2016-05-11T07:17:09-05:00 2015-06-30 990 2014-07-01 263557623 WELLMONT CARDIOLOGY SERVICES WELL 4232308200 1905 AMERICAN WAY KINGSPORT TN 37660 TODD J DOUGAN SR. VP OF FINANCE 4232308200 2016-05-11 2014 2016-08-17 19:52:53Z TODD J DOUGAN 1905 AMERICAN WAY KINGSPORT TN 37660 28786847 false X WWW.WELLMONT.ORG X 2010 TN WE DELIVER SUPERIOR HEALTH CARE WITH COMPASSION. 12 0 315 148709 -1517 180267 13419 29935590 27069316 67 -812 1679839 1679755 31795763 28761678 11788 9400 0 33508649 40054893 0 0 10714797 9875441 44235234 49939734 -12439471 -21178056 -9665119 5460864 2774352 5517098 -12439471 -56234 X WE DELIVER SUPERIOR HEALTH CARE WITH COMPASSION. false false 47996449 9400 27339461 CARDIOVASCULAR ASSOCIATES WAS ESTABLISHED IN 1978 TO PROVIDE COMPREHENSIVE CARDIOVASCULAR SERVICES TO THE NORTHEAST TENNESSEE/SOUTHWEST VIRGINIA REGION. IN MAY 2010, WELLMONT CARDIOLOGY SERVICES ACQUIRED SUBSTANTIALLY ALL OF THE ASSETS OF CARDIOVASCULAR ASSOCIATES TO BECOME THE REGION'S LARGEST PROVIDER OF COMPREHENSIVE CARDIOVASCULAR SERVICES. THIS PHYSICIAN GROUP PROVIDES TOP-QUALITY CARDIOVASCULAR SERVICES TO NORTHEAST TENNESSEE, SOUTHWEST VIRGINIA, SOUTHEAST KENTUCKY AND NORTHWEST NORTH CAROLINA, AS WELL AS AREAS OF WEST VIRGINIA. (CON'T ON SCHEDULE O) IN 2013, HOLSTON VALLEY MEDICAL CENTER AND BRISTOL REGIONAL MEDICAL CENTER WERE TWO OF ONLY 197 HOSPITALS NATIONWIDE TO RECEIVE THE AMERICAN COLLEGE OF CARDIOLOGY'S PLATINUM PERFORMANCE ACHIEVEMENT AWARD. THIS AWARD RECOGNIZES THE HOSPITALS' COMMITMENT TO AND SUCCESS IN IMPLEMENTING A HIGHER STANDARD OF CARE FOR HEART ATTACK PATIENTS AND SIGNIFIES THEY HAVE REACHED AN AGGRESSIVE GOAL OF TREATING THESE PATIENTS TO STANDARD LEVELS OF CARE OUTLINED BY THE AMERICAN COLLEGE OF CARDIOLOGY. OUR MISSION IS TO IMPROVE THE CARDIOVASCULAR HEALTH OF OUR REGION. IT IS OUR VISION TO DELIVER HIGH QUALITY, COST-EFFECTIVE HEART AND VASCULAR CARE WITH COMPASSION. WELLMONT CARDIOLOGY SERVICES CONSISTS OF 38 BOARD-CERTIFIED CARDIOLOGISTS AND CARDIOVASCULAR AND THORACIC SURGEONS SERVING 13 COMMUNITY OFFICES AND THE SEVEN MEMBER HOSPITALS OF WELLMONT HEALTH SYSTEM. WE DIAGNOSE, TREAT AND MANAGE ALL ASPECTS OF ADULT CARDIOVASCULAR DISEASE. OUR SERVICES INCLUDE GENERAL CARDIOLOGY, PREVENTIVE CARDIOLOGY, ELECTROPHYSIOLOGY, INTERVENTIONAL CARDIOLOGY, VASCULAR MEDICINE, STRUCTURAL HEART DISEASE, HEART FAILURE MANAGEMENT, CARDIOVASCULAR AND THORACIC SURGERY AND ADVANCED CARDIOVASCULAR IMAGING. WE ALSO SERVE AS A LEADER IN CLINICAL RESEARCH AND TEACHING INSTITUTION THROUGH THE CARDIOVASCULAR UNIVERSITY. WE ARE DEDICATED TO 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 QUALITY OF LIFE IN THE AREAS WE SERVE. OVERALL, WE RETURNED MORE THAN 21,852,184 IN BENEFITS TO OUR COMMUNITY. FOR FISCAL YEAR 2015, WE HAD 96,835 OUTPATIENT ENCOUNTERS AND PERFORMED 1,417 INPATIENT SURGICAL PROCEDURES. REGARDLESS OF RACE, RELIGION, ETHNICITY OR ABILITY TO PAY, WELLMONT CARDIOVASCULAR SERVICES TREATS ALL PATIENTS FOR MEDICALLY NECESSARY CONDITIONS. RECOGNIZING THAT SOME PATIENTS CANNOT AFFORD ESSENTIAL MEDICAL SERVICES, WE PROVIDED CARE FOR INDIGENT PATIENTS, WRITING OFF 2,399,553 OF CHARGES AND INCURRING COSTS OF 1,463,727. ADDITIONALLY, WE PROVIDED CARE TO PERSONS COVERED BY MEDICARE, MEDICAID, TENNCARE AND CHAMPUS AT LESS THAN COST. DUE TO MANDATED REDUCTIONS IN MEDICARE FUNDING FROM THE BALANCED BUDGET ACT AND DECLINING REIMBURSEMENT FROM TENNCARE, THE SHORTFALL BETWEEN RECEIPTS AND THE COST OF PROVIDING CARE TO THESE PATIENTS TOTALED 17,988,904. IT IS OUR OBLIGATION TO SUPPORT THE CAUSES THAT IMPROVE THE QUALITY OF LIFE IN OUR REGION. WE SPONSORED OR PARTICIPATED IN EDUCATIONAL, COMMUNITY- BASED PROGRAMS ON HEALTHY LIFESTYLES, RISK FACTOR IDENTIFICATION, DIAGNOSING AND TREATMENT OPTIONS, INCLUDING CONTINUING EDUCATION PROGRAMS FOR PHYSICIANS, NURSES AND ALLIED HEALTH PROFESSIONALS. SUCH INITIATIVES INCLUDED: -9TH ANNUAL HEART TALK -REGIONAL HEALTHCARE SYMPOSIUM -DIABETES EXPO -DIABETES SYMPOSIUM -PRESENTATION TO MEDICAL SOCIETIES -COMMUNITY OUTREACH WITH AREA CHURCHES -PARTICIPATION WITH LOCAL SUPPORT GROUPS -PRESENTATIONS TO AREA CIVIC ORGANIZATIONS WE PARTICIPATED IN THE FOLLOWING EMPLOYER-BASED EVENTS: -ROBINETTE COMPANY HEALTH FAIR, WHICH INCLUDED BLOOD PRESSURE SCREENINGS -BRISTOL COMPRESSORS HEART HEALTHY LUNCH AND LEARNS ADDITIONALLY, DONATIONS TOTALING 9,400 WERE MADE TO LAUGHLIN MEMORIAL HOSPITAL AND NEIL DANEHY HEART FOUNDATION. THE LEVEL ONE HEART ATTACK NETWORK IS A PARTNERSHIP WITH LOCAL COMMUNITIES, EMERGENCY MEDICAL SERVICE PROVIDERS, AREA EMERGENCY DEPARTMENTS AND WELLMONT CARDIOLOGY SERVICES. THE CONTINUED DEVELOPMENT OF THE NETWORK HAS IMPROVED OUR ABILITY TO PROVIDE PROMPT AND EFFECTIVE HEART ATTACK TREATMENT FOR PATIENTS EXPERIENCING A CARDIAC EMERGENCY. BRISTOL REGIONAL MEDICAL CENTER WAS THE ONLY HOSPITAL IN TENNESSEE AND VIRGINIA TO RECEIVE GOLD RECOGNITION BY THE AMERICAN HEART ASSOCIATION FOR THE 2013 MISSION: LIFELINE STEMI-RECEIVING AWARD FOR RAPID AND EFFECTIVE HEART ATTACK TREATMENT TIMES. AND THIS YEAR, BRISTOL REGIONAL RECEIVED MISSION: LIFELINE GOLD, GOLD PLUS AND GOLD PLUS ACHIEVEMENT AWARDS FOR FOLLOWING THE AMERICAN HEART ASSOCIATION'S RECOMMENDED GUIDELINES FOR HEART ATTACK TREATMENT. OUR HEARTSHAPE PROGRAM, WHICH FOCUSED ON THIS EARLY IDENTIFICATION OF CORONARY ARTERY DISEASE THROUGH CALCIUM SCORING TESTING, REMAINS A PRIORITY FOR OUR PHYSICIANS AND STAFF. NUMEROUS COMMUNITY GROUPS AND LOCAL EMPLOYERS PARTICIPATED IN PRESENTATIONS ABOUT THE IMPORTANCE OF EARLY IDENTIFICATION AND KNOWLEDGE OF RISK FACTORS. HUNDREDS OF DISCOUNTED OR COMPLIMENTARY HEART SCREENINGS WERE DISTRIBUTED TO ENCOURAGE EARLY IDENTIFICATION OF CORONARY ARTERY DISEASE. EMPLOYEES GAVE THEIR TIME TO AREA NONPROFIT ORGANIZATIONS, WHICH INCLUDED THE PROVIDENCE MEDICAL CLINIC AND SUSAN G. KOMEN FOR THE CURE. IN MARCH 2015, BRISTOL REGIONAL AND WELLMONT CARDIOVASCULAR SERVICES HOSTED THE FIRST-EVER NEED FOR SPEED HEART AND STROKE EXPO AND SECONDS COUNT 5K, WHICH RAISED AWARENESS FOR QUICK INTERVENTION DURING EMERGENCY CARDIAC EVENTS AND ALSO GAVE PARTICIPANTS A CHANCE TO IMPROVE THEIR HEALTH BY BEING MORE ACTIVE. 47996449 true true false false false false false false false false true false false true false false false true false false false false false false false false false true false true false false false false false false false true false false false false false true false false false true 26 0 true 315 true true true false false false false false false false false false X 12 0 false false false false true true true true true true false true true true true true true true true false TN X TODD J DOUGAN 4232308200 1905 AMERICAN WAY KINGSPORT TN 37660 X MARGARET D DENARVAEZ TERM 91614 WHS PRESIDEN 1.00 39.00 X 0 2554461 65341 MARK CHANG MD BOARD MEM/PH 40.00 X 613554 0 27461 GERALD G BLACKWELL MD PRES/SEC/PHY 40.00 X X 584856 0 29948 HERBERT LADLEY MD BOARD MEM/PH 40.00 X 583094 0 28822 DAVID BECKNER MD BOARD MEM/PH 40.00 X 581237 0 27979 MARK MAYHEW MD BOARD MEM/PH 40.00 X 577087 0 27726 JONATHAN BURRESS MD BOARD MEM/PH 40.00 X 577004 0 27012 TRACEY P MOFFATT TERM 10314 BOARD MEM/WH 1.00 39.00 X 0 575375 21418 HARRISON D TURNER MD BOARD MEM/PH 40.00 X 566218 0 30261 FREDDIE M WILLIAMS BOARD MEM/PH 40.00 X 559569 0 22146 ALICE POPE BOARD MEM/WH 1.00 39.00 X 0 479861 27467 TIMOTHY W ATTEBERY BOARD MEMBER 1.00 39.00 X 0 446896 25151 THOMAS M BULLE MD BOARD MEM/PH 40.00 X 438464 0 26528 GREG NEAL BOARD MEM/PR 1.00 39.00 X 0 409637 24122 BARTON A HOVE PRESIDENT/WH 1.00 39.00 X 0 394913 16374 TODD J DOUGAN BOARD MEM/WH 1.00 39.00 X 0 292465 19822 VYVYAN DEROUEN EXECUTIVE DI 40.00 X X 138988 0 13551 PABITRA SAHA MD PHYSICIAN 40.00 X 578141 0 28421 DANIEL SIMPSON PHYSICIAN 40.00 X 577177 0 27726 ROBERT K KRAMER MD BOARD MEM/PH 40.00 X 576261 0 26565 JOHN R BERTUSO PHYSICIAN 40.00 X 565681 0 29948 JOHN F BERRY PHYSICIAN 40.00 X 559824 0 27727 JAMES MERRILL MD BOARD MEM/PH 40.00 X 582441 0 24494 8659596 5153608 626010 59 true true false HOLSTON MEDICAL GROUP P O BOX 9 KINGSPORT TN 37662 PROFESSIONAL SV 1095143 CLINCH PROFESSIONAL PHYSICIAN LLC 67919 GOV GC PEERY HWY SUITE 3650 RICHLANDS VA 24641 PROFESSIONAL SV 261142 NORTHEAST TN EMERGENCY PHYSICIANS 415 BROAD STREET SUITE 410 KINGSPORT TN 37660 PROFESSIONAL SV 253170 QUALITY SYSTEMS INC PO BOX 809390 CHICAGO IL 60680 PROFESSIONAL SV 249751 REVENUEMED INC DEPT AT 952843 ATLANTA GA 31192 PROFESSIONAL SV 172065 6 13419 13419 PATIENT SERVICE REVENUE-NET 621990 24497999 24497999 ON-CALL SERVICES REVENUE 541700 1206690 1206690 RESEARCH REVENUE 621110 1178413 1178413 CARDIAC DIAGNOSTIC INTERPRETA 621110 148675 148675 MEDICAL RECORDS REVENUE 611600 12945 12945 24594 24594 27069316 106845 24357 82488 82488 82488 812 -812 -812 -812 MANAGEMENT FEES 561000 1283811 1283811 MEANINGFUL USE FUNDS 621990 270284 270284 MARKETING 561000 26888 26888 16284 16250 34 1597267 28761678 27339461 148709 1260089 9400 9400 6267081 6116755 150326 29390667 28926273 464394 663322 645621 17701 2374790 2252477 122313 1359033 1315240 43793 838223 838223 25 25 1352929 1303309 49620 43163 43163 622681 551635 71046 50515 50515 2340913 1534102 806811 355010 349571 5439 71 71 528269 440831 87438 309330 309330 MSO ALLOCATION 2484825 2484825 DRUGS & MEDICAL SUPPLIES 406312 404849 1463 DUES & MEMBERSHIPS 248906 132110 116796 MISCELLANEOUS EXPENSE 138547 132763 5784 155722 155457 265 49939734 47996449 1943285 0 189773 204780 -13635240 1216361 38669 51468 25712 19513 7681832 4101490 3325160 3580342 9230 6823 381577 381577 -9665119 5460864 2774352 5517098 2774352 5517098 X -12439471 -56234 -12439471 -56234 -9665119 5460864 -21178056 33561293 X false true X true false X 8420 8484 55917 180267 13419 266507 26488939 26231600 29385201 29812960 27339461 139258161 731389 1305501 1512362 1595206 1178413 6322871 27228748 27545585 30953480 31588433 28531293 145847539 145847539 98 135 106845 107078 98 135 106845 107078 2325 2325 27228846 27545585 30953615 31590758 28638138 145956942 0.99930 0.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3025756 801198 2224558 2822357 1551274 1271083 1833719 1749018 84701 3580342 GOODWILL 381577 381577 true LAUGHLIN MEMORIAL HOSPITAL FOUNDATI 1420 TUSCULUM BOULEVARD GREENEVILLE TN 37745 582105493 501C3 5400 SPONSORSHIP 1 SCHEDULE I, PAGE 1, PART I, LINE 2 WELLMONT CARDIOLOGY SERVICES MAKES MINIMAL GRANTS THROUGHOUT THE YEAR. THE USE OF THESE GRANT FUNDS IS NOT MONITORED BY WELLMONT CARDIOLOGY SERVICES AS THESE GRANTS ARE MADE IN GENERAL SUPPORT OF THE GRANT RECIPIENT. X X X true true true true false false false false true false false MARGARET D DENARVAEZ TERM 91614 WHS PRESIDENT & CEO 544420 265980 1744061 58432 6909 2619802 MARK CHANG MD BOARD MEM/PHYSICIAN 568141 14266 31147 18599 8862 641015 GERALD G BLACKWELL MD PRES/SEC/PHYSICIAN 568141 14266 2449 20328 9620 614804 HERBERT LADLEY MD BOARD MEM/PHYSICIAN 567640 14266 1188 20125 8697 611916 DAVID BECKNER MD BOARD MEM/PHYSICIAN 548341 32266 630 18467 9512 609216 MARK MAYHEW MD BOARD MEM/PHYSICIAN 562641 14266 180 18106 9620 604813 JONATHAN BURRESS MD BOARD MEM/PHYSICIAN 544468 32266 270 18150 8862 604016 TRACEY P MOFFATT TERM 10314 BOARD MEM/WHS COO 334601 230000 10774 18100 3318 596793 HARRISON D TURNER MD BOARD MEM/PHYSICIAN 549641 14266 2311 19924 10337 596479 FREDDIE M WILLIAMS BOARD MEM/PHYSICIAN 545141 14266 162 18039 4107 581715 ALICE POPE BOARD MEM/WHS CFO 383559 87632 8670 15897 11570 507328 TIMOTHY W ATTEBERY BOARD MEMBER 379628 66854 414 16454 8697 472047 THOMAS M BULLE MD BOARD MEM/PHYSICIAN 426577 10699 1188 17376 9152 464992 GREG NEAL BOARD MEM/PRES BRMC 338462 62505 8670 14502 9620 433759 BARTON A HOVE PRESIDENT/WHS CEO 315138 50000 29775 6754 9620 411287 TODD J DOUGAN BOARD MEM/WHS SR VP 248894 43571 10202 9620 312287 VYVYAN DEROUEN EXECUTIVE DIRECTOR 129550 9347 91 4568 8983 152539 PABITRA SAHA MD PHYSICIAN 563341 14266 534 18389 10032 606562 DANIEL SIMPSON PHYSICIAN 562641 14266 270 18106 9620 604903 ROBERT K KRAMER MD BOARD MEM/PHYSICIAN 561642 14266 353 17703 8862 602826 JOHN R BERTUSO PHYSICIAN 550641 14266 774 20328 9620 595629 JOHN F BERRY PHYSICIAN 545288 14266 270 18107 9620 587551 JAMES MERRILL MD BOARD MEM/PHYSICIAN 568175 14266 13847 10647 606935 SCHEDULE J, PAGE 1, PART I, LINE 1A CHARTER 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 MARGARET DENARVAEZ, BARTON A. HOVE, AND TRACEY P. MOFFATT. THESE AMOUNTS ARE INCLUDED IN TAXABLE COMPENSATION. SCHEDULE J, PAGE 1, PART I, LINE 4 MARGARET D. DENARVAEZ (TERM 9/16/14) 1,745,538 0 0 TRACEY P. MOFFATT (TERM 10/3/14) 275,000 0 0 SCHEDULE J, PAGE 1, PART I, LINE 6B INCENTIVE COMPENSATION IS BASED ON MEETING BUDGETED OPERATING MARGIN GOALS. SCHEDULE J, PART III PART 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: 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. THE HEART CENTER PARTNERSHIP BOARD OVERLAP 1408067 LEASE AGREEMENT false TRI-STATE PROFESSIONAL SUITES OWNER BOARD OVERLAP 360542 LEASE AGREEMENT false SCHEDULE L, PART V SCHEDULE L, PART IV, LINE 1, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: WELLMONT HEALTH SYSTEM (LESSEE), WHICH IS THE SOLE MEMBER OF THE CORPORATION, WELLMONT CARDIOLOGY SERVICES, ENTERED INTO A LEASE AGREEMENT WITH THE HEART CENTER PARTNERSHIP (LESSOR) ON APRIL 30, 2010 TO LEASE 49,481 RENTABLE SQUARE FEET IN THE BUILDING KNOWN AS THE HEART CENTER, LOCATED AT 2050 MEADOWVIEW PARKWAY, KINGSPORT, TENNESSEE 37660 FOR A TEN YEAR TERM WITH RENEWABLE TERMS IN SIX MONTH INCREMENTS. THE AGREEMENT PROVIDES FOR THE LESSEE'S PURCHASE RIGHT OF FIRST REFUSAL AND A MULTI-LESSEE RIGHT OF FIRST OFFER. THERE ARE CURRENTLY 37 PHYSICIANS EMPLOYED BY WELLMONT CARDIOLOGY SERVICES OF WHICH, 25 ARE SENIOR PHYSICIANS THAT ARE THE CURRENT PARTNERS OF THE HEART CENTER PARTNERSHIP, AS IS TIM ATTEBERY, PRESIDENT OF HOLSTON VALLEY MEDICAL CENTER WHICH IS WELLMONT HEALTH SYSTEM'S LARGEST HOSPITAL. THE HEART CENTER PARTNERSHIP IS NOT OWNED BY WELLMONT HEALTH SYSTEM, WELLMONT CARDIOLOGY SERVICES, OR ANY AFFILIATED ENTITIES. THE 25 PHYSICIAN PARTNERS MENTIONED IN THE LEASE AGREEMENT ARE AS FOLLOWS: DAVID C. BECKNER, M.D. JOHN F. BERRY, M.D. JOHN R. BERTUSO, M.D. GERALD G. BLACKWELL, M.D. MARK A. BORSCH, M.D. THOMAS M. BULLE, M.D. JONATHAN W. BURRESS, M.D. LARRY H. COX, M.D. STANLEY A. GALL, JR., M.D. PIERRE ISTFAN, M.D. GREGORY K. JONES, M.D. CHRISTOPHER J. KENNEDY, M.D. ROBERT KEITH KRAMER, M.D. HERBERT D. LADLEY, M.D. MARC W. MAYHEW, M.D. JAMES J. MERRILL, M.D. WILLIAM M. MESSERSCHMIDT, M.D. DAVID CHRISTOPHER METZGER, M.D. ARUN RAO, M.D. PABITRA K. SAHA, M.D. DANIEL E. SIMPSON, M.D. HARRISON D. TURNER, M.D. FREDDIE M. WILLIAMS, M.D. MARCUS WILLIAMS, M.D. SCHEDULE L, PART IV, LINE 2, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: WELLMONT HEALTH SYSTEM (LESSEE), WHICH IS THE SOLE MEMBER OF THE CORPORATION, WELLMONT CARDIOLOGY SERVICES, ENTERED INTO A LEASE AGREEMENT WITH TRI-STATE PROFESSIONAL SUITES OWNERS ASSOCIATION, INC. (LESSOR), ON OCTOBER 11, 2011 TO LEASE 23,503 RENTABLE SQUARE FEET IN THE BUILDING KNOWN AS TRI-STATE PROFESSIONAL SUITES, LOCATED AT 2428 KNOB CREEK ROAD, UNIT 1, JOHNSON CITY, TN, 37601 FOR A TWELVE YEAR TERM WITH RENEWABLE TERMS IN SIX MONTH INCREMENTS. THE AGREEMENT PROVIDES FOR THE LESSEE'S PURCHASE RIGHT OF FIRST REFUSAL. TRI-STATE PROFESSIONAL SUITES OWNERS ASSOCIATION, INC. SOLD THE BUILDING ON JANUARY 23, 2015. THE 4 PARTNERS ARE AS FOLLOWS: HAROLD ALISON, M.D. JOSEPH BAILEY, M.D. MARK CHANG, M.D. COLLIER JORDAN, M.D. FORM 990, PAGE 2, PART III, LINE 4A IN 2013, HOLSTON VALLEY MEDICAL CENTER AND BRISTOL REGIONAL MEDICAL CENTER WERE TWO OF ONLY 197 HOSPITALS NATIONWIDE TO RECEIVE THE AMERICAN COLLEGE OF CARDIOLOGY'S PLATINUM PERFORMANCE ACHIEVEMENT AWARD. THIS AWARD RECOGNIZES THE HOSPITALS' COMMITMENT TO AND SUCCESS IN IMPLEMENTING A HIGHER STANDARD OF CARE FOR HEART ATTACK PATIENTS AND SIGNIFIES THEY HAVE REACHED AN AGGRESSIVE GOAL OF TREATING THESE PATIENTS TO STANDARD LEVELS OF CARE OUTLINED BY THE AMERICAN COLLEGE OF CARDIOLOGY. OUR MISSION IS TO IMPROVE THE CARDIOVASCULAR HEALTH OF OUR REGION. IT IS OUR VISION TO DELIVER HIGH QUALITY, COST-EFFECTIVE HEART AND VASCULAR CARE WITH COMPASSION. WELLMONT CARDIOLOGY SERVICES CONSISTS OF 38 BOARD-CERTIFIED CARDIOLOGISTS AND CARDIOVASCULAR AND THORACIC SURGEONS SERVING 13 COMMUNITY OFFICES AND THE SEVEN MEMBER HOSPITALS OF WELLMONT HEALTH SYSTEM. WE DIAGNOSE, TREAT AND MANAGE ALL ASPECTS OF ADULT CARDIOVASCULAR DISEASE. OUR SERVICES INCLUDE GENERAL CARDIOLOGY, PREVENTIVE CARDIOLOGY, ELECTROPHYSIOLOGY, INTERVENTIONAL CARDIOLOGY, VASCULAR MEDICINE, STRUCTURAL HEART DISEASE, HEART FAILURE MANAGEMENT, CARDIOVASCULAR AND THORACIC SURGERY AND ADVANCED CARDIOVASCULAR IMAGING. WE ALSO SERVE AS A LEADER IN CLINICAL RESEARCH AND TEACHING INSTITUTION THROUGH THE CARDIOVASCULAR UNIVERSITY. WE ARE DEDICATED TO 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 QUALITY OF LIFE IN THE AREAS WE SERVE. OVERALL, WE RETURNED MORE THAN 21,852,184 IN BENEFITS TO OUR COMMUNITY. FOR FISCAL YEAR 2015, WE HAD 96,835 OUTPATIENT ENCOUNTERS AND PERFORMED 1,417 INPATIENT SURGICAL PROCEDURES. REGARDLESS OF RACE, RELIGION, ETHNICITY OR ABILITY TO PAY, WELLMONT CARDIOVASCULAR SERVICES TREATS ALL PATIENTS FOR MEDICALLY NECESSARY CONDITIONS. RECOGNIZING THAT SOME PATIENTS CANNOT AFFORD ESSENTIAL MEDICAL SERVICES, WE PROVIDED CARE FOR INDIGENT PATIENTS, WRITING OFF 2,399,553 OF CHARGES AND INCURRING COSTS OF 1,463,727. ADDITIONALLY, WE PROVIDED CARE TO PERSONS COVERED BY MEDICARE, MEDICAID, TENNCARE AND CHAMPUS AT LESS THAN COST. DUE TO MANDATED REDUCTIONS IN MEDICARE FUNDING FROM THE BALANCED BUDGET ACT AND DECLINING REIMBURSEMENT FROM TENNCARE, THE SHORTFALL BETWEEN RECEIPTS AND THE COST OF PROVIDING CARE TO THESE PATIENTS TOTALED 17,988,904. IT IS OUR OBLIGATION TO SUPPORT THE CAUSES THAT IMPROVE THE QUALITY OF LIFE IN OUR REGION. WE SPONSORED OR PARTICIPATED IN EDUCATIONAL, COMMUNITY- BASED PROGRAMS ON HEALTHY LIFESTYLES, RISK FACTOR IDENTIFICATION, DIAGNOSING AND TREATMENT OPTIONS, INCLUDING CONTINUING EDUCATION PROGRAMS FOR PHYSICIANS, NURSES AND ALLIED HEALTH PROFESSIONALS. SUCH INITIATIVES INCLUDED: -9TH ANNUAL HEART TALK -REGIONAL HEALTHCARE SYMPOSIUM -DIABETES EXPO -DIABETES SYMPOSIUM -PRESENTATION TO MEDICAL SOCIETIES -COMMUNITY OUTREACH WITH AREA CHURCHES -PARTICIPATION WITH LOCAL SUPPORT GROUPS -PRESENTATIONS TO AREA CIVIC ORGANIZATIONS WE PARTICIPATED IN THE FOLLOWING EMPLOYER-BASED EVENTS: -ROBINETTE COMPANY HEALTH FAIR, WHICH INCLUDED BLOOD PRESSURE SCREENINGS -BRISTOL COMPRESSORS HEART HEALTHY LUNCH AND LEARNS ADDITIONALLY, DONATIONS TOTALING 9,400 WERE MADE TO LAUGHLIN MEMORIAL HOSPITAL AND NEIL DANEHY HEART FOUNDATION. THE LEVEL ONE HEART ATTACK NETWORK IS A PARTNERSHIP WITH LOCAL COMMUNITIES, EMERGENCY MEDICAL SERVICE PROVIDERS, AREA EMERGENCY DEPARTMENTS AND WELLMONT CARDIOLOGY SERVICES. THE CONTINUED DEVELOPMENT OF THE NETWORK HAS IMPROVED OUR ABILITY TO PROVIDE PROMPT AND EFFECTIVE HEART ATTACK TREATMENT FOR PATIENTS EXPERIENCING A CARDIAC EMERGENCY. BRISTOL REGIONAL MEDICAL CENTER WAS THE ONLY HOSPITAL IN TENNESSEE AND VIRGINIA TO RECEIVE GOLD RECOGNITION BY THE AMERICAN HEART ASSOCIATION FOR THE 2013 MISSION: LIFELINE STEMI-RECEIVING AWARD FOR RAPID AND EFFECTIVE HEART ATTACK TREATMENT TIMES. AND THIS YEAR, BRISTOL REGIONAL RECEIVED MISSION: LIFELINE GOLD, GOLD PLUS AND GOLD PLUS ACHIEVEMENT AWARDS FOR FOLLOWING THE AMERICAN HEART ASSOCIATION'S RECOMMENDED GUIDELINES FOR HEART ATTACK TREATMENT. OUR HEARTSHAPE PROGRAM, WHICH FOCUSED ON THIS EARLY IDENTIFICATION OF CORONARY ARTERY DISEASE THROUGH CALCIUM SCORING TESTING, REMAINS A PRIORITY FOR OUR PHYSICIANS AND STAFF. NUMEROUS COMMUNITY GROUPS AND LOCAL EMPLOYERS PARTICIPATED IN PRESENTATIONS ABOUT THE IMPORTANCE OF EARLY IDENTIFICATION AND KNOWLEDGE OF RISK FACTORS. HUNDREDS OF DISCOUNTED OR COMPLIMENTARY HEART SCREENINGS WERE DISTRIBUTED TO ENCOURAGE EARLY IDENTIFICATION OF CORONARY ARTERY DISEASE. EMPLOYEES GAVE THEIR TIME TO AREA NONPROFIT ORGANIZATIONS, WHICH INCLUDED THE PROVIDENCE MEDICAL CLINIC AND SUSAN G. KOMEN FOR THE CURE. IN MARCH 2015, BRISTOL REGIONAL AND WELLMONT CARDIOVASCULAR SERVICES HOSTED THE FIRST-EVER NEED FOR SPEED HEART AND STROKE EXPO AND SECONDS COUNT 5K, WHICH RAISED AWARENESS FOR QUICK INTERVENTION DURING EMERGENCY CARDIAC EVENTS AND ALSO GAVE PARTICIPANTS A CHANCE TO IMPROVE THEIR HEALTH BY BEING MORE ACTIVE. FORM 990, PAGE 6, PART VI, LINE 6 THE BUSINESS AND AFFAIRS OF WELLMONT CARDIOLOGY SERVICES (THE CORPORATION) SHALL BE GOVERNED EXCLUSIVELY BY THE BOARD OF DIRECTORS. THE CORPORATION'S BOARD OF DIRECTORS IS DESIGNATED BY WELLMONT HEALTH SYSTEM, THE SOLE MEMBER OF THE CORPORATION. IN ADDITION TO SUCH RIGHTS OF APPROVAL AND CONSENT AS MAY BE RESERVED TO THE SOLE MEMBER OF THE CORPORATION PURSUANT TO APPLICABLE LAW, TRANSACTIONS OF THE FOLLOWING MATTERS BY THE CORPORATION SHALL REQUIRE THE PRIOR APPROVAL OF WELLMONT HEALTH SYSTEM, THE SOLE MEMBER OF THE CORPORATION: (A)IMPLEMENTATION OF CORPORATION'S ANNUAL BUDGET, (B)INCURRING ANY LOAN OR OTHER INDEBTEDNESS FOR BORROWED MONEY, (C) ACQUISITION OF ANY EQUIPMENT OR PERSONAL PROPERTY FOR A PURCHASE PRICE IN EXCESS OF 50,000 OR THE ACQUISITION OF ANY REAL ESTATE, REGARDLESS OF PURCHASE PRICE, (D) THE UNDERTAKING OF CERTAIN CONTRACTUAL COMMITMENTS, (E) ENTERING INTO ANY PLAN OF MERGER OR CONSOLIDATION, (F) ACQUISITION OF SUBSTANTIALLY ALL OF THE ASSETS OF ANY OTHER LEGAL ENTITY, AND (G) INSTITUTION OF ANY LITIGATION BY OR ON BEHALF OF CORPORATION. FORM 990, PAGE 6, PART VI, LINE 7A SEE FORM 990, PART VI, SECTION A, LINE 6 FOR EXPLANATION. FORM 990, PAGE 6, PART VI, LINE 7B SEE FORM 990, PART VI, SECTION A, LINE 6 FOR EXPLANATION. FORM 990, PAGE 6, PART VI, LINE 9 MARGARET D. DENARVAEZ (TERM 9/16/14) 1905 AMERICAN WAY KINGSPORT, TN 37660 TRACEY P. MOFFATT (TERM 10/3/14) 1905 AMERICAN WAY KINGSPORT, TN 37660 VYVYAN DEROUEN 1905 AMERICAN WAY KINGSPORT, TN 37660 FORM 990, PAGE 6, PART VI, LINE 11B WELLMONT CARDIOLOGY SERVICES' FORM 990 IS REVIEWED BY THE SENIOR VICE PRESIDENT OF FINANCE, THE CORPORATE CONTROLLER, AND THE MANAGER OF ACCOUNTING FOR WELLMONT HEALTH SYSTEM AND THE BOARD OF DIRECTORS OF WELLMONT CARDIOLOGY SERVICES PRIOR TO FILING. 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 12C OFFICERS, 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 CARDIOLOGY SERVICES' OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE GOVERNED BY WELLMONT HEALTH SYSTEM'S CONFLICT OF INTEREST POLICY. 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 15A GERALD G. BLACKWELL, M.D. RECEIVES NO COMPENSATION FOR SERVING AS PRESIDENT OF THE BOARD OF DIRECTORS OF WELLMONT CARDIOLOGY SERVICES. THE COMPENSATION THAT GERALD G. BLACKWELL, M.D. RECEIVES AS A PHYSICIAN OF WELLMONT CARDIOLOGY SERVICES IS REVIEWED, APPROVED AND DOCUMENTED BY THE WELLMONT HEALTH SYSTEM BOARD OF DIRECTORS. WELLMONT HEALTH SYSTEM USES ONE OR MORE OF THE METHODS DESCRIBED TO ESTABLISH THE COMPENSATION OF GERALD G. BLACKWELL, M.D. THE 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 BOARD OF DIRECTORS. BARTON A. HOVE IS ALSO A BOARD MEMBER OF WELLMONT CARDIOLOGY SERVICES. IN ADDITION, THESE BODIES USE COMPARABILITY DATA TO DETERMINE THE APPROPRIATE COMPENSATION. ALL COMPENSATION DELIBERATIONS AND REVIEWS ARE CONTEMPORANEOUSLY DOCUMENTED. 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 CARDIOLOGY SERVICES. 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. FORM 990, PAGE 6, PART VI, LINE 15B THE COMPENSATION OF THE OTHER OFFICERS AND KEY EMPLOYEES OF WELLMONT CARDIOLOGY SERVICES 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 IS COMPLETED ON AN ANNUAL BASIS. THE HUMAN RESOURCES COMMITTEE OF THE BOARD OF DIRECTORS REVIEW 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. MOFFATT - WELLMONT HEALTH SYSTEM EXECUTIVE VP AND CHIEF FINANCIAL OFFICER - ALICE POPE WELLMONT HEALTH SYSTEM USES ONE OR MORE OF THE METHODS DESCRIBED TO ESTABLISH THE COMPENSATION OF THE FOLLOWING OTHER OFFICERS AND KEY EMPLOYEES. - BRISTOL REGIONAL MEDICAL CENTER PRESIDENT - GREG NEAL - HOLSTON VALLEY MEDICAL CENTER PRESIDENT - TIM ATTEBERY - WELLMONT HEALTH SYSTEM VP OF FINANCE - TODD DOUGAN - WELLMONT CARDIOLOGY SERVICES EXECUTIVE DIRECTOR - VYVYAN DEROUEN FORM 990, PAGE 6, PART VI, LINE 19 WELLMONT CARDIOLOGY SERVICES' GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY 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, PAGE 7, PART VII AVERAGE HOURS PER WEEK THE SECRETARY AND VARIOUS BOARD MEMBERS SERVE IN A DIFFERENT CAPACITY FOR SEVERAL RELATED ORGANIZATIONS. THE MAJORITY OF THEIR TIME IS DEVOTED TO A RELATED ORGANIZATION (GREATER THAN 38 HOURS PER WEEK). HOWEVER, BOARD MEMBERS WHO ARE PHYSICIANS HAVE DEDICATED AN AVERAGE OF 40 HOURS PER WEEK TO WELLMONT CARDIOLOGY SERVICES. FORM 990, PART XI, LINE 9 INTERCOMPANY RESOLUTION 12,439,471 INTERCOMPANY - HOSPITAL ALLOCATIONS 21,121,823 ROUNDING -1 WELLMONT HEALTH SYSTEM 1905 AMERICAN WAY KINGSPORT TN 37660 621636465 HEALTHCARE TN 501C3 3 NA false WELLMONT HAWKINS CO MEMORIAL HOSPI 1905 AMERICAN WAY KINGSPORT TN 37660 621816368 HEALTHCARE TN 501C3 3 WHS false WELLMONT MEDICAL ASSOCIATES INC 1905 AMERICAN WAY KINGSPORT TN 37660 270898372 HEALTHCARE TN 501C3 7 WHS false WELLMONT FOUNDATION INC 1905 AMERICAN WAY KINGSPORT TN 37660 581594191 HEALTHCARE TN 501C3 7 WHS false WELLMONT MADISON HOUSE 1905 AMERICAN WAY KINGSPORT TN 37660 621308216 HEALTHCARE TN 501C3 9 WHS false WELLMONT WEXFORD HOUSE 1905 AMERICAN WAY KINGSPORT TN 37660 581859039 HEALTHCARE TN 501C3 9 WHS false WELLMONT IMAGING SERVICES INC 1905 AMERICAN WAY KINGSPORT TN 37660 861103148 HEALTHCARE TN 501C3 11A WHS false WELLMONT SLEEP SERVICES 1905 AMERICAN WAY KINGSPORT TN 37660 273777167 HEALTHCARE TN 501C3 3 WHS false SAPLING GROVE AMBULATORY SURGERY 220 MEDICAL PARK BLVD BRISTOL TN 37620 204450153 HEALTHCARE TN N/A false false HOLSTON VALLEY AMBULATORY SURGERY 103 WEST STONE DRIVE KINGSPORT TN 37660 621816864 HEALTHCARE TN N/A false false HOLSTON VALLEY IMAGING CENTER 103 WEST STONE DRIVE KINGSPORT TN 37660 202043285 HEALTHCARE TN N/A false false WELLMONT INC 1905 AMERICAN WAY KINGSPORT TN 37660 621320035 PHYS SVCS TN N/A false MCOT INC 1905 AMERICAN WAY KINGSPORT TN 37660 621325938 MED SVCS TN N/A false MEDICAL LAUNDRY OF TRI-CITIES INC 1905 AMERICAN WAY KINGSPORT TN 37660 621482226 MED SVCS TN N/A false MEDICAL MALL PHARMACY INC 1905 AMERICAN WAY KINGSPORT TN 37660 621565006 MED SVCS TN N/A false WELLMONT PHYSICIAN SERVICES INC 1905 AMERICAN WAY KINGSPORT TN 37660 621567353 PHYS SVCS TN N/A false WELLMONT HEALTH SERVICES INC 1905 AMERICAN WAY KINGSPORT TN 37660 621254373 HEALTHCARE TN N/A false WPS PROVIDERS INC 1905 AMERICAN WAY KINGSPORT TN 37660 205564642 PHYS SVCS TN N/A false false false true false false false false false false true true true true false false false false false false WELLMONT HEALTH SYSTEM C 12439471 CAPITAL CONTRIBUTION WELLMONT HEALTH SYSTEM K 384323 LEASE AGREEMENT WELLMONT HEALTH SYSTEM L 2051924 SERVICE AGREEMENTS WELLMONT HEALTH SYSTEM M 114415 SERVICE AGREEMENTS WELLMONT MEDICAL ASSOCIATES J 79864 LEASE AGREEMENT SCHEDULE R PART V, LINE 2 RELATED ORGANIZATION TRANSACTIONS WITH WELLMONT HEALTH SYSTEM AND WELLMONT FOUNDATION, TOTALED 38,644 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 HEALTH SYSTEM J 25,225 LEASE AGREEMENT WELLMONT FOUNDATION C 13,419 NEED