FURP.ORG / PUBLIC DATA EXPLORER

WELLMONT HEALTH SYSTEM: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
WELLMONT HEALTH SYSTEM (EIN 62-1636465)
Tax period
2014-07-01 to 2015-06-30
Filed
2017-06-15
IRS object ID
201741669349300989
Schema version
2014v6.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2017-06-15T15:55:17-04:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN621636465EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WELLMONT HEALTH SYSTEMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWELLBusinessNameControlTxt
Phone4232308200PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11905 AMERICAN WAYAddressLine1Txt
CityKINGSPORTCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37660ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTODD J DOUGANPersonNm
Person TitleCFOPersonTitleTxt
Phone4232308200PhoneNum
Signature2017-06-15SignatureDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2018-03-14 21:41:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Special ConditionAMENDEDSpecialConditionDesc
Amended ReturnYes (X)AmendedReturnInd
Principal OfficerTODD J DOUGANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11905 AMERICAN WAYAddressLine1Txt
CityKINGSPORTCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37660ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$778,307,404GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.WELLMONT.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1996FormationYr
Legal Domicile StateTNLegalDomicileStateCd
Activity Or MissionWE DELIVER SUPERIOR HEALTH CARE WITH COMPASSION.ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee6429TotalEmployeeCnt
Total Volunteers665TotalVolunteersCnt
Total Gross UBI$240,009TotalGrossUBIAmt
PY Contributions Grants$948,195PYContributionsGrantsAmt
CY Contributions Grants$2,719,815CYContributionsGrantsAmt
PY Program Service Revenue$639,948,563PYProgramServiceRevenueAmt
CY Program Service Revenue$660,586,840CYProgramServiceRevenueAmt
PY Investment Income$13,654,803PYInvestmentIncomeAmt
CY Investment Income$13,688,779CYInvestmentIncomeAmt
PY Other Revenue$20,920,473PYOtherRevenueAmt
CY Other Revenue$17,178,806CYOtherRevenueAmt
PY Total Revenue$675,472,034PYTotalRevenueAmt
CY Total Revenue$694,174,240CYTotalRevenueAmt
PY Grants And Similar Paid$217,972PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$236,312CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$257,742,877PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$263,568,679CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$395,430,883PYOtherExpensesAmt
CY Other Expenses$378,942,408CYOtherExpensesAmt
PY Total Expenses$653,391,732PYTotalExpensesAmt
CY Total Expenses$642,747,399CYTotalExpensesAmt
PY Revenues Less Expenses$22,080,302PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$51,426,841CYRevenuesLessExpensesAmt
Total Assets BOY$1,136,872,750TotalAssetsBOYAmt
Total Assets EOY$1,107,547,852TotalAssetsEOYAmt
Total Liabilities BOY$633,182,238TotalLiabilitiesBOYAmt
Total Liabilities EOY$619,863,728TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$503,690,512NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$487,684,124NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWE DELIVER SUPERIOR HEALTH CARE WITH COMPASSION.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$582,652,477ExpenseAmt
Grant$236,312GrantAmt
Revenue$661,974,457RevenueAmt
DescWELLMONT HEALTH SYSTEM PREPARES A CONSOLIDATED COMMUNITY BENEFIT REPORT WHICH INCLUDES THE ACTIVITIES OF ALL ITS OPERATIONS AND AFFILIATES. IN CONTRAST, AN IRS FORM 990 IS FILED FOR EACH TAX-EXEMPT CORPORATION (7 SEPARATE FORM 990S), AND THERE IS NO SUCH IRS FORM FOR THE TAXABLE CORPORATIONS. IN ADDITION, THE IRS INSTRUCTIONS TO FORM 990 HAVE SPECIFIC DEFINITIONS, METHODS, AND WORKSHEETS TO CALCULATE THE COMMUNITY BENEFITS TO BE INCLUDED ON THE FORM 990. AS A RESULT, THERE ARE SIGNIFICANT DIFFERENCES BETWEEN THE COMMUNITY BENEFITS REPORTED IN THE CONSOLIDATED COMMUNITY BENEFIT REPORT AND THE VARIOUS FORM 990S. THERE ARE ALSO FUNDS AND SERVICES THAT ARE PROVIDED THAT DO NOT MEET THE SPECIFIC DEFINITIONS OF THE IRS INSTRUCTIONS, SUCH AS CONTRIBUTIONS TO COMMUNITY (CON'T ON SCHEDULE O) ORGANIZATIONS THAT DO NOT MEET THE DEFINITION OF "RESTRICTED TO ONE OR MORE OF THE ACTIVITIES DESCRIBED IN THE TABLE IN PART I, LINE 7" OF SCHEDULE H. WELLMONT IS A PUBLIC TRUST. FROM KINGSPORT TO BRISTOL, FROM SNEEDVILLE TO NORTON, THE MEMBER HOSPITALS OF OUR ORGANIZATION WERE BORN OF THEIR COMMUNITIES' COMMITMENT TO SUPERIOR HEALTH CARE FOR THEIR CITIZENS. WE OFFER A VAST ARRAY OF MEDICAL SERVICES AND RESOURCES FOR THOUSANDS OF PATIENTS IN NORTHEAST TENNESSEE AND SOUTHWEST VIRGINIA. IN 2015, WE PROVIDED SERVICES TO 47,949 PATIENTS IN A BED, 161,995 EMERGENCY ROOM VISITS, 2,246 NEWBORN DELIVERIES, AND 22,175 SURGERIES. WELLMONT IS A TENNESSEE NOT-FOR-PROFIT CORPORATION. FIVE TAX-EXEMPT COMMUNITY BASED HOSPITALS - BRISTOL REGIONAL MEDICAL CENTER (BRISTOL, TENN.), HOLSTON VALLEY MEDICAL CENTER (KINGSPORT, TENN.), LONESOME PINE HOSPITAL (BIG STONE GAP, VA.), HANCOCK COUNTY HOSPITAL (SNEEDVILLE, TENN.), AND MOUNTAIN VIEW REGIONAL MEDICAL CENTER (NORTON, VA.)- ARE INCLUDED IN THIS CORPORATION. BUT EVEN AS OUR SERVICE AREA SPANS MULTIPLE STATES AND OUR REVENUE IS REPORTED IN THE HUNDREDS OF MILLIONS OF DOLLARS, WE REMAIN A COMMUNITY- OWNED HEALTH SYSTEM. IT IS OUR MISSION TO DELIVER SUPERIOR HEALTH CARE WITH COMPASSION TO THE PEOPLE WE SERVE. IT IS OUR VISION TO DELIVER THE BEST HEALTH CARE ANYWHERE. CONSISTENT WITH THIS MISSION, WE HAVE WORKED TOWARD IMPROVING OUR COMMUNITY'S ACCESS TO QUALITY, AFFORDABLE HEALTH CARE, EDUCATING OUR REGION'S CAREGIVERS, IMPROVING THE HEALTH STATUS OF OUR COMMUNITIES AND CONTRIBUTING TO THE OVERALL QUALITY OF LIFE IN THE AREAS WE SERVE. OVERALL, WE RETURNED MORE THAN 44,497,460 IN BENEFITS TO OUR REGION, INCLUDING 34,447,475 OF COSTS FOR INDIGENT PATIENTS AND UNCOMPENSATED CARE FOR OTHER PATIENTS AND 10,049,985 FOR OTHER COMMUNITY ACTIVITIES OUTLINED BELOW. WELLMONT IS IN COMPLIANCE WITH IRS GUIDELINES FOR FORM 990 SCHEDULE H REPORTING PURPOSES AND THE AMOUNTS REFLECTED ABOVE ARE NOT INCLUSIVE OF RESOURCES DESCRIBED IN WELLMONT'S COMMUNITY BENEFIT REPORT AS THE ABOVE AMOUNTS ARE REPORTED ON SCHEDULE H. WE ARE MINDFUL OF OUR RESPONSIBILITIES AS ONE OF THE REGION'S LARGEST EMPLOYERS. 6,429 FAMILIES COUNT ON US FOR THEIR LIVELIHOODS. CITIES AND COUNTIES THROUGHOUT OUR SERVICE AREA RELY ON US AS A DRIVER OF ECONOMIC DEVELOPMENT. IT IS OUR DUTY AS A CORPORATE CITIZEN TO SUPPORT THOSE ENDEAVORS AND CAUSES THAT IMPROVE THE QUALITY OF LIFE IN OUR REGION. AND WE ALSO RECOGNIZE IT IS OUR RESPONSIBILITY TO CARE FOR THOSE IN NEED - REGARDLESS OF THEIR ABILITY TO PAY. IT IS OUR COMMITMENT - INDEED, IT IS OUR MISSION - TO SUPPORT THE CAUSES AND DEVELOP THE INITIATIVES THAT WILL PROPEL OUR COMMUNITIES TOWARD A BETTER, BRIGHTER, HEALTHIER AND MORE VIBRANT FUTURE. SERVING THE UNDERSERVED REGARDLESS OF RACE, RELIGION, ETHNICITY OR ABILITY TO PAY, WELLMONT'S HOSPITALS TREAT ALL PATIENTS FOR MEDICALLY NECESSARY CONDITIONS. RECOGNIZING THAT SOME PATIENTS CANNOT AFFORD ESSENTIAL MEDICAL SERVICES, WELLMONT PROVIDED CARE FOR INDIGENT PATIENTS, WRITING OFF 58,016,379 OF CHARGES AND INCURRING COST OF 13,427,105. WELLMONT IS IN COMPLIANCE WITH IRS GUIDELINES FOR FORM 990 SCHEDULE H REPORTING PURPOSES AND THE AMOUNTS REFLECTED ABOVE ARE NOT INCLUSIVE OF RESOURCES DESCRIBED IN WELLMONT'S COMMUNITY BENEFIT REPORT AS THE ABOVE AMOUNTS ARE REPORTED ON SCHEDULE H. OTHER RECENT INITIATIVES INCLUDE: 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 THE WELLMONT FOUNDATION, THE COACH OFFERS A HOST OF COMPREHENSIVE SCREENINGS THAT HELP IDENTIFY POTENTIAL HEALTH PROBLEMS. OUR HEALTH SYSTEM, IN CONJUNCTION WITH A GRANT FROM SUSAN G. KOMEN FOR THE CURE TRI-CITIES, WAS ABLE TO FUND THE COST OF MAMMOGRAMS FOR SEVERAL HUNDRED WOMEN WHO WERE UNDERINSURED OR UNINSURED. PROJECT ACCESS TO BREAST CARE IS DESIGNED TO REACH WOMEN WHO LIVE IN HAWKINS, SULLIVAN, WASHINGTON, JOHNSON, UNICOI, HANCOCK, CARTER AND GREENE COUNTIES IN TENNESSEE AND WOMEN IN SCOTT COUNTY, VA. TO QUALIFY, WOMEN MUST BE BETWEEN THE AGES OF 35 AND 49 AND EITHER BE UNINSURED AND FINANCIALLY UNABLE TO PAY FOR A MAMMOGRAM OR INSURED AND HAVE A HIGH DEDUCTIBLE AND/OR CO-PAY THAT MAKES IT FINANCIALLY DIFFICULT TO OBTAIN A MAMMOGRAM. BRISTOL REGIONAL MEDICAL CENTER PROVIDES SUPPLIES AND OTHER VARIOUS ITEMS VALUED AT 20,406 TO HEALING HANDS HEALTH CENTER IN BRISTOL, TENN., WHICH PROVIDES QUALITY HEALTH CARE TO THE WORKING POOR. DR. DAVE ARNOLD SERVES AS THE MEDICAL DIRECTOR OF HEALING HANDS HEALTH CENTER IN BRISTOL, TENN. AND HIS SALARY AND BENEFITS ARE PAID BY HEALING HANDS HEALTH CENTER. TRAINING AND EDUCATING OUR HEALTHCARE PROFESSIONALS WELLMONT WILL NOT SUCCEED IN OUR MISSION WITHOUT CONTINUALLY REINVESTING IN OUR MOST PRECIOUS RESOURCE - OUR PEOPLE. TO THAT END, WE SUPPORTED THE EDUCATION AND TRAINING OF HEALTH CARE PROFESSIONALS AT A DIRECT COST OF 5,748,416. RECENT INITIATIVES INCLUDE: WELLMONT PROVIDED AND PARTICIPATED IN SEVERAL FORMAL TRAINING PROGRAMS FOR HEALTH PROFESSIONALS, INCLUDING EAST TENNESSEE STATE UNIVERSITY'S INTERNSHIP AND RESIDENCY PROGRAMS. OUR CONTRIBUTIONS TOTALED 991,864 IN SUPPORT OF THE SCHOOL'S JAMES H. QUILLEN COLLEGE OF MEDICINE RESIDENCY PROGRAM. WELLMONT CONTINUES TO WELCOME OSTEOPATHIC MEDICAL STUDENTS FROM LINCOLN MEMORIAL UNIVERSITY'S DEBUSK COLLEGE OF OSTEOPATHIC MEDICINE. THE STUDENTS PERFORM CLINICAL ROTATIONS IN WELLMONT HOSPITALS AS THEY MOVE TOWARD BECOMING THE NEXT GENERATION OF DOCTORS. THE STUDENTS, WHO RECEIVE FREE HOUSING ON THE CAMPUS OF MOUNTAIN VIEW REGIONAL MEDICAL CENTER, COMPLETE THEIR CORE CLINICAL ROTATIONS AT MOUNTAIN VIEW REGIONAL. THE STUDENTS PERFORM SUB-SPECIALTY ROTATIONS AT HOLSTON VALLEY MEDICAL CENTER AND BRISTOL REGIONAL MEDICAL CENTER AND PRIMARY CORE ROTATIONS AT HAWKINS COUNTY MEMORIAL HOSPITAL. FREE HOUSING IS AVAILABLE ON THE MOUNTAIN VIEW REGIONAL MEDICAL CENTER AND HOLSTON VALLEY MEDICAL CENTER CAMPUSES FOR OUR MOUNTAIN REGION CORE SITE MEDICAL STUDENTS. OUR CONTRIBUTIONS TOTALED 730,534 IN SUPPORT OF THE DEBUSK COLLEGE OF OSTEOPATHIC MEDICINE. WELLMONT AND LINCOLN MEMORIAL UNIVERSITY'S DEBUSK COLLEGE OF OSTEOPATHIC MEDICINE ALSO PARTNER TO PROVIDE THE WELLMONT ORTHOPEDIC RESIDENCY PROGRAM AT HOLSTON VALLEY MEDICAL CENTER, ONE OF JUST 41 SUCH PROGRAMS IN THE COUNTRY TO HELP TRAIN THE NEXT GENERATION OF SPECIALTY PHYSICIANS. OUR CONTRIBUTIONS TOTALED 20,738 IN SUPPORT OF THE LINCOLN MEMORIAL UNIVERSITY'S DEBUSK COLLEGE OF OSTEOPATHIC MEDICINE ORTHOPEDIC RESIDENCY PROGRAM. WELLMONT CONTINUES TO EXERT TREMENDOUS EFFORT TO ACHIEVE MEANINGFUL USE OF AN ELECTRONIC HEALTH RECORD. THIS NATIONAL MANDATE CREATES TREMENDOUS EFFICIENCIES FOR CAREGIVERS, ENHANCES PATIENT CARE AND ULTIMATELY IMPROVES PATIENT SAFETY BY REDUCING THE POTENTIAL FOR ERRORS ASSOCIATED WITH PAPER DOCUMENTATION AS WELL AS INCREASING THE SECURITY AND SHARING OF DATA AMONG PROVIDERS. WELLMONT COMPLETED THE IMPLEMENTATION OF MYWELLMONT, WHICH IS AN ONLINE PORTAL THAT ALLOWS WELLMONT PATIENTS TO SECURELY ACCESS THEIR HEALTH INFORMATION FROM VIRTUALLY ANYWHERE. PATIENTS CAN ELECTRONICALLY REQUEST APPOINTMENTS, VIEW TEST RESULTS, RENEW PRESCRIPTIONS, PAY BILLS AND PERFORM MANY OTHER ROUTINE ACTIVITIES. MOST IMPORTANTLY, PATIENTS AND PROVIDERS CAN CONNECT IN MORE WAYS THAN EVER BEFORE, ENHANCING RELATIONSHIPS AND BUILDING A TEAM-BASED APPROACH TO CARE. WELLMONT HAS MADE AVAILABLE CONTINUING EDUCATION AND TRAINING TO EMPLOYEES, MEDICAL STAFF, MEMBERS OF AFFILIATED HEALTH CAREORGANIZATIONS AND SCHOOLS AND INTERESTED MEMBERS OF THE PUBLIC. SOME OF THOSE OPPORTUNITIES INCLUDED: -ANNUAL STROKE SYMPOSIUM; OPEN TO WELLMONT PHYSICIANS AND STAFF AND THE COMMUNITY; -ANNUAL CRITICAL CARE AND TRAUMA CONFERENCE; OPEN TO WELLMONT PHYSICIANS AND STAFF AND THE COMMUNITY; -ANNUAL CARDIOVASCULAR SUMMIT; OPEN TO WELLMONT PHYSICIANS AND STAFFAND THE COMMUNITY; -ANNUAL WOMEN AND CHILDREN'S EXPOSITION, OPEN TO WELLMONT PHYSICIANS AND STAFF AND THE COMMUNITY; -ANNUAL DIABETES EXPOSITION, OPEN TO WELLMONT PHYSICIANS AND STAFF AND THE COMMUNITY; -A PRESCRIPTION DRUG ABUSE CONFERENCE -REGULAR EDUCATION FOR CLINICAL STAFF ON TOPICDesc
Total Program Service Expenses$582,652,477TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document358IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee6429EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressYes (true)OfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedurefalseWrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonTODD J DOUGANPersonNm
Phone4232308200PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11905 AMERICAN WAYAddressLine1Txt
CityKINGSPORTCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37660ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (41 entries)

TitleTitleTxtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
STANLEY GALL MD
BOARD MEMBER40.00Yes (X)$0$564,321$29,544
DAVID THOMPSON MD
BOARD MEMBER40.00Yes (X)$0$433,561$8,407
JULIE P BENNETT
VICE CHAIRYes (X)$0$0$06.00
R DAVID CROCKETT SR
BOARD MEMBERYes (X)$0$0$06.00
WAYNE J KENNEDY
SECRETARYYes (X)$0$0$06.00
RAVEN KRICKBAUM
BOARD MEMBERYes (X)$0$0$06.00
ROGER L LEONARD
CHAIRMANYes (X)$0$0$06.00
ROGER K MOWEN
TREASURER/ASYes (X)$0$0$06.00
GLEN SKIP SKINNER
BOARD MEMBERYes (X)$0$0$06.00
DOUGLAS J SPRINGER MD
BOARD MEMBERYes (X)$0$0$06.00
DAVID LESTER
BOARD MEMBERYes (X)$0$0$06.00
WILLIAM SMITH MD
BOARD MEMBERYes (X)$0$0$06.00
DAVID SPARKS MD
BOARD MEMBERYes (X)$0$0$06.00
MARY HALL
BOARD MEMBERYes (X)$0$0$06.00
TERRY BEGLEY
BOARD MEMBERYes (X)$0$0$06.00
NELSON GWALTNEY MD
BOARD MEMBERYes (X)$0$0$06.00
KEITH WILSON
BOARD MEMBERYes (X)$0$0$06.00
TED WOOD
BOARD MEMBERYes (X)$0$0$06.00
MARGARET DENARVAEZ TERMED 91614
PRESIDENT/CE0.00$2,554,461$0$65,34140.00Yes (X)
TRACEY P MOFFATT TERMED 10314
SR VP & WHS$575,375$0$21,41840.00Yes (X)
ALICE POPE
EVP & CFO$479,861$0$27,46740.00Yes (X)
BARTON A HOVE
WHS PRESIDEN$394,913$0$16,37440.00Yes (X)
WILLIAM SHOWALTER TERMED 41715
SR VP - INFO$393,336$0$8,69740.00Yes (X)
HAMLIN J WILSON
SR VP-HUMAN$347,552$0$16,36440.00Yes (X)
GARY D MILLER
SR VP & GEN$346,188$0$16,10440.00Yes (X)
TODD J DOUGAN
SR VP-FINANC$292,465$0$19,82240.00Yes (X)
LOWELL TODD NORRIS
SR VP INST &32.00$55,653$222,610$19,6708.00Yes (X)
BUFORD E DEATON
EXEC VP & WH$66,293$0$37040.00Yes (X)
TIMOTHY ATTEBERY
PRESIDENT/CE$446,896$0$25,15140.00Yes (X)
GREG NEAL
PRESIDENT/CE$409,637$0$24,12240.00Yes (X)
FRED PELLE
PRESIDENT &$68,173$265,643$21,49040.00Yes (X)
DAVID L BRASH
SR VP OF BUS$319,658$0$21,65440.00Yes (X)
MARTHA CHILL
SYSTEM VP/EM$310,170$0$21,72040.00Yes (X)
VIRGINIA FRANK TERMED 8814
PRESIDENT-HV$231,607$0$6,44040.00Yes (X)
DANIEL CARLSON TERMED 5815
CHIEF MEDICA$415,496$0$25,64840.00Yes (X)
SUSAN LINDENBUSCH
VP WHS ONCOL$325,826$0$15,61940.00Yes (X)
WILLIAM TROY CLARK TERMED 121214
VP/HV CHIEF$316,207$0$21,30140.00Yes (X)
DAVID ARROWOOD
CRNA$285,795$0$18,80340.00Yes (X)
BRAD PRICE
SR VP-RESOUR$285,597$0$11,03240.00Yes (X)
PIERRE ISTFAN MD
BOARD MEMBER40.00$0$567,736$29,881Yes (X)
KENT PETTY TERMED 4114
CHIEF INFORM$304,577$0$6,00040.00Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$9,225,736TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,053,871TotReportableCompRltdOrgAmt
Total Other Compensation$498,439TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K147IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
EPIC SYSTEMS CORPORATION
P O BOX 88314MILWAUKEEWI532880314SOFTWARE$11,979,650
SOLSTAS LAB PARTNERS
P O BOX 751337CHARLOTTENC28275LAB SERVICES$9,225,937
SPENCER THOMAS GROUP
1931 WOODBURY AVE 125PORTSMOUTHNH03801SOFTWARE CONSUL$8,188,867
SODEXO INC & AFFILIATES
P O BOX 536922ATLANTAGA303536922MGMT SERVICES$5,978,650
ESD LLC
4352 WEST SYLVANIA AVE SUITE MTOLEDOOH43623SOFTWARE CONSUL$5,518,456
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K139CntrctRcvdGreaterThan100KCnt
Related Organizations$2,700,214RelatedOrganizationsAmt
Government Grants$19,601GovernmentGrantsAmt
Total Contributions$2,719,815TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PHARMACY REVENUE621990$334,559,482$334,559,482
NET PATIENT REVENUE621990$319,523,794$319,523,794
BLOOD REVENUE621990$6,417,164$6,417,164
ADMINISTRATIVE REVENUE561000$86,400$86,400
FieldValueIRS element (for citing)
Total Program Service Revenue$660,586,840TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,314,497TotalRevenueColumnAmt
Exclusion$12,314,497ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$6,249,636RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,913,944RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$4,335,692RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,335,692TotalRevenueColumnAmt
Exclusion$4,335,692ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$74,876,753SecuritiesAmt
Other$8,716,749OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$73,943,213SecuritiesAmt
Other$8,276,007OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$933,540SecuritiesAmt
Other$440,742OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,374,282TotalRevenueColumnAmt
Unrelated Business Revenue$24,169UnrelatedBusinessRevenueAmt
Exclusion$1,350,113ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
MISCELLANEOUS REVENUE900099$5,012,393$5,012,393
CAFETERIA VENDING900099$3,373,493$3,373,493
MEDICAL LAUNDRY REVENUE900099$2,453,984$2,453,984

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,003,244TotalRevenueColumnAmt
Related Or Exempt Func Income$1,387,617RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$215,840UnrelatedBusinessRevenueAmt
Exclusion$399,787ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$12,843,114OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$694,174,240TotalRevenueColumnAmt
Related Or Exempt Func Income$661,974,457RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$240,009UnrelatedBusinessRevenueAmt
Exclusion$29,239,959ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$236,312TotalAmt
Program Services$236,312ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$7,343,761TotalAmt
Management And General$7,343,761ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$205,086,337TotalAmt
Program Services$177,219,235ProgramServicesAmt
Management And General$27,867,102ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$6,084,075TotalAmt
Program Services$4,976,820ProgramServicesAmt
Management And General$1,107,255ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$30,331,070TotalAmt
Program Services$26,363,705ProgramServicesAmt
Management And General$3,967,365ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$14,723,436TotalAmt
Program Services$12,594,408ProgramServicesAmt
Management And General$2,129,028ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$840,922TotalAmt
Management And General$840,922ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,585,502TotalAmt
Management And General$1,585,502ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,718,814TotalAmt
Management And General$1,718,814ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$146,182TotalAmt
Program Services$146,182ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$362,237TotalAmt
Program Services$362,237ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$63,676,400TotalAmt
Program Services$60,709,938ProgramServicesAmt
Management And General$2,966,462ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,338,101TotalAmt
Program Services$1,338,101ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$34,158,387TotalAmt
Program Services$31,295,244ProgramServicesAmt
Management And General$2,863,143ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$10,769,216TotalAmt
Program Services$10,764,359ProgramServicesAmt
Management And General$4,857ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$15,322,874TotalAmt
Program Services$13,124,699ProgramServicesAmt
Management And General$2,198,175ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,750,451TotalAmt
Program Services$1,454,310ProgramServicesAmt
Management And General$296,141ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$44,473TotalAmt
Program Services$43,310ProgramServicesAmt
Management And General$1,163ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$18,589,181TotalAmt
Program Services$18,589,181ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$54,132,186TotalAmt
Program Services$51,437,210ProgramServicesAmt
Management And General$2,694,976ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,430,190TotalAmt
Program Services$3,430,190ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DRUGS & MEDICAL SUPPLIES$124,783,498$124,783,348$150
PROVISION FOR BAD DEBTS$41,655,746$41,655,746
MISCELLANEOUS EXPENSE$3,463,821$1,705,884$1,757,937
PHYSICIAN RECRUITMENT$932,528$188,471$744,057

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$241,699TotalAmt
Program Services$233,587ProgramServicesAmt
Management And General$8,112ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$642,747,399TotalAmt
Program Services$582,652,477ProgramServicesAmt
Management And General$60,094,922ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$553,847BOYAmt
EOY$305,060EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$25,886,422BOYAmt
EOY$45,263,215EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$175,220,510BOYAmt
EOY$116,357,945EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$17,170,337BOYAmt
EOY$18,417,121EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$9,662,119BOYAmt
EOY$9,676,575EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,089,340,217LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$635,247,983LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$462,143,813BOYAmt
EOY$454,092,234EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$412,922,328BOYAmt
EOY$411,522,813EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$18,220,889BOYAmt
EOY$7,213,553EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$7,993,380BOYAmt
EOY$37,609,295EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$7,099,105BOYAmt
EOY$7,090,041EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,136,872,750BOYAmt
EOY$1,107,547,852EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$84,562,491BOYAmt
EOY$81,970,064EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$471,816,681BOYAmt
EOY$459,668,669EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$9,564,971BOYAmt
EOY$9,297,968EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$67,238,095BOYAmt
EOY$68,927,027EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$633,182,238BOYAmt
EOY$619,863,728EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$503,690,512BOYAmt
EOY$487,684,124EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$503,690,512BOYAmt
EOY$487,684,124EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,136,872,750BOYAmt
EOY$1,107,547,852EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$51,426,841ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$67,433,229OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$146,182FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$146,182FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$642,601,217FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$642,747,399FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,000,000FilingOrganizationsTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$250,000FilingOrganizationsTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$1,000,000CurrentYearMinus3Amt
Current Year Minus2$1,000,000CurrentYearMinus2Amt
Current Year Minus1$1,000,000CurrentYearMinus1Amt
Current Year$1,000,000CurrentYearAmt
Total$4,000,000TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$63,081CurrentYearMinus3Amt
Current Year Minus2$64,174CurrentYearMinus2Amt
Current Year Minus1$169,101CurrentYearMinus1Amt
Current Year$146,182CurrentYearAmt
Total$442,538TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$250,000CurrentYearMinus3Amt
Current Year Minus2$250,000CurrentYearMinus2Amt
Current Year Minus1$250,000CurrentYearMinus1Amt
Current Year$250,000CurrentYearAmt
Total$1,000,000TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$107,181InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$31,544,344OtherCostOrOtherBasisAmt
Book Value$31,651,525BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$521,877,129OtherCostOrOtherBasisAmt
Depreciation$267,122,794DepreciationAmt
Book Value$254,754,335BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,357,291OtherCostOrOtherBasisAmt
Depreciation$1,925,145DepreciationAmt
Book Value$6,432,146BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$373,376,522OtherCostOrOtherBasisAmt
Depreciation$299,554,384DepreciationAmt
Book Value$73,822,138BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$154,077,750OtherCostOrOtherBasisAmt
Depreciation$66,645,660DepreciationAmt
Book Value$87,432,090BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$454,092,234TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
CAPITAL LEASE OBLIGATIONS$23,831,644
OTHER LONG-TERM LIABILITIES$17,410,747
OTHER CURRENT LIABILITIES$13,266,789
DEFINED BENEFITS PENSION LIABILITY$12,020,255
POST RETIREMENT BENEFITS$2,487,290
SWAP LIABILITY-$89,698
FieldValueIRS element (for citing)
Total Liability$68,927,027TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 3, PART XFormAndLineReferenceDesc
ExplanationTHE WELLMONT HEALTH SYSTEM ENTITIES ARE PRIMARILY CLASSIFIED AS ORGANIZATIONS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) AS ENTITIES DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN INCLUDED FOR THESE ENTITIES IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE OPERATIONS OF WELLMONT HEALTH SYSTEM ARE SUBJECT TO STATE AND FEDERAL INCOME TAXES WHICH ARE ACCOUNTED FOR IN ACCORDANCE WITH ASC 740, INCOME TAXES; HOWEVER, SUCH AMOUNTS ARE NOT MATERIAL.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CarefalseFPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,427,105TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$13,427,105NetCommunityBenefitExpnsAmt
Total Expense0.02090TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$75,090,879TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$54,070,509DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,020,370NetCommunityBenefitExpnsAmt
Total Expense0.03270TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$88,517,984TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$54,070,509DirectOffsettingRevenueAmt
Net Community Benefit Expns$34,447,475NetCommunityBenefitExpnsAmt
Total Expense0.05360TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs230ActivitiesOrProgramsCnt
Persons Served175745PersonsServedCnt
Total Community Benefit Expns$4,226,815TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,226,815NetCommunityBenefitExpnsAmt
Total Expense0.00660TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs72ActivitiesOrProgramsCnt
Persons Served5646PersonsServedCnt
Total Community Benefit Expns$5,555,001TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,555,001NetCommunityBenefitExpnsAmt
Total Expense0.00860TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs202ActivitiesOrProgramsCnt
Persons Served32PersonsServedCnt
Total Community Benefit Expns$135,640TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$135,640NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs62ActivitiesOrProgramsCnt
Total Community Benefit Expns$132,529TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$132,529NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs566ActivitiesOrProgramsCnt
Persons Served181423PersonsServedCnt
Total Community Benefit Expns$10,049,985TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$10,049,985NetCommunityBenefitExpnsAmt
Total Expense0.01560TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs566ActivitiesOrProgramsCnt
Persons Served181423PersonsServedCnt
Total Community Benefit Expns$98,567,969TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$54,070,509DirectOffsettingRevenueAmt
Net Community Benefit Expns$44,497,460NetCommunityBenefitExpnsAmt
Total Expense0.06920TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served280PersonsServedCnt
Total Community Benefit Expns$9,306TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$9,306NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs69ActivitiesOrProgramsCnt
Persons Served4102PersonsServedCnt
Total Community Benefit Expns$15,668TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$15,668NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs73ActivitiesOrProgramsCnt
Persons Served4382PersonsServedCnt
Total Community Benefit Expns$24,974TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$24,974NetCommunityBenefitExpnsAmt
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$10,621,284BadDebtExpenseAmt
Reimbursed By Medicare$145,042,286ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$141,633,052CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$3,409,234MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
HOLSTON VALLEY AMBUL
SURGICAL SERVICES0.520000.48000
SAPLING GROVE AMBULA
SURGICAL SERVICES0.650000.35000
FieldValueIRS element (for citing)
Hospital Facilities5HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (5 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCdCritical Access HospitalCriticalAccessHospitalInd
HOLSTON VALLEY MEDICAL CENTER
1130 RAVINE STREETKINGSPORTTN37660Yes (X)Yes (X)Yes (X)Yes (X)A
BRISTOL REGIONAL MEDICAL CENTER
21 MEDICAL PARK BLVDBRISTOLTN37620Yes (X)Yes (X)Yes (X)Yes (X)A
LONESOME PINE HOSPITAL
31990 HOLTON AVENUEBIG STONE GAPVA24219Yes (X)Yes (X)Yes (X)Yes (X)A
MOUNTAIN VIEW REGIONAL MEDICAL CTR
4310 3RD STREET NENORTONVA24273Yes (X)Yes (X)Yes (X)A
HANCOCK COUNTY HOSPITAL
51519 MAIN STREETSNEEDVILLETN37869Yes (X)Yes (X)AYes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ABusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
OtherYes (X)OtherInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.WELLMONT.ORGOwnWebsiteURLTxt
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLWWW.WELLMONT.ORGStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
Explained BasisfalseExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWWWELLMONTORGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWWWELLMONTORGFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWWWELLMONTORGFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesYes (true)CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
GROUP A, FACILITY 1, HOLSTON VALLEY MEDICAL CENTER - PART V, LINE 5INFORMATION FOR THE CHNA ASSESSMENT WAS GATHERED FROM A VARIETY OF SOURCES, INCLUDING: - INTERVIEWS WITH PATIENTS - INTERVIEWS WITH KEY COMMUNITY LEADERS AND STAKEHOLDERS, INCLUDING REPRESENTATIVE OF UNDERSERVED POPULATIONS AND AREAS WITH HEALTHCARE DISPARITIES - INTERVIEWS WITH LEADERS AND STAFF IN OTHER HEALTHCARE ORGANIZATIONS OR CIVIC ORGANIZATIONS WITH A SHARED MISSION TO POSITIVELY IMPACT THE HEALTH STATUS OF THE COMMUNITY - PHYSICIAN NEEDS ASSESSMENT - COMMUNITY HEALTH FACILITY ASSESSMENT - MENTAL HEALTH NEEDS ASSESSMENT - DIALYSIS AND DENTAL NEEDS ASSESSMENT - PUBLICLY AVAILABLE POPULATION AND DEMOGRAPHIC INFORMATION - PUBLICLY AVAILABLE POPULATION HEALTH INFORMATION 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 HEALTHCARE ORGANIZATIONS AND PHYSICIANS. SEVERAL COMMUNITY LEADERS PARTICIPATED IN THE CHNA THROUGH PERSONAL INTERVIEWS, SURVEYS AND OTHER MEANS. THEIR FEEDBACK WAS INVALUABLE IN ASSESSING THE HEALTH NEEDS OF THE COMMUNITIES WE SERVE AND DEVELOPING ACTIONS PLANS TO ENSURE THOSE NEEDS WERE MET. THE TIME, TALENT AND INSIGHT OF ELECTED REPRESENTATIVES AND LEADERS OF BUSINESSES, MUNICIPALITIES AND ORGANIZATIONS LISTED BELOW WERE GREATLY APPRECIATED. - ADVANCED HOME CARE - BELIEVE IN BRISTOL - BILL GATTON AUTOMOTIVE GROUP - BRISTOL COMPRESSORS INTERNATIONAL - BRISTOL TENNESEE CITY SCHOOLS - VIRGINIA STATE SENATOR BILL CARRICO - CHILTERN INTERNATIONAL - CITY OF BRISTOL, TN - CITY OF BRISTOL, VA - CITY OF KINGSPORT, TN - CITY OF NORTON, VA - CITY OF NORTON SCHOOL SYSTEM - CITY OF ROGERSVILLE, TN - CITY OF SNEEDVILLE, TN - DICKENSON COUNTY CHAMBER OF COMMERCE - DOMTAR - DR. GLENN E. VANCE, JR., DDS - ELECTRO-MECHANICAL CORPORATION - FIRST TENNESSEE BANK - FRIENDS IN NEED HEALTHCARE, INC. - FRONTIER HEALTH - US REPRESENTATIVE MORGAN GRIFFITH - HANCOCK MANOR NURSING HOME - HAWKINS COUNTY GAS UTILITY - HAWKINS AND HANCOCK COUNTY HEALTH DEPARTMENTS - HEALING HANDS HEALTH CENTER - THE HEALTH WAGON - HUNTER, SMITH & DAVIS, ATTORNEYS AT LAW - INDUSTRIAL DEVELOPMENT AUTHORITY OF DICKENSON COUNTY - KVAT FOOD STORES - KAVANAUGH CALL CENTER GROUP - VIRGINIA STATE DELEGATE TERRY KILGORE - KINGSPORT AREA CHAMBER OF COMMERCE - KINGSPORT OFFICE OF SMALL BUSINESS DEVELOPMENT & ENTREPRENEURSHIP - LANDMARK REALTY, INC. - LEE COUNTY, VA. - MEADOWVIEW CONFERENCE RESORT & CONVENTION CENTER - VIRGINIA STATE DELEGATE JAMES "WILL" MOREFIELD - MOUNTAIN EMPIRE OLDER CITIZENS, INC. - NASH AND POWERS INSURANCE SERVICES - NORTON INDUSTRIAL DEVELOPMENT AUTHORITY - OAK HILL CEMETERY - VIRGINIA STATE DELEGATE ISRAEL O'QUINN - PHARMACEUTICAL PRODUCT DEVELOPMENT - VIRGINIA STATE SENATOR PHILLIP PUCKETT - TENNESSEE LT. GOVERNOR RON RAMSEY - THE REGIONAL EYE CENTER - THE ROBINETTE COMPANY - RURAL HEALTH SERVICES CONSORTIUM - SOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS, INC. - STRONGWELL CORPORATION - SULLIVAN COUNTY, TN - SULLIVAN COUNTY REGIONAL HEALTH DEPARTMENT - SULLIVAN COUNTY SCHOOL SYSTEM - TELE-OPTICS, INC. - TOWN OF ABINGDON, VA - TOWN OF BIG STONE GAP, VA - TOWN OF PENNINGTON GAP, VA - TOWN OF JONESVILLE, VA - TRISUMMIT BANK - UNIVERSAL FIBERS - UNIVERSITY OF VIRGINIA'S COLLEGE AT WISE - VIRGINIA CITY HYBRID ENERGY CENTER - VIRGINIA DEPARTMENT OF HEALTH - CUMBERLAND PLATEAU HEALTH DISTRICT - VIRGINIA DEPARTMENT OF HEALTH - LENOWISCO DISTRICT - WCYB-TV - WELLMONT MEDICAL ASSOCIATES - WISE COUNTY CHAMBER OF COMMERCE - WISE COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY - WISE COUNTY, VA - YWCA BRISTOL
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 11KEY FINDINGS NOTED DURING THE CHNA WERE LACK OF SUFFICIENT PSYCHIATRIC HEALTH AND DENTAL CARE. THESE FINDINGS FALL OUTSIDE THE CORE BUSINESS AND MISSON OF WELLMONT HEALTH SYSTEM. TO HELP MEET THESE NEEDS, WELLMONT HEALTH SYSTEM 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.
GROUP A, FACILITY 1, HOLSTON VALLEY MEDICAL CENTER - PART V, LINE 22DHOLSTON VALLEY MEDICAL CENTER FOLLOWS TENNESSEE STATUTE WHICH IS 175% OF AVERAGE COST FOR ITS HOSPITAL.
GROUP A, FACILITY 2, BRISTOL REGIONAL MEDICAL CENTER - PART V, LINE 5INFORMATION FOR THE CHNA ASSESSMENT WAS GATHERED FROM A VARIETY OF SOURCES, INCLUDING: - INTERVIEWS WITH PATIENTS - INTERVIEWS WITH KEY COMMUNITY LEADERS AND STAKEHOLDERS, INCLUDING REPRESENTATIVE OF UNDERSERVED POPULATIONS AND AREAS WITH HEALTHCARE DISPARITIES - INTERVIEWS WITH LEADERS AND STAFF IN OTHER HEALTHCARE ORGANIZATIONS OR CIVIC ORGANIZATIONS WITH A SHARED MISSION TO POSITIVELY IMPACT THE HEALTH STATUS OF THE COMMUNITY - PHYSICIAN NEEDS ASSESSMENT - COMMUNITY HEALTH FACILITY ASSESSMENT - MENTAL HEALTH NEEDS ASSESSMENT - DIALYSIS AND DENTAL NEEDS ASSESSMENT - PUBLICLY AVAILABLE POPULATION AND DEMOGRAPHIC INFORMATION - PUBLICLY AVAILABLE POPULATION HEALTH INFORMATION 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 HEALTHCARE ORGANIZATIONS AND PHYSICIANS. SEVERAL COMMUNITY LEADERS PARTICIPATED IN THE CHNA THROUGH PERSONAL INTERVIEWS, SURVEYS AND OTHER MEANS. THEIR FEEDBACK WAS INVALUABLE IN ASSESSING THE HEALTH NEEDS OF THE COMMUNITIES WE SERVE AND DEVELOPING ACTIONS PLANS TO ENSURE THOSE NEEDS WERE MET. THE TIME, TALENT AND INSIGHT OF ELECTED REPRESENTATIVES AND LEADERS OF BUSINESSES, MUNICIPALITIES AND ORGANIZATIONS LISTED BELOW WERE GREATLY APPRECIATED. - ADVANCED HOME CARE - BELIEVE IN BRISTOL - BILL GATTON AUTOMOTIVE GROUP - BRISTOL COMPRESSORS INTERNATIONAL - BRISTOL TENNESEE CITY SCHOOLS - VIRGINIA STATE SENATOR BILL CARRICO - CHILTERN INTERNATIONAL - CITY OF BRISTOL, TN - CITY OF BRISTOL, VA - CITY OF KINGSPORT, TN - CITY OF NORTON, VA - CITY OF NORTON SCHOOL SYSTEM - CITY OF ROGERSVILLE, TN - CITY OF SNEEDVILLE, TN - DICKENSON COUNTY CHAMBER OF COMMERCE - DOMTAR - DR. GLENN E. VANCE, JR., DDS - ELECTRO-MECHANICAL CORPORATION - FIRST TENNESSEE BANK - FRIENDS IN NEED HEALTHCARE, INC. - FRONTIER HEALTH - US REPRESENTATIVE MORGAN GRIFFITH - HANCOCK MANOR NURSING HOME - HAWKINS COUNTY GAS UTILITY - HAWKINS AND HANCOCK COUNTY HEALTH DEPARTMENTS - HEALING HANDS HEALTH CENTER - THE HEALTH WAGON - HUNTER, SMITH & DAVIS, ATTORNEYS AT LAW - INDUSTRIAL DEVELOPMENT AUTHORITY OF DICKENSON COUNTY - KVAT FOOD STORES - KAVANAUGH CALL CENTER GROUP - VIRGINIA STATE DELEGATE TERRY KILGORE - KINGSPORT AREA CHAMBER OF COMMERCE - KINGSPORT OFFICE OF SMALL BUSINESS DEVELOPMENT & ENTREPRENEURSHIP - LANDMARK REALTY, INC. - LEE COUNTY, VA. - MEADOWVIEW CONFERENCE RESORT & CONVENTION CENTER - VIRGINIA STATE DELEGATE JAMES "WILL" MOREFIELD - MOUNTAIN EMPIRE OLDER CITIZENS, INC. - NASH AND POWERS INSURANCE SERVICES - NORTON INDUSTRIAL DEVELOPMENT AUTHORITY - OAK HILL CEMETERY - VIRGINIA STATE DELEGATE ISRAEL O'QUINN - PHARMACEUTICAL PRODUCT DEVELOPMENT - VIRGINIA STATE SENATOR PHILLIP PUCKETT - TENNESSEE LT. GOVERNOR RON RAMSEY - THE REGIONAL EYE CENTER - THE ROBINETTE COMPANY - RURAL HEALTH SERVICES CONSORTIUM - SOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS, INC. - STRONGWELL CORPORATION - SULLIVAN COUNTY, TN - SULLIVAN COUNTY REGIONAL HEALTH DEPARTMENT - SULLIVAN COUNTY SCHOOL SYSTEM - TELE-OPTICS, INC. - TOWN OF ABINGDON, VA - TOWN OF BIG STONE GAP, VA - TOWN OF PENNINGTON GAP, VA - TOWN OF JONESVILLE, VA - TRISUMMIT BANK - UNIVERSAL FIBERS - UNIVERSITY OF VIRGINIA'S COLLEGE AT WISE - VIRGINIA CITY HYBRID ENERGY CENTER - VIRGINIA DEPARTMENT OF HEALTH - CUMBERLAND PLATEAU HEALTH DISTRICT - VIRGINIA DEPARTMENT OF HEALTH - LENOWISCO DISTRICT - WCYB-TV - WELLMONT MEDICAL ASSOCIATES - WISE COUNTY CHAMBER OF COMMERCE - WISE COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY - WISE COUNTY, VA - YWCA BRISTOL
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 11KEY FINDINGS NOTED DURING THE CHNA WERE LACK OF SUFFICIENT PSYCHIATRIC HEALTH AND DENTAL CARE. THESE FINDINGS FALL OUTSIDE THE CORE BUSINESS AND MISSON OF WELLMONT HEALTH SYSTEM. TO HELP MEET THESE NEEDS, WELLMONT HEALTH SYSTEM 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.
GROUP A, FACILITY 2, BRISTOL REGIONAL MEDICAL CENTER - PART V, LINE 22DBRISTOL REGIONAL MEDICAL CENTER FOLLOWS TENNESSEE STATUTE WHICH IS 175% OF AVERAGE COST FOR ITS HOSPITALS.
GROUP A, FACILITY 3, LONESOME PINE HOSPITAL - PART V, LINE 5INFORMATION FOR THE CHNA ASSESSMENT WAS GATHERED FROM A VARIETY OF SOURCES, INCLUDING: - INTERVIEWS WITH PATIENTS - INTERVIEWS WITH KEY COMMUNITY LEADERS AND STAKEHOLDERS, INCLUDING REPRESENTATIVE OF UNDERSERVED POPULATIONS AND AREAS WITH HEALTHCARE DISPARITIES - INTERVIEWS WITH LEADERS AND STAFF IN OTHER HEALTHCARE ORGANIZATIONS OR CIVIC ORGANIZATIONS WITH A SHARED MISSION TO POSITIVELY IMPACT THE HEALTH STATUS OF THE COMMUNITY - PHYSICIAN NEEDS ASSESSMENT - COMMUNITY HEALTH FACILITY ASSESSMENT - MENTAL HEALTH NEEDS ASSESSMENT - DIALYSIS AND DENTAL NEEDS ASSESSMENT - PUBLICLY AVAILABLE POPULATION AND DEMOGRAPHIC INFORMATION - PUBLICLY AVAILABLE POPULATION HEALTH INFORMATION 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 HEALTHCARE ORGANIZATIONS AND PHYSICIANS. SEVERAL COMMUNITY LEADERS PARTICIPATED IN THE CHNA THROUGH PERSONAL INTERVIEWS, SURVEYS AND OTHER MEANS. THEIR FEEDBACK WAS INVALUABLE IN ASSESSING THE HEALTH NEEDS OF THE COMMUNITIES WE SERVE AND DEVELOPING ACTIONS PLANS TO ENSURE THOSE NEEDS WERE MET. THE TIME, TALENT AND INSIGHT OF ELECTED REPRESENTATIVES AND LEADERS OF BUSINESSES, MUNICIPALITIES AND ORGANIZATIONS LISTED BELOW WERE GREATLY APPRECIATED. - ADVANCED HOME CARE - BELIEVE IN BRISTOL - BILL GATTON AUTOMOTIVE GROUP - BRISTOL COMPRESSORS INTERNATIONAL - BRISTOL TENNESEE CITY SCHOOLS - VIRGINIA STATE SENATOR BILL CARRICO - CHILTERN INTERNATIONAL - CITY OF BRISTOL, TN - CITY OF BRISTOL, VA - CITY OF KINGSPORT, TN - CITY OF NORTON, VA - CITY OF NORTON SCHOOL SYSTEM - CITY OF ROGERSVILLE, TN - CITY OF SNEEDVILLE, TN - DICKENSON COUNTY CHAMBER OF COMMERCE - DOMTAR - DR. GLENN E. VANCE, JR., DDS - ELECTRO-MECHANICAL CORPORATION - FIRST TENNESSEE BANK - FRIENDS IN NEED HEALTHCARE, INC. - FRONTIER HEALTH - US REPRESENTATIVE MORGAN GRIFFITH - HANCOCK MANOR NURSING HOME - HAWKINS COUNTY GAS UTILITY - HAWKINS AND HANCOCK COUNTY HEALTH DEPARTMENTS - HEALING HANDS HEALTH CENTER - THE HEALTH WAGON - HUNTER, SMITH & DAVIS, ATTORNEYS AT LAW - INDUSTRIAL DEVELOPMENT AUTHORITY OF DICKENSON COUNTY - KVAT FOOD STORES - KAVANAUGH CALL CENTER GROUP - VIRGINIA STATE DELEGATE TERRY KILGORE - KINGSPORT AREA CHAMBER OF COMMERCE - KINGSPORT OFFICE OF SMALL BUSINESS DEVELOPMENT & ENTREPRENEURSHIP - LANDMARK REALTY, INC. - LEE COUNTY, VA. - MEADOWVIEW CONFERENCE RESORT & CONVENTION CENTER - VIRGINIA STATE DELEGATE JAMES "WILL" MOREFIELD - MOUNTAIN EMPIRE OLDER CITIZENS, INC. - NASH AND POWERS INSURANCE SERVICES - NORTON INDUSTRIAL DEVELOPMENT AUTHORITY - OAK HILL CEMETERY - VIRGINIA STATE DELEGATE ISRAEL O'QUINN - PHARMACEUTICAL PRODUCT DEVELOPMENT - VIRGINIA STATE SENATOR PHILLIP PUCKETT - TENNESSEE LT. GOVERNOR RON RAMSEY - THE REGIONAL EYE CENTER - THE ROBINETTE COMPANY - RURAL HEALTH SERVICES CONSORTIUM - SOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS, INC. - STRONGWELL CORPORATION - SULLIVAN COUNTY, TN - SULLIVAN COUNTY REGIONAL HEALTH DEPARTMENT - SULLIVAN COUNTY SCHOOL SYSTEM - TELE-OPTICS, INC. - TOWN OF ABINGDON, VA - TOWN OF BIG STONE GAP, VA - TOWN OF PENNINGTON GAP, VA - TOWN OF JONESVILLE, VA - TRISUMMIT BANK - UNIVERSAL FIBERS - UNIVERSITY OF VIRGINIA'S COLLEGE AT WISE - VIRGINIA CITY HYBRID ENERGY CENTER - VIRGINIA DEPARTMENT OF HEALTH - CUMBERLAND PLATEAU HEALTH DISTRICT - VIRGINIA DEPARTMENT OF HEALTH - LENOWISCO DISTRICT - WCYB-TV - WELLMONT MEDICAL ASSOCIATES - WISE COUNTY CHAMBER OF COMMERCE - WISE COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY - WISE COUNTY, VA - YWCA BRISTOL
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 11KEY FINDINGS NOTED DURING THE CHNA WERE LACK OF SUFFICIENT PSYCHIATRIC HEALTH AND DENTAL CARE. THESE FINDINGS FALL OUTSIDE THE CORE BUSINESS AND MISSON OF WELLMONT HEALTH SYSTEM. TO HELP MEET THESE NEEDS, WELLMONT HEALTH SYSTEM 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.
GROUP A, FACILITY 3, LONESOME PINE HOSPITAL - PART V, LINE 22DLONESOME PINE HOSPITAL FOLLOWS TENNESSEE STATUTE WHICH IS 175% OF AVERAGE COST FOR ITS HOSPITALS (IN THE ABSENCE OF VIRGINIA STATUTE).
GROUP A, FACILITY 4, MOUNTAIN VIEW REGIONAL MEDICAL CTR - PART V, LINE 5INFORMATION FOR THE CHNA ASSESSMENT WAS GATHERED FROM A VARIETY OF SOURCES, INCLUDING: - INTERVIEWS WITH PATIENTS - INTERVIEWS WITH KEY COMMUNITY LEADERS AND STAKEHOLDERS, INCLUDING REPRESENTATIVE OF UNDERSERVED POPULATIONS AND AREAS WITH HEALTHCARE DISPARITIES - INTERVIEWS WITH LEADERS AND STAFF IN OTHER HEALTHCARE ORGANIZATIONS OR CIVIC ORGANIZATIONS WITH A SHARED MISSION TO POSITIVELY IMPACT THE HEALTH STATUS OF THE COMMUNITY - PHYSICIAN NEEDS ASSESSMENT - COMMUNITY HEALTH FACILITY ASSESSMENT - MENTAL HEALTH NEEDS ASSESSMENT - DIALYSIS AND DENTAL NEEDS ASSESSMENT - PUBLICLY AVAILABLE POPULATION AND DEMOGRAPHIC INFORMATION - PUBLICLY AVAILABLE POPULATION HEALTH INFORMATION 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 HEALTHCARE ORGANIZATIONS AND PHYSICIANS. SEVERAL COMMUNITY LEADERS PARTICIPATED IN THE CHNA THROUGH PERSONAL INTERVIEWS, SURVEYS AND OTHER MEANS. THEIR FEEDBACK WAS INVALUABLE IN ASSESSING THE HEALTH NEEDS OF THE COMMUNITIES WE SERVE AND DEVELOPING ACTIONS PLANS TO ENSURE THOSE NEEDS WERE MET. THE TIME, TALENT AND INSIGHT OF ELECTED REPRESENTATIVES AND LEADERS OF BUSINESSES, MUNICIPALITIES AND ORGANIZATIONS LISTED BELOW WERE GREATLY APPRECIATED. - ADVANCED HOME CARE - BELIEVE IN BRISTOL - BILL GATTON AUTOMOTIVE GROUP - BRISTOL COMPRESSORS INTERNATIONAL - BRISTOL TENNESEE CITY SCHOOLS - VIRGINIA STATE SENATOR BILL CARRICO - CHILTERN INTERNATIONAL - CITY OF BRISTOL, TN - CITY OF BRISTOL, VA - CITY OF KINGSPORT, TN - CITY OF NORTON, VA - CITY OF NORTON SCHOOL SYSTEM - CITY OF ROGERSVILLE, TN - CITY OF SNEEDVILLE, TN - DICKENSON COUNTY CHAMBER OF COMMERCE - DOMTAR - DR. GLENN E. VANCE, JR., DDS - ELECTRO-MECHANICAL CORPORATION - FIRST TENNESSEE BANK - FRIENDS IN NEED HEALTHCARE, INC. - FRONTIER HEALTH - US REPRESENTATIVE MORGAN GRIFFITH - HANCOCK MANOR NURSING HOME - HAWKINS COUNTY GAS UTILITY - HAWKINS AND HANCOCK COUNTY HEALTH DEPARTMENTS - HEALING HANDS HEALTH CENTER - THE HEALTH WAGON - HUNTER, SMITH & DAVIS, ATTORNEYS AT LAW - INDUSTRIAL DEVELOPMENT AUTHORITY OF DICKENSON COUNTY - KVAT FOOD STORES - KAVANAUGH CALL CENTER GROUP - VIRGINIA STATE DELEGATE TERRY KILGORE - KINGSPORT AREA CHAMBER OF COMMERCE - KINGSPORT OFFICE OF SMALL BUSINESS DEVELOPMENT & ENTREPRENEURSHIP - LANDMARK REALTY, INC. - LEE COUNTY, VA. - MEADOWVIEW CONFERENCE RESORT & CONVENTION CENTER - VIRGINIA STATE DELEGATE JAMES "WILL" MOREFIELD - MOUNTAIN EMPIRE OLDER CITIZENS, INC. - NASH AND POWERS INSURANCE SERVICES - NORTON INDUSTRIAL DEVELOPMENT AUTHORITY - OAK HILL CEMETERY - VIRGINIA STATE DELEGATE ISRAEL O'QUINN - PHARMACEUTICAL PRODUCT DEVELOPMENT - VIRGINIA STATE SENATOR PHILLIP PUCKETT - TENNESSEE LT. GOVERNOR RON RAMSEY - THE REGIONAL EYE CENTER - THE ROBINETTE COMPANY - RURAL HEALTH SERVICES CONSORTIUM - SOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS, INC. - STRONGWELL CORPORATION - SULLIVAN COUNTY, TN - SULLIVAN COUNTY REGIONAL HEALTH DEPARTMENT - SULLIVAN COUNTY SCHOOL SYSTEM - TELE-OPTICS, INC. - TOWN OF ABINGDON, VA - TOWN OF BIG STONE GAP, VA - TOWN OF PENNINGTON GAP, VA - TOWN OF JONESVILLE, VA - TRISUMMIT BANK - UNIVERSAL FIBERS - UNIVERSITY OF VIRGINIA'S COLLEGE AT WISE - VIRGINIA CITY HYBRID ENERGY CENTER - VIRGINIA DEPARTMENT OF HEALTH - CUMBERLAND PLATEAU HEALTH DISTRICT - VIRGINIA DEPARTMENT OF HEALTH - LENOWISCO DISTRICT - WCYB-TV - WELLMONT MEDICAL ASSOCIATES - WISE COUNTY CHAMBER OF COMMERCE - WISE COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY - WISE COUNTY, VA - YWCA BRISTOL
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 11KEY FINDINGS NOTED DURING THE CHNA WERE LACK OF SUFFICIENT PSYCHIATRIC HEALTH AND DENTAL CARE. THESE FINDINGS FALL OUTSIDE THE CORE BUSINESS AND MISSON OF WELLMONT HEALTH SYSTEM. TO HELP MEET THESE NEEDS, WELLMONT HEALTH SYSTEM 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.
GROUP A, FACILITY 4, MOUNTAIN VIEW REGIONAL MEDICAL CTR - PART V, LINE 22DMOUNTAIN VIEW REGIONAL MEDICAL CENTER FOLLOWS TENNESSEE STATUTE WHICH IS 175% OF AVERAGE COST FOR ITS HOSPITALS (IN THE ABSENCE OF VIRGINIA STATUTE).

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATIONPART I, LINE 6A: WELLMONT HEALTH SYSTEM PREPARES A CONSOLIDATED COMMUNITY BENEFIT REPORT WHICH INCLUDES THE ACTIVITIES OF ALL ITS OPERATIONS AND AFFILIATES. IN CONTRAST, AN IRS FORM 990 IS FILED FOR EACH TAX EXEMPT CORPORATION (7 SEPARATE FORM 990S) AND THERE IS NO SUCH IRS FORM FOR THE TAXABLE CORPORATIONS. IN ADDITION, THE IRS INSTRUCTIONS TO FORM 990 HAVE SPECIFIC DEFINITIONS, METHODS AND WORKSHEETS TO CALCULATE THE COMMUNITY BENEFITS TO BE INCLUDED ON THE FORM 990. AS A RESULT, THERE ARE SIGNIFICANT DIFFERENCES BETWEEN THE COMMUNITY BENEFITS REPORTED IN THE CONSOLIDATED COMMUNITY BENEFIT REPORT AND THE VARIOUS FORM 990S. THERE ARE ALSO FUNDS AND SERVICES THAT ARE PROVIDED THAT DO NOT MEET THE SPECIFIC DEFINITIONS OF THE IRS INSTRUCTIONS, SUCH AS CONTRIBUTIONS TO COMMUNITY ORGANIZATIONS THAT DO NOT MEET THE DEFINITION OF "RESTRICTED TO ONE OR MORE OF THE ACTIVITIES DESCRIBED IN THE TABLE IN PART I, LINE 7...".
PART I, LINE 7, COLUMN (F) - EXCLUSIONS FROM PERCENT OF TOTAL EXPENSETHE BAD DEBT EXPENSE OF 41,617,056 WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT WAS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN.
PART I, LINE 7 - COSTING METHODOLOGY EXPLANATIONRATIO OF PATIENT CARE COST-TO-CHARGES, WAS USED TO DETERMINE THE COSTS FOR AMOUNTS IN LINE 7A AND 7B, COL (C) BY FACILITY. THE COSTS INCLUDED IN THE COST-TO-CHARGE RATIO INCLUDED THE COSTS FROM ALL PATIENT SEGMENTS. ACTUAL COSTS FROM THE GENERAL LEDGER WERE USED FOR AMOUNTS IN LINE 7F AND 7I, COL.(C).
PART II - COMMUNITY BUILDING ACTIVITIESWELLMONT HEALTH SYSTEM PROMOTED THE HEALTH OF THE COMMUNITIES IT SERVES IN A VARIETY OF WAYS. COMMUNITY SUPPORT A MEMBER OF THE BRISTOL REGIONAL MEDICAL CENTER PHYSICAL THERAPY DEPARTMENT PROVIDED VOLUNTEER HOURS WITH HEALING HANDS HEALTH CENTER AND SAMARITAN'S PURSE. SAMARITAN'S PURSE HOLDS AN ANNUAL OPERATION CHRISTMAS CHILD EVENT TO SHIP GIFTS IN SHOEBOXES THAT REACHES 8.5 MILLION CHILDREN AROUND THE WORLD. THE HOLSTON VALLEY MEDICAL CENTER TRAUMA AND EMERGENCY DEPARTMENTS HOSTED AN APPRECIATION PICNIC FOR LOCAL EMS MEMBERS. COMMUNITY HEALTH IMPROVEMENT ADVOCACY TO PROMOTE COMMUNITY HEALTH IMPROVEMENTS AND SAFETY, HOLSTON VALLEY MEDICAL CENTER (HVMC) PROVIDED RESOURCES TO CONDUCT VARIOUS PRESENTATIONS TO THE COMMUNITY SUCH AS TRAUMA NURSES TALK TOUGH, EBOLA EDUCATION, DISTRACTED DRIVER SIMULATOR PROGRAM, AND BATTLE OF THE BELT/SEAT BELT CHECK PROGRAM.
PART VI, LINE 2 - NEEDS ASSESSMENTWELLMONT 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 ASSISTANCEWELLMONT HEALTH SYSTEM PROACTIVELY INFORMS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY BY POSTING THE POLICY ON ITS WEB SITE AS WELL AS POSTING THE POLICY AT POINTS OF REGISTRATION IN THE HOSPITALS. WELLMONT HEALTH SYSTEM USES PROGRAM ELIGIBILITY SPECIALISTS WHO CONTACT THE UNINSURED PATIENT POPULATION. THESE SPECIALISTS DISCUSS THE VARIOUS GOVERNMENTAL ASSISTANCE PROGRAMS THAT ARE AVAILABLE TO PATIENTS IN ORDER TO DETERMINE IF THE PATIENT WOULD QUALIFY FOR ANY OF THESE PROGRAMS. THE SPECIALISTS WILL WORK WITH THE PATIENTS TO COMPLETE ANY NECESSARY APPLICATIONS AND WILL HELP THEM THROUGH THE QUALIFICATION PROCESS.
PART VI, LINE 4 - COMMUNITY INFORMATIONWELLMONT 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 362,438; MEDIAN HOUSEHOLD INCOME 38,234 SSA- POPULATION 457,850; MEDIAN HOUSEHOLD INCOME 36,557 APPROXIMATELY 17.24% OF OUR PATIENTS ARE MEDICAID RECIPIENTS, AND 10.17% ARE UNINSURED AND TWO OF THE PSA COUNTIES ARE DESIGNATED AS MEDICALLY UNDERSERVED AREAS (HAWKINS COUNTY, TENNESSEE, AND LEE COUNTY, VIRGINIA).
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTHWELLMONT HEALTH SYSTEM'S HOSPITALS AND OTHER HEALTHCARE FACILITIES FURTHER THEIR EXEMPT PURPOSE BY PROVIDING MILLIONS IN UNCOMPENSATED CARE AND OTHER CHARITABLE DONATIONS. IN FISCAL YEAR 2015, WELLMONT PROVIDED 72,940,011 IN UNCOMPENSATED CARE. THE HEALTH SYSTEM ALSO DONATED 288,632 TO COMMUNITY ORGANIZATIONS SUCH AS CHILDREN'S MIRACLE NETWORK, UNITED WAY, SUSAN G. KOMEN FOR THE CURE, AND THE AMERICAN CANCER SOCIETY. WELLMONT PROVIDED 5,761,249 FOR COMMUNITY HEALTH AND OUTREACH, 1,531 FOR COMMUNITY BENEFIT OPERATIONS, 30,007 FOR COMMUNITY BUILDING ACTIVITIES, 5,748,416 FOR TRAINING AND EDUCATION OF HEALTHCARE PROFESSIONALS AND 140,715 FOR CLINICAL TRIALS AND RESEARCH. EMPLOYEES, PHYSICIANS, AND VOLUNTEERS DONATED IN EXCESS OF 74,936 HOURS OF COMMUNITY SERVICE.
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEMWELLMONT HEALTH SYSTEM("WELLMONT") IS A TENNESSEE NON-PROFIT CORPORATION, BASED IN KINGSPORT, TENNESSEE,AND A PREMIER PROVIDER OF HEALTHCARE SERVICES IN NORTHEAST TENNESSEE AND SOUTHWEST VIRGINIA. WELLMONT WAS FORMED IN JULY, 1996, WITH THE MERGER OF BRISTOL MEMORIAL HOSPITAL IN BRISTOL, TENNESSEE, AND HOLSTON VALLEY MEDICAL CENTER IN KINGSPORT, TENNESSEE. OVER THE PAST 18 YEARS, WELLMONT HAS GROWN TO INCLUDE FIVE ADDITIONAL HOSPITALS, 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 FIVE ACUTE CARE HOSPITAL FACILITIES AND ONE CRITICAL ACCESS HOSPITAL WITH A TOTAL OF 1,091 LICENSED BEDS. THE ACUTE CARE FACILITIES OWNED BY WELLMONT INCLUDE HOLSTON VALLEY MEDICAL CENTER, BRISTOL REGIONAL MEDICAL CENTER, MOUNTAIN VIEW REGIONAL MEDICAL CENTER IN NORTON, VIRGINIA, LONESOME PINE HOSPITAL IN BIG STONE GAP, VIRGINIA, HAWKINS COUNTY MEMORIAL HOSPITAL IN ROGERSVILLE, TENNESSEE, AND THE CRITICAL ACCESS HOSPITAL, HANCOCK COUNTY HOSPITAL IN SNEEDVILLE, TENNESSEE. WELLMONT ALSO, DIRECTLY OR INDIRECTLY, CONTROLS, OWNS, OR IS AFFILIATED WITH VARIOUS NON-PROFIT AND FOR-PROFIT CORPORATIONS AND OTHER ORGANIZATIONS THAT CURRENTLY PROVIDE HEALTH CARE AND HEALTH CARE-RELATED SERVICES THROUGHOUT THE SERVICE AREA. IN ADDITION TO THE HOSPITAL CAMPUSES AND AMBULATORY CARE CENTERS DESCRIBED ABOVE, WELLMONT ALSO OPERATES MEDICAL CLINICS, AMBULATORY SURGERY CENTERS, COMPREHENSIVE CANCER CARE CENTERS, AND IMAGING FACILITIES.
PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORTTENNESSEE
ADDITIONAL INFORMATIONPART III, LINE 4: THE COST REPORTED ON LINE 2 IS CALCULATED AS THE BAD DEBT EXPENSE FROM THE GENERAL LEDGER TIMES THE RATIO OF COST TO CHARGES AS CALCULATED ON WORKSHEET 2 BY FACILITY. THERE ARE NO AMOUNTS REPORTED ON LINE 3. DISCOUNTS ON PATIENT ACCOUNTS ARE NOT INCLUDED IN BAD DEBT EXPENSE. PAYMENTS ON PATIENT ACCOUNTS THAT HAVE BEEN PREVIOUSLY WRITTEN OFF AS BAD DEBT ARE USED TO REDUCE BAD DEBT EXPENSE. A THIRD PARTY VENDOR IS USED TO HELP DETERMINE THE AMOUNT THAT COULD REASONABLY BE ATTRIBUTABLE TO PATIENTS WHO LIKELY COULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE CHARITY CARE POLICY. TEXT OF NOTE TO FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE: NET PATIENT SERVICE REVENUE IS REPORTED ON THE ACCRUAL BASIS IN THE PERIOD IN WHICH SERVICES ARE PROVIDED AT THE NET REALIZABLE AMOUNTS EXPECTED TO BE COLLECTED. NET PATIENT SERVICE REVENUE INCLUDES AMOUNTS ESTIMATED BY MANAGEMENT TO BE REIMBURSABLE BY PATIENTS AND VARIOUS THIRD-PARTY PAYORS UNDER PROVISIONS OF REIMBURSEMENT FORMULAS IN EFFECT, INCLUDING RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS. ESTIMATED RETROACTIVE ADJUSTMENTS ARE ACCRUED IN THE PERIOD RELATED SERVICES ARE RENDERED AND ADJUSTED IN PERIODS AS FINAL AND OTHER SETTLEMENTS ARE DETERMINED. WELLMONT PROVIDES CARE TO PATIENTS WHO MEET CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE WELLMONT DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT INCLUDED IN NET PATIENT SERVICE REVENUE. PATIENT ACCOUNTS RECEIVABLE ARE REPORTED NET OF BOTH AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS. THE CONTRACTUAL ALLOWANCE REPRESENTS THE DIFFERENCE BETWEEN ESTABLISHED BILLING RATES AND ESTIMATED REIMBURSEMENT FROM MEDICARE, TENNCARE, MEDICAID, AND OTHER THIRD-PARTY PAYMENT PROGRAMS. WELLMONT'S POLICY DOES NOT REQUIRE COLLATERAL OR OTHER SECURITY FOR PATIENT ACCOUNTS RECEIVABLE. WELLMONT ROUTINELY OBTAINS ASSIGNMENT OF, OR IS OTHERWISE ENTITLED TO RECEIVE, PATIENT BENEFITS PAYABLE UNDER HEALTH INSURANCE PROGRAMS, PLANS, OR POLICIES. THE MEDICARE COST REPORT COST FINDING METHODOLOGY AND COST TO CHARGE RATIOS WERE USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6. LINE 7 IS A SURPLUS, SO IT IS NOT INCLUDED AS COMMUNITY BENEFIT. THE IRS INSTRUCTIONS FOR SCHEDULE H, PART III, SECTION B, LINES 5-7, SPECIFICALLY INDICATE TO INCLUDE ONLY THOSE APPLICABLE COSTS AND MEDICARE REIMBURSEMENTS THAT ARE REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT FOR THE YEAR. THIS REPORTING DOES NOT TAKE INTO ACCOUNT THOSE COSTS AND REVENUES ASSOCIATED WITH PHYSICIANS WHO ARE TREATING MEDICARE PATIENTS AT HOSPITAL-OWNED CLINIC AND PHYSICIAN PRACTICE SITES. ACCORDINGLY, THE RESULT OF TREATING MEDICARE PATIENTS FROM A FINANCIAL PERSPECTIVE MAY DIFFER AS REPORTED FOR FINANCIAL REPORTING PURPOSES AND COMMUNITY BENEFIT REPORTING PURPOSES FROM THE SURPLUS OR SHORTFALL SHOWN ON LINE 7 OF SECTION B OF PART III OF SCHEDULE H. PART III, LINE 9B: A THIRD PARTY VENDOR IS USED TO HELP DETERMINE THE AMOUNT THAT COULD REASONABLY BE ATTRIBUTABLE TO PATIENTS WHO LIKELY COULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE CHARITY CARE POLICY.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2Txt
BARTER THEATRE
PO BOX 867ABINDGONVA24212546000120501(C)$10,000SPONSORSHIP
EAST TENNESSEE STATE UNIVERSITY
PO BOX 70732JOHNSON CITYTN37614237092731501(C)$5,100ATHLETIC SPONSORSHIP
GREATER KINGSPORT FAMILY YMCA
1840 MEADOWVIEW PARKWAYKINGSPORTTN37660581564232501(C)$10,000SPONSORSHIP
KINGSPORT CHAMBER OF COMMERCE
151 EAST MAIN STKINGSPORTTN37662620446834501(C)$25,835ANNUAL SPONSORSHIP
NORTHEAST STATE COMMUNITY COLLEGE
PO BOX 246BLOUNTVILLETN37617621033870501(C)$5,500SPONSORSHIP2425 HWY 75
SUSAN G KOMEN FOR THE CURE
PO BOX 5835KINGSPORTTN37663841689067501(C)$25,150SPONSORSHIP
FRIENDS IN NEED HEALTH CENTER INC
1105 W STONE DRIVEKINGSPORTTN37660621541637501(C)$15,000NEED
UNITED WAY OF BRISTOL
PO BOX 696BRISTOLTN376210698620476656501(C)$10,000SPONSORSHIP

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PAGE 1, PART I, LINE 2FormAndLineReferenceDesc
ExplanationALL REQUESTS FOR CHARITABLE ASSISTANCE ARE REVIEWED BY THE SENIOR VICE PRESIDENT OF SYSTEM ADVANCEMENT. THE REQUEST FOR GRANT FUNDS 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. WELLMONT HEALTH SYSTEM MAKES MINIMAL GRANTS (LESS THAN 5,000 PER ENTITY) THROUGHOUT THE YEAR. THE USE OF THESE GRANT FUNDS IS NOT MONITORED BY WELLMONT HEALTH SYSTEM AS THESE GRANTS ARE MADE IN GENERAL SUPPORT OF THE GRANT RECIPIENT.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Travel For CompanionsYes (X)TravelForCompanionsInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (24 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
STANLEY GALL MD
BOARD MEMBER$549,641$14,266$414$19,924$19,240$593,865
DAVID THOMPSON MD
BOARD MEMBER$288,751$66,310$78,500$16,814$441,968
MARGARET DENARVAEZ TERMED 91614
PRESIDENT/CEO$544,420$265,980$1,744,061$58,432$6,909$2,619,802
TRACEY P MOFFATT TERMED 10314
SR VP & WHS COO$334,601$230,000$10,774$18,100$6,636$596,793
ALICE POPE
EVP & CFO$383,559$87,632$8,670$15,897$23,140$507,328
BARTON A HOVE
WHS PRESIDENT & CEO$315,138$50,000$29,775$6,754$19,240$411,287
WILLIAM SHOWALTER TERMED 41715
SR VP - INFO TECH$325,000$67,714$622$17,394$402,033
HAMLIN J WILSON
SR VP-HUMAN RESOURC$293,968$52,810$774$12,365$7,998$363,916
GARY D MILLER
SR VP & GEN COUNSEL$287,236$57,296$1,656$12,920$6,368$362,292
TODD J DOUGAN
SR VP-FINANCE$248,894$43,571$10,202$19,240$312,287
LOWELL TODD NORRIS
SR VP INST & SYS ADV$185,506$36,888$216$8,490$14,492$238,346$46,377$9,222$54$2,123$3,622$59,587
TIMOTHY ATTEBERY
PRESIDENT/CEO-HVMC$379,628$66,854$414$16,454$17,394$472,047
GREG NEAL
PRESIDENT/CEO-BRMC$338,462$62,505$8,670$14,502$19,240$433,759
FRED PELLE
PRESIDENT & CEO COMM$220,691$35,813$9,139$9,294$14,800$282,337$67,899$274$2,576$4,440$72,969
DAVID L BRASH
SR VP OF BUS DEV$277,473$41,832$353$12,034$19,250$341,312
MARTHA CHILL
SYSTEM VP/EMR DIR$266,160$42,189$1,821$10,150$23,140$331,890
VIRGINIA FRANK TERMED 8814
PRESIDENT-HVMC$231,000$607$12,880$238,047
DANIEL CARLSON TERMED 5815
CHIEF MEDICAL OFFICE$358,717$54,607$2,172$16,028$19,240$441,144
SUSAN LINDENBUSCH
VP WHS ONCOLOGY SVS$266,147$50,505$9,174$11,967$7,304$341,445
WILLIAM TROY CLARK TERMED 121214
VP/HV CHIEF OPER OFF$274,297$41,730$180$11,681$19,240$337,508
DAVID ARROWOOD
CRNA$271,484$11,278$3,033$9,219$19,168$304,598
BRAD PRICE
SR VP-RESOURCE MGT$247,069$38,348$180$11,032$11,032$296,629
PIERRE ISTFAN MD
BOARD MEMBER-FORMER$552,696$14,266$774$20,369$19,024$597,617
KENT PETTY TERMED 4114
CHIEF INFORM OFF$4,577$300,000$6,000$310,577

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 1ACHARTER TRAVEL AND TRAVEL FOR COMPANIONS WELLMONT HEALTH SYSTEM PROVIDED AIRPLANE TRAVEL FOR ITS EXECUTIVES THROUGH A PARTIAL OWNERSHIP OF AN AIRPLANE. IN SEPTEMBER 2014, WELLMONT HEALTH SYSTEM SOLD ITS OWNERSHIP INTEREST IN THE AIRPLANE. ON OCCASION, TRAVEL WAS PROVIDED FOR EXECUTIVES AND THEIR COMPANIONS FOR PERSONAL USE. WELLMONT HEALTH SYSTEM FOLLOWED IRS GUIDELINES AND INCLUDED THE APPROPRIATE AMOUNTS IN THEIR TAXABLE COMPENSATION. HEALTH OR SOCIAL CLUB DUES DURING THE FISCAL YEAR ENDED JUNE 30, 2015, WELLMONT HEALTH SYSTEM PROVIDED COUNTRY CLUB MEMBERSHIPS TO BARTON A. HOVE, MARGARET D. DENARVAEZ AND TRACEY P. MOFFATT. THESE AMOUNTS ARE INCLUDED IN TAXABLE COMPENSATION.
SCHEDULE J, PAGE 1, PART I, LINE 4MARGARET DENARVAEZ (TERMED 9/16/14) 1,745,528 0 0 TRACEY P. MOFFATT (TERMED 10/3/14) 275,000 0 0
SCHEDULE J, PAGE 1, PART I, LINE 6AINCENTIVE COMPENSATION IS PARTIALLY BASED ON MEETING BUDGETED OPERATING MARGIN GOALS.
SCHEDULE J, PART IIIPART I, LINE 4A - SEVERANCE PAYMENT MARGARET DENARVAEZ, FORMER CEO OF WELLMONT HEALTH SYSTEM, ENTERED INTO A CONFIDENTIAL SEPARATION AGREEMENT AND GENERAL RELEASE (THE "AGREEMENT") AS OF SEPTEMBER 16, 2014. THE TERMS OF THIS AGREEMENT INCLUDED THE PAYMENT OF 1,745,538 FOR ITEMS WHICH ARE CONSIDERED "SEVERANCE", INCLUDING PAYMENT IN LIEU OF A NOTICE PERIOD, EARLY TERMINATION CLAUSE, RELEASE OF CLAIMS, AND REIMBURSEMENT OF HEALTH INSURANCE PREMIUMS FOLLOWING TERMINATION. THERE WERE OTHER PAYMENTS FOR EARNED INCENTIVE COMPENSATION, ACCRUED VACATION, AND REIMBURSEMENT OF RELOCATION COSTS THAT ARE NOT CONSIDERED "SEVERANCE". TRACEY P. MOFFATT, FORMER COO OF WELLMONT HEALTH SYSTEM, ENTERED INTO A CONFIDENTIAL SEPARATION AGREEMENT AND MUTUAL RELEASE (THE "AGREEMENT") AS OF OCTOBER 3, 2014. THE TERMS OF THIS AGREEMENT INCLUDED THE PAYMENT OF 275,000 FOR ITEMS WHICH ARE CONSIDERED "SEVERANCE", INCLUDING PAYMENT FOR RELEASE OF CLAIMS. PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN WELLMONT HEALTH SYSTEM HAS AN EXECUTIVE RETIREMENT PROGRAM THAT INCLUDED MARGARET DENARVAEZ AND ALICE POPE FOR THE FISCAL YEAR ENDING JUNE 30, 2015. THIS PROGRAM HAS A TARGET BENEFIT OF 60% OF THE HIGHEST THREE YEAR AVERAGE SALARY (LESS EMPLOYER PROVIDER BENEFITS) AND THE EXECUTIVE MUST HAVE TWENTY YEARS OF SERVICE TO RECEIVE THE FULL BENEFIT. THE EXECUTIVE MAY RETIRE EARLY AT AGE 60 AND RECEIVE REDUCED BENEFITS. THERE WERE NO PAYMENTS MADE UNDER THIS PROGRAM FOR THE FISCAL YEAR ENDING JUNE 30, 2015.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingIndBusiness Name Line2IssuerName/BusinessNameLine2Txt
SULLIVAN CNTY TENN HEALTH EDL & HSG
A621256662865293AC82006-11-02$200,000,000CONSTRUCTION AT HVMCfalsefalsefalse
VIRGINIA SMALL BUSINESS FING AUTH H
B541300845928101AC82007-07-31$55,000,000PURCHASE OF HOSPITALSfalsefalsefalse
SULLIVAN CNTY TENN HEALTH EDL & HSG
C621256662865293AG92011-05-05$76,165,000REFUND 2006A BONDfalsefalsefalse
SULLIVAN CNTY TENN HEALTH EDL& HSG
D6212566622012-12-01$42,500,000PURCHASE EPIC EMRfalsefalsefalse2012 TAX-EXEMPT MASTER LEASE/SUBLEA

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndRefunding EscrowRefundingEscrowAmt
A$207,055,314$18,977,995$2,164,568$182,892,7512011falsefalseYes (true)Yes (true)
B$55,658,570$5,464,590$1,026,366$49,167,6142007falsefalseYes (true)Yes (true)
C$76,165,000$1,298,5332011falseYes (true)Yes (true)Yes (true)$74,942,165
D$42,500,000$31,809$42,468,1912014falsefalseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalsefalsefalsefalsefalsefalseYes (true)
BfalsefalsefalsefalsefalsefalseYes (true)
CfalsefalsefalsefalsefalsefalseYes (true)
DfalsefalsefalsefalsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndTerm Of GICTermOfGICPctRegulatory Safe Harbor StsfdRegulatorySafeHarborStsfdIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedInd
MASS MUTUAL LIF
AfalsefalsefalseYes (true)falsefalseYes (true)4.000000000000Yes (true)falsefalse
(no name)
BfalsefalsefalseYes (true)falsefalsefalsefalsefalse
BANK OF AMERICA
CfalsefalseYes (true)falsefalseYes (true)falsefalsefalse2.000000000000falsefalse
(no name)
DfalsefalseYes (true)falsefalsefalsefalsefalsefalse

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
Afalse
Bfalse
Cfalse
Dfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K - DATE REBATE COMPUTATION PERFORMEDFormAndLineReferenceDesc
ExplanationSULLIVAN CNTY TENN HEALTH EDL & HSG 10/31/11 VIRGINIA SMALL BUSINESS FING AUTH HO 07/31/12ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
NELSON GWALTNEY MD
VENDOR/BRD MEMB$142,000MEDICAL DIRECTORSHIPfalse
RAVAN KRICKBAUM
BOARD MEMBER$74,334COMPENSATIONfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART VFormAndLineReferenceDesc
ExplanationNELSON GWALTNEY, MD IS PART OWNER OF BRISTOL SURGICAL ASSOCIATES, MEMBER AND BOARD MEMBER OF QUALUABLE, MEMBER AND BOARD MEMBER OF HIGHLANDS PHYSICIANS, INC., BOARD MEMBER OF HIGHLANDS WELLMONT HEALTH NETWORK, INC., AND MEDICAL DIRECTOR OF BRISTOL REGIONAL MEDICAL CENTER VASCULAR LAB AND WOUND CARE CLINIC. DR. GWALTNEY'S OWNERSHIP IS LESS THAN 35% IN ALL OF THE ABOVE ENTITIES. TWO OF RAVEN KRICKBAUM'S DAUGHTERS ARE EMPLOYEES OF WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL, INC., WHICH IS AN AFFILIATE OF WELLMONT HEALTH SYSTEM.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 1, ITEM BTHE WELLMONT HEALTH SYSTEM FY2016 FORM 990 IS BEING AMENDED TO CORRECT THE FOLLOWING ERRORS: -SCHEDULE C, PART II-A, LINE D TOTAL WAS ENTERED IN TAX SOFTWARE IN ERROR CAUSING LINE E TO NOT RECONCILE TO FORM 990, PART IX STATEMENT OF FUNCTIONAL EXPENSES, TOTAL EXPENSES, LINE 25, COLUMN A. -SCHEDULE H, PART L, LINE 7A-COLUMN C AND LINE 7B-COLUMN D CONTAINED KEYPUNCH ERRORS.
FORM 990FORM 990, PART X, BALANCE SHEET CERTAIN BALANCE SHEET ACCOUNTS HAVE BEEN RECLASSIFIED FOR BETTER COMPARISON TO THE CURRENT YEAR FINANCIAL STATEMENTS.
FORM 990, PAGE 2, PART III, LINE 4AORGANIZATIONS THAT DO NOT MEET THE DEFINITION OF "RESTRICTED TO ONE OR MORE OF THE ACTIVITIES DESCRIBED IN THE TABLE IN PART I, LINE 7" OF SCHEDULE H. WELLMONT IS A PUBLIC TRUST. FROM KINGSPORT TO BRISTOL, FROM SNEEDVILLE TO NORTON, THE MEMBER HOSPITALS OF OUR ORGANIZATION WERE BORN OF THEIR COMMUNITIES' COMMITMENT TO SUPERIOR HEALTH CARE FOR THEIR CITIZENS. WE OFFER A VAST ARRAY OF MEDICAL SERVICES AND RESOURCES FOR THOUSANDS OF PATIENTS IN NORTHEAST TENNESSEE AND SOUTHWEST VIRGINIA. IN 2015, WE PROVIDED SERVICES TO 47,949 PATIENTS IN A BED, 161,995 EMERGENCY ROOM VISITS, 2,246 NEWBORN DELIVERIES, AND 22,175 SURGERIES. WELLMONT IS A TENNESSEE NOT-FOR-PROFIT CORPORATION. FIVE TAX-EXEMPT COMMUNITY BASED HOSPITALS - BRISTOL REGIONAL MEDICAL CENTER (BRISTOL, TENN.), HOLSTON VALLEY MEDICAL CENTER (KINGSPORT, TENN.), LONESOME PINE HOSPITAL (BIG STONE GAP, VA.), HANCOCK COUNTY HOSPITAL (SNEEDVILLE, TENN.), AND MOUNTAIN VIEW REGIONAL MEDICAL CENTER (NORTON, VA.)- ARE INCLUDED IN THIS CORPORATION. BUT EVEN AS OUR SERVICE AREA SPANS MULTIPLE STATES AND OUR REVENUE IS REPORTED IN THE HUNDREDS OF MILLIONS OF DOLLARS, WE REMAIN A COMMUNITY- OWNED HEALTH SYSTEM. IT IS OUR MISSION TO DELIVER SUPERIOR HEALTH CARE WITH COMPASSION TO THE PEOPLE WE SERVE. IT IS OUR VISION TO DELIVER THE BEST HEALTH CARE ANYWHERE. CONSISTENT WITH THIS MISSION, WE HAVE WORKED TOWARD IMPROVING OUR COMMUNITY'S ACCESS TO QUALITY, AFFORDABLE HEALTH CARE, EDUCATING OUR REGION'S CAREGIVERS, IMPROVING THE HEALTH STATUS OF OUR COMMUNITIES AND CONTRIBUTING TO THE OVERALL QUALITY OF LIFE IN THE AREAS WE SERVE. OVERALL, WE RETURNED MORE THAN 44,497,460 IN BENEFITS TO OUR REGION, INCLUDING 34,447,475 OF COSTS FOR INDIGENT PATIENTS AND UNCOMPENSATED CARE FOR OTHER PATIENTS AND 10,049,985 FOR OTHER COMMUNITY ACTIVITIES OUTLINED BELOW. WELLMONT IS IN COMPLIANCE WITH IRS GUIDELINES FOR FORM 990 SCHEDULE H REPORTING PURPOSES AND THE AMOUNTS REFLECTED ABOVE ARE NOT INCLUSIVE OF RESOURCES DESCRIBED IN WELLMONT'S COMMUNITY BENEFIT REPORT AS THE ABOVE AMOUNTS ARE REPORTED ON SCHEDULE H. WE ARE MINDFUL OF OUR RESPONSIBILITIES AS ONE OF THE REGION'S LARGEST EMPLOYERS. 6,429 FAMILIES COUNT ON US FOR THEIR LIVELIHOODS. CITIES AND COUNTIES THROUGHOUT OUR SERVICE AREA RELY ON US AS A DRIVER OF ECONOMIC DEVELOPMENT. IT IS OUR DUTY AS A CORPORATE CITIZEN TO SUPPORT THOSE ENDEAVORS AND CAUSES THAT IMPROVE THE QUALITY OF LIFE IN OUR REGION. AND WE ALSO RECOGNIZE IT IS OUR RESPONSIBILITY TO CARE FOR THOSE IN NEED - REGARDLESS OF THEIR ABILITY TO PAY. IT IS OUR COMMITMENT - INDEED, IT IS OUR MISSION - TO SUPPORT THE CAUSES AND DEVELOP THE INITIATIVES THAT WILL PROPEL OUR COMMUNITIES TOWARD A BETTER, BRIGHTER, HEALTHIER AND MORE VIBRANT FUTURE. SERVING THE UNDERSERVED REGARDLESS OF RACE, RELIGION, ETHNICITY OR ABILITY TO PAY, WELLMONT'S HOSPITALS TREAT ALL PATIENTS FOR MEDICALLY NECESSARY CONDITIONS. RECOGNIZING THAT SOME PATIENTS CANNOT AFFORD ESSENTIAL MEDICAL SERVICES, WELLMONT PROVIDED CARE FOR INDIGENT PATIENTS, WRITING OFF 58,016,379 OF CHARGES AND INCURRING COST OF 13,427,105. WELLMONT IS IN COMPLIANCE WITH IRS GUIDELINES FOR FORM 990 SCHEDULE H REPORTING PURPOSES AND THE AMOUNTS REFLECTED ABOVE ARE NOT INCLUSIVE OF RESOURCES DESCRIBED IN WELLMONT'S COMMUNITY BENEFIT REPORT AS THE ABOVE AMOUNTS ARE REPORTED ON SCHEDULE H. OTHER RECENT INITIATIVES INCLUDE: 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 THE WELLMONT FOUNDATION, THE COACH OFFERS A HOST OF COMPREHENSIVE SCREENINGS THAT HELP IDENTIFY POTENTIAL HEALTH PROBLEMS. OUR HEALTH SYSTEM, IN CONJUNCTION WITH A GRANT FROM SUSAN G. KOMEN FOR THE CURE TRI-CITIES, WAS ABLE TO FUND THE COST OF MAMMOGRAMS FOR SEVERAL HUNDRED WOMEN WHO WERE UNDERINSURED OR UNINSURED. PROJECT ACCESS TO BREAST CARE IS DESIGNED TO REACH WOMEN WHO LIVE IN HAWKINS, SULLIVAN, WASHINGTON, JOHNSON, UNICOI, HANCOCK, CARTER AND GREENE COUNTIES IN TENNESSEE AND WOMEN IN SCOTT COUNTY, VA. TO QUALIFY, WOMEN MUST BE BETWEEN THE AGES OF 35 AND 49 AND EITHER BE UNINSURED AND FINANCIALLY UNABLE TO PAY FOR A MAMMOGRAM OR INSURED AND HAVE A HIGH DEDUCTIBLE AND/OR CO-PAY THAT MAKES IT FINANCIALLY DIFFICULT TO OBTAIN A MAMMOGRAM. BRISTOL REGIONAL MEDICAL CENTER PROVIDES SUPPLIES AND OTHER VARIOUS ITEMS VALUED AT 20,406 TO HEALING HANDS HEALTH CENTER IN BRISTOL, TENN., WHICH PROVIDES QUALITY HEALTH CARE TO THE WORKING POOR. DR. DAVE ARNOLD SERVES AS THE MEDICAL DIRECTOR OF HEALING HANDS HEALTH CENTER IN BRISTOL, TENN. AND HIS SALARY AND BENEFITS ARE PAID BY HEALING HANDS HEALTH CENTER. TRAINING AND EDUCATING OUR HEALTHCARE PROFESSIONALS WELLMONT WILL NOT SUCCEED IN OUR MISSION WITHOUT CONTINUALLY REINVESTING IN OUR MOST PRECIOUS RESOURCE - OUR PEOPLE. TO THAT END, WE SUPPORTED THE EDUCATION AND TRAINING OF HEALTH CARE PROFESSIONALS AT A DIRECT COST OF 5,748,416. RECENT INITIATIVES INCLUDE: WELLMONT PROVIDED AND PARTICIPATED IN SEVERAL FORMAL TRAINING PROGRAMS FOR HEALTH PROFESSIONALS, INCLUDING EAST TENNESSEE STATE UNIVERSITY'S INTERNSHIP AND RESIDENCY PROGRAMS. OUR CONTRIBUTIONS TOTALED 991,864 IN SUPPORT OF THE SCHOOL'S JAMES H. QUILLEN COLLEGE OF MEDICINE RESIDENCY PROGRAM. WELLMONT CONTINUES TO WELCOME OSTEOPATHIC MEDICAL STUDENTS FROM LINCOLN MEMORIAL UNIVERSITY'S DEBUSK COLLEGE OF OSTEOPATHIC MEDICINE. THE STUDENTS PERFORM CLINICAL ROTATIONS IN WELLMONT HOSPITALS AS THEY MOVE TOWARD BECOMING THE NEXT GENERATION OF DOCTORS. THE STUDENTS, WHO RECEIVE FREE HOUSING ON THE CAMPUS OF MOUNTAIN VIEW REGIONAL MEDICAL CENTER, COMPLETE THEIR CORE CLINICAL ROTATIONS AT MOUNTAIN VIEW REGIONAL. THE STUDENTS PERFORM SUB-SPECIALTY ROTATIONS AT HOLSTON VALLEY MEDICAL CENTER AND BRISTOL REGIONAL MEDICAL CENTER AND PRIMARY CORE ROTATIONS AT HAWKINS COUNTY MEMORIAL HOSPITAL. FREE HOUSING IS AVAILABLE ON THE MOUNTAIN VIEW REGIONAL MEDICAL CENTER AND HOLSTON VALLEY MEDICAL CENTER CAMPUSES FOR OUR MOUNTAIN REGION CORE SITE MEDICAL STUDENTS. OUR CONTRIBUTIONS TOTALED 730,534 IN SUPPORT OF THE DEBUSK COLLEGE OF OSTEOPATHIC MEDICINE. WELLMONT AND LINCOLN MEMORIAL UNIVERSITY'S DEBUSK COLLEGE OF OSTEOPATHIC MEDICINE ALSO PARTNER TO PROVIDE THE WELLMONT ORTHOPEDIC RESIDENCY PROGRAM AT HOLSTON VALLEY MEDICAL CENTER, ONE OF JUST 41 SUCH PROGRAMS IN THE COUNTRY TO HELP TRAIN THE NEXT GENERATION OF SPECIALTY PHYSICIANS. OUR CONTRIBUTIONS TOTALED 20,738 IN SUPPORT OF THE LINCOLN MEMORIAL UNIVERSITY'S DEBUSK COLLEGE OF OSTEOPATHIC MEDICINE ORTHOPEDIC RESIDENCY PROGRAM. WELLMONT CONTINUES TO EXERT TREMENDOUS EFFORT TO ACHIEVE MEANINGFUL USE OF AN ELECTRONIC HEALTH RECORD. THIS NATIONAL MANDATE CREATES TREMENDOUS EFFICIENCIES FOR CAREGIVERS, ENHANCES PATIENT CARE AND ULTIMATELY IMPROVES PATIENT SAFETY BY REDUCING THE POTENTIAL FOR ERRORS ASSOCIATED WITH PAPER DOCUMENTATION AS WELL AS INCREASING THE SECURITY AND SHARING OF DATA AMONG PROVIDERS. WELLMONT COMPLETED THE IMPLEMENTATION OF MYWELLMONT, WHICH IS AN ONLINE PORTAL THAT ALLOWS WELLMONT PATIENTS TO SECURELY ACCESS THEIR HEALTH INFORMATION FROM VIRTUALLY ANYWHERE. PATIENTS CAN ELECTRONICALLY REQUEST APPOINTMENTS, VIEW TEST RESULTS, RENEW PRESCRIPTIONS, PAY BILLS AND PERFORM MANY OTHER ROUTINE ACTIVITIES. MOST IMPORTANTLY, PATIENTS AND PROVIDERS CAN CONNECT IN MORE WAYS THAN EVER BEFORE, ENHANCING RELATIONSHIPS AND BUILDING A TEAM-BASED APPROACH TO CARE. WELLMONT HAS MADE AVAILABLE CONTINUING EDUCATION AND TRAINING TO EMPLOYEES, MEDICAL STAFF, MEMBERS OF AFFILIATED HEALTH CAREORGANIZATIONS AND SCHOOLS AND INTERESTED MEMBERS OF THE PUBLIC. SOME OF THOSE OPPORTUNITIES INCLUDED: -ANNUAL STROKE SYMPOSIUM; OPEN TO WELLMONT PHYSICIANS AND STAFF AND THE COMMUNITY; -ANNUAL CRITICAL CARE AND TRAUMA CONFERENCE; OPEN TO WELLMONT PHYSICIANS AND STAFF AND THE COMMUNITY; -ANNUAL CARDIOVASCULAR SUMMIT; OPEN TO WELLMONT PHYSICIANS AND STAFFAND THE COMMUNITY; -ANNUAL WOMEN AND CHILDREN'S EXPOSITION, OPEN TO WELLMONT PHYSICIANS AND STAFF AND THE COMMUNITY; -ANNUAL DIABETES EXPOSITION, OPEN TO WELLMONT PHYSICIANS AND STAFF AND THE COMMUNITY; -A PRESCRIPTION DRUG ABUSE CONFERENCE -REGULAR EDUCATION FOR CLINICAL STAFF ON TOPICS INCLUDING CPR PROGRAMS, ADVANCED CARDIOVASCULAR LIFE SUPPORT, PEDIATRIC ADVANCED LIFE SUPPORT, ADVANCED TRAUMA LIFE SUPPORT AND ADVANCED TRAUMA COURSE FOR NURSING. WELLMONT SUPPORTS A NURSE EXTERN PROGRAM THAT UTILIZES NURSING STAFF THAT HAVE COMPLETED A DEGREE BUT NOT YET PASSED BOARD CERTIFICATION. THIS PROVIDES INVALUABLE EXPERIENCE FOR NEW NURSES, WHO ARE SUPERVISED BY BOARD CERTIFIED NURSES DURING THIS TIME. THE EXTERNS ARE NOT REQUIRED TO WORK FOR WELLMONT AFTER EARNING THEIR CERTIFICATION. AT A DIRECT COST OF 180,771, OUR ORGANIZATION STAFFED AND MAINTAINED A MEDICAL LIBRARY PROGRAM FOR EMPLOYEES, MEDICAL STAFF AND MEMBERS OF AFFILIATED HEALTHCARE ORGANIZATIONS TO HELP ENHANCE KNOWLEDGE WITH THE LATEST RESEARCH FINDING AND THINKING. WELLMONT AND NORTHEAST STATE TECHNICAL COM
FORM 990, PAGE 6, PART VI, LINE 9MARGARET DENARVAEZ (TERMED 9/16/14) 1905 AMERICAN WAY KINGSPORT, TN 37660 TRACEY P. MOFFATT (TERMED 10/3/14) 1905 AMERICAN WAY KINGSPORT, TN 37660 KENT PETTY (TERMED 4/1/14) 1905 AMERICAN WAY KINGSPORT, TN 37660 VIRGINIA FRANK (TERMED 8/8/14) 1905 AMERICAN WAY KINGSPORT, TN 37660 WILLIAM TROY CLARK (TERMED 12/12/14) 1905 AMERICAN WAY KINGSPORT, TN 37660 WILLIAM SHOWALTER (TERMED 4/17/15)
FORM 990, PAGE 6, PART VI, LINE 11BWELLMONT HEALTH SYSTEM'S FORM 990 IS REVIEWED BY THREE INDIVIDUALS OF WELLMONT HEALTH SYSTEM (THE SENIOR VICE PRESIDENT OF FINANCE, THE CORPORATE CONTROLLER, AND THE MANAGER OF ACCOUNTING) AND THE BOARD OF DIRECTORS OF WELLMONT HEALTH SYSTEM. ANY QUESTIONS OR COMMENTS ARISING FROM THE INITIAL REVIEW ARE ADDRESSED TO ENSURE THE RETURN IS COMPLETE AND ACCURATE. ANY CHANGES OR CORRECTIONS ARE IDENTIFIED, REVISED IN THE RETURN, AND REVIEWED BY THE INDIVIDUALS LISTED ABOVE PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PAGE 6, PART VI, LINE 12COFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO SIGN A CONFLICT OF INTEREST POLICY ACKNOWLEDGEMENT. ANY POTENTIAL CONFLICTS ARE DISCUSSED WITH THE COMPLIANCE AND AUDIT SERVICES DEPARTMENT AS THEY ARISE. WELLMONT HEALTH SYSTEM ALSO HAS A POLICY ON BUSINESS PRACTICES THAT DISCUSSES CONFLICT OF INTEREST AND INFORMS THE WORKFORCE TO DISCLOSE ANY ISSUES TO THE COMPLIANCE AND AUDIT SERVICES DEPARTMENT, FOR RESOLUTION. WELLMONT HEALTH SYSTEM ALSO USES A HOTLINE THAT ALLOWS ANONYMOUS REPORTING OF POSSIBLE CONFLICT OF INTEREST SITUATIONS FOR INVESTIGATION BY THE COMPLIANCE AND AUDIT SERVICES DEPARTMENT.
FORM 990, PAGE 6, PART VI, LINE 15ATHE COMPENSATION OF BARTON A. HOVE, THE PRESIDENT AND CEO OF WELLMONT HEALTH SYSTEM, IS REVIEWED, APPROVED AND DOCUMENTED BY THE WELLMONT HEALTH SYSTEM HUMAN RESOURCES COMMITTEE AND THE BOARD OF DIRECTORS. BARTON A. HOVE IS ALSO ON THE BOARD OF DIRECTORS OF WELLMONT FOUNDATION, INC. THE LAST COMPENSATION DELIBERATION AND REVIEW PROCESS FOR BARTON A. HOVE WAS COMPLETED AND APPROVED BY THE BOARD OF DIRECTORS OF WELLMONT HEALTH SYSTEM ON MARCH 20, 2015. THE COMPENSATION OF MARGARET D. DENARVAEZ, THE FORMER PRESIDENT AND CEO OF WELLMONT HEALTH SYSTEM THROUGH SEPTEMBER 16, 2014, IS REVIEWED, APPROVED AND DOCUMENTED BY THE WELLMONT HEALTH SYSTEM HUMAN RESOURCES COMMITTEE AND THE BOARD OF DIRECTORS. MARGARET D. DENARVAEZ IS ALSO ON THE BOARD OF DIRECTORS OF WELLMONT FOUNDATION, INC. THE LAST COMPENSATION DELIBERATION AND REVIEW PROCESS FOR MARGARET D. DENARVAEZ WAS COMPLETED NOVEMBER 29, 2012, AND APPROVED BY THE BOARD OF DIRECTORS OF WELLMONT HEALTH SYSTEM ON DECEMBER 4, 2012. IN ADDITION, THESE BODIES USE COMPARABILITY DATA TO DETERMINE THE APPROPRIATE COMPENSATION. ALL COMPENSATION DELIBERATIONS AND REVIEWS ARE CONTEMPORANEOUSLY DOCUMENTED.
FORM 990, PAGE 6, PART VI, LINE 15BTHE COMPENSATION OF THE OTHER OFFICERS AND KEY EMPLOYEES OF WELLMONT HEALTH SYSTEM ARE REVIEWED, APPROVED AND DOCUMENTED BY THE WELLMONT HEALTH SYSTEM HUMAN RESOURCES COMMITTEE OF THE BOARD OF DIRECTORS. OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION HAVE WRITTEN EMPLOYMENT CONTRACTS, AND COMPENSATION IS BASED ON SURVEYS/STUDIES AND THEN APPROVED BY THE WELLMONT HEALTH SYSTEM CEO. IN ADDITION, THESE BODIES USE COMPARABILITY DATA TO DETERMINE THE APPROPRIATE COMPENSATION. ALL COMPENSATION DELIBERATIONS AND REVIEWS ARE CONTEMPORANEOUSLY DOCUMENTED. THIS PROCESS IN COMPLETED ON AN ANNUAL BASIS. THE HUMAN RESOURCES COMMITTEE OF THE BOARD OF DIRECTORS REVIEWED THE SALARY AND MARKET COMPENSATION DATA FOR THE FOLLOWING OTHER OFFICERS AND KEY EMPLOYEES ON DECEMBER 10, 2013. -WELLMONT HEALTH SYSTEM CHIEF OPERATIONS OFFICER - TRACEY P. MOFFAT -WELLMONT HEALTH SYSTEM EXECUTIVE VP AND CHIEF FINANCIAL OFFICER - ALICE POPE -WELLMONT HEALTH SYSTEM SR. VP OF HUMAN RESOURCES - HAMLIN J. WILSON -WELLMONT HEALTH SYSTEM VP OF MARKETING AND COMMUNICATIONS - LOWELL TODD NORRIS -BRISTOL REGIONAL MEDICAL CENTER PRESIDENT - GREG NEAL -COMMUNITY HOSPITAL PRESIDENT AND CEO - FRED PELLE -HOLSTON VALLEY MEDICAL CENTER PRESIDENT - TIM ATTEBERY WELLMONT HEALTH SYSTEM USES ONE OR MORE OF THE METHODS DESCRIBED TO ESTABLISH THE COMPENSATION OF THE FOLLOWING OTHER OFFICERS AND KEY EMPLOYEES. -WELLMONT HEALTH SYSTEM SR. VP OF FINANCE - TODD J. DOUGAN -WELLMONT HEALTH SYSTEM CHIEF INFORMATION OFFICER - KENT PETTY -WELLMONT HEALTH SYSTEM SR. VP OF BUSINESS DEVELOPMENT & RURAL STRATEGY - DAVID L. BRASH -WELLMONT HEALTH SYSTEM SR. VP GENERAL COUNSEL - GARY MILLER -WELLMONT HEALTH SYSTEM SR. VP INFORMATION TECHNOLOGY - WILLIAM SHOWALTER
FORM 990, PAGE 6, PART VI, LINE 19WELLMONT HEALTH SYSTEM'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE NOT AVAILABLE TO THE PUBLIC. WELLMONT HEALTH SYSTEM'S AUDITED FINANCIAL STATEMENTS AND QUARTERLY UNAUDITED FINANCIAL STATEMENTS ARE AVAILABLE THROUGH THE ELECTRONIC MUNICIPAL MARKET ACCESS WEBSITE.
FORM 990, PART XI, LINE 9UNREALIZED SWAP LOSS -563,153 INTERCOMPANY RESOLUTION -37,543,799 UNREALIZED LOSS ON INVESTMENTS -16,777,139 CHANGE IN PENSION LIABILITY -2,495,449 LOSS ON BOND DISSOLUTION -1,388,700 DISTRIBUTIONS TO WHS -1,186,676 INTERCOMPANY - RELATED ORGANIZATIONS -7,478,313

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Business Name Line2DisregardedEntityName/BusinessNameLine2TxtAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmt
WELLMONT HEALTH MANAGEMENT
WELLMONT HEALTH MANAGEMENT1905 AMERICAN WAYKINGSPORTTN37660621825259HEALTHCARETNWHS
WELLMONT INTEGRATED NETWORK LLC
WELLMONT INTEGRATED NETWORK LLC1905 AMERICAN WAYKINGSPORTTN37660455443060HEALTHCARETNWHS-$8,518-$8,518

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
WELLMONT HAWKINS CO MEMORIAL HOSPI
1905 AMERICAN WAYKINGSPORTTN37660621816368HEALTHCARETN501C33WHSYes (true)
WELLMONT CARDIOLOGY SERVICES
1905 AMERICAN WAYKINGSPORTTN37660263557623HEALTHCARETN501C39WHSYes (true)
WELLMONT MEDICAL ASSOCIATES
1905 AMERICAN WAYKINGSPORTTN37660270898372HEALTHCARETN501C37WHSYes (true)
WELLMONT FOUNDATION
1905 AMERICAN WAYKINGSPORTTN37660581594191HEALTHCARETN501C37WHSYes (true)
WELLMONT MADISON HOUSE
1905 AMERICAN WAYKINGSPORTTN37660621308216HEALTHCARETN501C39WHSYes (true)
WELLMONT WEXFORD HOUSE
1905 AMERICAN WAYKINGSPORTTN37660581859039HEALTHCARETN501C39WHSfalse
WELLMONT IMAGING SERVICES INC
1905 AMERICAN WAYKINGSPORTTN37660861103148HEALTHCARETN501C311AWHSYes (true)
WELLMONT SLEEP SERVICES
1905 AMERICAN WAYKINGSPORTTN37660HEALTHCARETN501C33WHSYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Business Name Line2RelatedOrganizationName/BusinessNameLine2TxtAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctBusiness Name Line2DirectControllingEntityName/BusinessNameLine2Txt
SAPLING GROVE AMBULATORY
SURGERY220 MEDICAL PARK BOULEVARDBRISTOLTN37620TNWHSRELATED$618,640$3,595,432falsefalse0.65000
HOLSTON VALLEY AMBULATORY
SURGERY103 WEST STONE DRIVEKINGSPORTTN37660TNWHSRELATED$1,353,805$1,100,560falsefalse0.52000
HOLSTON VALLEY IMAGING CENTER
103 WEST STONE DRIVEKINGSPORTTN37660TNWHSRELATEDfalsefalseIMAGING

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACdBusiness Name Line2RelatedOrganizationName/BusinessNameLine2Txt
WELLMONT INC
1905 AMERICAN WAYKINGSPORTTN37660621320035PHYS. SVCSTNWHSC CORP$823,312-$89,243,614false
MCOT INC
1905 AMERICAN WAYKINGSPORTTN37660621325938MED. SVCS.TNfalseN/A
MEDICAL LAUNDRY OF TRI-CITIES
1905 AMERICAN WAYKINGSPORTTN37660621482226MED. SVCS.TNfalseN/AMEDICAL LAUNDRY OF TRI-CITIES
MEDICAL MALL PHARMACY INC
1905 AMERICAN WAYKINGSPORTTN37660621565006MED. SVCS.TNfalseN/A
WELLMONT PHYSICIAN SERVICES
1905 AMERICAN WAYKINGSPORTTN37660621567353PHYS. SVCSTNfalseN/AWELLMONT PHYSICIAN SERVICES
WPS PROVIDERS INC
1905 AMERICAN WAYKINGSPORTTN37660205564642PHYS. SVCSTNfalseN/A
WELLMONT HEALTH SERVICES INC
1905 AMERICAN WAYKINGSPORTTN37660621254373HEALTHCARETNfalseN/A
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangeYes (true)AssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (26 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
WELLMONT CARDIOLOGY SERVICES
B$12,439,471CAPITAL CONTRIBUTIONS
WELLMONT MEDICAL ASSOCIATES
B$26,943,241CAPITAL CONTRIBUTIONS
WELLMONT HAWKINS COUNTY MEMORIAL HO
C$3,585,497CAPITAL CONTRIBUTIONS
WELLMONT FOUNDATION
C$3,971,218NEED
WELLMONT WEXFORD HOUSE
C$797,234CAPITAL CONTRIBUTIONS
MCOT INC
C$1,316,832CAPITAL CONTRIBUTIONS
WELLMONT MEDICAL ASSOCIATES
I$167,734ASSET TRANSFER
HOLSTON VALLEY IMAGING CENTER INC
I$5,477,046ASSET TRANSFER
WELLMONT HAWKINS COUNTY MEMORIAL HO
J$257,705LEASE AGREEMENT
WELLMONT CARDIOLOGY SERVICES
J$384,323LEASE AGREEMENT
WELLMONT MEDICAL ASSOCIATES
J$1,466,772LEASE AGREEMENT
HOLSTON VALLEY AMBULATORY SURGERY C
J$878,578LEASE AGREEMENT
HOLSTON VALLEY IMAGING CENTER INC
J$234,758LEASE AGREEMENT
WELLMONT MEDICAL ASSOCIATES
K$55,313LEASE AGREEMENT
WELLMONT HAWKINS COUNTY MEMORIAL HO
L$9,198,996SUPPORT SERVICES
WELLMONT HAWKINS COUNTY MEMORIAL HO
L$90,464INVOICES
WELLMONT HAWKINS COUNTY MEMORIAL HO
L$85,544SUPPORT SERVICES
WELLMONT CARDIOLOGY SERVICES
L$114,415INVOICES
WELLMONT MEDICAL ASSOCIATES
L$111,231SUPPORT SERVICES
WELLMONT CARDIOLOGY SERVICES
M$2,051,924COST - INVOICES
WELLMONT MEDICAL ASSOCIATES
M$545,532SERVICE AGREEMENT
WELLMONT FOUNDATION
M$568,576INVOICES
MCOT INC
M$2,250,877COLLECTION AGREEMENT
WELLMONT HAWKINS COUNTY MEMORIAL HO
O$348,498NEED
SAPLING GROVE AMBULATORY SURGE
R$380,676DISTRIBUTION
HOLSTON VALLEY AMBULATORY SURGERY C
R$806,000DISTRIBUTION

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE RFormAndLineReferenceDesc
ExplanationPART V, LINE 2 WELLMONT FOUNDATION PERFORMS FUNDRAISING SERVICES FOR WELLMONT HEALTH SYSTEM AND ITS RELATED 501(C)(3) ENTITIES. THE COST OF THESE SERVICES IS 568,576 AND CANNOT BE DETERMINED BY ENTITY. OTHER RELATED ORGANIZATION TRANSACTIONS WITH WELLMONT CARDIOLOGY SERVICES, WELLMONT MADISON HOUSE AND WELLMONT WEXFORD HOUSE TOTALED 76,934 DURING THE FISCAL YEAR ENDED JUNE 30, 2015, AND DID NOT MEET THE 50,000 THRESHOLD AMOUNT FOR SEPARATE DISCLOSURE. ORGANIZATION TRANS TYPE AMOUNT METHOD DETERMINATION WELLMONT CARDIOLOGY SERVICES K 25,225 LEASE AGREEMENT WELLMONT MADISON HOUSE B 13,042 CAPITAL CONTRIBUTIONS WELLMONT MADISON HOUSE L 34,190 SERVICE AGREEMENTS WELLMONT WEXFORD HOUSE L 4,477 INVOICESExplanationTxt