCES OF INCOME -EVENT/PROGRAM BUDGET -HOW THE EVENT/PROGRAM SUPPORTS BALLAD HEALTH'S MISSION -WHO WILL BENEFIT FROM OUR CONTRIBUTION -WHAT WILL THE EVENT/PROGRAM ACCOMPLISH -HOW WILL THE EVENT/PROGRAM MEASURE ITS ACCOMPLISHMENT -APPLICANT ORGANIZATION'S MISSION STATEMENT -YEAR THE APPLICANT ORGANIZATION WAS FOUNDED -NUMBER OF PEOPLE SERVED ANNUALLY BY THE APPLICANT -APPLICANT'S WEBSITE -TAX STATUS OF THE APPLICANT AND FEDERAL TAXPAYER ID NUMBER WITH FEW EXCEPTIONS, DONATIONS TO NATIONAL ORGANIZATIONS ARE HANDLED AT THE CORPORATE LEVEL, WHICH PREVENTS MULTIPLE CONTRIBUTIONS BEING MADE TO THE SAME NATIONAL ORGANIZATION AND ALLOWS ADDITIONAL CONTRIBUTION DOLLARS TO BE USED FOR REGION-SPECIFIC REQUESTS. DONATIONS FROM OUR HOSPITALS ARE ALMOST ENTIRELY DIRECTED TO LOCAL NONPROFIT ORGANIZATIONS. BALLAD HEALTH'S SOCIAL RESPONSIBILITY COMMITTEE IS COMPRISED OF COMMUNITY, VOLUNTEER AND BUSINESS LEADERS AS WELL AS THE PRESIDENT & CEO, CHIEF OPERATING OFFICER AND OTHER LEADERS FROM ACROSS THE SYSTEM. COMMITTEE MEMBERS WERE SELECTED SO THAT MEMBERSHIP EXPERTISE INCLUDES PUBLIC HEALTH, HEALTH PROFESSIONS EDUCATION, KNOWLEDGE OF OTHER RESOURCES AVAILABLE TO CHARITABLE ORGANIZATIONS, AND INDIVIDUALS WITH HANDS-ON COMMUNITY VOLUNTEER EXPERIENCE. SOME OF THE ROUTINE ACTIVITIES OF THE COMMITTEE DURING QUARTERLY MEETINGS INCLUDE: -QUARTERLY REVIEW OF THE SOCIAL RESPONSIBILITY SCORECARD, A MEASUREMENT OF ACTUAL ACCOMPLISHMENTS IN THE YEAR COMPARED TO TARGETS SET AT THE BEGINNING OF THE YEAR -REVIEW OF CHARITABLE CONTRIBUTION GIVING FOR THE PREVIOUS QUARTER -OPPORTUNITY FOR LOCAL TAX EXEMPT ORGANIZATIONS TO PRESENT TO THE COMMITTEE PROGRAMS THEY OFFER, ACHIEVEMENTS, AND FUNDING NEEDS -THE COMMITTEE MAY OR MAY NOT RECOMMEND BALLAD HEALTH FUNDING OF PROGRAMS -SOMETIMES, BALLAD HEALTH DEPARTMENTS WILL BRING PROPOSALS FOR NEW PROGRAMS TO BENEFIT A SPECIFIC POPULATION, SUCH AS CHILDREN.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Discretionary Spending Acct	Yes (X)	DiscretionarySpendingAcctInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	false	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	false	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)

TitleTitleTxt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt
ALAN LEVINE
BH PRES/CEO/CHAIR	$944,348	$277,123	$74,631	$161,337	$22,603	$1,480,042	$48,912
STANLEY GALL MD
BOARD MEMBER	$458,765	$221,331	$1,244	$20,610	$20,230	$722,180
DAVID THOMPSON MD
BOARD MEMBER	$391,467	$58,947	$1,244	$9,189	$19,788	$480,635
BARTON HOVE RETIRED 1312018
WHS PRESIDENT & CEO								$817,290	$391,085	$11,551	$27,695	$21,864	$1,269,485
LYNN KRUTAK
EVP/CFO	$479,306	$104,168	$4,410	$71,503	$16,754	$676,141
TODD DOUGAN END 4302018
EVP/CFO-WHS								$344,429	$143,894	$95	$15,519	$21,208	$525,145
ERIC DEATON
SR VP MARKET OPRS								$398,970	$196,460	$9,269	$18,578	$15,095	$638,372
TIMOTHY ATTEBERY
PRESIDENT/CEO-HVMC								$365,931	$51,492	$19,229	$15,043	$20,978	$472,673
GREG NEAL
PRESIDENT-NE MARKET								$342,536	$74,398	$509	$14,652	$20,216	$452,311
ROBERT BENDER
CFO NORTHEAST MARKET								$193,557	$223,225	$367		$17,568	$434,717
FRED PELLE END 462018
VP/COO-HVMC								$259,996	$30,034	$1,208	$10,535	$15,343	$317,116
LISA SMITHGALL
SVP-SYSTEM CNO								$186,064	$21,542	$657	$4,226	$14,419	$226,908
CHRISTOPHER HOBSON
VP/COO-BRMC								$174,538	$31,716	$538	$6,623	$20,584	$233,999
TIM ANDERSON
VP PATIENT CARE SVCS								$172,291	$30,349	$824	$7,256	$16,966	$227,686
REBECCA BECK
VP/COO-HVMC								$152,172	$28,106	$210	$9,310	$15,794	$205,592
DAVID PRYPUTNIEWICZ MD
STAFF PHYSICIAN								$674,898		$248	$15,807	$15,357	$706,310
KELLY OGGERO MD
STAFF PHYSICIAN								$360,866	$6,486	$794	$13,433	$14,880	$396,459
ANDREW KRAMER MD
STAFF PHYSICIAN								$265,501		$467	$9,649	$11,798	$287,415
ELIZABETH JACKSON MD
STAFF PHYSICIAN								$253,047		$113	$9,011	$13,752	$275,923
JOHN EHRENFRIED MD
STAFF PHYSICIAN								$243,278		$259	$8,817	$11,596	$263,950

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE J, PAGE 1, PART I, LINE 1A

HEALTH OR SOCIAL CLUB DUES DURING THE FISCAL YEAR ENDED JUNE 30, 2018, WELLMONT HEALTH SYSTEM PROVIDED A COUNTRY CLUB MEMBERSHIP TO BARTON HOVE. THESE AMOUNTS ARE INCLUDED IN TAXABLE COMPENSATION. PART I, LINE 2 - DISCRETIONARY SPENDING WELLMONT HEALTH SYSTEM PROVIDED A MONTHLY VEHICLE ALLOWANCE TO ERIC DEATON FOR TRAVEL EXPENSES DURING THE FISCAL YEAR ENDED JUNE 30, 2018. THE AMOUNT IS INCLUDED IN TAXABLE COMPENSATION.

SCHEDULE J, PAGE 1, PART I, LINE 1B

ALTHOUGH THERE IS NOT A WRITTEN POLICY CONCERNING THE CAR ALLOWANCE PAID TO MR. DEATON OR FOR THE COUNTRY CLUB DUES PAID TO BENEFIT MR. HOVE, BOTH BENEFITS WERE APPROVED BY THE HUMAN RESOURCES COMMITTEE OF WHS'S BOARD OF DIRECTORS AND STIPULATED IN BOTH EMPLOYEES' EMPLOYMENT CONTRACTS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	Business Name Line2IssuerName/BusinessNameLine2Txt
SULLIVAN CTY TN HEALTH EDL & HS 06C
A	621256662	865293AF1	2006-11-02	$207,055,314	CONSTRUCTION AT HVMC	false	false	false
SULLIVAN CTY TN HEALTH EDL & HSG 11
B	621256662	865293AH7	2011-05-05	$76,165,000	REFUND 2006A BOND	false	false	false
SULLIVAN CTY TN HEALTH EDL & HSG 12
C	621256662		2012-12-13	$42,500,000	PURCHASE EPIC EMR	false	false	false	2012 TAX-EXEMPT MASTER LEASE/SUBLEA

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Refunding EscrowRefundingEscrowAmt
A	$19,580,000	$207,055,314	$18,977,995	$2,164,568	$185,912,751	2011	false	false	Yes (true)	Yes (true)
B	$5,290,000	$76,165,000		$1,298,533		2011	false	Yes (true)	Yes (true)	Yes (true)	$74,942,165
C	$27,604,335	$42,500,000		$31,809	$42,468,191	2014	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	false	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	false	false	false	Yes (true)
C	false	false	Yes (true)	Yes (true)	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
BANC OF AMERICA
A	false	false	false	Yes (true)	false	Yes (true)	5.000000000000	false	false	Yes (true)	MASS MUTUAL LIF	4.000000000000	Yes (true)	false	false
BANC OF AMERICA
B	false	false	Yes (true)	false	false	Yes (true)	10.300000000000	false	false	false				false	false
(no name)
C	false	false	Yes (true)	false	false	false				false				false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	false
B	false
C	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K - DATE REBATE COMPUTATION PERFORMED	FormAndLineReferenceDesc
Explanation	SULLIVAN CTY TN HEALTH EDL & HS 06C 10/31/16	ExplanationTxt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (3 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
TIM ATTEBERY
KEY EMPLOYEE	EDUCATION	Yes (X)	$50,000	$28,571	false	false	Yes (true)
ERIC DEATON
KEY EMPLOYEE	EDUCATION	Yes (X)	$29,000	$15,818	false	false	Yes (true)
TIM ATTEBERY
KEY EMPLOYEE	EDUCATION	Yes (X)	$30,000	$5,000	false	false	Yes (true)

Field	Value	IRS element (for citing)
Total Balance Due	$49,389	TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PAGE 1, ITEM C	HOLSTON VALLEY MEDICAL CENTER; LONESOME PINE HOSPITAL; MOUNTAIN VIEW REGIONAL MEDICAL CTR; HANCOCK COUNTY HOSPITAL
FORM 990, PAGE 1, ITEM B	SUMMARY OF AMENDED FORM 990 CHANGES: SCHEDULE H, PART I, LINE 7A, COLUMN (C)- FINANCIAL ASSISTANCE AT COST (FROM WORKSHEET 1) WAS INCORRECTLY REPORTED AS 28,825,764 AND SHOULD HAVE BEEN REPORTED AS 26,579,321. SCHEDULE H, PART I, LINE 7B, COLUMN (C) - MEDICAID (FROM WORKSHEET 3, COLUMN A) WAS INCORRECTLY REPORTED AS 77,824,889 AND SHOULD HAVE BEEN REPORTED AS 71,759,855. THE NET COMMUNITY BENEFIT EXPENSE REPORTED ON LINE 7B, COLUMN (E) WAS PREVIOUSLY REPORTED AS 24,575,121 AND SHOULD HAVE BEEN REPORTED AS 18,510,087. SCHEDULE O, PAGE 3 OF 26 - PROMOTE COMMUNITY HEALTH WHS FY2018 RECRUIT AND RETAIN PHYSICIANS TOTAL COST WAS INCORRECTLY REPORTED AS 3.6 MILLION AND SHOULD HAVE BEEN REPORTED AS 1.9 MILLION. SCHEDULE O, PAGE 11 OF 26 - CHARITY AND OTHER UNREIMBURSED COSTS WHS FY2018 LOSS INCURRED ATTRIBUTABLE TO THE PROVISION OF CHARITY CARE WAS INCORRECTLY REPORTED AS 28,825,764 AND SHOULD HAVE BEEN REPORTED AS 26,579,321. SCHEDULE O, PAGE 11 OF 26 - TENNCARE/MEDICAID WHS FY2018 LOSS INCURRED ATTRIBUTABLE TO TENNCARE/MEDICAID WAS INCORRECTLY REPORTED AS 24,575,121 AND SHOULD HAVE BEEN REPORTED AS 18,510,086. A TYPO WAS ALSO DISCOVERED IDENTIFYING MSHA AS THE ENTITY AND SHOULD READ AS WHS. SCHEDULE O, PAGE 12 OF 26 - MEDICAL EDUCATION AND RESEARCH THE PARAGRAPH REFERS TO BALLAD HEALTH, MSHA'S PARENT COMPANY AND A TYPO WAS DISCOVERED AND SHOULD READ AS WHS'S PARENT COMPANY.
FORM 990, PART III	IN ADDITION TO THE HOSPITALS IN THIS RETURN WHS ALSO OPERATES: -TAKOMA REGIONAL HOSPITAL IN GREENEVILLE, TENNESSEE (SEPARATE FORM 990) -HAWKINS COUNTY MEMORIAL HOSPITAL IN ROGERSVILLE, TENNESSEE (SEPARATE FORM 990) SPECIFIC TO THE HOSPITALS INCLUDED IN THIS FORM 990, WE PROVIDED SERVICES TO 39,045 INPATIENTS, 149,813 EMERGENCY ROOM VISITS, 1,994 NEWBORN DELIVERIES AND 21,019 SURGERIES. IN APRIL 2015, WHS AND MOUNTAIN STATES HEALTH ALLIANCE (MSHA) ANNOUNCED THEIR INTENT TO MERGE. MSHA OPERATES 12 HOSPITALS INCLUDING A LARGE TERTIARY HOSPITAL WITH A LEVEL I TRAUMA CENTER, A DEDICATED CHILDREN'S HOSPITAL AND AN INPATIENT BEHAVIORAL HEALTH HOSPITAL, SEVERAL COMMUNITY HOSPITALS, TWO CRITICAL ACCESS HOSPITALS, THREE LONG-TERM CARE FACILITIES, HOME CARE AND HOSPICE SERVICES, A COMPREHENSIVE MEDICAL MANAGEMENT CORPORATION AND OTHER HEALTH CARE BUSINESSES IN TENNESSEE AND VIRGINIA. IN SEPTEMBER 2017, TENNESSEE DEPARTMENT OF HEALTH OFFICIALS GRANTED THE TWO ORGANIZATIONS THE CERTIFICATE OF PUBLIC ADVANTAGE (COPA) AND THE SOUTHWEST VIRGINIA HEALTH AUTHORITY UNANIMOUSLY RECOMMENDED APPROVAL OF THE COOPERATIVE AGREEMENT IN VIRGINIA. THE MERGER, DISCUSSED IN MORE DETAIL BELOW, WAS FINALIZED WITH A CLOSE DATE OF FEBRUARY 1, 2018. THE GOVERNING BOARDS OF WELLMONT HEALTH SYSTEM AND MOUNTAIN STATES HEALTH ALLIANCE VOTED UNANIMOUSLY TO APPROVE THE FINAL TERMS TO GOVERN THE MERGER OF THE TWO HEALTH SYSTEMS. THE NEW HEALTH SYSTEM, NAMED BALLAD HEALTH, SERVES THE 1.2 MILLION RESIDENTS OF NORTHEAST TENNESSEE AND SOUTHWEST VIRGINIA. THE TRANSACTION CREATING THE NEW ORGANIZATION OFFICIALLY BECAME EFFECTIVE ON FEBRUARY 1, 2018. THE FINAL VOTE MARKED THE END OF A NEARLY FOUR-YEAR MERGER PROCESS THAT BEGAN WHEN MOUNTAIN STATES RESPONDED TO A REQUEST FOR PROPOSALS FROM WELLMONT INVITING HEALTH SYSTEMS TO OUTLINE POTENTIAL PARTNERSHIPS. THE WELLMONT BOARD SELECTED THE PROPOSAL FROM MOUNTAIN STATES BECAUSE OF ITS UNIQUE VISION TO CREATE A HEALTH IMPROVEMENT ORGANIZATION, LIMIT HEALTH CARE PRICING GROWTH, MAINTAIN LOCAL GOVERNANCE, AND INVEST IN THE REGION. THE PROPOSED MERGER DREW BROAD SUPPORT FROM EMPLOYERS AND BUSINESS LEADERS, THE REGION'S CHAMBERS OF COMMERCE, LOCAL GOVERNMENTS AND THE LEGISLATIVE DELEGATION. LEGISLATION AUTHORIZED THE ISSUANCE OF A CERTIFICATE OF PUBLIC ADVANTAGE (COPA) IN TENNESSEE AND A COOPERATIVE AGREEMENT IN VIRGINIA, AND REPRESENTS THE FIRST TRANSACTION OF ITS KIND TO INVOLVE APPROVAL AND SUPERVISION FROM TWO STATES. IT IS THE LARGEST COPA-GOVERNED MERGER IN THE COUNTRY TO DATE. LOCAL LEADERS RECOGNIZED THAT OUR HISTORICALLY FRAGMENTED APPROACH TO HEALTHCARE WAS NOT DOING ENOUGH TO IMPROVE COMMUNITY HEALTH, AND WAS NOT HELPING CONTAIN HEALTH COSTS. THE OPPORTUNITY WITH THIS MERGER IS MUCH MORE IMPACTFUL - SOLVING PROBLEMS, ATTRACTING WORLD-CLASS TALENT, INVESTING IN RESEARCH, AND REFOCUSING OUR LIMITED RESOURCES ON SERVICES THE COMMUNITY NEEDS THAT HAVE NOT BEEN AVAILABLE IN OUR REGION. ULTIMATELY, THE COMMON THEME DEVELOPED DURING THE DECISION MAKING PROCESS WAS THAT THE BEST SOLUTION WOULD BE FOR THE TWO SYSTEMS TO WORK TOGETHER TO CONTROL OUR OWN DESTINY. AS A LARGER REGIONAL HEALTH SYSTEM, WE WILL BE BETTER POSITIONED TO COMPETE FOR TOP TALENT AND SERVICES AND THE POTENTIAL FOR ECONOMIC GROWTH AND SUSTAINABILITY IN OUR REGION WILL BE MORE ACHIEVABLE. TIGHT OVERSIGHT IMPOSED BY TENNESSEE AND VIRGINIA DEPARTMENTS OF HEALTH IS ANOTHER UNPRECEDENTED ASPECT OF THE MERGER. BALLAD HEALTH WILL CONTINUE TO WORK WITH TENNESSEE AND VIRGINIA MONITORS TO ENSURE WE COMPLY WITH AGREED-UPON TERMS WITH THE TWO STATES. MONITORS FROM THE STATES WILL BE THE INVESTIGATIVE ARM OUTSIDE OF BALLAD HEALTH WHO WILL CONTINUALLY MONITOR THE PUBLIC ADVANTAGE OF BALLAD HEALTH AND OUR COMPLIANCE WITH THE TERMS OF CERTIFICATION. TENNESSEE'S STATE HEALTH COMMISSIONER APPOINTED A LOCAL ADVISORY COUNCIL, WITH MEMBERS COMING FROM A RANGE OF ORGANIZATIONS AND BACKGROUNDS, ALL LIVING WITHIN BALLAD HEALTH'S GEOGRAPHIC SERVICE AREA. AT THE END OF OUR FISCAL YEAR, VIRGINIA'S DEPARTMENT OF HEALTH ENTERED INTO AN AGREEMENT WITH SOUTHWEST HEALTH AUTHORITY TO ACT AS THE LOCAL ADVISORY COUNCIL, INCLUDING THE POWER TO APPOINT COMMITTEES. THESE LOCAL COUNCILS/COMMITTEES ARE RESPONSIBLE FOR FACILITATING INPUT FROM LOCAL STAKEHOLDERS AND PATIENTS, THEY WILL MAKE RECOMMENDATIONS ON HOW POPULATION HEALTH INITIATIVE FUNDS SHOULD BE SPENT AND WILL HOST AN ANNUAL PUBLIC HEARING TO GATHER LOCAL FEEDBACK. IN ADDITION, BALLAD HEALTH IS REQUIRED TO PROVIDE IN-DEPTH QUARTERLY AND ANNUAL REPORTING TO THE DEPARTMENTS OF HEALTH. ALTHOUGH THE LEGACY MOUNTAIN STATES AND WELLMONT SYSTEMS ARE GIVING UP SOME AUTONOMY IN LOCAL GOVERNANCE, BALLAD HEALTH'S LEADERSHIP BELIEVES THE EXTREME SCRUTINY BALANCES OUT WITH THE BENEFITS OF THE MERGER. PROMOTE COMMUNITY HEALTH: THE WELLMONT HEALTH COACH IS PART OF WELLMONT'S ONGOING EFFORTS TO IMPROVE THE HEALTH OF OUR COMMUNITIES AND ENCOURAGE WELLNESS IN THE MOUNTAINS OF NORTHEAST TENNESSEE AND SOUTHWEST VIRGINIA. FUNDED BY COMMUNITY SUPPORT THROUGH WELLMONT FOUNDATION, THE COACH OFFERS A HOST OF COMPREHENSIVE SCREENINGS THAT HELP IDENTIFY POTENTIAL HEALTH PROBLEMS. THE MOBILE SCREENING VEHICLE CHECKS PATIENTS FOR A BROAD SPECTRUM OF MEDICAL ISSUES - FROM BREAST CANCER TO LUNG CONDITIONS TO HEART DISEASE. IT PROVIDES AN AVENUE FOR CAREGIVERS TO IDENTIFY HEALTH RISKS EARLIER, WHEN CONDITIONS CAN BE MORE EASILY AND EFFECTIVELY TREATED. OUR UNREIMBURSED COST TO OPERATE THE HEALTH COACH WAS 84,413 THIS YEAR. THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES (AAMC) ISSUED A PRESS RELEASE DATED APRIL 11, 2018 STATING THAT THE UNITED STATES COULD SEE A SHORTAGE OF UP TO 120,000 PHYSICIANS BY 2030. THE U.S. POPULATION IS ESTIMATED TO GROW BY NEARLY 11%, WITH THOSE OVER AGE 65 INCREASING 50% BY 2030. MUCH OF THE INCREASED DEMAND COMES FROM A GROWING, AGING POPULATION. THE AGING POPULATION WILL ALSO AFFECT PHYSICIAN SUPPLY SINCE ONE-THIRD OF ALL CURRENTLY ACTIVE DOCTORS WILL BE OLDER THAN 65 IN THE NEXT DECADE AND LIKELY TO RETIRE. THE AAMC POINTS OUT THAT DATA CONDUCTED IN 2017 INDICATED THAT AN ADDITIONAL 31,600 PHYSICIANS WOULD HAVE BEEN NEEDED IF UNDERSERVED POPULATIONS UTILIZED THE SAME HEALTH CARE SERVICES AS INSURED INDIVIDUALS. THE DATA LOOKED AT PEOPLE IN NON-METROPOLITAN AREAS AND PEOPLE WITHOUT INSURANCE COMPARED TO PEOPLE LIVING IN METROPOLITAN AREAS. FURTHERMORE, THE STUDY INDICATED NEARLY HALF OF THE SHORTAGE WAS IN THE SOUTH. WHS SPENT 1.9 MILLION DURING FY18 TO RECRUIT AND RETAIN PHYSICIANS AND MID-LEVEL PROVIDERS SUCH AS NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS. WHS RECRUITMENT EFFORTS ARE BASED ON DOCUMENTED COMMUNITY NEED. WHS'S HOSPITALS ARE ALL LOCATED IN MUAS (MEDICALLY UNDERSERVED AREAS/POPULATIONS), AS DESIGNATED BY THE U.S. HEALTH RESOURCES & SERVICES ADMINISTRATION (HRSA). MUA DESIGNATION INDICATES AN AREA AS: HAVING TOO FEW PRIMARY CARE PROVIDERS, HAVING A HIGH INFANT MORTALITY, A HIGH POVERTY RATE OR A HIGH ELDERLY POPULATION. WHS HOSPITALS' MUA PERCENTAGES, BASED ON INPATIENT DISCHARGES FROM OUR HOSPITALS, RANGE FROM 66.4% (LONESOME PINE HOSPITAL) TO 100% (HANCOCK COUNTY HOSPITAL). WELLMONTONE AIR TRANSPORT IS CONSIDERED BY WELLMONT TO BE A REGIONAL ASSET. LICENSED IN TENNESSEE, THE AIR AMBULANCE PROVIDES TRANSPORT OF CRITICALLY ILL AND INJURED PATIENTS TO ONE OF THE CLOSEST TERTIARY HOSPITALS IN THE REGION. THE UNREIMBURSED COST WELLMONT INCURRED THIS YEAR TO PROVIDE THIS RAPID RESPONSE EMERGENCY SERVICE WAS 422,366. WE ALSO PROVIDED STAFFING, PHYSICIAN FEES, MEDICAL SUPPLIES AND OTHER EXPENSES TO THE COMMONWEALTH OF VIRGINIA FOR VIRGINIA'S MED-FLIGHT AIR AMBULANCE SERVICE. WELLMONT'S EXPENSE TO PROVIDE THESE SERVICES AND SUPPLIES WAS 714,359 DURING FY18. OUR ORGANIZATION OFFERS TO THE COMMUNITY WELLMONT NURSE CONNECT, A 24-HOUR TOLL-FREE HEALTH INFORMATION LINE SUPPORTED BY REGISTERED NURSES WHO PROVIDE NURSE TRIAGE WITH MEDICALLY APPROVED TRIAGE GUIDELINES, HEALTH INFORMATION AND EDUCATION, REGISTRATION FOR CLASSES AND SCREENINGS, AND REFERRALS TO EXTERNAL RESOURCES SUCH AS POISON CONTROL AND CRISIS INTERVENTION. WELLMONT NURSE CONNECT RECEIVES MORE THAN 11,000 CALLS PER MONTH, AND ITS DIRECT COST WAS 156,000 THIS YEAR. WELLMONT SUPPORTS ITS PARISH NURSE PROGRAM, WHICH IS DESIGNED TO GENERALLY IMPROVE THE HEALTH AND WELLNESS OF COMMUNITY MEMBERS THROUGH SCREENING PROGRAMS, EDUCATIONAL SEMINARS, DISTRIBUTION OF HEALTH LITERATURE AND THE PROVISION OF SUPPORTIVE SERVICES TO THOSE IN NEED. THE COST TO PROVIDE THIS PROGRAM WAS 68,736. OUR AREA IS SOMETIMES REFERRED TO AS THE "DIABETES BELT" DUE TO THE HIGH NUMBER OF RESIDENTS WITH DIABETES. OUR DIABETES TREATMENT CENTERS, AVAILABLE AT BRISTOL REGIONAL AND HOLSTON VALLEY MEDICAL CENTERS, ARE ACCREDITED BY THE AMERICAN DIABETES ASSOCIATION. SELF-MANAGEMENT CLASSES, OFFERED FREE OF CHARGE, ARE TAUGHT BY SPECIALLY TRAINED REGISTERED NURSES, DIETITIANS AND CERTIFIED DIABETES EDUCATORS. FOR THOSE WHO PREFER ONE-ON- ONE COUNSELING INSTEAD OF CLASSES, THE CENTER WILL ACCOMMODATE FOR THAT. DIABETES
FORM 990, PAGE 6, PART VI, LINE 4	WELLMONT HEALTH SYSTEM AND MOUNTAIN STATES HEALTH ALLIANCE MERGED ON FEBRUARY 1, 2018 TO FORM BALLAD HEALTH, A TAX-EXEMPT HEALTHCARE DELIVERY SYSTEM. AT TIME OF MERGER, THE BALLAD HEALTH BOARD OF DIRECTORS BECAME THE DIRECTORS OF WELLMONT HEALTH SYSTEM AND DIRECTORS OF MOUNTAIN STATES HEALTH ALLIANCE. BALLAD HEALTH IS THE SOLE MEMBER OF MOUNTAIN STATES AND WELLMONT. THE BOARD IS COMPRISED OF 11 MEMBERS TO INCLUDE BALLAD HEALTH'S PRESIDENT AND CEO, EAST TENNESSEE STATE UNIVERSITY'S PRESIDENT AND 9 MEMBERS CHOSEN BY WELLMONT HEALTH SYSTEM AND MOUNTAIN STATES HEALTH ALLIANCE. BALLAD HEALTH'S PRESIDENT AND CEO SERVES AS THE BOARD'S EXECUTIVE CHAIR. IN THE SELECTION OF DIRECTORS, CONSIDERATION WAS GIVEN TO THE INCLUSION OF A VARIETY OF BUSINESS, HEALTH-RELATED, AND CONSUMER PERSPECTIVES AMONG THE VARIOUS MEMBERS OF THE BOARD OF DIRECTORS, WITH A GOAL OF ACHIEVING (I) A GEOGRAPHIC AND DEMOGRAPHIC DIVERSITY AMONG THE MEMBERS AND (II) A MIX OF COMPETENCIES, SKILLS AND PERSPECTIVES.
FORM 990, PAGE 6, PART VI, LINE 6	BALLAD HEALTH IS THE SOLE MEMBER OF WELLMONT HEALTH SYSTEM. BALLAD HEALTH BOARD OF DIRECTORS ARE ALSO THE DIRECTORS OF WELLMONT HEALTH SYSTEM.
FORM 990, PAGE 6, PART VI, LINE 9	BARTON HOVE (RETIRED 1/31/2018)
FORM 990, PAGE 6, PART VI, LINE 11B	THE EVP/CFO OF BALLAD HEALTH REVIEWED THE WELLMONT HEALTH SYSTEM FORM 990 WITH THE BOARD OF DIRECTORS. THE RETURN WAS MADE AVAILABLE TO EACH BOARD MEMBER IN AN ELECTRONIC FORMAT PRIOR TO THE REVIEW.
FORM 990, PAGE 6, PART VI, LINE 12C	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. 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.
FORM 990, PAGE 6, PART VI, LINE 15A	THE COMPENSATION OF BARTON HOVE, WHO SERVED AS PRESIDENT AND CEO OF WELLMONT HEALTH SYSTEM UNTIL HIS RETIREMENT IN JANUARY 2018, WAS REVIEWED, APPROVED AND DOCUMENTED BY THE BOARD OF DIRECTORS THIS YEAR. DATA OBTAINED BY AN INDEPENDENT, OUTSIDE CONSULTING FIRM WAS USED TO DETERMINE HIS PAY SO THAT IT IS COMPARABLE TO LIKE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS AND REFLECTIVE OF THE MANY ADDITIONAL HOURS DEVOTED THIS YEAR TO THE MERGER OF WELLMONT HEALTH SYSTEM AND MOUNTAIN STATES HEALTH ALLIANCE. UPON MR. HOVE'S RETIREMENT, BALLAD HEALTH'S PRESIDENT AND CEO, ALAN LEVINE, ASSUMED THE TOP MANAGEMENT DUTIES FOR WELLMONT HEALTH SYSTEM. BALLAD HEALTH'S EXECUTIVE COMMITTEE REVIEWED THE COMPENSATION OF MR. LEVINE THIS YEAR. DATA OBTAINED BY AN INDEPENDENT, OUTSIDE CONSULTING FIRM WAS USED TO DETERMINE HIS PAY SO THAT IT IS COMPARABLE TO LIKE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS AND RELFECTIVE OF THE MANY ADDITIONAL HOURS HE DEVOTED THIS YEAR TO THE MERGER OF WELLMONT HEALTH SYSTEM AND MOUNTAIN STATES HEALTH ALLIANCE.
FORM 990, PAGE 6, PART VI, LINE 15B	THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWED AND APPROVED COMPENSATION FOR ALL WHS EXECUTIVES AT THE VICE-PRESIDENT LEVEL AND ABOVE THIS YEAR. DATA OBTAINED BY AN INDEPENDENT, OUTSIDE CONSULTING FIRM WAS USED TO DETERMINE EXECUTIVE PAY SO THAT IT REMAINS COMPARABLE TO LIKE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS.
FORM 990, PAGE 6, PART VI, LINE 19	GOVERNING DOCUMENTS AND OUR CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE UPON REQUEST TO THE 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 BASIS.
FORM 990, PART IX, LINE 11G	HOSPITAL SUPPORTED CLINICS 39,789,440 0 0 PHYSICIAN FEES 17,599,331 0 0 CONTRACT LABOR 5,594,723 25,500 0 PHYSICIAN RECRUITMENT 171,902 0 0 SURGICAL SVCS 3,329,768 0 0 RADIOLOGY SVCS 272,182 0 0 LABORATORY SVCS 12,931,102 293,790 0 CARDIOVASCULAR SVCS 863,167 0 0 ONCOLOGY SVCS 247,809 0 0 NUCLEAR MEDICINE SVCS 542,284 0 0 CLINICAL ENGINEERING SVCS 7,515,501 0 0 BILLING SVCS 0 2,377,759 0 ANESTHESIA SVCS 857,040 0 0 PHARMACY SVCS 1,032,100 0 0 ENVIRONMENTAL SVCS 1,718,553 0 0 FACILITIES & CONSTRUCTION 0 805,984 0 AMBULANCE TRANSPORT SVCS 200,673 0 0 DIABETES TREATMENT SVCS 200,180 0 0 BLOOD COLLECTION CNTR SVCS 1,786,225 0 0 AIR TRANSPORT SVCS 272,479 0 0 EXTERNAL DATA MGT SVCS 0 1,004,876 0 QUALITY COMPLIANCE ANALYSIS 0 1,402,678 0 CONSULTING SVCS 0 892,586 0 HEALTH INFORMATION MGT SVCS 0 655,110 0 OTHER 3,781,080 0 0 COMMUNITY BENEFIT MEDIA BUYS 0 1,407 0 TOTAL 98,705,539 7,459,690 0
FORM 990, PART XI, LINE 9	CHANGE IN VALUE OF INTEREST RATE SWAPS -4,738 TRANSFERS RELATED TO SELF-INSURANCE PLAN 3,156,022 INTERCOMPANY SETTLEMENTS -19,163,045 JOINT VENTURE DISTRIBUTIONS 694,080 CHANGE IN DEFINED PENSION BENEFIT LIABILITY 2,961,698 PARTNERSHIP SHARE-ORDINARY INCOME -442,602 PARTNERSHIP SHARE-INTEREST -3 PARTNERSHIP SHARE-DEDUCTIONS 4,996 EMPLOYER PROVIDED PARKING-NOT ON BOOKS -88,590 TOTAL -12,882,182
FORM 990, PAGE 12, PART XII, LINE 2C	BALLAD HEALTH (BALLAD) IS A TAX-EXEMPT ENTITY AND THE PARENT CORPORATION OF BOTH MOUNTAIN STATES HEALTH ALLIANCE (MSHA) AND WELLMONT HEALTH SYSTEM (WHS). THE TWO HEALTHCARE SYSTEMS CAME TOGETHER ON FEBRUARY 1, 2018 AS A RESULT OF A MERGER APPROVED BY BOTH TENNESSEE AND VIRGINIA DEPARTMENTS OF HEALTH. THE INDIVIDUALS SERVING AS THE BOARD OF DIRECTORS OF BALLAD ALSO SERVE AS THE BOARD OF DIRECTORS OF MSHA AND WHS. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF BALLAD INCLUDE MSHA, WHS AND THEIR SUBSIDIARIES AND AFFILIATES WHICH WERE PREVIOUSLY INCLUDED IN EITHER MSHA OR WHS AUDITED CONSOLIDATED FINANCIAL STATEMENTS. BALLAD HAS AN AUDIT COMMITTEE WHICH ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. FORM 990 - ADDITIONAL INFORMATION FY18 FORM 990 HAS NUMEROUS REPORTING CHANGES FROM PRIOR YEAR RETURNS. WE BELIEVE THESE CHANGES ARE NECESSASRY IN ORDER TO BETTER REFLECT THE ORGANIZATION'S ACTIVITY.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Business Name Line2DisregardedEntityName/BusinessNameLine2Txt	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
WELLMONT HEALTH MANAGEMENT SVCSLLC
WELLMONT HEALTH MANAGEMENT	1905 AMERICAN WAY	KINGSPORT	TN	37660	621825259	HEALTHCARE	TN	WHS
WELLMONT INTEGRATED NETWORK LLC
WELLMONT INTEGRATED NETWORK LLC	1905 AMERICAN WAY	KINGSPORT	TN	37660	455443060	HEALTHCARE	TN	WHS

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (22 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
WELLMONT HAWKINS CO MEMORIAL HOSP
851 LOCUST STREET	ROGERSVILLE	TN	37857	621816368	HOSPITAL	TN	501C3	3	WHS	Yes (true)
TAKOMA REGIONAL HOSPITAL INC
401 TAKOMA AVENUE	GREENEVILLE	TN	37743	510603966	HOSPITAL	TN	501C3	3	WHS	Yes (true)
TAKOMA REGIONAL HOSPITAL FDN INC
1905 AMERICAN WAY	KINGSPORT	TN	37660	471334302	FUNDRAISER	TN	501C3	7	WHS	Yes (true)
WELLMONT CARDIOLOGY SERVICES
1905 AMERICAN WAY	KINGSPORT	TN	37660	263557623	MED. SERV.	TN	501C3	10	WHS	Yes (true)
WELLMONT MEDICAL ASSOCIATES
1905 AMERICAN WAY	KINGSPORT	TN	37660	270898372	MED. SERV.	TN	501C3	7	WHS	Yes (true)
WELLMONT FOUNDATION
1905 AMERICAN WAY	KINGSPORT	TN	37660	581594191	FUNDRAISER	TN	501C3	7	WHS	Yes (true)
WELLMONT MADISON HOUSE
1905 AMERICAN WAY	KINGSPORT	TN	37660	621308216	ASST. LIV.	TN	501C3	10	WHS	Yes (true)
WELLMONT WEXFORD HOUSE
1905 AMERICAN WAY	KINGSPORT	TN	37660	581859039	NSG. HOME	TN	501C3	10	WHS	Yes (true)
WELLMONT IMAGING SERVICES INC
1905 AMERICAN WAY	KINGSPORT	TN	37660	861103148	HEALTHCARE	TN	501C3	12A	WHS	Yes (true)
WELLMONT SLEEP SERVICES
1905 AMERICAN WAY	KINGSPORT	TN	37660	273777167	MED. SERV.	TN	501C3	3	WHS	Yes (true)
MOUNTAIN STATES HEALTH ALLIANCE
303 MED TECH PARKWAY SUITE 220	JOHNSON CITY	TN	37604	620476282	HOSP. SYS.	TN	501C3	3	BALLAD	false
MOUNTAIN STATES FOUNDATION
2335 KNOB CREEK ROAD SUITE 101	JOHNSON CITY	TN	37604	581418862	FUNDRAISER	TN	501C3	12A	MSHA	false
MSHA AUXILIARY
400 N STATE OF FRANKLIN ROAD	JOHNSON CITY	TN	37604	581418345	SUPP. ORG.	TN	501C3	12A	MSHA	false
SMYTH COUNTY COMMUNITY HOSPITAL
245 MEDICAL PARK DRIVE	MARION	VA	24354	540794913	HOSPITAL	VA	501C3	3	MSHA	false
NORTON COMMUNITY HOSPITAL
100 15TH STREET NW	NORTON	VA	24273	540566029	HOSPITAL	VA	501C3	3	NA	false
DICKENSON COMMUNITY HOSPITAL
312 HOSPITAL DRIVE	CLINTWOOD	VA	24228	770599553	HOSPITAL	VA	501C3	3	NCH	false
JOHNSTON MEMORIAL HOSPITAL
16000 JOHNSTON MEMORIAL DRIVE	ABINGDON	VA	24211	540544705	HOSPITAL	VA	501C3	3	NA	false
ABINGDON PHYSICIAN PARTNERS
16000 JOHNSTON MEMORIAL DRIVE	ABINGDON	VA	24211	205485346	MED. SERV.	VA	501C3	12A	JMH	false
BALLAD HEALTH
303 MED TECH PARKWAY SUITE 220	JOHNSON CITY	TN	37604	611771290	SUPP. ORG.	TN	501C3	12B		false	N/A
EAST TN HEALTHCARE HOLDINGS INC
203 GRAY COMMONS CIRCLE	GRAY	TN	37615	815475903	OPIOID TRT	TN	501C3	3	MSHA	false
LAUGHLIN MEMORIAL HOSPITAL INC
1420 TUSCULUM BOULEVARD	GREENEVILLE	TN	37745	620701119	HOSPITAL	TN	501C3	3	MSHA	false
LAUGHLIN HEALTHCARE FOUNDATION
1420 TUSCULUM BOULEVARD	GREENEVILLE	TN	37745	582105493	FUNDRAISER	TN	501C3	12A	MSHA	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
SAPLING GROVE AMB SURGERY CENTER
220 MEDICAL PARK BOULEVARD	BRISTOL	TN	37620	204450153	MED. SERV.	TN	WHS	RELATED	-$353,665	$565,109	false	false	0.65000
HOLSTON VALLEY AMB SURGERY CENTER
103 WEST STONE DRIVE	KINGSPORT	TN	37660	621816864	MED. SERV.	TN	WHS	RELATED	$800,270	$1,592,439	false	false	0.48000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (16 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Business Name Line2DirectControllingEntityName/BusinessNameLine2Txt	Share Of Total IncomeShareOfTotalIncomeAmt	Direct Controlling NADirectControllingNACd
WELLMONT INC
1905 AMERICAN WAY	KINGSPORT	TN	37660	621320035	MED. SERV.	TN	WHS	C CORP	-$89,995,833	1.00000	Yes (true)
MCOT INC
1905 AMERICAN WAY	KINGSPORT	TN	37660	621325938	BUS. SERV.	TN	WHS	C CORP	$2,434,036	1.00000	false	INC	$3,367,537
MEDICAL MALL PHARMACY INC
1905 AMERICAN WAY	KINGSPORT	TN	37660	621565006	MED. SERV.	TN	WHS	C CORP		1.00000	false	INC	$3,323
WELLMONT PHYSICIAN SERVICES INC
1905 AMERICAN WAY	KINGSPORT	TN	37660	621567353	MED. SERV.	TN	WHS	C CORP		1.00000	false	INC
WPS PROVIDERS INC
1905 AMERICAN WAY	KINGSPORT	TN	37660	205564642	MED. SERV.	TN	WHS	C CORP		1.00000	false	INC
WELLMONT HEALTH SERVICES INC
1905 AMERICAN WAY	KINGSPORT	TN	37660	621254373	MED. SERV.	TN	WHS	C CORP	$894,321	1.00000	false	INC	$1,754,520
WELLMONT INSURANCE CO SPC LTD
1905 AMERICAN WAY	KINGSPORT	TN	37660	981195624	INSURANCE		WHS	C CORP	$17,976,960	1.00000	Yes (true)
BLUE RIDGE MEDICAL MANAGEMENT CORP
1905 AMERICAN WAY	KINGSPORT	TN	37660	621490616	MED. SERV.	TN					false			N/A
MEDISERVE MEDICAL EQUIPMENT
1905 AMERICAN WAY	KINGSPORT	TN	37660	621212286	DME	TN					false			N/A
MOUNTAIN STATES PROPERTIES
1905 AMERICAN WAY	KINGSPORT	TN	37660	621845895	PROP. MGMT	TN					false			N/A
MOUNTAIN STATES PHYSICIAN GROUP
1905 AMERICAN WAY	KINGSPORT	TN	37660	621700412	MED. SERV.	TN					false			N/A
COMMUNITY HOME CARE INC
1490 PARK AVENUE NW SUITE B	NORTON	VA	24273	541453810	DME	VA					false			N/A
WILSON PHARMACY INC
PO BOX 5289	JOHNSON CITY	TN	37604	620329587	PHARMACY	TN					false			N/A
CRESTPOINT HEALTH INSURANCE COMPANY
509 MED TECH PARKWAY SUITE 100	JOHNSON CITY	TN	37604	620381170	INSURANCE	TN					false			N/A
INTEGRATED SOLUTIONS HEALTH NETWORK
509 MED TECH PARKWAY SUITE 100	JOHNSON CITY	TN	37604	621711997	HLTH NETWK	TN					false			N/A
NOLICHUCKEY MANAGEMENT SVCS INC
1420 TUSCULUM BOULEVARD	GREENEVILLE	TN	37745	621776681	MED. SERV.	TN					false			N/A

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	Yes (true)	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (25 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
WELLMONT MADISON HOUSE
B	$327,945	DUE TO/FROM WRITE-OFFS
WELLMONT HAWKINS CO MEMORIAL HOSP
B	$2,945,090	DUE TO/FROM WRITE-OFFS
TAKOMA REGIONAL HOSPITAL INC
B	$33,679,394	DUE TO/FROM WRITE-OFFS
WELLMONT HEALTH SERVICES INC
B	$107,256	DUE TO/FROM WRITE-OFFS
BRISTOL SURGERY CENTER
B	$174,991	DUE TO/FROM WRITE-OFFS
WELLMONT MEDICAL ASSOCIATES
C	$14,592,436	DUE TO/FROM WRITE-OFFS
WELLMONT WEXFORD HOUSE
C	$1,650,266	DUE TO/FROM WRITE-OFFS
MCOT INC
C	$1,143,270	DUE TO/FROM WRITE-OFFS
MEDICAL MALL PHARMACY
C	$92,798	DUE TO/FROM WRITE-OFFS
REHABILITATION HOSPITAL OF SW VA
C	$588,914	DUE TO/FROM WRITE-OFFS
WELLMONT FOUNDATION
C	$3,048,673	CASH
WELLMONT MEDICAL ASSOCIATES
I	$102,094	NET BOOK VALUE
MCOT INC
I	$91,001	NET BOOK VALUE
WELLMONT MEDICAL ASSOCIATES
J	$1,718,074	FMV
WELLMONT HAWKINS CO MEMORIAL HOSP
J	$236,703	FMV
HOLSTON VALLEY AMBUL SURGERY CTR
J	$1,053,211	FMV
WELLMONT CARDIOLOGY SERVICES
J	$240,992	FMV
WELLMONT CARDIOLOGY SERVICES
K	$91,046	FMV
WELLMONT HAWKINS CO MEMORIAL HOSP
L	$145,056	SUPPORT SERVICES/INVOICES
WELLMONT MEDICAL ASSOCIATES
L	$124,992	SUPPORT SERVICES/INVOICES
TAKOMA REGIONAL HOSPITAL INC
L	$332,511	SUPPORT SERVICES/INVOICES
WELLMONT CARDIOLOGY SERVICES
L	$137,311	SUPPORT SERVICES/INVOICES
WELLMONT CARDIOLOGY SERVICES
M	$2,032,568	SUPPORT SERVICES/INVOICES
MCOT INC
M	$2,605,225	COLLECTION AGREEMENT
HOLSTON VALLEY AMBUL SURGERY CTR
S	$694,080	CASH DISTRIBUTIONS